No Comment — December 18, 2009, 10:48 am

A Medical Murder in Pinochet’s Chile

Last week, a twenty-seven-year-old murder mystery was solved, grabbing headlines around the world. Former Chilean President Eduardo Frei died under mysterious circumstances in 1982, at the age of 71, as he was busily investigating accusations of human rights abuses including torture and “disappearings” by his successor, General Augusto Pinochet. A week ago Monday, a Chilean investigating judge ruled his death a homicide and charged six individuals as conspirators. The New York Times reports:

An autopsy report blamed septic shock after stomach hernia surgery, but a new autopsy this year by University of Chile pathologists identified two chemicals in his body that attack the digestive system — one that is used in mustard gas and another found in rat poison. ”He was injected with toxic substances, which produced other complications that deteriorated his immune system,” Judge Alejandro Madrid told reporters Monday. ”That was the cause of death.”

But one fact remarkably escaped attention in most English-language reporting, even while it played heavily in Spanish-language accounts: the criminal inquiry concluded that Frei was murdered by a conspiracy of doctors. The key figure named is a surgeon, accused of having administered the lethal toxins during medical procedures he supervised at a hospital. As the prosecutors charge, this doctor had close ties to the Chilean military and intelligence community and was prepared to do their bidding. Three of the other defendants are also doctors, who, according to prosecutors, knew of the plans and their implementation and stood by silently. They are charged as co-conspirators. The prosecution charges that the doctor was coopted by General Pinochet’s intelligence services and told to silence forever one of the most credible voices raised against him, a former president and a political conservative. One of the dark secrets that made the long and brutal Pinochet dictatorship so effective was its cooption of the medical profession. The enlistment of a group of doctors to murder a former president marks one of the high points of this scheme.

Of course, the involvement of healthcare professionals in human rights abuses is not simply a matter of historical interest. In America’s era of state-sponsored torture, healthcare professionals including medical doctors also played a decisive role. In the Justice Department’s torture memoranda, while reviewing specific torture techniques, lawyers repeatedly note that doctors will be present to insure that the techniques are not applied in such a way as to cause death or the failure of vital organs. In thousands of pages of documents discussing the application of torture techniques, the names of medical professionals who participated in the torture sessions consistent with the guidance given by the Justice Department memos are simply blacked out, with the government citing the doctors’ “right to privacy.”

Similarly, so-called Behavioral Science Consultation Teams (BSCT) containing other healthcare professionals (psychologists and psychiatrists mainly) were deeply involved in the design and implementation of torture protocols for individual prisoners. Healthcare professionals were also involved in implementing a forced-feeding regime for prisoners held at Guantánamo (and potentially other prison sites), in violation of clear international guidelines provided by the Declaration of Malta. A suspiciously large number of these hunger-strikers have met death in detention under dubious circumstances initially dismissed by the Bush Administration as “suicides.” That characterization is longer credible, and the government’s failure to undertake serious investigations into those deaths today heightens concern about them.

This deep involvement of healthcare professionals in a system of torture and abuse is a profound crisis for the professions involved, and so far their response has been disgraceful. All have embraced pious statements opposing torture, and all have scurried away from actual accountability. In California, Louisiana, and Alabama, complaints have been brought against individuals known to have participated in the systematic torture and mistreatment of prisoners in direct violation of rules of ethics. One key figure in the nightmare at Guantánamo has actually emerged as the head of a medical school in Ohio. In each case, the ethics oversight board has dismissed the complaint without conducting an investigation of any sort, frequently stating that it has “full discretion not to investigate” cases it does not wish to investigate. Others in the medical profession point to government secrecy surrounding the torture programs and suggest that any efforts to investigate the role that doctors played in them would be futile. A substantial faction within the professions, led by doctors with suspicious ties with the Pentagon and the intelligence community, insists on a “safe harbor” under which doctors are entitled to rely on assurances from the government that what they do is legal. That is an effort to implement the Bush Administration’s scheme to obliterate professional ethics, which prohibit involvement in torture in any form, and prohibit doctors from even being present while torture is being conducted. It parallels efforts that were undertaken by Pinochet in Chile, in fact.

The objective of these professional organizations appears to be to avoid the issue and hope that it is forgotten. This aspiration does them no credit, and it may well backfire. As President Bachelet said last week, the disclosure of the murder of President Frei “goes to show that though it may take a while, justice always prevails.” The healthcare professionals who participated in the Bush-era torture schemes will also eventually be exposed. By obstructing proper investigations and accountability, professional associations will not stop this process, but they do risk further serious damage to their own reputations, and those of their members. Have they joined in a conspiracy of silence?

Share
Single Page

More from Scott Horton:

Conversation March 30, 2016, 3:44 pm

Burn Pits

Joseph Hickman discusses his new book, The Burn Pits, which tells the story of thousands of U.S. soldiers who, after returning from Iraq and Afghanistan, have developed rare cancers and respiratory diseases.

Context, No Comment August 28, 2015, 12:16 pm

Beltway Secrecy

In five easy lessons

From the April 2015 issue

Company Men

Torture, treachery, and the CIA

Get access to 165 years of
Harper’s for only $45.99

United States Canada

CATEGORIES

THE CURRENT ISSUE

July 2016

The Ideology of Isolation

= Subscribers only.
Sign in here.
Subscribe here.

American Idle

= Subscribers only.
Sign in here.
Subscribe here.

My Holy Land Vacation

= Subscribers only.
Sign in here.
Subscribe here.

The City That Bleeds

= Subscribers only.
Sign in here.
Subscribe here.

El Bloqueo

= Subscribers only.
Sign in here.
Subscribe here.

Vladivostok Station

= Subscribers only.
Sign in here.
Subscribe here.

view Table Content

FEATURED ON HARPERS.ORG

Article
My Holy Land Vacation·

= Subscribers only.
Sign in here.
Subscribe here.

"I wanted to more fully understand why conservative politics had become synonymous with no-questions-asked support of Israel."
Illustration (detail) by Matthew Richardson
Post
Inside the July Issue·

= Subscribers only.
Sign in here.
Subscribe here.

Tom Bissell on touring Israel with Christian Zionists, Joy Gordon on the Cuban embargo, Lawrence Jackson on Freddie Gray and the makings of an American uprising, a story by Paul Yoon, and more

Freddie Gray’s relatives arrived for the trial in the afternoon, after the prep-school kids had left. By their dress, they seemed to have just gotten off work in the medical and clerical fields. The family did not appear at ease in the courtroom. They winced and dropped their heads as William Porter and his fellow officer Zachary Novak testified to opening the doors of their police van last April and finding Freddie paralyzed, unresponsive, with mucus pooling at his mouth and nose. Four women and one man mournfully listened as the officers described needing to get gloves before they could touch him.

The first of six Baltimore police officers to be brought before the court for their treatment of Freddie Gray, a black twenty-five-year-old whose death in their custody was the immediate cause of the city’s uprising last spring, William Porter is young, black, and on trial. Here in this courtroom, in this city, in this nation, race and the future seem so intertwined as to be the same thing.

Artwork: Camels, Jerusalem (detail) copyright Martin Parr/Magnum Photos
Post
Europe’s Hamilton Moment·

= Subscribers only.
Sign in here.
Subscribe here.

"We all know in France that as soon as a politician starts saying that some problem will be solved at the European level, that means no one is going to do anything."
Photograph (detail) by Stefan Boness
[Report]
How to Make Your Own AR-15·

= Subscribers only.
Sign in here.
Subscribe here.

Even if federal gun-control advocates got everything they wanted, they couldn’t prevent America’s most popular rifle from being made, sold, and used. Understanding why this is true requires an examination of how the firearm is made.
Illustration by Jeremy Traum
Article
The City That Bleeds·

= Subscribers only.
Sign in here.
Subscribe here.

"Here in this courtroom, in this city, in this nation, race and the future seem so intertwined as to be the same thing."
Photograph (detail) © Wil Sands/Fractures Collective

Minimum number of cats fitted with high-tech listening equipment in a 1967 CIA project:

1

Zoologists suggested that apes and humans share an ancestor who laughed.

A former prison in Philadelphia that has served as a horror-movie set was being prepared as a detention center for protesters arrested at the upcoming Democratic National Convention, and presumptive Republican presidential nominee Donald Trump fired his campaign manager.

Subscribe to the Weekly Review newsletter. Don’t worry, we won’t sell your email address!

HARPER’S FINEST

Mississippi Drift

By

Matt was happy enough to sustain himself on the detritus of a world he saw as careening toward self-destruction, and equally happy to scam a government he despised. 'I’m glad everyone’s so wasteful,' he told me. 'It supports my lifestyle.'

Subscribe Today