Although the Geneva Conventions have been successively revised since 1864, norms regarding the protection of medical care have been frequently disregarded. Despite current claims of international humanitarian law in crisis, comparing historic levels of violations with contemporary incidents is quantitatively challenging. Reviewing past reactions and justifications used by perpetrators of attacks on medical care can, however, be revealing. Based on a series of emblematic cases, qualitative analysis of perpetrator discourse can contribute to a better understanding of why the protection of medical care in armed conflict continues to be problematic to this day, notably through the rationales given for attacks, which have remained remarkably consistent over time.

中文翻译：

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武装冲突中的医疗服务：历史视角下的施暴者话语

尽管《日内瓦公约》自 1864 年以来相继修订，但有关医疗保护的规范却经常被忽视。尽管目前国际人道法处于危机之中，但将历史上的违法行为水平与当代事件进行比较在数量上具有挑战性。然而，回顾袭击医疗服务的肇事者过去的反应和理由可能会有所启发。基于一系列典型案例，对肇事者话语的定性分析有助于更好地理解为什么武装冲突中的医疗保护至今仍然存在问题，特别是通过为袭击提供的理由，这些理由仍然非常一致随着时间的推移。