London Daily

Focus on the big picture.
Wednesday, Jan 07, 2026

Why are so many dictators former doctors?

Why are so many dictators former doctors?

Are we increasingly living under a ‘doctatorship’? The influence of the medical profession over our everyday lives – from personal freedom, to how our children are schooled, to the economy – has soared since the pandemic.
But is this a good thing? Or are democratically elected governments in danger of allowing medics to have undue say over how things are done?

It’s hard to deny that Covid-19 has dramatically increased the influence of medics. When their advice is not taken, medics sometimes resort to the media to pressure our elected politicians to conform to their views, even when they disagree amongst themselves.

Many doctors, of course, have the best intentions at heart. But we should be wary of any group not accountable at the ballot box and while it may sound dramatic, it is worth recalling that doctors and democracy do not always sit amiably side by side. Indeed many tyrants are medically qualified, beginning with the British-trained Syrian eye surgeon President Bashar al-Assad.

Other medical despots include Dr Hastings Banda who brutally ruled Malawi for nearly 40 years, Dr Félix Houphouët Boigny megalomaniac president of Ivory Coast for some 30 years, psychiatrist Radovan Karadzic the ethnic-cleansing Bosnian-Serb leader and the notorious ‘Papa Doc’ Duvalier of Haiti, whose gruesome, tyrannical rule of Haiti as president for life, stretched from 1957 until his death in 1971 after murdering 30,000 people via his Tonton Macoutes mobs. Few from this club had much regard for the Hippocratic oath of ‘do no harm’.

Terrorist leaders too have often trained as doctors before embarking on their murderous rampages. Dr Ayman al-Zawahiri, who masterminded the 11 September World Trade Center massacre, and who succeeded Osama bin Laden as leader of Al-Qaeda, was an Egyptian doctor and surgeon.

Dr George Habash was the 1970s Palestinian terrorist leader of the Popular Front for the Liberation of Palestine, while Dr Abdel Rantisi as Hamas leader conducted the suicide bombings of Israeli civilians in the 1990s.

The historian and novelist Simon Sebag Montefiore, himself the son of a doctor, notes that many of these bloody despots used medical language to justify their gruesome political acts, such as Papa Doc Duvalier’s ‘ nation’s ills demand a doctor’. The Haitian tyrant also liked to say that 'a doctor must take a life to save it.'

Of course, it could be argued that medicine is a traditional prestige route for ambitious middle-class young men in the developing world in a way that law and the humanities might be in developed states. Be that as it may, the correlation between medically trained leaders and authoritarianism is demonstrated in an article in the prestigious medical journal the Lancet from 2017.

Entitled ‘The physician as dictator’ the research was conducted in the wake of atrocities committed by the Assad regime.

It sought to establish in the light of ‘the frequent criticisms of the hierarchical power structure in medicine… whether physicians disproportionately tend to be the leaders of autocracies.’ Deeply researched it analyses some 176 countries over 71 years (1945-2015) identifying the de-facto ruler of every country for each year.

The 1,254 leaders professional backgrounds were investigated as well as the degree of democracy versus autocracy for each leader’s tenure. The article concludes:

“Our results reveal a disturbing correlation that associates leaders who are physicians in the modern era with more autocratic regimes than leaders who are not physicians... considering the trope of the physician-god complex, these sobering data offer an opportunity for crucial self-reflection.

Their recommendation to ‘safeguard against any dictatorial tendencies physicians might harbour’ is a shift away from the authoritarian physician towards more shared decision-making.

Perhaps the Lancet article should be made compulsory reading for members of the doctocracy who, with their new-found Covid powers, are dictating policy across the world with little consideration for the wider implications of their edicts. As Simon Sebag Montefiore remarks, ‘there are cases where the doctor is himself the disease’.
Newsletter

Related Articles

0:00
0:00
Close
Béla Tarr, Visionary Hungarian Filmmaker, Dies at Seventy After Long Illness
UK and France Pledge Military Hubs Across Ukraine in Post-Ceasefire Security Plan
Prince Harry Poised to Regain UK Security Cover, Clearing Way for Family Visits
UK Junk Food Advertising Ban Faces Major Loophole Allowing Brand-Only Promotions
Maduro’s Arrest Without The Hague Tests International Law—and Trump’s Willingness to Break It
German Intelligence Secretly Intercepted Obama’s Air Force One Communications
The U.S. State Department’s account in Persian: “President Trump is a man of action. If you didn’t know it until now, now you do—do not play games with President Trump.”
Fake Mainstream Media Double Standard: Elon Musk Versus Mamdani
HSBC Leads 2026 Mortgage Rate Cuts as UK Lending Costs Ease
US Joint Chiefs Chairman Outlines How Operation Absolute Resolve Was Carried Out in Venezuela
Starmer Welcomes End of Maduro Era While Stressing International Law and UK Non-Involvement
Korean Beauty Turns Viral Skincare Into a Global Export Engine
UK Confirms Non-Involvement in U.S. Military Action Against Venezuela
UK Terror Watchdog Calls for Australian-Style Social Media Ban to Protect Teenagers
Iranian Protests Intensify as Another Revolutionary Guard Member Is Killed and Khamenei Blames the West
Delta Force Identified as Unit Behind U.S. Operation That Captured Venezuela’s President
Europe’s Luxury Sanctions Punish Russian Consumers While a Sanctions-Circumvention Industry Thrives
Berkshire’s Buffett-to-Abel Transition Tests Whether a One-Man Trust Model Can Survive as a System
Fraud in European Central Bank: Lagarde’s Hidden Pay Premium Exposes a Transparency Crisis at the European Central Bank
Trump Announces U.S. Large-Scale Strike on Venezuela, Declares President Maduro and Wife Captured
Tesla Loses EV Crown to China’s BYD After Annual Deliveries Decline in 2025
UK Manufacturing Growth Reaches 15-Month Peak as Output and Orders Improve in December
Beijing Threatened to Scrap UK–China Trade Talks After British Minister’s Taiwan Visit
Newly Released Files Reveal Tony Blair Pressured Officials Over Iraq Death Case Involving UK Soldiers
Top Stocks and Themes to Watch in 2026 as Markets Enter New Year with Fresh Momentum
No UK Curfew Ordered as Deepfake TikTok Falsely Attributes Decree to Prime Minister Starmer
Europe’s Largest Defence Groups Set to Return Nearly Five Billion Dollars to Shareholders in Twenty Twenty-Five
Abu Dhabi ‘Capital of Capital’: How Abu Dhabi Rose as a Sovereign Wealth Power
Diamonds Are Powering a New Quantum Revolution
Trump Threatens Strikes Against Iran if Nuclear Programme Is Restarted
Apple Escalates Legal Fight by Appealing £1.5 Billion UK Ruling Over App Store Fees
UK Debt Levels Sit Mid-Range Among Advanced Economies Despite Rising Pressures
UK Plans Royal Diplomacy with King Charles and Prince William to Reinvigorate Trade Talks with US
King Charles and Prince William Poised for Separate 2026 US Visits to Reinforce UK-US Trade and Diplomatic Ties
Apple Moves to Appeal UK Ruling Ordering £1.5 Billion in Customer Overcharge Damages
King Charles’s 2025 Christmas Message Tops UK Television Ratings on Christmas Day
The Battle Over the Internet Explodes: The United States Bars European Officials and Ignites a Diplomatic Crisis
Princesses Beatrice and Eugenie Join Royal Family at Sandringham Christmas Service
Fine Wine Investors Find Little Cheer in Third Year of Falls
UK Mortgage Rates Edge Lower as Bank of England Base Rate Cut Filters Through Lending Market
U.S. Supermarket Gives Customers Free Groceries for Christmas After Computer Glitch
Air India ‘Finds’ a Plane That Vanished 13 Years Ago
Caviar and Foie Gras? China Is Becoming a Luxury Food Powerhouse
Hong Kong Climbs to Second Globally in 2025 Tourism Rankings Behind Bangkok
From Sunniest Year on Record to Terror Plots and Sports Triumphs: The UK’s Defining Stories of 2025
Greta Thunberg Released on Bail After Arrest at London Pro-Palestinian Demonstration
Banksy Unveils New Winter Mural in London Amid Festive Season Excitement
UK Households Face Rising Financial Strain as Tax Increases Bite and Growth Loses Momentum
UK Government Approves Universal Studios Theme Park in Bedford Poised to Rival Disneyland Paris
UK Gambling Shares Slide as Traders Respond to Steep Tax Rises and Sector Uncertainty
×