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Inside Guantánamo’s Force-Feeding Regime
Dozens of hunger strikers at Guantanamo Bay are being kept alive with a painful, ethically questionable, and politically sensitive medical procedure. Abby Haglage on what’s at stake.
By Abby Haglage
With the White House’s appointment of Clifford Sloan to head the Office of Guantánamo Closure, many hope that the end one of the darker chapters in American history is finally near.
Inside Guantánamo’s Force-Feeding Regime
Dozens of hunger strikers at Guantanamo Bay are being kept alive with a painful, ethically questionable, and politically sensitive medical procedure. Abby Haglage on what’s at stake.
By Abby Haglage
With the White House’s appointment of Clifford Sloan to head the Office of Guantánamo Closure, many hope that the end one of the darker chapters in American history is finally near.
David
Remes, a human-rights lawyer representing 18 detainees at
Guantánamo, says that hope is a false one. “President Obama
is marvelous at giving the impression of movement even while
he’s standing still,” he says of the decision to appoint
Sloan. The memory of a phone call from one of his clients,
the newest addition to the force-fed list, is still fresh in
his mind.
“I was
so afraid,”
Abdalmalik Wahab a resident of Guantánamo since 2002 and
one of the 104 prisoners there currently on a hunger strike,
told Remes of the moment before he was force-fed for the
first time last week. Down to 129 pounds from 195, Wahab—a
native of Yemen who has never been to trial—was admitted to
the hospital in Gitmo after losing consciousness. When he
awoke, he told Remes, doctors gave him two options: drink a
bottle of Ensure or be force-fed. Hoping to keep his story,
and that of the other hunger strikers, in the national
spotlight, he refused to eat.
How It Works: An Interactive Guide
He was
quickly transported by wheelchair (he’s too weak to walk) to
what’s known as the feeding block. Strapped into a restraint
chair, nurses inserted a feeding tube into his right
nostril, Wahab told Remes, neglecting to lubricate the tube
or offer anesthesia, as directed in the
standard operating procedure.
“They
kept asking me to swallow the tube…but it was my first time.
It was so difficult,” he told Remes on a rare phone call on
June 14. “So much pain.” The removal of the tube turned out
to be the worst part—so excruciating that Wahab became
convinced they were “sucking out his stomach.” Now, being
force-fed twice a day, he is alive—barely. “I’m a skeleton.
You can count all of my ribs from 1 meter away,” he told
Remes on the same phone call. “Sleeping is hard… because I’m
sleeping on my bones.”
Wahab
is one of 44 men currently being force-fed at Guantánamo Bay
Detention Center. Internally, the procedure is known as
“involuntary enteral feeding.” Outside, many consider it
torture. “It’s brutal, inhumane, and merciless,” Remes tells
me—echoing a sentiment shared by other attorneys
representing the detainees.
The
medical world has taken issue with the procedure as well. In
an April 25 letter to Secretary of Defense Chuck Hagel, the
American Medical Association
denounced the practice of force-feeding, saying it
“violates core ethical values of the medical profession.”
Just last week, the New England Journal of Medicine
published an article titled Guantanamo Bay: A Medical
Ethics–free Zone? In it, the three authors call the
situation a “legal black hole.” “Force-feeding a competent
person is not the practice of medicine; it is aggravated
assault,” they write. In an article published on the
Lancet Wednesday, 150 physicians and doctors nationwide
asked President Obama to answer the
plea from 13 force-fed detainees who are asking for
independent medical treatment (they say they are now afraid
of the medical staff at Gitmo).
Inside
Washington, opinions vary. Last month, a senior physician at
Guantánamo
dismissed claims that force-feeding is unethical. “This
is kind of a tough mission and this is kind of an ugly place
sometimes,” the physician, who remained anonymous, told Al
Jazeera. The Defense Department has defended the practice,
saying its purpose is “to support the preservation of life
by appropriate clinical means, in a humane manner.” General
John F. Kelly, the chief of the U.S. Southern Command,
offered support for the practice after visiting Gitmo last
week. “They’re all eating something,” he told reporters,
calling the protest a “Hunger Strike Lite.”
Whether it is ethical to perform the procedure under these
circumstances remains unclear. But a close examination of
the actual practice itself reveals that the
writhing, miserable reality of it is virtually
undeniable. Here, a step-by-step guide to what force-feeding
actually means.
This article was originally published at
Daily Beast
© 2013 The Newsweek/Daily Beast Company
LLC
Force-Feeding Is Ugly: An
Illustrated Guide: At Guantanamo Bay, 44
hunger strikers are kept alive with an incredibly painful,
ethically questionable, and politically sensitive procedure.
Here, in excruciating detail, is how it works.
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