This is a good time to ask apologists for the Islamic regime who degrades Islam? Who imposes stoning forced marriage of underage girls and flogging for not wearing the veil? Do such practices represent Iran's ancient history and culture its ethnic and religious diversity? Its centuries of sensual and subversive poetry?

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The answer was that in Burundi having a clean bill of health has taken on a very particular meaning: unless and until you have paid for your hospital treatment you simply can't leave you are in effect a captive.