President Biden is in a difficult position as his team develops options to respond to the military coup in Myanmar. Strong condemnations of the coup have been timely and a solid first step. But the options to impose punishing sanctions are limited. The United States already has targeted financial and travel sanctions on the generals who led the coup because of their atrocities against the Rohingya people. The painful bite of more sanctions has been rendered toothless as American security assistance and efforts with the Burmese military has slowed to a trickle.