Thai Political Prisoner Ekachai Hongkangwan Struggles for Medical Care

• Thai activist Ekachai Hongkangwan is facing critical health deterioration in custody, raising urgent questions about access to medical care for prisoners.
• The case highlights systemic disparities in Thailand’s correctional system, where political prisoners often face harsher treatment than high-profile inmates.

Ekachai’s Activism

• Emerged as a notable political figure following the 2006 coup; he has been imprisoned seven times for his defiance against military rule and royal defamation laws.
• Known for a unique, individual style of activism, such as his pursuit of the luxury watch scandal involving former minister Prawit Wongsuwan.
• Faced severe personal consequences between 2017 and 2019, including six physical assaults and two arson attacks on his vehicle.

The Royal Motorcade Case

• Convicted under Section 110 of the Criminal Code for allegedly obstructing a royal motorcade during 2020 mass protests, a charge rarely invoked in modern history.
• While a court of first instance initially acquitted him in 2023, the Appeal Court later sentenced him to 21 years and four months in prison, citing intentional obstruction despite police communication failures.

Medical Neglect and Systemic Issues

• Ekachai suffers from an enlarged prostate and severe abdominal pain stemming from a previous liver abscess surgery, with doctors suggesting he requires major intervention.
• His lawyer’s transfer requests were initially rejected, sparking public debate over the fairness of the Corrections Department.
• The controversy is intensified by comparisons to former PM Thaksin Shinawatra, who received swift, high-quality care at a police hospital upon his return to Thailand, leading to accusations of preferential treatment.
• Two “prisoners of conscience” have already died in Thai custody due to lack of medical attention, placing significant pressure on the Corrections Department to address Ekachai’s health needs.