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State Department

‘What About Six Years of Friendship and Fighting Together?’

The Atlantic

www.theatlantic.com › ideas › archive › 2025 › 03 › trump-travel-ban-afghanistan › 682066

Later this week, the Trump administration may impose travel restrictions on citizens from dozens of countries, supposedly because of security concerns. According to early reports, one of the countries on the “red” list, from which all travel would be banned, is Afghanistan. Sixty thousand exhaustively vetted Afghan visa applicants and refugees, who risked their lives alongside the Americans in their country as interpreters, drivers, soldiers, judges, and journalists, and who now face imprisonment, torture, and death at the hands of the Taliban, will have the golden doors to the United States shut in their face.  

As the Taliban closed in on Kabul in the summer of 2021, then-Senator Marco Rubio co-authored a letter to President Joe Biden urging him to “ensure the safety and security of Afghans who have worked closely” with American intelligence agencies: “Abandoning these individuals” would be “a stain on our national conscience.” After the Afghan government fell and tens of thousands of Afghans rushed to the Kabul airport, trying desperately to be evacuated with the last American troops, Rubio excoriated Biden for leaving Afghan allies behind to be killed. Then-Representative Mike Waltz warned that “our local allies are being hunted down.” Kash Patel accused the Biden administration of “the stranding of US personnel and allies.” The Republican majority of the House Foreign Affairs Committee, in a damning report on the fall of Afghanistan, said that Biden’s “abandonment of our Afghan allies, who fought alongside the U.S. military against the Taliban—their brothers in arms—is a stain on [his] administration.”

As for then-ex-President Donald Trump, he was incredulous, telling Sean Hannity on Fox News: “We take the military out before we took our civilians out, and before we took the interpreters and others we want to try and help? But by the way, I’m America first. The Americans come out first. But we’re also going to help people that helped us.”

On Inauguration Day, President Trump signed executive orders pausing foreign aid and refugee processing. He turned off the flow of money to private agencies that helped Afghans start new lives in America and shut down the State Department office set up under Biden to oversee their resettlement. Since then, the number of Afghans able to enter the U.S. has dwindled to zero. The travel ban will make the halt official and permanent. All of the outrage at the Biden administration’s betrayal of our Afghan allies from the very Republicans who now command U.S. foreign policy will go down as sheer opportunism. The stain will be on them.

[David A. Graham: Biden’s ‘America First’ policy on Afghanistan]

“All these fucking people had a lot to say about what was going on in August 2021,” says Shawn Van Diver, a Navy veteran who leads AfghanEvac, a coalition of  organizations that help resettle Afghan allies in this country. Politically, Biden never recovered from the chaotic fall of Kabul and the terrible scenes at the airport, climaxing in the suicide bombing at Abbey Gate that killed 13 American service members and 170 Afghans. Biden deserved blame above all for failing to take seriously America’s obligation to vulnerable Afghans who had placed their trust in this country. But during the years following the debacle, AfghanEvac and other civil-society groups worked with the Biden administration to bring nearly 200,000 Afghans to America—a little-known fact that partly redeemed its failures. Now Trump is compounding Biden’s earlier sins, this time in cold blood.   

Van Diver and his colleagues are scrambling to persuade their contacts inside the administration to exempt Afghans from the coming travel ban. Many of his military friends are stunned that the president they voted for is betraying Afghans they had to leave behind. “I wonder if President Trump knows that Stephen Miller is ruining his relationship with veterans because of what we’re doing to our Afghan allies,” he told me. According to Van Diver, Rubio and Waltz—now the secretary of state and the national security adviser, respectively—are sympathetic to the veterans’ appeal; but Miller, the hard-line homeland-security adviser, will have the final say with Trump.

Forty-five thousand Afghans have completed the onerous steps to qualify for Special Immigrant Visas as former employees of the U.S. government in Afghanistan and are ready to travel. Fifteen thousand more Afghans, most in Pakistan, have reached the end of refugee processing as close affiliates of the American war effort. They’ve been waiting through years of referrals, applications, interviews, medical exams, and security vetting. Some of them have plane tickets. Another 147,000 Afghans are well along in qualifying for Special Immigrant Visas.“We did make a promise as a nation to these people that if they stood beside the U.S. mission and worked with us, that they would have a pathway to come build lives here,” a State Department official, who requested anonymity because of a policy against speaking to journalists, told me. “If we don’t keep the promises we make to our wartime allies, then our standing globally should be questioned by any other future potential allies we might have.” Afghans who finally reach the United States, the official continued, “are so incredibly grateful to have the opportunity to be in this country. They believe in the promise of this country.”

One young Afghan couple—I’ll call them Farhad and Saman, because using their real names would expose them to danger—are both veterans of the Afghan special forces, and they spent years serving and fighting alongside U.S. Army Rangers and other special operators. After the American departure, they were hunted by Talibs and took shelter in safe houses around the country, while family members were harassed, arrested, and tortured. In 2023, with the help of a small group of American supporters, the couple crossed the border into Pakistan and found lodgings in Islamabad, where they waited with their small children for their refugee applications to be processed. Last summer they were interviewed by the U.S. embassy and passed their medical exams; but security screening took so long that, by the time it was completed, their medical exams had expired. On January 2 of this year, they passed their second medical exams and were told by the International Organization of Migration that they would soon depart for the United States. “But on January 24, we realized unfortunately that Donald Trump is in office and everything is stopped,” Farhad told me by phone. “It was at the very last minute, the last stage. I didn’t expect that this would happen. It made a very bad impact on me and my family.”

[George Packer: The betrayal]

Recently, stepped-up Pakistani police patrols and raids made the couple flee Islamabad to another region. Their 3-year-old daughter and infant son don’t have visas, and Farhad’s and Saman’s visas expire on April 17, with no prospect of renewal. Fear of being stopped at a checkpoint keeps the family inside their small apartment almost all the time, while their daughter wonders when she’ll be able to start school. They ask neighbors to buy food for them at the bazaar. The Pakistani government has begun to issue warnings over loudspeakers at mosques that local people who rent property to Afghan refugees will face legal consequences. “I’m stressed that the U.S. government is not going to relocate us and will not help us to continue processing our case,” Farhad said. He has sent letters of inquiry to embassies of other countries, with no reply. “I’m worried that eventually somehow I’ll be deported to Afghanistan, and deportation means I’ll be caught by the Taliban and killed. My wife will not be excluded. She will face the same consequences. I’m overwhelmed sometimes when I think what will happen to my kids—they’ll be orphans. It’s too much for me to take in.”

When Republican leaders were shaming the Biden administration for abandoning this country’s Afghan allies, they sometimes used the military phrase brothers in arms. Now, as those same Republicans in the Trump administration are betraying the same Afghans all over again, Farhad used the phrase with me. “I fought like brothers in arms with the Americans in uniform for six years, shoulder to shoulder, everywhere,” he said. “If this travel ban happens, the question is, what about the six years of friendship and fighting together? What about helping your friends and allies? That’s the question I have.”

Invading Canada Is Not Advisable

The Atlantic

www.theatlantic.com › ideas › archive › 2025 › 03 › us-canada-relations-trump › 682046

When I served as counselor of the State Department, I advised the secretary of state about America’s wars with Iraqi insurgents, the Taliban, Iran’s Islamic Revolutionary Guard Corps, and al-Qaeda. I spent a good deal of time visiting battlefields in the Middle East and Afghanistan as well as shaping strategy in Washington. But when I left government service in 2009, I eagerly resumed work on a book that dealt with America’s most durable, and in many ways most effective and important, enemy: Canada.

So I feel both morally compelled and professionally qualified to examine the Trump administration’s interesting but far from original idea of absorbing that country into the union.

There are, as Donald Trump and Don Corleone might put it, two ways of doing this: the easy way and the hard way. The easy way would be if Canadians rose up en masse clamoring to join the United States. Even so, there would be awkwardness.

[Read: The angry Canadian]

Canada is slightly larger than America. That would mean that the “cherished 51st state,” as Trump calls it, would be lopsided in terms of territory. It would be 23 times larger than California, which would be fine for owning the libs, but it would also be 14 times larger than the Lone Star State, which would definitely cause some pursed lips and steely looks there. Messing with Texas is a bad idea.

The new state would be the largest in population too, with 40 million people—more than California by a hair, and considerably more than Texas, Florida, or New York. Its size would pose a whole bunch of problems for Trump: Canada is a much more left-wing country than the United States, and absorbing it could well revive the political fortunes of progressives. If its 10 provinces became 10 states instead of one, only three would probably vote for the GOP; the other seven would likely go for Democrats. That might mean adding six Republican senators and 14 Democrats. If Trump were impeached a third time, that might produce the supermajority required for conviction in the Senate.

But such political ramifications are purely academic considerations at the moment. Polling suggests that 85 to 90 percent of all Canadians cling to sovereignty. Having been denied the easy way of absorbing Canada, therefore, the United States might have to try the hard way, conquering the country and administering it as a territory until it is purged of Liberals, Conservatives, and whatever the Canadian equivalent of RINOs turns out to be.

Unfortunately, we have tried this before, with dismal results. In 1775, before the United States had even formally declared independence from Great Britain, it launched an invasion of Canada, hoping to make it the 14th colony. The psychological-warfare geniuses in Congress ordered that the local farmers and villagers be distributed pamphlets—translated into French—declaring, “You have been conquered into liberty,” an interesting way of putting it. Unfortunately, the Catholic farmers and villagers were largely illiterate, and their leaders, the gentry and parish priests who could read, were solidly on the side of the British against a bunch of invading Protestants.

There were moments of brilliant leadership in this invasion, particularly in a daring autumn march through Maine to the very walls of Quebec. There was also a great deal of poltroonery and bungling. The Americans had three talented generals. The first, Richard Montgomery, got killed in the opening assault on Quebec. The second, John Thomas, died of smallpox, along with many of his men. Inoculation was possible, but, like today’s vaccine skeptics, many thought it a bad idea. You can visit the capacious cemetery for the victims on Île aux Noix, now Fort Lennox, Canada.

The third general, the most talented of the lot, was Benedict Arnold, who held the expedition together even after suffering a grievous leg wound. Eventually, however, he grew disgusted with a Congress rather less craven and incompetent than its contemporary successor and became a traitor, accepting a commission as a brigadier general in the British army and fighting against American forces.

We tried again in 1812. Thomas Jefferson, the original Republican, described the acquisition of Canada as “a mere matter of marching.” This was incorrect. The United States launched eight or nine invasions of Canada during the War of 1812, winning only one fruitless battle. The rest of the time, it got walloped. For example, General William Hull, like other American commanders a superannuated veteran of the Revolution, ended up surrendering Detroit with 2,500 troops to a much smaller British and Indian force. Court-martialed for cowardice and neglect of duty in 1814, he was sentenced to death but pardoned.

Secretary of Defense Pete Hegseth is perhaps unfamiliar with the Battle of Chateaugay. The last three letters are, after all, gay, and as such, the battle has doubtless been expunged from Defense Department websites and databases, meeting the same fate as the Enola Gay. Still, it is instructive. An invading force of 2,600 American regulars encountered about 1,500 Canadian militia members, volunteers, and Mohawks under a Francophone colonel, Charles de Salaberry.  They were defeated and had to withdraw.

Since the War of 1812, Americans have not tried any formal invasions of Canada, but there was tacit and sometimes overt support for the 1837–38 revolt of the Canadian patriotes, a confrontation over Oregon (a sober look at the size of the Royal Navy dissuaded us from trying anything), and the Fenian raids of 1866 and 1870. The Fenians were rather like the Proud Boys, only better organized and all Irish, and they also ended up fleeing back over the border.

Perhaps today’s Canadians are a flimsier lot. The Canadian armed forces are quite small (the army numbers only about 42,000, including reservists), although spirited and hardy. One should note with respect that 158 Canadians were killed fighting alongside American soldiers in Afghanistan. But even if the Canadian military were overcome after some initial bloody battles, what then?

Canadians may have gone in for wokeness in recent years, it is true, but there is the matter of their bloody-minded DNA. It was not that long ago that they harvested baby seals—the ones with the big, sad, adorable brown eyes—with short iron clubs. They love hockey, a sport that would have pleased the emperors and blood-crazed plebeians and patricians of ancient Rome if they could only have figured out how to build an ice rink in the Colosseum.

[Read: Canada is taking Trump seriously and personally]

Parenthetically, there remains the problem of the First Nations (as the Canadians refer to them), whom they treated somewhat less badly than Americans treated Native Americans (as we refer to them). There are about 50,000 Mohawks straddling the U.S.-Canadian border, and they are fearless, which is why you will find them building skyscrapers at terrifying heights above the street. As members of what used to be the Iroquois Confederacy, they were ferocious warriors, and they retain a martial tradition. It is sobering to consider that they may think, with reason, that we are the illegal immigrants who have ruined the country, and therefore hold a grudge.

There is a martial spirit up north waiting to be reawakened. Members of the Trump administration may not have heard of Vimy Ridge, Dieppe, the crossing of the Sangro, Juno Beach, or the Battle of the Scheldt. Take it from a military historian: The Canadian soldiers were formidable, as were the sailors who escorted convoys across the North Atlantic and the airmen who flew in the Battle of Britain and the air war over Germany. Canada’s 44,000 dead represented a higher percentage of the population than America’s losses in the Second World War. Those who served were almost entirely volunteers.

Bottom line: It is not a good idea to invade Canada. I recommend that in order to avoid the Trump administration becoming even more of a laughingstock, Secretary Hegseth find, read, and distribute to the White House a good account of the Battle of Chateau***. It could help avoid embarrassment.

The World’s Deadliest Infectious Disease Is About to Get Worse

The Atlantic

www.theatlantic.com › health › archive › 2025 › 03 › tuberculosis-death-usaid-trump › 682062

Mycobacterium tuberculosis is a near-perfect predator. In 1882, Robert Koch, the physician who discovered the microbe, told a room full of scientists that it caused one in seven of all deaths. In 2023, after a brief hiatus, tuberculosis regained from COVID its status as the world’s deadliest infectious disease—a title it has held for most of what we know of human history.

Some people die of TB when their lungs collapse or fill with fluid. For others, scarring leaves so little healthy lung tissue that breathing becomes impossible. Or the infection spreads to the brain or the spinal column, or they suffer a sudden, uncontrollable hemorrhage. Lack of appetite and extreme abdominal pain can fuel weight loss so severe that it whittles away muscle and bone. This is why TB was widely known as “consumption” until the 20th century—it seemed to be a disease that consumed the very body, shrinking and shriveling it. On a trip to Sierra Leone in 2019, I met a boy named Henry Reider, whose mix of shyness and enthusiasm for connection reminded me of my own son. I thought he was perhaps 9 years old. His doctors later told me that he was in fact 17, his body stunted by a combination of malnutrition and tuberculosis.

The cure for TB—roughly half a year on antibiotics—has existed since the 1950s, and works for most patients. Yet, in the decades since, more than 100 million people have died of tuberculosis because the drugs are not widely available in many parts of the world. The most proximate cause of contemporary tuberculosis deaths is not M. tuberculosis, but Homo sapiens. Now, as the Trump administration decimates foreign-aid programs, the U.S. is both making survival less likely for people with TB and risking the disease becoming far more treatment-resistant. After decades of improvement, we could return to something more like the world before the cure.

[Read: The danger of ignoring tuberculosis]

Anyone can get tuberculosis—in fact, a quarter of all humans living now, including an estimated 13 million Americans, have been infected with the bacterium, which spreads through coughs, sneezes, and breaths. Most will only ever have a latent form of the infection, in which infection-fighting white blood cells envelop the bacteria so it cannot wreak havoc on the body. But in 5 to 10 percent of infections, the immune system can’t produce enough white blood cells to surround the invader. M. tuberculosis explodes outward, and active disease begins.

Certain triggers make the disease more likely to go from latent to active, including air pollution and an immune system weakened by malnutrition, stress, or diabetes. The disease spreads especially well along the trails that poverty has blazed for it: in crowded living and working conditions such as slums and poorly ventilated factories. Left untreated, most people who develop active TB will die of the disease.

In the early 1980s, physicians and activists in Africa and Asia began sounding the alarm about an explosion of young patients dying within weeks of being infected instead of years. Hours after entering the hospital, they were choking to death on their own blood. In 1985, physicians in Zaire and Zambia noted high rates of active tuberculosis among patients who had the emerging disease now known as HIV/AIDS. TB surged globally, including in the U.S. Deaths skyrocketed. From 1985 to 2005, roughly as many people died of tuberculosis as in World War I, and many of them also had HIV. In 2000, nearly a third of the 2.3 million people who died of tuberculosis were co-infected with HIV.

[Read: Tragedy would unfold if Trump cancels Bush’s AIDS program]

By the mid-1990s, antiretroviral cocktails made HIV a treatable and survivable disease in rich communities. While a person is taking these medications, their viral levels generally become so low as to be undetectable and untransmittable; if a person with HIV becomes sick with tuberculosis, the drugs increase their odds of survival dramatically. But rich countries largely refused to spend money on HIV and TB meds in low- and middle-income countries. They cited many reasons, including that patients couldn’t be trusted to take their medication on time, and that resources would be better spent on prevention and control. In 2001, the head of the U.S. Agency for International Development had this to say when explaining to Congress why many Africans would not benefit from access to HIV medications: “People do not know what watches and clocks are. They do not use Western means for telling time. They use the sun. These drugs have to be administered during a certain sequence of time during the day and when you say take it at 10:00, people will say, ‘What do you mean by 10:00?’” A 2007 review of 58 studies on patient habits found that Africans were more likely to adhere to HIV treatment regimens than North Americans.

In the mid-2000s, programs such as PEPFAR and the Global Fund finally began distributing antiretroviral therapy to millions of people living with HIV in poor countries. PEPFAR, a U.S.-funded initiative, was especially successful, saving more than 25 million lives and preventing 7 million children from being born with HIV. These projects lowered deaths and infections while also strengthening health-care systems, allowing low-income countries to better respond to diseases as varied as malaria and diabetes. Millions of lives have been saved—and tuberculosis deaths among those living with HIV have declined dramatically in the decades since.

Still, tuberculosis is great at exploiting any advantage that humans hand it. During the coronavirus pandemic, disruptions to supply chains and TB-prevention programs led to an uptick in infections worldwide. Last year, the U.S. logged more cases of tuberculosis than it has in any year since the CDC began keeping count in the 1950s. Two people died. But in some ways, at the beginning of this year, the fight against tuberculosis had never looked more promising. High-quality vaccine candidates were in late-stage trials. In December, the World Health Organization made its first endorsement of a TB diagnostic test, and global health workers readied to deploy it.

[Read: America can’t just unpause USAID]

Now that progress is on the verge of being erased. Since Donald Trump has taken office, his administration has dismantled USAID, massively eliminating foreign-aid funding and programs. According to The New York Times, hundreds of thousands of sick patients have seen their access to medication and testing suddenly cut off. A memo released by a USAID official earlier this month estimated that cases of multidrug-resistant tuberculosis will rise by about 30 percent in the next few years, an unprecedented regression in the history of humankind’s fight against the disease. (The official was subsequently placed on administrative leave.) Research on tuberculosis tests and treatments has been terminated. Although the secretary of state and Elon Musk have assured the public that the new administration’s actions have not disrupted the distribution of life-saving medicine, that just isn’t true. A colleague in central Africa sent me a picture of TB drugs that the U.S. has already paid for sitting unused in a warehouse because of stop-work orders. (Neither the State Department nor DOGE employees responded to requests for comment.)

Last year, roughly half of all international donor funding for tuberculosis treatment came from the U.S. Now many programs are disappearing. In a recent survey on the impact of lost funding in 31 countries, one in four organizations providing TB care reported they have shut down entirely. About half have stopped screening for new cases of tuberculosis. The average untreated case of active tuberculosis will spread the infection to 10 to 15 people a year. Without treatment, or even a diagnosis, hundreds of thousands more people will die—and each of those deaths will be needless.

By revoking money from global-health efforts, the U.S. has created the conditions for the health of people around the world to deteriorate, which will give tuberculosis even more opportunities to kill. HIV clinics in many countries have started rationing pills as drug supplies run dangerously low, raising the specter of co-infection. Like HIV, insufficient nutrition weakens the immune system. It is the leading risk factor for tuberculosis. An estimated 1 million children with severe acute malnutrition will lose access to treatment because of the USAID cuts, and refugee camps across the world are slashing already meager food rations.

For billions of people, TB is already a nightmare disease, both because the bacterium is unusually powerful and because world leaders have done a poor job of distributing cures. And yet, to the extent that one hears about TB at all in the rich world, it’s usually in the context of a looming crisis: Given enough time, a strain of tuberculosis may evolve that is resistant to all available antibiotics, a superbug that is perhaps even more aggressive and deadly than previous iterations of the disease.

[Read: Resistance to the antibiotic of last resort is silently spreading]

The Trump administration’s current policies are making such a future more plausible. Even pausing TB treatment for a couple of weeks can give the bacterium a chance to evolve resistance. The world is ill-prepared to respond to drug-resistant TB, because we have shockingly few treatments for the world’s deadliest infectious disease. Between 1963 and 2012, scientists approved no new drugs to treat tuberculosis. Doing so stopped being profitable once the disease ceased to be a crisis in rich countries. Many strains of tuberculosis are already resistant to the 60-year-old drugs that are still the first line of treatment for nearly all TB patients. If a person is unlucky enough to have drug-resistant TB, the next step is costly testing to determine if their body can withstand harsh, alternative treatments. The United States helped pay for those tests in many countries, which means that now fewer people with drug-resistant TB are being diagnosed or treated. Instead, they are almost certainly getting sicker and spreading the infection.

Drug-resistant TB is harder to cure in individual patients, and so the aid freeze will directly lead to many deaths. But giving the bacteria so many new opportunities to develop drug resistance is also a threat to all of humanity. We now risk the emergence of TB strains that can’t be cured with our existing tools. The millennia-long history of humans’ fight against TB has seen many vicious cycles. I fear we are watching the dawn of another.

This article has been adapted from John Green’s forthcoming book, Everything Is Tuberculosis.