Framed, Nailed, Hanged

So, gradually and painfully, it has become clear, to a largely apolitical tribe of doctors who revere Sen as a role model, that these are not normal times. Especially not in the context of Chhattisgarh, where the claim of fighting the 'war' against Naxalites provides the police and intelligence apparatus wide cover for chilling human rights violations. These range from fake encounter deaths and the displacing of tens of thousands of tribals by the state-sponsored militia, Salwa Judum, to jailing professionals like Sen—who stuck out their necks and insisted on accountability—with the help of a draconian state law.

What has further dismayed the doctors is that Sen's strong, continuing involvement with the world of medicine has not come across vividly, over the past year, whether to judges hearing his bail applications or to a wider public. That it is, rather, the wild charges against him that have set the parameters for discussion, whether for those attacking him or for those defending him. That for all that has been written about him, few know the sheer number of hours he spent on medical work in Bhagram Nala and the Shaheed Hospital in Dalli Rajhara, the extent to which his wide network of patients depended on him, the level to which state health programmes have benefited from his creativity and wisdom. (Bizarrely, even as he is being demonised by the state police, ably assisted by a local media fed on police leaks, his ngo Rupantar, which played a seminal role in designing the state's Mitanin, or village health worker programme, is still getting government funds for training such workers.)

Most importantly, most people are only dimly aware, if at all, of the cost to the community of denying him bail and keeping him in jail, while the case against him is heard at a cripplingly—indeed criminally—slow pace, with only 6 out 85 prosecution witnesses examined in a so-called fast track court. Celebrated human rights lawyer Nandita Haksar, who has just taken charge of the campaign to free him on the request of several overworked doctors, eloquently drives home the point many of Sen's peers make: "Binayak's primary persona is of a doctor, he came to human rights as a doctor. Not allowing him to treat people, to practice his medicine—his requests to do so, even in jail, have been turned down—is a form of torture, and a disservice to the community."

Shocked that a year has slipped by with Sen still in jail, a newly-formed group, Doctors in Defence of Dr Binayak Sen, has finally decided to tell his story with the rigour it deserves. As part of this effort, doctors belonging to the Jan Swasthya Sansthan (JSS), a rural medical centre near Bilaspur (largely alumni of cmc, aiims and other prestigious medical institutions across the country) are scrutinising years of data to piece together what it really means to keep a doctor like him in jail. The full picture will come out in a report called "When does a doctor become a threat to the security of his country?" to be released at the end of his month—but even the glimpses made available to Outlook say a great deal.

Between 2004 and 2006, 54 patients were seen, on average, every week at Sen's Bhagram Nala clinic. In 2007, thanks to Sen being whisked away to jail mid-year, the figure plummeted to 9. Apart from treating acutely ill patients (those suffering from diarrhoea and malaria, for example), the clinic was providing care to 569 patients with chronic and long-standing diseases, including hypertension, asthma, TB, diabetes, heart disease and kidney disease. The most telling figure is Sen's success rate in controlling malaria through the community programme he ran—the date shows a fall of 80 per cent in the number of malaria episodes over seven years.

"It is remarkable," says Dr Yogesh Jain of JSS, "this is way beyond what we have achieved, which is not even 50 per cent. In the context of the National Anti-Malaria Programme, it is an unimaginable success rate." Today, as the doctors describe it, Sen's health workers, struggling to carry on his work, despite their limited capacity to do so, are devastated; his patients bewildered. "Why are all the people he looked after being punished?" asks Dr Anurag Bhargava. Says A.V. Ramani, a fellow cmc alumni: "When you set up base in a rural area it's because you have a certain faith in the system. How do rural doctors retain that faith, after what has happened to Binayak Sen?"

Gathered together in a living room in Bilaspur on the eve of the first anniversary of his incarceration, Sen's fellow doctors also spoke poignantly about a man who has for the last year been painted either in the lurid colours of a "Naxali dakiya" or in the monochrome tones of a victim of human rights oppression. They remembered the Binayak who shocked city-bred medical interns by briskly wiping up the mess left by a sick patient; the Binayak who grew a beard after the Babri Masjid demolition to understand what it felt like to be a Muslim—and rather enjoyed being called Maulanaji by strangers; Binayak the foodie, Binayak the enthusiastic singer of Brahmo hymns.... Inevitably, however, all their anecdotes, their laughter and their memories ended in a single question: when will his ordeal end?