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New Research Reveals U.S. Spending of $31 Billion and Counting; Over Ten Percent of Gaza Population Killed or Injured; and Displacement in Region Tops 5.27 Million
Two years after the October 7, 2023 Hamas attack on Israel, the U.S. government has spent a total of $31 billion combined on military aid to Israel and U.S. military operations in the region, according to the latest research from contributors to the Costs of War project, housed at Brown University’s Watson School of International and Public Affairs. The research series reveals that this U.S. spending in the post-10/7 wars has come with an extensive human toll: over ten percent of the population of Gaza has been killed or injured, while at least 5.27 million people have been displaced in Gaza and the wider region.
As of October 3, 67,075 people in Gaza have been killed and 169,430 people injured according to the Gaza Ministry of Health, out of the approximately 2.2 million people living there in July 2023. These 236,505 casualties (people who have been killed and injured) constitute more than 10 percent of the pre-war population of Gaza. The research underscores that the Gaza Ministry of Health numbers are “not an exaggeration,” as some critics argue; they are likely an undercount.
“Most of the deaths in Gaza have been civilians, many of them children,” said Neta Crawford, co-founder of Costs of War and author of the new report, The Human Toll of the Gaza War: Direct and Indirect Death from 7 October 2023 to 3 October 2025. “The pace and scale of direct killing and injury by the Israel Defense Force bombs and bullets will only be exceeded by the long-term death and misery due to starvation, displacement, destruction of health care facilities and the inadequate level of humanitarian assistance.”
Between October 2023 - September 2025, the U.S. spent $21.7 billion on military aid to Israel. This figure does not include the tens of billions of dollars in arms sales agreements that have been committed for weapons and services that will be paid for and delivered in the years to come. During the same period, an additional $9.65 - $12.07 billion was spent on U.S. military operations in Yemen, Iran and the wider region, totaling $31.35 - $33.77 billion in U.S. spending on the post-10/7 wars.
“The devastating damage the current Israeli government has done to Gaza and its people would not have been possible without U.S. financing, U.S.-supplied weapons, and U.S. assistance with spare parts and maintenance,” said Bill Hartung, senior research fellow at the Quincy Institute for Responsible Statecraft and author of the new report, U.S. Military Aid and Arms Transfers to Israel, October 2023 – September 2025, co-published with the Quincy Institute. “But despite this dependence, neither former President Joe Biden nor current President Donald Trump have used Israel's reliance on U.S. weapons as a tool to pressure Tel Aviv to change its conduct.”
“The American public has a right to know how U.S. funding is used in conflict, and to recognize that our military activities in the Middle East carry significant costs that are often hidden,” said Linda J. Bilmes, the Daniel Patrick Moynihan Senior Lecturer in Public Policy and Public Finance at the Harvard Kennedy School and author of the new report, Costs of United States Military Activities in the Wider Middle East Since October 7, 2023. “These financial and social costs should be weighed alongside policy decisions.”
Additionally, mass population displacement has been a significant feature of the violence experienced in Gaza, Iran, Israel, Lebanon, the West Bank, and other parts of the Middle East since October 7, 2023, where at least 5.27 million people have fled or been forced to leave their homes (as of early September 2025). This total includes an estimated 1.85 million displaced children under 18 years old. Some of these people have since returned home, while many others have not. (This figure does not include Syria and Yemen, where there is a lack of data documenting how the post-10/7 wars have caused displacement.)
“The displacement of over 5 million people to date plus the potential displacement of millions more underscores the urgency of ending the violence as quickly as possible, of allowing the displaced to return home as international law requires, of ensuring reparation for the displaced, and of holding the perpetrators accountable for crimes committed,” said David Vine, political anthropologist and longtime Costs of War contributor, and author of the new report, Mass Displacement since October 7, 2023: Flight from War, Genocide, and Expulsion in Gaza, Iran, Israel, Lebanon, and the West Bank.
“For well over a decade, the Costs of War project has shed light on the costs of the so-called U.S. ‘war on terror’; now we’re examining the devastating costs of U.S. military spending and operations in the post-October 7 wars – which in the case of Gaza, many experts call a genocide,” said Stephanie Savell, Director of Costs of War. “Our research highlights numbers, but we must never lose sight of this key fact: what we’re talking about is human suffering. This research shows that the suffering is unthinkably vast. The research will inform efforts to stop the mass killing and displacement, move beyond the war paradigm, and explore true solutions towards peace.”
The Costs of War Project is a team of 50 scholars, legal experts, human rights practitioners, and physicians, which began its work in 2010. We use research and a public website to facilitate debate about the costs of the post-9/11 wars in Iraq and Afghanistan, and the related violence in Pakistan and Syria. There are many hidden or unacknowledged costs of the United States' decision to respond to the 9/11 attacks with military force. We aim to foster democratic discussion of these wars by providing the fullest possible account of their human, economic, and political costs, and to foster better informed public policies.
"We can't afford to keep our hospitals open, but we can afford a billion dollars a day to bomb Iran?"
With fresh reporting that the ongoing US assault on Iran could be costing $1 billion per day in taxpayer money, opposition lawmakers, candidates for office, and outside critics are ripping the Trump administration and his allies in Congress for the financial recklessness of the unlawful and unprovoked attack on the Iranian people.
"We can't afford to keep our hospitals open, but we can afford a billion dollars a day to bomb Iran?" asked Graham Platner, a Democrat running to unseat Republican Sen. Susan Collin of Maine in this year's midterm elections, in a social media post Wednesday.
Hundreds of hospitals across the US, most of them in rural areas, are teetering on the brink of bankruptcy or closure in the wake of Trump's signing of a spending and tax giveaway bill last year that gave billions in tax breaks to corporations and the wealthy while slashing healthcare, including Medicaid.
Collins on Wednesday joined all but one member of the Republican caucus in the US Senate to vote down a War Powers Resolution that would have compelled Trump to cease military operations against Iran.
"In one fucking month we will spend more over there than we needed to save healthcare for more than 2 million Americans. They literally are taking away your food and your healthcare for this regime change war of choice." —Sen. Brian Schatz
Planter was responding to journalist Nancy Youssef of The Atlantic, who reported, citing a congressional official, that a "preliminary Pentagon cost estimate of the war in Iran is $1 billion a day."
Sen. Brian Schatz (D-Hawaii) expressed similar outrage to the figure.
"This war is costing a billion dollars a day," said Schatz. "In one fucking month we will spend more over there than we needed to save healthcare for more than 2 million Americans. They literally are taking away your food and your healthcare for this regime change war of choice."
An analysis by Allison McManus at the Center for American Progress published Tuesday estimates that the US costs since bombing raids were launched by the American and Israeli forces over the weekend easily exceed $5 billion. According to McManus:
In a March 2 press conference, Chairman of the Joint Chiefs of Staff Gen. Dan Caine provided a glimpse into the nature of operations thus far in Operation Epic Fury. Caine described the deployment of more than 100 aircraft, the use of Tomahawk missiles, and attacks on more than 1,000 targets in just the first day of operations. Utilizing Brown University’s “Costs of War” project cost estimates of previous operations in the region—including Operation Midnight Hammer against Iran last June and engaging the Houthis in Yemen—it is likely that the operations Caine described alone would cost more than $4 billion.
But these are not the only costs. Elaine McCusker, a former Pentagon official in the first Trump administration, estimated the costs of repositioning forces in the Middle East to be around $630 million even prior to the start of hostilities. On March 2, Kuwaiti forces accidentally shot down three F-15 fighter jets in a friendly-fire incident. As these aircraft can cost as much as $117 million, this translates to an estimated total loss of $351 million. Added to the operations Caine described, a conservative estimate for the initial costs of Operation Epic Fury is more than $5 billion as of March 2—and the campaign is just getting started.
McManus further notes that the billions in military spending for a war that polls show a large majority in the US oppose, "come at a time when American citizens are acutely feeling the pressures of increased prices at home, including housing, energy, and health care costs."
As independent journalist Zaid Jilani noted, "Trump is spending a billion dollars a day killing people abroad while cutting Medicaid and health care for Americans."
"Waging a senseless and costly war raises legitimate questions about this government’s priorities," argues McManus in her analysis. "Priced at around $2.2 million, a single Tomahawk missile could cover 775 children on Medicaid for a year or provide more than 3,600 children with meals in the National School Lunch Program. At more than $5 billion and counting, the costs of Operation Epic Fury—in only its first few days of operations—could cover Supplemental Nutrition Assistance Program (SNAP) benefits for more than 2 million Americans for a year. If this war continues at the same pace, Americans could see their government burn through tens of billions of dollars, funds that would amount to the cost of Medicaid for millions in the United States."
John Collins, political writer based in Boston, was contemplative about the military expenditures. "Just thinking of what we could do with a billion dollars a day that doesn’t include bombing people," Collins said.
One organizer called the ruling a "victory for small businesses who have paid billions in unlawful tariffs and deserve their money back."
US customs officials are due to report to the Court of International Trade in New York on Friday to detail their plans for issuing billions of dollars in refunds to American businesses that paid tariffs which were struck down by the US Supreme Court last month.
On Wednesday, Judge Richard Eaton at the federal trade court ruled that "all importers of record" are "entitled to benefit" from the Supreme Court ruling that found President Donald Trump had illegally invoked the 1977 International Emergency Economic Powers Act (IEEPA) to impose tariffs on more than 300,000 US businesses that import goods, the vast majority of which were small businesses, as a central policy of his economic agenda.
The Supreme Court found Trump could not use the IEEPA to unilaterally set tariffs.
Eaton ruled in a case brought by Atmus Filtration, a company based in Nashville, Tennessee, which filed one of about 2,000 lawsuits at the trade court seeking refunds for the tariffs.
US Customs and Border Protection is likely to appeal the decision or “seek a stay to buy more time," former US trade official Ryan Majerus told NBC News, but Eaton did not appear convinced Wednesday when a Justice Department lawyer Claudia Burke, said in court that issuing refunds en masse would be time-consuming for the CBP and would necessitate the manual review of millions of entries.
"We live in the age of computers," said Eaton. "It must be possible for Customs Service to program its computers so it doesn't need a manual review.
Burke also told Eaton that the administration hadn't determined its position on refunding the tariffs, to which the judge replied: "Your position is clear. The Supreme Court told you what your position is."
Eaton noted that refunds are processed every day by CBP through a process called "liquidation" when goods are imported through the agency. CBP issues an accounting of what is owed by the importer, and the company has 180 days to formally contest its duties. The judge ordered customs officials to stop collecting tariffs on goods currently in the liquidation process and to recalculate duties for goods that were past the 180-day window, without the illegally imposed tariffs, resulting in a refund.
“Customs knows how to do this,” said Eaton. "They do it every day. They liquidate entries and make refunds."
Atmus Filtration estimated in court filings it had paid $11 million in illegal tariffs. The federal government collected $130 billion in tariffs under the IEEPA last year, and according to the Penn Wharton Budget Model, could ultimately owe $175 billion in refunds to businesses.
Sen. Mark Warner (D-Va.) said the Trump administration "must move quickly to reimburse the thousands of small businesses in Virginia and across the country that bore the brunt of President Trump’s harmful and illegal tariffs."
Dan Anthony, executive director of the We Pay the Tariffs coalition, called the ruling a "victory for small businesses who have paid billions in unlawful tariffs and deserve their money back."
"The court acted swiftly and correctly," said Anthony. "Now the ball is in the government's court and small businesses are concerned they will drag this out further. American small businesses have waited long enough. A full, fast, and automatic refund process is what these businesses are owed and anything less is unacceptable."
"The second bomb hit," said one paramedic. "Only a small number of those who had taken shelter survived."
As the US and Israel continued to wage war on Iran Wednesday, paramedics and victims’ relatives said last weekend’s bombing of an elementary in southern Iran was a so-called "double-tap" airstrike—a common tactic used by US, Israeli, and Russian forces by which attackers bomb a target and then follow up with a second strike meant to kill survivors and first responders.
Iranian officials said that around 175 people—most of them young children—were killed when the Shajareh Tayyebeh girls’ elementary school in Minab was hit Saturday by what they said was a US-Israeli attack
“When the first bomb hit the school, one of the teachers and the principal moved a group of students to the prayer hall to protect them,” said one of two Iranian Red Crescent Society (IRCS) paramedics who spoke to Middle East Eye on condition of anonymity.
“The principal called the parents and told them to come and pick up their children," the paramedic added. "But the second bomb hit that area as well. Only a small number of those who had taken shelter survived... Some parents recognized their children only because of the gold bracelets they were wearing."
The father of a girl killed in the second strike on the facility told Middle East Eye that school officials "asked us to come as quickly as possible and take our daughter home.”
However, when he arrived at the school, "My little girl was completely burned."
“There was nothing left of her," he said. "We could only identify her from her school bag, which she was still holding."
"When I saw her smile after coming home from work, all my pain disappeared," the father added. "Now I don’t know what to do with this pain. I don’t know how to live with this.”
The mother of a boy slain in the strike told NBC News that the school also called her and told her to quickly come pick up her child.
“By the time we arrived, the entire school had collapsed on top of the children,” she said. “People were pulling out children’s arms and legs. People were pulling out severed heads.”
On Wednesday, Middle East Eye published a partial list containing the names and ages of 51 children—26 boys and 25 girls—one infant, and eight women killed in the school strike.
Thousands of mourners thronged the streets of Minab on Tuesday as funerals were held for the strike's victims.
Extraordinary crowds as a mass funeral procession begins in Minab, Iran for the 165 school girls & teachers killed in the US/Israeli school strike on Saturday.Many outcomes of this war are uncertain. But a renewed generation of hatred towards the West is now baked in.(🎥 Alireza Akbari)
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— News Eye (@newseye.bsky.social) March 2, 2026 at 11:57 PM
It is not known whether the school, which is located near an Islamic Revolutionary Guard Corps compound, was deliberately targeted.
“All that I know is that we’re investigating that. Of course, we never target civilians," said US Defense Secretary Pete Hegseth, who oversees a military whose 21st century wars have killed more than 400,000 noncombatants, according to the Costs of War Project at Brown University's Watson Institute for International and Public Affairs.
US Secretary of State Marco Rubio said Monday that the Pentagon "would be investigating that, if that was our strike."
"Clearly, the United States would not deliberately target a school," Rubio added.
Since the late 20th century, the US has bombed—either deliberately or through inadequate target vetting and identification—schools in countries including Vietnam, Laos, Iraq, Afghanistan, and Pakistan.
If carried out by the US, Saturday's strike in Minab is likely the deadliest American school bombing since 182 students, staff, and other civilians were massacred in an apparently deliberate secret strike on a school in Laos—the most heavily bombed country ever—during the Vietnam War.
Israel has bombed all levels of schools in Gaza as part of what critics have called a deliberate policy of scholasticide.
North Carolina-based independent journalist Lauren Steiner told Common Dreams Wednesday that the double-tap tactic is "beyond evil."
Other such strikes have been reported during the US-Israeli war on Iran, including the Sunday evening bombing of Niloofar Square in Tehran, where people were celebrating the end of their daily Ramadan fast.
“Suddenly there was the noise and explosion," one survivor, who was enjoying the evening at a café before the bombing, told Drop Site News. "We got up and a few people ran away. We turned around to get our belongings and we saw that blood was spraying everywhere. Someone’s hand had fallen on the floor, a head had fallen on the floor."
“When the second one hit, suddenly everything exploded," he added. "The windows all shattered... One of my friends whom I don’t know that well, he was sitting here... He was severed in half. Half of him was thrown to the side. I put him back together and placed him where he was. A piece of his brain was thrown here on the floor.”
⚡️ Witnesses Describe Horror Scene After “Double-Tap” Bombing Kills Over 20 at Popular Tehran SquareIn Iran, the US & Israel are employing tactics used in Israel’s genocide in Gaza, the “War...Story by Reza Sayah & @mazmhussain.bsky.social for Drop Site Newswww.dropsitenews.com/p/tehran-ira...
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— Drop Site (@dropsitenews.com) March 2, 2026 at 4:20 PM
The IRCS says more than 1,000 Iranians have been killed during four days of US and Israeli bombing, with Iran's retaliatory strikes killing six US service members, 11 Israelis, and a number of people in Gulf states that have come under Iranian bombardment.
"The enemy is exploiting every possible tactic to inflict maximum harm on our people," IRCS spokesperson Mojtaba Khaledi said Tuesday. "We beg the public: Do not rush to bombed areas. The first moments after an explosion are the most dangerous—some munitions are programmed to detonate again, turning rescuers and survivors into additional victims."
Some of the more infamous US double-tap strikes include the April 1999 Grdelica bridge bombing in Yugoslavia, which happened while a passenger train traveling from Belgrade, Serbia to Greece was crossing, killing more than 20 people; the March 2019 drone strike in Deir Ezzor, Syria that killed scores of civilians along with some Islamic State fighters; the April 2025 attack on Ras Isa port in al-Hudaydah, Yemen that massacred 84 civilians; and the bombing last September of a boat allegedly transporting drugs in the Caribbean Sea.
Israeli has carried out many double-tap strikes in Gaza, including last summer's attack on Nasser Hospital that killed more than 20 people including five journalists, and the July 2024 massacre of more than 90 people in a purported "safe zone" in al-Mawasi. Israel is facing a genocide case currently before the International Court of Justice in The Hague, and Israeli Prime Minister Benjamin Netanyahu and former Defense Minister Yoav Gallant are wanted by the International Criminal Court for alleged war crimes and crimes against humanity, including murder and forced starvation.