The Silence of the Doctors

By Jonathan H. Marks

This article appeared in the December 26, 2005 edition of The Nation.

December 7, 2005

It was called the "water cure." But it was dosed out liberally to those who weren't sick. Unfortunate recipients were held by the neck beneath a water tank. The tap was turned on, and they were forced to swallow the gushing stream--or to choke within an inch of death while trying. Another variation used tubing to siphon water from a kerosene can into a detainee's nostril. Sworn testimony records the use of this tactic in the presence of a doctor. It was, after all, a "cure." When the detainee still refused to talk, the doctor would ratchet up the treatment, ordering a second tube to be placed in the detainee's other nostril and a handful of salt to be thrown into the water. Anyone who's ever had sea water up his or her nose will know just how pleasant that would have been.

This interrogation tactic comes not from the "war on terror" but from the war in the Philippines more than 100 years ago. There too the abuses were justified by the need to combat troublesome local "insurgents." The enemy was "not civilized" and did not deserve to be treated according to the rules of civilized warfare. The water cure is, of course, the precursor to a more recent interrogation technique known as "waterboarding." And the participation of the physician is an early example of American medical personnel being co-opted into an egregious and unlawful military mission. The doctor's presence did not restrain the interrogator's excesses; on the contrary, he actively fueled them.

After 9/11 some American healthcare personnel were once again asked to step into the breach and help Army interrogators conduct aggressive interrogations. They have, among others, Maj. Gen. Geoffrey Miller--former camp commander at Guantánamo Bay--to thank for this. Miller considered the participation of Behavioral Science Consultation Teams--known colloquially as "Biscuits"--to be an "essential" part of the interrogation process. Having introduced the first Biscuit to the Guantánamo facility in late 2002, Miller urged the deployment of a similar team at Abu Ghraib in late 2003. These Biscuits were staffed at various times by psychologists and/or psychiatrists.

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About Jonathan H.Marks

Jonathan H. Marks is a barrister at Matrix Chambers, London, and a veteran of the Pinochet case. He is currently Greenwall Fellow in Bioethics at Georgetown University Law Center and Johns Hopkins School of Public Health. His work (with M. Gregg Bloche) on the role of medical personnel in interrogation has appeared in The New England Journal of Medicine, the New York Times and the Los Angeles Times. more...
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