George Siano, a 60-year-old White man, entered the Veterans Affairs Medical Center in Northport, New York, as a patient at a moment when the hospital’s corridors seemed ordinary on the surface—monitors humming, nurses moving from room to room, charts clipped to bedsides—yet, according to federal prosecutors, something predatory had already slipped into place. On or about July 1, 1993, a resident physician named Michael J. Swango began working there, and within weeks, Siano’s fate was sea
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