This article explores how the meanings individuals ascribed to kin-state citizenship change in the long term. Previous research has looked at the real-time acquisition of citizenship and established three dimensions of meanings individuals ascribe to citizenship: identity, instrumental, and legitimacy. Building on the case of Croats from Herzegovina (BiH), who acquired citizenship back in the 1990s, the article demonstrates how meanings individuals ascribe to citizenship change over time across each dimension—subject to the perception of inclusion into the kin-state, type and the extent of opportunities kin-states provide, as well as the routinization of citizenship practices. By disaggregating each dimension further, the article extends the understanding of kin-state citizenship and shows how individuals respond to the policy implementation’s overall dynamics by aligning the meanings they ascribe to citizenship. Therefore, future work should look more closely at the interplay between state policy dynamics and its impact on individuals.

The State Hospital of Sarajevo has a tradition that is 127 years old. It is located on the spot where the first Turkish Army hospital—the first hospital on the territory of Bosnia and Herzegovina—was established in 1865. Through the ages, military health institutions in the city of Sarajevo always have been located on this spot. In its time, that first hospital was a modern health facility with its own running water and sewage system. It was used for the treatment of Turkish soldiers. Civilians had their facility built in 1866— the so-called Vakuf Hospital, the operation of which was aided occasionally by two military physicians.

This paper is being composed on Olympic Day 1994, exactly 10 years after its historic flame illuminated the skies of Sarajevo for a festival of peace and friendship. Today, the flames sadly come from incendiary bombs, shell streaks, and fratricide hatred. Against this tragic degradation, the role of the military and the international community has been changing from that of aggressive interference to one of humanitarian assistance and negotiated settlement. In this new setting, disaster and emergency medicine have a special opportunity to prove a noble calling and obligation.

Conflict, unfortunately, and help, fortunately, are as old as humanity. The thoughts expressed herein concern the latter aspect with special reference to the military. As long as man has had a heart, some adrenaline, and the physiological reflex for protection, he has had compassion and an urge to bring succor to those who suffer. The sufferer may be a friend or he may be an enemy, but in humanitarian medical actions, there is no foe.