One Year after Afghan War, Biden Struggles to Find Footing

Hundreds of people gather near a US Air Force C-17 transport plane at the perimeter of the international airport in Kabul, Afghanistan, on Aug. 16, 2021. (AP)
Hundreds of people gather near a US Air Force C-17 transport plane at the perimeter of the international airport in Kabul, Afghanistan, on Aug. 16, 2021. (AP)
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One Year after Afghan War, Biden Struggles to Find Footing

Hundreds of people gather near a US Air Force C-17 transport plane at the perimeter of the international airport in Kabul, Afghanistan, on Aug. 16, 2021. (AP)
Hundreds of people gather near a US Air Force C-17 transport plane at the perimeter of the international airport in Kabul, Afghanistan, on Aug. 16, 2021. (AP)

The 12 months since the chaotic end to the US war in Afghanistan haven't been easy for Joe Biden.

The new president was flying high early in the summer of 2021, the American electorate largely approving of Biden's performance and giving him high marks for his handling of the economy and the coronavirus pandemic.

But come August, the messy US troop withdrawal from Afghanistan seemed to mark the start of things going sideways for him.

It was a disquieting bookend to the 20-year American war: the US-backed Afghan government collapsed, a grisly bombing killed 13 US troops and 170 others, and thousands of desperate Afghans descended on Kabul’s airport in search of a way out before the final US cargo planes departed over the Hindu Kush.

The disastrous drawdown was, at the time, the biggest crisis that the relatively new administration had faced. It left sharp questions about Biden and his team's competence and experience — the twin pillars central to his campaign for the White House.

As the one-year anniversary of the end of the Afghan war nears, the episode — a turning point in Biden's presidency — continues to resonate as he struggles to shake dismal polling numbers and lift American confidence in his administration ahead of November's critical midterm elections.

"It was a pivotal moment that he hasn't ever really recovered from," said Christopher Borick, director of the Institute of Public Opinion at Muhlenberg College in Pennsylvania. "Things were going really well in terms of how voters viewed him in terms of bringing stability to the economy and how the government addressed the pandemic, issues that are higher priorities to the American electorate than the war in Afghanistan. But Afghanistan cracked that image of competency, and he hasn't ever really been able to repair it."

The Afghanistan debacle was just the start of a series of crises for Biden.

As Biden was still dealing with fallout from the Afghan withdrawal last summer, COVID-19 cases began spiking again. Layered over that in coming were months were strains on the economy caused by inflation, labor shortages and the Russian invasion of Ukraine. The sum of it left Americans weary.

In the weeks before Afghanistan went sideways, Biden was riding high. His approval rating stood at 59% in a July 2021 poll by The Associated Press-NORC Center for Public Affairs Research. An AP-NORC poll conducted last month put his rating at 36%.

White House officials and Biden allies hope the president is now at another turning point — this one in his favor.

The administration has recently racked up high-profile wins on Capitol Hill, including passage of the $280 billion CHIPS and Science Act designed to boost the US semiconductor industry. Congress also passed a program to treat veterans who may have been exposed to toxic substances from burning trash pits on US military bases.

And over the weekend the White House sealed the deal on far-reaching legislation addressing health care and climate change that also raises taxes on high earners and large corporations, a package the administration says will also help mitigate the impact of high inflation.

The legislative victories followed Biden ordering the CIA drone strike in Kabul that killed al-Qaeda leader Ayman al-Zawahiri, who along with Osama bin Laden masterminded the 9/11 attacks. Biden says the operation validates the decision to withdraw from Afghanistan.

"I made the decision to end America’s longest war ... and that we’d be able to protect America and root out terrorism in Afghanistan or anywhere in the world," Biden told a Democratic National Committee virtual rally last week. "And that’s exactly what we did."

Biden had other big legislative wins after the Afghanistan debacle.

In November, he signed into law a $1 trillion infrastructure deal to fund rebuilding of roads, bridges and other big projects In April, the Senate confirmed Biden's history-making US Supreme Court nominee, Ketanji Jackson Brown, who became the first Black woman to serve on the high court. And in June, Biden notched another win as Congress passed the most significant changes to gun laws in nearly 30 years.

But those legislative accomplishments weren't rewarded with a boost in his standing with voters.

Eric Schultz, a senior adviser to former President Barack Obama, argues that there's reason for the White House to hope that momentum is shifting with the recent legislative wins.

"The question is, ‘What did Democrats deliver when they swept into power in 2020?’" Schultz said. "And I think for Democrats running in November, we have an even better answer to that question than we did just a few weeks ago."

Schultz added that the operation that killed Zawahiri also offered strong evidence that Biden's instincts as commander in chief were correct.

"Nobody thought Afghanistan was going to be a panacea of rainbows and unicorns after we left," Schultz said. "But the president made the right decision that based on US national security interests we could execute our counterterrorism imperatives without having thousands of troops on the ground."

William Howell, a political scientist and director of the Center for Effective Government at the University of Chicago, said the biggest drag on Biden's standing with Americans has been runaway inflation and an unrelenting pandemic.

But the Afghanistan debacle became a defining moment in the Biden presidency, he said, marking when the American electorate began questioning Biden's ability to fulfill his campaign promise to usher in an era of greater empathy and collaboration with allies after four years of President Donald Trump’s "America first" approach.

"Afghanistan remains significant going forward as he tries to make that central 2020 argument of competency," Howell said. "The images of Afghanistan are going to remain Exhibit A in the other side's rebuttal of the competency claim."

The administration, for its part, has pushed back that lost in the criticism of the US withdrawal effort is that in the war's final days, the United States pulled off the largest airlift in American history, evacuating some 130,000 US citizens, citizens of allied countries, and Afghans who worked with the United States.

Biden continues to face criticism from immigrant refugee advocates that the administration has fallen short in resettling Afghans who assisted the US war effort.

As of last month, more than 74,000 Afghan applicants remained in the pipeline for special immigrant visas that help military interpreters and others who worked on government-funded contracts move to the United States and pave the way for them to receive a green card. That total counts only the principal applicant and does not include spouses and children. More than 10,000 of that pool of applicants had received a critical chief of mission approval, according to State Department data.

Days after the unexpected fall of Kabul last year, national security adviser Jake Sullivan promised the White House would "conduct an extensive hot wash" and "look at every aspect" of the withdrawal from top to bottom." But that effort has dragged on and is not expected to be completed before the Aug. 30 anniversary of Biden ending the war.

The White House has yet to detail how the president will mark the anniversary of a war that cost the lives of more than 2,400 US troops and wounded nearly 21,000 more. Republicans are certain to resurrect criticism of the administration's drawdown.

Senate Minority Leader Mitch McConnell noted to reporters that while taking out Zawahiri was a triumph for the intelligence community, the moment also confirmed that the Taliban — ousted from power by US forces after 9/11 to deny al-Qaeda a haven — are once again harboring al-Qaeda.

"It is noteworthy where Zawahiri was: In Kabul. So al-Qaeda is back as a result of the Taliban being back in power," McConnell said "That precipitous decision to withdraw a year ago produced the return of the conditions that were there before 9/11."



Doctors and Moms Say Babies in Gaza May Die without More Formula, Blame Israel’s Blockade

 Seham Fawzy Khodeir watches her son, Hisham, who is just days old and was born prematurely, lying in an incubator at the neonatal intensive care unit of Nasser Hospital in Khan Younis, southern Gaza Strip, Thursday, June 19, 2025. (AP)
Seham Fawzy Khodeir watches her son, Hisham, who is just days old and was born prematurely, lying in an incubator at the neonatal intensive care unit of Nasser Hospital in Khan Younis, southern Gaza Strip, Thursday, June 19, 2025. (AP)
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Doctors and Moms Say Babies in Gaza May Die without More Formula, Blame Israel’s Blockade

 Seham Fawzy Khodeir watches her son, Hisham, who is just days old and was born prematurely, lying in an incubator at the neonatal intensive care unit of Nasser Hospital in Khan Younis, southern Gaza Strip, Thursday, June 19, 2025. (AP)
Seham Fawzy Khodeir watches her son, Hisham, who is just days old and was born prematurely, lying in an incubator at the neonatal intensive care unit of Nasser Hospital in Khan Younis, southern Gaza Strip, Thursday, June 19, 2025. (AP)

Seham Fawzy Khodeir watches as her son lies inside a dilapidated incubator and listens to his faint cry, mixed with the muted sound of the equipment.

The mother of six is increasingly concerned about the survival of Hisham al-Lahham, who was just days old, breathing with the help of equipment and being fed through a tube in his tiny nose.

Most alarming is that the medical-grade formula he needs to survive is running out.

"There is no milk," the 24-year-old mother told The Associated Press. He needs it to "to get better, to live and to see life."

Hisham is among 580 premature babies at risk of death from starvation across the war-battered Gaza Strip, according to the Gaza Health Ministry. Khodeir and others blame Israel’s blockade for the plight of their children. Doctors say that although some formula has been delivered, the situation is dire. Their desperation comes as the war in Gaza has been overshadowed by the Israel-Iran war.

"These babies have no time ... and no voice," said Dr. Ahmed al-Farah, head of the pediatrics and obstetrics department at Nasser Hospital, the main medical facility still partially functional in southern Gaza.

'An avoidable disaster'

Khodeir's son is one of 10 babies in incubators at Nasser's neonatal intensive care unit. Last week, al-Farah rang the alarm, saying the hospital’s stock of medical-grade formula was "completely depleted."

He said the tiny babies who relied on it would face "an avoidable disaster" in two to three days.

His pleas were answered, in part, by the delivery of 20 boxes of formula sent over the weekend by a US aid group, Rahma Worldwide. The new delivery is enough to cover the needs for the 10 infants for up to two weeks, al-Farah said.

Al-Farah, however, expressed concern about future deliveries, saying that it wasn’t guaranteed that more formula would be allowed into Gaza.

"This is not enough at all," he said. "It solved the problem temporarily, but what we need is a permeant solution: Lift the siege."

Meanwhile, fortified formula required for newborns is already out of stock at Al-Rantisi Hospital in Gaza City, its director, Dr. Jamil Suliman, said.

"Many mothers are unable to breastfeed due to severe malnutrition," he said, warning of a looming crisis.

Infants are among the hardest hit by Israel’s blockade, which started on March 2 with the complete ban of any food, water, shelter or medication.

Under mounting international pressure and repeated warnings of famine from the United Nations, Israel began allowing what Prime Minister Benjamin Netanyahu called "minimal" aid, starting May 19.

Since then, more than 1,000 tons of baby food, including formula, have entered Gaza, according to COGAT, the Israeli defense agency in charge of aid coordination in the Palestinian territory.

"Food for babies is certainly entering (the Gaza Strip), as the organizations are requesting it, we are approving it, and there is no withholding of food for babies," a COGAT spokesperson said.

But Gaza’s health officials say that for these babies, that aid hasn't included enough critical medicine, formula, medical equipment, and spare parts to keep the existing equipment operational.

The Palestinian Center for Human Rights said in a report Monday that fortified infant formula was nearly depleted from local markets, with several types already completely out of stock.

"Any limited quantities available in some pharmacies are being sold at skyrocketing prices, far beyond the purchasing power of most families," it said.

COGAT said the baby food is being distributed mostly through international organizations — not via the Gaza Humanitarian Foundation, an Israeli-backed private contractor that has drawn criticism from other groups. Palestinian witnesses and health officials say Israeli forces have opened fire on crowds heading to GHF sites. The Israeli military says it has fired warning shots.

Israel has defended its blockade

Israel has said the blockade aims to pressure Hamas into releasing the 50 hostages it still holds from its Oct. 7, 2023, attack on southern Israel that sparked the war. Fewer than half are still believed to be alive.

Israel has accused Hamas of siphoning aid, without providing evidence. The United Nations says there's been no significant diversion of aid.

Gunmen killed around 1,200 people, mostly civilians, and took 251 hostage on Oct. 7. Most of the hostages have been released by ceasefire agreements.

The war has unleashed unrelenting destruction, with more than 56,000 Palestinians killed and more than 131,00 wounded in Israel's offensive, according to Gaza health officials. The officials don't distinguish between combatants and civilians but say more than half the casualties are women and children.

The war and the blockade have sparked a humanitarian crisis, creating shortages of the most basic necessities and pushing Gaza’s health care system to the brink of collapse.

Seventeen of the enclave's 36 hospitals remain partially functioning, providing health care to more than 2 million people amid bombings, rising malnutrition rates and dwindling medical supplies.

"Starvation is increasing," said Jonathan Whittall, head of the UN's humanitarian affairs office for the occupied Palestinian territories. More than 110 children have been admitted for treatment for malnutrition every day since the start of this year, he said.

"Our warehouses stand empty while Israel restricts shipments to minimal quantities of mainly medical supplies and food," Whittall added.

A crisis at Gaza's hospitals

Human Rights Watch said in a recent report that all medical facilities in Gaza are operating in unsanitary and overcrowded conditions and have serious shortages of essential health care goods, including medicine and vaccines.

"Since the start of the hostilities in Gaza, women and girls are going through pregnancy lacking basic health care, sanitation, water, and food," said Belkis Wille, associate crisis, conflict and arms director at Human Rights Watch. "They and their newborns are at constant risk of preventable death."

The Health Ministry has repeatedly warned that medical supplies and fuel were running out at hospitals, which use fuel-powered generators amid crippling power outages.

Whittall said hospitals were forced to ration the little fuel they have "to prevent a complete shutdown of more life-saving services."

"Unless the total blockade on fuel entering Gaza is lifted, we will face more senseless and preventable death," he said.

Nasser Hospital was forced to cut off electricity for some departments, despite the nonstop flow of patients, as part of a plan to save fuel, said Ismail Abu-Nimer, head of engineering and maintenance.

Supplies have been running out amid the influx of wounded people, many coming from areas close to aid distribution centers, said Dr. Mohammad Saqer, Nasser's director of nursing.

"The situation here is terrifying, immoral, and inhumane," he said.