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	<title>Inter Press ServicePhysicians for Human Rights Topics</title>
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		<title>Release of Senate Torture Report Insufficient, Say Rights Groups</title>
		<link>https://www.ipsnews.net/2014/12/release-of-senate-torture-report-insufficient-say-rights-groups/</link>
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		<pubDate>Wed, 10 Dec 2014 00:24:05 +0000</pubDate>
		<dc:creator>Jim Lobe</dc:creator>
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		<guid isPermaLink="false">http://www.ipsnews.net/?p=138185</guid>
		<description><![CDATA[Tuesday’s release by the Senate Intelligence Committee of its long-awaited report on the torture by the Central Intelligence Agency (CIA) of detainees in the so-called “war on terror” does not go far enough, according to major U.S. human rights groups. While welcoming the report&#8217;s release, the subject of months of intensive negotiations and sometimes furious [&#8230;]]]></description>
		
			<content:encoded><![CDATA[<p><font color="#999999"><img width="300" height="199" src="https://www.ipsnews.net/Library/2014/12/torture-300x199.jpg" class="attachment-medium size-medium wp-post-image" alt="" decoding="async" fetchpriority="high" srcset="https://www.ipsnews.net/Library/2014/12/torture-300x199.jpg 300w, https://www.ipsnews.net/Library/2014/12/torture-629x417.jpg 629w, https://www.ipsnews.net/Library/2014/12/torture.jpg 640w" sizes="(max-width: 300px) 100vw, 300px" /><p class="wp-caption-text">Seven of 39 detainees who were subject to the most aggressive interrogation techniques provided no intelligence at all, while information obtained from the others preceded the harsh treatment, according to the report. Credit: Fahim Siddiqi/IPS</p></font></p><p>By Jim Lobe<br />WASHINGTON, Dec 10 2014 (IPS) </p><p>Tuesday’s release by the Senate Intelligence Committee of its long-awaited report on the torture by the Central Intelligence Agency (CIA) of detainees in the so-called “war on terror” does not go far enough, according to major U.S. human rights groups.<span id="more-138185"></span></p>
<p>While welcoming the <a href="http://www.intelligence.senate.gov/study2014/sscistudy1.pdf">report&#8217;s</a> release, the subject of months of intensive negotiations and sometimes furious negotiations between the Senate Committee’s majority and both the CIA and the administration of President Barack Obama, the groups said additional steps were needed to ensure that U.S. officials never again engage in the kind of torture detailed in the report."Their actions destroyed trust in clinicians, undermined the integrity of their professions, and damaged the United States’ human rights record, which can only be corrected through accountability." -- Donna McKay of PHR<br /><font size="1"></font></p>
<p>“This should be the beginning of a process, not the end,” said Anthony Romero, executive director of the <a href="https://www.aclu.org/national-security/senate-torture-report-shows-need-accountability">American Civil Liberties Union</a> (ACLU). “The report should shock President Obama and Congress into action, to make sure that torture and cruelty are never used again.”</p>
<p>He called, among other steps, for the appointment of a special prosecutor to hold the “architects and perpetrators” of what the George W. Bush administration called “enhanced interrogation techniques” (EITs) accountable and for Congress to assert its control over the CIA, “which in this report sounds more like a rogue paramilitary group than the intelligence gathering agency that it’s supposed to be.”</p>
<p>He was joined by London-based <a href="http://www.amnesty.org/en/news/usa-senate-summary-report-cia-detention-programme-must-not-be-end-story-2014-12-09">Amnesty International</a> which noted that the declassified information provided in the report constituted “a reminder to the world of the utter failure of the USA to end the impunity enjoyed by those who authorised and used torture and other ill-treatment.</p>
<p>“This is a wake-up call to the USA; they must disclose the full truth about the human rights violations, hold perpetrators accountable and ensure justice for the victims,” said Amnesty’s Latin America director, Erika Guevara.</p>
<p>The Senate Committee’s report, actually a 524-page, partially-redacted summary of a still-classified 6,300-page report on the treatment of at least 119 terrorist suspects detained in secret locations overseas, accused the CIA not only of engaging in torture that was “brutal and far worse” than has previously been reported, but also of regularly misleading the White House and Congress both about what it was doing and the purported value of the intelligence it derived from those practices.</p>
<p>Water-boarding, for example, was used against detainees more often and in more of the CIA’s “black sites” than previously known; sleep deprivation was used for up to a week at a time against some suspects; others received “rectal feeding” or “hydration&#8217;; and still others were forced to stand on broken feet or legs.</p>
<p>In at least one case, a detainee was frozen to death; in the case of Abu Zubayda, an alleged “high-value” Al Qaeda detainee who was subject to dozens of water-boardings, the treatment was so brutal, several CIA officers asked to be transferred if it did not stop.</p>
<p>While the CIA officers and former Bush administration officials, notably former Vice President Dick Cheney, have long insisted that key information – including intelligence that eventually led to the killing of Osama bin Laden &#8212; was obtained from EITs, the report concluded that these techniques were ineffective.</p>
<p>Seven of 39 detainees who were subject to the most aggressive EITs provided no intelligence at all, while information obtained from the others preceded the harsh treatment, according to the report, which relied on the CIA’s own cables and reports.</p>
<p>In some cases, detainees subjected to EITs gave misinformation about “terrorist threats” which did not actually exist, the report found. Of the 119 known detainees subject to EITs, at least 26 should never have been held, it said.</p>
<p>Intelligence Committee Chairwoman <a href="http://www.feinstein.senate.gov/public/index.cfm/press-releases?ID=d2677a34-2d91-4583-92a4-391f68ceae46">Dianne Feinstein</a>, who fought hard for months to release the report over the CIA’s fierce objections, wrote in its Forward that, in the aftermath of the 9/11 Al Qaeda attacks, “she could understand the CIA’s impulse to consider the use of every possible tool to gather intelligence and remove terrorists from the battlefield, and CIA was encouraged by political leaders and the public to do whatever it could to prevent another attack.”</p>
<p>“Nevertheless, such pressure, fear and expectation of further terrorist plots do not justify, temper or excuse improper actions taken by individuals or organizations in the name of national security,” according to Feinstein.</p>
<p>For his part, <a href="https://www.cia.gov/news-information/press-releases-statements/2014-press-releases-statements/statement-from-director-brennan-on-ssci-study-on-detention-interrogation-program.html">CIA director John Brennan</a>, a career CIA officer appointed by Obama whose role in the Bush administration’s detention programme remains cloudy, “acknowledge(d) that the detention and interrogation program had shortcomings and that the Agency made mistakes.”</p>
<p>“The most serious problems occurred early on and stemmed from the fact that the Agency was unprepared and lacked the core competencies required to carry out an unprecedented, worldwide program of detaining and interrogating suspected al-Qa’ida and affiliated terrorists.”</p>
<p>But he also defended the EITs, insisting that “interrogations of detainees on whom EITs were used did produce intelligence that helped thwart attack plans, capture terrorists, and save lives.” A <a href="https://www.cia.gov/news-information/press-releases-statements/2014-press-releases-statements/cia-fact-sheet-ssci-study-on-detention-interrogation-program.html">fact sheet</a> released by the CIA claimed, as an example, that one detainee, after undergoing EITs, identified bin Laden’s courier, which subsequently led the CIA to the Al Qaeda chief’s location.</p>
<p>With several notable exceptions, Republicans also defended the CIA and the Bush administration’s orders to permit EITs. Indeed, the Intelligence Committee’s Republican members released a minority report that noted that the majority of staff had not interviewed any CIA officers directly involved in the programme.</p>
<p>“There is no reason whatsoever for this report to ever be published,” said the Committee’s ranking Republican, Sen. Saxby Chambliss. “This is purely a partisan tactic” which he said was designed to attack the Bush administration. Republicans also warned that the report’s release would endanger U.S. service personnel and citizens abroad by fuelling anti-American sentiment, especially in the Muslim world.</p>
<p>But Sen. John McCain, who was himself tortured as a prisoner of war in the Vietnam war, <a href="http://www.mccain.senate.gov/public/index.cfm/press-releases?ID=1a15e343-66b0-473f-b0c1-a58f984db996">defended the report</a>, calling it “a thorough and thoughtful study of practices that I believe not only failed their purpose …but actually damaged our security interests, as well as our reputation as a force for good in the world.”</p>
<p>McCain has championed efforts to pass legislation outlawing torture, particularly because Obama’s 2009 executive orders prohibiting such practices could be reversed by a future president.</p>
<p>Passage of such a law – whose prospects appear virtually nil in light of Republican control of both houses of Congress for the next two years – is one of the demands, along with release of the full report, of most human-rights groups here.</p>
<p>“The Obama administration and Congress should work together to build a durable consensus against torture by pursuing legislation that demonstrates bipartisan unity and fidelity to our ideals,” <a href="http://www.humanrightsfirst.org/press-release/senate-releases-landmark-report-cia-torture-program">said Elisa Massimino</a>, director of Human Rights First.</p>
<p>Many groups, however, want Obama to go further by prosecuting those responsible for the EIT programme, a step that his administration made clear from the outset it was loathe to do.</p>
<p>“We renew our demand for accountability for those individuals responsible for the CIA torture programme,” said Baher Azmy, the legal director of the <a href="http://ccrjustice.org/newsroom/press-releases/ccr-legal-director-says-criminal-prosecutions-must-follow-senate-cia-torture-report-findings">Center for Constitutional Rights</a>, which has represented a number of detainees at Guantanamo, including Abu Zubaydah, in U.S. courts. “They should be prosecuted in U.S. courts; and, if our government continues to refuse to hold them accountable, they must be pursued internationally under principles of universal jurisdiction.”</p>
<p>“The report shows the repeated claims that harsh measures were needed to protect Americans are utter fiction,” according to <a href="http://www.hrw.org/news/2014/12/09/kenneth-roth-bush-era-torture-and-cia-denials">Human Rights Watch executive director Kenneth Roth</a>. “Unless this important truth-telling process leads to prosecution of the officials responsible, torture will remain a ‘policy option’ for future presidents.”</p>
<p>Noting that health professionals, including doctors and psychologists also played a role in the EITs, <a href="http://physiciansforhumanrights.org/press/press-releases/us-senate-report-confirms-health-professionals-complicity-in-cia-torture.html">Physicians for Human Rights (PHR)</a> also called for legal accountability. “For more than a decade, the U.S. government has been lying about its use of torture,” said Donna McKay, PHR’s executive director.</p>
<p>“The report confirms that health professionals used their skills to break the minds and bodies of detainees. Their actions destroyed trust in clinicians, undermined the integrity of their professions, and damaged the United States’ human rights record, which can only be corrected through accountability,” she said.</p>
<p><em>Jim Lobe’s blog on U.S. foreign policy can be read at </em><a style="font-weight: inherit; font-style: inherit; color: #6d90a8;" href="http://www.lobelog.com/"><em>Lobelog.com</em></a><em>. He can be contacted at ipsnoram@ips.org</em></p>
<p><em>Edited by Kitty Stapp</em></p>
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<li><a href="http://www.ipsnews.net/2010/06/health-agency-urged-to-probe-cia-torture-claims/" >Health Agency Urged to Probe CIA Torture Claims</a></li>
<li><a href="http://www.ipsnews.net/2012/09/u-s-rights-groups-denounce-dropping-of-cia-torture-cases/" >U.S.: Rights Groups Denounce Dropping of CIA Torture Cases</a></li>

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		<title>OPINION: Empowering DR Congo’s Sexual Violence Survivors by Enforcing Reparations</title>
		<link>https://www.ipsnews.net/2014/07/op-ed-empowering-dr-congos-sexual-violence-survivors-by-enforcing-reparations/</link>
		<comments>https://www.ipsnews.net/2014/07/op-ed-empowering-dr-congos-sexual-violence-survivors-by-enforcing-reparations/#respond</comments>
		<pubDate>Thu, 24 Jul 2014 08:26:58 +0000</pubDate>
		<dc:creator>Sucharita S.K. Varanasi</dc:creator>
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		<guid isPermaLink="false">http://www.ipsnews.net/?p=135716</guid>
		<description><![CDATA[Before a sexual violence survivor in the Democratic Republic of the Congo (DRC) has her day in court, she must surmount many obstacles. Poor or nonexistent roads and costly transportation may prevent her from going to a police station to report the crime, or to a hospital to receive treatment for the injuries sustained during [&#8230;]]]></description>
		
			<content:encoded><![CDATA[<p><font color="#999999"><img width="300" height="199" src="https://www.ipsnews.net/Library/2014/07/DRCSurvivor-300x199.jpg" class="attachment-medium size-medium wp-post-image" alt="" decoding="async" loading="lazy" srcset="https://www.ipsnews.net/Library/2014/07/DRCSurvivor-300x199.jpg 300w, https://www.ipsnews.net/Library/2014/07/DRCSurvivor-629x418.jpg 629w, https://www.ipsnews.net/Library/2014/07/DRCSurvivor.jpg 640w" sizes="auto, (max-width: 300px) 100vw, 300px" /><p class="wp-caption-text">Rape survivor Angeline Mwarusena. Reparations, both monetary and non-monetary, can provide emotional, psychological, physical, and economic relief for the pain, humiliation, trauma, and violence that sexual violence survivors have endured, according to Physicians for Human Rights. Credit: Einberger/argum/EED/IPS</p></font></p><p>By Sucharita S.K. Varanasi<br />BOSTON, Jul 24 2014 (IPS) </p><p>Before a sexual violence survivor in the Democratic Republic of the Congo (DRC) has her day in court, she must surmount many obstacles. Poor or nonexistent roads and costly transportation may prevent her from going to a police station to report the crime, or to a hospital to receive treatment for the injuries sustained during the violence.</p>
<p><span id="more-135716"></span>Inadequate training of law enforcement, limited resources for thorough investigations, and lack of witness protection may also compromise her case.</p>
<p>In the DRC, another impediment is a heavy reliance on traditional forms of justice. Sexual violence survivors are compelled by their families and communities to seek redress through traditional mechanisms because the process often leads to the survivor’s family receiving some type of compensation, such as a goat.</p>
<p>However attractive traditional justice may be for the family of those victimised, the survivor is rarely at the centre of the process. Understanding the various hurdles that a survivor must overcome in accessing the formal legal system is the first step in a survivor’s pursuit of justice.</p>
<p>Until recently, the international community has largely ignored the fact that even if survivors overcome many of these challenges and win their legal cases, they rarely receive reparations.</p>
<p>During a roundtable discussion hosted by <a href="http://physiciansforhumanrights.org">Physicians for Human Rights</a>, Georgetown University Institute for Women, Peace and Security, and Columbia School of International and Public Affairs earlier this year, experts identified reasons why survivors are unable to retrieve these hard-won reparations, and issued <a href="http://physiciansforhumanrights.org/library/other/summary-of-roundtable-discussion.html"><span style="color: #0433ff;">a set of recommendations</span></a> that aim to help reverse this trend.</p>
<div id="attachment_135723" style="width: 210px" class="wp-caption alignleft"><a href="https://www.ipsnews.net/Library/2014/07/Kegley140313Varanasi00311.jpg"><img decoding="async" aria-describedby="caption-attachment-135723" class="size-full wp-image-135723" src="https://www.ipsnews.net/Library/2014/07/Kegley140313Varanasi00311.jpg" alt="Sucharita S.K. Varanasi, a senior programme officer with Physicians for Human Rights says that in order to receive court-ordered monetary compensation, survivors of sexual violence in DRC must  navigate the onerous post-trial process alone. Courtesy: Physicians for Human Rights" width="200" height="300" /></a><p id="caption-attachment-135723" class="wp-caption-text">Sucharita S.K. Varanasi, a senior programme officer with Physicians for Human Rights.</p></div>
<p>In order to receive court-ordered monetary compensation, survivors of sexual violence must  navigate the onerous post-trial process alone – without counsel or support – and either pay upfront prohibitively expensive administrative fees and duties or collect and present difficult-to-obtain paperwork necessary to waive these fees.</p>
<p>Overcoming these obstacles can prove daunting – even insurmountable – for individuals who are well-resourced and connected, let alone for the majority of survivors who are financially indigent and disenfranchised.</p>
<p>The international community is finally paying apt attention to the fact that even if a survivor surmounts the many obstacles she faces in pursuing justice, it may never lead to compensation or to her perpetrator being brought to justice.</p>
<p>The roundtable participants, including key international stakeholders in the DRC, provided short-term recommendations to help survivors receive their judgments in hand. These include the training of judges on relevant Congolese laws to help survivors; direct international funds to help survivors navigate the post-trial process; engagement and education of community chiefs within traditional justice mechanisms about survivors’ rights and the need to direct survivors to the formal court system; and the strengthening and enforcement of penitentiary systems so that sentences are upheld and punishment can be a deterrent to committing such crimes in the future.</p>
<p>Long-term recommendations from roundtable participants included the need to marshal political will, creating both a sovereign mineral fund and a victims’ fund, and reforming the legal sector by creating mixed chambers and revising key pieces of legislation. Significantly, long-term strategies to support reparations for survivors must also take into consideration collective community responses for the many survivors who never report their violation or never engage in the justice process.</p>
<p>These recommendations are by no means exhaustive, but showcase a desire and commitment from international actors to help survivors receive monetary judgments.</p>
<p>Reparations, both monetary and non-monetary, can provide emotional, psychological, physical, and economic relief for the pain, humiliation, trauma, and violence that sexual violence survivors have endured.</p>
<p>Enforcing monetary reparations justifies the hardship and difficulty of pursing justice in the first place for the survivors. The international community can help a sexual violence survivor move from a position of pain to power. The main question is whether we are willing to urge local governments and community leaders to make it happen.</p>
<div id="attachment_135718" style="width: 490px" class="wp-caption aligncenter"><a href="https://www.ipsnews.net/Library/2014/07/DSC00715.jpg"><img loading="lazy" decoding="async" aria-describedby="caption-attachment-135718" class="size-full wp-image-135718" src="https://www.ipsnews.net/Library/2014/07/DSC00715.jpg" alt="Sexual violence survivors waiting to testify in a Congolese mobile court. Courtesy: Physicians for Human Rights" width="480" height="361" srcset="https://www.ipsnews.net/Library/2014/07/DSC00715.jpg 480w, https://www.ipsnews.net/Library/2014/07/DSC00715-300x225.jpg 300w, https://www.ipsnews.net/Library/2014/07/DSC00715-200x149.jpg 200w" sizes="auto, (max-width: 480px) 100vw, 480px" /></a><p id="caption-attachment-135718" class="wp-caption-text">Sexual violence survivors waiting to testify in a Congolese mobile court. Courtesy: Physicians for Human Rights</p></div>
<p><em>Sucharita S.K. Varanasi is a senior programme officer, at the Programme on Sexual Violence in Conflict Zones with <a href="http://physiciansforhumanrights.org"><span style="color: #0433ff;">Physicians for Human Rights.</span></a> She travels and works in DRC and Kenya.</em></p>
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<li><a href="http://www.ipsnews.net/2014/03/qa-women-hold-key-peace-drc/" >Q&amp;A: Women Hold the Key to Peace in DRC</a></li>
<li><a href="http://www.ipsnews.net/2013/11/op-ed-act-now-act-big-to-end-sexual-violence-in-drc/" >OP-ED: Act Now, Act Big to End Sexual Violence in DRC</a></li>
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		<title>Report Gives Graphic Details of Guantanamo Force-Feeding</title>
		<link>https://www.ipsnews.net/2013/07/report-gives-graphic-details-of-guantanamo-force-feeding/</link>
		<comments>https://www.ipsnews.net/2013/07/report-gives-graphic-details-of-guantanamo-force-feeding/#respond</comments>
		<pubDate>Fri, 12 Jul 2013 00:44:52 +0000</pubDate>
		<dc:creator>Jared Metzker</dc:creator>
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		<guid isPermaLink="false">http://www.ipsnews.net/?p=125657</guid>
		<description><![CDATA[“Bleeding”, “vomiting”, “a quarter or even a third” of bodyweight lost, “torture”. These are characteristic descriptions from testimony by hunger strikers at the detention centre at Guantanamo Bay of their experience being force-fed at the hands of U.S. officials, published in a report released Thursday. The report, produced by Reprieve, a U.K.-based legal assistance and [&#8230;]]]></description>
		
			<content:encoded><![CDATA[<p>By Jared Metzker<br />WASHINGTON, Jul 12 2013 (IPS) </p><p>“Bleeding”, “vomiting”, “a quarter or even a third” of bodyweight lost, “torture”. These are characteristic descriptions from testimony by hunger strikers at the detention centre at Guantanamo Bay of their experience being force-fed at the hands of U.S. officials, published in a report released Thursday.<span id="more-125657"></span></p>
<p>The <a href="http://www.reprieve.org.uk/media/downloads/Hunger_Strike_Final_Report..pdf?utm_source=Press+mailing+list&amp;utm_campaign=f05a183a4a-2013_07_08_Gtmo_forcefeeding_controls&amp;utm_medium=email&amp;utm_term=0_022da08134-f05a183a4a-286043809" target="_blank">report</a>, produced by Reprieve, a U.K.-based legal assistance and advocacy group that is representing more than a dozen of the Guantanamo prisoners, collates testimonies from the prisoners’ unclassified letters, calls and discussions with attorneys.“It diminishes the standing of the U.S. in the world that we don’t follow the established ethics of the medical profession." -- Dr. Scott Allen of Physicians for Human Rights<br /><font size="1"></font></p>
<p>The views “from the inside” presented in these descriptions are extremely disturbing, and advocates say they raise serious questions concerning the United States’ commitment to human rights.</p>
<p>“From a medical standpoint, the force-feeding of a competent hunger striker is a serious violation of ethics,” Dr. Scott Allen, a medical advisor to the advocacy group Physicians for Human Rights, told IPS.</p>
<p>Allen spent seven years as a physician working within the U.S. prison system, during which time he dealt with hunger strikers. He points out that force-feeding is counter to the standards of the World Medical Association. Further, those standards have been accepted by the American Medical Association, which has expressed opposition to the practices at Guantanamo Bay.</p>
<p>There are currently some 140 U.S medical personnel tasked with carrying out the force-feedings that are being done to 45 hunger strikers at the detention centre. More than 100 detainees are currently on a hunger strike that has gone on since February, in protest of what they view as their indefinite detention.</p>
<p>The accounts from inmates in the Reprieve report indicate that U.S. practices go even beyond the concerns expressed by Allen and the associations he mentions.</p>
<p>Some of the accounts describe forcible cell extractions (FCEs), as the procedure of physically removing prisoners from their cells and subjecting them to force-feeding is officially known.</p>
<p>The U.S. military has claimed that strikers “present themselves daily, calmly, in a totally cooperative way, to be fed through a tube”. Prisoner accounts of FCEs contradict that claim, however.</p>
<p>“They wanted me to undergo tests and, when I refused, they called in the anti-riot [FCE] squad, who stormed into my hospital room,” Ahmed Belbacha, an Algerian detainee who was cleared for release in 2007, is cited in the report as saying. “They shackled my hands and feet to the bed and then force fed me intravenously for twenty-four hours.”</p>
<p>Of the 166 detainees in Guantanamo, 86 have been cleared to be let free, but they remain held in the prison because of complications that have arisen in facilitating their releases. <b> </b></p>
<p>Another prisoner quoted by the report, Abu Wa’el Dhiab, a Syrian national who was cleared for release in 2009, explains in graphic detail the pain he has experienced as a result of being force-fed.</p>
<p>“I vomited blood for three days. I had a very strong cough and felt that my throat was injured,” Dhiab recounts. “[A] while ago they broke a rib in my chest. After it healed, the FCE again broke the same rib. It happened over and over again and the injury gets worse.”<div class="simplePullQuote"><b>Transcriptions of Torture: Prisoner testimonies</b><br />
<br />
“I will never forget the first time they passed the feeding tube up my nose. I can’t describe how painful it is to be force-fed this way. As it was thrust in, it made me feel like throwing up…There was agony in my chest, throat and stomach. I had never experienced such pain before. I would not wish this cruel punishment upon <br />
anyone.” - Samir Moqbel <br />
<br />
“There is one man from hospital who is particularly cruel. He puts the liquid food in too fast. When the detainee is vomiting they usually take the tube out, but he refused. That leaves the detainee vomiting on himself during feeding.” - Shaker Aamer<br />
<br />
“The guard entered the tube through my nose, and then pumped the feeder. The food rushed into my stomach too quickly. I asked him to reduce the speed. He not  only refused, but tried to turn it up. However, it was already as high as it could go. This was barbaric. After he finished his work, he roughly pulled the tube from my nose, threw it onto me, and left the room.” - Ahmed Belbacha<br />
</div></p>
<p><b>Adversarial approach<br />
</b></p>
<p>In a manual outlining standard operating procedure for 2013, which was leaked to the press, Guantanamo officials express their approach to hunger-striking patients using terminology reminiscent of war.</p>
<p>“Just as battlefield tactics must change throughout the course of a conflict, the medical responses to Guantanamo detainees who hunger strike has evolved with time,” the manual states.</p>
<p>As Dr. Allen notes, this adversarial approach would constitute a highly atypical stance for medical professionals to take toward their patients. Moreover, he says, it is not one which is likely to solve the issue.</p>
<p>“Handling the strike this way will lead the doctors to lose the trust of their patients,” he says. “And having no trust means there will be little chance of properly resolving the strike.”</p>
<p>The debate over force-feeding has rekindled talk of Guantanamo officials being engaged in torture, a public debate that seemingly ended after President Barack Obama banned the practice of water-boarding (a form of interrogation that simulates drowning) there in 2009.</p>
<p>Indeed, there are accounts in the Reprieve report which explicitly call force-feeding torture.</p>
<p>“The force-feeding itself is simple torture,” explains Shaker Aamer, a Saudi prisoner cleared for released in 2007 and again in 2009. “Now they are using the metal-tipped tubes, forcing them in and pulling them out twice a day, leaving people vomiting on themselves in the restraint chair, and so forth.”</p>
<p>Just as the controversy surrounding water-boarding was viewed by many as damaging to the United States’ international image, so the continuing subjection of inmates to force-feeding may degrade the country in the minds of citizens and governments around the globe, Dr. Allen explained to IPS.</p>
<p>“It diminishes the standing of the U.S. in the world that we don’t follow the established ethics of the medical profession,” he says.</p>
<p>There is currently political pressure building on the administration of President Obama to end the use of force-feeding.</p>
<p>Influential Senators Dianne Feinstein and Dick Durbin sent a <a href="http://www.feinstein.senate.gov/public/index.cfm/press-releases?ID=b9486159-3d0d-4e6d-b93f-bc09474df9e1" target="_blank">letter</a> to the administration on Wednesday imploring it to end the force-feeding and ultimately close the prison.</p>
<p>“The growing problem of hunger strikes is due to the fact that many detainees have remained in legal limbo for more than a decade and have given up hope,” the letter states. “This should be alarming to all of us, and it is imperative that the Administration outline a formal process to permanently close the Guantanamo facility as soon as possible.” <strong></strong></p>
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