Stop Torture in Health Care

March 29, 2011 | by

When I go to a hospital or clinic, I expect to receive good quality, respectful care, and I usually do. Unfortunately, that is not the experience for many people around the world. For them, health care settings are not places of healing, but places where severe mental or physical suffering is inflicted as a result of government policy or negligence. This is especially true for patients from socially marginalized groups—people living with HIV, gays and lesbians, transgender persons, people who use drugs, and people with intellectual disabilities or mental health problems. Their contact with health facilities is too often characterized by physical abuse, insults, invasion of privacy, forced medical procedures, or denial of treatment. This amounts to cruel, inhuman, and degrading treatment—and in some cases, torture.

Such abuses must stop, and we all must do our part to make sure that they do. That is why a coalition of health and human rights organizations, including the Open Society Foundations, is launching the Campaign to Stop Torture in Health Care. We are committed to a world where health care centers are safe, and where our governments act to prevent all forms of torture.

Such egregious and pervasive cruelty is often condoned in the name of medicine, public health, or public order. For example, in the so-called “rehabilitation” centers throughout Southeast Asia, people who use drugs are locked away without any access to medical care or legal recourse. These centers are overseen by government authorities, with private business operating the forced labor facilities inside. The centers rely on physical abuse, shackles, solitary confinement, and other indignities to “treat” drug addiction and extract labor from the detainees. Not surprisingly, the vast majority of people quickly return to drug use once they are released from these centers.

Across the globe, women continue to be forced or coerced by medical personnel to submit to permanent and irreversible sterilization procedures, sometimes even without their knowledge. Cases of forced and coerced sterilization have been reported in North and South America, Africa, Asia, and Europe. Women who are poor or stigmatized—Roma women, women living with HIV, indigenous women, women with physical or intellectual disabilities, women who use drugs—are most likely to be deemed “unworthy” of reproduction. Governments turn a blind eye to these practices in their own public hospitals. Perpetrators are seldom held accountable. Victims rarely obtain justice for this violent abuse of their rights.

Torture also happens when health care workers are prevented from helping patients because of ill-conceived government policies or regulations, or because of bureaucratic inertia. We recently met a young man named Vlad in the small town of Cherkasy, Ukraine (see his interview above). He was 18 when doctors discovered he had a brain tumor. He underwent several treatments in multiple hospitals but nothing could be done. Vlad’s condition deteriorated over the years: he became paralyzed, his kidneys began to fail, and he developed severe sepsis on both sides of his body from his bedsores.

Throughout all this, Vlad was tormented with pain. His mother begged every doctor and nurse she could find to give him more Omnopon or morphine—common and inexpensive medicines used to treat pain. But she was told, time and time again, that patients in Ukraine are only allowed 50 milligrams of morphine per day. When we inquired, we were told that 50 mg was first mentioned in a textbook produced by a pharmaceutical company some years back. It has no basis in medical evidence, and is completely arbitrary. In countries where access to pain relief is a reality, a typical patient with late-stage cancer might get 2,000 mg or more of morphine per day, whatever is needed to manage his or her pain symptoms. Yet no one in the Ukrainian government appears to be moving to clarify the appropriate amount of pain medication Vlad should have received. Denying Vlad and others like him appropriate and cheap pain medicine is literally an act of torture. It cannot be excused under any circumstance.

We are launching this campaign today for the hundreds of thousands of people who are tortured as a result of insufficient access to pain medicine, for the many who are locked away in drug detention centers where they are regularly beaten and abused, and for the women who are coerced or forced into being sterilized because they “should not be having children.”

We hope you will join us in fighting abusive treatment in health care worldwide. Visit www.stoptortureinhealthcare.org for more information on the campaign and to take action end abuses in health care.

Sears shops offer alignment checks in 90 seconds or less; Retailer inks deal with Hunter for new technology.

Tire Business October 10, 2011 Byline: Bruce Davis Sears, Roebuck & Co. has struck a deal with Hunter Engineering Co. for exclusive use of new alignment technology that Sears claimed reduces alignment checks to 90 seconds or less, allowing the firm's Sears Auto Centers to offer free alignment checks.

Sears has thus far installed the new equipment--Quick Check HawkEye Elite 3D--at about half of its 850 Sears Auto Centers in the U.S. The companies did not disclose the length of the exclusivity deal nor Sears' investment in the equipment.

Sears intends to offer all Auto Center customers, regardless of the reason for their visit, a free wheel alignment check, according to Joe Finney, president of Automotive for Sears Holdings. Previously, an alignment check took an average of 20 minutes, Sears said.

"With the old alignment technology, customers typically declined the offer of a wheel alignment check because of the time it would take and the $15 charge for the service," Mr. Finney said in a prepared statement.

"Now we offer the complimentary alignment service and the ability to check all four wheels in less time than it takesto record a customer's vehicle and contact information," he said. go to web site sears coupon code

Sears' records show that nearly two out of every three vehicles that come into Sears for alignment checks do not fall within the manufacturers' alignment specifications, Mr. Finney added. In addition, Sears Auto Centers are equipped to carry out a wheel alignment in 30 minutes or less, or about half the time needed previously. go to web site sears coupon code

The HawkEye Elite 3D alignment equipment consists of four High Resolution 3D alignment heads--also known as targets--mounted on spring-loaded clamping arms that attach to each wheel by gripping the tire. Each target weighs just six pounds.

Digital-imaging sensors using high-resolution cameras provide instant on-screen alignment readings and provide 3D modeling of wheel position and orientation, Hunter said. As the digital imaging continues, a technician rolls the vehicle forward one to two feet to capture and record a complete alignment assessment of the vehicle.

Sears does not have an exclusive on the HawkEye Elite system--which Hunter launched in March to the entire aftermarket--but on the Quick Check aspect that allows Sears to perform the alignment checks and move the car immediately on to the next station, a Hunter representative said.

An online search for HawkEye Elite shows independent distributors selling the Hunter system for $12,000 to $13,000.

The technology Sears is using eliminates the need for a hydraulic lift, saving cost and time, according to the company. Sears eventually will convert the rest of its Sears Auto Centers to the Hunter system, but the company did not say how fast.

Sears said it intends to promote the availability of the time-saving alignment technology throughout October to coincide with Fall Car Care month.

14 Comments to “Stop Torture in Health Care”

  1. On March 29th, 2011 at 3:04 pm, Stephen Garren said:

    These are terrible stories and these things should never happen to anyone. Even in the U.S.A. people live tortured lives due to the sad state of the medical profession. If you have no money and no insurance you must live with your illnesses and just do the best you can. Unless of course you are an illegal alien or on welfare or something, then you can get plenty of treatment. But for those of us who try to pay our own way it is a nightmare.

    • On March 30th, 2011 at 4:07 am, Jef Helmer said:

      Dear Mr. Carren,
      A report on forced sterilization based on in-country research in Czechoslovakia in 1987-1988 has been written by Paul Ă–fner and Bert de Rooy. As fas as I know this is the first serious research done into this subject during the communist time. Mr. Van der Stoel presented the report on a OSCE-Conference in Copenhagen in 1990. Unfortunately, it is in Dutch language. However, the data collected by Ruben Pellar and Zbynek Anders, which are an essential part of the report, are in English.
      If some-one is interested to get a copy I can send it by e-mail.
      Hopefully, this report will contribute to the understanding of the systematic efforts of the communist regime in Czechoslovakia to get rid of the Roma community. The anti-gypsyism which forms the ideological justification for these practices, is still virulent in both the Czech and Slovak Republic.
      Best regards,
      Jef Helmer

  2. On March 30th, 2011 at 11:35 pm, SAIDALI said:

    In Tajikistan we are facing severe scarcity of resources for health (10-12 USD per capita per year) 80-90% of which goes for remuneration of medical staff which ridiculously low (100 USD)

  3. On March 31st, 2011 at 10:48 am, davidmcintosh said:

    let me thank you for all your,great concern about the less privilages,in our various societies at all part of the world.am saying,many more power to all your golden elbows.am encouraging you to continue,in your splendid works,towards the less privilages.its too painful that,this type of treatments are going on in the world.ive witness the same toture,in the land of asia.and have written to so many organisation about it,even spent my money.please never you relent,in telling the leaders of the world and the people,that it concern about it.all hands most be on desk,to fight this abomination,at all part of the world.thanks,so much for your kind co-operation.am john davidmcintosh okafor.

  4. On April 1st, 2011 at 2:37 am, Mariel said:

    Puerto Rico (US Territory) Has the world's highest c-section rate. But that's not all, pregnant woman in labor are tricked and forced to unnecessary interventions and medical procedures, abuse, insults, invasion of privacy. It's not the only place in the world that birth has been turn to a pathological procedure. Woman that give birth are in extinction. It is gender violence since only woman give birth.
    Thanks for unfolding all this truths.

  5. On April 2nd, 2011 at 4:52 am, Erupu Jude said:

    If an animal does not deserve to suffer this much pain, then, why should we stand and watch our fellow blood (human beings)suffer like Vlad and the rest of the human beings allover the world with brain tumor go through this kind of pain. People allover the world, Health Torture MUST STOP! Let us a rise and finish this once and for all. Soon another torture is coming; who knows - it might be another virus - like the Tsunami in Japan. Help someone today and tomorrow you'll also need help. I would like to thank OSI for their dedicated struggle in fighting for the rights of people, may God bless the works of your hands.

  6. I work as a CNA at one time in a nursing home then for home health traveling to peoples homes and now at a hospital. It is hard work and I concider people that work anywhere in the world as the heros yet a lot of people are in the dark on how much still needs to be improved on.Even in the U.S.,to care is to few and many need to become more aware.

  7. On April 3rd, 2011 at 12:12 pm, Judy Wylene said:

    In the United States, some segments of the population are vulnerable and victimized as well. Prisoners in some states have little access to health care and are labeled "malingering", "drug-seeking", and "manipulative" when they continue to seek help.

    The prison population has more than tripled since 1975, far beyond our willingness to pay for it. Rehabilitation is now a quaint, old-fashioned idea and warehousing prisoners is the current model. 95% of the pweople in prison will be released; it only makes sense to help - or allow - people to improve.

    This is an urgent matter for all of us. Write or call your representatives in state and Fedferal government! Tell them we need to be smart on crime, http://www.smartoncrime.com/ ,not tough on crimer.

  8. On April 3rd, 2011 at 12:17 pm, Judy Wylene said:

    My comment includes a link that is not what I intended. the correct link is http://besmartoncrime.org/

  9. On April 4th, 2011 at 2:29 am, Catherine Alikira Oyo said:

    Torture in most Uganda hospitals,is in form of money extortion by health officials from the sick. Mulago hospital, the biggest in Uganda receives so many victims of Motor Bike accidents daily.These can stay with their multiple fractures and in pain for several days unattended to. The Doctors concerned can ask for over a million shillings to attend give attention to these patients, of which money patients do not have. Eventually other patients just end up in death.

  10. Katy Perry’s new album and video was released on MTV. It’s being pushed to be the pop video of the summer. How Kayne West — or anyone in this day and age in Hollywood or anywhere — can release the following lyrics: “Take Me... I Wanna Be A Victim... Infect me with your love and fill me with your poison.” This is completely irresponsible and it is LEGAL... I makes me feel so sad given the amount of artists, doctors, poets, writers, activists and fieldworkers slogging hard to disseminate messages to highly vulnerable adolescents who are reached by music and imagery...

    You’re so hypnotizing
    Could you be the devil? Could you be an angel?
    Your touch magnetizing
    Feels like I am floating, leaves my body glowing
    They say be afraid
    You’re not like the others, futuristic lover
    Different DNA
    They don’t understand you
    You’re from a whole other world
    A different dimension
    You open my eyes
    And I’m ready to go, lead me into the light
    Kiss me, ki-ki-kiss me
    Infect me with your love and
    Fill me with your poison
    Take me, ta-ta-take me
    Wanna be a victim
    Ready for abduction
    Boy, you’re an alien
    Your touch so foreign
    It’s supernatural
    Extraterrestrial
    You’re so supersonic
    Wanna feel your powers, stun me with your lasers
    Your kiss is cosmic
    Every move is magic
    You’re from a whole other world
    A different dimension
    You open my eyes
    And I’m ready to go, lead me into the light
    Kiss me, ki-ki-kiss me
    Infect me with your love and
    Fill me with your poison
    Take me, ta-ta-take me
    Wanna be a victim
    Ready for abduction
    Boy, you’re an alien
    Your touch so foreign
    It’s supernatural
    Extraterrestrial
    This is transcendental
    On another level
    Boy, you’re my lucky star
    I wanna walk on your wavelength
    And be there when you vibrate
    For you I’ll risk it all
    Kiss me, ki-ki-kiss me
    Infect me with your love and
    Fill me with your poison
    Take me, ta-ta-take me
    Wanna be a victim
    Ready for abduction
    Boy, you’re an alien
    Your touch so foreign
    It’s supernatural
    Extraterrestrial, extraterrestrial, extraterrestrial
    Boy, you’re an alien
    Your touch so foreign
    It’s supernatural
    Extraterrestrial

    http://www.real-stories-gallery.org/content/take-me-infect-me-your-love-and-fill-me-your-poison-make-me-victim-hiv-and-aids

  11. Dear Françoise,

    I read your article by accident and I loved it. Torture is still a big issue in North Africa (where men and women continue to suffer from it). With what's happening in Lybia, I only hope the international community does not foeget the lot of women in all this. I have a lot of respect for this article and its author. Fatima Sadiqi

  12. Fatima Sadiqi
    Founder of Gender Studies in Morocco
    Women's Rights Advocate
    Author

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Francoise Girard

Until August 2011, Françoise Girard was director of the Public Health Program at the Open Society Foundations, where she was also regional director for Southern Central and Eastern Europe and Haiti in the 1990s. Photograph: ©Jeff Hutchens for the Open Society Foundations.

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The Open Society Foundations work to improve the lives of the world's most vulnerable people and to promote human rights, justice, and accountability. This blog aims to bring that work a little closer by giving our experts and grantees a platform to reflect on their issues, sharpen their thinking, and engage in a conversation on how to advance open society values around the globe.

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