Tag: Doctors Without Border

President Barack Obama called the president of MSF, Dr. Joanne Liu offering his apology and condolences for the attack on MSF’s hospital in Kunduz, Afghanistan than took the lives of 22 people. He assured her that their would be a transparent investigation. At this point apologies are not enough nor are internal investigations.

We already know that this was not a mistake. The Afghan government has clearly stated that the hospital was targeted because they knew there were Taliban inside. Letting the US investigate itself is tantamount to letting the murderers investigate the crime scene. A independent international  investigation under the Geneva Conventions

Why Is the U.S. Refusing an Independent Investigation If Its Hospital Airstrike Was an “Accident”?

Glenn Greenwald, The Intercept

In Geneva this morning, Doctors Without Borders (MSF) demanded a formal, independent investigation into the U.S. airstrike on its hospital in Kunduz. The group’s international president, Dr. Joanne Liu, specified that the inquiry should be convened pursuant to war crime-investigating procedures established by the Geneva Conventions and conducted by The International Humanitarian Fact-Finding [..]

An independent, impartial investigation into what happened here should be something everyone can immediately agree is necessary. But at its daily press briefing on Monday, the U.S. State Department, through its spokesperson Mark Toner, insisted that no such independent investigation was needed on the ground that the U.S. government is already investigating itself and everyone knows how trustworthy and reliable this process is: [..]

So predictably, American journalists have announced without even waiting for any investigation that this was all a terrible accident, nothing intentional about it. Those U.S.-defending journalists should be the angriest about their government’s refusal to allow an independent, impartial investigation since that would be the most effective path for exonerating them and proving their innocent, noble intentions.

Many Americans, and especially a large percentage of the nation’s journalists, need no investigation to know that this was nothing more than a terrible, tragic mistake. They believe that Americans, and especially their military, are so inherently good and noble and well-intentioned that none would ever knowingly damage a hospital. John McCain expressed this common American view and the primary excuse now accompanying it – stuff happens – on NPR this morning [..]

They’re certain of this despite how consistent MSF has been that this was a “war crime.” They’re certain of it despite how many times, and how recently, MSF notified the U.S. military of the exact GPS coordinates of this hospital. They’re certain of it even though bombing continued for 30 minutes after MSF pleaded with them to stop. They’re certain of it despite the substantial evidence that their Afghan allies long viewed this exact hospital with hostility because – true to its name and purpose – the group treated all wounded human beings, including Taliban. They’re certain of it even though Afghan officials have explicitly defended the airstrike against the hospital on the ground that Taliban were inside. They’re certain of it despite how many times the U.S. has radically changed its story about what happened as facts emerged that proved its latest claims false. They’re certain of it despite how many times the U.S. has attacked and destroyed civilian targets under extremely suspicious circumstances.

But they are not apparently so certain that they desire an independent, impartial investigation into what actually happened here. The facially ludicrous announcement by the State Department that the Pentagon will investigate itself produced almost no domestic outrage. A religious-like belief in American exceptionalism and tribal superiority is potent indeed, and easily overrides evidence or facts. It blissfully renders the need for investigations obsolete. In their minds, knowing that it was Americans who did this suffices to know what happened, at least on the level of motive: It could not possibly be the case that there was any intentionality here at all. As McCain said, it’s only the Bad People – not Americans – who do such things deliberately.

The US has been undeniably caught in the act and needs to answer for thia atrocious attack.

The story has now changed four times in four days.. This is from the comprehensive reporting by Spenser Ackerman at The Guardian:

US special operations forces – not their Afghan allies – called in the deadly airstrike on the Doctors Without Borders hospital in Kunduz, the US commander has conceded. [..].

Shifting the US account of the Saturday morning airstrike for the fourth time in as many days, Campbell reiterated that Afghan forces had requested US air cover after being engaged in a “tenacious fight” to retake the northern city of Kunduz from the Taliban. But, modifying the account he gave at a press conference on Monday, Campbell said those Afghan forces had not directly communicated with the US pilots of an AC-130 gunship overhead. [..]

Campbell did not explain whether the procedures to launch the airstrike took into account the GPS coordinates of the MSF field hospital, which its president, Joanne Liu, said were “regularly shared” with US, coalition and Afghan military officers and civilian officials, “as recently as Tuesday 29 September”.  [..]

It is also unclear where the US special operations forces were relative to the fighting, but Campbell has said that US units were “not directly engaged in the fighting”.

Campbell instead said the hospital was “mistakenly struck” by US forces.

“We would never intentionally target a protected medical facility,” Campbell told US lawmakers, declaring that he wanted an investigation by his command to “take its course” instead of providing further detail.

But Jason Cone, Doctors Without Borders’ US executive director, said Campbell’s shifting story underscored the need for an independent inquiry.

“Today’s statement from General Campbell is just the latest in a long list of confusing accounts from the US military about what happened in Kunduz on Saturday,” Cone said.

“They are now back to talking about a ‘mistake’. A mistake that lasted for more than an hour, despite the fact that the location of the hospital was well known to them and that they were informed during the airstrike that it was a hospital being hit. All this confusion just underlines once again the crucial need for an independent investigation into how a major hospital, full of patients and MSF staff, could be repeatedly bombed.” [..]

Mary Ellen O’Connell, a professor of international law at the University of Notre Dame, said that according to international humanitarian law, the critical question for determining if US forces committed a war crime was whether they had notified the hospital ahead of the strike if they understood the Taliban to be firing from the hospital.

“Any serious violation of the law of armed conflict, such as attacking a hospital that is immune from intentional attack, is a war crime. Hospitals are immune from attack during an armed conflict unless being used by one party to harm the other and then only after a warning that it will be attacked,” O’Connell said.

emphasis mine

Ths is today’s statement from MSF’s International President, Dr Joanne Liu on this blatant breach of international law

For four years, the MSF trauma center in Kunduz was the only facility of its kind in northeastern Afghanistan, offering essential medical and surgical care. On Saturday, October 3, this came to an end when the hospital was deliberately bombed. Twelve MSF staff and 10 patients, including three children, were killed, and 37 people were injured, including 19 members of the MSF team. The attack was unacceptable.

The whole MSF Movement is in shock, and our thoughts are with the families and friends of those affected. Nothing can excuse violence against patients, medical workers and health facilities. Under International Humanitarian Law hospitals in conflict zones are protected spaces. Until proven otherwise, the events of last Saturday amount to an inexcusable violation of this law. We are working on the presumption of a war crime.

In the last week, as fighting swept through the city, 400 patients were treated at the hospital. Since its opening in 2011, tens of thousands of wounded civilians and combatants from all sides of the conflict have been triaged and treated by MSF. On the night of the bombing, MSF staff working in the hospital heard what was later confirmed to be a US army plane circle around multiple times, releasing its bombs on the same building within the hospital compound at each pass. The building targeted was the one housing the intensive care unit, emergency rooms and physiotherapy ward. Surrounding buildings in the compound were left largely untouched.

Despite MSF alerting both the Afghan and Coalition military leadership, the airstrike continued for at least another 30 minutes. The hospital was well-known and the GPS coordinates had been regularly shared with Coalition and Afghan military and civilian officials, as recently as Tuesday, September 29.

This attack cannot be brushed aside as a mere mistake or an inevitable consequence of war. Statements from the Afghanistan government have claimed that Taliban forces were using the hospital to fire on Coalition forces. These statements imply that Afghan and US forces working together decided to raze to the ground a fully functioning hospital, which amounts to an admission of a war crime.

This attack does not just touch MSF, but it affects humanitarian work everywhere, and fundamentally undermines the core principles of humanitarian action. We need answers, not just for us but for all medical and humanitarian staff assisting victims of conflict, anywhere in the world. The preserve of health facilities as neutral, protected spaces depends on the outcome of a transparent, independent investigation.

emphasis mine

The “mistake” is that the US knowingly committed a war crime by  targeting and bombing a hospital, killing 22 people, wounding 37 and depriving Kunduz of its only hospital.

Of course the US, and the Afghan government don’t want an independent investigation, what criminal would?

You can warch Gen. Campbell’s full testimony before the Senate Aemed Services Committee below the fold.

The official story from the Afghan government and US military about the attack on the Kunduz hospital run by the international medical aid agency, Doctors Without Borders. At a press conference in Washington, DC early today General John Campbell, the American commander of international forces in Afghanistan, changed the original story about US forces requesting the air strike and “may have resulted in collateral damage.” He is now states that US forces were not under fire and that it was the Afghan forces who requested the air strike.

Campbell said that Afghan troops were under direct fire and “called in for fire to support them.” He acknowledged that initial statements from the coalition indicated that U.S. Special Forces were under direct fire, but that was not the case and he is “correcting that statement here.”

He said that U.S. Special Forces were in the area, just not under direct fire.

Campbell declined to answer whether the rules of engagement allow for the Afghans to call in American airstrikes and what kind of fall back or fail-safe system is in place.

Military officials told NBC News over the weekend that Afghans cannot call in airstrikes – that they do not have the training. However, they can report to the U.S. and coalition that they are under fire from a location and the U.S. or coalition partners there can call it in. Officials said the U.S. would not strike without target verification first.

It isn’t clear how the Afghans asked for air support, but Campbell seemed to suggest both of those policies were violated.

As Glenn Greenwald notes, this story is radically changing:

This obfuscation tactic is the standard one the U.S. and Israel both use whenever they blow up civilian structures and slaughter large numbers of innocent people with airstrikes. Citizens of both countries are well-trained – like some tough, war-weary, cigar-chomping general – to reflexively spout the phrase “collateral damage,” which lets them forget about the whole thing and sleep soundly, telling themselves that these sorts of innocent little mistakes are inevitable even among the noblest and most well-intentioned war-fighters, such as their own governments. The phrase itself is beautifully technocratic: it requires no awareness of how many lives get extinguished, let alone acceptance of culpability. Just invoke that phrase and throw enough doubt on what happened in the first 48 hours and the media will quickly lose interest.

But there’s something significantly different about this incident that has caused this “mistake” claim to fail. Usually, the only voices protesting or challenging the claims of the U.S. military are the foreign, non-western victims who live in the cities and villages where the bombs fall. Those are easily ignored, or dismissed as either ignorant or dishonest. Those voices barely find their way into U.S. news stories, and when they do, they are stream-rolled by the official and/or anonymous claims of the U.S. military, which are typically treated by U.S. media outlets as unassailable authority.

In this case, though, the U.S. military bombed the hospital of an organization – Doctors Without Borders (Médecins Sans Frontières (MSF)) – run by western-based physicians and other medical care professionals. They are not so easily ignored. Doctors who travel to dangerous war zones to treat injured human beings are regarded as noble and trustworthy. They’re difficult to marginalize and demonize. They give compelling, articulate interviews in English to U.S. media outlets. They are heard, and listened to.

MSF has used this platform, unapologetically and aggressively. They are clearly infuriated at the attack on their hospital and the deaths of their colleagues and patients. From the start, they have signaled an unwillingness to be shunted away with the usual “collateral damage” banalities and, more important, have refused to let the U.S. military and its allies get away with spouting obvious falsehoods. They want real answers. As the Guardian‘s Spencer Ackerman put it last night: “MSF’s been going incredibly hard, challenging every US/Afgh claim made about hospital bombing.”

In particular, MSF quickly publicized numerous facts that cast serious doubt on the original U.S. claim that the strike on the hospital was just an accident. To begin with, the organization had repeatedly advised the U.S. military of the exact GPS coordinates of the hospital. They did so most recently on September 29, just five days before the strike. Beyond that, MSF personnel at the facility “frantically” called U.S. military officials during the strike to advise them that the hospital was being hit and to plead with them to stop, but the strikes continued in a “sustained” manner for 30 more minutes. [..]

All of these facts make it extremely difficult – even for U.S. media outlets – to sell the “accident” story. At least as likely is that the hospital was deliberately targeted, chosen either by Afghan military officials who fed the coordinates to their U.S. military allies and/or by the U.S. military itself.

Even cynical critics of the U.S. have a hard time believing that the U.S. military would deliberately target a hospital with an airstrike (despite how many times the U.S. has destroyed hospitals with airstrikes). But in this case, there is long-standing tension between the Afghan military and this specific MSF hospital, grounded in the fact that the MSF – true to its name – treats all wounded human beings without first determining on which side they fight. That they provide medical treatment to wounded civilians and Taliban fighters alike has made them a target before.

In July – just 3 months ago – Reuters reported that Afghan special forces “raided” this exact MSF hospital in Kunduz, claiming an Al Qaeda member was a patient. [..]

News accounts of this weekend’s U.S. airstrike on that same hospital hinted cryptically at the hostility from the Afghan military. The first NYT story on the strike – while obscuring who carried out the strike – noted deep into the article that “the hospital treated the wounded from all sides of the conflict, a policy that has long irked Afghan security forces.” Al Jazeera similarly alluded to this tension, noting that “a caretaker at the hospital, who was severely injured in the air strike, told Al Jazeera that clinic’s medical staff did not favour any side of the conflict. ‘We are here to help and treat civilians,’ Abdul Manar said.”

As a result of all of this, there is now a radical shift in the story being told about this strike. No longer is it being depicted as some terrible accident of a wayward bomb. Instead, the predominant narrative from U.S. sources and their Afghan allies is that this attack was justified because the Taliban were using it as a “base.” [..]

The New York Times today – in a story ostensibly about the impact on area residents from the hospital’s destruction – printed paragraphs from anonymous officials justifying this strike: “there was heavy gunfire in the area around the hospital at the time of the airstrike, and that initial reports indicated that the Americans and Afghans on the ground near the hospital could not safely pull back without being dangerously exposed. American forces on the ground then called for air support, senior officials said.” It also claimed that “many residents of Kunduz, as well as people in Kabul, seemed willing to believe the accusations of some Afghan officials that there were Taliban fighters in the hospital shooting at American troops.” And this:

   Still, some Afghan officials continued to suggest that the attack was justified. “I know that there were civilian casualties in the hospital, but a lot of senior Taliban were also killed,” said Abdul Wadud Paiman, a member of Parliament from Kunduz.

So now we’re into full-on justification mode: yes, we did it; yes, we did it on purpose; and we’re not sorry because we were right to do so since we think some Taliban fighters were at the hospital, perhaps even shooting at us. In response to the emergence of this justification claim, MSF expressed the exact level of revulsion appropriate (emphasis added):

   “MSF is disgusted by the recent statements coming from some Afghanistan government authorities justifying the attack on its hospital in Kunduz. These statements imply that Afghan and US forces working together decided to raze to the ground a fully functioning hospital with more than 180 staff and patients inside because they claim that members of the Taliban were present.

   “This amounts to an admission of a war crime. This utterly contradicts the initial attempts of the US government to minimize the attack as ‘collateral damage.’

   “There can be no justification for this abhorrent attack on our hospital that resulted in the deaths of MSF staff as they worked and patients as they lay in their beds. MSF reiterates its demand for a full transparent and independent international investigation.”

Christopher Stokes, the Director General of MSF, issued this statement in response to these latest developments:

October 05, 2015

“Today the US government has admitted that it was their airstrike that hit our hospital in Kunduz and killed 22 patients and MSF staff. Their description of the attack keeps changing-from collateral damage, to a tragic incident, to now attempting to pass responsibility to the Afghanistan government. The reality is the US dropped those bombs. The US hit a huge hospital full of wounded patients and MSF staff. The US military remains responsible for the targets it hits, even though it is part of a coalition. There can be no justification for this horrible attack. With such constant discrepancies in the US and Afghan accounts of what happened, the need for a full transparent independent investigation is ever more critical.”

Dr. Gino Strada, co-founder of Emergency, an Italian NGO that provides free medical care to victims of war, spoke to Democracy Now!‘s Amy Goodman.

As Glenn said, “the U.S. seems to have picked the wrong group this time to attack from the air.”

No apology is acceptable. Only punishing the individuals responsible for this war crime is.