The State Department on Thursday said Chavez’s comments were “horrific and reprehensible.” Spokeswoman Victoria Nuland said they were not worthy of further response.

Chavez has long questioned whether the US government could be plotting to oust him. But earlier this week he went far beyond that, saying it was very strange that he and the leaders of Argentina, Brazil and Paraguay have struggled with cancer.

He said he wasn’t accusing the US and doesn’t have any proof. But he asked, in his words, “Would it be strange if they had developed a technology to induce cancer and no one knew it?“