Political prisoners struggle for medical care in Thailand
Between 2017 and 2019, he was physically assaulted and threatened with death six times, and his car was set on fire twice

In Thailand, the plight of political prisoners seeking medical care has come to the forefront of public discourse, with one individual’s harrowing experience serving as a catalyst. Ekachai Hongkangwan, an ordinary citizen who became entangled in Thailand’s political turmoil after the 2006 coup, has faced repeated assaults, death threats, and the loss of his livelihood. His deteriorating health in custody has drawn attention to the critical issue of access to medical care for prisoners, a fundamental human right that is often denied in Thailand.
Ekachai’s life took an unexpected turn when the 2006 coup disrupted his online lottery ticket business, which was shut down. Uninterested in politics beforehand, Ekachai began to engage with the political landscape, learning about Thai and international politics. His first brush with the law occurred on March 11, 2011, when he was arrested during a protest organized by the “Daeng Siam” (the Red Shirts), a group associated with the disappeared Thai political critic Surachai Sae-dan. Ekachai was charged under Thailand’s strict royal defamation law, which criminalizes criticism of the royal family. The charges stemmed from items he was selling at the protest, including a DVD of a documentary and a book.
Despite facing these challenges, Ekachai remained resolute in his activism. Between 2017 and 2019, he was physically assaulted and threatened with death six times, and his car was set on fire twice. His case has prompted public discussion on the standards for inmates’ access to medical care, a right that is frequently denied to political prisoners in Thailand. The issue is particularly poignant for “prisoners of conscience,” individuals who have been imprisoned solely for expressing dissent or challenging those in power.
Ekachai’s 20-year journey since the 2006 coup has been marked by repeated detentions and threats. His deteriorating health in custody highlights systemic issues within Thailand’s prison system. Political prisoners, who often face harsh treatment, are frequently denied necessary medical care, putting their lives at risk. This lack of access to healthcare is not only a violation of their basic rights but also a reflection of the broader political climate in the country.
The case of Ekachai Hongkangwan has underscored the urgent need for reform in Thailand’s prison healthcare system. As political prisoners continue to fight for their rights, the international community and local activists are calling for action to ensure that all inmates, including those deemed “political prisoners,” have access to the medical care they need. The struggle of individuals like Ekachai serves as a stark reminder of the human cost of political repression and the importance of upholding fundamental human rights.
In recent years, Thailand has faced increasing scrutiny over its treatment of political dissidents and the denial of their basic rights. The plight of political prisoners such as Ekachai Hongkangwan has brought this issue to the forefront of national and international discourse. As calls for reform grow louder, it remains to be seen whether the Thai government will take the necessary steps to address these systemic failures and ensure that all prisoners, regardless of their political beliefs, have access to the medical care they deserve.







