Babrak Karmal have so far not opted for concrete and constructive positions." During Karmal's rule Afghan–Pakistani relations remained hostile; the Soviet intervention in Afghanistan was the catalyst for the hostile relationship. The increasing numbers of Afghan refugees in Pakistan challenged the PDPA's legitimacy to rule. The Soviet Union threatened in 1985 that it would support the Baloch separatist movement in Pakistan if the Pakistani government continued to aid the mujahideen in Afghanistan. Karmal, problematically for the Soviets, did not want a Soviet withdrawal, and he hampered attempts to improve relations with Pakistan since the Pakistani government had refused to recognise the PDPA
Babrak Karmal his former associates supported Dostum. Those who spoke with Karmal during this period noted his lack of interest in politics. In June 1992 it was reported that he had died in a plane crash along with Dostum, although these reports later proved to be false. In early December 1996, Karmal died in Moscow's Central Clinical Hospital from liver cancer. The date of his death was reported by some sources as 1 December and by others as 3 December. The Taliban summed up his rule as follows: [he] committed all kinds of crimes during his illegitimate rule ... God inflicted on