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Is there such a subject? The study of Allied diplomacy has been slow to establish itself, partly because the bulk of the American and British records have only recently become available, but mainly because of the debate about the origins of the Cold War – the contemporary equivalent of the war-guilt question. Because of the paucity of Soviet material it has in practice turned into an argument about American policy and has not, of course, been confined to the wartime period. The search for origins, turning-points and causes employs the advantage of hindsight in deciding what is relevant. It, therefore, tends to overlook the side issues, dead ends and the short-term nature of much wartime diplomacy. Nobody would deny the importance of the origins of the Cold War or of wartime American-Soviet relations. Yet it is misleading to see Allied diplomacy solely in terms of this one theme. There is room for an attempt to examine some other wartime issues and to indicate topics worthy of further exploration. In the rest of this article, therefore, the Cold War will as far as possible be ignored.

Extant literature illustrates a substantive impact on human health because of climate change. Despite this, discussions of the ethical and policymaking role of US health care's response to this problem are underdeveloped within peer-reviewed literature indexed in core medical databases. We conducted a systematic literature review in August 2017 at Vanderbilt University Medical Center of the following medical, business and policy databases to examine the state of inquiry on this topic: PubMed, CINAHL, PsychINFO, JAMA Network, Health Affairs, Business Source Complete, Greylit.org, LexisNexis Academic, Proquest Dissertations and Theses Global. An initial sample of n = 4434 rendered n = 75 articles precisely addressing this question following a two-tiered systematic examination of content. US medical professionals were most concerned by the health impacts of air pollution and respiratory complications, extreme weather events, and rising infectious/vector-borne diseases. They were least concerned by rising rates of migration and stresses to sanitation systems. Medical professionals took a broadly proactive stance to the issue, highlighting the need to implement education and advocacy strategies. Politics was the least pertinent motivation for climate change-related recommendations. Furthermore, partnerships between health care and public agencies were identified as holding the greatest potential for meaningful change. Mitigation approaches were slightly more common than adaptation approaches. We conclude that, while the enthusiasm of the medical community is commendable, efforts to address climate change in US health care are overly fractured, and lack the necessary expertise for efficaciousness.