The Silent Toll: Indigenous Voices on Medical Neglect in U.S. Immigration Detention","description":"A deep‑rooted examination of systemic neglect in ICE facilities, echoing ancient wisdom about caring for the body and community.","summary":"An investigation reveals widespread medical neglect in U.S. immigration detention centers, with many detainees suffering untreated chronic conditions and preventable illnesses. Indigenous advocates highlight the need for compassionate, holistic care grounded in traditional knowledge and the urgent dismantling of punitive systems.","image":"https://dims.apnews.com/dims4/default/4bb8a5b/2147483647/strip/true/crop/4785x3190+0+0/resize/599x399!/quality/90/?url=https%3A%2F%2Fassets.apnews.com%2F52%2F31%2F186e9e88aa30b942ec0bd3f5ff29%2F3ab2a67e5e4541a09e54feb13320fc80","text":"<h2>Hearings of suffering</h2> <p>An Albanian man in New Mexico, his pain unbearable, pulled his own tooth and stayed months in an immigration detention center. A Honduran mother was hospitalized for a heart problem after being denied blood pressure medication in Florida. A Venezuelan inmate’s leg swelled from flesh‑eating bacteria because staff failed to bring him to a scheduled doctor’s appointment in Vermont.</p> <p>Hundreds of detainees in at least 33 states have filed federal lawsuits alleging ICE facilities neglect medical care. Many are denied timely medication for high blood pressure, diabetes, depression, epilepsy, Parkinson’s disease, and HIV. Requests for help go unanswered for weeks, resulting in complications such as rising blood sugar, infections, untreated cancers, seizures, and in extreme cases, death.</p> <p>U.S. jails and immigration detention centers have long struggled to meet detainees’ medical needs, but the system has worsened under increased detentions since the 2020 election. By January, ICE had detained more than 75,000 immigrants—up from roughly 40,000 a year earlier.</p> <h2>Legal routes to expose neglect</h2> <p>Health journalists at KFF Health News and the Associated Press sifted through thousands of court cases filed via habeas corpus after Trump’s second inauguration. The records reveal that ICE has allegedly failed to provide adequate care for detainees, and an investigation by reporters interviewed over 50 individuals, including family members and lawyers.</p> <p>ICE custody is reportedly deadlier than in the past two decades. The Department of Homeland Security reported 51 deaths in detention during Trump’s second administration, with suicides spiking to an unprecedented number.</p> <p>ICE officials and private contractors maintain that they meet standards and offer required care. But many detainees say basic assistance—gauze for wounds, prenatal care, medications—has been withheld, leading to worsening health conditions and emotional trauma.</p> <h2>The voices of those left unsaid</h2> <p>Vardan Gukasian, a former paramedic and political dissident, wrote a court declaration in March after 13 months of detention without necessary medical care. He described the relentless neglect and its impact on his physical decline. He noted that many detainees never file habeas petitions and are excluded from public records that could reveal systemic failings.</p> <p>Families of detainees feel helpless. Riya Khan, whose mother suffered from high blood pressure and prediabetes, endured long waits for medical assistance at a CORECIVIC facility in California. Masuma Khan, a Bangladeshi immigrant, missed a week’s worth of HIV medication when she was transferred across states. These families are left to bid on health for their loved ones, to wait for invasive surgeries that never happen, and to watch their families deteriorate under a system that prioritizes deportation over care.</p> <h2>Indigenous insights on compassion</h2> <p>Indigenous knowledge teaches that healing is communal and holistic. The old wisdom of caring for the body is entangled with caring for the stories, environment, and community in which one lives. These principles highlight the urgent need for a system that honors all who occupy Earth, especially those forced into isolation. Treating detainees as mere objects undermines human dignity, misaligning with the core values of Indigenous stewardship that center on living in harmony with the earth and its people.</p> <h2>A call to action</h2> <p>Reform requires broad public scrutiny and transparent data. The Department of Homeland Security’s Office of the Immigration Detention Ombudsman was shut down last year; now there is no entity to facilitate immediate medical help or investigate neglect. That void is a blight that demands an urgent policy shift directed by shared community knowledge, respect, and justice.</p> <p>Standard practice should be to treat detainees with the same medical standards of care as those in traditional jails awaiting trial, as highlighted by lawyers like Dora Schriro. Yet discretion granted to administrators and uneven standards leave many to suffer silently.</p> <p>In keeping with ancient wisdom of community and care, the time to mend a broken system is now. If the U.S. wants to signify a future defined by care and dignity for all, it must correct systemic neglect in immigration detention and extend genuine healing and stewardship to those marginalized by its own institutions.</p>