What is the underlying principle that operates when refusing treatment to a detainee?

Patient autonomy is the underlying principle at play when refusing treatment to a detainee. This principle emphasizes the right of individuals to make informed decisions about their own healthcare, including the right to refuse treatment. Even in a detainee setting, where there are various operational considerations, respect for an individual’s autonomy is paramount. It acknowledges that, regardless of their circumstances, individuals have the right to understand their medical options and to consent to or decline medical interventions.

While medical necessity, security concerns, and operational efficiency are factors that may influence treatment decisions, they should not override a detainee's autonomy. Ethical practice in medical care demands that the patient's wishes and rights be considered, ensuring that they are engaged in their own health decisions, provided they have the capacity to do so. This principle is foundational in medical ethics, particularly in the context of detainee operations, where the balance between security and individual rights must be carefully considered.