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Book Excerpts - Page 4

Almost 40 million encounters between American military physicians and Vietnamese civilians occurred from 1963 to 1971 in the Medical Civic Action Program (MEDCAP) alone during the Vietnam conflict.² In 1963, almost seven hundred thousand civilians were treated, and this number increased four-fold the next year, reaching a peak of more than 10 million in 1967. Thereafter, as U.S. troops departed, the number of civilians treated rapidly declined.
The Author examining an infant in the orphanage.
From June 1964 through December 1968, there were 69,590 civilians admitted as inpatients to U.S. Army hospitals in South Vietnam, for total bed occupancy of 246,010 days. In addition, 786,472 civilians were treated as outpatients.³ Aside from questions about motivation for the programs and policy considerations, the sheer volume of this experience, with its associated expense, risks to personnel, and expenditures in time, warrants examination.

There is no previous comprehensive study of the various programs that provided medical care to Vietnamese civilians during the war. This book will examine the motivations for these programs as well as their implementations. It will also try to determine whether the programs were successful in achieving their goals. To do that, it is necessary to define what these goals were. Was the major aim the provision of medical care, or was it, alternatively, the use of the programs to advance the war aims of the administration-that is, the use of medical care as an instrument of policy? In either case, did the programs provide good medical... Go Back

Copyright © 2006 Robert J. Wilensky MD, Ph.D.