National Guard shooting suspect hospitalized after refusing food, water for weeks in custody
WASHINGTON, DC: A federal prosecution carrying the possibility of the death penalty took an unexpected turn Thursday, July 9, after the man accused of fatally shooting West Virginia National Guard specialist Sarah Beckstrom was rushed from jail to a Washington hospital following an extended refusal to eat or properly hydrate.
The incident forced the court to address his medical condition before the criminal case could move forward.
Medical emergency interrupts high-profile prosecution
The defendant, Ramanullah Lakanwal, is charged with opening fire on two National Guard members in Washington last year, an attack that prosecutors say claimed Beckstrom's life and seriously injured another service member.
Instead of focusing on trial preparations, court proceedings centered on Lakanwal's health after he was admitted overnight to George Washington University Hospital.
During the hearing, US District Judge Amit Mehta indicated the defendant's physical condition had worsened over a relatively short period, prompting immediate medical intervention.
Lakanwal's lawyer told the court that her client had spent roughly two weeks refusing meals and had also gone for long periods without drinking water.
The judge was informed that his declining health ultimately required hospital treatment, creating an unexpected complication in a case that federal prosecutors intend to pursue as a capital prosecution.
No detailed explanation was offered in court regarding why Lakanwal allegedly stopped eating.
Prosecutors seek medical information
The hospitalization quickly sparked another dispute inside the courtroom.
Government attorneys argued that officials responsible for overseeing Lakanwal while he remains in federal custody need access to information about his current medical condition so they can determine how he should be managed once he leaves the hospital.
The defense objected, warning that broader access to his medical history could later influence a prosecution that is already seeking the harshest possible punishment.
Rather than granting prosecutors unrestricted access, Judge Mehta adopted a narrower approach.
He declined to order the release of Lakanwal's previous medical records but ruled that information generated during his current hospitalization could be shared with the Department of Justice to assist officials responsible for his care while he remains detained.
The decision leaves his earlier medical history protected while allowing authorities to monitor his immediate condition.
Lakanwal continues to face charges stemming from the fatal shooting of Beckstrom and the wounding of another National Guard member during the same incident in Washington.
Because prosecutors are pursuing the death penalty, every stage of the proceedings has attracted heightened legal scrutiny.
NEW: President Trump announces that National Guard member Sarah Beckstrom has sadly passed away.
— Collin Rugg (@CollinRugg) November 28, 2025
Beckstrom was shot by a suspected Afghan national.
“Seconds before I went on right now, I heard that Sarah Beckstrom of West Virginia… highly respected, young magnificent person…”… pic.twitter.com/de6dFA9766
His hospitalization is not expected to alter the charges against him, but it has temporarily shifted attention from trial preparation to whether his health permits him to continue participating in the case.