Arab Press

بالشعب و للشعب
Tuesday, Aug 04, 2026

Why are so many dictators former doctors?

Why are so many dictators former doctors?

Are we increasingly living under a ‘doctatorship’? The influence of the medical profession over our everyday lives – from personal freedom, to how our children are schooled, to the economy – has soared since the pandemic.
But is this a good thing? Or are democratically elected governments in danger of allowing medics to have undue say over how things are done?

It’s hard to deny that Covid-19 has dramatically increased the influence of medics. When their advice is not taken, medics sometimes resort to the media to pressure our elected politicians to conform to their views, even when they disagree amongst themselves.

Many doctors, of course, have the best intentions at heart. But we should be wary of any group not accountable at the ballot box and while it may sound dramatic, it is worth recalling that doctors and democracy do not always sit amiably side by side. Indeed many tyrants are medically qualified, beginning with the British-trained Syrian eye surgeon President Bashar al-Assad.

Other medical despots include Dr Hastings Banda who brutally ruled Malawi for nearly 40 years, Dr Félix Houphouët Boigny megalomaniac president of Ivory Coast for some 30 years, psychiatrist Radovan Karadzic the ethnic-cleansing Bosnian-Serb leader and the notorious ‘Papa Doc’ Duvalier of Haiti, whose gruesome, tyrannical rule of Haiti as president for life, stretched from 1957 until his death in 1971 after murdering 30,000 people via his Tonton Macoutes mobs. Few from this club had much regard for the Hippocratic oath of ‘do no harm’.

Terrorist leaders too have often trained as doctors before embarking on their murderous rampages. Dr Ayman al-Zawahiri, who masterminded the 11 September World Trade Center massacre, and who succeeded Osama bin Laden as leader of Al-Qaeda, was an Egyptian doctor and surgeon.

Dr George Habash was the 1970s Palestinian terrorist leader of the Popular Front for the Liberation of Palestine, while Dr Abdel Rantisi as Hamas leader conducted the suicide bombings of Israeli civilians in the 1990s.

The historian and novelist Simon Sebag Montefiore, himself the son of a doctor, notes that many of these bloody despots used medical language to justify their gruesome political acts, such as Papa Doc Duvalier’s ‘ nation’s ills demand a doctor’. The Haitian tyrant also liked to say that 'a doctor must take a life to save it.'

Of course, it could be argued that medicine is a traditional prestige route for ambitious middle-class young men in the developing world in a way that law and the humanities might be in developed states. Be that as it may, the correlation between medically trained leaders and authoritarianism is demonstrated in an article in the prestigious medical journal the Lancet from 2017.

Entitled ‘The physician as dictator’ the research was conducted in the wake of atrocities committed by the Assad regime.

It sought to establish in the light of ‘the frequent criticisms of the hierarchical power structure in medicine… whether physicians disproportionately tend to be the leaders of autocracies.’ Deeply researched it analyses some 176 countries over 71 years (1945-2015) identifying the de-facto ruler of every country for each year.

The 1,254 leaders professional backgrounds were investigated as well as the degree of democracy versus autocracy for each leader’s tenure. The article concludes:

“Our results reveal a disturbing correlation that associates leaders who are physicians in the modern era with more autocratic regimes than leaders who are not physicians... considering the trope of the physician-god complex, these sobering data offer an opportunity for crucial self-reflection.

Their recommendation to ‘safeguard against any dictatorial tendencies physicians might harbour’ is a shift away from the authoritarian physician towards more shared decision-making.

Perhaps the Lancet article should be made compulsory reading for members of the doctocracy who, with their new-found Covid powers, are dictating policy across the world with little consideration for the wider implications of their edicts. As Simon Sebag Montefiore remarks, ‘there are cases where the doctor is himself the disease’.
Newsletter

Related Articles

Arab Press
0:00
0:00
Close
AI Is Remaking the US Economy, From GDP Growth to iPhone Prices
FIFA’s Retreat Leaves a Larger Question Over Who Guards the Game
Finland Deploys Commercial-Scale Thermal Batteries Using Crushed Rock to Store Renewable Grid Energy
Valued at $109 Million: F-35B Fighter Jet Crashes in Southern California
US Says It Has Carried Out Heavy Strikes on Iran After Attempted Attacks on Its Forces
Over 24 Hours in the Air: Qantas Airbus Completes Record-Breaking Test Flight
Arrest Warrant Issued in Lebanon for Tycoon Spotted Meeting Netanyahu in Washington
Trump says Israel ‘would not survive’ without US
Nvidia Reportedly Takes Vast Texas Data-Centre Lease to Underwrite AI Expansion
FIFA’s Private-Investment Plan for World Cup Rights Draws European Revolt
Following OpenAI's Cyberattack: 'Most Companies Still Do Not Understand What Is Coming'
OpenAI Sued After ChatGPT Allegedly Discouraged Emergency Care Before Near-Fatal Embolism
Miliband Sets Climate and International Law at Centre of UK Diplomacy
Pentagon Discloses Nearly 100 US Troop Injuries During Renewed Iran Fighting
Trump Readies New Tariffs as Temporary Global Levy Nears Expiry
High Prices Push Coffee Drinkers Toward Whole Beans and Home Brewing
Trump Draws Boos and Podium Scrutiny at Spain’s World Cup Triumph
Spain Defeats Argentina in Extra Time to Win Second World Cup
Turkey Explores S-400 Transfer to UAE in Bid to Rejoin F-35 Program
US Retaliates Against Iran After Two American Troops Killed in Jordan
Proposed U.S.-Saudi Nuclear Pact Could Permit Limited Uranium Enrichment Under International Safeguards
Why Kentucky Fried Chicken Became KFC—and Why the False Explanations Persist
Iran Claims It Destroyed Bahrain’s Main Artificial Intelligence Center in Missile and Drone Strike
Ukrainian Drones Strike Wildberries Warehouses Deep Inside Russia
Reported CIA Mission Helped Clear the UAE’s Path to Advanced US AI Chips
Artificial Intelligence Capital Fuels Markets While Governments and Regulators Face Mounting Strategic Tests
China’s Moonshot’s Kimi K3 Narrows the Gap With Anthropic Through Scale, Openness and Lower Cost
The Ledger Will Not Trust on Faith
Passenger Bound for Germany Refused to Sit Beside a Woman on a Plane — Then Slapped a Flight Attendant
Ukraine’s Leadership Rift Spills Into the Streets as Protesters Target Army Chief
The Ten World Cup Finals That Defined Football History
Smartphones Are Getting More Expensive, Sales Are Collapsing, and Even Apple Admits: "Prices Will Rise"
Leadership Change and Strategic Rivalry Redraw the Political Map
The AI Race Enters Its Infrastructure Era
Britain Nationalises British Steel to Protect Scunthorpe Production and Strategic Supply
Thomas Tuchel Faces Fierce Backlash After Tactical Retreat Costs England World Cup Final Berth
A Quiet Bastille Day: France Grapples with World Cup Heartbreak and Leftover Fireworks
Spain in Ecstasy: "We Feel Unbeatable, We Taught the Whole World a Lesson"
Harvard Astrophysicist to Lead U.S. Scientific Advisory on Unidentified Aerial Phenomena
Emergency Sirens Activated Across Bahrain as Interior Ministry Issues Shelter Directives
World Cup Visitors Turn American Big-Box Stores Into Souvenir Stops
Netflix Weighs Always-On Channels, Bundles and Short-Form Video
The AI Invoice Shock: Layoffs Didn't Save Managers Money — They Cost Them More
Concern: Sexually Transmitted Bacterium Among Men Develops Antibiotic Resistance
Passenger Partially Pulled Out of Ryanair Jet After Cabin Window Fails Mid-Flight
Severe Heatwave Drives Dangerous Ground-Level Ozone Pollution Across Two Thirds of European Union
The Physical and Electronic Barriers Disrupting Domestic Wireless Networks
France and Morocco Open World Cup Quarter-Finals as Collina Defends Refereeing
Tech Pulse: The Future of AI and Screen Culture
Global News Briefing: Escalating Geopolitical Tensions and Corporate Shakeups
×