He grew more attentive. I told him about my recent medical mission to Aleppo, the attacks on hospitals and civilians by the regime of Bashar Assad and urged him to do something. At that point, fewer than 100,000 people had been killed in Syria, and there were only about 1 million refugees and few small-scale chemical weapons attacks
Obama leaned forward, smiling, and said, "My legacy will be determined by other things also." I answered without hesitation, "But Syria will be important, Mr. President."
I remembered the encounter as I read the "exit memo " Obama wrote to his fellow Americans. President Obama was looking back on the past eight years. Syria, one of the worst humanitarian disasters in our lifetime, was not mentioned. Obama touted carefully his successes in the economy, health care and Iran nuclear deal, among other things, while completely ignoring Syria.
As a physician and humanitarian who has spent the past six years helping in medical relief in Syria and neighboring countries, I saw the impact of Obama's policy, or lack of policy, on the ground. I saw it in the faces of countless helpless refugees in the Zaatari camp in Jordan and in the Greek camps during my medical missions. Among them was a child with a rare muscle disorder who was struggling to breathe in his hot tent in northern Greece. His family, like tens of thousands of desperate Syrians, took the perilous trip across the Mediterranean Sea to flee the brutality of war.
I saw it in the screaming of children as they were pulled from under the rubble of their destroyed houses. Among them was Abdullah, a 12-year-old victim of a barrel bomb in Aleppo. He suffered a traumatic injury to his chest, and we had to insert a chest tube to drain the blood without painkillers or anesthesia. He was screaming in pain.
Many areas in Syria were, and still are, under siege and daily bombardment, mostly by the Assad regime. There is a shortage of food and medicine.
I saw the impact through the desperate calls of my colleagues in other parts of Syria, struggling to resuscitate victims of nerve and chlorine gas attacks.
I saw it in the unprecedented "forced evacuation," a more gentle term for ethnic cleansing, of more than 250,000 people from their neighborhoods in Aleppo. Among them was Bana Alabed, 7, who (with her mother's help) tweeted to the outside world while she was under siege in her city.
The Syrian crisis has been an utter failure of Obama's foreign policy. Since the civil war's start in 2011, the United Nations estimates about 400,000 Syrians have been killed and nearly 12 million displaced. The crisis has created more than 4.8 million refugees.
How did Obama's policy fail? Early in 2011, and in response to the brutal clampdown on early peaceful demonstrations by Syrians, Obama stated that Assad had lost his "legitimacy." But he failed to support his statement with proactive policies to force an early political transition.
Words have power, especially if they are uttered by the leader of the free world. As Robert D. Kaplan in The New York Times, "only if we project power can our values follow along."