Putin’s War in Ukraine Nearing Possibly More Dangerous Phase

Rescuers work at the site of the National Academy of State Administration building damaged by shelling in Kharkiv, Ukraine, March 18, 2022. (AP)
Rescuers work at the site of the National Academy of State Administration building damaged by shelling in Kharkiv, Ukraine, March 18, 2022. (AP)
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Putin’s War in Ukraine Nearing Possibly More Dangerous Phase

Rescuers work at the site of the National Academy of State Administration building damaged by shelling in Kharkiv, Ukraine, March 18, 2022. (AP)
Rescuers work at the site of the National Academy of State Administration building damaged by shelling in Kharkiv, Ukraine, March 18, 2022. (AP)

President Vladimir Putin's war in Ukraine is approaching a new, potentially more dangerous phase after a month of fighting has left Russian forces stalled by an outnumbered foe. He is left with stark choices — how and where to replenish his spent ground forces, whether to attack the flow of Western arms to Ukrainian defenders, and at what cost he might escalate or widen the war.

Despite failing to score a quick victory, Putin is not relenting in the face of mounting international pressure, including sanctions that have battered his economy. The Western world is aligned largely against Putin, but there have been no indications he is losing support from the majority of the Russian public that relies predominantly on state-controlled TV for information.

Ukrainian defenders, outgunned but benefiting from years of American and NATO training and an accelerating influx of foreign arms and moral support, are showing new signs of confidence as the invading force struggles to regroup.

Russian shortcomings in Ukraine might be the biggest shock of the war so far. After two decades of modernization and professionalization, Putin’s forces have proved to be ill-prepared, poorly coordinated and surprisingly stoppable. The extent of Russian troop losses is not known in detail, although NATO estimates that between 7,000 and 15,000 have died in the first four weeks — potentially as many as Russia lost in a decade of war in Afghanistan.

Robert Gates, the former CIA director and defense secretary, said Putin “has got to be stunningly disappointed” in his military's performance.

“Here we are in Ukraine seeing conscripts not knowing why they’re there, not being very well trained, and just huge problems with command and control, and incredibly lousy tactics,” Gates said at a forum sponsored by The OSS Society, a group honoring the World War II-era intelligence agency known as the Office of Strategic Services.

Battlefield trends are difficult to reliably discern from the outside, but some Western officials say they see potentially significant shifts. Air Vice-Marshal Mick Smeath, London's defense attaché in Washington, says British intelligence assesses that Ukrainian forces probably have retaken two towns west of Kyiv, the capital.

“It is likely that successful counterattacks by Ukraine will disrupt the ability of Russian forces to reorganize and resume their own offensive towards Kyiv,” Smeath said in a brief statement Wednesday.

Ukraine’s navy said Thursday it sank a large Russian landing ship near the port city of Berdyansk.

Faced with stout Ukrainian resistance, Russian forces have resorted to bombardment of urban areas but made little progress capturing the main prize — Kyiv. The Pentagon said Wednesday that some Russian troops were digging in at defensive positions outside of Kyiv rather than attempting to advance on the capital, and that in some cases the Russians have lost ground in recent days.

In an assessment published Thursday, the Atlantic Council said a major Russian breakthrough is highly unlikely.

Not long before Putin kicked off his war Feb. 24, some US military officials believed he could capture Kyiv in short order — perhaps just a few days — and that he might break the Ukrainian military within a couple of weeks. Putin, too, might have expected a quick victory, given that he did not throw the bulk of his pre-staged forces, estimated at more than 150,000, into the fight in the opening days. Nor did his air force assert itself. He has made only limited use of electronic warfare and cyberattacks.

Putin is resorting to siege tactics against key Ukrainian cities, bombing from afar with his ground troops largely stagnant.

Stephen Biddle, a professor of international affairs at Columbia University, says Putin's shift is likely based on a hope that President Volodymyr Zelenskyy will give up rather than allow the killing and destruction to continue.

“This plan is very unlikely to work. Slaughtering innocent civilians and destroying their homes and communities is mostly just stiffening Ukrainian resistance and resolve,” Biddle said in an email exchange.

Ukrainian units have begun counterattacking in some areas, according to John Kirby, the Pentagon press secretary. But the Ukrainians face an uphill battle even as the United States and its allies accelerate and widen a flow of critical weapons and supplies, including anti-aircraft missiles and armed drones. Biden has vowed to seek longer-range air defense systems for Ukraine as well as anti-ship missiles. Last week he approved a new $800 million package of arms for Ukraine.

Philip Breedlove, a retired Air Force general who served as the top NATO commander in Europe from 2013 to 2016 and is now a Europe specialist with the Middle East Institute, said Ukraine may not win the war outright, but the outcome will be determined by what Zelenskyy is willing to accept in a negotiated settlement.

“I think it's highly unlikely that Russia is going to be defeated in detail on the battlefield,” Breedlove said, because Russia has a large reserve of forces it could call on. But Ukraine might see winning as forcing Russia to pay such a high price that it is willing to strike a deal and withdraw.

“I think there is a chance of that,” Breedlove said.

With the war's outcome in doubt, so too is Putin's wider goal of overturning the security order that has existed in Europe since the end of the Cold War and the collapse of the Soviet Union in 1991. Putin demands that NATO refuse membership to Ukraine and other former Soviet states like Georgia, and that the alliance roll back its military presence to positions held prior to expanding into Eastern Europe.

NATO leaders have rejected Putin's demands, and with uncharacteristic speed are bolstering the allied force presence in Romania, Slovakia and Hungary, which border Ukraine, and in Bulgaria, which like Ukraine sits on the Black Sea.

“We are united in our resolve to counter Russia’s attempts to destroy the foundations of international security and stability,” leaders of the 30 allied nations said in a joint statement after meeting in Brussels on Thursday.

The human tragedy unfolding in Ukraine has overshadowed a worry across Europe that Putin could, by miscalculation if not by intent, escalate the conflict by using chemical or nuclear weapons in Ukraine or attempt to punish neighboring NATO nations for their support for Ukraine by attacking them militarily.

“Unfortunately there is now not a single country that can live with the illusion that they are safe and secure,” Bulgarian Prime Minister Kiril Petkov said, referring to his fellow European members of NATO.

With that threat in mind, the United States and other allied countries have begun assembling combat forces in Bulgaria and other Eastern European NATO countries — not to enter the war directly but to send Putin the message that if he were to widen his war he would face allied resistance.

Speaking at a windswept training range in Bulgaria last week, US Army Maj. Ryan Mannina of the 2nd Cavalry Regiment said the tension is palpable.

“We're very aware that there's a war going on only a few hundred miles from us,” he said.



Doctor at the Heart of Türkiye Newborn Baby Deaths Case Says He was a 'Trusted' Physician

A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
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Doctor at the Heart of Türkiye Newborn Baby Deaths Case Says He was a 'Trusted' Physician

A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)

The Turkish doctor at the center of an alleged fraud scheme that led to the deaths of 10 babies told an Istanbul court Saturday that he was a “trusted” physician.

Dr. Firat Sari is one of 47 people on trial accused of transferring newborn babies to neonatal units of private hospitals, where they were allegedly kept for prolonged and sometimes unnecessary treatments in order to receive social security payments.

“Patients were referred to me because people trusted me. We did not accept patients by bribing anyone from 112,” Sari said, referring to Türkiye's emergency medical phone line.

Sari, said to be the plot’s ringleader, operated the neonatal intensive care units of several private hospitals in Istanbul. He is facing a sentence of up to 583 years in prison in a case where doctors, nurses, hospital managers and other health staff are accused of putting financial gain before newborns’ wellbeing, The AP reported.

The case, which emerged last month, has sparked public outrage and calls for greater oversight of the health care system. Authorities have since revoked the licenses and closed 10 of the 19 hospitals that were implicated in the scandal.

“I want to tell everything so that the events can be revealed,” Sari, the owner of Medisense Health Services, told the court. “I love my profession very much. I love being a doctor very much.”

Although the defendants are charged with the negligent homicide of 10 infants since January 2023, an investigative report cited by the state-run Anadolu news agency said they caused the deaths of “hundreds” of babies over a much longer time period.

Over 350 families have petitioned prosecutors or other state institutions seeking investigations into the deaths of their children, according to state media.

Prosecutors at the trial, which opened on Monday, say the defendants also falsified reports to make the babies’ condition appear more serious so as to obtain more money from the state as well as from families.

The main defendants have denied any wrongdoing, insisting they made the best possible decisions and are now facing punishment for unavoidable, unwanted outcomes.

Sari is charged with establishing an organization with the aim of committing a crime, defrauding public institutions, forgery of official documents and homicide by negligence.

During questioning by prosecutors before the trial, Sari denied accusations that the babies were not given the proper care, that the neonatal units were understaffed or that his employees were not appropriately qualified, according to a 1,400-page indictment.

“Everything is in accordance with procedures,” he told prosecutors in a statement.

The hearings at Bakirkoy courthouse, on Istanbul’s European side, have seen protests outside calling for private hospitals to be shut down and “baby killers” to be held accountable.

The case has also led to calls for the resignation of Health Minister Kemal Memisoglu, who was the Istanbul provincial health director at the time some of the deaths occurred. Ozgur Ozel, the main opposition party leader, has called for all hospitals involved to be nationalized.

In a Saturday interview with the A Haber TV channel, Memisoglu characterized the defendants as “bad apples” who had been “weeded out.”

“Our health system is one of the best health systems in the world,” he said. “This is a very exceptional, very organized criminal organization. It is a mistake to evaluate this in the health system as a whole.”

Memisoglu also denied the claim that he shut down an investigation into the claims in 2016, when he was Istanbul’s health director, calling it “a lie and slander.”

Turkish President Recep Tayyip Erdogan said this week that those responsible for the deaths would be severely punished but warned against placing all the blame on the country’s health care system.

“We will not allow our health care community to be battered because of a few rotten apples,” he said.