Moral Injury in Medicine
Hace 22 horas
Reflections of an Estadounidense living in Costa Rica
Say you’re a union bargainer who thinks her members deserve a dollar-an-hour raise, but believes that realistically the company won’t give more than 50 cents. Would you start out by asking for 50 cents? Yet that’s what union lobbyists are doing, in effect, around health care reform in D.C. this year. It’s how labor has been doing its politics for a while now: behaving as supplicants rather than as actors trying to define the game, consenting to the accepted wisdom.Jane Slaughter, I could not agree with you more! I tried to make the same point back in March, though in a far more stumbling and far less persuasive manner.
Well, there was no terrorism in Pakistan, we had no suicide bombing in Pakistan, ’til Pakistan sent its troops on—under pressure from the US. Musharraf, General Musharraf, capitulated under the pressure and sent Pakistani troops into the tribal area and Waziristan. So it was that that resulted in what was the new phenomenon: the Pakistani Taliban. We had no militant Taliban in Pakistan, until we got in—we were forced into this US war on terror by a military dictator, not by the people of Pakistan. And people never owned this war. People always thought that this is not our war, and quite rightly, because we did not have any terrorism in Pakistan, as subsequently grew.I had never heard this explanation before, and was surprised, frankly, to learn that the Pakistani Taliban were such a recent phenomenon. If we are to believe what Mr. Khan says, and I have no reason to doubt him, we must conclude that the terrorists we are supposedly pursuing in Afghanistan would not have existed had we not invaded Afghanistan and/or forced Pakistan to send its army on its own people.
The more operations we did, the more reaction came. And suddenly, as now, we have thirty Taliban groups. I mean, these groups call themselves Taliban, but basically these are radicalized people, these are extremists. And extremism is growing in Pakistan, the more we are being engulfed in this war, which is based in, basically, Afghanistan. So, as long as the US troops are in Afghanistan, I’m afraid there’s no peace in Pakistan either, because the tribal areas are basically—there’s no border there, so the Pashtuns are split between—on the border between Afghanistan and Pakistan, and we have, you know, this movement across the border. And, you know, to send a—think that the Pakistan army is going to stop it—I think Pakistan army itself is going to be stuck in this quagmire, the same as the US in Afghanistan.
So, so far, I have to say, they—all these operations make no sense. These drone attacks—I don’t know why they haven’t done an analysis that—what are the benefits of drone attacks, and what is the damage done in increased hatred against the US, anti-Americanism?...There’s—according to the Pakistan government, the figures they released, of sixty drone attacks, only fourteen Al-Qaeda were killed, 700 civilians died, not to mention the numbers injured. And so, this collateral damage, each time there’s collateral damage, militancy increases in that area. So this is counterproductive.Unlike the history of the Pakistani Taliban, I was aware of the U.S. drone attacks and the unacceptable level of civilian casualties which they have caused. I discussed the drone attacks in the context of our increasing shift towards robotic warfare in this post last January. His question as to whether anyone has done a cost-benefit analysis of the attacks is a very good one. The impact of the drone attacks, it appears, is quite similar to that of Musharraf's invasion of the tribal areas and our invasion of Afghanistan. Rather than reducing the threat of terrorism, we are radicalizing people and creating fertile ground for the recruitment of more terrorists.
And it is true that the people wanted some sort of an operation, but not actually what happened. To go after 5,000 Taliban, they have displaced three-and-a-half million people. To use artillery, helicopter gunships, F-16s on civilian population, they’ve caused this massive human catastrophe. And so, yes, people wanted an operation, but they didn’t want this, because this now, if anything, is going to fan militancy. How are they going to rehabilitate these people? Their crops are destroyed. These are subsistence farmers, most of them. Their fruit orchards, their animals. So what are they going to go back to? This is another problem we face now.In other words, the constant theme of U.S. policy in Pakistan repeats itself: rather than solving the problem of terrorism, we have once again chosen tactics which further radicalize the population, not to mention provoking a humanitarian crisis as well. If you'd like to read more about the humanitarian conditions in Swat, in which over 2 million people have been displaced, check out Kathy Kelly's piece in today's Counterpunch. I should warn you, however, that the details are rather horrifying, particularly in light of the fact that the invasion has U.S. backing. Her article ends with a poignant question:
If we want to counter Al-Qaeda, if we want to be safe from further terrorist attacks, we'd do well to remember that even when we don’t recognize the humanity of people bearing the brunt of our wars, these very people have eyes to see and ears to hear. They must be asking themselves, who are the terrorists?In light of the manifest failure of U.S. policy in Pakistan to achieve its objectives, and its high success rate in terms of increasing the threat of terrorism, I return to my original question: Why are we doing what we're doing in Pakistan? During the Bush years, many Democrats blamed the crimes of the administration on incompetence and stupidity. It was a misdiagnosis then, which hid the truly malicious intentions of the Bushies, and I would venture that it's even wronger now under the current administration. Our current president obviously runs circles around our former chief executives intellectually. I doubt lack of competence is a big problem for his cabinet or the military brass either. Unfortunately, I cannot help but reach the conclusion that our current administration knows full well that its behavior in Pakistan is radicalizing the population, increasing the threat of terrorism, killing thousands of civilians, and ruining the lives of millions more innocent people.
There’s money, too, for the IMF, presumably to bail out European banks, billions for the IMF, so they can force low- and middle-income nations to cut jobs, wages, healthcare and retirement security, just like corporate America does to our constituents. And there’s money to incentivize the purchase of more cars, but not necessarily from the US, because a Buy America mandate was not allowed. Another $106 billion, and all we get is a lousy war. Pretty soon that’s going to be about the only thing made in America: war.