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"It has been difficult for the U.S. public, journalists, and members of Congress to get an accurate understanding of the amount of military equipment and financial assistance that the U.S. government has provided."
U.S. armed aid to Israel and related spending on American militarism in the Middle East cost taxpayers at least $22.76 billion over the past year, according to new research published Monday.
The Costs of War Project at Brown University's Watson Institute for International & Public Affairs—which has long been the premier source for statistics on the human and economic costs of ongoing U.S.-led post-9/11 wars and militarism in the Middle East and beyond—called the $22.76 billion estimate "conservative."
"This figure includes the $17.9 billion the U.S. government has approved in security assistance for Israeli military operations in Gaza and elsewhere since October 7—substantially more than in any other year since the U.S. began granting military aid to Israel in 1959," report authors Linda Bilmes, William Hartung, and Stephen Semler wrote. "Yet the report describes how this is only a partial amount of the U.S. financial support provided during this war."
In addition to the repeated multibillion-dollar rounds of military aid to Israel, related U.S. operations in the region, particularly bombing and shipping defense in and near Yemen—where Houthi rebels have attacked maritime commerce and launched missiles at Israel—have cost over $2 billion since last October.
"It has been difficult for the U.S. public, journalists, and members of Congress to get an accurate understanding of the amount of military equipment and financial assistance that the U.S. government has provided to Israel's military during the past year of war," the report states. "There is likewise little U.S. public awareness of the costs of the United States military's own related operations in the region, particularly in and around Yemen."
The analysis adds that regional hostilities "have escalated to become the most sustained military campaign by U.S. forces since the 2016-19 air war" against the so-called Islamic State in Iraq and Syria.
"The Costs of War project has an obligation to look at the consequences of the U.S. backing of Israel's military operations after October 7, especially as it reverberates throughout the region," Costs of War director Stephanie Savell said in a statement. "Our project examines the human and budgetary costs of U.S. militarism at home and abroad, and for the last year, people in Gaza have suffered the highest consequences imaginable."
According to the Gaza Health Ministry and international agencies, Israel's yearlong assault on Gaza has left at least 149,000 Palestinians dead, maimed, or missing, and millions more forcibly displaced, starved, or sickened. U.S. military aid to Israel has continued in successive waves, even as the country stands trial for genocide at the International Court of Justice.
The Hamas-led October 7 attack on resulted in more than 1,100 Israeli and other deaths—at least some of which were caused by so-called "friendly fire" and intentional targeting under the Hannibal Directive—with more than 240 people kidnapped.
Although the Costs of War Project report mainly covers U.S. aid to Israel since last October, it also notes that since 1948—the year the modern state of Israel was founded, largely through the ethnic cleansing of Palestine's Arabs—American taxpayers have contributed over a quarter trillion inflation-adjusted dollars to the key Mideast ally.
A second report published Monday by the Costs of War Project found that around 90% of Gaza's population has been forcibly displaced by the Israeli onslaught and 96% of Gazans face "acute levels of food insecurity." The publication cites a letter sent last week by a group of U.S. physicians to President Joe Biden—who has repeatedly declared his "unwavering" support for Israel—stating that "it is likely that the death toll from this conflict is already greater than 118,908, an astonishing 5.4% of Gaza's population." That figure includes 62,000 deaths due to starvation.
"In addition to killing people directly through traumatic injuries, wars cause 'indirect deaths' by destroying, damaging, or causing deterioration of economic, social, psychological and health conditions," report author Sophia Stamatopoulou-Robbins wrote. "These deaths result from diseases and other population-level health effects that stem from war's destruction of public infrastructure and livelihood sources, reduced access to water and sanitation, environmental damage, and other such factors."
The new report comes less than two weeks after Israel secured yet another U.S. armed aid package, this one worth $8.7 billion. Meanwhile, the Federal Emergency Management Agency said it faced a nearly $9 billion shortfall for Hurricane Helene relief efforts.
As with its post-9/11 wars and interventions, the U.S. military’s effort to stem suicides has come up distinctly short.
At the end of the last century, hoping to drive the United States from Saudi Arabia, the home of Islam’s holiest sites, al Qaeda leader Osama bin Laden sought to draw in the American military. He reportedly wanted to “bring the Americans into a fight on Muslim soil,” provoking savage asymmetric conflicts that would send home a stream of “wooden boxes and coffins” and weaken American resolve. “This is when you will leave,” he predicted.
After the 9/11 attacks, Washington took the bait, launching interventions across the Greater Middle East and Africa. What followed was a slew of sputtering counterterrorism failures and stalemates in places ranging from Niger and Burkina Faso to Somalia and Yemen, a dismal loss, after 20 years, in Afghanistan, and a costly fiasco in Iraq. And just as bin Laden predicted, those conflicts led to discontent in the United States. Americans finally turned against the war in Afghanistan after 10 years of fighting there, while it took only a little more than a year for the public to conclude that the Iraq war wasn’t worth the cost. Still, those conflicts dragged on. To date, more than 7,000 U.S. troops have died fighting the Taliban, al Qaeda, the Islamic State, and other militant groups.
As lethal as those Islamist fighters have been, however, another “enemy” has proven far more deadly for American forces: themselves. A recent Pentagon study found suicide to be the leading cause of death among active-duty U.S. Army personnel. Out of 2,530 soldiers who died between 2014 and 2019 from causes ranging from car crashes to drug overdoses to cancer, 35%—883 troops—took their own lives. Just 96 soldiers died in combat during those same six years.
The war that bin Laden kicked off in 2001—a global conflict that still grinds on today—ushered in an era in which SEALs, soldiers, and other military personnel have continued to die by their own hands at an escalating rate.
Those military findings bolster other recent investigations. The journalism nonprofit Voice of San Diego found, for example, that young men in the military are more likely to take their own lives than their civilian peers. The suicide rate for American soldiers has, in fact, risen steadily since the Army began tracking it 20 years ago.
Last year, the medical journal JAMA Neurology reported that the suicide rate among U.S. veterans was 31.7 per 100,000—57% greater than that of non-veterans. And that followed a 2021 study by Brown University’s Costs of War Project which found that, compared to those who died in combat, at least four times as many active-duty military personnel and post-9/11 war veterans—an estimated 30,177 of them—had killed themselves.
“High suicide rates mark the failure of the U.S. government and U.S. society to manage the mental health costs of our current conflicts,” wrote Thomas Howard Suitt, author of the Costs of War report. “The U.S. government’s inability to address the suicide crisis is a significant cost of the U.S. post-9/11 wars, and the result is a mental health crisis among our veterans and service members with significant long-term consequences.”
In June, a New York Timesfront-page investigation found that at least a dozen Navy SEALs had died by suicide in the last 10 years, either while on active duty or shortly after leaving military service. Thanks to an effort by the families of those deceased special operators, eight of their brains were delivered to a specialized Defense Department brain trauma laboratory in Maryland. Researchers there discovered blast damage in every one of them—a particular pattern only seen in people exposed repeatedly to blast waves like SEALs endure from weapons fired in years of training and war-zone deployments as well as explosions encountered in combat.
The Navy claimed that it hadn’t been informed of the lab’s findings until the Times contacted them. A Navy officer with ties to SEAL leadership expressed shock to reporter Dave Philipps. “That’s the problem,” said that anonymous officer. “We are trying to understand this issue, but so often the information never reaches us.”
None of it should, however, have been surprising.
Unfortunately (though Osama bin Laden would undoubtedly have been pleased), the military has a history of not taking suicide prevention seriously.
After all, while writing for the Times in 2020, I revealed the existence of an unpublished internal study, commissioned by U.S. Special Operations Command (SOCOM), on the suicides of Special Operations forces (SOF). Conducted by the American Association of Suicidology, one of the nation’s oldest suicide-prevention organizations, and completed sometime after January 2017, the undated 46-page report put together the findings of 29 “psychological autopsies,” including detailed interviews with 81 next-of-kin and close friends of commandos who had killed themselves between 2012 and 2015.
That study told the military to better track and monitor data on the suicides of its elite troops. “Further research and an improved data surveillance system are needed in order to better understand the risk and protective factors for suicide among SOF members. Further research and a comprehensive data system is needed to monitor the demographics and characteristics of SOF members who die by suicide,” the researchers advised. “Additionally, the data emerging from this study has highlighted the need for research to better understand the factors associated with SOF suicides.”
Quite obviously, it never happened.
The brain trauma suffered by SEALs and the suicides that followed should not have been a shock. A 2022 study in Military Medicine found Special Operations forces were at increased risk for traumatic brain injury (TBI), when compared with conventional troops. The 2023 JAMA Neurology study similarly found that veterans with TBI had suicide rates 56% higher than veterans without it and three times higher than the U.S. adult population. And a Harvard study, funded by SOCOM and published in April, discovered an association between blast exposure and compromised brain function in active-duty commandos. The greater the exposure, the researchers found, the more health problems were reported.
Over the last two decades, the Defense Department has, in fact, spent millions of dollars on suicide prevention research. According to the recent Pentagon study of soldiers’ deaths at their own hands, the “Army implements various initiatives that evaluate, identify, and track high-risk individuals for suicidal behavior and other adverse outcomes.” Unfortunately (though Osama bin Laden would undoubtedly have been pleased), the military has a history of not taking suicide prevention seriously.
While the Navy, for example, officially mandated that a suicide hotline for veterans must be accessible from the homepage of every Navy website, an internal audit found that most of the pages reviewed were not in compliance. In fact, according to a 2022 investigation by The Intercept, the audit showed that 62% of the 58 Navy homepages did not comply with that service’s regulations for how to display the link to the Veterans Crisis Line.
Last year, a Pentagon suicide-prevention committee called attention to lax rules on firearms, high operational tempos, and the poor quality of life on military bases as potential problems for the mental health of troops.
The New York Timesrecently investigated the death of Army Specialist Austin Valley and discovered gross suicide prevention deficiencies. Having just arrived at an Army base in Poland from Fort Riley, Kansas, Valley texted his parents, “Hey mom and dad I love you it was never your fault,” before taking his own life. The Times found that “mental healthcare providers in the Army are beholden to brigade leadership and often fail to act in the best interest of soldiers.” There are, for example, only about 20 mental-health counselors available to care for the more than 12,000 soldiers at Fort Riley, according to the Times. As a result, soldiers like Valley can wait weeks or even months for care.
The Army claims it’s working to eliminate the stigma surrounding mental health support, but the Times found that “unit leadership often undermines some of its most basic safety protocols.” This is a long-running issue in the military. The study of Special Operations suicides that I revealed in the Times found that suicide prevention training was seen as a “check in the box.” Special operators believed their careers would be negatively impacted if they sought treatment.
Last year, a Pentagon suicide-prevention committee called attention to lax rules on firearms, high operational tempos, and the poor quality of life on military bases as potential problems for the mental health of troops. M. David Rudd, a clinical psychologist and the director of the National Center for Veterans Studies at the University of Memphis, told to the Times that the Pentagon report echoed many other analyses produced since 2008. “My expectation,” he concluded, “is that this study will sit on a shelf just like all the others, unimplemented.”
On May 2, 2011, Navy SEALs attacked a residential compound in Pakistan and gunned down Osama bin Laden. “For us to be able to definitively say, ‘We got the man who caused thousands of deaths here in the United States and who had been the rallying point for a violent extremist jihad around the world’ was something that I think all of us were profoundly grateful to be a part of,” U.S. President Barack Obama commented afterward. In reality, the deaths “here in the United States” have never ended. And the war that bin Laden kicked off in 2001—a global conflict that still grinds on today—ushered in an era in which SEALs, soldiers, and other military personnel have continued to die by their own hands at an escalating rate.
The suicides of U.S. military personnel have been blamed on a panoply of reasons, including military culture, ready access to firearms, high exposure to trauma, excessive stress, the rise of improvised explosive devices, repeated head trauma, an increase in traumatic brain injuries, the Global War on Terror’s protracted length, and even the American public’s disinterest in their country’s post-9/11 wars.
Bin Laden is, of course, long dead, but the post-9/11 parade of U.S. corpses continues.
During 20-plus years of armed interventions by the country that still prides itself on being the Earth’s sole superpower, U.S. military missions have been repeatedly upended across South Asia, the Middle East, and Africa including a sputtering stalemate in Somalia, an intervention-turned-blowback-engine in Libya, and outright implosions in Afghanistan and Iraq. While the peoples of those countries have suffered the most, U.S. troops have also been caught in that maelstrom of America’s making.
Bin Laden’s dream of luring American troops into a meat-grinder war on “Muslim soil” never quite came to pass. Compared to previous conflicts like the Second World War, Korean, and Vietnam wars, U.S. battlefield casualties in the Greater Middle East and Africa have been relatively modest. But bin Laden’s prediction of “wooden boxes and coffins” filled with the “bodies of American troops” nonetheless came true in its own fashion.
“This Department’s most precious resource is our people. Therefore, we must spare no effort in working to eliminate suicide within our ranks,” wrote Secretary of Defense Lloyd Austin in a public memo released last year. “One loss to suicide is too many.” But as with its post-9/11 wars and interventions, the U.S. military’s effort to stem suicides has come up distinctly short. And like the losses, stalemates, and fiascos of that grim war on terror, the fallout has been more suffering and death. Bin Laden is, of course, long dead, but the post-9/11 parade of U.S. corpses continues. The unanticipated toll of suicides by troops and veterans—four times the number of war-on-terror battlefield deaths—has become another Pentagon failure and bin Laden’s enduring triumph.
One Afghanistan-born journalist said John Kirby's admission "does not excuse what Joe Biden's allies in Israel did in Rafah."
U.S. National Security Council spokesperson John Kirby on Tuesday defended Israel after its military killed and wounded hundreds of Palestinians in attacks on refugee encampments in and near the southern Gaza city of Rafah inside an Israeli-designated "safe zone."
Israeli Prime Minister Benjamin Netanyahu called the first of the two attacks—which ignited a fire that burned people, including many women and children, alive inside their tents—a "tragic mistake."
Asked by a reporter what the consequences would be "if there were an American strike on a legitimate terrorist target that ended resulting with 45 civilian deaths and some 200 others injured," Kirby replied, "I can't answer a hypothetical like that."
"But we have conducted airstrikes in places like Iraq and Afghanistan, where tragically we caused civilian casualties," he continued. "We did the same thing. We owned up to it. We investigated it. And we tried to make changes... Wae tried to learn from it to make changes so that those set of mistakes wouldn't happen again."
Kirby referred to an August 2021 drone strike in Kabul that occurred during the U.S. withdrawal from Afghanistan that killed an aid worker and nine members of his family including seven children outside their home. A New York Times investigation subsequently revealed that the U.S. military knew that the strike likely killed civilians but initially lied about it, claiming there was "no indication" that noncombatants were harmed in the attack.
"We atoned for it, we learned from it, and we put in place procedures to try and prevent that from happening again," Kirby said of the strike, "and that's what our expectations would be in this case."
According to the Costs of War Project at Brown University's Watson Institute for International & Public Affairs, more than 432,000 civilians in over half a dozen countries have been killed by all sides during the course of the continuing open-ended U.S.-led War on Terror.
Since the Hamas-led October 7 attacks that left more than 1,100 Israelis and foreign nationals dead and over 240 others taken hostage, Israeli forces have killed at least 36,171 Palestinians—mostly women and children—according to Gazan and international officials. Israel's Gaza onslaught has also wounded at least 81,420 Palestinians; another 11,000 are missing and presumed dead and buried beneath the rubble of bombed buildings.
During Tuesday's press conference, CBS News reporter Ed O'Keefe asked Kirby how Israel's tent massacre doesn't violate U.S. President Joe Biden's shifting "red line" warning against invading Rafah.
"We don't want to see a major ground operation," Kirby replied. "We haven't seen that at this point."
Reporter: How does this not violate the red line the president laid out
Kirby: We don’t want to see a major operation we haven’t seen one
Reporter: How many more charred corpses does he have to see before he considers a change in policy
Kirby: I take offense at the question pic.twitter.com/9LMKl1BuAr
— Assal Rad (@AssalRad) May 28, 2024
O'Keefe followed up by asking, "How many more charred corpses does he have to see before the president considers a change in policy?"
"We don't want to see a single more innocent life taken, and I kind of take a little offense at the question," Kirby retorted. "No civilian casualties is the right number of civilian casualties, and this is not something that we've turned a blind eye to, nor has it been something we've ignored or neglected to raise with our Israeli counterparts."
Kirby's remarks came on the same day that Israeli tank fire on a makeshift refugee encampment in southern Gaza killed at least 21 people, at least a dozen of whom were women and children.