Jihad and American Medicine: Thinking Like a Terrorist to Anticipate Attacks via Our Health System

208 Pages·2007·0.77 MB·English

by  Adam Frederic Dorin

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JIHAD AND AMERICAN MEDICINE
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PraegerSecurityInternationalAdvisoryBoard
BoardCochairs
LochK.Johnson,RegentsProfessorofPublicandInternationalAffairs,Schoolof
PublicandInternationalAffairs,UniversityofGeorgia(U.S.A.)
PaulWilkinson,ProfessorofInternationalRelationsandChairmanoftheAdvisory
Board,CentrefortheStudyofTerrorismandPoliticalViolence,UniversityofSt.
Andrews(U.K.)
Members
AnthonyH.Cordesman,ArleighA.BurkeChairinStrategy,CenterforStrategicand
InternationalStudies(U.S.A.)
The´re`seDelpech,DirectorofStrategicAffairs,AtomicEnergyCommission,andSenior
ResearchFellow,CERI(FondationNationaledesSciencesPolitiques),Paris(France)
SirMichaelHoward,formerChicheleProfessoroftheHistoryofWarandRegis
ProfessorofModernHistory,OxfordUniversity,andRobertA.LovettProfessorof
MilitaryandNavalHistory,YaleUniversity(U.K.)
LieutenantGeneralClaudiaJ.Kennedy,USA(Ret.),formerDeputyChiefofStafffor
Intelligence,DepartmentoftheArmy(U.S.A.)
PaulM.Kennedy,J.RichardsonDilworthProfessorofHistoryandDirector,
InternationalSecurityStudies,YaleUniversity(U.S.A.)
RobertJ.O’Neill,formerChicheleProfessoroftheHistoryofWar,AllSoulsCollege,
OxfordUniversity(Australia)
ShibleyTelhami,AnwarSadatChairforPeaceandDevelopment,Departmentof
GovernmentandPolitics,UniversityofMaryland(U.S.A.)
FareedZakaria,Editor,NewsweekInternational(U.S.A.)
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JIHAD AND AMERICAN
MEDICINE
Thinking Like a Terrorist to
Anticipate Attacks via Our
Health System
Adam Frederic Dorin, M.D.
The Praeger Series on Contemporary Health and Living
Julie Silver, M.D., Series Editor
Praeger Security International
(cid:1)
Westport, Connecticut London
iii
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LibraryofCongressCataloging-in-PublicationData
Dorin,AdamFrederic,1963–
JihadandAmericanmedicine:thinkinglikeaterroristtoanticipateattacksviaourhealth
system/AdamFredericDorin.
p.;cm.–(Praegerseriesoncontemporaryhealthandliving,ISSN1932–8079)
Includesbibliographicalreferencesandindex
ISBN-13:978–0–275–99637–6(alk.paper)
1.Terrorism–Healthaspects–UnitedStates. 2.Medicalerrors–UnitedStates–Prevention.
3.Medicalcare–UnitedStates–Qualitycontrol. 4.Healthfacilities–Safetymeasures–United
States. 5.Healthcarereform–UnitedStates.
[DNLM:1.Terrorism–prevention&control–PopularWorks. 2.HealthCareReform—
PopularWorks. 3.MedicalErrors–prevention&control–PopularWorks. 4.Safety—
PopularWorks. 5.SecurityMeasures–PopularWorks.WA295D697j2007]
I.Title. II.Series.
RC88.9.T47D67 2008
363.325–dc22 2007028386
BritishLibraryCataloguinginPublicationDataisavailable.
Copyright(cid:1)C 2008byAdamFredericDorin,M.D.
Allrightsreserved.Noportionofthisbookmaybe
reproduced,byanyprocessortechnique,withoutthe
expresswrittenconsentofthepublisher.
LibraryofCongressCatalogCardNumber:2007028386
ISBN-13:978–0–275–99637–6
ISSN:1932–8079
Firstpublishedin2008
PraegerSecurityInternational,88PostRoadWest,Westport,CT06881
AnimprintofGreenwoodPublishingGroup,Inc.
www.praeger.com
PrintedintheUnitedStatesofAmerica
Thepaperusedinthisbookcomplieswiththe
PermanentPaperStandardissuedbytheNational
InformationStandardsOrganization(Z39.48–1984).
10 9 8 7 6 5 4 3 2 1
This book is for general information only. No book can ever substitute for the judgment of a
medicalprofessional.Ifyouhaveworriesorconcerns,contactyourdoctor.
Thenamesandmanydetailsofindividualsdiscussedinthisbookhavebeenchangedtoprotectthe
patients’identities.Someofthestoriesarecompositesofpatientinteractionscreatedforillustrative
purposes.
iv
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This book is dedicated to the families of those who have lost loved ones to
terrorism—domestic and foreign. It is a reflection of the spirit and love of my
parents, Doris and Hal; it is a symbol of devotion to my wife, Shirin, and my
beautifulchildrenPhillip,Alexander,andEmily.Maymyfamilyandyourslive
ontoseethedaywherehatredandmurderwiltinthelightofouroneGod.
I also dedicate this work to the concept of vigilance, without which there
willneverbepeaceandsecurityonthisEarth.Irecallthewordsofmyfather
growing up: “We rarely regret the things we do, but we invariably regret the
thingswedonotdo.”
v
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vi
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Contents
Acknowledgments ix
Introduction:AmericanHealthCareFacilitiesMayBetheNext
GroundZero xi
1 Medi-Terror:TheStageIsSet 1
2 HowYourDoctorCanKillYou(WithoutEvenKnowingWhat
He’sDone) 7
3 EvilPrecedents—HealthCareWorkersGoneBad 16
4 FakingIt(CounterfeitMedicines,Criminals,andTerrorists:
TheHistoryandImplicationsofCompromisedPharmaceutical
Security) 25
5 HospitalandSurgeryCenter“Security”...orLackThereof,
PartI:Overview 36
6 HospitalandSurgeryCenter“Security,”PartII:BreakingIn
fromtheOutside 53
7 HospitalSecurity,PartIII:ThinkingLikeaTerrorist—The
InsideJob 62
8 AccreditationStandards—LaxorNotEnforced? 82
9 Doctors’OfficesAreVulnerable 94
10 WhatWeCanDoandMustDoStat(AntidotesandAnecdotes) 109
11 AsaPatient,WhatYouCanDotoProtectYourself—19Tips
forSurvival 118
12 ThePowerforChange—OneDoctorataTime 126
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viii Contents
AppendixA: AHistoryofMedical-Related“Terrorism,”Poisons,
andMurder 135
AppendixB:Drug-ATMs 159
Notes 163
Index 179
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Acknowledgments
Thisbookprojecthasbeenalaboroflove.Iamgratefulfortheopportunityto
contribute to the growing body of knowledge addressing how best to protect
our nation from future terrorist infiltration and attacks. The research I con-
ductedintheareasofhealthcaresystems,medicine,security,globalterrorism,
andworldhistorywasextensive.Noneofitwouldhavebeenpossiblewithout
thepatienceandcooperationofmybeautifulwife,ShirinA.Dorin,D.D.S.She
is a keen intellect and has an astute sense of writing style. Her assistance,
especiallywiththeappendixsectiononthe“historyofmedicalterrorismfrom
thebeginningoftime,”wasinvaluable.
I’d like to recognize my children, Phillip Daniel, Alexander Michael, and
Emilyfortheirsupportandsuggestions.Theyarethelightofmylife.
Myparents,HaroldP.DorinandDorisE.Dorin,arethetwogreatestpeople
I know. They put in many hours reviewing my work and making excellent
critiquesandedits.Icannotthankthemenoughforeverything.I’dalsoliketo
recognize my sister, Joanna D. Brandt, M.D. and my brother, Paul E. Dorin,
Esqfortheirreviews,encouragement,andsuggestionsduringthisendeavor.
My cousin Cimarron Buser offered good suggestions that I took to heart.
My friend from college, Glenn Davison, M.D., was a source of encourage-
ment and a tremendous boon to this project by introducing me to Mr.
John Marke, health care, government, and business consultant with Deloitte-
Touch,LLP.
MycousinMitchFeigwasauniquesourceofinterestingarticlesonterrorism
and the global, Islamic jihadist movement; my friends Khatera and Mehdi
Miramadi have been there for my wife and I throughout this project—thank
you!Toallthedoctors,nurses,andtechniciansattheSHARPGrossmontPlaza
SurgeryCenter,thankyouforputtingupwithallmyrantingaboutthisproject;
and to Jason, a very smart surgical technician, thank you for your insightful
ideas and comments. A “thank you” also goes out to Marcy Mishiwiec and
RebeccaHaines,M.D.fortheirexcellentreferralstoexpertsinvariousaspects
ofhealthsystemssecurity,informationtechnology,andpublicpolicy.
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x Acknowledgments
AspecialthanksgoesouttoourfriendsBorisandEditZelkind,Christineand
Michael Lindmark, and Bill and Diane Holmes. I don’t know where my wife
andIwouldbewithouttheweekends—andfriendstospendthemwith.Intheir
own unique ways, these members of our West Coast extended “family” have
offered intellectual “gifts,” which have made their way into this small tome.
I am also genuinely blessed to have reconnected with real family members
Christine and Tom Lucas, Jennifer Lucas, and Elyse Boozer, who now live
closeby.
Robert Kotler, M.D. (“Doctor 90210”) deserves mention for digging into
his archive of materials on book marketing. His personal experiences and
willingness to “brainstorm” on how best to get this important information to
thegeneralpublicisnotedandverymuchappreciated.
Lastly,I’dliketorecognizeGreenwoodPublisher’seditor,DebbieCarvalko
and her staff for their ongoing assistance, support, and guidance. Thank you,
Debbie, for giving me this opportunity to make a contribution to terrorism
prevention.