Contents – The forgotten patients: Lost voices in the global healthcare system

9 Apr 2025 | Afghanistan, Botswana, Czech Republic, Ethiopia, Georgia, India, Iran, Israel, Magazine Contents, Palestine, Russia, Slovakia, Somalia, Sudan, Sudan, Syria, Tunisia, Turkey, Uganda, Ukraine, United Kingdom, United States, Venezuela, Volume 54.01 Spring 2025

Contents

Modern medicine is a wonderful thing. Before Edward Jenner’s development of the smallpox vaccination in 1796, infectious diseases and viruses killed millions. The introduction of anaesthetic gases during surgical procedures in 1846 eliminated the excruciating pain of surgery. And before Alexander Fleming’s discovery of penicillin in 1928, people died unnecessarily from cuts and grazes.

But the benefits of modern medicine are not felt equally around the world. In this issue, we explore the forgotten patients in global healthcare settings – the marginalised groups who fall through the cracks or are actively shut out of healthcare provision, then ignored or silenced when they raise concerns.

Just like free speech, healthcare is an indisputable human right. But for many around the globe, both these rights are being removed in conjunction with each other. Through telling their stories, this edition aims to shine a light on these injustices and – we hope – empower more people to speak up for the right to health for themselves and others.

Up Front

A bitter pill to swallow: Sarah Dawood
Not all healthcare is made equal, and pointing this out can have serious consequences

The Index: Mark Stimpson
From elections in Romania to breaking encryption in the UK: a tour of the world’s most pressing free expression issues

Features

Rape, reputation and little recourse: Samridhi Kapoor, Hanan Zaffar
Indian universities have a sexual violence problem that no one is talking about

Georgian nightmare: Ruth Green
Russian-style laws are shutting down more conversations in Georgia, with academia feeling the heat

Botswana’s new era: Clemence Manyukwe
From brave lawyer to president – could the country’s new leader put human rights front and centre?

Venezuela’s prison problem: Catherine Ellis
The disputed new president has a way of dealing with critics – locking them up

Forbidden words: Salil Tripathi
The Satanic Verses is back in India’s bookshops. Or is it?

The art of resistance: Alessandra Bajec
A film, a graffiti archive and a stage play: three works changing the narrative in Tunisia

A tragic renaissance: Emily Couch
The pen is getting mightier and mightier in Ukraine

In the red zone: Alexandra Domenech
Conscription is just one of the fears of an LGBTQ+ visual artist in Russia

Demokratia dismantled: Georgios Samaras
The legacy of the Predator spyware scandal has left a dark stain on Greece

Elon musk’s year on X: Mark Stimpson
The biggest mystery about Musk: when does he sleep?

Keyboard warriors: Laura O’Connor
A band of women are fighting oppression in Myanmar through digital activism

Behind the bars of Saydnaya prison: Laura Silvia Battaglia
Unspeakable horrors unfolded at Syria’s most notorious prison, and now its survivors tell their stories

Painting a truer picture: Natalie Skowlund
Street art in one Colombian city has been sanitised beyond recognition

The reporting black hole: Fasil Aregay
Ethiopian journalists are allowed to report on new street lights, and little else

Special Report: The forgotten patients - Lost voices in the global healthcare system

Whistleblowing in an empty room: Martin Bright
Failures in England’s maternity services are shrouded in secrecy

An epidemic of corruption: Danson Kahyana
The Ugandan healthcare system is on its knees, but what does that matter to the rich and powerful?

Left speechless: Sarah Dawood
The horrors of war are leaving children in Gaza unable to speak

Speaking up to end the cut: Hinda Abdi Mohamoud
In Somalia, fighting against female genital mutilation comes at a high price

Doctors under attack: Kaya Genç
Turkey’s president is politicising healthcare, and medics are in the crosshairs

Denial of healthcare is censoring political prisoners – often permanently: Rishabh Jain, Alexandra Domenech, Danson Kahyana
Another page in the authoritarian playbook: deny medical treatment to jailed dissidents

The silent killer: Mackenzie Argent
A hurdle for many people using the UK’s National Health Service: institutional racism

Czechoslovakia’s haunting legacy: Katie Dancey-Downs
Roma women went into hospitals to give birth, and came out infertile

An inconvenient truth: Ella Pawlik
While Covid vaccines saved millions of lives, those with adverse reactions have been ignored

Punished for raising standards: Esther Adepetun
From misuse of money to misdirecting medicines, Nigerian healthcare is rife with corruption

Nowhere to turn: Zahra Joya
Life as they know it has been destroyed for women in Afghanistan, and healthcare provision is no different

Emergency in the children’s ward: Shaylim Castro Valderrama
The last thing parents of sick children expect is threats from militia

Comment

We need to talk about Sudan: Yassmin Abdel-Magied
Would “a battle of narratives” give the war more attention?

RFK Jr could be a disaster for American healthcare: Mark Honigsbaum
An anti-vaxxer has got US lives in his hands

The diamond age of death threats: Jemimah Steinfeld
When violent behaviour becomes business as usual

Free speech v the right to a fair trial: Gill Phillips
Are contempt of court laws fit for the digital age?

Culture

An unjust trial: Ariel Dorfman
A new short story imagines a kangaroo court of nightmares, where victims become defendants

Remember the past to save the future: Sarah Dawood, Diane Fahey
Published exclusively, the issues of antisemitism and colonialism are recorded through poetry

Where it’s more dangerous to carry a camera than a gun: Antonia Langford
A singer meets filmmakers in Yemen, and both take risks to tell her story

The fight for change isn’t straightforward: Shani Dhanda
The Last Word, on exclusion and intersectional discrimination

Contents – Unsung heroes: How musicians are raising their voices against oppression

17 Dec 2024 | Afghanistan, Argentina, Belarus, Burma, China, Cuba, Georgia, Hong Kong, India, Iran, Iraq, Israel, Magazine Contents, Music, Nigeria, Palestine, Russia, Rwanda, Somalia, Sudan, Syria, Turkey, Uganda, Ukraine, United Kingdom, United States, Volume 53.04 Winter 2024

Contents

Music has been described as a “cultural universal” – a practice found in all known human cultures and societies. While anthropologists still scratch their heads over exactly where the concept originated, evidence indicates that humans have used musical instruments for an astonishing 40,000 years.

During an excavation in 1995 in Slovenia, researchers discovered a bear’s femur bone with holes in it and concluded that it could be an ancient flute.
Humans have always found ingenious ways to make music, and it’s not difficult to see why. It is one of the most powerful forms of self-expression, capable of eliciting both intense happiness and sadness in the listener. It is used to celebrate, lament, respect and enrage, and its endless genres, styles and instruments form a core part of countries’ unique cultural heritages.

But despite its universality, music is being silenced globally. Religious extremism, political factions, racism and nationalism are all driving forces, stopping it being performed, produced and listened to. In this issue we explore how music bans have been weaponised to silence communities and erase histories.

Up Front

Songs of defiance: Sarah Dawood
How ever much authoritarians try to turn down the volume, musicians will play on

The Index: Mark Stimpson
Moments that matter in the free speech world, from US disinformation to a democracy void in Belarus

Features

Adding insult to injury: Nour El Din Ismail
Turkey is not always welcoming to Syrian journalists

Waiting for the worst: Alexandra Domenech
A daring few Russian politicians are staying put

Somalia’s muzzled media: Hinda Abdi Mohamoud
The challenge of seeking out the truth in the face of daily risks

Further into the information void: Winthrop Rodgers
A new law in Iraq could hinder rather than help journalists

Peace of mind: Chan Kin-man, Jemimah Steinfeld
From umbrellas, to prison, to freedom. A word from a founder of the Hong Kong Occupy movement

“She will not end up well”: Clemence Manyukwe
In Rwanda, opposition politicians have a nasty habit of being assassinated

Modi’s plans to stifle the internet: Shoaib Daniyal
India’s prime minister is keeping a tight grip on what goes online

Editor in exile: Ian Wylie
A Burmese journalist shares his story of arrest and escape

Evading scrutiny: Beth Cheng
China’s new tactic for dealing with critics: keep the trials under wraps

Lowering the bar: Ruth Green
Working in law in Afghanistan is now impossible – if you’re a woman

A promise is a promise: Amy Booth
Argentina’s president is taking a chainsaw to media freedom

Going offline: Steve Komarnyckyj
Beyoncé is blacklisted in Russia and the question remains: who runs the world?

The beacon of hope: Nilosree Biswas
The next chapter is unwritten for a library in Delhi

A story of forgotten fiction: Thiện Việt
In Vietnam, book censorship is a fact of life

Special Report: Unsung heroes - how musicians are raising their voices against oppression

The sound of silence: Sarah Dawood
Musicians in Afghanistan fear for their livelihoods, lives and culture

The war on drill: Mackenzie Argent
Artistic freedom is not a privilege extended to all musicians

A force for good: Salil Tripathi
Exploring the soundtrack of resistance in Bangladesh

Georgia on my mind: JP O’Malley
In the face of repression, the beat goes on in the Caucasus

Murdered for music: Kaya Genç
The meeting of politics and song can be deadly in Turkey

A Black woman who dared to rock: Malu Halasa
How one artist smashed into a genre ringfenced for white men

Fear the butterfly: Katie Dancey-Downs
Iranian singer Golazin Ardestani will never take no for an answer

In tune with change: Tiléwa Kazeem
In Nigeria, Afrobeats is about more than a good song

Singing for a revolution: Danson Kahyana
Nothing enrages the Ugandan government like hearing Bobi Wine

Cuba can’t stop the music: Coco Fusco
Government and musicians alike understand the political power of song

Comment

Dangerous double standards: Youmna El Sayed
Israel’s closure of Al Jazeera’s offices is a warning sign for press freedom

Musician, heal thyself: Mike Smith
The death of Liam Payne brings the issue of mental health into sharp focus

Democracy, but not as we know it: Martin Bright
Is the USA stuck in the hinterland between democratic and autocratic?

Silence has to be permitted in a world with free speech: Jemimah Steinfeld
Index’s CEO argues that the right to stay quiet is as precious as the right to protest

Big Tech shouldn’t punish women for seeking abortions: Raina Lipsitz
Trump is incoming. So too is a growing threat to online abortion discussions

Culture

Cell dreams: Russia’s prisoner art: Mark Stimpson
Dissident artwork created under Putin’s nose, and shared with Index

No Catcher In The Rye: Stephen Komarnyckyj, Hryhorii Kosynka
The words of a writer killed by the Soviet regime live on in a new translation

A life in exile: Mackenzie Argent, Jana Paliashchuk
What it means to be homesick, through the eyes of a Belarusian poet

An unfathomable tragedy: Sarah Dawood, Dimi Reider
One year on from 7 October, a moving piece reflects on the human devastation

You are now free: Abdelaziz Baraka Sakin, Katie Dancey-Downs
An exclusive translation from a Sudanese writer in exile, who has faced ban after ban

Putin will not stop until he’s stopped: Evgenia Kara-Murza
The Russian dissident who fought for her husband’s release (and won) has the last word

Who will protect freedom of expression now?

8 Nov 2024 | Azerbaijan, Mozambique, News and features, Newsletters, United States

Apologies for another newsletter hitting your inbox that opens on the US election results, but it feels remiss not to talk about something that could have large implications for global free expression. Donald Trump is not a free speech hero. As I wrote on Wednesday here his attacks will start with the media. Where they will stop is anyone’s guess. To say we are unnerved by the prospect of another four years of Trump is to understate. With him at the helm the USA could become a hybrid regime, a country merging autocratic features with democratic ones.

While our concerns are first for the people in the USA, we are also worried about what this means globally. Who will criticise China, Russia, Saudi Arabia and the like for their gross attacks to free expression with the same clout as the USA? What terrible things will happen while we are all distracted by the clown in the White House?

But on the note of distraction, I want to end there in terms of Trump and instead talk about other things of import from the world of free expression this week.

First up, Cop29. It starts on Monday and it is keeping to tradition, namely being held in a country that thrives on both oil and the suppression of human rights – in this case Azerbaijan. The Azerbaijan government has long engaged in a crackdown on civil society, which has only heightened over the last few years. Azerbaijan authorities claim they are “ensuring everyone’s voices are heard” at Cop29. This is a lie. Prominent activists, journalists and government critics have recently been jailed, including key voices on the climate crisis. In April, for example, they arrested prominent climate justice activist Anar Mammadli and placed him in pre-trial detention, where he remains.

Such harassment has forced many local activists to leave Azerbaijan. Those who remain risk prosecution and retaliation if they dare voice criticism during Cop29. One person who is not deterred is Danish artist Jens Galschiøt (the artist behind the Tiananmen Pillar of Shame). He and his team are currently transporting three sculptures to Baku to highlight climate injustice. We will be watching closely what happens next.

Beyond Baku, we were disturbed to read this week of a Papuan news outlet, Jujur Bicara (also known as Jubi), which was attacked with a bomb. The bomb damaged two cars before staff at the paper were able to put out the fire. Jubi editor Victor Mambor said that he's been the victim of a string of attacks, which he believes relate to his work.

As we approach the year’s end we’re reflecting on just what a brutal year it has been for media freedom. Ditto protest rights. Those protesting Mozambique’s election last month can attest to this – at least 18 have been killed since the 9 October vote, with police firing tear gas at protesters this week in the capital Maputo, while in Belarus around 50 people were recently detained, all of whom were connected to peaceful protests around the 2020 elections.

Finally, a good news story, of sorts. The Satanic Verses is no longer banned in India. A court in the country overruled a decades-long import ban on the book. I say good news of sorts because lifting the ban seems to be down to an administrative error. A petition was filed in 2019 on the grounds that the ban violated constitutional rights to freedom of speech and expression. The man who filed the petition, Sandipan Khan, requested a copy of the notification that banned the import of the book back in 1988. When he was informed that the document could not be located, the Delhi High Court ruled that it had "no other option except to presume that no such notification exists". It’s not every day we get wins in the free speech world so we’ll take this one.

On the note of Salman Rushdie, who was our 2023 Trustees Award winner at our annual Freedom of Expression Awards, we’ve just announced the shortlist for our 2024 awards. Click here to see the amazing individuals and organisations who are holding the line on free expression today. And if you value free expression and you have been rattled by the events of this week please do consider donating to Index. We’re a small charity with big ambitions and a lot of that is down to the support of people like you.

Thank you and take care.

In India, the money from state advertising is too tight to mention

7 Nov 2024 | India, News and features, Volume 53.03 Autumn 2024

The four editors of Assam’s English daily, The Drongo Express, meet in person once or twice a month. They sit hunched over their laptops and notebooks – either at parks or in someone’s house in Diphu, where the paper is headquartered – figuring out how to keep their newspaper afloat.

One of them, Helvellyn Timungpi, from the tribal district of Karbi Anglong, told Index: “Last year, our publisher decided to walk away from the newspaper. We who were on the editorial board came together and signed the partnership deed and got a transfer of ownership. We didn’t have any other employment, and we wanted to stop this newspaper from going down the drain.”

Like many newspapers in North East India – which is made up of eight states including Assam – The Drongo Express relies heavily on advertisements placed by government departments. “We haven’t received a single penny since last October,” said Timungpi.

“If we were receiving our bills regularly, we would be OK.”

Home to about 140 notified Scheduled Tribes [indigenous groups], the region remains poorly covered by the mainstream media. Most Delhi-based media houses continue to employ just one reporter in the region. Others send journalists to cover only stories of extreme violence – for instance, the ongoing ethnic conflict in Manipur or the botched security operation in Nagaland that led to several civilian deaths. Local news channels, newspapers and websites have played a significant role in filling this gap.

Karma Paljor, a former news anchor and founder of EastMojo – the first and only independent digital news outlet that primarily covers the North East – said media ownership was a big problem.

“Anyone with a reasonable amount of money, including contractors, lobbyists and politicians can start a media organisation,” he said. “There are very few newspapers here that stand for balanced news.”

The demographic complexity of the region also plays a part.

“On account of the region’s layered contemporary history as well as ethnic and linguistic faultlines, most local publications do tend to be nativist and, in many cases, unabashedly take sides on polarising topics such as immigration,” explained Tora Agarwala, an independent journalist based in Assam.

Media organisations in the region are often faced with a lack of revenue and resources. Kenter Joya, the managing editor of the Arunachal Pradesh-based Eastern Sentinel, said: “The cost of printing papers is 15 rupees, and we are selling it at three rupees. Vendors take 50% of this money ... we try to make it up through advertisements from state government, which constitute 65% of advertisements placed, and corporate advertisements.

“Annually, bi-annually, we receive only 50-60% of what we are owed for the advertisements.”

She said she wondered if payment was being withheld as a form of punishment.

Meanwhile, repeated calls for subscriptions, especially by independent outlets such as EastMojo, haven’t yielded many results.

“The people of the North East are not aware of the power of media, hence they aren’t able to fathom why they should support us,” Paljor said.

“I don’t know who to blame,” said an exasperated Timungpi. “No matter how penniless I become, I want to cling to this profession. But it pains me when my three children have nothing to eat.”