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Wednesday, March 4, 2026

We covered a now-discredited medical examiner for two decades. These are the botched cases that still haunt us.

Maryland’s former chief medical examiner David Fowler was once a trusted figure in the state’s justice system, responsible for determining the cause of death in numerous suspicious cases. However, a recent audit has uncovered disturbing evidence that casts doubt on the accuracy and integrity of his rulings. As we delve into the details of this audit, we must also revisit the cases where Fowler’s decisions may have hindered the search for truth and justice.

The audit, conducted by the Maryland Office of Legislative Audits, revealed that Fowler’s office was plagued with junk science and questionable practices. This is a serious concern, as the medical examiner’s role is crucial in determining the cause of death and providing closure for the families of the deceased. The audit found that Fowler’s office lacked proper training and procedures, leading to the use of unreliable methods in determining cause of death. This raises serious questions about the validity of his rulings and the impact they may have had on the outcome of investigations.

One of the most alarming findings of the audit was the use of a controversial method known as “excited delirium” in several cases. This term, often used to explain sudden deaths in police custody, has been widely criticized by medical experts as being unscientific and biased. Yet, Fowler’s office continued to use this term in their rulings, potentially leading to wrongful conclusions and a lack of accountability for those responsible for the deaths. This is a clear example of how Fowler’s decisions may have hindered the search for truth and justice in these cases.

Another concerning aspect highlighted in the audit was the lack of oversight and accountability in Fowler’s office. The audit found that there were no clear guidelines for reviewing and revising previous rulings, leaving room for potential errors to go unnoticed. This lack of oversight is particularly concerning in cases where Fowler’s rulings may have been influenced by external factors, such as pressure from law enforcement or political agendas.

Now, as we revisit the cases where Fowler’s rulings may have had a significant impact, we must question the validity of his decisions and the consequences they may have had. One such case is that of Anton Black, a 19-year-old who died in police custody in 2018. Fowler’s ruling in this case, which stated that Black’s death was caused by a heart condition and not excessive force, was met with widespread criticism and sparked protests. The audit’s findings raise serious doubts about the accuracy of this ruling and the potential impact it may have had on the outcome of the investigation.

Similarly, the case of Freddie Gray, a young man who died in police custody in 2015, also raises concerns about Fowler’s role in determining the cause of death. Fowler’s ruling in this case, which stated that Gray’s death was accidental and not a homicide, was met with backlash and accusations of bias. The audit’s findings only add to the doubts surrounding this ruling and the impact it may have had on the pursuit of justice for Gray.

It is important to note that the purpose of revisiting these cases is not to point fingers or assign blame, but rather to shed light on the potential consequences of Fowler’s questionable rulings. The families of the deceased deserve to know the truth about their loved ones’ deaths, and the community at large deserves a fair and impartial justice system.

In light of the audit’s findings, it is imperative that steps are taken to address the issues within Fowler’s office and ensure that such practices are not repeated in the future. This includes implementing proper training and procedures, as well as establishing clear guidelines for reviewing and revising previous rulings. It is also crucial that there is greater oversight and accountability in the medical examiner’s office to prevent any potential biases or external influences from affecting the accuracy of their rulings.

In conclusion, the scathing audit of Maryland’s former chief medical examiner David Fowler’s office has raised serious concerns about the accuracy and integrity of his rulings. As we revisit the cases where his decisions may have hindered the search for truth and justice, it is clear that action must be taken to address these issues and prevent them from happening again. The pursuit of justice and truth for the families of the deceased should always be the top priority, and it is our responsibility to ensure that this is not compromised by questionable practices and biased rulings.

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