From custody deaths to suspicious cases, records reveal how one office’s failures denied accountability.

Nearly 20 years ago, I stepped into the downtown Baltimore office of an obscure state official named Dr. David Fowler. He was lanky, affable, with an Afrikaner accent that alluded to his South African roots. He was also the state’s chief medical examiner, the man who determined the fate of all cases of suspicious deaths across the state. I had no idea at the time, but roughly two decades…

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