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This deeply disturbing article by Mark Benjamin is the definitive riposte to the often heard :”but it’s only a dunk in the water” and the” but they do the same thing to US soldiers in training” argument for waterboarding. Benjamin reveals what the official memos say and it is unnecessary to exaggerate or paraphrase them. They speak for themselves, in an antiseptic and oddly phlegmatic way – and they could hardly sound worse.
The behavior of medical personal, most specifically doctors and psychologists, in facilitating torture and assisting in the design of torture, is well documented. Their actions are certainly unethical and illegal, but not unprecedented. The Nuremberg Trials are famous for the Trial Of Major War Criminals but they were actually a series of trials, comprising several categories of crimes including crimes of medical professionals. These trials are known as The Doctors Trials. “The Medical Case, U.S.A. vs. Karl Brandt, et al. (also known as the Doctors' Trial), was prosecuted in 1946-47 against twenty-three doctors and administrators accused of organizing and participating in war crimes and crimes against humanity in the form of medical experiments and medical procedures inflicted on prisoners and civilians.” (From Harvard Law School’s Nuremberg Trials Project, http://nuremberg.law.harvard.edu/php/docs_swi.php?DI=1&text=medical )
This article is short and devastating and I urge you to read it. It provides the best and clearest and most clearly documented picture of the reality of America’s official method of waterboarding. Here I must point out that Attorney General Holder’s prospective investigation will, if it ever happens, only focus on those who exceeded the instructions found in these documents.
The link to the article is below, as are excerpts from the article
Waterboarding For Dummies
http://www.salon.com/news/torture/index.html?story=/news/feature/2010/03/09/waterboarding_for_dummies
from the article:
Dick Cheney called it a no-brainer in a 2006 radio interview: Terror suspects should get a "a dunk in the water." But recently released internal documents reveal the controversial "enhanced interrogation" practice was far more brutal on detainees than Cheney's description sounds, and was administered with meticulous cruelty.
Interrogators pumped detainees full of so much water that the CIA turned to a special saline solution to minimize the risk of death, the documents show. The agency used a gurney "specially designed" to tilt backwards at a perfect angle to maximize the water entering the prisoner's nose and mouth, intensifying the sense of choking – and to be lifted upright quickly in the event that a prisoner stopped breathing.
The documents also lay out, in chilling detail, exactly what should occur in each two-hour waterboarding "session." Interrogators were instructed to start pouring water right after a detainee exhaled, to ensure he inhaled water, not air, in his next breath. They could use their hands to "dam the runoff" and prevent water from spilling out of a detainee's mouth. They were allowed six separate 40-second "applications" of liquid in each two-hour session – and could dump water over a detainee's nose and mouth for a total of 12 minutes a day. Finally, to keep detainees alive even if they inhaled their own vomit during a session – a not-uncommon side effect of waterboarding – the prisoners were kept on a liquid diet. The agency recommended Ensure Plus.
"This is revolting and it is deeply disturbing," said Dr. Scott Allen, co-director of the Center for Prisoner Health and Human Rights at Brown University who has reviewed all of the documents for Physicians for Human Rights. "The so-called science here is a total departure from any ethics or any legitimate purpose. They are saying, ‘This is how risky and harmful the procedure is, but we are still going to do it.' It just sounds like lunacy," he said. "This fine-tuning of torture is unethical, incompetent and a disgrace to medicine."
These torture guidelines were contained in a ream of internal government documents made public over the past year, including a legal review of Bush-era CIA interrogations by the Justice Department's Office of Professional Responsibility released late last month.
Though public, the hundreds of pages of documents authorizing or later reviewing the agency's "enhanced interrogation program" haven't been mined for waterboarding details until now. While Bush-Cheney officials defended the legality and safety of waterboarding by noting the practice has been used to train U.S. service members to resist torture, the documents show that the agency's methods went far beyond anything ever done to a soldier during training. U.S. soldiers, for example, were generally waterboarded with a cloth over their face one time, never more than twice, for about 20 seconds, the CIA admits in its own documents.
These memos show the CIA went much further than that with terror suspects, using huge and dangerous quantities of liquid over long periods of time. The CIA's waterboarding was "different" from training for elite soldiers, according to the Justice Department document released last month. "The difference was in the manner in which the detainee's breathing was obstructed," the document notes. In soldier training, "The interrogator applies a small amount of water to the cloth (on a soldier's face) in a controlled manner," DOJ wrote. "By contrast, the agency interrogator ... continuously applied large volumes of water to a cloth that covered the detainee's mouth and nose."
One of the more interesting revelations in the documents is the use of a saline solution in waterboarding. Why? Because the CIA forced such massive quantities of water into the mouths and noses of detainees, prisoners inevitably swallowed huge amounts of liquid – enough to conceivably kill them from hyponatremia, a rare but deadly condition in which ingesting enormous quantities of water results in a dangerously low concentration of sodium in the blood. Generally a concern only for marathon runners , who on extremely rare occasions drink that much water, hyponatremia could set in during a prolonged waterboarding session. A waterlogged, sodium-deprived prisoner might become confused and lethargic, slip into convulsions, enter a coma and die.
Therefore, "based on advice of medical personnel," Principal Deputy Assistant Attorney General Steven Bradbury wrote in a May 10, 2005, memo authorizing continued use of waterboarding, "the CIA requires that saline solution be used instead of plain water to reduce the possibility of hyponatremia."
The agency used so much water there was also another risk: pneumonia resulting from detainees inhaling the fluid forced into their mouths and noses. Saline, the CIA argued, might reduce the risk of pneumonia when this occurred.
"The detainee might aspirate some of the water, and the resulting water in the lungs might lead to pneumonia," Bradbury noted in the same memo. "To mitigate this risk, a potable saline solution is used in the procedure."
The doctors were also present to monitor the detainee "to ensure that he does not develop respiratory distress." A leaked 2007 report from the International Committee of the Red Cross says that meant the detainee's finger was fixed with a pulse oxymeter, a device that measures the oxygen saturation level in the blood during the procedure. Doctors like Allen say this would allow interrogators to push a detainee close to death – but help them from crossing the line. "It is measuring in real time the oxygen content in the blood second by second," Allen explained about the pulse oxymeter. "It basically allows them to push these prisoners more to the edge. With that, you can keep going. This is calibration of harm by health professionals."
One of the weirdest details in the documents is the revelation that the agency placed detainees on liquid diets prior to the use of waterboarding. That's because during waterboarding, "a detainee might vomit and then aspirate the emesis," Bradbury wrote. In other words, breathe in his own vomit. The CIA recommended the use of Ensure Plus for the liquid diet.
The CIA's waterboarding regimen was so excruciating, the memos show, that agency officials found themselves grappling with an unexpected development: detainees simply gave up and tried to let themselves drown. "In our limited experience, extensive sustained use of the waterboard can introduce new risks," the CIA's Office of Medical Services wrote in its 2003 memo. "Most seriously, for reasons of physical fatigue or psychological resignation, the subject may simply give up, allowing excessive filling of the airways and loss of consciousness."
The agency's medical guidelines say that after a case of "psychological resignation" by a detainee on the waterboard, an interrogator had to get approval from a CIA doctor before doing it again.
The memo also contains a last, little-noticed paragraph that may be the most disturbing of all. It seems to say that the detainees subjected to waterboarding were also guinea pigs. The language is eerily reminiscent of the very reasons the Nuremberg Code was written in the first place. That paragraph reads as follows:
"NOTE: In order to best inform future medical judgments and recommendations, it is important that every application of the waterboard be thoroughly documented: how long each application (and the entire procedure) lasted, how much water was used in the process (realizing that much splashes off), how exactly the water was applied, if a seal was achieved, if the naso- or oropharynx was filled, what sort of volume was expelled, how long was the break between applications, and how the subject looked between each treatment."
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Fascinating 
