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Someday Israeli leaders will stand in The Hague for what they have done in Gaza, and they will deserve to. But if we are honest, we know US leaders belong there too.
I have met people who gave me grace in Iran, in Mexico, in Haiti, in Gaza, in Cambodia, in Vietnam. People who understood the difference between ordinary citizens and the governments that rule them. People who offered me kindness when they had every reason not to. That grace stays with me.
As a US citizen and physician, I have lived my life trying to hold onto a sense of responsibility. But what I see now, in Gaza, in Haiti, in the wake of Iraq and Afghanistan, is the full weight of what psychologists call diffusion of responsibility. It is the shrug that says: Someone else will answer for this, someone else will carry the shame.
The United States cannot keep living in that shrug. We armed, funded, and protected Israel as it has carried out the genocide of the Palestinian people. We have supplied not only weapons but coordination, intelligence, and political cover. We let the American Israel Public Affairs Committee function as the arm of a foreign government, not as a lobbying group. We looked away from the checkpoints, the administrative cruelty, the killing of children. This is our legacy.
But Gaza is not an aberration. It is a mirror held up to the long history of our interventions. We overthrew Mohammad Mossadegh, the democratically elected prime minister of Iran, in 1953, not because he was a tyrant but because he dared to nationalize oil. We turned that nation toward dictatorship and decades of repression, then had the arrogance to call it democracy. In Central America, we toppled leaders and propped up death squads. In Chile, we helped usher in the bloody reign of Augusto Pinochet, betraying yet another democratic choice in favor of authoritarian brutality.
We speak of Russian President Vladimir Putin’s murderous ways as if they are foreign to us. They are not. We have assassinated leaders. We have sanctioned extrajudicial killings, calling them “targeted strikes.” We have funded militias and trained torturers. We still carry Guantánamo on our conscience. We are not better than Putin. We are his rival and his mirror.
We should be an anti-interventionist nation, one that stops imagining itself as the builder of nations and instead takes responsibility for its own failures, its own violence, and its own complicity.
In Vietnam, we unleashed hell. Entire villages were burned to the ground. At My Lai, US soldiers slaughtered more than 500 unarmed civilians, women, children, elders. It was not an accident, not a one-off. It was part of a culture of violence we exported and excused.
And then there is the School of the Americas, now rebranded as Western Hemisphere Institute for Security Cooperation, a US military institution in Panama where we trained some of the worst dictators and death squad leaders in Latin America. The manuals we gave them were explicit: torture, execution, terror as tools of governance. We sowed horror and called it security.
Someday Israeli leaders will stand in The Hague for what they have done in Gaza, and they will deserve to. But if we are honest, we know we belong there too. For Mossadegh, for Pinochet, for Central America, for My Lai, for every extrajudicial killing and every sanctioned massacre, and most immediately for Gaza, we should be in the dock as well. We should stand in handcuffs, our heads lowered in shame, finally facing the truth of what we have unleashed in the world.
The truth is that our foreign policy has been one long history of intervention, violence, and betrayal of human dignity. We were in Haiti. We were in Iraq. We were in Afghanistan. We have left the Middle East, Latin America, and Africa littered with the bones of our experiments. Always we tell ourselves it was complicated. Always we tell ourselves we meant well. But what we meant was power, and what we left was ruin.
What reparation looks like now is not cash or aid dropped into a void. It is restoring justice. It is ending our culture of nation building and intervention, and replacing it with support for people, families, language, culture, dignity, and jurisprudence. It is standing against genocide, no matter who commits it. It is admitting that our strength lies not in military power but in whether we can build schools instead of prisons, communities instead of empires.
This is not just a populist opinion. It is a moral imperative. We should be an anti-interventionist nation, one that stops imagining itself as the builder of nations and instead takes responsibility for its own failures, its own violence, and its own complicity.
I am a doctor. My oath is to heal, to do no harm. But as a citizen, I see harm everywhere our government touches. We cannot keep pretending that this is someone else’s crime, someone else’s burden. This is ours.
The reckoning will not wait forever. The question is whether we face it with honesty now, or whether we let it destroy us later.
The Trump agenda in Latin America is about protecting US economic and financial interests, just as it was under Kirkpatrick’s reign of terror-for-profit.
In August 1981, US Ambassador to the United Nations Jeane Kirkpatrick traveled to Santiago to meet with Chilean dictator Augusto Pinochet, eight years after he seized power in a military coup. Kirkpatrick cheeringly described their talk as “most pleasant” and announced that the Reagan administration would fully normalize relations and resume arms sales—support that Pinochet quickly used to claim renewed legitimacy and crack down on opponents.
The episode crystallized what became known as the Kirkpatrick Doctrine: the notion that the US government should embrace any autocrat who aligned with Washington’s anti-communist agenda while working to undermine, sanction, or topple any left-wing leader who refused to “play ball,” even if they were democratically elected (and popular). Protecting American economic interests was the lodestar, and just about anything was permissible in service of that goal.
The Kirkpatrick Doctrine shaped US Cold War policy across Latin America under President Ronald Reagan. It was invoked to justify participation in Operation Condor, a transnational repression system that coordinated dictatorships’ assassinations and torture chambers. It was used to rationalize funneling weapons and training to Nicaragua’s Contra rebels, and to support Brazil’s military junta and its anti-communist crusade.
And it explained why Washington turned a blind eye to the Argentine junta’s Dirty War, which disappeared tens of thousands of citizens while receiving US diplomatic cover. In Kirkpatrick’s view, these horrors were an acceptable price for preserving American hegemony and global “liberalism.” Kirkpatrick is still hailed as a “True American Hero” by conservatives, knowing full well the horrors she committed.
This imperialist view was not entirely new. US foreign policy had long operated on behalf of economic interests. The “Banana Wars” and “Banana Republics” of the early 20th century and the invasions of the Philippines and Caribbean islands were justified in the same way. What changed under Reagan was the sheer arrogance and brazenness of American evil. Washington packaged its hyper-capitalist, immoral backing of tyrants and terrorists under the banner of freedom, insisting to the world that the US was a “shining city upon a hill.” It was nonsense, but the message resonated at home.
The main architect of this approach was Jeane Kirkpatrick. Long discredited after the Cold War ended, her ideas seemed destined for the dustbin. Yet under US President Donald Trump, the Kirkpatrick Doctrine’s ghost has come hauling back. It is now a cornerstone of foreign policy in conservative circles.
Human rights, democracy, and human progress are expendable when they collide with American profits and hegemony.
There has been plenty of talk about this being the new Monroe Doctrine. A Newsweek piece this week argued that Trump’s America First agenda in Latin America is a “MAGA Monroe Doctrine.” But there is a contemporary precedent to Trump’s kind of imperialist chest-thumping.
Secretary of State Marco Rubio and a handful of other Trump-aligned hawks have pushed for the Kirkpatrick Doctrine’s revival. The GOP, under Trump, has openly flirted with copying Reagan’s playbook in Latin America and making it clear the region is a no-go zone for foreign competitors. US military and economic power could, at any time, be deployed to bully Southern nations into protecting American profits, once again.
This thread runs through both Trump terms. In the first, neoconservatives like John Bolton, Mike Pompeo, and Elliott Abrams held sway. In the second, the torch has been picked up by figures like Mike Waltz, Pete Hegseth, Pam Bondi, and Rubio.
In just over four years, the US has shown itself willing to deploy military forces against “subversive forces,” allegedly support coups such as the Silvercorp operation in Venezuela or the Organization of American States-assisted 2019 ouster of socialist Evo Morales in Bolivia, and meddle in elections to achieve its preferred outcome.
It has protected and propped up leaders engaged in authoritarian wars on drugs and socialism—Brazilian President Jair Bolsonaro, Argentinian President Javier Milei, Ecuadorian President Daniel Noboa, Salvadorian President Nayib Bukele—while punishing leftist leaders like Brazilian President Luiz Inacio Lula da Silva Lula, Mexican President Claudia Sheinbaum, Colombian President Gustavo Petro, and Venezuelan President Nicolás Maduro with tariffs, sanctions, and economic warfare. It has also supported right-wing opposition figures across the continent, from son-of-Nazi-SS-lieutenant José Antonio Kast in Chile to oligarch María Corina Machado in Venezuela to far-right groups in Peru and Colombia.
The US has also supported paramilitary groups. Colombia is the clearest case. For decades Washington poured weapons, training, and billions of dollars into the Colombian military, mostly under the Plan Colombia program, all while it collaborated with right-wing paramilitary death squads that murdered tens of thousands of civilians.
The US participated in the “False Positives” scandal, where the Colombian Army, armed with US weapons, training, and equipment, killed thousands of civilians before claiming they were guerrilla fighters, often planting evidence to do so.
Similarly, police and military units engaged in war crimes and brutality have been given US weapons and training. In Brazil, most foreign weapons for the police and military are American, including the very snipers used to gun down children in favelas. Meanwhile, the US has sanctioned any Latin American country from purchasing Chinese and Russian weapons, equipment, and technology, to help feed the American military-industrial complex’s profits.
The doctrine also shows up in how the Trump administration uses pressure campaigns. In Venezuela, the “Maximum Pressure” campaign from the first term has escalated to outright military confrontation. Just last week, the US allegedly destroyed a fishing boat in Venezuelan national waters, killing 11 people. It claimed the boat was transporting drugs headed to the US, affiliated with Tren de Aragua.
There is no evidence for this claim, and even if there was, should drug traffickers be massacred without respect for sovereignty, due process, or congressional approval? Such a war crime could lead to full-on regime change or a new War on Drugs on Venezuelan shores.
This is all while ExxonMobil and Chevron have practically bought Washington’s Venezuela policy, and as the Venezuelan opposition, backed by the US, has said it would give oil rights to US corporations.
The underlying interests are clear. The US wants to maintain dominance over investment and markets, ensuring preferential treatment while shutting out competitors like China and Russia. This has meant pressuring governments not to buy BYD cars, threatening sanctions for buying Russian oil and weapons, strong-arming Panama to ditch Belt and Road projects, and trying to block Chinese banks from opening across the continent.
As South America becomes a breadbasket for the world, countries are turning to Brazilian, Russian, and Chinese fertilizers, cutting into US Big Agriculture’s profits. Oil and gas are front and center in Venezuela, where the largest proven reserves on Earth remain largely untapped.
Mining is increasingly important in the Andes, with lithium, copper, and other critical minerals needed for the global energy transition—and US firms want to be at the center of it, despite Chinese companies leading the way. This can help explain why the administration, particularly Marco Rubio, is so obsessed with supporting oil-rich Guyana, where ExxonMobil and Chevron have billions at stake.
The region is viewed as an extension of US dominance over global commerce—and measures to protect that dominance will be taken accordingly.
Locally, elites close to Trump are eager to profit from the US. They expect fatter contracts, looser regulations, and lower taxes under right-wing authoritarian governments backed by Washington. Brazilian business magnates, including real estate developers involved in building a Trump hotel in Rio de Janeiro that was shut down over corruption investigations, were key actors in pressuring Trump into putting 50% tariffs on Brazil, a move that has backfired massively.
The Trump administration has also pressured Latin American governments not to diversify away from the dollar, discouraging them from signing trade deals in yuan or joining BRICS currency initiatives. China’s opening of multiple bank branches across Latin America has also been a target of US pressure. Countries are now able to sign deals, both internationally and regionally, using foreign currencies like the yuan. This threatens dollar dominance, and the US simply cannot abide by a globally competitive system in “our hemisphere.”
The Trump agenda in Latin America is, most conveniently, about protecting US economic and financial interests, just as it was under Kirkpatrick’s reign of terror-for-profit. The rhetoric may change; today it is about fighting socialism, China, or “narco-terrorism” rather than communism; but the underlying logic is the same.
Human rights, democracy, and human progress are expendable when they collide with American profits and hegemony. Ironically, that very logic destroys US credibility, and may help bring about a truly multipolar system in a region long hurt by unipolar imperial control.
"They're now using the failed War on Drugs to justify their egregious violation of international law," the Minnesota progressive said of the Trump administration.
Congresswomen Ilhan Omar and Delia Ramirez on Thursday strongly condemned the Trump administration's deadly attack on a boat allegedly trafficking cocaine off the coast of Venezuela as "lawless and reckless," while urging the White House to respect lawmakers' "clear constitutional authority on matters of war and peace."
"Congress has not declared war on Venezuela, or Tren de Aragua, and the mere designation of a group as a terrorist organization does not give any president carte blanche," said Omar (D-Minn.), referring to President Donald Trump's day one executive order designating drug cartels including the Venezuela-based group as foreign terrorist organizations.
Trump—who reportedly signed a secret order directing the Pentagon to use military force to combat cartels abroad—said that Tuesday's US strike in international waters killed 11 people. The attack sparked fears of renewed US aggression in a region that has endured well over 100 US interventions over the past 200 years, and against a country that has suffered US meddling since the late 19th century.
"It appears that US forces that were recently sent to the region in an escalatory and provocative manner were under no threat from the boat they attacked," Omar cotended. "There is no conceivable legal justification for this use of force. Unless compelling evidence emerges that they were acting in self-defense, that makes the strike a clear violation of international law."
Omar continued:
They're now using the failed War on Drugs to justify their egregious violation of international law. The US posture towards the eradication of drugs has caused immeasurable damage across our hemisphere. It has led to massive forced displacement, environmental devastation, violence, and human rights violations. What it has not done is any damage whatsoever to narcotrafficking or to the cartels. It has been a dramatic, profound failure at every level. In Latin America, even right-wing presidents acknowledge this is true.
The congresswoman's remarks came on the same day that US Secretary of State Marco Rubio designated a pair of Ecuadorean drug gangs as terrorist organizations while visiting the South American nation. This, after Rubio said that US attacks on suspected drug traffickers "will happen again."
"Trump and Rubio's apparent solution" to the failed drug war, said Omar, is "to make it even more militarized," an effort that "is doomed to fail."
"Worse, it risks spiraling into the exact type of endless, pointless conflict that Trump supposedly opposes," she added.
Echoing critics including former Human Rights Watch director Kenneth Roth, who called Tuesday's strike a "summary execution," Ramirez (D-Ill.) said Thursday on social media that "Trump and the Pentagon executed 11 people in the Caribbean, 1,500 miles away from the United States, without a legal rationale."
"From Iran to Venezuela, to DC, LA, and Chicago, Trump continues to abuse our military power, undermine the rule of law, and erode our constitutional boundaries in political spectacles," Ramirez added, referring to the president's ordering of strikes on Iran and National Guard deployments to Los Angeles, the nation's capital, and likely beyond.
"Presidents don't bomb first and ask questions later," Ramirez added. "Wannabe dictators do that."