Monash Bioethics Review

, Volume 34, Issue 3–4, pp 158–188 | Cite as

The land of no milk and no honey: force feeding in Israel

Original Article
First Online:

Abstract

In 2015, the Israeli Knesset passed the force-feeding act that permits the director of the Israeli prison authority to appeal to the district court with a request to force-feed a prisoner against his expressed will. A recent position paper by top Israeli clinicians and bioethicists, published in Hebrew, advocates for force-feeding by medical professionals and presents several arguments that this would be appropriate. Here, we first posit three interrelated questions: 1. Do prisoners have a right to hunger-strike? 2. Should governing institutions force-feed prisoners and/or is it ethical to force-feed prisoners? 3. Should healthcare professionals force-feed prisoners? We then focus on the first and third questions. We first briefly provide several arguments to support the right of prisoners to refuse treatment. Next, we critically review the arguments presented in the Israeli position paper, demonstrating that they are all misguided at best. Lastly, we briefly present arguments against force-feeding by medical professionals. We conclude that healthcare providers should not participate in the force-feeding of prisoners.

Keywords

Israel Force-feeding Torture Political prisoners 
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Notes

Funding

The authors received no specific funding for this study.

Compliance with ethical standards

Conflict of interest

Both authors report no relevant conflict of interests.

References

  1. Agich, G.J. 1993. Autonomy and long-term care. New York: Oxford University Press.Google Scholar
  2. Allhoff, F. 2005. A defense of torture: separation of cases, ticking time-bombs, and moral justifications. International Journal of Applied Philosophy 19 (2): 243–264.CrossRefGoogle Scholar
  3. Amnesty International. (1999). Israel: High Court should end the shame of torture. AI INDEX: MDE 15/05/99.Google Scholar
  4. Annas, G.J. 1995. Hunger-strike: Can the Dutch teach us anything. BMJ 311 (7013): 1114–1115.CrossRefGoogle Scholar
  5. Annas, G.J. 2005. “Culture of life” politics at the bedside: the case of Terri Schiavo. New England Journal of Medicine 352 (16): 1710–1715.CrossRefGoogle Scholar
  6. Annas, G.J. 2009. Book review: force-feeding prisoners and the role of physicians. Lancet 374: 1737–1738.CrossRefGoogle Scholar
  7. Annas, G.J. 2006. Hunger-strikes at Guantanamo: medical ethics and human rights in a “legal black hole. New England Journal of Medicine 355 (13): 1377–1382.CrossRefGoogle Scholar
  8. Arisheh, M. A. (2015). #Denied: harassment of Palestinian patients applying for exit permits. Physicians for Human Rights—Israel.Google Scholar
  9. Barilan, M., Golan, O., Glick, S., Gross, M., Halevi, Y., Halperin, M., Weingarten, M., Tal, M., Tal, T., Carmi, R., Kasher, A., Segal, G., Sprong, C., Sckortzki, K., Ravel, M., Rekover, M., Steinberg A. & Shapira, A. (2015). Position paper: the moral attitude towards hunger-strikers.Google Scholar
  10. Barilan, Y.M. 2012. Human dignity, human rights, and responsibility: The new language of global bioethics and biolaw. Cambridge: MIT Press.Google Scholar
  11. Batniji, R., Y. Rabaia, V. Nguyen-Gillham, R. Giacamanm, E. Sarraj, R.L. Punamaki, H. Saab, and W. Boyce. 2009. Health in the occupied territory 4: Health as human security in the occupied Palestinian territory. The Lancet 373 (9669): 1133–1143.CrossRefGoogle Scholar
  12. Beauchamp, T.L., and J.F. Childress. 2009. Principles of biomedical ethics. New York: Oxford University Press.Google Scholar
  13. Benatar, S.R. 1990. Detention without trial: Hunger-strikes and medical ethics. Law, Medicine and Health Care 18 (1–2): 140–145.Google Scholar
  14. B’Tselem—The Israeli Information Center for Human Rights in the Occupied Territories (2011). Criticism of administrative detention under administrative detention order. Available at http://www.btselem.org/administrative_detention/criticism_on_the_administrative_detention_order.
  15. Brockman, B. 1999. Food refusal in prisoners: a communication or a method of self-killing? The role of the psychiatrist and resulting ethical challenges. Journal of Medical Ethics 25: 451–456.CrossRefGoogle Scholar
  16. Burkle, F.M., J.T.S. Chan, and R.S. Yeung. 2013. Hunger-strikers: Historical perspectives from the emergency management of refugee camp asylum seekers. Prehospital and Disaster Medicine 28 (6): 625–629.CrossRefGoogle Scholar
  17. Castro, L.D. 2011. The tortured physician: better to be complicit? Asian Bioethics Review 3 (3): 179–181.Google Scholar
  18. Chomsky, N. 1968. Philosophers and public philosophy. Ethics 79 (1): 1–9.CrossRefGoogle Scholar
  19. Crosby, S.S., C.M. Apovian, and M.A. Grodin. 2007. Hunger-strikes, force-feeding, and physicians’ responsibilities. JAMA 298 (5): 563–566.CrossRefGoogle Scholar
  20. Danis, M., J. Garrett, R. Harris, and D.L. Patrick. 1994. Stability of choices about life-sustaining treatments. Annals of Internal Medicine 120: 567–573.CrossRefGoogle Scholar
  21. Dershowitz, A.M. 2003. The torture warrant: A response to professor Strauss. New York Law School Law Review 48: 275–294.Google Scholar
  22. Dougherty, S.M., J. Leaning, P.G. Greenough, and F.M. Burkle. 2013. Hunger-strikers: Ethical and legal dimensions of medical complicity in torture at Guantanamo Bay. Prehospital and Disaster Medicine 28 (6): 616–624.CrossRefGoogle Scholar
  23. Feenan, D. 1996. Doctors do not have final decision on hunger-strikers in prison. BMJ 312: 444.CrossRefGoogle Scholar
  24. Fessler, D.M.T. 2003. The implications of starvation induced psychological changes for the ethical treatment of hunger-strikers. Journal of Medical Ethics 29: 243–247.CrossRefGoogle Scholar
  25. Filc, D., H. Ziv, M. Nassar, and N. Davidovitch. 2014. Palestinian prisoners’ hunger-strikes in Israeli prisons: Beyond the dual-loyalty dilemma in medical practice and patient care. Public Health Ethics 7 (3): 229–238.CrossRefGoogle Scholar
  26. Finkelstein, N.G. 2012. What Gandhi says: About nonviolence, resistance, and courage. New York: OR Books.Google Scholar
  27. Foucault, M. 1995. Discipline & punishment: The birth of the prison. New York: Vintage Books.Google Scholar
  28. Gannon, P.J. 1920. The ethical aspect of the hunger-strike. Studies: An Irish. Quarterly Review 9 (35): 448–454.Google Scholar
  29. Garasic, M., and C. Foster. 2012. When autonomy kills: The case of Sami Mbarka Ben Garci. Medicine and Law 31: 589–598.Google Scholar
  30. Garasic, M.D. 2015. Guantanamo and other cases of enforced medical treatment: A biopolitical analysis. Berlin: Springer.CrossRefGoogle Scholar
  31. Garasic, M. D. (2016). Force-feeding, hunger-strikes, Guantanamo and autonomy: Replies to George Annas, Charles Foster and Michael Gross. Journal of Medical Ethics. doi:  10.1136/medethics-2016-104067.
  32. Gillon, R. 2003. Ethics needs principles—four can encompass the rest—and respect for autonomy should be “first among equals”. Journal of Medical Ethics 29: 307–312.CrossRefGoogle Scholar
  33. Glick, S.M. 1997. Unlimited human autonomy: A cultural bias? New England Journal of Medicine 336 (13): 954–956.CrossRefGoogle Scholar
  34. Grodin, M.A., G.J. Annas, and L.H. Glantz. 1993. Medicine and human rights: A proposal for international action. The Hastings Center Report 23 (4): 8–12.CrossRefGoogle Scholar
  35. Gross, M.L. 2004. Doctors in the decent society: Torture, ill-treatment and civic duty. Bioethics 18 (2): 181–203.CrossRefGoogle Scholar
  36. Gross, M.L. 2006. Bioethics and armed conflict: Moral dilemmas of medicine and war. Cambridge: MIT Press.Google Scholar
  37. Gross, M.L. 2013. Force-feeding, autonomy, and the public interest. The New England Journal of Medicine 369: 103–105.CrossRefGoogle Scholar
  38. Hardie, T.J., and A. Reed. 1996. Hunger-strikers should be treated like other patients who refuse consent to treatment. BMJ 312: 444.CrossRefGoogle Scholar
  39. Hare, R.M. 1993. The ethics of medical involvement in torture: Commentary. Journal of Medical Ethics 19: 138–141.CrossRefGoogle Scholar
  40. Harris, J. 1985. The value of life: An introduction to medical ethics. Abingdon: Routledge.Google Scholar
  41. Investigation committee for investigation methods of the General Security Service pertaining to hostile terrorist activity (1987). (Israel: The Israeli Government).Google Scholar
  42. Israeli Supreme Court 1043/99. (1999). The Public Committee Against Torture in Israel et al. v. The State of Israel et al.Google Scholar
  43. Israeli Supreme Court 5304/15. (2016) Israeli Medical Association et al. v. Israeli Parliament et al.Google Scholar
  44. Jackson, H. J. P. (2012). Ruling in the case of E. vs. Local Authority. Case No.12153212. R. C. o. Justice.Google Scholar
  45. Jonas, H. 1978. The right to die. The Hastings Center Report 8 (4): 31–36.CrossRefGoogle Scholar
  46. Kalk, W.J., M. Felix, E.R. Snoey, and Y. Veriawa. 1993. Voluntary total fasting in political prisoners: Clinical and biochemical observations. South African Medical Journal 83: 391–394.Google Scholar
  47. Kant, I. 1963. Lectures on ethics. Indianapolis/Cambridge: Hackett Publishing Company.Google Scholar
  48. Kant, I. 2003. Fundamental principles of the metaphysics of ethics. Jerusalem: The Hebrew University, Magnes Press.Google Scholar
  49. Keys, A., J. Brozek, A. Henschel, O. Mickelsen, and H.L. Taylor. 1950. The biology of human starvation. Minneapolis: University of Minnesota Press.Google Scholar
  50. Lederman, Z., A. Cernat, E.G. Ferri, F. Galbo, G.M.A. Levi-Setti, M. Mertens, B. Moore, O. Riklikiene, J. Vescio, and S.E. Chamberlin. 2016. The responsibility to prevent, the duty to educate. Theoretical Medicine and Bioethics 37 (3): 233–236.CrossRefGoogle Scholar
  51. Lepora, C., and J. Millum. 2011. The tortured patient: A medical dilemma. The Hastings Center Report 41 (3): 38–47.CrossRefGoogle Scholar
  52. Luban, D., and H. Shue. 2011. Mental torture: A critique of erasures in U.S law. Georgetown University Law Center and Legal Theory, Research Paper 11–31: 1–56.Google Scholar
  53. Mackenzie, C. 2014. Three dimensions of autonomy: A relational analysis. In Autonomy, oppression, and gender, ed. A. Veltman, and M. Piper. Oxford: Oxford University Press.Google Scholar
  54. Mill, J.S. 1978. On liberty. Indianapolis/Cambridge: Hackett Publishing Company, Inc.Google Scholar
  55. Moore, M.S. 1989. Torture and the balance of evils. Israeli Law Review 23: 280–344.Google Scholar
  56. Murphy, M. C. (2015). Hunger-striker Muhammad Allan released by Israel. Retrieved 2016, 3, from https://electronicintifada.net/blogs/maureen-clare-murphy/hunger-strike-muhammad-allan-released-israel.
  57. Nicholl, D.J., H.G. Atkinson, J. Kalk, W. Hopkins, E. Elias, A. Siddiqui, R.E. Cranford, and O. Sacks. 2006. Force-feeding and restraint of Guantanamo Bay hunger-strikers. The Lancet 367 (9513): 811.CrossRefGoogle Scholar
  58. Physicians for Human Rights—Israel and The Public Committee Against Torture in Israel. (2011). Doctoring the evidence, abandoning the victim: The involvement of medical professionals in torture and ill treatment in Israel.Google Scholar
  59. Public Committee Against Torture in Israel and the World Organization Against Torture. (2009). The implementation of the UN Convention Against Torture and Against Cruel, Inhumane, or Degrading Punishments by Israel.Google Scholar
  60. Raz, J. 1986. The morality of freedom. Oxford: Oxford University Press.Google Scholar
  61. United Nations Human Rights Council. (2015). Report of detailed findings of the independent commission of inquiry established pursuant to Human Rights Council resolution S-21/1.Google Scholar
  62. Reyes, H. (1998). Medical and ethical aspects of hunger-strikes in custody and the issue of torture. International Committee of The Red Cross.Google Scholar
  63. Reyes, H. 2007. Force-feeding and coercion: No physician complicity. Virtual Mentor 9 (10): 703–708.CrossRefGoogle Scholar
  64. Senate Select Committee on Intelligence, USA. (2014). Committee study of the Central Intelligence Agency’s detention and interrogation program.Google Scholar
  65. Sevinc, M. 2008. Hunger-strikes in Turkey. Human Rights Quarterly 30 (3): 655–679.CrossRefGoogle Scholar
  66. Sheizaf, N. (2016). When Israel tortures Jewish terror Suspects. Retrieved 3, 2016, from http://972mag.com/torture-is-just-another-symptom-of-the-occupation/114989/.
  67. Shue, H. 1978. Torture. Philosophy & Public Affairs 7 (2): 124–143.Google Scholar
  68. Shue, H. (2016). Complicity and torture. Journal of Medical Ethics. doi: 10.1136/medethics-2015-103280.
  69. Silver, M. 2005. Testing Cruzan: Prisoners and the constitutional question of self-starvation. Stanford Law Review 58: 631–662.Google Scholar
  70. Singer, P. 2006. Is the sanctity of life ethic terminally ill? In Bioethics, ed. H. Kuhse, and P. Singer. Hoboken: Blackwell Publishing.Google Scholar
  71. Singletary v. Costello District Court of Appeal of Florida, Fourth District. 665 So.1099. (1996).Google Scholar
  72. Sulmasy, D.P. 2010. Research in medical ethics. In Scholarship in substituted judgment: methods in medical ethics, ed. J. Sugarman, and D.P. Sulmasy. Washington D.C: Georgetown University Press.Google Scholar
  73. Sulmasy, D.P., M. Hughes, R. Thompson, Astrow Ab, P.B. Terry, J. Kub, and M.T. Nolan. 2007. How would terminally ill patients have others make decisions for them in the event of decisional incapacity? A longitudinal study. Journal of the American Geriatrics Society 55 (12): 1981–1998.CrossRefGoogle Scholar
  74. Sussman, D. 2005. What’s wrong with torture? Philosophy & Public Affairs 33 (1): 1–33.CrossRefGoogle Scholar
  75. Vigoda, M. (2013) Force-feeding of a prisoner under hunger-Strike.Google Scholar
  76. Welsh, J. 1995. The role of codes of medical ethics. In Torture: human rights, medical ethics and the case of Israel, ed. N. Gordon, and R. Marton. Jew Jersey: Zed Books and the Association of Israeli-Palestinian Physicians for Human Rights.Google Scholar
  77. WMA Declaration of Malta on Hunger-strikers, third revision (2006).Google Scholar
  78. WMA Declaration of Tokyo—Guidelines for Physicians Concerning Torture and other Cruel, Inhuman or Degrading Treatment or Punishment in Relation to Detention and Imprisonment (1975/2007).Google Scholar
  79. Working Group of the British Medical Association. (1992). Medicine betrayed: The participation of doctors in human rights abuses. (Zed Books, with the British Medical Association).Google Scholar

Copyright information

© Monash University 2017

Authors and Affiliations

  1. 1.The Centre for Biomedical Ethics, Yong Loo Lin School of MedicineNational University of SingaporeSingaporeSingapore
  2. 2.Department of History, Philosophy and Judaic StudiesThe Open University of IsraelHaifaIsrael

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