Saudi Press

Saudi Arabia and the world
Friday, Feb 20, 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

Saudi Press
0:00
0:00
Close
Concerns Mount Over Potential Saudi Uranium Enrichment in Prospective US Nuclear Accord
Investability Emerges as the Defining Test of Saudi Arabia’s Next Market Phase
Saudi Arabia’s Packaging Market Accelerates as Sustainability and E-Commerce Drive Transformation
Saudi Arabia’s Strategic Minerals Drive Offers Lessons for Europe’s Supply Chain Ambitions
Saudi Arabia Unveils $32 Billion Push Into Theme Parks and Global Entertainment
Saudi Crude Exports to India Climb Sharply, Closing Gap With Russia
Saudi Arabia’s Halal Cosmetics Market Expands as Faith and Ethical Beauty Drive Growth
United Kingdom Denies U.S. Access to Military Base for Potential Iran Strike
ImmunityBio Secures Saudi Partnerships to Launch Flagship Cancer Therapy
Türkiye and Saudi Arabia Launch Expanded Renewable Energy Partnership
US Supreme Court Voids Trump’s Emergency Tariff Plan, Reshaping Trade Power and Fiscal Risk
UK Intensifies Efforts to Secure Saudi Investment in Next-Generation Fighter Jet Programme
Saudi Arabia Tops Middle East Green Building Rankings with Record Growth in 2025
Qatar and Saudi Arabia Each Commit One Billion Dollars to President Trump’s ‘Board of Peace’ Initiative
Ramadan 2026 Prayer Times Set as Fasting Begins in Saudi Arabia and Egypt Announces Dates
Saudi Arabia Launches Ramadan 2026 Hotel Campaign to Boost Religious and Leisure Tourism
Saudi Arabia Seeks Reroute of Greece-Bound Fibre-Optic Cable Through Syria Instead of Israel
Saudi-Backed Scopely Acquires Majority Stake in Turkey’s Loom Games to Expand Mobile Portfolio
Zodiac Milpro Launches Zid Marine Joint Venture in Saudi Arabia to Expand Regional Shipbuilding
Saudi Arabia Reaffirms Reform Path Amid Claims of Ideological Reversal
Calls Grow for Saudi Arabia and UAE to Settle Differences Through Direct Dialogue
Jensen Huang just told the story of how Elon Musk became NVIDIA’s very first customer for their powerful AI supercomputer
British couple sentenced to 10 years in Iran for espionage
Former British Prince Andrew Arrested on Suspicion of Misconduct in Public Office
Unitree Robotics founder Wang Xingxing showcases future robot deployment during Spring Festival Gala.
Prince William Holds Talks with Crown Prince Mohammed bin Salman During Saudi Visit
Saudi Arabia’s Humain Commits $3 Billion Investment to Elon Musk’s xAI
SCOPA Executive Unveils Ambitious Relaunch Strategy for Saudi Production Company
Saudi Arabia Sees Rise in Business Visa Rejections Amid Tighter Compliance Checks
Saudi PIF Transfers Take-Two Stake to Savvy Games Group in Strategic Gaming Push
Jimmy Carr Says He ‘Loved’ Saudi Arabia Show Amid Debate Over Performing in the Kingdom
Sotheby’s ‘Origins II’ Auction Signals Saudi Collectors’ Shift Toward Cultural Legacy
EY and Microsoft Deepen Saudi Arabia Partnership with Launch of EY Studio+
Google Pay Launches Support for Mastercard Cards in Saudi Arabia
Saudi Arabia Bolsters Maritime Surveillance Fleet with Four C-27J Patrol Aircraft
Kazakhstan and Saudi Arabia Deepen Strategic Partnership with New Investment and Energy Agreements
Saudi Crown Prince Receives Written Message from Kazakhstan’s President Amid Expanding Strategic Ties
ImmunityBio Shares Rise After Saudi Arabia BCG Manufacturing Update Spurs Investor Optimism
Global Music Star Tyla Confirmed as Headliner at 2026 Saudi Arabian Grand Prix Entertainment Lineup
Somalia and Saudi Arabia Forge New Military Partnership Amid Regional Power Shifts
Saudi Arabia and Several Nations Criticize Israeli West Bank Land Measures as Diplomatic Tensions Rise
Saudi Public Investment Fund Transfers Stake in Take-Two Interactive as Portfolio Strategy Evolves
Saudi Arabia’s Flagship Defense Expo Highlights Industrial Ambitions and Expanding Arms Portfolio
Strategic Divergence Deepens as Saudi Arabia and UAE Recalibrate Gulf Partnership
Saudi Arabia Confirms Start of Ramadan as Crescent Moon Sighted, While Other Nations Begin a Day Later
Rubio Calls for Sweeping U.N. Reform, Saying It Has Failed to End Wars in Gaza and Ukraine
10,000 Condoms Distributed at Winter Olympics 2026 Athlete Village Depleted Within 72 Hours
Prince William Meets Saudi Crown Prince as Epstein-Andrew Fallout Casts Shadow
Goldman Sachs and DP World Executive Resignations: Elite-Reputation Risk and Corporate Governance Fallout From the Epstein Disclosures
OpenAI and DeepCent Superintelligence Race: Artificial General Intelligence and AI Agents as a National Security Arms Race
×