It is one of the oldest binding oaths in history: the Hippocratic Oath outlines a physician’s duty to treat the ill to the best of one’s ability and to do no harm.

Still, somehow, 16 members of Cuba’s medical missions to Venezuela say that they were forced to abandon this promise while serving patients. A new report by the New York Times details how these physicians detailed a system of deliberate political manipulation in which Venezuelan president Nicolás Maduro Moros used coercion of their services to encourage votes for his Socialist Party.

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According to the doctors, various tactics were used to secure votes from patients including the denial of treatment for opposition supporters.

“The Cuban doctors said they were ordered to go door-to-door in impoverished neighborhoods, offering medicine and warning residents that they would be cut off from medical services if they did not vote for Mr. Maduro or his candidates,” writes the New York Times in their latest report about the ongoings in Venezuela. “Many said their superiors directed them to issue the same threats during closed-door consultations with patients seeking treatment for chronic diseases.”

One former Cuban supervisor reported that she and other foreign medical workers were provided with counterfeit identification cards so that they could vote in an election. Another doctor claimed that she was told to give elderly patients “detailed” voting instructions.

“These are the kinds of things you should never do in your life,” the doctor, who spoke to the NYT under the condition of anonymity, stated.

These accounts of manipulation and fraud under Maduro’s legitimate time as president serve as a sort of parallel to the ones Americans face post-2020 election.

Just as Biden supporters have had to combat Trump’s grossly false claims about a “rigged” election, Maduros’ opposition-controlled legislature have had to fight combat claims by Maduro and the results of his undemocratic election.

According to New York Times, “Mr. Maduro’s opponents often accuse Cuba — which has long depended on oil from Venezuela — of propping up his embattled government by sending agents to work with Venezuela’s intelligence agencies, helping its ideological ally crush dissent.”

Perhaps the most shocking aspect of the New York Times report are claims that doctors saw medical supplied hoarded until the May election. (Oddly similar to remarks that Trump has made about withholding a COVID-19 vaccine from New York City.) One physician, Dr. Yansnier Arias, claimed that his supervisors expressed a desire to “flood hospitals” with supplies just before the vote was made in order to make voters believe that Mr. Maduro had solved the country’s shortage difficulties.

“There was oxygen, but they didn’t let me use it,” Dr. Arias told New York Times.“We had to leave it for the election.”

According to New York Times, Dr. Arias defected from the Cuban government’s medical program last year and now lives in Chile.