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U.S. Apologizes For Intentionally Infecting Guatemalans With Syphilis

guatemalaToday, the U.S. delivered what was described as an “unusual apology” to Guatemala for conducting an experiment in the 1940s in which prisoners, soldiers and mental patients were deliberately infected with syphilis. The news came to light while Wellesley College Professor Susan M. Reverby was researching the Tuskegee episode in the U.S. Reverby immediately shared her discovery with U.S. government officials. The apology was issued within 24 hours of the posting of Reverby’s article:

[P]hysicians chose men in the Guatemala National Penitentiary, then in an army barracks, and men and women in the National Mental Health Hospital for a total of 696 subjects. Permissions were gained from the authorities but not individuals, not an uncommon practice at the time, and supplies were offered to the institutions in exchange for access.

The doctors used prostitutes with the disease to pass it to the prisoners (since sexual visits were allowed by law in Guatemalan prisons) and then did direct inoculations made from syphilis bacteria poured onto the men’s penises or on forearms and faces that were slightly abraded when the “normal exposure” produced little disease, or in a few cases through spinal punctures. Unlike in Alabama, the subjects were then given penicillin after they contracted the illness.

However, whether everyone was then cured is not clear and not everyone received what was even then considered adequate treatment.

Reverby explains that the doctors were well aware that their study was ethically questionable. Surgeon General Thomas Parran himself stated, “You know, we couldn’t do such an experiment in this country [U.S.].” Reverby also writes that much of the study was “kept hushed even from some of the Guatemalan officials and information about the project only circulated in selected syphilology circles.”

Secretary of State Hillary Clinton and Health and Human Services Secretary Kathleen Sebelius called the studies “clearly unethical.” “We deeply regret that it happened, and we apologize to all the individuals who were affected by such abhorrent research practices,” say Clinton and Sebelius in a press release issued today. Despite the apology, no offer of compensation has been made — though an investigation is being launched “into the specifics of the study.”

Sen. Robert Menendez (D-NJ) echoed the government’s apology, stating “Ours is the greatest nation on Earth, but this activity in the 1940s constitutes one of our deeply darkest moments.”

Francis Collins, head of the National Institutes of Health claims he is aware of more than 40 other studies “where intentional infection took place with ‘completely inadequate informed consent.’”

Gingrich: Iran’s Leaders Are ‘Suicidal Jihadists’

42-18755394At the risk of giving Newt Gingrich the attention he so obviously desperately craves, this is silly in a couple different and very significant ways:

Gingrich said he needs no further evidence Iran is building nuclear weapons, and he claims Iranian leadership is willing to trade destruction of Tehran for wiping out Israel’s Tel Aviv in a nuclear exchange.

As suicidal jihadists, Gingrich said, Iranian leaders believe their dead martyrs go to heaven and Israelis “go to hell,” so they win.

It’s impossible to deter them. What are you going to threaten?” Gingrich asked, on stage with Denver Post editor Gregory L. Moore, who moderated the forum sponsored by the Counterterrorism Education Learning Lab, or CELL.

It’s absolutely unacceptable for Iran to fully develop a nuclear weapon, Gingrich said. And if China continues to resist joining the world in tough sanctions against Iran’s nuclear program, then a U.S. trade boycott of China would quickly persuade Beijing, he said.

“If you get in the way, there would be consequences,” Gingrich said.

I admit it’s not immediately clear which is more ridiculous, the idea that Iran’s leaders would like to commit suicide, or that U.S. leaders would ever seriously consider, let alone carry out, a trade boycott of a country that owns over $770 billion of U.S. debt.

As to which is more dangerous, that’s easy. Unlike a trade boycott on China, there are ostensibly serious people who believe, or are at least willing to say they believe, that Iranians desire martyrdom and are therefore undeterrable in the traditional sense.

But as my former colleague Andy Grotto demonstrated in his article “Is Iran A Martyr State?” last year, this claim is unsupported by anything like actual evidence.

“The martyr state view rests on bold, even radical claims about Iran’s goals and behavior that defy conventional expectations of states’ actions,” wrote Grotto, “but no government in recorded history has willfully pursued policies it knows will proximately cause its own destruction“:

Given the novelty of the martyr state argument, its major implications for policy, and how unequivocally its proponents present it, one would expect to encounter an avalanche of credible evidence.

Yet that is not the case. References are scarce in this line of writings, and certain references are cited with striking regularity.

Grotto determines that the “martyr state” view essentially rests upon a few neoconservative op-eds and one particularly shoddy report by a right-wing Israeli think tank, whose claims have been repeated again and again such that they now represent an article of faith for the “Bomb Iran” set.

The fact is that the Islamic Republic of Iran has demonstrated repeatedly that its primary goal is regime preservation. As Grotto notes, “There are vivid episodes in Iran’s history where it has confronted a clear choice between absolute fealty to religious ideals such as martyrdom and exporting the revolution, and regime survival,” such as the decision to accept a U.N.-brokered ceasefire in its war with Iraq.

“If and when Iran crosses the nuclear threshold,” Grotto concludes, “there is nothing inherent about the Islamic Republic to suggest that it cannot be deterred from using nuclear weapons or transferring them to its terrorist proxies.”

The prospect of a nuclear weapons-capable Iran is difficult enough without bringing in wild claims about it being a “martyr state.” Given the stone craziness of conservative leaders these days, I understand that it’s somewhat difficult for a potential presidential contender to stand out, but it should go without saying that the policy debate over how best to deal with Iran is not served by this sort of thing.

Of course, I also understand that such quaint notions as “that isn’t actually, you know, true” are wasted on Gingrich.

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