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The medical examiner who performed an autopsy on Jeffrey Epstein waited to rule his death a suicide because so many people wanted him dead.
Dr Kristin Roman's thoughts on the autopsy came to light after Epstein's brother hired Dr Michael Baden, who claimed the billionaire pedophile's death needs to be reinvestigated as a homicide.
Roman delayed her ruling of suicide in an effort of 'being thorough,' a newly-released interview with the Department of Justice revealed.
She told the DOJ for their investigation into Epstein's death that the financier's infamy was the reason the held off on her decision.
'If he had been a less high-profile person who there weren't people wanting to kill, I would have probably called it a hanging on the day of autopsy,' Roman said, in an interview conducted in May of 2022.
'It was pretty clear cut,' she said, claiming the death was a suicide.
She came to her conclusion being able to look at photographs from his cell at the Metropolitan Detention Center following her delay.
However, she was not allowed to speak to any correction officers or visit the cell. She claims that this was not a factor in her decision.
A medical examiner who performed the autopsy on Jeffrey Epstein waited to rule that he killed himself because of the many people who wanted to murder the billionaire pedophile
Dr Kristin Roman's thoughts on the autopsy have remained a mystery
'It would have been more for completeness rather than a big factor in making the determination.'
'Was he fully hanging? Where was he hanging? That kind of stuff,' Roman said of what she was trying to find out.
Baden said in February that he is unconvinced by the conclusion of the New York Medical Examiner's Office that the American millionaire took his own life while awaiting trial on sex trafficking charges.
He reiterated to Business Insider on Friday that he believes it was a homicide. While the doctor did not carry out the post-mortem himself, he was present during the examination and acted as an observer on behalf of Epstein's family.
Where Roman and Baden disagree is on a series of fractures in Epstein's neck which Roman said supports a suicide and are not the breaks you would see on someone who had been strangled.
Baden, however, said that he's only seen three fractures in a suicide by hanging in his 25 years working for the city as a medical examiner or in his decades working for the state overseeing prison deaths.
'That doesn't mean it can never happen, but it sure as hell is very rare if it happens,' he said.
One advantage Roman had was being able to see the nooses found in Epstein's cell, which Baden did not get to see.
Roman (pictured) only delayed her ruling of suicide in an effort of 'being thorough,' a newly-released interview with the Department of Justice revealed
One advantage Roman had was being able to see the nooses found in Epstein's cell, which Baden did not get to see
The multiple nooses created a problem for Roman, who admitted she was 'not as convinced as I would like to be' as to which one Epstein hung himself.
However it did not affect her decision to call it a suicide, whereas Baden saw only photos of the nooses and claimed the ligature marks on Epstein's neck did not match what usually matches a hanging.
Roman also saw photos of two nooses found in Epstein's cell, which she said could have been used.
'Either one of these, in terms of its shape, could have caused the markings on Mr. Epstein,' she said.
The New York City Medical Examiner's office has not responded to The Daily Mail's request for comment.
Roman admitted to doing 'a lot of ducking of the media' since her involvement in the case.
Epstein's brother Mark told Business Insider he remains convinced his brother was murdered and said of the interview with Roman: 'They're either lying, they're incompetent, or they're wrong.'
Baden has called for the cause of the pedophile's death to be reinvestigated, almost seven years after he was found unresponsive at the Metropolitan Correctional Center on August 10, 2019.
In December, a censored version of Epstein's post-mortem examination was published as part of the DOJ's first release of the so-called Epstein files
On the document, the serial sex offender's 'manner of death' is marked as 'pending', while boxes for homicide and suicide are left blank
'My opinion is that his death was most likely caused by strangulation pressure rather than hanging,' the pathologist, who was hired by the financier's estate, told The Telegraph a month ago.
He added: 'Given all the information now available, further investigation into the cause and manner of death is warranted.'
Following the release of more than three million documents related to the late sex offender by the DOJ, more questions have been raised about the nature of Epstein's death.
Buried deep in the latest tranche of files is never-before-seen footage revealing the moment prison guards found the pedophile's corpse.
A video shows the outline of a prison guard approaching a desk near Epstein's cell at 6:30am on the day of his death. Just 10 seconds later, the person then makes his way to the cell.
A little over a minute after this, a guard can be seen moving back and forth between the security desk, where he is shortly joined by two others, and the area housing Epstein's cell.
The guards are then seen running between the two areas. Epstein was officially declared dead at 6:39am, abruptly halting one of the most closely watched federal criminal cases in recent memory.
But according to newly-released files, investigators noticed an orange shape moving up a staircase towards the financier's cell on the night of his death.
Epstein's 2019 death remains an object of fascination in American political life
Epstein was found dead in the Metropolitan Correctional Center on August 10, 2019
Officials from the FBI and the DOJ's Office of the Inspector General (OIG) flagged the suspicious CCTV footage, which may have been 'an inmate' walking up to the floor the notorious pedophile was being held on.
A report, from the OIG, noted that at 10.39pm on August 9, 2019, FBI agents observed that 'a flash of orange looks to be going up the L Tier stairs - could possibly be an inmate escorted up to that Tier'.
Further documents reveal that authorities were in dispute about the cause of the unexplained 'orange flash'.
While the FBI suspected it was another inmate, the Inspector General wrote: 'Inmates are currently on lockdown, it is possible someone is carrying inmate linen or bedding up.'
The final report by the Inspector General stated: 'At approximately 10.39pm, an unidentified CO [correctional officer] appeared to walk up the L Tier stairway, and then reappeared within view of the camera at 10.41pm.'
The analysis from the two investigative bodies contradicts public statements made by at least two top US officials.
Bill Barr, who was the US attorney general during Trump's first term, claimed in a 2019 interview that he had personally reviewed security footage that confirmed that no one entered the area where Epstein was housed on the night he died.
And last May, former deputy director of the FBI Dan Bongino told Fox News: 'There's video clear as day. He's the only person in there and the only person coming out. You can see it.'
Dr Michael Baden has called for the cause of the paedophile's death to be reinvestigated, almost seven years after it occurred in New York
He added shortly before the release of the video last August: 'We are working on cleaning it up to make sure you have an enhanced [version] and we're going to give the original so you don't think there were any shenanigans.'
In light of new information, Dr Baden is pushing for further examination into the financier's cause of death.
In December, a censored version of Epstein's post-mortem examination was published as part of the DOJ's first release of the so-called Epstein files.
On the document, the serial sex offender's 'manner of death' is marked as 'pending', while boxes for homicide and suicide are left blank.
According to Dr Baden, his professional findings following the post-mortem on August 11, 2019 were 'inconclusive'.
Epstein's death certificate was then published pending further investigation of the cause, he claimed.
But five days later, this decision was allegedly 'superseded' by Dr Barbara Sampson, New York’s then-chief medical examiner.
She ruled that the financier died by hanging, and the manner was suicide.
A shadowy, orange object could be seen moving up the stairs to Epstein's cell block at the New York prison at around 10:40pm, the night before he was found dead
Epstein's real corpse was secretly removed in a separate vehicle, newly unsealed files claim
The records also reveal that investigators later noted a handwritten note found inside Epstein's cell at the time of his death, although the medical examiner concluded it was not a suicide note
She was not present at the post-mortem, Dr Baden claimed.
At the time, Dr Sampson publicly dismissed Dr Baden's theory about strangulation, saying she stands 'firmly' behind her conclusion.
The pedophile's lawyers, meanwhile, said they were 'not satisfied' with the medical examiner's findings, and said they shared Dr Baden's concerns.
'I have not seen any evidence of further study, nothing that indicated further investigation into the cause of death,' Dr Baden, 92, said, adding that Dr Sampson’s ruling was just 'accepted'.
'The diagnosis was made a number of days after the first cause of death given,' he added.
In abnormal or highly suspicious scenarios, it can sometimes take weeks or even months to determine a final cause of death.
The pathologist was one of the first people to raise alarm following the ruling, telling Fox News in 2019: 'The evidence points toward homicide rather than suicide.'
'That was my opinion at that time, and I still stand by it,' he told The Telegraph in a recent interview.
Jeffrey Epstein and Ghislaine Maxwell attend de Grisogono Sponsors The 2005 Wall Street Concert Series Benefitting Wall Street Rising
A protester holds a sign related to the release of the Jeffrey Epstein case files outside the US Capitol in Washington, DC
'The autopsy findings are much more consistent with a crushing injury caused by homicidal strangulation than caused by hanging by suicide.'
Meanwhile, Donald Trump's justice department and the FBI have both stated that Epstein took his own life and that there is no evidence indicating he was murdered in his cell.
According to the official post-mortem, three distinct fractures were identified on the financier's neck: one on the left hyoid and one in the thyroid cartilage on the right side, and one on the left.
Discrepancies found in the three million files related to the disgraced financier released on January 30 have further fuelled speculation surrounding Epstein's cause of death.
For example, a federal statement announcing his death surfaced in the newly released documents, but it carries a date that appears to precede the moment he was officially found dead inside his New York prison cell.
The document, issued by the United States Attorney's Office for the Southern District of New York and dated Friday, August 9, 2019, states that Epstein had already been found unresponsive and pronounced dead.
But prison records and official accounts show Epstein was not discovered unresponsive until the morning of August 10, 2019, when a corrections officer delivering breakfast found him in his cell.
The financier's death came amid a cascade of failures inside one of the federal government's most secure detention facilities.
Jeffrey Epstein's brother Mark (left) still believes his brother was murdered
This undated trial evidence image obtained December 8, 2021, from the US District Court for the Southern District of New York shows British socialite Ghislaine Maxwell and US financier Jeffrey Epstein
Prison records show that guards assigned to monitor Epstein did not conduct required checks during the overnight hours before his body was discovered.
Scheduled rounds at 3am and 5am were missed, according to official findings.
Furthermore, cameras positioned outside Epstein's cell were not functioning properly that night.
Investigators later confirmed that at least two surveillance cameras had malfunctioned, leaving critical gaps in visual monitoring of the area.
Because of those failures, officials were unable to establish a definitive timeline of Epstein's final moments.
According to an official report, a noose made out of an orange bedsheet discovered in the cell was later determined not to be used in Epstein's death.
Dr Baden claimed he noticed this fact during the post-mortem and was worried at the time that the 'noose didn't match the [injury]'.
'It wasn’t smooth like the sheet, the markings [on Epstein’s neck] would have required a different type of material,' he said.
He also alleged that critical evidence was lost because of mistakes made by officials in the handling of Epstein's body.
'[They] moved the body, guards refused to say how the body was found, and he was moved to the infirmary,' he said, which he claims is a 'highly unusual' chain of events.
Most crucially, Dr Baden says, Epstein’s time of death was 'lost'.
To this day, no precise official time of death has been determined.
Epstein, 66, had been held at the Manhattan jail since his arrest on July 6, 2019, after federal prosecutors charged him with sex trafficking minors and conspiracy.
He pleaded not guilty and was awaiting trial when he died in custody just over a month later.
According to official accounts of the morning of August 10, Epstein was discovered unresponsive and medical personnel attempted to revive him, but he was pronounced dead soon afterward.
The newly released files claim that jail guards overseeing Epstein used a decoy body to mislead reporters gathered outside the prison after his death.
Meanwhile, his real corpse was secretly removed in a separate vehicle, the documents allege.
According to an internal memo, a jail supervisor told FBI agents that staff at Manhattan's Metropolitan Correctional Center staged the ruse amid an intense media presence following Epstein's apparent suicide.
The files claim that boxes and sheets were arranged to resemble a human body and loaded into a white van marked as belonging to the Office of the Chief Medical Examiner, prompting reporters to follow it as it drove away.
Unbeknown to the media, Epstein's actual body was instead placed into a black vehicle that left the facility 'unnoticed,' allowing officers to transport the corpse privately.
The alleged deception was carried out after an official warned guards about the large number of journalists gathered outside the jail and said he would arrive at the loading dock with a separate black vehicle to remove the body.
The records also reveal investigators highlighted a handwritten note found inside Epstein's cell at the time of his death, which was not treated as a suicide note by the medical examiner.
The note, which investigators said was 'difficult to read', appeared to list grievances about jail conditions, including complaints about food, showers and bugs.
After Epstein was pronounced dead at hospital, his body was returned to federal custody at the prison while arrangements were made for its transfer to the Office of the Chief Medical Examiner.
One interview note states that because of the 'large news media presence,' staff devised a plan to 'thwart' reporters as the body was removed.
According to the document, officers 'used boxes and sheets to create what appeared to be a human body, which was put into the white OCME vehicle which the press followed, allowing the black vehicle to depart unnoticed with EPSTEIN's body'.
Other sections of the records describe how officers were stationed at a secure facility linked to the prison, where Epstein's body was guarded while fingerprinting and other procedures were carried out ahead of its transfer.