Force-feeding detainees decried

CHICAGO – Military doctors violate medical ethics when they approve the force-feeding of hunger strikers at the U.S. prison camp at Guantanamo Bay, according to a commentary in a prestigious medical journal.

The doctors should attempt to prevent force-feeding by refusing to participate, the commentary’s three authors write in today’s Journal of the American Medical Association.

“In medicine, you can’t force treatment on a person who doesn’t give their voluntary informed consent,” said Dr. Sondra Crosby of Boston University, one of the authors. “A military physician needs to be a physician first and a military officer second, in my opinion.”

As of Tuesday, 20 of 23 fasting detainees at Guantanamo were being fed liquid meals through flexible tubes inserted through their noses and throats, said Guantanamo spokesman Navy Cmdr. Rick Haupt. The strikers are protesting conditions at the camp and their open-ended confinement.

A few physicians have declined to participate in force-feeding, although the specific number has not been tracked, Haupt said. The military does not punish doctors who won’t participate in force-feeding, Haupt wrote Friday in an e-mail response to questions from the Associated Press.

A mass hunger strike began at Guantanamo in August 2005 and reached a peak of 131 detainees. Last year, the military started strapping detainees in restraint chairs during tube feedings to prevent the prisoners from resisting or making themselves vomit.

The restraint chairs constitute excessive force and coercion, Crosby said.

Department of Defense spokeswoman Cynthia Smith said force-feeding is done “in a humane and compassionate manner,” using a method that is consistent with procedures used in U.S. federal prisons.

Last year, Crosby and another co-author reviewed the medical records of two detainees who were force-fed and wrote affidavits filed in federal court. They were not paid for that work, which they did at the request of the prisoners’ attorneys.

Reviewing those medical records prompted the commentary, Crosby said. “We were and still are disturbed by the practices,” she said.

The medical records contained no evidence that the hunger strikers received ongoing psychiatric evaluations or had been adequately told about the risks of fasting or tube feeding, Crosby said.

Haupt said strikers are seen once each week by mental health professionals.


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