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Editorial
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Volume 336:1247-1250 April 24, 1997 Number 17
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The Sleep of Reason Produces Monsters — Human Costs of Economic Sanctions

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In Los Caprichos, Francisco de Goya's etchings depicting human follies, number 43 is entitled "El sueño de la razón produce monstruos." The story Dr. Andrews and his colleagues tell in this issue of the Journal 1 calls for Goya's vitriol. They describe a medical horror story, an epidemic of what they characterize as "self-mutilation and malingering" among Cubans detained at the U.S. naval base at Guantanamo Bay, Cuba, in late 1994 and early 1995.

The detainees were some 30,000 Cubans who fled their country for the United States on rafts and were intercepted by the U.S. Coast Guard. In a . . . [Full Text of this Article]

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