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When entering the US Military you swear to obey ALL orders of those appointed over you.
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No you don't.
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He was commissioned an officer in US Army and that gives him certain abilities that the enlisted do not get. Namely, at any point, he can choose to resign his commission and cease to be an officer of the US Army.
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No. He was a medical officer who recieved his medical education from the military, as such even though he was a commissioned officer he cannot resign it until they get their moneys worth. Which means a fixed minimum period of service after graduation followed by a fixed minimum period as a reserve.
After all medical education is expensive and even though the US government heavily subsidises all US medical students, military medical students get fully funded education and get paid while they learn.
Apparently according to his family he had offered to pay back his education costs in an attempt to be able quit his job, but was turned down.