Pakistan’s policy of attrition: Imran Khan’s health and the question of power

Responsibility in this environment is not limited to direct instructions. It is also about the climate leadership created and the safeguards – or lack thereof – that exist.

Gradual weakening instead of confrontation

The state has always been wary of creating martyrs. Sudden and extreme actions can energize supporters and symbolically elevate opponents. A slower strategy – marked by limited access, delays and carefully managed compliance – generates less immediate outrage. However, over time this can gradually erode political strength.

This is why allegations of negligence resonate with many supporters. Critics argue that harm does not always result from outright refusal. Sometimes this results from minimal responses, actions that technically meet requirements but fail to fully protect a person’s health.

A question bigger than one man

There is no public evidence of a direct order interfering with Khan’s treatment. But in centralized systems, accountability extends beyond written guidelines. It also depends on whether institutions are sufficiently independent to act quickly and decisively, especially in sensitive cases.

When a former prime minister loses most of his vision while in state custody, amid ongoing disputes over access to medical care and delays, this naturally raises serious concerns. Khan is not an anonymous inmate. He is a former head of government and one of the country’s most visible political figures. His case has implications beyond his personal health.

What must happen

At the very least, doctors not under the prison’s control should be allowed to examine him freely, and their findings should be shared openly with the courts and his family. People also deserve a simple account of what happened: when he first complained, when medical help was sought, how long it took to get approval, and what treatment he actually received. Clear answers would go a long way in restoring trust. Continued international monitoring of detention conditions, as requested by UN observers, also remains important.

Without transparency, procedure can begin to replace real accountability. And when systems are structured more to protect institutions than individuals, there is a real risk that avoidable harm becomes something people quietly accept rather than question.

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