Opening The Rift
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Following recent mid-term elections in the USA while some commentators have placed greater emphasis on the Iran War and some on the growing socio-economic problems of people, there is increasing evidence also of the need for integration of external and internal factors. At the more obvious level, of course, it is clear that wars led to increase in price of energy and various other products which affected common people in their daily life. Another level that is obvious but less spoken about is that the huge military budget of the USA, which is bigger than the military budgets of the next six countries combined, leaves much less for meeting the needs of the bottom half of the population in satisfactory ways. Moving away from forever wars and having a military budget which adequately covers defence needs but still saves about 500 billion dollars for priority civilian needs can make a huge improvement in nutrition and health, housing and educational situation for the bottom half of the population. So these are the more obvious aspects of how internal and external reforms are inter-related. However these are other less obvious but nevertheless very important aspects too.
Let’s ask a simple question—which are the forces that push for forever wars, for more aggressive and unjust external policies? After identifying these forces, we can ask another question—aren’t these forces similar or allied to those who push for unjust and aggressive domestic policies? At times, have not the same forces been seen to be aggressive both at home and abroad?
In a book published in 1992 titled ‘The Challenge of the Last Decade’, in the very first chapter I had raised a question—‘What is the relationship between the deaths of President Allende and President Kennedy’ in very tragic circumstances? (I could have also asked –what is the relationship between the assassination of Prime Minister Lumumba and the assassination of Martin Luther King).
This raised several eyebrows as many readers felt that the two assassinations so apart in time and space could not be closely related. However the fact remains that the same political forces, their same aggressive tendency to disrupt the progress of peace, justice and democracy by using the most shocking violence against the most highly placed, democratically elected leaders were responsible for both of these extremely tragic assassinations. When invasions and aggression abroad strengthen the hands of the forces of injustice inside a powerful country, these forces of injustice can as willingly also turn against those who lead the forces of peace and justice within the country, whether a leader elected to the top post like JFK or a leader of the people like MLK.
Two aspects of the USA are well-established. It has been waging the most aggressive as well as destructive wars and invasions compared to any other country. Secondly, despite being very well endowed by resources it has very high levels of internal social distress. The question is –are these two highly distressing aspects closely related? If these are, then solutions to the two kinds of problems, which may be two sides of the same coin, should be sought together. The good, hopeful sign of the situation is that once the USA starts giving up the policy of external aggression, it will also be truly placed on the path of reducing social distress.
Now is a good time for considering these issues– a shocking excess of problems internally and externally was seen in recent times and at the same time following the midterm election results there is a lot of discussion regarding the reforms that are needed and how these can progress.
USA is a country very well-endowed by resources and exceptionally favoured by history and geography. So questions arise regarding why a large number of people here face severe economic difficulties and perhaps even an even larger number face social distress. Senator Bernie Sanders stated in a video soon after the election results came out on November 6, 2026 that in the USA the top 1 per cent have more wealth than the bottom 93 per cent while a single top billionaire has more wealth than the bottom 53 per cent. Earlier he had written (The Guardian, August 5, 2024), “In the midst of all the political gossip on TV and in newspapers (leading up to the elections of 2024), what Americans will not encounter is a serious discussion of the multiple economic crises facing the 60% of our fellow-citizens who live pay-check to pay-check—the working class of this country. What you will not hear about is why, in the richest country in the history of the world, so few have so little. What you will not hear about is the pain, the stress, the anxiety that tens of millions of Americans experience on a daily basis and how governmental decisions can improve their lives.”
Concern has been expressed by health experts in the USA that life-expectancy in this country has been reducing steadily in comparison to levels attained in several other rich countries. This has led some researchers to explore the number of excess deaths in the USA (or number of ‘missing Americans’) which they define as the deaths which are in excess of the number that would have taken place if the life-expectancy rates in the USA had remained at par with those of comparable rich countries.
One such important recent study by Jacob Bor, Andrew C. Stokes and others was published in the journal PNAS Nexus on May 29, 2023. This study has estimated the number of such excess deaths in the USA in 2019 at 622,534. During the next two years the number of such excess deaths went up to over a million, but as these were COVID years and a number of other issues become involved, we will go here only by the lower number of excess deaths recorded for a normal year at over 600,000. So what this study is saying that on the basis of comparisons with other rich countries, the USA should have been able to achieve the sort of life expectancy that results in avoiding over 600,000 deaths in a year.
Earlier another study by David Brady on only poverty related mortality published in the USA in JAMA Internal Medicine in April 2023 (for over 15 years age group) had estimated that there are 183,000 poverty related deaths in a year in the USA.
UN data tells us that at a time when maternal death rate was declining in most countries, in the USA maternal death rate increased to a shocking extent from 12 to 21 during 2000-2020.
More such data can be provided to show that the number of excess deaths and easily avoidable deaths in the USA is shockingly high at over half a million every year. A very big contribution to human welfare can be made by taking steps to ensure that these avoidable deaths are actually avoided.
The steps that are needed for improvements are well-known in a country so blessed with eminent scholars. In a nutshell, health services have to be improved in a big way for all weaker sections without any discrimination, inequalities must be reduced in a big way so that the poorer people have much better access to nutrition, environment and safety must be much better protected, shelter and health and overall social conditions need to be improved to make way for better physical and mental health while avoiding all harmful addictions. The educational system needs several overdue reforms too.
The bigger question is—when these solutions are well-known, why have not these been adopted and why the situation in some important respects continues to deteriorate? This is the really crucial question which needs to go beyond the analysis generally available in academic papers as this concerns important political issues of injustice. We need to ask why billions are easily available in the USA for weapons but even millions are not available for some important aspects of social justice, why billions worth of tax gifts can be given to the rich but millions worth of essential expenditure for the poorest is more difficult to find.
The fact is that a system of injustice has become so deeply established in the USA that solutions outside this system are difficult to implement. What should be emphasized is that this system of injustice is causing even more harm to people of other countries than what it is causing to people within USA.
Due to this system if 600,000 excess deaths a year are caused in the USA, then a similar or higher number of deaths are likely being caused in other countries as well. The number of deaths caused by the USA’s forever wars is in many millions as can be seen by adding up the immediate and longer-term mortality figures of wars in Korea, Vietnam, Cambodia, Laos, Iraq, Libya, Syria, Afghanistan and elsewhere, including proxy wars (in addition of course there was the use of atomic bombs against Japan after Japan had already been defeated for all practical purposes). Then there are a large number of deaths caused by arbitrary imposition of wide-ranging sanctions, highly unjust covert and overt interventions and coups in other countries which resulted in a large number of deaths (in countries like Congo, Chile, Iran, Nicaragua, Haiti, Greece, Guatemala, Brazil etc.). Then there are also the large number of deaths associated with exports of weapons to aggressor countries as well as exports of several highly hazardous products and technologies. Hence in brief we can say that unjust systems in the USA have been causing avoidable 600,000 excess deaths in the USA and a somewhat higher number in other countries annually. Excess deaths in other countries are defined here as deaths caused by various injustices of the US (or allies acting under US leadership), whether in the form of wars, coups or regime change efforts, subversions, exploitation, sanctions, imposition of unfair trade and economic policies or exports of hazardous products and technologies.
These excess deaths inside and outside USA are two parts of the same unjust system, an important aspect missed by most academic studies. Once you establish an unjust system that inflicts unjust wars on other countries, then the same unjust system adopts internal unjust and discriminative policies within the country too, although this may get partially softened by electoral considerations at times.
Another reflection of how internal and external injustices are closely related is the fact that the leaders with the biggest promise of justice and peace have been assassinated within the USA as also in other countries with fingers pointed towards the same US agencies and forces. This is how the assassinations of President John Kennedy and President Allende are related, the killings of Martin Luther King Jr. and Prime Minister Lumumba are related.
Several eminent scholars have stated that the solution for the USA to avoid excess deaths is to improve health care and socio-economic conditions for the lower half of the population, but if we go a step further and ask why this has not happened in recent years, then we also need to say more clearly and loudly that the established unjust system must be challenged and replaced by a system that is based on justice internally and externally.
Such struggles against well-established systems of injustice are needed in so many countries but most of all these are needed in the USA as this is the most powerful and influential country in the world whose policies have a worldwide impact. To give one example, environment, health and farmer activists all over the world are trying to stop GM crops and foods because of their serious adverse impacts on health, environment and farming, also because these can contaminate all farming and normal crops and naturally grown crops cannot co-exist with GM crops without getting contaminated at some stage. However these activists realize time and gain that they are frustrated by the powerful support GM crops and foods get from big business interests concentrated in the USA and allied countries. Thanks to these big business interests, consumers and farmers in the USA and allied countries are exposed to highly hazardous GM crops and foods, as well as the agro-chemicals used to grow them, but then these are inflicted on many other countries too in an overwhelming effort of a few giant agro-business corporations to control the world farming and food system.
From a world perspective the struggle is against the unjust establishment of the USA, just the top 5% or so, and never against the people of the USA and in fact the struggling American people need all the worldwide solidarity to help in their struggles. The creation of a justice-based USA is a very important part of the worldwide struggle against injustice. The aim should never be to replace a world dominated by the USA by a world dominated by China but instead our aim should be to create a USA, a China and the entire world based on justice, peace and environment protection.
There is another level at which the linkages between internal and external crisis as well as reforms need to be explored. When aggressive and unjust policies are adopted in a country and society, externally and internally, then the ethical and moral fabric is eroded at a deep level. Moreover, to draw attention away from obvious injustices, there is an increasing tendency to indulge in falsehoods and cover up truth. To give an example, highly unjust war or invasion may be promoted as a big achievement. This is harmful particularly for the more sensitive mind of youth. In such conditions there can be a breakdown or a serious erosion of the social-ethical fabric which if it had remained in a healthy state could have functioned as a natural protection against such social problems as depression, various addictions and weakening or deterioration of various social relationships.
Linkages of increasing social problems to aggressions have sometimes been observed at the more obvious levels. To give an example, it was pointed out, rightly so, that the increase in the trafficking of opium and heroin in the course of the USA’s deeply troubled involvement in Afghanistan in the first two decades of this century led to increased availability of heroin in the USA and to increased addictions among its youth in particular. This is obvious enough, but the deeper question is whether the weakening of the social-ethical fabric also creates a hollowness in which there is increasing confusion, uncertainty, lack of values and purpose in life and it is in these conditions that addictions become more likely, and also the likelihood of depression and erosion of social relationships also increases.
Various aspects of social distress are analysed by experts often in very capable and academically advanced ways but unfortunately often also in isolated ways so that a holistic view of the social crisis does not emerge.
Looking at some of the relevant data, we find that nearly 28 per cent of US households are single person households. A survey by Cigna before the onset of COVID revealed that almost half of the adults feel lonely sometimes or all the time. Nearly 50% of all US marriages end in divorce or separation. Children suffer very adverse short-term and long-term impacts of divorce and separation.10 to 12 million persons, mostly women, are physically abused in a year by an intimate partner, nearly 20 per minute. 1 in 4 adults –26%–suffer from a diagnosable mental disorder in a given year, several from more, according to the National Institute of Mental Health Disorders.
The official statistics of ‘Youth Risk Behaviour Survey’ (YRBS), USA, 2011-2021 released by the Centres for Disease Control and Prevention, (CDC), USA, revealed truly alarming levels of distress among US youth. The YRBS statistics revealed that in year 2021 42% of US high school students “experienced persistent feelings of sadness or hopelessness”. What was even more shocking in the YRBS data was that in 2021, as many as 22% high school students in the USA “seriously considered attempting suicide”. Saddest of all, the YRBS survey informed that as many as 10% of high school students in the USA actually attempted suicide in 2021.
These high levels of distress are extremely troubling and have increased despite remedial actions proposed by eminent experts in the past. There is clearly need for deeper reflection on wider and deeper causes as well as solutions. More than individual consultations and treatments, efforts to find what ails the wider society and remedial actions based on this may be needed more.
In particular it is important to examine the links of the increasing internal distress of USA society with the increasing aggression of the USA at international level. As this writer has emphasized several times, such links need to be recognized and will help the peace movement within the USA to mobilize people to create a society which is at peace with itself and with the entire world, devoted more to reducing its own distress as a higher priority.
Other than YRBS data, there have been several other indications of the deep distress within US society. This is evident from the call given twice in recent times by the top child health organizations in the country for declaring a mental health national emergency for children and adolescents, given the scale of these problems. If this won’t wake up a society to the need for wider and deeper introspection, what else will?
On the other hand, an idea of the highly destructive consequences of USA’s existing policy distortions is conveyed by the fact that in terms of direct as well as indirect deaths the War on Terror alone has caused 4.5 million deaths (this estimate of Brown University also needs updating and include some other counties as well) and has cost the USA 8000 billion dollars (about a billion dollars a day or 12000 dollars per second over a 22 year period).
As stated earlier too that while reforms are needed in all countries but it is reforms in the USA for creating a society based on peace and welfare which are most urgently needed and can benefit the entire humanity. Hence the people of the USA who are dedicated to peace, justice and environment protection have a very big responsibility for bringing these reforms. These efforts will be greatly helped if a close relationship between external aggression and internal distress can be established, and the academic community can contribute a lot to this. The present, post-election time is a very conducive time for carrying further this debate as at this time of debating various reforms people are likely to be more receptive to exploring such understanding for integrating internal and external reforms.
Disclaimer:The views and opinions expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of The Rift.



