What's Happening?
Randal Alberto Gamboa-Esquivel, a Costa Rican national detained by U.S. Immigration and Customs Enforcement (ICE), died weeks after being airlifted to Costa Rica. Gamboa-Esquivel was detained in December
2024 after entering the U.S. unlawfully. Diagnosed with unspecified psychosis, he was transferred to Costa Rica in September 2025. His wife, Adriana Ureña Cordero, claims he suffered brain damage due to overmedication with antipsychotic drugs. Costa Rican doctors did not confirm several diagnoses noted in ICE records, including cirrhosis and kidney damage. The Costa Rican Ministry of Foreign Affairs is seeking clarification from the U.S. government regarding his detention and medical treatment.
Why It's Important?
This case highlights potential issues within the U.S. immigration detention system, particularly concerning medical care and detainee rights. Allegations of overmedication and inadequate communication with family members raise questions about the treatment of detainees and the protocols followed by ICE. The incident could lead to increased scrutiny of ICE's medical practices and detention conditions, potentially prompting policy reviews or reforms. It also underscores the importance of international cooperation and transparency in handling cases involving foreign nationals.
What's Next?
The Costa Rican government is actively seeking more information from the U.S. to understand the circumstances of Gamboa-Esquivel's detention and medical treatment. The outcome of this investigation could influence future diplomatic relations and cooperation between the two countries. Additionally, the case may prompt U.S. lawmakers and human rights organizations to call for investigations into ICE's detention practices and medical care standards.








