A member's self referral resulted in a "abusive" diagnosis that requires treatment. He has now reconsidered and refuses treatment. Can such a refusal result in disciplinary action?

• A. Yes
• B. No
• C. Only if the member is in duty status
• D. Only after a formal review

Answer: (A)

When a service member is diagnosed with a condition that requires treatment because it could impair fitness for duty or safety, following the treatment plan isn’t optional—it’s part of maintaining readiness. If the member refuses that treatment, it can be treated as noncompliance with a medical directive or as conduct that harms the unit’s readiness or safety. In the Coast Guard, that noncompliance can lead to disciplinary action by the command even if the member is not currently in duty status, and it doesn’t require a formal review first. The bottom line is that a refused, medically indicated treatment for an impairing condition is grounds for action, because it directly affects the member’s ability to perform duties and the safety of others.