Interesting discussion......and I have often found myself using an over simplistic medical analogy when discussing western interventions with friends interested in my perspective about big picture foreign policy and geopolitics.

I will now have to pull out my kids Dr Seuss books now to have a look.

I have found a medical patient and medical procedure options analogous to a foreign nation and national foreign policy.

Sick patients/nations come in a number of different varieties.

Same goes for the various forms of medical practitioners/forms of foreign policy assistance and intervention options.

I think what also holds true with the analogy is how most medical treatment/foreign policy assistance and intervention is voluntary on the part of both the patient(host nation) and the medical practitioner team(foreign policy assistance and intervention), but it can at times be performed on a patient involuntarily(patient/nation deemed mentally incompetent) or a medical practitioner team may feel compelled to assist/intervene when they may strongly prefer not to(how some health systems waste money on expensive geriatric care reminds me of failed foreign policy choices with failing states).

I'm admittedly a bit biased in my analogy as I'm a strong believer that most "patients", most of the time, would require substantially less expensive long-term "medical care" if they simply performed basic self-care best practices such as:

*no overeating.......low corruption
*regular exercise......economic opportunity
*no smoking......transparency/accountability
*no boozing......predictability/participation
*no hookers/STIs......fair human rights and equitable justice

Patients/countries that do the basics right, usually don't require external assistance and/or intervention.

But like a lot of poor choices people make with their individual health, a lot of nations make parallel poor choices with their own figurative and literal health.

Which leads to increasing levels of intervention starting with consultations that can quickly become not too indifferent from paparazzi photos of a celebrity patient coming out of both a brothel hopefully followed by a more discrete visit to the VD clinic for some "antibiotics" in the form of greater, but still less invasive, foreign intervention.

And if a patient/nation displays a lack of personal responsibility towards it's own health by failing to implement cheaper, easier, more effective, and more sustainable healthy living choices, then invasive/kinetic options become increasing harder to avoid or argue against.

Sorry for my going through all this.....it's probably pretty over simplistic for this forum...but it's the best I've got at the moment and gives me a chance to put some form and structure to some of my random thoughts over drinks with friends and peers.

After a few trips overseas working in failed/failing/recovering states I'm starting to adjust my medical analogy a bit to include the following:

*addicts

So I'm thinking the world doesn't actually have too many violently schizophrenic mental patients/nations that compel involuntary intervention....fortunately they actually seem quite rare...like in reality.

BUT the world does seem to have a very high percentage of borderline addicts, as well as a fair number of hard core addicts....much like in reality.

There's a lot of patients/countries right now in need of going on strict diets(global financial crisis and it's long term ramifications over the next decade+) which will demand and compel considerable changes to the poor lifestyle choices and consequences of those choices in recent decades.

The funny thing is that at both the nation state level and the individual level it has already happened in parallel in the recent past in the form of Cuba. Once the Soviet Union cut the cord with Cuba financially at the nation state level it compelled radical change at both the nation state and individual patient level. From what I recall Cuba saw a considerable drop in obesity, heart disease, and diabetes related health care issues following it...so maybe the use of a medical analogy comparing nation states to individuals isn't just figurative, but literal.

And there are a few nations in need of intervention......but I don't think in the traditional kinetic/military sense......but more along the lines of a family/friends intervention framed in ways as to mitigate the risk of a violent backlash.

What I like about the Dr Seuss reference is the sudden appearance of so many foreign/infidel cats......itself a big part of the problem even when trying hard to help.

Not too unlike a patient/nation finding their hospital room filled with a bunch of relative strangers discussing their fate dispassionately and clinically with one another as if the patient/nation isn't present or more importantly, isn't part of the solution.

To me the answer is the same I heard earlier this year from a bunch of US Army National Guard Docs and PAs who also work in private practice.

90%+ of the problems they face every day is the result of poor basic personal health choices......poor diet, lack of exercise, and too much smoking, boozing, and hookers.

They are running a bit of an innovative medical practice(they all work together both in uniform and on civvie street), their patients don't pay them to make them better once they're sick......their patients pay them to keep them FROM getting sick in the first place.

About the only drug they prescribe is statins....the rest of their prescriptions involve "prescribing concrete pill" to get their patients to harden up and simply nagging them to do the right thing when it comes to the basics.

Maybe the US foreign policy "medical practice" should shift a bit more away from highly invasive oncology/cardiology/orthopedic surgeryand shift a bit more towardsprimary care/wellness practice Albeit maybe a very assertive/aggressive primary care/wellness practice.

But possibly the best lesson I've learned about individual human addicts in real life that I suspect also applies when it comes to nation state/patient addicts is that effective treatment requires to patient to not only admitting the addiction/poor behavior, but accept the need to change and adhering to a new code of behavior.

That will probably require version 2.0 that merges a 12 step Alcoholics Anonymous program with Kilcullen's 3 Pillars and 28 Articles.


Anywho.....just thinking out loud for a bit,