An enormous concentration of power by the executive has allowed President Daniel Ortega’s government to commit egregious abuses against critics with complete impunity. In April 2018, police, in coordination with armed pro-government groups, brutally repressed anti-government protestors, killing hundreds, injuring several thousand, and arbitrarily detaining many. The Nicaraguan government has since intensified its crackdown on civil society and the free press and ended the mandates of several international organizations monitoring human rights in the country. The government’s response to Covid-19 failed to implement measures recommended by global health experts.