The US authorities are yet to acknowledge that the Guantánamo detention regime is contrary to international human rights law. And while the administration continues to blame Congress for blocking resolution of the detentions, the administration’s own “promise” involves moving some four dozen detainees into indefinite detention elsewhere and continuing to resort to a military commission system falling short of international fair trial standards. In this document Amnesty International looks at the backdrop to the present hunger-strike, medical ethics, excuses and broken promises before recommending five steps towards ending the Guantánamo injustice.