Dr. Richard P. Kluft, graduate of Harvard University, wrote the world's first treatise on abuse by physicians:
Exploiting patients is forbidden by every code of medical ethics from the Oath of Hippocrates to modern Medical Bylaws. Reality, though, falls short.
MDs are in a power position vis-a-vis their patients. This power can be misused. Kluft defines 7 ways, citing 26 (disguised) cases from his clinical practice.
When MDs abuse individuals or society, it is a form of Affinity Fraud. Kluft concludes with guidelines for management.
Widespread media attention and a great amount of professional literature has addressed the specific problem of the sexual exploitation of patients by psychiatrists and other types of psychotherapists. Despite frequent unfavorable representations of physicians in television dramas and frequent news media attention to malpractice cases involving physician misconduct, a general literature on the abusive behaviors of physicians other than psychiatrists has been slow to develop. A computer search (in 1993) revealed a mere handful of references, mostly related to nursing journals’ discussions of physicians abusing their power with nurses. [3, 9, 31]
This article explores the scope of physicians’ abusive behaviors toward patients and selected others. It will note some of the consequences of these misadventures and offer some suggestions for management when a patient has experienced mistreatment in previous medical encounters. Space constraints preclude developing most areas in depth. Illustrations are drawn from situations that have come to my attention in the course of my clinical practice. Unless published accounts are cited or the author was given permission to publish a given incident, the vignettes below are highly disguised in the interests of confidentiality.
This discussion does not address the full range of human misbehavior by persons who happen to be physicians, most forms of fraud and fiscal misbehavior, nor malpractice that is unrelated to abusive activities. The topic headings are not always mutually exclusive, and the classifications offered should be understood as tentative and preliminary. Some readers may disagree vehemently as to whether certain of the behaviors listed should be considered abusive.
Physicians have played important if inglorious roles in which their medical skills and authority have been placed in the service of institutions and agencies with other than healing intent. The former Soviet Union used psychiatry as a ruse to detain and disable dissidents and political prisoners. Physicians have played and continue to play clandestine roles in the management, control, interrogation, and torture of political prisoners in many parts of the world.
Perhaps the most large-scale, infamous misappropriation and misapplication of medical personnel and practices and widespread perversion of medical research occurred in the Holocaust. As Lifton  recounts in his monumental study, The Nazi Doctors, the Nazi ‘biomedical vision’ seized on the metaphor of healing the racially diseased body of the German nation.
In this context, killing those who constituted the disease was a therapeutic venture, much as the excision of a malignant growth. “The Nazis based their justification for direct medical killing on the simple concept of ‘life unworthy of life’ (lebensunwertes Leben) … Of the five identifiable steps by which the Nazis carried out the principle of ‘life unworthy of life,’ coercive sterilization was the first. There followed the killing of ‘impaired’ children in hospitals; and then the killing of ‘impaired’ adults, mostly collected from mental hospitals, in centers especially equipped with carbon monoxide gas. This project was extended (in the same killing centers) to ‘impaired’ inmates of concentration and extermination camps and finally, to mass killings, mostly of Jews, in the extermination camps.” 
Lifton  quotes Martin Borman, “The Fuhrer holds the cleansing of the medical profession far more important than, for example, that of the bureaucracy, since in his opinion the duty of the physician is or should be one of racial leadership.” In the camps, Jewish doctors among the inmates on occasion were forced into assuming various roles in the Nazis’ projects.
Lifton  found that many of the Nazi doctors coped with the tension between their usual selves and values and the roles that they had in the camps by ‘doubling,’ i.e., by forming a self that could tolerate and adapt to the total perversion of traditional medical values. “In sum, doubling is the psychological means by which one invokes the evil potential of the self. That evil is neither inherent in the self nor foreign to it. To live out the doubling and call forth the evil is a moral choice for which one is responsible, whatever the level of consciousness involved.” 
The participation of physicians in programs of social control that may not be consistent with a healing function takes many milder forms as well. Currently there is much concern over the abuse of nursing-home patients. It is not unusual to find that the complicated and often counterproductive medication regimens administered to them have developed because a physician is prescribing (usually in response to requests made by nursing-home personnel) in a manner that controls rather than assists the patient.
The reader may be shocked and offended by my drawing this analogy, but it is crucial to appreciate that the use of medicine in a manner that addresses the needs of parties other than the patient has a profound potential for abuse. When children are sedated to suit the needs of a parent, a similar process may be at work.
For the citizen of a democracy, it is crucial to remain aware that the misuse of medical skills is not something that is always happening somewhere else or in fictionalized accounts. Weinstein’s Psychiatry and the CIA: Victims of Mind Control  offers poignant testimony that secret American projects have subverted and corrupted the physicians who were participants and that in the name of heaven knows what, perhaps patriotism, innocent people have been experimented on and severely damaged by North American doctors.
Furthermore, in interviewing persons who had been exploited in child pornography or child prostitution, it is not uncommon to hear of the involvement of a doctor in connection with handling injuries and pregnancies and with supplying drugs that were given to control them. In most of these accounts, however, it is not possible to determine whether the person identified as a doctor was in fact a physician.
Declaration of Geneva
The Physician’s Oath
At the time of being admitted as a Member of my Profession, I solemnly pledge to consecrate my life to the service of humanity;
I will maintain the utmost respect for human life; I will not use my medical knowledge to violate human rights and civil liberties, even under threat.
Post-war version of the Hippocratic Oath adopted in 1948 by the World Medical Association, Geneva, Switzerland
(Latest amendment 2019)
Every one who administers, or causes any person to take, any destructive or noxious thing, is guilty of an indictable offence and liable:
(a) to imprisonment up to 14 years if he intends to endanger the life of, or cause bodily harm to the person; or
(b) to imprisonment up to 2 years if he intends to aggrieve or annoy the person.
Overcoming resistance: Every one who, with intent to enable or assist himself or another to commit an indictable offence,
(b) administers, or causes, or attempts to cause any person to take a stupefying or overpowering drug, matter or thing,
is guilty of an indictable offence and liable to imprisonment for life.
Chemical restraint use is subject to both federal and state law. Key guidelines:
Nursing home residents have the right to be free of any and all chemical restraints imposed for discipline or convenience, as opposed to treating a medical condition.
Residents have the right to be free of any chemical restraints imposed to prevent or limit independence (mobility or activity).
Written consent is required before using chemical restraints.
The resident or resident's representative has the right to refuse chemical restraint use, even when recommended by an MD.
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