Eleven years ago, on March 19, 2003, the U.S. launched its “shock and awe” attack against Iraq. As with Russia’s annexation of Crimea last month, many criticized the pre-emptive war in Iraq as a violation of international law. Last week, President Barack Obama distinguished the U.S. invasion of Iraq from Russia’s actions in Crimea, stating that “we ended our war and left Iraq to its people, and a fully sovereign Iraqi state could make decisions about its own future.” These sentiments echoed those he expressed to mark the final U.S. troop withdrawal from Iraq in December 2011, when he said, “We’re leaving behind a sovereign, stable and self-reliant Iraq.”

Facts belie Obama’s self-congratulatory assessment of a stable and democratic country. Iraq ranked 11th out of 178 countries in the 2013 Failed States Index, making it more stable than Somalia and Afghanistan but less so than Syria. The current Shia government in Baghdad is often accused of the same abuses carried out by its Sunni predecessor. The rights of women, minorities and other vulnerable groups continue to deteriorate. Millions have been dispossessed.

More than a decade after President George W. Bush’s premature “mission accomplished” victory exultation, the Iraq War is increasingly seen as a failure. A Pew Research Center for the People and the Press survey in January found rising pessimism about the war, with a majority of Americans saying the U.S. did not achieve its goals in Iraq and the use of military force was a mistake.

The staggering human and financial costs of the war make it unpopular for good reasons. The U.S. has spent $815.8 billion in Iraq since 2003. In a May 2013 report, Brown University’s Watson Institute for International Studies concluded that the final price tag, including the costs of caring for veterans for the next 40 years, would exceed $2.2 trillion, not including interest. While the U.S. coffers are drained by the war, military contractors amassed more than $138 billion.

Many people know that 4,488 American soldiers lost their lives in combat. But most assessments of the Iraq War grossly underestimate the full human toll of the invasion. Official estimates of more than 30,000 wounded in combat discount the tens of thousands of veterans who suffer from devastating physical, psychological and moral injuries and thousands of suicides after vets return home. A recent study by American, Canadian and Iraqi health experts found that 500,000 Iraqi deaths were attributable to the war. The tally includes death from indirect causes, such as failures of health, sanitation, transportation, communication and other systems. Still missing from this accounting is the fate of millions of Iraqis and Americans whose lives were rent asunder by the conflict — the families who lost loved ones and those struggling to support traumatized and ailing family members. Iraq’s incapacity to rebuild its ravaged health and safety infrastructure extends the costs of the war into the distant future.