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Z  K  Z Ihadhopedthatweasthepeoplehadlearnedthe 5 (  lessonsofVietnam--50,000Americansdead,   hundredsofthousandsofciviliandead--and   environmentaldisaster.WhatwefaceintheMiddle   Eastisdeathanddestructiononagranderscale.... UH   Z  K  Z Themajorityofcasualtieswillbecivilians....  NeithertheU.S.militarynortheAlliedforcespossess  adequatemedicalfacilitiestorespondtosuchmedical uh needs.Fromamedicalpointofviewthepublichas =0 beenmisledconcerningthecatastrophicnatureof  woundsandinjuriesthatwillbefallcombatantsand  civilians.   Z AsadoctorIknowthatwheretherecanbeno % medicalcure,preventionistheonlyremedy.I,  therefore,commitmymedicalknowledgeandtraining  tothisefforttoavertwarbyrefusingordersto }p participateinOperationDesertShield. E8  Z  K  Z Iconsidermyselfapatriotandhavetakenthese ! actionsinsupportofAmericantroopswhohavebeen " deployedintheGulfregion,insupportoftheAmerican eX# people,andinsupportofthechildrenbothhereandin - $ theMiddleEastwhohavenovoice.Ihopethatinsome % smallwaymyactofconsciencewillhelppromotea & peacefulresolutionoftheGulfcrisis.  x'   #0XX0\\#Yolanda_Huet_-_Vaughn_,M.D. #!+ January9,1991 @  $", ~ < Q<    ,h   0d X0X @ WhatCanWeDoNow?#0XX 0dw#0\\X0X    k $ot|}~(y3C"3"  323  0    Writeletterstonewspapersandjournals.Writeto  yourSenatorsandRepresentativeinCongress.Let  themknowthatyou'reagainstthedraftandthat }p you'llresistiftheytrytodraftyou.3݌E8 Ќ  "3"  3P23  0    Educateyourselfaboutthedraft.Informyour   co-workers.Organizeaforumordiscussiononthe  medicaldraftatyourworkplace,home,orschool.  Thinkaboutwhatyouwilldoifyouaredrafted.3P}݌e X  Ќ  "3"  323  0    Tellyourpatients,friends,andneighbors.Encourage -   professionalassociationsandunionstotakeastand    againstthewarsandthedraft,andnottocollaborate   withtheSelectiveServiceSystem.32݌ x  Ќ  "3"  323  0    Organizeananti-war,anti-draft,ordraftresistance M @  group.(Duringthe19901991GulfWar,peace   groupsformedatmanyhospitals,clinics,and   medicalandnursingschools.)3݌  Ќ  "3"  3\23  0    Joinincollectiveexpressionsofyourcommitmentto m` resistthedraft.(Duringthe19901991GulfWar, 5( hundredsofhealthcareworkerssignedajointhealth  careworkers'pledgetoresistmilitarismandthe  draft.)3\݌ Ќ  "3"  3823  0    Joinwithothers--youngpeople,students,parents, UH veterans,etc.--toopposeanydraft.Getinvolvedin  anti-warandanti-draftcoalitions.38e݌ Ќ                      y #0XX0\\#0d X0X Resistancenowcanpreventthedraft uh andhelpbringthewarstoaquicker,  lessbloodyend! #0XX 0dY#0\\X0X  #0XX0\\$#   A!),dE,A0eX0X_2_#0XX0e#0X0X aT! _MedicalDraft.info_ ;." #0XX07#Thisleafletandmoreareat: !~$ http://www.medicaldraft.info y"l % UpdatedApril2006. @  g#Z!&  U$H"'  L  X     ,,aa #`  a `5x55x[[[[5`  0X0X#0XX0#0F/$FX0XHealthCare / Workers E andtheDraft#0XXF0F/$%#0xmvX0X [ #0XXv0xm# a %  0d X0X Ifyouthinkthedraftisjustfor M  youngmen,thinkagain.Thefirst e  peopletobedraftedwillprobably }  behealthcareworkers.   Ifyou'readoctor,nurse, "  technician,therapist,orother :  medicalprofessional--manor R  woman,age20through44--andif  j Congressauthorizesadraft,you % couldbeinbootcampinjustafew = months. U Thisleafletexplainshowamedical  draftislikelytowork,whatyou  candonowifyoudon'twanttobe  drafted,andwhywehopeyou'll * joinusindraftresistance.   B #0XX 0d? #0eX0X#0XX0e## 0eX0X  _2_#0XX0e$#0X0X !4 _MedicalDraft.info_#0XX0$#0d X0X  #! 3) 3,X,5,[[[[5 3  #0XX 0d %#a M/$,,  WillThereBeADraftof , HealthCareWorkers?0SX0X   2&#0XX0S&#0,H",X0X                  #0XX",0,H&#0SX0XThepeacetimeU.S.Armydoesn'thaveverymanydoctors, T nurses,ormedicaltechnicians.Mostofthoseinthemilitary 2 areintheReserves,subjecttocall-upforindefiniteactive  #0XX0S'#0SX0Xdutyatanytime.InDecember2004,theNewEnglandJournal j ofMedicinereportedthatthewarsinIraqandAfghanistanhad H createdasevereshortageofmilitarysurgeons:"Many  surgeonshavebeenonaseconddeploymentoranextended   deployment,andeventhishasnotbeensufficient.Plannersare ^2  havingtocontemplatepressingsurgeonsintoyetathird    deployment."Butit'spoliticallydifficulttokeepreservistson    activedutyindefinitely,andextendedcall-upsofReservists t H  makeotherpotentialnewReservistslesswillingtosignup. &  #0XX0S(#0SX0XThemilitarycan'tfightwarswithoutdoctors.Duringpastwars  ^  therewasaspecial"DoctorDraft"withahigheragelimitand <   fewerdeferments.In1987,CongressorderedtheSelective   ServiceSystemtopreparecontingencyplansforacompulsory t  "HealthCarePersonnelDeliverySystem".SelectiveService R& publisheditsplansforpubliccommentonAugust15,1989  (54FederalRegister33644-33654;alsoonourWebsiteat  ._MedicalDraft.info_),andhashadthemreadyeversince. h< AssoonasCongressauthorizesadraftofhealthcareworkers,  SelectiveServiceisreadytofinalizetheregulations,putthem ~R intoeffect,andbeginsendingoutinductionnotices.The 0 conceptunderwentfieldexercisesin19981999,andSelective  Servicebelievesthat _HCPDS_Ԁisasound,workableprogram." h Eventhosewhoclaimtherewon'tbeageneraldraftadmitthat  amedicaldraftismorelikely,andwillbe"needed"bythe ~  militarysooner,thanageneraldraftofyoungmen. j  [  \0! Accordingtoonemilitarydoctor,writingina2004medical # journalarticleexplainingSelectiveServiceplans,"A rF$ physiciandraftisthemostlikelyconscriptionintothemilitary $% inthenearfuture....Currently,this["specialskills"]missionis & onlyforhealthcarepersonnel,butinthefutureitis \' foreseeableitmayincludelinguists,environmentalengineers, :( computerspecialists,andotherprofessions." ) Asthewarsandthecasualtiescontinueandescalate,amedical P$+ draftcouldstartinahurry.Draftregistrationprobablywon't  , beneeded:Inthepast,theAMAarrangedtoprovidelicensing  - liststoSelectiveService,andCongresswillprobablyrequire f!: . otherprofessionalandlicensingboardstodolikewise. " / Congresscouldapproveadraftanyday.Healthcareworkers |#P"1 needtostartthinkingnowaboutwhatthey'lldoiftheyare .$#2 drafted--andwhattheycandonowtopreventthedraft. $#3  %f$4 4N 4,,w, 4  Manyhealthcareworkersobjecttobeingforcedtoservein , themilitary.Peoplegointohealthcarecareersbecausethey  careaboutsavinglives.Butmilitarymedicalworkersare d supposedtopatchupwoundedsoldiers,sothattheycango B backtothefronttofight(andperhapskill)othersoldiers.  Somedoctorsdon'tthinkthat'swhattheirHippocraticOathto z preservelifeisallabout.Duringthe1990-1991GulfWar, X, someactive-dutyandReservedoctorsrefusedorderstothe   Gulf,andcivilianhealthcareworkersbeganpreparingfora  draftandorganizedahealthcareworkers'pledgeagainst nB  militarismandthedraft.      #0XX0S+#WhoWillBeDrafted? 0SX0X  X  9#0XX0S5:#0,H",X0X#0XX",0,H:#0SX0XMuchwillbeuptoCongress.SelectiveServicehascomplete   standbyplansforamedicaldraftthatcouldstarttomorrow.  p  ButitwouldneedpermissionfromCongress,andthe N "  authorizinglegislationcouldrequirechangesinthoseplans.   Congresscoulddecidenottoincludewomeninthemedical d8  draft.Butitwillbehardtogetenoughnursesandother   professionalsinsomespecialitieswithoutdraftingwomen.A  healthcareworkers'draftwillmostlikelyincludewomen. zN Congresscouldspecifywhichoccupationswouldbeincluded.  ItwillprobablyleaveituptothePresident,whowillprobably d leaveituptothePentagon.In1986,whenCongresslast B debatedamedicaldraft,theproposalallowedthePresidentto  designateforinclusionany"health-careoccupationsthatare z essentialtotheArmedForcesandinwhichpersonnelmaynot X, beavailabletomeettheneedsoftheArmedForces".   SelectiveServicehassaiditispreparedtodraftpeople nB  "professionallyqualified"in57medicalandrelated  ! specialties,includingphysicians,dentists,psychologists, " therapists,dietitians,technicians,nurses,veterinarians, X# pharmacists,opticians,"othermedicalcareandtreatment 6 $ personnel",and"miscellaneousalliedspecialists". % PastCongressionalproposalswouldhaveauthorizedadraftof L ' medicalworkersages20through54,butSelectiveServicehas ( saidthat"requirementswouldlikelybemet"bythose20 ) through44.Theyoungestwouldbedraftedfirst.Sincefew b6* physiciansare20yearsold,significantlyolderpeoplecould + bedraftedinatleastsomefields. , Aswithcurrentcontingencyplansforageneraldraft,health *!. careworkerswhoaredraftedwillhaveonly10daystoreport ! / forinductionortomakeanyclaimfordefermentor "b!0 exemption.Ifyoudon'twanttobedrafted,youshouldplan @#"1 ahead.Ifyouthinkyoumightqualifyfordefermentor #"2 exemption,seeadraftcounselornow.Ifyouwanttolobby $x#3 againstthedraftdoitnow.Ifyouplantoresist,saysonow. V%*$4 .| .5,5 .  #0XX0S:#  WhatCanIDoIfIDon't  WanttoBeDrafted?   F0,H",X0X#0XX",0,HzF#0SX0XYoucouldbedraftedifyou'reaU.S.citizenorresident 2 licensedinahealthcareprofession.(BothU.S.citizens  residingabroad,andforeignersresidingintheU.S.,are j subjecttotheU.S.draft.)Youcanavoidthedraftby H renouncingyourcitizenshipandleavingtheU.S.,orby  leavingyourprofession--now,beforeyouaredrafted.Not   muchofachoiceunlessyou'realreadyplanningtoleave. ^2      Youcouldjusthopetogetlucky.Dependingonyourageand    yourspecialty,youmightnotbedraftedatall.Unlessyou t H  wanttogamblewithyourlife,youshouldmakesomeother &  planaswell.   You'llhavetotakeaphysicalexam,butanyone"practicing <   theirprofessionintheprivatesector"willbeautomatically   "consideredabletodothesameinamilitaryenvironment, t  notwithstandingphysicalconditionswhichwouldcause R& rejectionasaregularregistrant."  Youcanapplyforadefermentorexemption,butmostpeople h< don'tqualifyforany.SelectiveServiceproposestodeferthose  whoconvincedraftboardsthattheyare"engagedindirect  patientcare...essentialtothehealthcarewithintheirown ~R communities."Butnooneknowsjustwhatthiswillmeanin 0 practice,orcancountonsuchadeferment.  Thosewhoqualifyasconscientiousobjectors(_COs_)don't F havetofight.Butyou'reaCOonlyifyouopposeallwars(not  justcertainones),forreligiousormoral(notpolitical)reasons, ~  andifyoucanconvinceyourdraftboardyourbeliefsaredeep \0! andsincere.Many_COs_Ԁserveasmedics;healthcare_COs_Ԁwill " havetoexplainwhytheyobjecttosuchmilitarymedicalduty. # Iftheysucceed,they'llhavetodoalternativeservice-- rF$ possiblyinacivilianhospitalhandlingoverflowmilitary $% patients. & Refusaltoregisterhasbeenextremelyeffectiveinpreventing :( adraftofyoungman.Buthealthcareworkersprobablywon't ) getthechancetorefusetoregister.Yourfirstwordfrom r* SelectiveServicewillprobablybeaninductionnotice.Once P$+ yougetit,thereisnosafeoreasywayout.  , #0XX0SF# Theeasiest,safest,andpotentiallymost f!: . effectiveactionsyoucantaketoavoidbeing T"(!/ draftedarethoseyoucantakenowto B#"0 preventthedraft.Ifthere'senough 0$#1 resistancenow,noonewillbedrafted .