SALANG, Afghanistan: Hunched low over a hernia patient on a broken operating table, an Afghan surgeon bemoans the lack of life-saving equipment in a US-funded hospital that is crumbling into disrepair, exemplifying the eye-watering waste of aid dollars.

After fifteen years and tens of billions of dollars in foreign aid, Afghanistan is still dangerously unstable and persistently at the bottom of almost every major human development index.

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