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Chandrasekeran looks back on the troop surge ordered by President Obama on the advice of General Petraeus and General McChrystal in Afghanistan, and the results in Afghanistan as the U.S. withdraws troops in 2012-2013.

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Friedman on the $110 billion to fight wars in Afghanistan and Pakistan that does little to advance American interests and values. Especially today when the peoples of the Middle East are struggling to be free of the corrupt military regimes that have ruled their countries, and are trying to setup democratic processes in their countries. The pressing needs at home which are better attended to with these funds. The need to redirect some of this to help young people in the Muslim world bring new hope, development and democratic processes to their countries.

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Bill Keller compares the situation in 1940 with that of today. He sees isolationist tendencies in the U.S. today similiar to that which prevailed in the U.S. in 1940 when Roosevelt faced the Nazi invasion of Europe.

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Bill Keller of the NYT points out that getting Syria right means getting over the obsession over what went wrong in Iraq and looking objectively at the situation in Syria. He points to the failure of president Obama in grasping what the Assad regime has done to Syria, the refugees in Jordan, the use of artillery and air raids on civilian population, and inviting the support by fundmentalist Islamic countries such as Saudi Arabia in the absence of U.S. and European support, making delay after delay by president Obama leading to a paralysis in response. Leaving the question for the future which was a worse U.S. response- the hasty action in Iraq or the paralysis in Syria?

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Ben Van Heuvelen documents in the Washington Post what Ali Nabhan and Bradley pointed out in the WSJ in May 2009, that the officers in the Iraqi army lacked the training and discipline to act as an effective fighting force. These early indications proved correct and were ignored by the Iraqi government and the Obama administration till it was too late with the fall of Mosul and the ensuing chaos in Iraq.

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The high risk of failure as the U.S. withdraws from Afghanistan in 2012-2013. The U.S. is handing over to an Afghan Army that faces a high desertion rate, high turnover, and uncertain loyalties. The turnover is so high that the Afghan Army has to replace a third of the 195,000 army every year. The problems from the corruption in the Karzai government, the flawed elections, and other issues have not been resolved, leaving a fragile government and a fragile army and police force as the U.S. withdraws. A decade of sacrifices in resources, lives and wounded, is at risk. A negotiated settlement in talks with the Taliban has not moved forward to create a post U.S. withdrawal Afghan government that brings in all parties. The untimely death of American diplomat Holbrooke who set up the accord that made peace in the Balkans, and the failure to get results at the talks only leaves the whole U.S. project at risk.

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Veterans of the Iraq conflict see a decade of efforts in Iraq being undone in 2014 with increasing sectarian conflict and the spillover from the war in Syria.

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President Obama and President Maliki of Iraq meet at the White House in 2013- both in an awkward position. Maliki having to ask for American assistance in fighting Al Quaeda in western Iraq after insisting on America's complete withdrawal two years earlier. Obama having to face uncomfortable questions on the withdrawal and the current situation after American sacrifices in Iraq during the Bush period. The situation in 2011-2013 involved use of Iraqi airspace for the government of the previous Iranian president Ahmadinejad to supply the Assad regime. Maliki also opposed sanctions against the Assad regime. The visit by Maliki and requests for aid and increasing investment in the oil industry, comes as Iran under president Rouhani improves relations with Turkey in late 2013 to head off increasing Sunni-Shiite sectarianism and conflict in Syria, Iraq and other parts of the Middle East.

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Efforts by King Abdullah of Saudi Arabia to mediate differences between Qatar, which supports the Muslim Brotherhood, and Egypt's military government under Sissi, as the security threats in the region intensify. At the Gulf Cooperation Council meetings an effort to reduce differences between the Saudis and U.A.E. with Qatar, as the Middle East fragments bringing conflict to Libya and Iraq, in addition to Syria. Islamic State now threatens Saudi Arabia. The U.S. operates its main command center from Doha, Qatar. Iran supports the U.S. and Iraq under the Abadi government as it works to reduces sectarian Sunni-Shiite tensions and push back Islamic State. The Saudis and Iran now find themselves on the same side and see the need to reduce Shiite-Sunni tensions to restore peace to the region. This is the new background to the efforts to heal regional tensions in 2014-2015, as a reluctant Obama administration takes up American responsibility to restore peace to the region and avoid fragmentation....

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This Journal editorial on Oct 5, 2012, says that by not offering leadership in the Syrian conflict beause it would lead to a wider conflict the U.S. and the European Union face a wider conflict. The current crossborder shelling between Syria and Turkey is the latest evidence of this. Turkey and the Saudis cannot handle this on their own. Without U.S. leadership the costs of this conflict will be even greater, and even poses risks for the Turkish economy if handled badly.

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A study by Dr. McCormick of the Harvard Medical School and professors at the City University of New York School of Public Health at Hunter College, shows that the anticipated savings from conversion to medical records may not materialize to the extent expected. This study of data from 1100 doctors of 28,000 patient visits shows that with access to digital records doctors actually increased the number of tests ordered- from 12.9% of visits without digital records to 18% of visits with digital records. For more advanced tests such as MRI and CT scan the rate was 70% higher. Dr. McCormick says this may be because the new digital technology may have made it easier to order tests.