Word: coste
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...ninth war council on Afghanistan shortly before Thanksgiving with a fresh face at the table: Peter Orszag, head of the Office of Management and Budget. The appearance of Obama's chief bookkeeper at what's likely to be the final Afghan war-cabinet meeting signals growing concern over the cost of a new war plan expected to include sending some 30,000 more troops into the fight...
With the Afghan war now into its ninth year, Obama is facing increasing pressure from Congress to justify its cost. Members of his own party are talking of a war tax, underscoring their opposition to reinforcing the 68,000 U.S. troops now there. "If this war is important enough to expand and fight, then it ought to be important enough to pay for," says Wisconsin Representative David Obey, chairman of the House Appropriations Committee...
...much the extra troops would cost is in dispute. Orszag pegs it at $1 million per soldier per year, which works out to an additional $30 billion a year for 30,000 more troops. The Pentagon says it's half that. But a new study by consulting firm Deloitte makes clear that fighting inside a landlocked country where the Taliban has shut down much of the meager road network has drastically inflated even routine costs. The average U.S. trooper in Afghanistan requires 22 gal. (83 L) of fuel a day--but the cost of buying a gallon of fuel...
Beyond the financial cost is the danger: more troops would need more fuel, which would require sending more supply convoys into harm's way. The study warns that stepped-up operations in Afghanistan could more than double the 5,400 U.S. casualties already suffered there (including 927 killed...
...rumblings over the mammography message provide a useful window into why U.S. health policy does not always dovetail with the best available medical evidence, and certainly not with the best available data on costs. By and large, American patients (not to mention politicians and cancer advocacy groups) still subscribe to the view that every life is worth saving, no matter the cost, and that when it comes to prevention, screening is always good and more is always better. For decades, patients have been steeped in the notion that frequent screening is not just beneficial but also essential to the early...