It was equipped with the latest medical apparatus, such as magnetic resonance imaging, ultrasound, electrocardiograms and X-ray machines. I didn't see any improvement in the availability of food and medicine in any of the hospitals I worked in during my entire stay. These camps are closed to foreigners. Before Cap Anamur came to North Korea, other agencies such as Oxfam and CARE pulled out because they weren't allowed to distribute aid directly to the people. They had to turn it over to the authorities, who took complete charge of distribution.
Monitoring is impossible.
Nobody really knows where the aid is going, except that it is not going to the starving citizens. If a doctor's diagnosis is that North Korea suffers from society-wide fear and depression because of the cruel system, he has to think about the right therapy and to speak out against repression. The international community, especially humanitarian groups, must demand access to the shadowy world of labor camps. They have to look for the violence that is hidden from us by the system. The system's beneficiaries are members of the Communist Party and high-ranking military personnel.