We wrote to officials in Honduras regarding ongoing death threats to Dr. Ligia Ramos, who as president of the Medical Association of the Honduran Social Security Institute (IHSS), has been publicly critical of the government, especially its disinvestment in the public health system. Now living in exile with her children, Dr. Ligia Ramos is campaigning for a seat in the national legislature. We are urging that authorities in Honduras: (1) carry out a thorough and impartial investigation into the threats to the life of Dr. Ligia Ramos, publish the results and bring those responsible to justice; (2) implement the necessary measures to guarantee the physical and psychological integrity of Dr. Ligia Ramos, in direct consultation with her; (3) protect the democratic process by working to immediately halt all threats and assassinations of political candidates, poll workers, and journalists, as have been well documented since the military coup in 2009.