When Will The Killing War In Iran Begin? It Already Has

“Economic sanctions are, at their core, a war against public health.” –The New England Journal of Medicine [1]

While campaigns are organized to deter the United States and Israel from acting on threats to launch an air war against Iran, both countries, in league with the European Union (winner of this year’s Nobel Peace Prize) carry on a low-intensity war against Iran that is likely to be causing more human suffering and death than strikes on Iran’s nuclear facilities would. This is a war against public health, aimed at the most vulnerable: cancer patients, hemophiliacs, kidney dialysis patients, and those awaiting transplants. Its victims are unseen, dying anonymously in hospitals, not incinerated in spectacular explosions touched off by cruise missiles and bunker buster bombs. But ordinary Iranians who can’t get needed medications are every bit as much victims of war as those blown apart by bombs. And yet, we think, that as long as the bombs don’t rain down, that peace has been preserved. Perhaps it has, in formal terms, but bleeding to death in the crater of a bomb, or bleeding to death because you can’t get hemophilia drugs, is, in either case, death.

In Iran today there is an acute shortage of pharmaceuticals for kidney dialysis and transplants and for treating cancer, hemophilia, thalessemia, multiple sclerosis, and other disorders. Hospital equipment is breaking down for want of spare parts. And raw materials used by domestic pharmaceutical manufacturers—blocked by Western sanctions—are in short supply. It adds up to a healthcare crisis. The United States and European Union say their sanctions don’t apply to drugs and medical equipment, but US and European banks are unwilling to handle financial transactions with Iran. If they do, the US Treasury Department will deny them access to the US banking system. Since isolation from the world’s largest economy would guarantee their demise, banks comply and shun Iran. As a consequence, few goods from the West make their way into the country, the exemptions for drugs and medical equipment being nothing more than a public relations ruse to disguise the barbarity of the sanctions. Not that Washington is denying that its sanctions are hurting ordinary Iranians. It’s just that responsibility for their consequences is denied. US president Barak Obama “has said the Iranian people should blame their own leaders.” [2] For what—failing to knuckle under?

“In contrast to war’s easily observable casualties, the apparently nonviolent consequences of economic intervention seem like an acceptable alternative. However…economic sanctions can seriously harm the health of persons who live in targeted nations.” [3] This has been well established and widely accepted in the cases of Iraq in the 1990s and the ongoing US blockade of Cuba. Political scientists John Mueller and Karl Mueller wrote an important paper in Foreign Affairs, in which they showed that economic sanctions “may have contributed to more deaths during the post-Cold War era than all weapons of mass destruction throughout history.” [4]

“The dangers posed today by such enfeebled, impoverished, and friendless states as Iraq and North Korea are minor indeed”, they wrote in 1999. It might be added that the dangers posed by Iran to the physical safety of US citizens are not only minor but infinitesimally small. Notwithstanding the fevered fantasies of rightwing commentators, Iran has neither the means, nor the required death wish, to strike the United States. Nor Israel, which has the means—an arsenal of 200 nuclear weapons—to wipe Iran off the face of the earth. However, the danger the country poses to the idea of US domination – and hence, to the banks, corporations, and major investors who dominate US policy-making – are admittedly somewhat greater.

“Severe economic sanctions”, the Muellers contend, ought to be “designated by the older label of ‘economic warfare’”. “In past wars economic embargoes caused huge numbers of deaths. Some 750,000 German civilians may have died because of the Allied naval blockade during World War I.” [5]

“So long as they can coordinate their efforts,” the two political scientists continue, “the big countries have at their disposal a credible, inexpensive and potent weapon for use against small and medium-sized foes. The dominant powers have shown that they can inflict enormous pain at remarkably little cost to themselves or the global economy. Indeed, in a matter of months or years whole economies can be devastated…” [6] And with devastated economies, come crumbling healthcare systems and failure to provide for the basic healthcare rights of the population.

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