The detained immigrant told officials at the South Texas Detention Complex he’d been sexually assaulted and tortured in his home country and asked for medical care. Six weeks later, when he still hadn’t seen a doctor, the facility medical director offered this explanation: The complex didn’t have a local urologist on contract.

That wasn’t the only health care shortfall Immigration and Customs Enforcement (ICE) investigators cited in a 2008 report, one that didn’t name the detainee or his ethnicity. 

Sixteen of the facility’s 40 “critical” health care positions were vacant, leaving one staff doctor ...

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