In the early 1990s, Tom Gosinski was the director of government and international affairs for the American Voluntary Medical Team, which did relief and medical volunteer work in third world countries.

Hired by Cindy McCain in 1991, Gosinski enjoyed his job, but he began to notice McCain's erratic behavior in the summer of 1992. In his journal, he wrote that he and others suspected the boss was addicted to painkillers and might have been stealing them from the organization.

From Gosinski's journal, July 27, 1992:

I have always wondered why John McCain has done nothing to fix the problem. He must either not see that a problem exists or ... not choose to do anything about it. It would seem that it would be in everyone's best interest to come to terms with the situation. And do whatever is necessary to fix it. There is so much at risk: The welfare of the children; John's political career; the integrity of Hensley & Company [Cindy's parents' business]; the welfare of Jim and Smitty Hensley [Cindy's parents]; and the health and happiness of Cindy McCain.

The aforementioned matters are of great concern to those directly involved but my main concern is the ability of AVMT to survive a major shake-up. If the DEA were to ever conduct an audit of AVMT's inventory, I am afraid of what the results might be ... It is because of [Cindy McCain's] willingness to jeopardize the credibility of those who work for her that I truly worry.

During my short tenure at AVMT I have been surrounded by what on the surface appears to be the ultimate all-American family. In reality, I am working for a very sad, lonely woman whose marriage of convenience to a U.S. Senator has driven her to: distance herself from friends; cover feelings of despair with drugs; and replace lonely moments with self-indulgences.

In his journal-writing over the next few months, Gosinski would alternately complain about Cindy McCain and express concern for her well-being.

In January 1993, McCain fired Gosinski. She told him that AVMT was having financial problems and couldn't afford him.

Gosinski had already come to suspect that Cindy McCain had gotten volunteer doctors with AVMT to sign prescriptions for her, and had used employees' names to fill them. Worried his own name had been used (he would eventually learn that it had), Gosinski approached DEA agents in the spring of 1993 to report McCain's suspicious behavior. The DEA launched an investigation.

Almost a year later, with the statute of limitations about to run out, Gosinski hired a labor attorney and sued Cindy McCain for wrongful termination. He intended to claim that she fired him because she suspected he knew about her addiction, but the lawsuit never got that far. Instead, Gosinski's attorney wrote to the McCains, asking for a settlement of $250,000.

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