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."



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.