When doctors first do harm

M. Gregg Bloche writes: President-elect Donald J. Trump on Tuesday expressed reservations about the use of torture. But he did not disavow the practice, or his promise to bring it back. And if he does, C.I.A. doctors may be America’s last defense against a return to savagery. But they’ll need to break sharply with what they did the last time around.

Buried in a trove of documents released last summer is the revelation that C.I.A. physicians played a central role in designing the agency’s post-Sept. 11 torture program. The documents, declassified in response to an American Civil Liberties Union lawsuit, show in chilling detail how C.I.A. medicine lost its moral moorings. It’s long been known that doctors attended torture as monitors. What’s new is their role as its engineers.

The documents include previously redacted language from a directive by the C.I.A.’s Office of Medical Services telling physicians at clandestine interrogation sites to flout medical ethics by lying to detainees and collaborating in abuse. This language also reveals that doctors helped to design a waterboarding method more brutal than what even lawyers for the George W. Bush administration allowed. [Continue reading…]

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