Polite Dissent

A real world case this time: Michael Swango’s troubles were first noticeable during medical school at Southern Illinois University. Swango’s demeanor was brusque and he had no bedside manners to speak of. He seemed to have a peculiar fascination with dying patients. He also liked to take the easy way out, and was nearly expelled after being caught cheating during his OB/GYN rotation. In the end, the school let him graduate if he repeated the course work.

Despite a poor recommendation from the dean at the SIU School of Medicine, Swango was selected for a surgical internship at Ohio State University. That’s where the trouble really started. Nurses noticed that healthy patients on the floors where he was assigned happened to die…frequently. One nurse even caught him injecting some medicine into a patient who later became ill. The nurses reported their concerns to the administration, but they were brushed aside and only a superficial investigation was carried out. Despite being cleared by this investigation, Swango was not asked back to OSU because there were concerns about his skills as a physician and surgeon.

Swango returned home to Illinois and started working as a paramedic. Within a few months, the rest of the paramedics noticed that they would get violently ill whenever Swango brought any food in, or prepared the coffee. They investigated and found arsenic and other poisons in his possession, along with a book about poisoning. He was arrested, tried, and imprisoned for these poisonings.

After being released from prison, Swango worked various medical related odd jobs for a while, but eventually managed to bluff his way into a residency program in Sioux Falls. Things went well at first, but then he tried to join the American Medical Association. Unlike the hospital, the AMA performed a background check and discovered that Swango had no medical license and had a past felony conviction. About the same time, the ABC television show 20/20 aired a segment on Swangoand his poisoning conviction. When these were reported to the Dean of the University of South Dakota, Swango was summarily dismissed.

A short time later, Swango surfaced in New York at Stony Brook Medical School where he had been admitted as a psychiatry resident. Once again, his patients started dying for no apparent reason. When the dean at South Dakota heard that Swango had moved to New York, he called the administration at Stony Brook and Swango’s full history came to light. He was fired from yet another residency position. This time, the residency director learned from past mistakes and mailed a warning about Swango to every other residency in the nation.

A year later, Swango surfaced in Africa working as a physician in a rural hospital in Zimbabwe. True to form, his patients again started dying mysteriously. This time the police stepped in and he was arrested, but he skipped town before his trial date came. He hid out elsewhere in Africa and Europe and was close to taking another job as a doctor in Saudi Arabia when he was arrested at O’Hare Airport in Chicago.

Swango was extradited to New York where he was charged and convicted of practicing medicine without a license and fraud. While in prison for those charges, police were building other cases and he ultimately pled guilty to four counts of first-degree murder and was sentenced to life in prison with no possibility of parole. This plea bargain allowed him to avoid the death penalty and extradition to Zimbabwe. All told, it is estimated that Michael Swango killed thirty to sixty patients.

• The Crime Library report on Michael Swango (like all Crime Library articles I’ve read, this one is full of hypebole and trips over its own attempts at flowerly language. Still it’s chock full of good information.)
• Timeline and Documents of the Michael Swango case from CourtTV
• CNN article on Michael Swango.
• An AMA Op-Ed about Swango.