What about 'country'?
I realize that patriotism is passť, but the United States has good reasons for trying to ascertain the reliability of those in sensitive positions. The authors are probably correct that the officer's career would be put on hold if details of his health were known. That's because many of these sensitive positions are incompatible with significant mental illness, certain medications and some health problems. Would you be comfortable with this officer/patient commanding a nuclear missile silo?
As a colonel, I cared for CIA operatives working in Eastern Europe. If the Soviets had subverted individuals with access to CIA and military intelligence because of a perceived weakness such as mental illness—individuals like the one described in the story—those operatives would likely suffer a cruel death by torture. One defector can cost hundreds of lives.
Military physicians frequently encounter personnel in highly sensitive jobs, individuals who use or develop secret technology and others who must maintain superb judgment for critical decisions. Obviously, a mentally ill intelligence officer will seek out an innocently naive civilian physician for care.
David E. Langdon, FACP
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This new edition reflects recent clinical and social changes and continues to present the important issues facing practitioners and their LGBT patients. Read more about the Guide. Also see ACPís recent policy position paper on LGBT health disparities.
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