The cost paid by American troops and taxpayers is extreme. Secretary of Veteran Affairs Erik Shinseki reported in November 2009 that “more veterans have committed suicide since 2001 than we have lost on the battlefields of Iraq and Afghanistan.” Many thousands of our troops have suffered amputations and traumatic brain injuries. At the Marine Corps War College Jim Lacey calculated that the annual cost of the Afghan war was $1.5 billion for each al-Qaeda member in Afghanistan. Many US and coalition troops paid with their lives for every one al-Qaeda member killed. On no basis has the war ever made sense.