This article is the result of months of digging into ICE deaths. The previous article in this series is viewable here. This reporting has taken much time and resources — and hundreds of dollars in fees to obtain autopsy reports. To support this work, please choose a paid subscription to American Doom or contribute to our Coffee Fund.

Two coroners in Missouri who have publicly expressed anti-immigrant sentiment have overseen the autopsy of an ICE detainee who died in a local jail, American Doom has found. Now, under a questionable interpretation of Missouri law, the two coroners are refusing to release the autopsy report for Brayan Garzon-Rayo, a 27-year-old Colombian man who allegedly took his own life while being held on an ICE detainer in the Phelps County Jail just a little more than a year ago, on April 8.

The refusal of the two coroners — Darren Dake and Ernie Coverdell — to release Garzon-Rayo’s autopsy report highlights transparency issues regarding the record number of deaths in U.S. immigration custody under the Trump administration.

At least 44 people have died in the custody of ICE, other immigration agencies, or in local jails as a result of the Trump administration’s historic crackdown on undocumented immigrants. That’s the highest number of deaths in a 14-month period since the government began publishing detainee death data in 2018 — and possibly since the Department of Homeland Security and ICE were formed in the wake of 9/11.

With about 70,000 immigrants in immigration custody each day, and plans to convert warehouses across the country into detention centers to hold even more, immigrant advocates worry that the number of deaths will continue to rise. As more immigrants are held in facilities that are already at or over capacity, conditions within the facilities will worsen, advocates have warned, leading to delayed responses to medical emergencies and routine ailments.

“These recent tragedies underscore what we’ve known to be true for many years, which is that nobody is safe for any period of time inside ICE detention,” said Laura Hernández, executive director of Freedom for Immigrants, a nonprofit organization devoted to ending immigration detention. “The detention system is infamous for its long-standing record of brutal medical abuse, violence, and premature deaths.”

While poor conditions inside ICE facilities have been well-documented, less known are the exact circumstances that have led to the record number of immigrant deaths during the Trump administration. But records collected by American Doom show that delayed or insufficient staff responses to medical issues played a role in some of those deaths.

In September, a Chinese man experiencing seizures and heart issues was left unattended by medical staff at a facility in California, according to an autopsy report provided to American Doom by authorities. Huabing Xie later died of a heart attack after being left alone for 36 minutes during a crucial window of time, the autopsy showed.

Another autopsy report showed that a Mexican man held at another California facility complained of severe rectal pain for weeks and was given only Tylenol. By the time the man was finally taken to the hospital, staff there recommended emergency surgery. The man, Ismael Ayala-Uribe, died of a heart attack before the surgery could take place. At the time of his death, Ayala-Uribe rated his pain at a level of 10 out of 10.

In Missouri, two men have allegedly taken their own lives while being held in local jails on ICE detainers. They are among at least seven people who have died of what ICE and local authorities have said are suicide. In the case of Garzon-Rayo, he denied having a history of depression or suicidal thoughts, according to a detainee death report released by ICE. Several days later, after testing positive for COVID and tuberculosis, Garzon-Rayo allegedly committed suicide.

But authorities have yet to release key records that could shed light on the exact circumstances of Garzon-Rayo’s death, which his family has questioned. Those records include Garzon-Rayo’s autopsy report, which Dake and Coverdell have refused to release. The two coroners have claimed an exemption in Missouri state law that prevents them from publicly releasing the report, but civil rights attorneys and public records experts who spoke to American Doom say the law is not prohibitive, and that it’s up to individual coroners in Missouri to release autopsy reports.

This fact is backed up by the cooperation of another coroner in Missouri, who has agreed to release the autopsy report for Luis Cruz-Silva, who allegedly took his own life while in custody at the Ste. Genevieve County Jail.

Dake and Coverdell have offered various explanations for their refusal to release Garzon-Rayo’s autopsy report. Initially, Coverdell told American Doom he couldn’t release the report because “it’s an ICE report,” without providing further information. Later, he joined Dake in citing state law regarding autopsy reports that the two men say prevent them from releasing the document publicly. But that’s simply not the case.

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The Missouri Attorney General as well as local prosecutors did not respond to requests for clarification on whether Dake and Coverdell were allowed by law to release Garzon-Rayo’s autopsy report, but the public records experts who spoke to American Doom confirmed that the law is not prohibitive — both men could release the report if they wished. Additionally, the Missouri State Highway Patrol, which investigated the deaths of Garzon-Rayo and Cruz-Silva, have not yet provided records related to the two men’s deaths as requested under the state’s public records law by American Doom.

The lack of transparency over Garzon-Rayo’s death is a reflection of the byzantine network of immigration detention facilities, multiple federal agencies, local law enforcement, and medical examiners and coroners across the country that must be navigated in order to understand exactly how the 44 people who have died in ICE custody under Trump met their deaths.

In many cases, local authorities like medical examiners and coroners have helpfully released key records like autopsy reports. In others, local authorities and ICE have put up roadblocks to obtaining information about deaths in custody, or have provided incomplete and sometimes misleading information about those cases.

For Garzon-Rayo, the situation is clear: Dake and Coverdell could release his autopsy report, but have refused to do so. Coverdell has said he has viewed video from inside the Phelps County Jail that confirmed Garzon-Rayo took his own life, but declined to answer questions about exactly what that footage showed. The Missouri State Highway Patrol investigated the deaths of Garzon-Rayo and Cruz-Silva, but would only say that no charges are forthcoming.

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After Garzon-Rayo died, Coverdell took custody of his body. Unable to conduct the autopsy himself — Coverdell is an elected coroner but not a licensed medical pathologist — Coverdell paid Dake, the coroner in nearby Crawford County, $2,600 to conduct the autopsy, he told American Doom.

Coverdell and Dake have a history of making public comments in support of Trump’s immigration policies, among other disparaging remarks about Democrats, liberals and Americans who don’t support Donald Trump, according to an American Doom review of their Facebook posts going back to 2018.

“CLOSE THE BORDER,” read a post shared in 2023 by Coverdell.

In 2018, Coverdell shared a photo of a migrant caravan with a caption that read, in part, “wake up before we are truly overun (sic) you liberal fools.” Coverdell has shared posts that said “toilet dwelling” Democrats propagate a “culture of hate.”

Among his many posts on his personal Facebook page, which has no privacy restrictions, Coverdell has also shared an AI-generated photo that showed an encampment of tents in a trash-strewn field under the banner, “Kamala’s America;” another AI-generated photo that showed the Statue of Liberty constructing a wall at the U.S. southern border; and a Dec. 23, 2023 post that encouraged his Facebook audience: “Everyone post: CLOSE THE BORDER!”

Dake has shared posts that support Trump’s “remain in Mexico” asylum policy and decried “leftists” who “hate border walls and gun rights,” among other pro-Trump posts.

Dake said he found nothing wrong with his posts, adding that he was “looking forward to the publicity.”

“Every time you left-leaning ‘journalists’ write a spin piece about me my support and popularity increases,” Dake told American Doom.

Dake did not answer specific questions about Garzon-Rayo’s autopsy, pointing to Coverdell in Phelps County. Coverdell told American Doom that he had seen video from inside Garzon-Rayo’s cell, but did not elaborate.

“It doesn’t matter what race, religion, ethnic background,” someone is, Coverdell told the American Doom, “if it’s a person that feels it’s better to die than face life for one reason or another.”

Coverdell said he did not intend to “disparage immigrants,” and said that he “in no way believes it is good when someone dies, especially by suicide.”

In August, Phelps County Sheriff Michael Kirn, whose agency oversees the jail, addressed members of the county commission about the county’s agreement with ICE to hold detai...