The United States invaded Iraq on March 19, 2003 on the pretext that Saddam Hussein possessed weapons of mass destruction. The mass destruction of the invasion, occupation, and civil war followed, and amplified the societal and health disintegration caused by the previous decade of sanctions. Iraqi lives and communities remain war-devastated ten years on. American military and contractor families struggle with the loss of loved ones as well as the emotional and economic burdens of living with long-term injuries and illnesses. Total US federal spending associated with the Iraq war has been $1.7 trillion through FY2013. In addition, future health and disability payments for veterans will total $590 billion and interest accrued to pay for the war will add up to $3.9 trillion.