Clinics in the Austrian region of Salzburg have set up a special assessment team tasked with identifying Covid patients who have a higher chance of survival; the rest may soon have to take a back seat.

Amid a dramatic spike in Covid cases, medical personnel warn they may soon have to make the heart-wrenching choice of which patients get life-saving treatment and which ones will have to wait, Austrian media report. Intensive care units in the Salzburg region are packed, with the number of patients treated there setting a new grim record on Tuesday, reaching 33. The region ranks amid Austria’s hardest-hit, logging more than 1,500 new infections per 100,000 residents in a week. In an emotional plea for help to the local government, the head of Salzburg’s hospitals warned that soon clinics would likely not be able to guarantee the existing level of standards in terms of medical treatment. A representative for the city clinics likened the situation to “running into a wall.

The region’s governor, Wilfried Haslauer, announced on Tuesday that some of the Covid patients whose condition was no longer life-threatening would be transferred from hospitals to rehabilitation centers to make room for more serious cases.

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FILE PHOTO.GRAZ, AUSTRIA. © AFP /CREDITERWIN SCHERIAU
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In neighboring Upper Austria, the situation is no better, with the number of deaths in intensive care units surpassing figures seen in all the previous Covid waves. Speaking to Austria’s Der Standard paper on condition of anonymity, healthcare workers there said they had free beds “because the infected are dying.

For the time being, the creation of a so-called ‘triage team’ in Salzburg hospitals is being described as a “precautionary measure.” The panel is made up of six people: one legal expert and five providers from various medical disciplines. If push comes to shove, they will be deciding which patients stand a chance and which treatments have little prospect of success.

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We’re starting a new segment on The Cipher Brief’s Open-Source Collection Podcast and adding to the line-up of curated headlines we bring you from around the world with expert insights on today’s news. 

The Cipher Brief’s Brad Christian talked with former CIA Officer Marc Polymeropoulos this week about what’s next for the US Government when it comes to investigating ‘Havana Syndrome’, making sure Afghan interpreters aren’t left behind and why a White House visit by Jordan’s King Abdullah was a bigger deal than some may realize.  

Cipher Brief Expert Marc Polymeropoulos served 26 years in the CIA before retiring from the Senior Intelligence Service in June 2019.  His positions included field and headquarters operational assignments covering the Middle East, Europe, Eurasia and Counterterrorism. 

Christian: What’s top of mind for you this week in the world of national security?

Polymeropoulos:  Havana Syndrome, CIA’s response to the Afghan withdrawal, and the visit of Jordan’s King Abdullah to D.C. Let’s start with Havana Syndrome.

You saw in the press the last couple of days, the notion that the CIA’s inspector general is conducting a review of CIA’s handling of healthcare, of how officers were coming to them starting in 2016 after these attacks started in Cuba. I think that’s a good thing. It’s a necessary evil. I think a lot of your listeners and readers know that I was affected by this in December of 2017. It caused my retirement in July of 2019. I’ve been very vocal on the need for healthcare for our officers.  We have to think about Havana Syndrome in three bins.

The first, is accountability and that’s good. It’s a necessary evil, but we have to look at how the agency responded to officers because that’s critical. The agency workforce is watching. I think the IG review by the CIA is good as well as a look at what’s happening in the House and Senate oversight committees as well.

The second, is continued healthcare for officers, the officers getting to Walter Reed’s National Intrepid Center of Excellence. CIA Director Bill Burns is doing that, so that’s positive.

And then the last piece is culpability. I think you also saw recently in the press, that a senior intelligence service officer who was integral in the hunt for Osama bin Laden, has been named to the task force. So, a lot of stuff is happening on Havana Syndrome, I think all of it is moving in a positive direction. I applaud Director Burns. This is something that I think is going to be at the top of the news cycle for days, weeks, and months to come.

Christian: Do you feel like now there’s a unified awareness at the entire government level outside of CIA?  Is Congress focused on this? Is the White House focused on this in the ways that you think they need to be?

Polymeropoulos: What a great question. The White House for sure. Congress has been absolutely integral both in the Senate and the House. They’re about to pass the Havana Act, which is going to provide financial relief for officers affected, but in all US government agencies. I will say that the Department of State has been woefully behind and that’s a big concern of mine. I feel for my State colleagues. There are 41 State Department officers who have been affected by this. Secretary of State Blinken has not even met with them while Director Burns has met with nearly all of the CIA victims, so State’s got a long way to go. I think we’ll look to the White House and to Congress to keep the pressure on.

Christian: These are events that are still occurring, even as they’re being investigated. Tell us a little bit about the latest that’s happened on the attack front.

Polymeropoulos: I think you see what the press reports of what can only be considered a kind of slow-rolling mass casualty event in Vienna, Austria. There were numerous State Department and intelligence officers affected at our Embassy there. Again, this is coming out in the press, so it’s important to note that. But these things are still happening and I think that we have to look back to the old counter-terrorism model that CIA employed so effectively of detect, disrupt, and deter attacks by our terrorist adversaries. We have to apply that same type of mindset to this problem set.


Go beyond the headlines with expert perspectives on today’s news with The Cipher Brief’s Daily Open-Source Podcast.  Listen here or wherever you listen to podcasts.


Christian: The Afghanistan withdrawal, there’s a lot going on there. We’ve seen reports of US airstrikes supporting Afghan forces in Kandahar. This week, it was reported that just under 50 Afghan troops requested refuge in Pakistan when their border posts near Chitral, which is a Pakistani city, was overrun. The Pakistani government let them in. And we’re seeing now an Afghan strategy focusing on protecting the capital regions and maybe ceding some of those provincial capitals.

Polymeropoulos: I look at this from a narrow optic. As a former CIA officer who was the base chief in Afghanistan between 2011 and 2012, I ran one of our paramilitary bases in eastern Afghanistan along the border with Pakistan. What is unique about life as a CIA officer out in the field, particularly in the bases, was that there were only a few of us. We had a very small number of Americans, yet we had hundreds, if not over 1,000 Afghanistan indigenous personnel, whether they were troops who were fighting with us or whether they were support personnel.  We lived with them. I think this is a little bit different than perhaps big US military’s experience with the Afghan national army.

I trusted my life to these guys. They were armed in front of us all the time. We ate together at the mess hall. We sat around the fire pit together, certainly went on patrols together. So, it’s really personal for me. I remember our Afghan interpreters. I remember our indigenous personnel and I really worry about them. The future, I think is one that certainly is bleak. I don’t support the administration’s decision for a full withdrawal. I don’t understand why we couldn’t have left a residual force, but that policy decision has been made.  I think that the things I’m looking to in the near future are even after the end of August, will the US military still conduct airstrikes in support of Afghan forces?  There is something about betraying those who really made that pact with us. That’s just something as a CIA officer that’s ingrained in us that we don’t want to do that. So, this is something I really worry about. I remember the faces of our interpreters and indigenous personnel every day. These were great heroes. I think a lot of us at CIA wouldn’t be alive today without their heroism.


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Christian: The third issue you raised was interesting, the visit to D.C. by Jordan’s King Abdullah. It didn’t get a lot of press.  But you say it’s a significant story.  Tell us why.

Polymeropoulos: President Biden has had a long-standing relationship with King Abdullah. It’s a sign that Jordan is back. We call Jordan the lily pad for the United States for a lot of reasons. I mean, when you think back to 2006 and Jordan’s integral role in the Anbar Awakening, that’s when we were rallying the tribes in Iraq to fight terrorism. When you think about how the US has access to strategic bases in Jordan and when you think about the Jordanian General Intelligence Directorate as one of the US Government’s most critical counter-terrorism partners. But the fact of the matter is that under the last administration, Jordan was not treated well, so it’s really significant that Abdullah was here. I think this is a really good thing. Don’t forget that CIA Director Bill Burns was ambassador in Amman quite some time ago. I think this is a really positive development, not only for the United States going back to an old strategic partner, but also for Jordan as well, which has been a steadfast ally not only during King Abdullah’s reign, but also of course, under King Hussein before him.

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The Swedish government has announced plans to introduce mandatory Covid-19 passes starting next month, amid rising infection rates in Europe. The passes will be required to attend any indoor event with 100 or more participants.

The upcoming introduction of mandatory coronavirus vaccine passes was announced by Health Minister Lena Hallengren on Wednesday.

Citing the ongoing surge in coronavirus cases across Europe – which has not hit the country itself yet – the minister stressed the need to be ready for the new wave of infections, projected to reach Sweden mid-December.

“The spread is increasing in Europe. We haven’t seen it yet in Sweden, but we are not isolated,” Hallengren told a news conference. “We need to be able to use vaccination certificates.”

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© Getty Images / picture alliance
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Starting from December 1, the documents confirming a person’s vaccination status will be a requirement to enter any indoor event with 100 or more people in attendance. Sweden already boasts high vaccination rates, with 85% of its citizens aged over 16 having received at least one dose of a Covid-19 vaccine. Over 81% have received two shots or more, public health data shows.

Earlier in the day, the country’s health authorities backtracked on a highly controversial decision to stop testing fully vaccinated people who showed symptoms of Covid. The recommendation was rolled out in October, leading to a 35% decline in Covid-19 tests taken.

“The Public Health Agency has decided to recommend that the regions offer testing to everyone who is 6 years and older who gets symptoms that may be COVID-19,” the health authority said in a statement.

Sweden bucked the trend among European governments in its approach to handling the pandemic, electing not to impose widespread lockdowns. Having relied primarily on voluntary measures and social distancing, the country displayed several times higher death rates per capita than its Nordic neighbors, though it still fared better than many European countries, registering some 1.18 million cases and just over 15,000 coronavirus deaths since the beginning of the pandemic.

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All cities and towns in China, as well as “most” villages, will be covered by 5G networks by 2025, the Ministry of Industry in Beijing has announced in a new infrastructure development plan.

Under the plan, the number of 5G base stations per 10,000 people will be increased to 26, and gigabit optical fiber networks will be extended to most urban and rural areas of China, the Ministry of Industry and Information Technology (MIIT) announced on Tuesday.

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Digital infrastructure has been defined as a “strategic, basic and pioneering industry to help build a new type of digital infrastructure and support economic and social development,” according to MIIT official Xie Cun. 

Information technology will be “deeply integrated” with the economy and society, with the goal of spurring internet innovation and creating a business boom, the ministry added. Meanwhile, the authorities are working on “a new type of supervision system” as well as measures to protect users’ personal information and data.

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EXPERT PERSPECTIVE — On 16 June, US President Joe Biden and Russian President Vladimir Putin met for just under four hours in Geneva. This was Mr. Biden’s first meeting with Mr. Putin during his presidency and Biden is the fifth US President with whom Putin has held a summit.

Expectations for the summit were characterized as low by both sides in advance and assessed a bit more positively after the conclusion of the meeting. The meeting presented an opportunity for both leaders to present grievances and warnings to the other (and show toughness to their domestic constituencies).  Other than presenting the opportunity to blow off steam, the results of the meeting appear modest:  the agreement to return ambassadors to their posts, to resume bilateral arms control discussions, to conduct discussions on “strategic stability” and to hold unspecified consultations on cyber. In typical fashion, Mr. Putin rejected all of Mr. Biden’s assertions about Russian actions and made counter accusations referencing hostile US actions.

Of the deliverables from the summit, cyber will no doubt turn out to be the most problematic area for follow up. Mr. Biden apparently delivered to Mr. Putin a list of 16 US critical infrastructure sectors that should be considered “off limits” for cyberattacks, e.g., “red lines” not to be crossed without the risk of significant retaliation. For his part, Mr. Putin asserted that it is Russia that is the victim of cyberattacks originating from the territory of the US and it’s NATO partners and also is the victim of  attempts to interfere with Russian elections.  The challenge in cyber discussions going forward will center around three areas:  differing interpretations of the relevance of deterrence theory in today’s cyber environment, attribution, and control.

Mr. Biden’s firm comments to Mr. Putin on recent cyberattacks against the US such as the ransomware attack on Colonial Pipelines (Mr. Biden is said to have asked Mr. Putin how he would react if Russia’s pipelines were hit?) and his provision of a list of “off limits” US infrastructure entities suggests a deep belief in this administration that Russia can be deterred from engaging in future conduct of cyber operations against US targets or “sanctioning” attacks originating from the territory of the Russian Federation by criminal groups.

Unfortunately, it is highly likely that either Mr. Putin nor those who control the levers of Russian cyber operations agree that deterrence theory applies.  Deterrence only works when both sides know the other is capable of – and willing to – cause significant harm to the other.

The Russian side likely believes (and may have amply demonstrated) that the US is disproportionately vulnerable to cyber risk at every level of its economic, societal, and political infrastructure whereas Russia is not.  There is a reason the use of cyber tools has become a central feature of Russian strategic doctrine. They work and seem a legitimate tool that falls short of conventional war. Hybrid warfare using cyber tools, the Russian side would argue, is no different than the economic warfare Russia is experiencing from sanctions imposed by the US its allies.

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An adviser to the EU’s top court has claimed that citizens’ information in Germany is being illegally harvested, after telecom companies challenged bulk data collection.

The German data retention law was criticized on Thursday by an adviser to the Court of Justice of the European Union (CJEU), who stated that general and indiscriminate retention of traffic and location data is only allowed in exceptional cases, such as a threat to national security.

According to the adviser, bulk collection of data generates a ‘serious risk’ of leaks or improper access. It also entails a ‘serious interference’ with citizens’ fundamental rights to privacy and the protection of personal data.

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(FILE PHOTO) © REUTERS/Russell Cheyne
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This comes after two companies, SpaceNet and Telekom Deutschland, challenged the obligation to store their customers’ telecommunications traffic data in 2016. The Administrative Court of Cologne ruled that the two companies were not obliged to retain data because such an obligation violated Union law. Germany then appealed to the Federal Administrative Court, who asked the CJEU about the compatibility of the data retention obligation.

The CJEU has often stated that indiscriminate mass surveillance does not fit within the general principles of EU law. Over a year ago it saw a similar case involving legal challenges around national bulk data collection under UK and French law. The court then ruled that only limited data collection and temporary retention were allowed. France seeks to bypass the CJEU on data retention and has asked the country’s highest administrative court (the Council of State) not to follow the EU ruling. France is waiting for the conclusion of the procedure launched by the Council of State before “assessing to what extent” national law should be changed. 

Despite recent EU court attempts to curb surveillance powers, leaked papers from June 2021 show that the national governments of the Netherlands, France, Spain, Luxembourg, Slovakia, and Estonia are pushing for a new pan-EU data retention law. They claim that data retention is essential for safeguarding public security and ensuring effective criminal investigations.

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A pack of wild boars were rounded up and euthanized after one of the animals attacked a police officer in the streets of Hong Kong – the opening shot in a pitched battle between the feral hogs and the city’s law enforcement.

A group of veterinarians took seven wild boars into custody, euthanizing the beasts after knocking them out with dart guns in an area near the financial center of the city, according to a statement from Hong Kong’s Agriculture, Fisheries, and Conservation Department on Thursday.

The pigs were captured after one attacked a police officer last week, an act which reflects the city’s new policy toward the animals: stop them before they attack again.

The aggressive boar knocked down a police officer by biting his leg last week as the two faced off in a residential car park, the pig only losing the battle after falling off the building to its death. The wild boars are apparently “accustomed” to wandering back and forth along the roadway, begging for food from pedestrians and vehicles alike. Previously, the city had handled the population by capturing and sedating the animals, then relocating them to “remote areas,” according to the the department.

Hong Kong CEO Carrie Lam vowed to increase penalties for those citizens found feeding the boars, which have reportedly been responsible for some 30 attacks in recent years. While residents are warned not to feed the boars so as not to encourage population growth or disease outbreaks, the animals are a favorite among some visitors. Still, Lam insisted “we can’t simply sit on our hands while things deteriorate.”

Animal rights groups have responded with a protest letter against a policy of euthanasia, pointing out that most visitors do not feed the boars and arguing resources should be directed toward stopping the human activity rather than blaming all the boars. Allowing the boars to be captured and killed “ignores their right to live and considers their existence in urban areas as a capital offense,” the letter read.

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The children of families who were affected by the massive earthquake which devastated large parts of south-west Haiti in August this year are receiving free hot meals at school as part of an initiative by the UN’s World Food Programme (WFP) to support the recovery of the country’s most vulnerable communities.

Read the full story, “Hot meals helping Haiti’s children recover from the earthquake”, on globalissues.org

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Controversial psychologist and author Jordan Peterson claimed Western countries had no “moral right” to force developing nations to reduce pollution output, noting instead that improving their economies was key.

During an appearance on the BBC’s ‘Question Time’ show on Thursday, the Canadian professor noted that the focus of climate change policies should be on incentivizing the development of cheap energy in poorer polluter countries.

“The best long term solution is to try to make developing countries as rich as possible, and the best way to do that is not control their pollution output, but to help them develop the cheapest energy they can possibly manage as fast as they possibly can,” Peterson said.

The debate saw UK undersecretary for employment Mims Davies suggest that measures taken to tackle climate change should not come at the “expense of developing countries.” But Peterson countered that it “absolutely, 100% will be [at their expense].”

I don’t think we have any moral right in the West at all to do that.

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FILE PHOTO: Jordan Peterson speaking with attendees at the 2018 Student Action Summit hosted by Turning Point USA in West Palm Beach, Florida, December 20, 2018 © Flickr / Gage Skidmore
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He also criticized the recent COP26 climate change conference for failing to explore ideas on how best to improve national economies in the developing world, noting that he saw “very little of that sort of idea” coming out of the UN summit.

In the final hours of the two-week conference, China and India had intervened to soften the wording around the use of coal in the Glasgow Pact. The two countries demanded a change in the final text of the agreement that called for coal to be phased out, revising this to “phasing down unabated coal.”

The move prompted COP26 president and UK minister Alok Sharma to declare that China and India would have to “justify” their actions to countries that were more vulnerable to global warming effects. However, officials in both Beijing and New Delhi have countered that the criticism was unfair.

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This piece by General Joseph Votel (Ret.) and Lt. Gen. Michael K. Nagata (Ret.) and was first published by our friends at the Middle East Institute.


Lt. Gen. (ret.) Michael K. Nagata is a distinguished senior fellow on national security at MEI. He retired from the U.S. Army in 2019 after 38 years of active duty, with 34 years in US Special Operations. His final position was director of strategy for the National Counterterrorism Center from 2016 to 2019.

Gen. (ret.) Joseph L. Votel is a distinguished senior fellow on national security at MEI. He retired as a four-star general in the U.S. Army after a nearly 40-year career, during which he held a variety of commands in positions of leadership, including most recently as commander of CENTCOM from March 2016 to March 2019. 


OPINION – The United States and Pakistan have had a complex and often disappointing “love-hate” relationship since 1947 — one severely tested during the 20-year U.S.-led intervention in Afghanistan. We believe the time has come for serious policy consideration of whether and how both nations can achieve a more strategically beneficial and sustainable post-intervention relationship between the American and Pakistani governments and their populations.

As we consider a new policy, the U.S. military withdrawal from Afghanistan after two decades of leading the international coalition is almost complete. Early indications are that Afghanistan is increasingly likely to descend into significant instability and possibly serious fracture, which will have unwelcome consequences for the Afghan people and all of Afghanistan’s neighbors. It is already clear that international terrorist groups like al-Qaeda and Islamic State-Khorasan Province will continue to enjoy and probably grow their safe havens.

Whatever U.S. strategic concerns may be about the future of Afghanistan, the course and direction of Pakistan’s strategic choices in coming years will also matter to the United States. There are a variety of reasons for this.

First, Pakistan is a nuclear weapon state. Decades of investments in nuclear weapons by Pakistan and India, compounded by unrelenting and mutual historical, religious, cultural, and political antagonism between them, make this one of the world’s most dangerous flashpoints.

Second, all of the countries Pakistan borders are consequential for the U.S. Pakistan also has significant religious, cultural, and economic ties to other Muslim states such as Turkey and Saudi Arabia. In an era of “great power competition,” while Pakistan may not be one of the principal players, its network of relationships can be of strategic benefit to any of the great powers now involved, including the U.S. and China.

Third, despite its significant political and economic difficulties, Pakistan has a growing technology sector. Its youthful population and worldwide diaspora of Pakistani doctors, scientists, academics, and other professionals have become an increasingly important part of the global community.


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As long-time veterans of South Asia, both of us understand the sources of “weariness and wariness” that U.S. policymakers, in both Democratic and Republican administrations, often associate with strategic discussions of Pakistan. We have both seen the U.S. government’s reluctance toward undertaking any kind of strategic interaction or rapprochement with Pakistan because of previous disappointments or perceived betrayals. Understanding the enormous complexities of Pakistan’s relationships, influence, and strategic choices in the South Asia milieu can be intellectually challenging and draining.

Yet, we have both concluded that the only thing harder than establishing a functional and mutually beneficial relationship with Pakistan is living without one. Given unstable borders, a nuclear standoff with India, the continued presence of terrorist organizations, and the high potential for all of this to further disrupt our interests, there is no better alternative.

Among those areas that we believe worth exploring with the Pakistanis are these:

First, the possibility of planning, along with other like-minded international actors (both state and non-state), to manage the consequences of significant political instability and human suffering emerging from Afghanistan, including the possibility of substantial refugee flight into Pakistan. Indeed, the Pakistanis have long and miserable memories of the surge of Afghan refugees after the Kabul government collapsed in the 1990s and have consistently expressed deep concerns about a possible repeat resulting from the U.S. withdrawal now nearing its completion.

Second, the possibility of counterterrorism cooperation against any terrorist threat that emerges from Afghanistan and prevents it from sowing further instability across the region. We do not consider it likely that Pakistan will allow any positioning of U.S. intelligence or counterterrorism elements within its borders. Still, there may be other ways (e.g., working groups, forums, or exchanges) to foster better cooperation if a threat emerges from Afghanistan that is of concern to our mutual interests.

Third, the possibility of enlisting Pakistan cooperation, and that of India, toward some type of partial de-escalation of tensions along their common border and, with it, even a slight amelioration of the nuclear weapons threat. It is instructive to recall that, before 9/11, Pakistani President Pervez Musharraf and Indian Prime Minister Atal Bihari Vajpayee initiated a dialogue about the de-escalation of tensions that included the highly emotional issue of Kashmir. However, talks broke down without significant agreement. While we recognize this is an extraordinarily complex and fraught issue for the U.S. to embrace, given all of its other strategic challenges, the specter of a potential nuclear conflict in South Asia should at a minimum prompt us to ask ourselves, “why not at least try?” Indeed, U.S. antagonists such as China would probably take a dim view of such efforts, and we believe that might be a reason for doing so rather than a reason to flinch from it.


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We have long heard U.S. policy and operational practitioners cite phrases such as “never underestimate the Pakistanis’ ability to disappoint us.” But, unfortunately, most American policymakers do not understand how often we have heard the Pakistanis say the same thing about Americans. Thus, both sides have longstanding “neuralgias” about the other. As we end our Afghan campaign, now is the time to move beyond our neuralgias and carefully weigh the strategic costs of whether trying to somehow partner with Pakistan is more, or less, than the cost of failing to do so. We believe, in the long run, it is likely to be less costly.

The views expressed in this piece are those of the authors.

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