But this is not just because El Salvador is a poor country. It is because physicians have fled. because physicians have been hounded. killed. or disappeared. The American medical teams. it is said. will work in Salvadoran hospitals where the wounded and the sick today get little or nothing by way of reasonable care. Evidently they will not work in refugee camps. maybe. where conditions are even more desperate. So much for the humanitarian concerns of the administration. Somehow. though. it is impossitle to overlook the melancholy irony hat a civilian group last winter traveled to El Salvador to look into the question of attacks and abuses on medical personnel.