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Matthew Perry's death leads to sweeping indictment of 5, including doctors and reputed dealers

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Matthew Perry's death leads to sweeping indictment of 5, including doctors and reputed dealers

LOS ANGELES (AP) — Nearly 10 months after the death of Matthew Perry, the long-simmering investigation into the ketamine that killed him came dramatically into public view with the announcement that five people had been charged with having roles in the overdose of the beloved “Friends” star.

Here are key things to know about the case, including the two key figures who could be headed for trial and the possibility of the steepest of prison sentences.

A sweeping set of indictments

One or more arrests had been expected since investigators from three different agencies revealed in May they had been conducting a joint probe into how the 54-year-old Perry got such large amounts of ketamine.

The actor had been among the growing number of patients using legal but off-label medical means to treat depression, or in other cases chronic pain, with the powerful surgical anesthetic.

Recent reports suggested indictments might be imminent, but few outside observers, if any, knew how wide-ranging the prosecution would be, reaching much further than previous cases stemming from celebrity overdoses.

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When Michael Jackson died in 2009 from a lethal dose of the anesthetic propofol, his doctor was charged with providing it. After rapper Mac Miller died in 2017, two men who prosecutors described as a dealer and a middleman were convicted of providing fentanyl-laced oxycodone that helped kill him.

But Perry’s case pulled in both, with indictments against doctors and illegal distributors who prosecutors say preyed on his long and public struggles with addiction. The investigation even went after the live-in personal assistant who prosecutors say helped him get ketamine and injected it directly into him before Perry was found dead in his hot tub on Oct. 28, 2023.

“They knew what they were doing was risking great danger to Mr. Perry. But they did it anyway,” U.S. Attorney Martin Estrada said in announcing the charges.

The prosecution was well under way even before the announcement. Two people including the assistant, Kenneth Iwamasa, and a Perry acquaintance, Eric Fleming, have pleaded guilty to conspiracy to distribute the drug. A San Diego physician, Dr. Mark Chavez, has agreed to enter a guilty plea.

That leaves prosecutors free to pursue their two biggest targets.

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The doctor and the ‘Ketamine Queen’

An indictment unsealed Thursday alleges Perry turned to Los Angeles doctor Salvador Plasencia when his regular doctors refused to give him more ketamine. Prosecutors allege Plasencia cashed in on Perry’s desperation and addiction, getting him to pay $55,000 in cash for large amounts of the drug in the two months before his death.

“I wonder how much this moron will pay,” Plasencia texted a co-defendant, according to his indictment.

He pleaded not guilty to seven counts of distribution of ketamine in an appearance in federal court on Thursday afternoon.

Plasencia’s attorney, Stefan Sacks, said outside court that he “was operating with what he what he thought were the best of medical intentions,” and his actions “certainly didn’t rise to the level of criminal misconduct.”

Prosecutors allege Jasveen Sangha, whom they describe as a drug dealer known to customers as the “Ketamine Queen,” provided the doses of the drug that actually killed Perry, injected into the actor by Iwamasa with syringes supplied by Plasencia.

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Sangha also pleaded not guilty. Her attorney Alexandra Kazarian derided the “queen” moniker as made-for-media consumption during the hearing. The lawyer declined comment on the case outside court.

Prosecutors say the other doctor in the case, Chavez, helped Plasencia obtain the ketamine he gave to Perry, while Perry’s acquaintance, Fleming, helped get ketamine from Sangha to Perry.

Chavez could get up to 10 years in prison, Iwamasa up to 15 years and Fleming up to 25 years.

Multiple messages seeking comment from attorneys for the three men were not returned.

Looking ahead to trial

Sangha could get life in prison if convicted as charged, while Plasencia could get up to 120 years. Each has a trial date in October, but it is highly unlikely any would be facing a jury by then, and the two may be tried together. They also could face testimony from the co-defendants who reached plea agreements.

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Magistrate Judge Alka Sagar ruled Sangha should be held without bond while awaiting trial, citing prosecutors’ contentions that she had destroyed evidence and funded a lavish lifestyle with drug sales even after Perry’s death.

The judge agreed to release Plasencia after he posted a $100,000 bond.

His attorney argued the Perry case was “isolated” and the doctor should be allowed to treat patients who depended on him at his one-man practice while awaiting trial.

“I’m not buying that argument,” Sagar said, but agreed Plasencia could see patients so long as they signed a document in which he acknowledged the charges.

“People have probably already heard about it from the amount of press,” Sacks told the judge, noting if they hadn’t, they would soon.

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Records show Plasencia’s medical license has been in good standing with no records of complaints, though it is set to expire in October and he could face action. He already has surrendered his federal license to prescribe more dangerous drugs.

Pushing back against ketamine

Prosecutors and police presented the Perry case as part of a major pushback against a rise in the illegal use of ketamine that has shadowed the broadening of its legal use.

Los Angeles police said in May they were working with the U.S. Drug Enforcment Administration and the U.S. Postal Inspection Service with a probe into how Perry got the drug. His autopsy, released in December, found the amount of ketamine in his blood was in the range used for general anesthesia during surgery.

“As Matthew Perry’s ketamine addiction grew, he wanted more and he wanted it faster and cheaper. That is how he ended up buying from street dealers and stole the ketamine that ultimately led to his death,” U.S. Drug Enforcement Administrator Anne Milgram said Thursday. “In doing so, he followed the arc that we have tragically seen with many others. The substance use disorder begins in a doctor’s office and ends in the street.”

Perry had years of struggles with addiction dating back to his time on NBC’s megahit sitcom, “Friends,” for 10 seasons from 1994 to 2004. Playing Chandler Bing, he became one of the biggest television stars of his generation alongside Jennifer Aniston, Courteney Cox, Lisa Kudrow, Matt LeBlanc and David Schwimmer.

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US economy expands at a surprisingly strong 4.3% annual rate in the third quarter

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US economy expands at a surprisingly strong 4.3% annual rate in the third quarter

WASHINGTON (AP) — The U.S. economy grew at a surprisingly strong 4.3% annual rate in the third quarter, the most rapid expansion in two years, as government and consumer spending, as well as exports, all increased.

U.S. gross domestic product from July through September — the economy’s total output of goods and services — rose from its 3.8% growth rate in the April-June quarter, the Commerce Department said Tuesday in a report delayed by the government shutdown. Analysts surveyed by the data firm FactSet forecast growth of 3% in the period.

However, inflation remains higher than the Federal Reserve would like. The Fed’s favored inflation gauge — called the personal consumption expenditures index, or PCE — climbed to a 2.8% annual pace last quarter, up from 2.1% in the second quarter.

A television on the floor at the New York Stock Exchange in New York, display a news conference with Fed chairman Jerome Powell, Wednesday, Dec. 10, 2025. (AP Photo/Seth Wenig)

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Excluding volatile food and energy prices, so-called core PCE inflation was 2.9%, up from 2.6% in the April-June quarter.

Economists say that persistent and potentially worsening inflation could make a January interest rate cut from the Fed less likely, even as central bank official remain concerned about a slowing labor market.

“If the economy keeps producing at this level, then there isn’t as much need to worry about a slowing economy,” said Chris Zaccarelli, chief investment officer for Northlight Asset Management, adding that inflation could return as the greatest concern about the economy.

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In a slow holiday trading week, U.S. markets on Wall Street turned lower following the GDP report, likely due to growing doubts that another Fed rate cut is coming next month.

Consumer spending, which accounts for about 70% of U.S. economic activity, rose to a 3.5% annual pace last quarter, up from 2.5% in the April-June period.

A person carries a shopping bag in Philadelphia, Wednesday, Dec. 10, 2025. (AP Photo/Matt Rourke, File)

A person carries a shopping bag in Philadelphia, Wednesday, Dec. 10, 2025. (AP Photo/Matt Rourke, File)

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Consumption and investment by the government grew by 2.2% in the quarter after contracting 0.1% in the second quarter. The third quarter figure was boosted by increased expenditures at the state and local levels and federal government defense spending.

Private business investment fell 0.3%, led by declines in investment in housing and in nonresidential buildings such as offices and warehouses. However, that decline was much less than the 13.8% slide in the second quarter.

Within the GDP data, a category that measures the economy’s underlying strength grew at a 3% annual rate from July through September, up slightly from 2.9% in the second quarter. This category includes consumer spending and private investment, but excludes volatile items like exports, inventories and government spending.

Exports grew at an 8.8% rate, while imports, which subtract from GDP, fell another 4.7%.

Tuesday’s report is the first of three estimates the government will make of GDP growth for the third quarter of the year.

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Outside of the first quarter, when the economy shrank for the first time in three years as companies rushed to import goods ahead of President Donald Trump’s tariff rollout, the U.S. economy has continued to expand at a healthy rate. That’s despite much higher borrowing rates the Fed imposed in 2022 and 2023 in its drive to curb the inflation that surged as the United States bounced back with unexpected strength from the brief but devastating COVID-19 recession of 2020.

Though inflation remains above the Fed’s 2% target, the central bank cut its benchmark lending rate three times in a row to close out 2025, mostly out of concern for a job market that has steadily lost momentum since spring.

Roofers work atop a house in Anna, Texas, Thursday, Dec. 18, 2025. (AP Photo/LM Otero)

Roofers work atop a house in Anna, Texas, Thursday, Dec. 18, 2025. (AP Photo/LM Otero)

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Last week, the government reported that the U.S. economy gained a healthy 64,000 jobs in November but lost 105,000 in October. Notably, the unemployment rate rose to 4.6% last month, the highest since 2021.

The country’s labor market has been stuck in a “low hire, low fire” state, economists say, as businesses stand pat due to uncertainty over Trump’s tariffs and the lingering effects of elevated interest rates. Since March, job creation has fallen to an average 35,000 a month, compared to 71,000 in the year ended in March. Fed Chair Jerome Powell has said that he suspects those numbers will be revised even lower.

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Israel calls out UN-backed Gaza famine report as biased, ignores aid flow and on-the-ground data

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Israel calls out UN-backed Gaza famine report as biased, ignores aid flow and on-the-ground data

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Israeli officials have slammed the latest report from an organization that earlier this year claimed there was famine in parts of Gaza, saying the new document is biased and that its conclusions were “predetermined.”

The Integrated Food Security Phase Classification (IPC), a United Nations-backed organization, previously claimed famine conditions were met in Gaza Governorate in August but now says that about 1.6 million Gazans are facing “high levels of acute food insecurity.

IDF Maj. Gen. Ghassan Alian, of the Coordinator of Government Activities in the Territories (COGAT), which deals with Gaza, called out what he said were “biased claims” by the IPC which he said, “disregard the volumes of food that entered during the ceasefire, indicating that the report’s conclusions were predetermined.”

ISRAEL PUSHES BACK AT ‘TAILOR-MADE’ UN-BACKED REPORT CLAIMING GAZA FAMINE

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Palestinians carry aid supplies which they received from the U.S.-backed Gaza Humanitarian Foundation, in the central Gaza Strip, May 29, 2025.  (Ramadan Abed/Reuters)

A statement from COGAT noted, “It is important to recall that this is not the first time IPC reports regarding the Gaza Strip have been published with extreme forecasts and warnings that do not materialize in practice. Time and again, IPC assessments have proven to be incorrect and disconnected from the data on the ground, contradicting verified facts, including aid volumes, food availability and market trends. The international community must act responsibly, avoid falling for false narratives and distorted information and refrain from legitimizing a biased and unprofessional report.”

In its latest report, the IPC’s Famine Review Committee addressed the changing circumstances, explaining that “following the publication of the [last] FRC report, there was a partial relaxation of the blockade and an increase in the availability of food and other essential supplies.” While the FRC says this “came too late to avoid famine in Gaza Governorate in July and early August, the persistence of Famine and its spread to other governorates during the projection period has been avoided.”

Gazans carry food airdropped by Jordan and the United Arab Emirates on July. 27 (TPS-IL)

In August, the IPC projected that two additional governorates would experience famine by Sept. 30. At the time, several experts disputed the presence of famine conditions, including Dr. David Adesnik, vice president of research at the Foundation for Defense of Democracies. Adesnik told Fox News Digital that mortality figures, while worrisome, did not reach levels expected during famine conditions. He also said that the prices on key food items had remained relatively stagnant or even declined during the period of alleged famine.

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Following the IPC’s latest report, Adesnik said that the IPC are still “dodging the question of proving that they were right” about prior famine declarations.

US REPORT URGES UN AGENCY’S SHUTDOWN OVER HAMAS TIES, OCT 7 TERROR LINKS

In assessing the lack of mortality numbers that indicate famine, Adesnik said one of the IPC’s current arguments is that “data largely capture trauma-related deaths and overlook a substantial proportion of non-traumatic mortality.”  He called this “a big leap,” explaining “They’re basically saying that with all of its efforts to track down every name of someone killed during the war, the Gaza Ministry of Health somehow missed all the people who didn’t die because of bullets, shrapnel or falling buildings — that there’s just all these people who would have died of hunger, disease, other things.”

He said that the IPC’s figures show the highest number of malnutrition-related deaths per month being 27, with all malnutrition deaths peaking at 186. “Hundreds of people dying from malnutrition is still a terrible, terrible thing,” Adesnik said. “But we were asking a question: Is this famine? And that is not remotely close to the threshold for determining famine.”

Palestinians await donated food at a community kitchen in Jabalia, northern Gaza Strip, Monday, May 19, 2025. (Jehad Alshrafi/AP Photo)

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The IPC told Fox News Digital that to meet the famine threshold, “at least two in every 10,000 people” “or at least four in every 10,000 children under five are dying daily” on account of “outright starvation or the interaction of malnutrition and disease.”

US-BACKED AID GROUP ENDS GAZA MISSION AFTER DEFYING HAMAS THREATS, UN CRITICISM

In response to questions about its famine data, the IPC told Fox News Digital that “in the case of the Gaza analysis, there was clear evidence that thresholds for starvation and acute malnutrition had been reached, and analysts reasonably assessed from the broader evidence that the mortality threshold (third outcome) has likely been reached.”

Israel’s Ministry of Foreign Affairs spokesperson Oren Marmorstein said on X that “The IPC also disregards the fact that, on average, between 600 and 800 aid trucks enter the Gaza Strip every day, 70% of them carrying food – nearly five times more than what the IPC itself said was required for the Strip.”

Palestinians carry bags and boxes containing food and humanitarian aid packages delivered by the Gaza Humanitarian Foundation, a U.S.-backed organization, in Rafah, southern Gaza Strip, Monday, June 16, 2025. (Abdel Kareem Hana/AP Photo)

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Though it is not claiming famine is underway, the IPC still states that in a “worst-case scenario” of a return to conflict, “the entire Gaza Strip is at risk of famine through mid-April 2026.”

Adesnik said that the IPC is merely “guessing about the future.” He noted that accuracy from the IPC holds serious importance given the International Criminal Court and International Court of Justice’s allegations of war crimes and genocide against Israel. A declaration of famine would be a “big building block in what seems to prove part of the case.”

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Last week, the Secretary of State Marco Rubio, sanctioned two more members of the ICC for engaging “in efforts by the ICC to investigate, arrest, detain, or prosecute Israeli nationals, without Israel’s consent, including voting with the majority in favor of the ICC’s ruling against Israel’s appeal on December 15.

Secretary of State Marco Rubio said that the State Department “will continue to hold accountable those responsible for the ICC’s morally bankrupt and legally baseless actions against Americans and Israelis.”

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Trump says Greenland ‘essential’ for security: Could he take it by force?

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Trump says Greenland ‘essential’ for security: Could he take it by force?

President Donald Trump has said the United States needs Greenland for its “national security” after naming Louisiana Governor Jeff Landry as special envoy to the Danish Arctic island, prompting protests from Copenhagen.

“We need Greenland for national security, not for minerals,” Trump told reporters at his Mar-a-Lago residence in Florida on Monday, adding that Landry would “lead the charge”.

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Landry said he would make the Arctic territory “a part of the US”.

The comments drew sharp rebukes from Danish Prime Minister Mette Frederiksen and Greenland’s prime minister, Jens-Frederik Nielsen.

“You cannot annex another country … Not even with an argument about international security,” they said in a joint statement. “Greenland belongs to the Greenlanders and the US shall not take over Greenland,” they added.

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Since Trump returned to the White House in January, he has commented on several occasions about his desire for the mineral-rich island, a demand Denmark and many other European nations have steadfastly rejected.

So, what does Trump sending an envoy mean for Greenland, and could he succeed in acquiring it?

Why is Trump saying Greenland is ‘essential’ to US national security?

The US president insisted that the resource-rich island is “essential” for security reasons, rather than for its mineral resources.

“If you take a look at Greenland, you look up and down the coast, you have Russian and Chinese ships all over the place,” he said on Monday, while adding that the US has “many sites for minerals and oil”.

Trump’s interest in Greenland is not new.

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During his first term as US president from 2017 to 2021, he mooted the idea of buying the island from Denmark. Trump then postponed a 2019 visit to the Nordic country after Danish PM Frederiksen slammed the idea.

He has refused to rule out the use of military force to seize control, noting in March that the US would “go as far as we have to”.

Geographically part of North America, Greenland’s capital, Nuuk, lies about 2,900km (1,800 miles) from New York – closer than it is to Copenhagen, Denmark’s capital, which is situated roughly 3,500km (2,174 miles) to the east.

The semi-autonomous territory has a population of 57,000 people.

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Why has Trump sent an ‘envoy’ to Greenland – what does that signify?

On Sunday, the US president appointed Louisiana Governor Landry as special envoy to Greenland, prompting anger from Copenhagen, which summoned the US ambassador to explain the decision.

Following the announcement, Landry said it would be an honour to serve in a role meant to “make Greenland a part of the US”, further amplifying Denmark’s concerns about the White House’s intentions.

Taking to his social media platform Truth Social, Trump said Landry is aware “how essential Greenland is” for US national security.

Marc Jacobsen, a professor at the Royal Danish Defence College in Denmark, said while Trump is “clearly serious” about his interest in Greenland, it is unlikely he would try to take it by force.

“But we certainly see attempts to gain influence through other channels such as strategic investments and pushing narratives that portray Denmark as a bad partner,” Jacobsen told Al Jazeera.

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“The appointment of Jeff Landry as special envoy and Tom Dans as the leader of the US Arctic Research Commission should be seen as new elements in this strategy,” he added.

How have Greenlanders responded to this latest move?

Lokke Rasmussen, the foreign minister of Denmark, said Trump’s appointment of Landry confirmed continued US interest in Greenland.

“However, we insist that everyone – including the US – must show respect for the territorial integrity of the Kingdom of Denmark,” he told the AFP news agency.

On Monday, Greenland’s Prime Minister Nielsen said Greenland is friendly towards Washington and that “they know there is no obstacle to the United States increasing security in the Arctic on Greenlandic territory if they wish to do so.

“But going from that to pressuring to take over a country that is populated and has its own sovereignty is not acceptable,” Nielsen told the daily Sermitsiaq.

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People in Greenland broadly favour increased independence from Denmark – but not the transfer of sovereignty to the US.

In 2009, Denmark granted Greenland extensive self-governing powers, including the right to pursue independence from Denmark via a referendum.

In August, Denmark summoned the US charge d’affaires after at least three officials linked to former President Trump were spotted in Greenland’s capital, Nuuk, gauging local sentiment on strengthening ties with the US.

In March, US Vice President JD Vance and his wife, Usha Vance, were accompanied by White House National Security Advisor Mike Waltz and US Secretary of Energy Chris Wright on a tour of the US’s Pituffik Space Base in northwestern Greenland “to receive a briefing on Arctic security issues and meet with US service members”, according to a statement released by Vance’s office.

However, Greenland’s acting head of government, Mute Egede, wrote in an online post at the time that Greenland had not in fact extended any invitation for an official or private visit.

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In response to Landry’s announcement, European Union Commission President ⁠Ursula von der Leyen and European Council ‍President Antonio Costa said Arctic ‍security ‍was and will remain a “key priority” for the EU, “one in which we seek to work with allies and partners”.

“Territorial integrity and sovereignty are fundamental principles of international law. These principles ​are essential not ‌only for the European Union, but for nations around the world,” ‌they said ‌on ⁠X.

On Tuesday, French President Emmanuel Macron reiterated France’s backing for the sovereignty and territorial integrity of both Denmark and Greenland.

He said Greenland “belongs to its people” and Denmark “serves as its guarantor”.

Why is Greenland strategic for the US?

Trump has repeatedly emphasised that the Arctic’s strategic geography – particularly Greenland’s position between North America and Europe – is key to US defence and global security interests.

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Its location, offering the shortest route from North America to Europe, would give Washington leverage for its military and its ballistic missile early-warning system.

The US is also interested in placing radars in the waters that connect Greenland, Iceland and the United Kingdom. These waters are a gateway for Russian and Chinese ships, which the US wants to track.

The island also hosts the Pituffik Space Base, a major US military installation used for surveillance and missile warning operations.

What mineral resources does Greenland have?

Trump has denied that its mineral wealth is the real reason he is so interested in Greenland. However, it is rich in mineral resources critical for the production of modern technologies, including rare-earth elements for electronics and clean energy, as well as uranium, zinc and other base metals.

It also holds potential oil and gas deposits, though their extraction is restricted. Surveys indicate that Greenland contains a substantial share of the critical raw materials identified by the EU.

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INTERACTIVE-Greenlands mineral resources-MARCH9-2025-1741681526
(Al Jazeera)

Which other countries are scrambling for positions in the Arctic and why?

Several countries have become increasingly active in the Arctic in recent years.

Climate change and a rapidly melting ice sheet are the main reasons the Arctic has become a geopolitical hotspot.

The Arctic is heating at a rate four times faster than the global average, increasing its accessibility for maritime trade routes and resource exploration – including by non-Arctic countries as well as those with an Arctic presence.

China has deployed vessels capable of serving both military surveillance and research functions in the region. The purposes are to collect data and secure access to resources and shipping lanes, which are emerging as a result of melting ice.

Last year, Canada unveiled a 37-page security policy detailing plans to enhance its military and diplomatic presence in the Arctic, citing threats posed by increasing Russian and Chinese activity.

In recent years, Russia has expanded its naval presence, deploying missile systems and ramping up weapons testing in the Arctic.

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Russian President Vladimir Putin has also noted Trump’s interest in the region.

During an address at the International Arctic Forum in the Russian city of Murmansk, the largest city within the Arctic circle, earlier this year, Putin said he believed Trump was serious about taking Greenland and that the US would continue its efforts to acquire it.

“It can look surprising only at first glance, and it would be wrong to believe that this is some sort of extravagant talk by the current US administration,” said Putin, adding that he expects the US to continue to “systematically advance its geostrategic, military-political and economic interests in the Arctic”.

Putin also expressed concerns about Russia’s neighbours, Finland and Sweden – both of which have borders inside the Arctic circle – joining NATO, the transatlantic military alliance between North America and Europe. Finland joined NATO in 2023, and Sweden joined in 2024.

“Russia has never threatened anyone in the Arctic, but we will closely follow the developments and mount an appropriate response by increasing our military capability and modernising military infrastructure,” Putin said.

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Could the US take Greenland by force?

Jacobsen said if the US were to invade Greenland, it would mean the end of the North Atlantic Treaty Organization (NATO).

Denmark and the US are founding members of NATO, a European and North American military alliance founded in 1949.

“On a personal level for Trump, it would also mean the end of any ambitions for getting a peace prize, which he has strived for so long,” Jacobsen told Al Jazeera.

“All his efforts to end the wars in Ukraine, Israel-Palestine and elsewhere would have no effect to this end.”

Jacobsen added that there are still “reasonable people in the right positions” who would pull the “handbrake on such an unreasonable idea like invading Greenland”.

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“I truly don’t believe it will happen,” he added.

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