Photo Credit: Flash 90
Medics evacuate an injured police officer at the scene of a stabbing attack at Damascus Gate in the Old City of Jerusalem.

(JNi.media) An appeal of Physicians for Human Rights (PHR) has led to a dramatic change in the guidelines of Israel’s Medical Association, imposed by its Ethics Bureau: from now on, medical teams must provide medical care to victims at the scene of a terrorist attack, including the terrorist perpetrators, according to the severity of their injury.

To date, EMTs were instructed to treat all the victims of an attack first, before the attacker, in line with the rule of “The poor of your city come first” (the rabbinic version of “charity begins at home”); but from now on, according to the dramatic resolution, reported by Israel Hayom, the medics must triage only according to the severity of the injury.

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The IMA Ethics Bureau is the only entity in Israel in charge of setting the standards of medical ethics for all doctors and medical teams. Its instructions have a profound influence on all the emergency medical professionals, including paramedics, medics, nurses and administrators. However, the change in the existing triage procedure that was decided earlier this week was not publicized, but was merely entered in the guidelines published on the IMA website, for fear of “political and public criticism of the decision during the widespread wave of terror,” Israel Hayom reported.

The dramatic decision was made after a long discussion that took place at the Ethics Bureau last week, at the request of Physicians for Human Rights, a not-for-profit NGO whose stated view is that “Israel’s prolonged occupation over Palestinian territory is the basis of human rights violations. For this reason we oppose the occupation and endeavor to put an end to it. PHR-Israel stands at the forefront of the struggle for human rights – the right to health particularly – in Israel and the occupied Palestinian territory.”

Between 2008-2014, the anti-Zionist New Israel Fund (NIF) authorized grants worth $1,275,815 to PHR-Israel, according to NGO Monitor. The Israel PHR has received additional donations from the Human Rights and International Law Secretariat (Sweden, Switzerland, Denmark and the Netherlands), Diakonia (Sweden), Medico International (Germany), Bread for the World (Germany), the European Union, HEKS-EPER (Switzerland), Germany, Norway, Switzerland, and UNHCR. Its operating budget is assessed at between $1 and $2 million annually. It buys a lot of ethics.

PHR-Israel addressed the IMA Ethics Bureau, saying that the former directive seriously contradicts the principles of internationally accepted medical ethics and international humanitarian law. Chairman of the IMA Ethics Bureau, Dr. Tammy Karni, told Israel Hayom that the reason for changing the rule is that “doctors are not judges. The meaning of keeping the directive intact was to tell the doctor to investigate who is to blame and punish them by denying care. In a multiple-injury event it’s very easy to make mistakes in identification, and the treating physician clearly can’t do a precise identification of the victims. The doctor must be focused on saving the lives of as many people as possible. It isn’t decent to add to the doctor’s triage task criteria that are unrelated to the health of the casualties.”

The principle of “The poor of your city come first” at the scene of an attack was part of the guidelines of the Ethics Bureau that were written in 2008. The earlier directives were formulated by a group of doctors, including Prof. Pinchas Halpern, director of the Department of Emergency Medicine at Ichilov Hospital in Tel Aviv, and a leading expert in emergency medicine in Israel. According to Halpern, removing the former directive was a mistake, and instead there needed to be a hearing on the issue which in the end would specify the guiding principles for treatment of an enemy.

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38 COMMENTS

  1. They call this decision ethical? The UN has 2 refugee organizations–one has resettled tens of millions of people since WWII, the other keeps the Palestinians in limbo. And people continue to blame Israel. The Ethics Committee should be removed.

  2. Do the people of Israel truly feel they are to be treated differently than the rest of the democratic world? I am a RN and here in Canada we triage pt's based on the severity of the pt's state. It doesn't matter who the pt's are or what they have been accused of. Doctors and nurses are held to a higher code than others, we can't be biased when treating injured people. Israel wants to be known as the only "democratic" country in the ME, if you want to be known as a democracy then you need to be democratic, as in the definition of the word not an Israeli take on it. Welcome to the rest of the world, this is how it's done period!

  3. Many in the world feel your IDF are the terrorist, the shoot to kill before any person can have a fair trial, they are now murdering and then placing knives beside the dead bodies, perhaps we should start by finding and shooting these men as well. You say terrorists, do know that that word can be used against you as well…

  4. You do know that even in NY if there were to be a terrorist attack that the wounded are triaged by injury not by who did what, it says you are a teacher? Of what? Hate? Tell me why the Israeli 0gov isn't caring for the Jewish people in need? Actually Nvm, I know that answer as I have had communication with m$any Jews in Israel who are neglected and most of those that are I find follow the Torah, they aren't Zionists and that's why they are in need, Israel receives billions from the USA there should not be any needy there if the gov was committed to its people

  5. The head of the Israeli medical association should be fired immediately! If that is not possible for some reason than pressure should be applied by the government or by the people of Israel to force him to resign. Picket his office, picket his home if you know where it is. Make some commotion about this.
    He should also be forced to go to a mental facilities to check his mental faculty.

  6. The Police Association or Union should also give new directive:
    Don't let a doctor approach the terrorist.
    If he is injured (why is he not dead? You must kill the terrorist! But if for some reason you want to keep him alive because he might say where his accomplice are, for ex.) then you must guard him. And if a doctor approaches and ask -"How is he?" You should say He;s fine. Go help the victims!"
    And that's it. You are in charge not the doctors.

  7. Although Jews are stupid I think that nevertheless it is hard to imagine that a doctor will follow these new rules. They are many rules in place in the US for example that nobody follows even though on paper that is the rules. For example there now rules in the US that says police can't profile but in reality police continue to do it (and rightly so).

    If I'm the victim of a terrorist attack (God forbid!) and I see that the "doctor" is helping the terrorist in any way, I will, if I'm strong enough, beat him right there. If I'm too weak, I will find out what is his name and will either sue later or he will receive the visit of me and a few tough friends and after our "little talk" this good doctor will need major surgery (assuming he is still alive).

  8. >"Suppose there were two people seriously injured, one a little worse than the other, but the more seriously injured is the terrorist."
    Huh?
    "the more seriously injured is the terrorist" Why is he still alive? If he's injured it's because the police shot him so why stop shooting after 1 or 2 bullets, why not kill him? If he's seriously injured, shoot again to make sure he dies. If he killed or even just tried to kill he deserve to die. Kill him and all this non-sense in this article doesn't matter.
    ———–
    It is up to the police to make sure the terrorist is killed. Don't just injure him, kill him! The difference is 2 seconds. Four bullets instead of 2 bullets. Or 2 bullets in the head instead of bullets in the belly or chest. Just kill the terrorists.

  9. In the same edition you learn that a police officer who killed a terrorist after he/she was neutralized was cleared of any wrongdoing. Which send the message (the right message) that you can kill a terrorist even if he/she is neutralized. It doesn't matter a terrorist is a terrorist. He should not be kept alive because then he will be jailed and after a while will be freed in an exchange for a kidnapped soldier or a dead body of a soldier or whatever. Kill the terrorists! This is what every country does. France killed the terrorists hiding in the house. Americans are killing terrorist. Don't neutralize them, kill them.
    Unless you want to interrogate him, then do so AND THEN KILL HIM when he is of no use anymore. (even 6 months later). We are at war for God sake and in a war you kill your enemy!

  10. Is this NGO a Israeli/Jewish organization? I wouldn't be surprised. But whatever it is, Israel should stop hem. I remember that some 6 months ago Bibi started (or wanted to) crack down on all these anti-Israel NGO.

    Why is an Israeli organization(Israeli medical Association) listening to a foreign NGO? It is called Physicians for Human Rights -Israel
    which means it is an international organization and this is just the Israeli branch. They should have no say in internal Israel affairs.
    This organization is similar to the despicable Doctors without Borders (I call them Doctors without Brains). Same agenda.

  11. uhhhh, Tami I think it's not to hard to figure out who the guy is that wants to die he's the one that just ran his car into the people or the one that shot or stoned or firebombed or stabbed the innocent civilians. So that person must be the Terrorist and if he is a terrorist then he must WANT TO DIE , so he can have his virgins, therefore why take care of him so he should live? Why ????? This makes no sense.

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