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BMJ 2006;332:854-855 (8 April), doi:10.1136/bmj.332.7545.854-c
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EDITORI agree with Wilks that the declarations of the World Medical Association in relation to force feeding of hunger strikers will have limited effect unless national medical associations are willing to make their members accountable when practice departs from principles.1 Sadly, it has not been my recent experience that national medical associations and the medical establishment are prepared fully to investigate such breaches.
In response to our letter,2 Duane Cady (the chair of the American Medical Association, AMA) issued a press statement confirming the AMA's endorsement of the Declaration of Tokyo, yet stating that the AMA is not a regulatory or licensing agency.3 Although this is factually correct, it is not sufficient for the AMA to avoid this issue when some of its own members have been involved with force feeding in Guantanamo. Clearly, the AMA needs to investigate such serious allegations when the individuals concerned are in
David J Nicholl, consultant neurologist
Department of Neurology, City Hospital, Birmingham B18 7QH david.nicholl@blueyonder.co.uk
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