Contents – Land of the Free? Trump’s war on speech at home and abroad

Contents

Has the USA, the so-called Land of the Free, become a dangerous country for those who question its government?

Such a notion is, of course, in opposition to the country’s founding principles. Enshrined in the 1791 First Amendment to the US Constitution are citizens’ fundamental freedoms – including freedom of religion, speech, the press, protest and petition. Conveniently glossing over its dark history of colonisation and slavery (whi=ch would continue for nearly a century after the First Amendment was ratified), it signified the USA as a global bastion of democracy, equality and civilised values. Now, Trump appears to be metaphorically setting fire to the paper these principles are written on.

This is having profound impacts within the USA and around the world. Trump was inaugurated for his second term only six months ago, but already he has sought to deport people for their views on Israel and Palestine; threatened universities with eye-watering financial sanctions if they do not adhere to his ideological viewpoints; slashed the budgets of state-funded broadcasters; deployed the National Guard to police protests, a tactic used by military dictatorships; and dismantled the US Agency for International Development (USAID), stopping the work of human rights groups globally.

In this edition, we explore these attacks on free speech at home and abroad.

Up Front

The American Nightmare: Sarah Dawood
Fundamental freedoms are being rapidly dismantled in the “land of liberty”

The Index: Mark Stimpson
A close look at upcoming elections, El Salvador and the attitudes of US border agents

Features

The forgotten Caucasus conflict: JP O’Malley
With journalism restricted, it’s not easy to get to the truth about Azerbaijan and Armenia

Attacked on all fronts in the West Bank: Sarah Dawood
A human rights lawyer who has seen Israeli prisons from the inside

Is this how it is in Somalia?: Abdalle Ahmed Mumin
Journalists criticising the government take their lives in their hands

“People are terrified to speak their minds”: Ruth Green
From a questionable offer of a Georgian literature award comes the perfect opportunity to speak out

The plight of Boualem Sansal: Clemence Manyukwe
Algeria’s answer to Orwell has found himself in a dystopian situation

Climate protest feels the chill: Sally Gimson
Just Stop Oil go on one final outing before hanging up their orange t-shirts

The forgotten Syrians: Mawada Bahah
Assad might have fallen, but hundreds of his critics are still locked up in Lebanon

Going underground in beijing: Murong Xuecun
Singing on the subway can quickly become an act of dissent

From protest to social post: Tiléwa Kazeem
Nigerians are taking to TikTok to voice their frustrations

Special Report: Land of the Free? - Trump's war on speech at home and abroad

American dissident: Martin Bright
Lessons in resistance from those who have been here before

Trump’s first days under scrutiny: Mark Stimpson
A whirlwind of executive orders, and the real impact for free expression

Radio silence: Rebecca L Root
Left without funding, Radio Free Asia is fighting to stay on the airwaves

Borrowing from Erdoğan’s playbook: Kaya Genç
Culture wars in the USA meet culture wars in Turkey

The war on truth: Maksym Filipenko
A new comic from a Ukrainian artist gets to the heart of US interests

Silence is survival in Haiti: Gabriella Jóźwiak
The withdrawal of USAID has left press freedom in tatters

Good news for tyrants: Danson Kahyana
Is the suspension of USAID empowering African dictators?

Land of the litigious bullies: Nik Williams
A road trip across the home of strategic lawsuits that stifle dissent

The rise of the newsfluencer: Liam Scott
Falsehoods, conspiracies and a place in the press pool

Why the UK needs to step up on international aid: Emily Couch
Freedom and human rights are being deprioritised

Befriending the Kremlin: Alexandra Domenech
When Trump and Putin cosy up, there are consequences for the world

An un-American story: Katie Dancey-Downs
Control the books, control the narrative

No power to the people: Mackenzie Argent
US universities have become battlegrounds for free speech

Comment

What we all lose when we lose LGBTQ+ rights: Matthew Beard
Hungary’s Pride event went ahead despite a ban but other spaces for freedom are shrinking

Votes for men?: Raina Lipsitz
It might be time to get the Suffragette banners out of storage

Democratic backsliding: Jemimah Steinfeld
The UK’s free speech record is shaky – but US right-wingers are looking in the wrong place

Lost in translation: Clive Priddle
The era of a less diverse USA, where international literature is turned away

Culture

Goodness Gracious Me in the age of Trump: Salil Tripathi
A new (and unofficial) scene from the hit comedy sketch show pits India against the USA

Documenting Ukraine’s war has a deadly cost: Victoria Amelina, Mark Stimpson
An exclusive extract from the war diary of a writer killed by Russia

The trouble with love: Keletso Thobega
A new anthology paints a picture of queer activism in Africa

A silent life under the Taliban: Sarah Dawood, Barin
When Afghan women are forbidden from speaking, one author writes regardless

Hamilton star on freedom’s fragility: Giles Terera
Taking centre stage to have the last word

Editor's Note, 20 August 2025, Index on Censorship magazine 54.02: Upon further review of the article in this magazine "Reporters branded as traitors", Index's editorial team have determined the article did not meet our editorial standards and it has been removed.

Contents – The forgotten patients: Lost voices in the global healthcare system

Contents

Modern medicine is a wonderful thing. Before Edward Jenner’s development of the smallpox vaccination in 1796, infectious diseases and viruses killed millions. The introduction of anaesthetic gases during surgical procedures in 1846 eliminated the excruciating pain of surgery. And before Alexander Fleming’s discovery of penicillin in 1928, people died unnecessarily from cuts and grazes.

But the benefits of modern medicine are not felt equally around the world. In this issue, we explore the forgotten patients in global healthcare settings – the marginalised groups who fall through the cracks or are actively shut out of healthcare provision, then ignored or silenced when they raise concerns.

Just like free speech, healthcare is an indisputable human right. But for many around the globe, both these rights are being removed in conjunction with each other. Through telling their stories, this edition aims to shine a light on these injustices and – we hope – empower more people to speak up for the right to health for themselves and others.

Up Front

A bitter pill to swallow: Sarah Dawood
Not all healthcare is made equal, and pointing this out can have serious consequences

The Index: Mark Stimpson
From elections in Romania to breaking encryption in the UK: a tour of the world’s most pressing free expression issues

Features

Rape, reputation and little recourse: Samridhi Kapoor, Hanan Zaffar
Indian universities have a sexual violence problem that no one is talking about

Georgian nightmare: Ruth Green
Russian-style laws are shutting down more conversations in Georgia, with academia feeling the heat

Botswana’s new era: Clemence Manyukwe
From brave lawyer to president – could the country’s new leader put human rights front and centre?

Venezuela’s prison problem: Catherine Ellis
The disputed new president has a way of dealing with critics – locking them up

Forbidden words: Salil Tripathi
The Satanic Verses is back in India’s bookshops. Or is it?

The art of resistance: Alessandra Bajec
A film, a graffiti archive and a stage play: three works changing the narrative in Tunisia

A tragic renaissance: Emily Couch
The pen is getting mightier and mightier in Ukraine

In the red zone: Alexandra Domenech
Conscription is just one of the fears of an LGBTQ+ visual artist in Russia

Demokratia dismantled: Georgios Samaras
The legacy of the Predator spyware scandal has left a dark stain on Greece

Elon musk’s year on X: Mark Stimpson
The biggest mystery about Musk: when does he sleep?

Keyboard warriors: Laura O’Connor
A band of women are fighting oppression in Myanmar through digital activism

Behind the bars of Saydnaya prison: Laura Silvia Battaglia
Unspeakable horrors unfolded at Syria’s most notorious prison, and now its survivors tell their stories

Painting a truer picture: Natalie Skowlund
Street art in one Colombian city has been sanitised beyond recognition

The reporting black hole: Fasil Aregay
Ethiopian journalists are allowed to report on new street lights, and little else

Special Report: The forgotten patients - Lost voices in the global healthcare system

Whistleblowing in an empty room: Martin Bright
Failures in England’s maternity services are shrouded in secrecy

An epidemic of corruption: Danson Kahyana
The Ugandan healthcare system is on its knees, but what does that matter to the rich and powerful?

Left speechless: Sarah Dawood
The horrors of war are leaving children in Gaza unable to speak

Speaking up to end the cut: Hinda Abdi Mohamoud
In Somalia, fighting against female genital mutilation comes at a high price

Doctors under attack: Kaya Genç
Turkey’s president is politicising healthcare, and medics are in the crosshairs

Denial of healthcare is censoring political prisoners – often permanently: Rishabh Jain, Alexandra Domenech, Danson Kahyana
Another page in the authoritarian playbook: deny medical treatment to jailed dissidents

The silent killer: Mackenzie Argent
A hurdle for many people using the UK’s National Health Service: institutional racism

Czechoslovakia’s haunting legacy: Katie Dancey-Downs
Roma women went into hospitals to give birth, and came out infertile

An inconvenient truth: Ella Pawlik
While Covid vaccines saved millions of lives, those with adverse reactions have been ignored

Punished for raising standards: Esther Adepetun
From misuse of money to misdirecting medicines, Nigerian healthcare is rife with corruption

Nowhere to turn: Zahra Joya
Life as they know it has been destroyed for women in Afghanistan, and healthcare provision is no different

Emergency in the children’s ward: Shaylim Castro Valderrama
The last thing parents of sick children expect is threats from militia

Comment

We need to talk about Sudan: Yassmin Abdel-Magied
Would “a battle of narratives” give the war more attention?

RFK Jr could be a disaster for American healthcare: Mark Honigsbaum
An anti-vaxxer has got US lives in his hands

The diamond age of death threats: Jemimah Steinfeld
When violent behaviour becomes business as usual

Free speech v the right to a fair trial: Gill Phillips
Are contempt of court laws fit for the digital age?

Culture

An unjust trial: Ariel Dorfman
A new short story imagines a kangaroo court of nightmares, where victims become defendants

Remember the past to save the future: Sarah Dawood, Diane Fahey
Published exclusively, the issues of antisemitism and colonialism are recorded through poetry

Where it’s more dangerous to carry a camera than a gun: Antonia Langford
A singer meets filmmakers in Yemen, and both take risks to tell her story

The fight for change isn’t straightforward: Shani Dhanda
The Last Word, on exclusion and intersectional discrimination

Botswana’s trans activists battling silence with creativity

It has been a cold, dark road towards dismantling the shackles of homophobia and rebuking the spirit of prejudice and blasphemy that curtains the small society of Botswana. And for transgender activists finding ways to make their voices heard and fight stigmas, art has become an important tool.

In June this year, prominent trans activist Katlego Kolanyane-Kesupile was part of the team that launched the second iteration of the Banana Club Artist Fund, enrolling several LGBTQ+ artists in Botswana for a three month residency aimed at amplifying the voices of marginalised communities through creativity.

Kolanyane-Kesupile is a cultural architect and artivist (or artist-activist), and alongside the Banana Club is also the founder of the Queer Shorts Showcase Festival, an LGBTQ+ themed theatre festival. She uses art to communicate on gender issues and to bring human rights to the fore in Botswana, using creativity as a catalyst for social transformation and mind-set change.

Expressing herself through artivism is the “merging of age-old traditions of storytelling, education and community building,” she told Index.

As part of the PlayCo Black Women Theatre Maker residency in New York, she wrote and produced an Afro-futuristic play. Her work “focuses on marginalised communities and the outputs are focused on creative educational products,” she said, and believes that an artist can also be a critical scholar of human rights and social justice. In fact, she holds a master’s degree in Human Rights, Culture and Social Justice.

At the heart of her craft and expression is a desire to showcase the validity and essence of LGBTQ+ individuals in society and why their experiences matter. Botswana is a country that has made leaps towards acceptance, but where prejudice still runs wild.

Two landmark cases in recent years went a long way to challenging homophobic stances in the country. The first was in 2017, when activist Tshepo Ricki Kgositau became the first trans woman to be allowed to change her gender marker to female on her identity card, after a high court ruling. The second was when same-sex relations were decriminalised at the country’s highest court in 2019. But pushing for more rights and acceptance for LGBTQ+ people has proven difficult.

Botswana has experienced a face-off between the LGBTQ+ community and religious entities, which culminated in a spat during a protest march in the country’s capital city, Gaborone, in July this year. Members of the Evangelical Church community organised the march against a bill that would comply with the 2019 ruling, and make homosexuality legal. Those on the march handed a petition to Parliament, and asked legislators to vote against the bill. The chairperson of the Evangelical Fellowships of Botswana (EFB), Pulafela Siele, said that allowing same-sex relations in Botswana “open[s] the floodgates of immorality and abomination in society”.

Legislator Wynter Mmolotsi, who received the petition on behalf of the National Assembly, said that Parliament is dictated to by the people.

“The only thing that Parliament can do is to make laws that are guided by the values of the country; the values of the people. Parliament can agree or disagree – and make laws that reflect the values of the nation,” he said.

The chief executive director of the organisation of Lesbians Gays and Bisexuals of Botswana (LEGABIBO), Thato Moruti, said that the church’s advocacy not only crippled human rights but also harmed the democracy that Botswana is known to value and prioritise. “The church is setting a dangerous trend of manipulating legislators and the courts. This could cause destabilisation of democracy as they are not only pushing Christian fundamentalism, but also sowing seeds of social discord based on gender and sexual orientation,” he said.

Moruti echoed the need to find common ground and respect the rights of all people, calling for dialogue instead of “combative approaches”.

Kolanyane-Kesupile is not the only trans activist in Botswana using creativity to push for acceptance and the rights of the LGBTQ+ community. Melino Carl is considered Botswana’s first transgender model, and has walked catwalks in Johannesburg, New York and Paris. Fashion is her first love, but growing her artistry and coming out publicly wasn’t easy. She has been assaulted five times and has dealt with being systematically humiliated and ridiculed because of her gender identity and sexual
orientation.

“Homophobia is not taken seriously. So many members of the LGBTQ+ community face discrimination and violence,” Carl told Index.

She said it’s important to highlight the validity of their identity: “Since there are not enough platforms to speak, I express my activism through fashion. I believe that it is a vehicle to inspire and uplift members of the LGBTI community and make them feel validated and boost their self-esteem and confidence.”

Major new global free expression index sees UK ranking stumble across academic, digital and media freedom

A major new global ranking index tracking the state of free expression published today (Wednesday, 25 January) by Index on Censorship sees the UK ranked as only “partially open” in every key area measured.

In the overall rankings, the UK fell below countries including Australia, Israel, Costa Rica, Chile, Jamaica and Japan. European neighbours such as Austria, Belgium, France, Germany and Denmark also all rank higher than the UK.

The Index Index, developed by Index on Censorship and experts in machine learning and journalism at Liverpool John Moores University (LJMU), uses innovative machine learning techniques to map the free expression landscape across the globe, giving a country-by-country view of the state of free expression across academic, digital and media/press freedoms.

Key findings include:

  • The countries with the highest ranking (“open”) on the overall Index are clustered around western Europe and Australasia - Australia, Austria, Belgium, Costa Rica, Denmark, Estonia, Finland, Germany, Ireland, Latvia, Lithuania, Netherlands, New Zealand, Norway, Portugal, Sweden and Switzerland.

  • The UK and USA join countries such as Botswana, Czechia, Greece, Moldova, Panama, Romania, South Africa and Tunisia ranked as “partially open”.

  • The poorest performing countries across all metrics, ranked as “closed”, are Bahrain, Belarus, Burma/Myanmar, China, Cuba, Equatorial Guinea, Eritrea, Eswatini, Laos, Nicaragua, North Korea, Saudi Arabia, South Sudan, Syria, Turkmenistan, United Arab Emirates and Yemen.

  • Countries such as China, Russia, Saudi Arabia and United Arab Emirates performed poorly in the Index Index but are embedded in key international mechanisms including G20 and the UN Security Council.

Ruth Anderson, Index on Censorship CEO, said:

“The launch of the new Index Index is a landmark moment in how we track freedom of expression in key areas across the world. Index on Censorship and the team at Liverpool John Moores University have developed a rankings system that provides a unique insight into the freedom of expression landscape in every country for which data is available.

“The findings of the pilot project are illuminating, surprising and concerning in equal measure. The United Kingdom ranking may well raise some eyebrows, though is not entirely unexpected. Index on Censorship’s recent work on issues as diverse as Chinese Communist Party influence in the art world through to the chilling effect of the UK Government’s Online Safety Bill all point to backward steps for a country that has long viewed itself as a bastion of freedom of expression.

“On a global scale, the Index Index shines a light once again on those countries such as China, Russia, Saudi Arabia and United Arab Emirates with considerable influence on international bodies and mechanisms - but with barely any protections for freedom of expression across the digital, academic and media spheres.”

Nik Williams, Index on Censorship policy and campaigns officer, said:

“With global threats to free expression growing, developing an accurate country-by-country view of threats to academic, digital and media freedom is the first necessary step towards identifying what needs to change. With gaps in current data sets, it is hoped that future ‘Index Index’ rankings will have further country-level data that can be verified and shared with partners and policy-makers.

“As the ‘Index Index’ grows and develops beyond this pilot year, it will not only map threats to free expression but also where we need to focus our efforts to ensure that academics, artists, writers, journalists, campaigners and civil society do not suffer in silence.”

Steve Harrison, LJMU senior lecturer in journalism, said: 

“Journalists need credible and authoritative sources of information to counter the glut of dis-information and downright untruths which we’re being bombarded with these days. The Index Index is one such source, and LJMU is proud to have played our part in developing it.

“We hope it becomes a useful tool for journalists investigating censorship, as well as a learning resource for students. Journalism has been defined as providing information someone, somewhere wants suppressed – the Index Index goes some way to living up to that definition.”

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