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Humanitarian is defined by Webster's dictionary as "having concern for
or
helping to improve the welfare and happiness of mankind." In that sense all doctoring is
humanitarian. A second definition goes further: "a person actively engaged in promoting
human welfare and social reforms." Many doctors are not active in promoting social
reform,
but should they be? Every doctor knows that those who live on the margins of our
worldthose who are poor, vulnerable, elderly, addicted, insane, imprisoned,
unemployed,
discriminated against, tortured, homeless, condemned, caught up in warshave higher
rates
of sickness and ill health. Doctors should be paying great attention to those people, but too often,
like everyone else, they neglect them. The poor have greater difficulty than the rich in accessing
health care; prisoners get a second class service; doctors propose that the
addictedsmokers,
drug misusersshould be denied treatments like coronary bypass grafting. This issue of
the
BMJ has
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