1. Causes, Consequences, and Costs of War and Militarism Martin Donohoe

2. Contemporary Wars 250 wars in the 20 th Century 72 million lives lost in 20 th Century wars, another 52 million through genocides Incidence of war rising since 1950

3. Epidemiology of Warfare Deaths in war: – 17 th Century = 19/million population – 18 th Century = 19/million population – 19 th Century = 11/million population – 20 th Century = 183/million population Increasing casualties to civilians – 85-90% in 20 th Century (vs. 10% late 19 th Century)

4. War Deaths, 1945-2010

5. War Deaths Korean War: 3 million Vietnam War: 1.7 million Iran-Iraq War: 700,000 Soviet War in Afghanistan: 1.5 million Second Congo War: 3.8 million Second Sudanese Civil War: 1.9 million

6. War Deaths (as of 5/5/13) First Gulf War: – 105,000 military and 110,000 civilian deaths (almost all Iraqis) Second Iraq War: – 4,488 U.S. soldiers; over 17,000 Iraqi military U.S. Afghan War: – 2220 U.S. soldiers; approximately 1,100 coalition forces

7. Iraq (1 and 2) and Afghanistan Wars Civilian deaths 193,000 violent; 1 -1.5 million indirect Financial cost: $1.5-5 trillion (est.) Higher estimate includes fighting, rebuilding, veterans’ health care, economic losses, etc.

8. Iraq and Afghanistan Wars More US soldiers have committed suicide than have died in Afghan War Veteran health care needs massive (TBI, psychiatric disorders, etc.) – 26% of Iraq and Afghanistan veterans are uninsured and not part of the VA health care system Young veterans: ½ believe war in Afghanistan was not worth fighting; 60% for Iraq War

9. Contemporary Warfare 21st Century: Chemical and biological weapons Small arms 90% of the 300,000 yearly deaths from violent conflict Land mines 24,000 deaths/yr, tens of thousands more disabled

10. Contemporary Warfare 21st Century: 300,000 child soldiers 10.5 million refugees; 27 million internally displaced persons Predator drones Weaponization of space Cyberwar

11. History of War Violent conflict ubiquitous in the animal kingdom: – Interspecies conflict – food, territory – Intraspecies conflict – food, territory, mates (usually not directly fatal) Violence among non-human primates – Gorilla infanticide – Chimps vs. Bonobos

12. Origins of War Foragers vs. Agriculturalists Agriculture – Hierarchical society – Private property – Money – Subjugation of women – Infectious/chronic diseases

13. Origins of War Violence Today – Link with poverty, oppression, fueled by desire for wealth/power – Familial vs. Societal – Gun culture – Media Violence

14. Atomic Weapons Today Approximately 17,300 nuclear weapons in at least 9 countries – Down from over 71,000 at height of Cold War 4,300 active U.S./Russian warheads today – 1,800 on hair-trigger alert – Several thousand megatons (100,000 Hiroshimas)

15. Origins of War Foragers vs. Agriculturalists Agriculture – Hierarchical society – Private property – Money – Subjugation of women – Infectious/chronic diseases Chimps vs. Bonobos

16. Colonial Exploitation Christopher Columbus’ log entry upon meeting the Arawaks of the Bahamas: “They…brought us…many…things…They willingly traded everything they owned…They do not bear arms…They would make fine servants…With fifty men we could subjugate them all and make them do whatever we want.”

17. Colonial Exploitation Cecil Rhodes (Rhodesia, Rhodes Scholarship, DeBeers Mining Company): “We must find new lands from which we can easily obtain raw materials and at the same time exploit the cheap slave labour that is available from the natives of the colonies. The colonies would also provide a dumping ground for the surplus goods produced in our factories.”

18. Exploitation leads to: Maldistribution of wealth and resources Environmental degradation Wars

19. Consequences of War Deaths, injuries, psychological sequelae Collapse of health care system (affecting those with acute and chronic illnesses) Famine

20. Consequences of War Environmental degradation Refugees, migrants, internally-displaced persons Increasing poverty and debt All lead to recurrent cycles of violence

21. Environmental Consequences of Militarization U.S. Military: World’s single largest polluter – 8% of global air pollution – 2-11% of raw material use – Almost all high and low level radioactive waste

22. Violence Against Women Common among U.S. servicewomen A deployed female soldier is more likely to be raped by a fellow soldier than killed by enemy fire Rape in war widespread, often genocidal – Some refugee camps unsafe

23. Violence and Rape in War Occurs against backdrop of ongoing societal forms of violence against women – Legal, educational, social, and political marginalization

24. Status of Women Worldwide: – Women do 67% of the world’s work – Receive 10% of global income – Own 1% of all property U.S.: – Women earn 79 cents/$1 men

25. Poverty and Hunger US: 15% of residents and 22% of children live in poverty Rates of poverty in Blacks and Hispanics = 2X Whites Poverty associated with worse physical and mental health

26. The State of U.S. Health Care 49 million uninsured patients Est. 51,000 deaths/year due to lack of health insurance US ranks near the bottom among westernized nations in life expectancy and infant mortality Racial disparities in coverage, processes, and outcomes of care

27. Headline from The Onion Uninsured Man Hopes His Symptoms Diagnosed This Week On House

28. Worldwide Poverty 1 billion people lack access to clean drinking water 3 billion lack adequate sanitation services Hunger-related causes kill as many people in 8 days as the atomic bomb killed at Hiroshima

29. Maldistribution of Wealth Top 250 billionaires worldwide worth $1 trillion, the combined income of bottom 2.5 billion people (45% of world’s population) U.S: Richest 1% of the population owns 40% of the country’s wealth -poorest 80% own 7% -widest gap of any industrialized nation

30. Overconsumption (“Affluenza”) U.S. = 6.3% of world’s population – Owns 50% of the world’s wealth U.S. responsible for: – 25% of world’s energy consumption – 33% of paper use – 72% of hazardous waste production

31. Income Inequality Kills Higher income inequality is associated with increased morbidity and mortality at all per capita income levels

32. Maldistribution of Wealth is Deadly 880,000 deaths/yr in U.S. would be averted if the country had an income gap like Western European nations, with their stronger social safety nets – BMJ 2009;339:b4471

33. Voltaire “The comfort of the rich rests upon an abundance of the poor”

34. Hudson River, 2009

35. Primo Levi “A country is considered the more civilized the more the wisdom and efficiency of its laws hinder a weak man from becoming too weak or a powerful one too powerful.”

36. World Military Spending (2012) ($1.8 trillion in 2012; U.S. 34% of total)

37. U.S. Discretionary Spending (2012)

38. War and Peace World military budget – 230X what the UN spends on peacekeeping US: – Largest arms supplier $66 billion in annual sales (2011) = ¾ of global market Russia second with $5 billion in annual sales – Profits at top 5 defense firms up 450% since 2002 – Greatest debtor to U.N. (including U.N. peacekeeping fund)

40. Military Spending and Jobs $1 billion in military spending generates 11,200 jobs – 15,1000 in consumer goods production – 16,800 in green energy development – 17,200 in health care – 26,700 in education

41. Skewed Priorities The world spends $1.8 trillion/year on military goods and services For 25% of this, we could: – Eliminate starvation and malnutrition – Provide shelter for all – Eliminate illiteracy – Provide clean and safe water – Prevent soil erosion

42. Skewed Priorities – Prevent global warming – Stop deforestation – Aid all refugees – Retire developing nations’ debt – Provide clean, safe energy (through efficiency and renewables)

43. Skewed Priorities – Prevent acid rain – Fix the ozone hole – Stabilize world population – Provide basic universal health care and AIDS control – Eliminate nuclear weapons and land mines

44. DOD Announcement (September, 2011) “Pentagon Lacks Funding to Fix Public Schools on Military Bases”

45. Dwight Eisenhower “Every gun that is made, every rocket fired, signifies in the final sense a theft from those who hunger and are not fed, those who are cold and not clothed”

46. Martin Luther King “A nation that continues year after year to spend more money on military defense than on programs of social uplift is approaching spiritual death.”

47. Foreign Aid In total dollars: U.S. #1 As a % of GDP, U.S. ranks 21 st among the world’s wealthiest nations U.S. Aid: Over 1/3 military, 1/4 economic, 1/3 for food and development Most U.S. aid benefits U.S. corporations

48. Foreign Aid Americans think that 24% of the federal budget goes toward foreign aid 0.19% of the total federal budget, vs. UN target of 0.7%

49. U.S. Charitable Giving 2.5% of income 2.9% at height of Great Depression

50. The US: Rogue Nation History: Native Americans, slavery, current excesses, disparities and injustices Co-opting Nazi and Japanese WWII scientists Minimum 277 troop deployments by the US in its 225+ year history Over 1,000 bases worldwide today (737 in other 69 other countries) – 54 countries helped facilitate CIA’s secret detention, rendition, and interrogation program

51. The US: Rogue Nation Since the end of WWII, the US has bombed: – China, Korea, Indonesia, Cuba, Guatemala, Congo, Peru, Vietnam, Laos, Cambodia, Nicaragua, El Salvador, Grenada, Libya, Panama, Afghanistan, Sudan, Yugoslavia, and Iraq

52. The US: Rogue Nation Conservative estimate = 8 million killed US invasions/bombings often largely at behest of corporate interests Drone strikes on allied/other nations and on U.S. citizens Continued funding of the Western Hemisphere Institute for Security Cooperation

53. International Non- Cooperation/Isolationism Failure to sign or approve: – Kyoto Protocol on Climate Change – Convention on the Prohibition of Anti- Personnel Land Mines – Convention on Cluster Munitions – Comprehensive Nuclear Test Ban Treaty

54. International Non- Cooperation/Isolationism Failure to sign or approve: – Convention on the Rights of the Child – Convention on the Elimination of Discrimination Against Women – Convention on Economic, Social and Cultural Rights

55. International Non- Cooperation/Isolationism Failure to sign or approve: – Convention for the Suppression of Traffic in Persons – UN Convention on the Rights of Disabled Persons – UN Declaration of the Rights of Indigenous Peoples

56. The US: Rogue Nation Failure to follow World Court Decisions Failure to recognize International Criminal Court

57. Solutions Activism (PSR, IPPNW, etc.) Education (APHA Militarism Education Group) Tolerance and appreciation of diversity Redirect money towards social justice and environmental preservation Eliminate WMDs

58. Solutions Eliminate military recruiting in public schools – APHA Resolution Increase/Improve foreign aid Create Dept. of Peace Assist victims of war (PHR, MSF, etc.) Sign Treaties

59. Speak Up for the Disenfranchised “The first job of a citizen is to keep your mouth open.” - Günter Grass

60. Have Faith in Your Ability to Affect Change "If you think you are too small to have an impact, try going to bed with a mosquito in your tent“ - African Proverb

61. Save Our Home

63. Public Health and Social Justice Website http://www.publichealthandsocialjustice.org http://www.phsj.org martindonohoe@phsj.org