US War on Terror in 76 Countries Cost $6.5 Trillion

US soldiers in Afghanistan. (AFP)
US soldiers in Afghanistan. (AFP)
TT

US War on Terror in 76 Countries Cost $6.5 Trillion

US soldiers in Afghanistan. (AFP)
US soldiers in Afghanistan. (AFP)

A US study published earlier this week revealed that the United States’ war on terrorism has cost $6.5 trillion, reported The National magazine based on report by the Watson Institute for International and Public Affairs at Brown University.

The ongoing war on terror began in October 2001, a month after the September 11 attacks in the US.

US President Donald Trump revealed in one of his tweets that his country has spent 7 trillion dollars on the Middle East alone.

Estimates predict that US loans to fund the war will result in an 8 trillion dollar debt by 2025.

The number of countries involved in the war has reached 76 or 39 percent of the countries in the world. The tally also lists regions where US forces are deployed on the ground, such as Yemen, Somalia, Libya, Iraq and Afghanistan. It also lists where American advisors are training local forces on counter-terrorism methods.

Experts said there are currently no real discussions in the United States on the cost of the war due to the nature of the conflict that lacks no stable fronts or boundaries.

A map presented by the study of the 76 countries linked to the war raised questions over the effectiveness of Washington’s approach on the conflict. They explained that the approach has turned many major cities into rubble and forced the displacement of millions of people, which has destabilized many host countries.

The map also showed the extent in which terrorist groups have spread across the world, turning the conflict against extremists into a worldwide phenomenon. The conflict stretches from as far as Southeast Asia, the Philippines, passes through the Middle East and reaches North Africa and Niger in the west of the continent.

The National said that the ongoing US war on Afghanistan is the longest in American history and it is predicted to go on even longer, especially under Trump’s administration. The current president had unveiled a national defense strategy two months ago in which he agreed to send more troops to Kabul and increase airstrikes against terrorist groups, including the Taliban.

The magazine said that the situation in Afghanistan indicates that the war will continue for a long time and it will extend beyond the country’s borders. A US Secretary of Defense report spoke of some 20 terrorist and radical groups operating in Afghanistan and Pakistan.

The National traced back the beginnings of the war on terror. It said that the US initially launched the war by attacking Afghanistan in order to eliminate Taliban, which had great control over the country. The beginning of the war seemed promising and American forces were able to make advances in Kabul. The Taliban had incurred enough defeats that its fighters had asked US troops to allow them to lay down their arms and return to their homes.

This initial success led senior officials in the administration of then President George W. Bush to raise their expectations and ambitions. Bush and his Vice President Donald Rumsfeld then believed that there was a need to extend this success in countering terrorism to 60 other countries.

At the time, Washington saw the war on terror as being restricted to one country at a time. It then began preparing for extending this war, setting Iraq as its next target.

The war led to the toppling of Iraqi leader Saddam Hussein, but the National said that the US had not only intended for his ouster, but it had also set its sights on the country’s oil wealth.

A British official, who was close to the Bush administration at the time, was quoted by the magazine as saying: “Everyone wants to go to Baghdad, but real men want to go to Tehran.”

He implied that the US invasion of Iraq was not really aimed at combating terrorism, but its real target was Iraq’s oil and Washington should have shifted its attention to Iran, which had transformed into an extremist state after the 1978 Khomeini revolution.



Dialysis Patients Struggle to Get Treatment in Blockaded Gaza. Officials Say Hundreds Have Died 

Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
TT

Dialysis Patients Struggle to Get Treatment in Blockaded Gaza. Officials Say Hundreds Have Died 

Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)
Mohamed Attiya, 54, receives dialysis treatment at Shifa hospital in Gaza City, Monday, April 14, 2025.(AP)

Twice a week, Mohamed Attiya’s wheelchair rattles over Gaza’s scarred roads so he can visit the machine that is keeping him alive.

The 54-year-old makes the journey from a temporary shelter west of Gaza City to Shifa Hospital in the city’s north. There, he receives dialysis for the kidney failure he was diagnosed with nearly 15 years ago. But the treatment, limited by the war's destruction and lack of supplies, is not enough to remove all the waste products from his blood.

“It just brings you back from death,” the father of six said.

Many others like him have not made it. They are some of Gaza’s quieter deaths from the war, with no explosion, no debris. But the toll is striking: Over 400 patients, representing around 40% of all dialysis cases in the territory, have died during the 18-month conflict because of lack of proper treatment, according to Gaza's Health Ministry.

That includes 11 patients who have died since the beginning of March, when Israel sealed the territory's 2 million Palestinians off from all imports, including food, medical supplies and fuel. Israeli officials say the aim is to pressure Hamas to release more hostages after Israel ended their ceasefire.

COGAT, the Israeli military body in charge of coordinating aid, declined to comment on the current blockade. It has said in the past that all medical aid is approved for entry when the crossings are open, and that around 45,400 tons of medical equipment have entered Gaza since the start of the war.

Hardships mount for Gaza patients

Attiya said he needs at least three dialysis sessions every week, at least four hours each time. Now, his two sessions last two or three hours at most.

Israel’s blockade, and its numerous evacuation orders across much of the territory, have challenged his ability to reach regular care.

He has been displaced at least six times since fleeing his home near the northern town of Beit Hanoun in the first weeks of the war. He first stayed in Rafah in the south, then the central city of Deir al-Balah. When the latest ceasefire took effect in January, he moved again to another school in western Gaza City.

Until recently, Attiya walked to the hospital for dialysis. But he says the limited treatment, and soaring prices for the mineral water he should be drinking, have left him in a wheelchair.

His family wheels him through a Gaza that many find difficult to recognize. Much of the territory has been destroyed.

“There is no transportation. Streets are damaged,” Attiya said. “Life is difficult and expensive.”

He said he now has hallucinations because of the high levels of toxins in his blood.

“The occupation does not care about the suffering or the sick,” he said, referring to Israel and its soldiers.

A health system gutted by war

Six of the seven dialysis centers in Gaza have been destroyed during the war, the World Health Organization said earlier this year, citing the territory’s Health Ministry. The territory had 182 dialysis machines before the war and now has 102. Twenty-seven of them are in northern Gaza, where hundreds of thousands of people rushed home during the two-month ceasefire.

“These equipment shortages are exacerbated by zero stock levels of kidney medications,” the WHO said.

Israel has raided hospitals on several occasions during the war, accusing Hamas of using them for military purposes. Hospital staff deny the allegations and say the raids have gutted the territory's health care system as it struggles to cope with mass casualties from the war.

The Health Ministry says over 51,000 Palestinians, mostly women and children, have been killed in Israel's offensive, without saying how many were civilians or combatants. Hamas-led fighters killed some 1,200 people, mostly civilians, and abducted 251 in the Oct. 7, 2023 attack that triggered the war.

Officials say hundreds of patients have died

At Shifa Hospital, the head of the nephrology and dialysis department, Dr. Ghazi al-Yazigi, said at least 417 patients with kidney failure have died in Gaza during the war because of lack of proper treatment.

That’s from among the 1,100 patients when the war began.

Like Attiya, hundreds of dialysis patients across Gaza are now forced to settle for fewer and shorter sessions each week.

“This leads to complications such as increased levels of toxins and fluid accumulation ... which could lead to death,” al-Yazigi said.

Mohamed Kamel of Gaza City is a new dialysis patient at the hospital after being diagnosed with kidney failure during the war and beginning treatment this year.

These days, “I feel no improvement after each session,” he said during one of his weekly visits.

The father of six children said he no longer has access to filtered water to drink, and even basic running water is scarce. Israel last month cut off the electricity supply to Gaza, affecting a desalination plant producing drinking water for part of the arid territory.

Kamel said he has missed many dialysis sessions. Last year, while sheltering in central Gaza, he missed one because of an Israeli bombing in the area. His condition deteriorated, and the next day he was taken by ambulance to Al-Aqsa Martyrs hospital.

“The displacement has had consequences,” Kamel said. “I am tired.”