56 Records of Alleged Abusive or Improper Conduct where the event type is “Denial of Medical Care”

Early September, 2020

The Kino Border Initiative reported:

A father of two who fled death threats in Nicaragua arrived in Nogales last week after attempting to cross between ports of entry to request asylum in the U.S. After being abandoned by a guide and waiting with his nephew in the desert for days without food or water, he was detained by Border Patrol. He fainted when they arrived at the detention center, and then was hospitalized for 9 days, during which time he received dialysis for the severe damage done to his kidneys by dehydration.

Border Patrol agents removed him from the hospital in a wheelchair before he received official release from the hospital, and deported him to Mexico with no shoes, socks or underwear, only the hospital gown he was wearing. Hardly able to walk, he was deported alone and forced to walk barefoot over rocky ground to the Mexican immigration office. This, after expressing to numerous Border Patrol agents and hospital staff his fear of returning to Mexico and desire to seek asylum in the U.S.

— “September 17 Update” (Nogales: Kino Border Initiative, September 2020).

Sector(s): Tucson

Agency(ies): Border Patrol

Event Type(s): Dangerous Deportation, Denial of Medical Care, Denial of Protection to Most Vulnerable, Return of Vulnerable Individuals

Last Known Accountability Status: Unknown

Victim Classification: Medical Condition, Nicaragua, Single Adult

July 7, 2020

A complaint to the DHS Inspector-General, submitted by the ACLU Foundation of San Diego and Imperial Counties and ACLU Border Rights Center, denounced “CBP officials’ egregious verbal abuse of detained individuals,” including “many instances in which Border Patrol agents verbally abused individuals, including children, in their custody,” including asylum seekers.

Agents berated migrants for traveling to the United States and attempting to exercise their legal right to seek asylum.[16] “Xenophobic nationalism is widespread,” and derogatory comments are often accompanied by threatened or actual physical violence.[17] Agents bully LGBTQ people, equate migrants to animals, and ridicule and humiliate parents trying to protect their children.[18]

The complaint cited numerous explicit examples, some of them reproduced below. All are from interviews with migrants completed between March and July of 2019 with people recently released from Border Patrol custody in San Diego and Tijuana.

This abuse may involve bullying, harassment, threats of violence or other harm, denigration, ridicule, racism, and misstatements about U.S. immigration law, including an individual’s right to seek asylum. Recently detained individuals related the following statements to our investigator: [28]

– “Olvídate del asilo, a la mejor te quitamos a tu hija.”
“Forget about asylum, we might just take away your daughter.”
—Border Patrol agent to woman while interrogating her about why she came to the United States.

– “No mantenemos hijos de nadie.”
“We don’t take care of anyone’s children.”
—Border Patrol agent to a mother when she asked for food for her 1-year old child who had not had any food to eat for an entire day.

– “Cabrona, échate para atrás.”
“You bastard, get back over there.”
—Border Patrol agent to woman as she was entering the country and injured from crossing the border wall.

– “¿Desgraciada, ¿porque tienes tantos niños si no los puedes cuidar? Puta, prostituta.”
“Disgraced woman, why do you have so many kids if you can’t take care of them? Slut, prostitute.”
—Border Patrol agent to a detained mother.

– “¿Cuáles de ustedes maricas sufren de asma?”
“Which of you faggots suffer from asthma?”
—Border Patrol agent to a holding cell of young boys aged 13 to 17.

– “If you keep complaining I will put you with the dogs.”
—Border Patrol agent to woman when she refused to undress for a search during apprehension.

– “Son indios de pata rajada, solo usan sus hijos para entrar.”
“You are all [derogatory expression referring to indigenous peoples], you only use your children to enter [the United States].”
—Border Patrol agent to detained father.

– “¡Aquí no se hace lo que voz dice, se hace lo que yo digo!”
“Here we don’t do what you say, you do what I say!
—Border Patrol agent to pregnant woman asking for water.

– “Are you f***ing retarded? Stop playing with that s***.”
—Border Patrol agent to children playing in holding cell.

– “Váyanse de aquí, ¿qué hacen aquí sí ni hablan inglés?, no valen nada.”
“Get out of here, what are you doing here if you don’t even speak English, you are worthless.”
—Border Patrol agent to woman and her family upon apprehension.

– “No estás en tu casa, ¿tienes mierda en la cabeza?”
“You’re not at home, do you have s*** for brains?”
—Border Patrol agent to woman who asked for a plastic cup to drink water.

– “Joder con ustedes, por eso no mejoran en su país.”
“I’ve f***ing had it with you, this is why you guys don’t advance in your country.”
—Border Patrol agent to detained woman who did not understand his Spanish.

– “I don’t have to tell you, you broke the law, you have no rights.”
—Border Patrol agent to woman when she asked what was on the form she was being instructed to sign.

– “¡Levántense, puercas!”
“Get up, pigs!”
—Border Patrol agent to a cell of detained women.

– “You are an idiot but you sure are good at popping out kids.”
—Border Patrol agent to detained mother.

— “Re: U.S. Border Patrol’s Verbal Abuse of Detained Individuals” (San Diego and El Paso: ACLU Foundation San Diego and Imperial Counties, ACLU Border Rights Center, July 7, 2020) https://cbpabusestest2.files.wordpress.com/2020/10/2020-07-07-dhs-oig-cmplt-4-final.pdf.

Footnotes from above:

[16]: Josiah Heyman, Jeremy Slack & Daniel E. Martínez, Why Border Patrol Agents and Cbp Officers Should Not Serve as Asylum Officers, Ctr. For Migration Studies (June 21, 2019), https://cmsny.org/publications/heyman-slack-martinez-062119/.

[17]: Id.

[18]: See, e.g., id.; Grace Panetta, Border Patrol officials reportedly forced a Honduran migrant to walk around a detention center holding a sign reading ‘I like men’ in Spanish, BUS. INSIDER, July 5, 2019, https://www.businessinsider.com/detained-migrant-forced-hold-sign-reading-i-like-men-report-2019-7?op=1; Nick Valencia, et al., Border Patrol agents allegedly tried to shame a migrant by making him hold a sign reading ‘I like men,’ emails show, CNN, July 4, 2019, https://www.cnn.com/2019/07/04/us/honduran-migrant-shamed-border-patrol/index.html; Andrew Gumbel, ‘They Were Laughing at Us’: Immigrants Tell of Cruelty, Illness and Filth in US Detention, GUARDIAN, Sept. 12, 2018, https://www.theguardian.com/us-news/2018/sep/12/us-immigration-detention-facilities; Cristina Novoa, 5 Revelations From Children in Border Patrol Facilities, CENTER AM. PROGRESS, July 3, 2019, https://www.americanprogress.org/issues/early-childhood/news/2019/07/03/471808/5-revelations-children-border-patrol-facilities/ (“Beyond demonstrating a shocking lack of compassion toward frightened children, testimonies also show that some guards appear to deliberately scare children in their custody”).

[28]: Most of ACLU’s interviews were conducted in Spanish, with contemporaneous notes taken in Spanish by our investigator. Where our notes contain the original Spanish quotes, we have provided that original (as relayed by the interviewee to our investigator) as well as our English translation. At times, our investigator memorialized a statement in English only during her interview (via simultaneous translation). In such cases, we have reproduced her English translation here.
Many of these quotes use degrading and offensive language that we hesitated to reprint. In the end, we decided to reproduce the language reported to remain as faithful as possible to the accounts of those we interviewed.

Sector(s): San Diego

Agency(ies): Border Patrol

Event Type(s): Abusive Language, Conditions in Custody, Denial of Food or Water, Denial of Medical Care, Denial of Protection to Most Vulnerable, LGBT Discrimination or Harassment, Lying or Deliberate Misleading, Racial Discrimination or Profiling

Last Known Accountability Status: Shared with DHS OIG

Victim Classification: Family Unit, Female, Pregnancy, Single Adult

March 27, 2020

A complaint filed with the DHS Inspector-General by ACLU Texas and Las Americas Immigrant Advocacy Center raised concerns that, at its El Paso “Station 1” facility, Border Patrol had “failed to take even the most basic actions to prevent an outbreak of COVID-19 or mitigate the risk of harm to migrants, particularly the most vulnerable.”

Specifically, notwithstanding the threat from COVID-19, Border Patrol has in its El Paso Station 1 facility:

* Held over 150 persons in a single room with persons exhibiting flu-like symptoms;

* Failed to provide information to detained individuals on the COVID-19 pandemic, such as recommended Center for Disease Control and Prevention (CDC) guidelines for preventing transmission of the virus; [1]

* Held people in cells where they are forced to be in close contact with each other, including by sleeping approximately three feet apart;

* Failed to provide detained individuals with sufficient soap. For example, migrants reported that in one bathroom, only one of six sinks had a soap dispenser that in fact contained soap;

* Provided only a single square of toilet paper per use;

* Denied detained individuals access to hand sanitizer;

* Failed to provide adequate medical screening of detained individuals no texhibiting symptoms of illness; and

* Failed to ensure uniform access to personal protective equipment for everyone in the detention facility.

— “Re: Border Patrol Station 1 in El Paso, Texas: Failure to Adequately Respond to COVID-19 Pandemic” (El Paso: ACLU of Texas, ACLU Border Rights Center, Las Americas Immigrant Advocacy Center, March 27, 2020): 169 https://www.aclu.org/sites/default/files/field_document/2021_03_03_aclu_complaint_appendix.pdf.

Footnote from above:

[1] CDC, “Interim Guidance on Management of Coronavirus Disease 2019 (COVID-19) in Correctional and Detention Facilities,” March 23, 2020, available at https://www.cdc.gov/coronavirus/2019-ncov/community/correction- detention/guidance-correctional-detention.html.

Sector(s): El Paso

Agency(ies): Border Patrol

Event Type(s): Conditions in Custody, Denial of Medical Care, Disregard of Public Health

Last Known Accountability Status: Shared with DHS OIG

Victim Classification:

February 18, 2020

An ACLU complaint to the DHS Inspector-General cited the recent case of “Baby Sofía,” a six-week-old infant whose Honduran parents were apprehended in Border Patrol’s San Diego sector (original link).

The agent who transported the family to a nearby Border Patrol station subjected them to a reckless “rough ride,” causing Sofia to be jostled severely in her carrier as the Border Patrol vehicle traversed uneven terrain.[37] At the station, the agent who fingerprinted the family yelled at Gloria [the mother] and told her she was a terrible mother for bringing her baby to the United States.[38]

While the family was in custody, Sofía became ill. Agents brought the mother and daughter to a nearby emergency room, leaving the father in custody.

“At the emergency room, a doctor determined that Sofia was dehydrated and constipated. The doctor explained that there was little he could do for the baby, and insisted that the baby see a pediatrician as soon as possible. Instead—and in direct contravention of this medical advice—the Border Patrol returned Gloria and Sofia to detention.”

Through a second day in custody, the baby’s condition worsened. Mother and daughter were taken to a nearby children’s hospital.

“The examining physician again concluded that the infant was dehydrated and constipated, and administered a rectal suppository to help move the baby’s bowels. The doctor also scolded the Border Patrol agents who had accompanied Gloria and Sofia to the hospital, admonishing them that the conditions inside the facility (as Gloria had described them) ‘[were] no conditions for a newborn.'” Agents failed to follow doctors’ recommendation that the baby be given prune or fruit juice to soften her bowels.

Following two more days in custody and another visit to the emergency room, Border Patrol released the family to the San Diego migrant respite center. Sofía’s mother said that, since a final check-up in Tijuana, the baby’s weight had dropped in custody from 11.46 points to 8.82 pounds.

— ACLU Foundation of San Diego & Imperial Counties, ACLU Border Rights Center, “U.S. Customs and Border Protection and Border Patrol’s Abuse and Mistreatment of Detained Sick Children,” Letter to DHS Inspector-General Joseph V. Cuffari, February 18, 2020 https://cbpabusestest2.files.wordpress.com/2020/10/2020-02-18-dhs-oig-cmplt-2-final.pdf.

Footnotes from above:

[37] A “rough ride” is a euphemism for the practice of intentionally operating a vehicle in a manner that causes passengers physical harm, fear, or other discomfort. See, e.g., A.C. Thompson, “Dirtbag,” “Savages,” “Subhuman”: A Border Patrol Agent’s Hateful Career and the Crime That Finally Ended It, PROPUBLICA, Aug. 16, 2019, https://www.propublica.org/article/border-agents-hateful-career-and-the-crime-that-finally-ended-it; Ieva Jusionyte, Pain on the Border: Fieldnotes from a Migrant Aid Center in Nogales, Mexico, REVISTA: HARVARD REVIEW OF LATIN AMERICA (“Displacements” Issue) (Winter 2017), https://revista.drclas.harvard.edu/book/pain-border.

Infants are uniquely vulnerable to head and spine injuries, especially traumatic brain injuries, even when in appropriate car seats during motor vehicle accidents. See, e.g., Camille L. Stewart et. al., Infant Car Seat Safety and Risk of Head Injury, 49 J. PEDIATRIC SURGERY 193, 195 (2014), https://www.jpedsurg.org/article/S0022-3468(13)00773-2/pdf.

[38] ACLU has additional identifying details about this agent, which it can share with OIG upon request.

Sector(s): San Diego

Agency(ies): Border Patrol

Event Type(s): Conditions in Custody, Denial of Medical Care, Rough Rides

Last Known Accountability Status: Complaint Filed with CRCL, Shared with DHS OIG

Victim Classification: Family Unit, Honduras

February 16, 2020

A Guatemalan woman and her family said that, while being processed in the Chula Vista Border Patrol station near San Diego, she was left to give birth “while standing up, holding on to the side of a trash can,” BuzzFeed reported. The woman, pregnant and experiencing contractions, had repeatedly asked the agents for help. “She was repeatedly told to sit down and wait to be processed, she said. …After about 30 minutes, her husband could hear the baby crying through the fabric of her pants.”

The family—father, mother, and two small children—had been sent to Tijuana in May 2019 under the Remain in Mexico program, where they had “spent nine months in a camp” and reported to the port of entry to attend three separate immigration hearings. Their next hearing was scheduled for May 2020; in February the family reported that their Guatemalan persecutors had found them in Tijuana and were threatening them, leading them to cross the border outside the port of entry.

While crossing the desert, the woman went into contractions. “They were soon apprehended by a Border Patrol agent,” BuzzFeed reports.

The woman was in clear distress, and her husband begged the agent for medical attention, the complaint says, but instead the agent loaded the family into his car and giving them a “rough ride” (an abusive practice in which some border agents reportedly purposefully drive badly so as to fling detainees around the car), the complaint says, and brought them to the Chula Vista Border Patrol Station for processing.

“The apprehending agent could visibly see that the woman was pregnant; however, the mother did not appear to be in distress and did not request any medical attention,” read a release from CBP (original link). In April 2020, the ACLU and Jewish Family Service submitted a complaint to the DHS Inspector-General (original link). Thirteen Democratic senators signed a letter to the Inspector-General calling for investigations of this and other recent allegations of mistreatment in custody (original link).

Border Patrol San Diego Sector Chief Aaron Heitke tweeted, “CBP strongly disagrees with the unsubstantiated allegations against our agents & supports what appear to be nothing short of heroic actions by those on scene” (original link).

A July 2021 DHS Inspector General report found that the woman gave birth 17 minutes after arriving at the Border Patrol Station, concluding, “we found Border Patrol provided adequate medical assistance to the mother and her newborn and complied with applicable policies” (original link). The report did find that, after the woman’s release from the hospital, video footage showed her left to sleep overnight with her newborn on a bench in a holding cell at the Chula Vista station.

— Ema O’Connor, “A Woman Gave Birth In A Border Patrol Station Still Wearing Her Pants. Now The Agents Involved Are Being Accused Of Abuse.” (United States: BuzzFeed, April 8, 2020) https://www.buzzfeednews.com/article/emaoconnor/pregnant-woman-birth-border-patrol-aclu-complaint.

—” Migrant Mother Gives Birth at Border Patrol Station” (Chula Vista, California: Customs and Border Protection, February 19, 2020) https://www.cbp.gov/newsroom/local-media-release/migrant-mother-gives-birth-border-patrol-station.

— Monica Y. Langarica, Kate Clark, Dr. Kay Daniels, “U.S. Border Patrol’s Abuse and Mistreatment of [Redacted]” (San Diego: ACLU San Diego and Imperial Counties and Jewish Family Service, April 8, 2020) https://www.documentcloud.org/documents/6827805-2020-04-07-OIG-Cmplt-Final-Redacted.html.

Letter from 13 Democratic Senators to DHS Inspector-General (Washington: U.S. Senate, April 8, 2020) https://www.blumenthal.senate.gov/imo/media/doc/2020.04.08%20DHS%20OIG%20Letter%20re%20CBP%20Mistreating%20Pregnant%20Detainees.pdf.

— “Review of the February 16, 2020 Childbirth at the Chula Vista Border Patrol Station” (Washington: DHS Office of the Inspector-General, July 20, 2021) https://www.oig.dhs.gov/sites/default/files/assets/2021-07/OIG-21-49-Jul21.pdf.

Sector(s): San Diego

Agency(ies): Border Patrol

Event Type(s): Conditions in Custody, Denial of Medical Care, Rough Rides

Last Known Accountability Status: Cleared by DHS OIG

Victim Classification: Family Unit, Guatemala, Pregnancy

February 4, 2020

Border Patrol agents apprehended 32-year-old James Paul Markowitz in his vehicle in Brackettville, Texas, “after he was identified as a suspect in an alien smuggling case,” a CBP statement read (original link). While it is unclear whether he was involved in the incident, Markowitz did have small amounts of methamphetamine and cocaine in his car, which he swallowed in an attempt to avoid detection.

During processing at the Brackettville Border Patrol station, Markowitz “began exhibiting signs of distress.” CBP’s notification to Congress stated that an ambulance was called at 6:00 PM. A CBS News records review revealed that “the ambulance wasn’t actually called for until 6:26 PM.” Markowitz died of a drug overdose.

Markowitz’s stepfather has been unable to get more information from CBP about the circumstances of his death.

In a March 3, 2020 letter to DHS, Congressional Hispanic Caucus Chairman Rep. Joaquín Castro (D-Texas) and CHC Immigration Task Force Chairwoman Rep. Linda Sánchez (D-California) accused DHS of having “failed to provide further clarity or transparency surrounding the death of a U.S. citizen in CBP custody.” (original link).

— Graham Kates, “Family of U.S. man who died after Border Patrol arrest says government has been tight lipped for a year” (CBS News, February 4, 2021) https://www.cbsnews.com/news/james-markowitz-border-patrol-arrest-government-silence/.

— Rep. Joaquín Castro and Rep. Linda T. Sánchez, “CHC Members Demand Answers Following Death of American Citizen James Paul Markowitz in CBP Custody” (Washington: Congressional Hispanic Caucus, March 3, 2020) https://chc.house.gov/media-center/press-releases/chc-members-demand-answers-following-death-of-american-citizen-james.

Sector(s): Del Rio

Agency(ies): Border Patrol

Event Type(s): Conditions of Arrest or Apprehension, Denial of Medical Care, Fatal Encounter

Last Known Accountability Status: Shared with Congressional Oversight Committees, Under OPR Investigation

Victim Classification: U.S. Citizen or Resident