Showing posts with label human rights. Show all posts
Showing posts with label human rights. Show all posts

1/14/2012

Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present Review

Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present
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The opening salvo was the press reporting on the so called Tuskegee experiments, in which black syphilitic men were studied but not treated. This book gives the most complete description of the Tuskegee experiments I've seen as it makes this study the centerpiece of medical experimentation where one race was selectied out as the subjects.
From there, unfortunagely, it goes on to show that this was not an abberation but a practice that goes back to slave days. It gives the stories of experiment after experiment that were conducted the same way with predominately black subjects.
The book concentrates on experiments conducted on black Americans and goes on to describe the ongoing, perhaps everlasting suspicion that these experiments have left in the minds of black America towards the medical profession.
This is a fitting subject for a book, but while reading I was reminded of the other famous medical experimentation incidents such as the German experiments in their concentration camps or those performed by Japan's Unit 516. It seems that 'unter-people' or people viewed as some kind of sub-human are the favorites for experiments.

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12/08/2011

Oath Betrayed: Torture, Medical Complicity, and the War on Terror Review

Oath Betrayed: Torture, Medical Complicity, and the War on Terror
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In less than 170 pages you will come away with unassailable facts about our treatment of prisoners or detainees in Afghanistan, Iraq and Guantanamo Bay: 1) American servicemen and women tortured and murdered detainees. 2) Many of our doctors, psychologists, nurses, medics and other health practitioners were complicit in these murders and tortures. 3) These tortures and murders were not the acts of a "few bad apples" as some have claimed. 4) The highest levels of our administration sanctioned these tortures.
American servicemen and women beat, tortured, maimed, humiliated, neglected and murdered detainees. One Afghan taxi driver caught in a sweep was beaten so badly about his legs, the doctor said they were "pulpified." Had he survived, both legs would have had to be amputated. He was found to be innocent two days after his death in detention. Men and women were made to pose or crawl naked, sit naked in extreme air conditioning or heat up to 130 degrees. The first execution of an American citizen in Iraq came twelve days after the pictures of torture at Abu Ghraib had been released.
Doctors, nurses and other health care providers covered up murders by guards. And this is the question that brought the author Oath Betrayed. He asks where were the doctors when all this was going on. Why weren't they reporting it, and why weren't they stopping it?
There were a number of detainee deaths due to heart attacks brought on by positional asphyxia from being forced to wear sacks over their heads. The cause of such heart attacks is easy to detect. These were homicides, yet the doctors simply listed them as heart attack victims. Psychiatrists and psychologists developed strategies for breaking the will of detainees, and made their medical records available to their interrogators, if they maintained medical records at all. Doctors examined and manipulated dietary consumption and medication to ensure detainees could sustain interrogation.
These tortures and murders were not the acts of a few bad apples or just a few guys blowing off steam as blowhard, Rush Limbaugh and others of his ilk have suggested. Such interrogations, and inhumane treatment were commonplace. Some detainees known as "ghosts" were sent to countries were they would be beaten and tortured. These acts were sanctioned by battalion commanders and base commanders, from division commanders to theater commanders. The lower ranks take their cues from their commanders. Had they made it clear they would be court-martialed for such behavior at the very least, it would not have happened.
The highest levels of our administration sanctioned these tortures. His Arrogancy, Donald Rumsfeld wrote or even approved of interrogation policy in direct contravention to the Geneva Conventions, Attorneys general John Ashcroft and Alberto Gonzalez, and the President of the United States, George W. Bush were complicit in this. It was the attorney generals who got our Justice Department to declare that Afghanistan was a "failed state" which meant the Geneva Conventions did not apply. They rewrote a definition of torture stating it was torture only if it caused permanent effects, organ failure, or death. It was our president who announced that the Geneva Conventions would be observed. It's what he left out that was critical. He did not say he would comply with its provisions.
I recommend this book highly and another, "Conservatives Without Conscience," not because the latter is about conservatives, but it does provide some explanation of authoritarianism. It explains how some people can lead others, and how some people will willingly follow them to commit acts they might never do on their own.
(And people like Dick Clark had the nerve to send an open email to everyone asking us to boycott CBS because 60 Minutes broke the Abu Ghraib story wide open. Isn't there something wrong with where our shock and ire are being directed?)
After reading this, I am, for the first time in my life, ashamed of having been a soldier, and being American.
This book is a powerful expose that should stir every American to stand up and demand accountability of our leaders and our policies.
If not us, who? If not now, when?

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"If law be the bedrock of civil society, it can no more undergird torture than it could support slavery or genocide."–from the IntroductionThe graphic photographs of U.S. military personnel grinning over abused Arab and Muslim prisoners shocked the world community. That the United States was systematically torturing inmates at prisons run by its military and civilian leaders divided the nation and brought deep shame to many. When Steven H. Miles, an expert in medical ethics and an advocate for human rights, learned of the neglect, mistreatment, and torture of prisoners at Abu Ghraib, Guantánamo Bay, and elsewhere, one of his first thoughts was: "Where were the prison doctors while the abuses were taking place?" In Oath Betrayed, Miles explains the answer to this question. Not only were doctors, nurses, and medics silent while prisoners were abused; physicians and psychologists provided information that helped determine how much and what kind of mistreatment could be delivered to detainees during interrogation. Additionally, these harsh examinations were monitored by health professionals operating under the purview of the U.S. military. Miles has based this book on meticulous research and a wealth of resources, including unprecedented eyewitness accounts from actual victims of prison abuse, and more than thirty-five thousand pages of documentation acquired through provisions of the Freedom of Information Act: army criminal investigations, FBI notes on debriefings of prisoners, autopsy reports, and prisoners' medical records. These documents tell a story markedly different from the official version of the truth, revealing involvement at every level of government, from Secretary of Defense Donald Rumsfeld to the Pentagon's senior health officials to prison health-care personnel.Oath Betrayed is not a denunciation of American military policy or of war in general, but of a profound betrayal of traditions that have shaped the medical corps of the United States armed forces and of America's abdication of its leadership role in international human rights. This book is a vital document that will both open minds and reinvigorate Americans' understanding of why human rights matter, so that we can reaffirm and fortify the rules for international civil society. "This, quite simply, is the most devastating and detailed investigation into a question that has remained a no-no in the current debate on American torture in George Bush's war on terror: the role of military physicians, nurses, and other medical personnel. Dr. Miles writes in a white rage, with great justification–but he lets the facts tell the story."–Seymour M. Hersh, author of Chain of Command"Steven Miles has written exactly the book we require on medical complicity in torture. His admirable combination of scholarship and moral passion does great service to the medical profession and to our country."–Robert Jay Lifton, M.D., author of The Nazi Doctors: Medical Killing and the Psychology of Genocide, and co-editor of Crimes of War: Iraq

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10/02/2011

Oath Betrayed: America's Torture Doctors, Second Edition Review

Oath Betrayed: America's Torture Doctors, Second Edition
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Words failed me when I completed reading Steven Miles' Oath Betrayed. They come no more easily now as I write this review. My dread in putting into words what and how the material in his book has made me feel as a health care professional is compounded by yet another "sucker punch." The latest blow came with the recent release of the four secret memos in response to litigation by the ACLU that were used by the Bush administration to justify torture. But silence of any kind, whether born of fear, intimidation, coercion, apathy, or revulsion is simply unacceptable. Malfeasance and evil deeds thrive on silence and when our words disappear, they must be found and employed.
Dr. Miles speaks of the silence and complicity of physicians and nurses. As a health care professional of 42 years, it pains me to have the knowledge of both brought to my attention and bubble up from those dark places where I like to keep things like horrors hidden. I am a health care professionals. By virtue of my commitment to the social good and special knowledge that I possess as a result of my education, I have a relationship with society that is unique. As part of my social contract I am expected to be trustworthy, competent and to do no harm. In return society affords me and all health professionals a special status. We are honored as caregivers and trusted to alleviate suffering and save lives. To be a health care professional is a privilege.
Other reviewers have most eloquently described and reviewed this book's first edition on medical complicity in the torture and deaths, and their cover-ups in the Afghanistan and Iran during the Bush years. They have spoken of its content and unfailing scholarship, as well as of Dr. Miles' passion. I am unsure how my own review will add to those voices except to say that I agree with all of them. The book is exquisitely written, and constitutes one of those "keepers" for one's bookshelves.
Perhaps my contribution can be that of celebrating those who did and who do breach the silences. It is easy to be horrified and express outrage from the comforts of our homes. It is easy to engage in moral obviation. It is far more difficult to speak up when faced with the withdrawal of one's professional and personal esteem and approbation. That requires the courage, not only to overcome fear and aversion to do what is morally right, but to face the anger and hateful slurs of those who would attribute disloyalty or lack of patriotism for our actions when we speak.
So yes, this book is about the most odious aspects of humanity and the cowardly silence of many. But it also stands as a celebration of those few in this book who had the courage to fight the silence and expose it. The book, even by virtue of having been researched and written by this brave man gives the rest of us hope.


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The news that the United States tortured prisoners in the war on terror has brought shame to the nation, yet little has been written about the doctors and psychologists at these prisons. In Oath Betrayed, medical ethics expert and physician Steven H. Miles tells how doctors, psychologists, and medics cleared prisoners for interrogation, advised and monitored abuse, falsified documents--including death certificates--and were largely silent as the scandal unfolded. This updated and expanded paperback edition gives newly uncovered details about the policies that engage clinicians in torture. It discusses the ongoing furor over psychologists' participating in interrogations. Most explosively this new edition shows how interrogation psychologists may have moved from information-gathering to coercive experiments, warning all of us about a new direction in U.S. policy and military medicine--a direction that not so long ago was unthinkable.

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9/21/2011

A Doctor in Galilee: The Life and Struggle of a Palestinian in Israel Review

A Doctor in Galilee: The Life and Struggle of a Palestinian in Israel
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The whole time I was reading this book I had an odd feeling of déjà vu. Dr. Kanaaneh's personal and moving story of his journey from the small Palestinian village of Arrabeh, to Harvard, Hawaii, and back to Arrabeh, has a strikingly quality of honest self-examination. He openly acknowledges that the nature of his motivation to "save the world" has been both altruistic and egotistical. When I finished I realized that the place I had recently encountered this same combination of impulses was in Barak Obama's "Dreams from My Father".
Dr. Kanaaneh describes the complex obstacles and opportunities he has encountered in his life journey with an unsparing eye for the morally ambiguous positions of all of the actors in the drama, from Israeli officials in the Ministry of Health, to Jewish and Palestinian colleagues and personal friends and neighbors. Eventually the torturous compromises involved in working within a system which was stacked against the achievement of his goals forced Dr. Kanaaneh to leave the Ministry of Health and start the Galilee Society.
Running throughout this story is Dr. Kanaaneh's connection to the land of his forefathers and his deep concern for both the physical and spiritual health of the people who live there. This is symbolized in the last chapter by his pursuit and cultivation of an ancient olive tree. The meaning of this deep connection is all the more profound at this moment, when the Israeli state is threatening to take away the land that Dr. Kanaaneh has spent his life working to keep and improve. Here is a quote from his letter to President Obama:
"The newly-elected prime minister of Israel, Mr. Benjamin Netanyahu, and his foreign minister, Mr. Avigdor Lieberman, plan evict me from my home and to take away my garden. These two persons and their fellow ministers were democratically elected to their positions and will use `democratic' means at their disposal to legitimize my disenfranchisement as have previous Israeli governments done in the past. The difference is that the current leaders are explicit and aggressive about disadvantaging me based on my ethnicity. They have devised a way to blame me for my victimhood. They intend to ask me to sign an oath of allegiance to Israel as a Jewish state, a state that defines itself as exclusive of me and my people."
All readers of this book will be moved by Dr. Kanaaneh's life of devotion to the improvement of the plight of his people, and the position he finds himself in today. Perhaps the poisoned atmosphere, fueled by the words and actions of the Israeli government and its absolutely unquestioning support by recent American administrations, will begin to clear slightly after the overtures that President Obama made in his speech Cairo. We can only hope so!
In any case this book is a beautifully written and poignant account of the position of Arabs living with Israel's border, a topic which is rarely discussed in the polarized characterizations of the Middle East in American media. The indefatigable creativity which is at the heart Dr. Kanaaneh's quest for social justice is source of inspiration.
In January of 2009 I had the good fortune to meet Dr. Kanaaneh on the street in Manhattan during a protest of Israel's latest violent incursion in Gaza. He told me he was in the United States to visit his children and grandchildren, because, although some things have improved, they still face the same prejudices and lack of opportunities that he encountered as a bright, ambitious, young student, many years ago.

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Hatim Kanaaneh is a Palestinian doctor who has struggled for over 35 years to bring medical care to Palestinians in Galilee, against a culture of anti-Arab discrimination. This is the story of how he fought for the human rights of his patients and overcame the Israeli authorities' cruel indifference to their suffering. Kanaaneh is a native of Galilee, born before the creation of Israel. He left to study medicine at Harvard, before returning to work as a public health physician with the intention of helping his own people. He discovered a shocking level of disease and malnutrition in his community and a shameful lack of support from the Israeli authorities. After doing all he could for his patients by working from inside the system, Kanaaneh set up The Galilee Society, an NGO working for equitable health, environmental and socio-economic conditions for Palestinian Arabs in Israel. This is a brilliant memoir that shows how grass roots organisations can loosen the Zionist grip upon Palestinian lives.

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