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The counteroffensive in Kherson will look a lot like the Pacific Campaign of World War II

Ukrainian government and military leaders have acknowledged that a counteroffensive in the Kherson oblast has started, and evidence is mounting that the operation is gaining momentum. The dictionary defines counteroffensive as “an attack made in response to one from an enemy, typically on a large scale and for a prolonged period.”

For many, the word counteroffensive conjures up images from World War II and the Battle of the Bulge in the Ardennes or the Red Army’s response to Germany’s Operation Bagration near Minsk. Prepare to be disappointed for those expecting massive formations of troops and tanks rushing across the steppe supported by ferocious artillery barrages. The Ukrainian counteroffensive in Kherson will more closely resemble the United States World War II island hopping campaign in the Pacific than the plains of Eastern Europe or the deserts of Iraq during the first Gulf War.

Beyond Kherson city, most of the oblast west of the Dnipro River is sparsely populated. Small villages dot wheat fields across a flat landscape similar to rural Kansas or Nebraska in the United States. Settlements are spread out as much as 10 to 12 kilometers apart with almost no natural defenses or obstacles. Tree-lined dirt roads offer some cover, but the routes are obvious and easily observed. This area is tank country, and the terrain had Cold War strategic planners at the Pentagon and the Kremlin fretting during the last century. However, both belligerents have a problem.

Neither Russia nor Ukraine have many tanks to spare in a broad advance across the region. Ukrainian forces are reportedly training tank brigades for a future initiative and continue to have limited resources. Russia has lost up to a third of its active main battle tank resources in five months and was forced to dip into reserves of Cold War-era T-62 and T-80BV tanks to fill the gap. Armor is armor, but the main gun on the T-62 has a range of 1,700 meters, making it particularly vulnerable in a tank-on-tank battle and against light infantry weapons with greater range.

Unlike the Ardennes, Minsk, or the desert southeast of Baghdad, militaries worldwide have ready access to consumer, commercial, and military drones that can monitor troop movements and concentrations in real-time. There aren’t any widescale surprise attacks that will or can happen in Kherson. Without an overwhelming number of tanks, drone-directed artillery fire will shred company-sized formations as they attempt to traverse open areas.

The United States Pacific campaign used an island hopping strategy in World War II to defeat Japan. After the battle of Midway, Japanese forces were operating defensively as the United States Navy and Marines ground down island garrisons. Part of the strategy was to capture strategic locations where further attacks could be launched while bypassing other islands with less strategic value. In Kherson, the wheat fields are oceans, villages are islands, patrols and small groups of armor are destroyers and submarines, drones are the aircraft and the infamous kamikazes, and artillery positions are battleships.

Ukraine has started its first island hopping campaign, with Vysokopillya as Guadacanal and Kherson as Okinawa. Continuing with the Gudacanal analogy, Potomkyne is Florida Island, and Olhyne is Savo. Ukrainian forces are fighting for control of Arkhanhelske and are advancing on Novopetrivka. To supply the Russian troops still in Vysokopillya, it is 11 kilometers across roadless open wheat fields to Veremiivka, where Ukraine artillery holds fire control.

The “battleships” (artillery) make the supply efforts dangerous across an open sea of wheat. Ukrainian forces are preparing for a broader “beach landing” on the city limits of Vysokopillya while “destroyers and submarines (tanks and light infantry) block a potential retreat route toward Novopetrivka. Russian troops are still clinging to the “island” of Arkhanhelske. The Russian “battleships” (artillery) can’t redeploy to concentrate on Vysokopillya and stem the advancing “naval convoys” closing in.

Because neither belligerent can develop air supremacy and lack enough tanks and, more importantly, trained tank crews, this scenario will play out repeatedly in the coming months. Ukrainian military leaders will consider the strategic value of each settlement between Vysokopillya and Kherson and whether there is a need to secure the next “island,” or bypass it and let a lack of supplies wither away Russian garrisons trapped in small villages.

Part of that assessment will almost certainly be how many “battleships” (artillery) are around each settlement and the risk versus reward of an attempted beach landing. Ukraine will not leave any force behind the main line of conflict that would pose a serious risk to supply lines or the offensive itself. However, small defenses in a town that once housed less than 100 people could be a distraction to the primary goal.

Just like in the Pacific theater of World War II, the offensive will start slowly. As Ukraine advances further, if they employ a solid strategy and manage its resources, capabilities will increase as more firepower is concentrated on a shrinking front. Russian forces west of the Dnipro also have the same problem as Imperial Japan.

In 1941 the Japanese Imperial Army had 1.7 million soldiers compared to the United States with 200,000. By the war’s end, the Allied forces in the Pacific had swelled to 4 million troops. At the same time, Japan was reduced to one-million soldiers, primarily old and young conscripts in territorial guard units preparing to defend the main island.

By 1943, Japan was suffering from widescale supply issues. Not much press or pages within history books have discussed United States submarines’ roles in the Pacific, but supply interdiction became an untenable problem. Ukraine is vigorously concentrating on disrupting Russian supply lines throughout and into Kherson, and it is starting to have an impact.

In comparison, allied forces only got stronger through more manpower, increased weapons output, technological improvements, cracking Japanese codes, the implementation of combined arms combat tactics, and the ability to be constantly supplied. Japan’s response to these deficiencies was to waste light infantry and pilots and their supporting equipment with no meaningful way to replace the losses. While these tactics caused some of the worst casualty rates in World War II, they only delayed the inevitable.

The destruction of two of the three bridges across the Dnipro and severely damaging the third have created a similar situation in Kherson. The makeshift ferry that’s been established adjacent to the destroyed Antonovskiyy Bridge isn’t capable of carrying enough rations to feed the garrison of 15,000 Russian troops in Kherson city. Munitions such as TELAR, Grad, and Smerch rockets will be even more challenging to move in significant quantites, let alone diesel fuel and gasoline for tanks, infantry fighting vehicles, and trucks. For now, Russia has no meaningful way to replace the loss of armored vehicles or larger artillery pieces.

Airlift by helicopter can manage small arms ammunition, potable water, and food. But artillery rounds, rockets, and fuel are likely out of reach. Ukraine holds air dominance in the region, which will make widescale Russian resupply flights even risker.

Both belligerents are deficient in main battle tanks. However, Russia is having a more challenging time replacing losses, and the replacement vehicles are older weapons systems with inferior armor, sites, and main guns. Ukraine has commitments from allied partners to provide up to 600 more main battle tanks. While not as modern as the Russian T-90 or American M1A2 Abrahams, the upgraded T-72 variants promised are still capable of outgunning the T-62 and have better technology than the T-80BV.

For Ukraine, bringing new equipment to the front is only harassed by imprecise Russian long-range missiles and airstrikes closer to the line of conflict. If Russia plans to ferry across a tank, it requires three support trucks and one fuel truck. Additionally, those trucks need somewhere to go to collect ammunition, rations, potable water, field medical supplies, and fuel. For Russia to do it right, the four pontoon ferry can only haul four tanks a trip, with supporting vehicles and supplies. Even then, resupply will take days, if not weeks, at four pontoons at a time.

Unless Russia can reestablish the bridges across the Dnipro and regain fire control, these logistical problems will only worsen. As Ukraine hops from each island in the wheat fields, the supply situation will continue to degrade, and like the Pacific Campaign of World War II, the advances will start to accelerate.

This process will take months, and when mud season starts in September or early October, travel will be limited to established improved roads until the snow and freezing temperatures come. By then, Russian forces awaiting their fight in towns and villages closer to Kherson will deal with supply shortages and the difficult choice between fighting to the death, attempting to break out and retreat to the next village across kilometers of open terrain, or surrendering. Ukrainian commanders will have to manage the losses of troops and equipment. Larger villages and towns, the ones most likely required for the “island hopping” campaign to succeed, will have strong defensive positions established and the benefit of firing on advancing forces that have to move in the open. Like beach landings in the Pacific, destroyers, battleships, and aircraft can only provide so much cover for advancing troops moving to the edge of established defenses. In 2022, that would be tanks, artillery, MLRS, and drones.

The counteroffensive to secure the western third of the Kherson oblast has started, but there are a lot of islands to hop across a sea of wheat before Kherson city is reached. The first few advances will take time and result in heavy losses for both sides. Eventually, Russian defenses will reach a culmination point and start to collapse.

Tom Brady, Colin Kaepernick, Aaron Rodgers – the NFL “woke cancel culture” Covidgate crisis

[GREEN BAY, Wisc.] – (MTN) In three days, Aaron Rodger’s fall from grace has been spectacular. An NFL career that has spanned 17 years with the Green Bay Packers, with the first three years in the shadow of Brett Farve and his I’m retiring, no I’m not, yes I am drama. He is a three-time NFL MVP, Super Bowl XLV champion, and his entire career is with Green Bay. A lie about his COVID vaccination status, egregious breaches of NFL Covid-19 protocols, a positive test, and a deep fall into the disinformation rabbit hole has put the Packers and the NFL in a well-deserved hot seat.

On August 30, 2021 the NFL and the NFL Players Association agreed on updated COVID protocols for the 2021 regular season. Unvaccinated players are required to be tested daily regardless of schedule or status. They are not permitted to enter any facilities or interact with other team members until they know their test results. If an unvaccinated player was in close contact with a person who tested positive, they must isolate for five days.

On October 24, Green Bay played Washington, where Rodgers threw to Davante Adams seven times. The next day, Adams tested positive for Covid-19. By protocol, Rodgers should have immediately started a five-day quarantine. It is undeniable he was a close contact. Adams and Rodgers would have been in multiple huddles on the field, talked on the bench, and interacted in the locker room. The five-day quarantine rule would have made Rodgers ineligible to play on October 29. The Packers defeated the Arizona Cardinals in that game, who were undefeated before Thursday night. That win for the Packers could have playoff implications.

Additionally, Rodgers is required by NFL rules to wear a mask when indoors and during weight training. He has not worn a mask during media availability or by all reports in the clubhouse or locker room.

Rodgers lied on August 20 when he said he was immunized. Rodgers tried to get an exemption from vaccination after seeking alternative homeopathic treatment to boost his immune system, which the NFL denied. Green Bay knew he wasn’t vaccinated, and they broke protocol. When Rodgers should have been riding the pine, he took to the field. That’s called cheating.

In 2015 a different quarterback was embroiled in a cheating scandal. Tom Brady was accused of ordering New England Patriots staffers to lower the pressure in game balls because it allegedly gave him a better grip. Over two years, the NFL spent ridiculous amounts of money on an investigation that turned every armchair quarterback into experts on physics, the Ideal Gas Law, obscure NFL rules on the control, testing, and use of game balls, and federal law.

Brady’s use of footballs that were less than 1 PSI under regulation and the convenient destruction of a cellphone he was asked to retain ended with a four-game suspension at the start of the 2016 season.

In the end, Brady started playing again with the Patriots 3-1. He would go on to have an 11-1 record for the rest of the regular season. The Patriots would go to the Super Bowl, and Brady led the team to the most remarkable comeback in Super Bowl history. Down 28 – 3, Brady carved up the Atlanta Falcons for the first Super Bowl overtime game in history. The Patriots racked up 31 unanswered points and won 34-28.

It’s also worth pointing out that Rodgers appeared to defend Brady at the height of Deflategate in an offhand comment about how Rodgers liked playing with his balls overinflated. Ironically, just days before Covidgate broke, Rodgers talked with Phil Simms about Deflategate and how his comment was a “ridiculous narrative.”

Rodgers isn’t the first NFL player to say things some Americans would find controversial. Colin Kaepernick appeared to have a promising NFL career ahead of him. During his first full season in 2012, he led the 49ers to Super Bowl XLVII. Had he not played five snaps in 2011, he would have been the first rookie quarterback to make it to the big game in NFL history.

On his way to the Super Bowl, he squared off against Rodgers and the Packers in his first career playoff game – leading San Francisco to a 45 – 31 victory. He had endorsement deals, an intense rivalry between the Seahawks and 49ers started to take hold, and he was part of what many believed would be the next generation of elite quarterbacks.

Kaepernick’s 2015 season was a disaster. He fought with new head coach Jim Tomsula who lasted just one season. He was benched after seven games and then deactivated for the rest of the season due to a shoulder injury that required three surgeries. In February 2016, he wanted out of San Francisco.

In the lead-up to the start of the 2016 season, Kaepernick became increasingly socially engaged. In July, he posted on social media about the police shootings of Alton Sterling, Philandro Castile, and Charles Kinsey. At the third pre-season game of the year, reporter Steve Wyche noticed Kaepernick sitting on the bench instead of standing for the National Anthem. “I am not going to stand up to show pride in a flag for a country that oppresses black people and people of color. To me, this is bigger than football, and it would be selfish on my part to look the other way. There are bodies in the street and people getting paid leave and getting away with murder,” was Kaepernick’s reply.

No one had noticed Kaepernick had not taken to the field for the previous two games.

NFL player Nate Boyer, who played one game with the Seattle Seahawks and was a U.S. Army green beret with combat tours in Iraq and Afghanistan, gave Kaepernick advice. He told him privately it would be more respectful to kneel during the National Anthem, believing that Kaepernick could make his statement while showing respect to military veterans.

The backlash was ferocious and became fodder for the 2016 Presidential election. Pundits and politicians tore into Kaepernick, and by the end of the season, he was a free agent. He practiced with the Seattle Seahawks in 2017 to no avail. The local media response was swift and furious, and Kaepernick was excommunicated. Pete Carroll, the Seahawks head coach, would express regret in not signing Kaepernick to be Russell Wilson’s backup three years later.

The NFL would reach an “undisclosed settlement” with Kaepernick – rumors put the amount north of $20 million. In late November, the NFL set up a “workout” where teams could evaluate his readiness for a possible return to the field. Instead of holding the workout session on a traditional Tuesday, the NFL switched the schedule to Saturday, when most NFL teams prepare for Sunday games. The workout session was dismissed as a farce.

Kaepernick was canceled by a “mob” for following the advice of a combat veteran to protest injustice to Black Americans peacefully. The same people that canceled Kaepernick in 2016 would be screaming into social media during Black Lives Matter protests, “why can’t they just protest peacefully?”

People who follow the anti-vaccination movement have an expression for people who claim rules and scientific evidence are wronging them. The wails of injustice and outrage are called an “oppression kink.”

After discovering the “immunized” lie, the Packers’ cheating, the attempted cover-up, and then the positive test, the best course of action for Rodgers would have been to ride the socially distanced pine for ten days. Instead, Rodgers went on the Pat McAfee Show on Friday and self-destructed.

Rodgers insisted he isn’t “a anti-vax, flat-earther” but rather “a critical thinker.” He claimed he was a victim of a “woke mob” coming to cancel him, and he is the victim of a “witch hunt.” He compared his struggle and to those who don’t want to get vaccinated to the Civil Rights movement of the 1950s and 1960s, and slain leader Dr. Martin Luther King, Jr.

The choice of the words “woke mob” and the MLK comparison is stunning when you look through the lens of how pundits, politicians, players, and the NFL handled Colin Kaepernick. The NFL invested more money and scientific resources into the air pressure of 12 footballs in what New England Patriots fans still call a “witch hunt” than the NFL invested in investigating Aaron Rodgers’s holistic medicine “immunization” program.

While talking with McAfee, Rodgers would go on to say, “This idea that it’s a pandemic of the unvaccinated, it’s just a big total lie.”

Unvaccinated individuals are 11 times more likely to die of COVID. The unvaccinated have plunged Alaska, Idaho, Montana, Wyoming, and Colorado into crisis standards of care and brought Washington, Oregon, Texas, Mississippi, Alabama, and Florida to the very brink earlier this year.

“If the vaccine is so great, then how come people are still getting COVID and spreading COVID and, unfortunately, dying of COVID,” Rodgers quipped.

No vaccination is 100% effective, and some vaccines work not by preventing an infection outright but by blunting the severity of infection to avoid hospitalization and death. The original polio vaccine, the influenza vaccine, and the pneumonia vaccine are examples of this. Fully vaccinated immunocompromised individuals for disease beyond COVID are still at risk for infection. Gen Xers who got the MMR vaccines have been advised to get a booster as data has shown the measles part of the MMR doesn’t provide a lifetime of protection. Breakthrough COVID infections are a tiny part of total hospitalizations and deaths in the United States.

Rodgers advocated for the use of Ivermectin and claimed he was taking it. Full stop. If Ivermectin was effective as a preventative, why did Rodgers get COVID? He then went full conspiracy theory, including expressing issues with potential infertility, claiming we lack knowledge or understanding of mRNA-based vaccines and praising Joe Rogan for his medical advice.

Tom Brady didn’t use his fame and a national platform to spread medical disinformation that is literally killing people. However, he was benched for four games for the crime of destroying a cell phone and playing half-a-game with deflated balls.

Colin Kaepernick never endangered his teammates, their families, or the people that interacted with him. Kaepernick took a knee for social justice and tried to educate America about racial inequality for Black Americans. Four years later, his former sponsors, the NFL, NFL Commissioner Rodger Goodell, and Pete Carroll of the Seattle Seahawks, couldn’t line up fast enough to go, “we were wrong, sorry.” He still isn’t playing football, and he almost certainly never will. For the sin of taking a knee, Kap was blackballed forever after taking the good-natured advice of a military veteran.

Aaron Rodgers has created a massive problem for the NFL. He has revealed himself as a person wrapped in conspiracy theories, an anti-vaxxer, and a person with an oppression kink. If he’s fined and suspended like Brady, he’ll cry witch hunt. If he’s drummed out of the NFL with still years left to play, he’ll cry it was the fault of a woke mob.

If the NFL does nothing, fans should cry foul. Rodgers broke the rules of the game. Green Bay and the coaching staff did not follow NFL rules and didn’t bench Rodgers on October 25. These are cold hard facts. There are established penalties for breaking these rules. At the bare minimum, the Packers and Rodgers need to face the consequences.

Rodgers sponsors will have to decide how they want to move forward on the issue of medical disinformation. Tonight his list of sponsors is one fewer, with Prevea Healthcare walking away for its relationship. Adidas, Panini, Bose, TaylorMade, State Farm, and Zenith have not made any statements at this time, but the public relations disaster hit on Friday afternoon.

The biggest irony of all might go back to Tom Brady. Brady is deep into the junk science of alkaline foods and aligned with nutritionist Alex Guerrero. His degree is from a school that lost accreditation three years after he graduated. Guerrero was sanctioned for claiming he is a doctor capable of curing AIDS, multiple sclerosis, heart disease, diabetes, arthritis, and Parkinson’s disease through his exclusive supplement Supreme Greens. Brady not only follows Guerrero’s program, he promotes and advocates it. His support of Guerrero’s junk science is considered a significant reason he ultimately left the New England Patriots.

Tom Brady is fully vaccinated.

Opinion: To save Washington hospitals it’s time to close the borders

Military leaders, analysts, and planners evaluate the capabilities of a force using combat effectiveness. Combat effectiveness takes more into account than the number of well-trained soldiers and the quality and quantity of available equipment. It considers leadership, psychological stress, the level of support on the battlefield and the home front, and the clarity of mission. If enough of these factors deteriorate, a military unit or even an entire army can become “combat ineffective.” Our medical community has been combat ineffective for months, and no one is doing anything about it. It is time for a strategic retreat, and for officials in Washington state to close the doors to out-of-state COVID patients.

Well before COVID, thousands of healthcare workers walked away from years of training and satisfying careers. A decades-long shift in how America delivers hospital services has led to the shuttering of hundreds of rural and suburban hospitals and the rise of large centers of care in urban areas. The ratio of patients to nurses and doctors had become unmanageable at many facilities. After the last 19 months of relentless trauma where appreciation is now Starbucks gift cards and slices of pizza, thousands more have said enough.

In Washington state, the ongoing onslaught at hospitals goes beyond the surge of COVID patients. In early 2021 the state was in lockdown. Schools were remote. Many people worked from home or were supported by a variety of unemployment programs. With life on pause and elective surgeries essentially canceled, the day-to-day events in hospitals slowed while COVID raged. The surge was a struggle and traumatic, as patients gasped for breath and said goodbyes over Zoom meetings. After shifts were over, nurses and doctors who worked the COVID wards would lay awake with the alarms still ringing in their heads and feared going to sleep because of the nightmares.

By late spring, it appeared that the worst was in the past. COVID cases plummeted nationwide, and Washington state cautiously opened back up in phases. The vaccine rolled out, and with it, a political and cultural war erupted. Hospitals resumed necessary elective procedures again. Mass vaccination sites replaced mass testing sites, and the medical community triumphantly celebrated empty ICUs.

However, the winter had taken a heavy toll. Thousands stopped being hospitalists, quit, retired, or left the country. Highly skilled doctors, nurses, and specialists saw too much death and watched a small but vocal minority call them villains, crisis actors, and paid government agents. Online they were accused of being murderers, stalked, harassed, and for public-facing officials threatened. ICU patients over the winter would scream to see oncologists for “sudden onset lung cancer,” and deny they had COVID to their dying breath. They demanded treatments that offered no therapeutic value because the Intenet told them.

While Washingtonians celebrated their new freedom, the medical community got suckered punched. COVID patients were no longer the issue. A surge in gun violence across the state coupled with people who had their health get worse due to delayed medical procedures, and an increase in everyday traumas like car accidents, took away the respite hospitalists anticipated. At the end of June, a historic heatwave flooded emergency departments statewide with heat-related injuries. On June 28, the Seattle Fire Department responded to 555 911 calls – a typical day would be half of that.

Hospitals’ most significant profits come from elective procedures and out-patient clinics. Cut off from that revenue stream for months, leadership made difficult choices and laid off staff. When the hospitals emptied of COVID patients, the number of elective surgeries exploded, but the staff wasn’t rehired. In many cases, the rush was necessary. People hear “elective surgery” and think tonsillectomies, breast augmentation, and hernia repairs. In reality, cancer surgeries, heart valve replacements, and gallbladder removals were delayed.

File photo

By mid-July, the Delta variant of COVID was establishing itself in Washington state. A tale of two Washingtons emerged – highly vaccinated counties in Western and Northwest Washington and low vaccinated counties in Eastern and Southwest Washington. By the beginning of August, a strong sense of déjà vu moved through the medical community, but there was a plot twist. When the state was locked down in January, hospitals had fewer non-COVID patients. Facing a new surge, hospitals were already near capacity.

To the south and east, the situation was worse. Oregon and Idaho were straining with a flood of COVID patients. They were younger, sicker, and needed more intensive care. They were largely unvaccinated and wholly convinced that COVID was just a cold. Some continued to post COVID misinformation from their hospital beds while harassing hospital staff.

Unlike the original and Alpha variant from the winter, the gains made in therapeutic strategies waned. By the spring of 2021, patients on ventilators had a much higher survival rate than in 2020. Doctors had learned a lot more about sustaining patients during the worst phases of a severe COVID infection. Delta took that progress away. Currently, patients on ventilators have a 20% to 30% survival rate, the same as in April 2020. The people dying were younger and healthier, and the deaths were senseless. Some begged to be vaccinated, but it was far too late.

The cross-state connections among the medical community run deep. Hospital networks like PeaceHealth, Providence, and Kaiser Permanente have locations across the Pacific Northwest states of Alaska, Idaho, Oregon, and Washington. Harborview Medical Center in Seattle, PeaceHealth in Vancouver, and Providence in Spokane frequently take transfer patients from out of state. Harborview Medical Center is a lifeline for burn, cardiac, orthopedic, and critically ill patients from the Pacific Northwest, notably Alaska.

By the end of August, it was evident that Washington state was facing a historic surge. Oregon officials were doing everything they could to avoid moving to crisis standards of care, where ethics boards make rapid decisions on who does and doesn’t get access to limited medical resources. In rural counties, COVID tore through the unvaccinated.

In Josephine County, officials actively undermined state efforts to stop the surge and advocated the use of ivermectin. An inventory search at Tractor Supply stores indicated there wasn’t a tube of horse dewormer within a 150-mile radius of Grants Pass. Hundreds protested outside the hospital doors at the 378 bed Asante Rogue Regional Medical Center, while multiple COVID patients died daily.

Idaho Lt. Governor Janice McGeachin poises with a Bible, American flag, and a handgun this summer

In Idaho, state health officials warned they too were on the brink of moving to crisis standards of care. While doctors begged their citizens to wear masks and get vaccinated, Lieutenant Governor Janice McGeachin platformed COVID misinformation and actively worked against medical leaders and Governor Brad Little. Dr. Ryan Cole, a peddler of COVID misinformation, a man who called the COVID vaccine “needle rape,” and an advocate for America’s Frontline Doctors, set public health policy for Ada County, the largest county in Idaho.

Washington hospitals started taking fewer out-of-state patients as the crisis worsened. Today, the medical systems in Idaho and Alaska have collapsed. Both states believe the worst is yet to come and is weeks away.

In Montana, one hospital in Helena has moved to crisis standards of care. The largest hospital in Billings has stated they are on the brink, and hospitals in Missoula are running out of options.

The entire state of Idaho is under crisis standards of care. Hundreds of patients have been turned away from hospitals. Infected COVID patients requiring high flow oxygen treatment as high as 20 liters per hour would usually be admitted –today, they are sent home. Providers of home oxygen therapy are running out of canisters.

Alaska’s largest hospital is operating under crisis standards of care, and the entire state has less than 20 ICU beds available. State officials are openly lamenting about the constraints Seattle hospitals are facing.

An analysis of news reports, press conferences, and hospital statements reveals that Washington is caring for dozens of COVID patients from Alaska, Idaho, Montana, and Oregon. In Spokane, Providence Hospital has 29 patients from Idaho. Many require BIPAP or ventilators.

For the medical professionals who have been at war for 19 months, the situation is unstainable. PTSD, trauma, and frustration have reached a critical level while staff treats patients in hallways, conference rooms, and tents. Staffing itself is in constant crisis. In mid-August, PeaceHealth St. John Medical Center begged people not to come to the emergency department due to being severely understaffed. Part of the reason? Many unvaccinated hospital employees were patients in the hospital.

A skilled sniper will sometimes wound an enemy soldier on the battlefield. Instead of removing a single enemy, it removes three as someone has to provide care, and a wounded comrade damages morale. The unvaccinated medical staff has the same impact, and COVID is the sniper.

The crisis in the Pacific Northwest has reached the point medical ethics experts are considering the toll transfer patients are taking on Washington and possible options. Dr. Doug White, the director of the University of Pittsburgh’s Program on Ethics and Decision Making in Critical Illness, spoke with NBC News on September 16. While Washington’s health care services may feel a moral obligation to help, the need for action falls to Idaho’s state government.

“Medical practice is regulated at the state level, public health interventions come at the state level, and so in an emergency like this, I do think that the state lines become very important because what we’re seeing is these very stark differences between how Washington state has responded to the pandemic and how Idaho has responded to the pandemic,” he said, noting that Washington’s aggressive safety measures came at some cost to the state.”

Bluntly put, the efforts in Idaho and Alaska have been reactive, not proactive. Even among the unwilling, Washington state did more work than Alaska, Idaho, and Montana. In Western Washington, people rushed to get vaccinated. During the winter surge, Washington hospitals helped carry the load of Idaho, Montana, and Alaska. Lockdowns were unpopular, but a majority of Washingtonians did their part. Idaho has done little to protect its residents, and leadership has hired policymakers who don’t believe in science 101. To use an analogy, Washington was the kid who did the class project alone while Idaho, Alaska, and Montana drank beer behind the school gym.

Anchorage, Alaska Mayor Dave Bronson

In Alaska, the mayor of Anchorage blamed vaccine mandates for staffing shortages. Hospital officials pushed back vehemently. Although Providence Hospital requested the 5,000 employees in Alaska to get vaccinated on August 6, leaders will allow staff to opt-out if they agree to follow additional safety protocols.

There is a desperate need for a strategic retreat for Washington hospitalists when you look through the lens of combat effectiveness. Our hospitals were short-staffed before COVID and before vaccine mandates. Nationally, hospital systems that have enacted vaccination policies have achieved 96% to 99% compliance, with a handful of outliers.

Staff is working forced overtime, caring for patients in tents, waiting rooms, and hallways. PACUs have been converted into critical care units, slowing down emergency surgeries. With acute care units and ICUs filled, patients are backed up in emergency departments. People waiting for a hospital bed in the emergency department or other makeshift wards are called boarders, and sometimes they are waiting for days. Harborview Medical Center had over 40 boarders last week, more than 20 in the emergency department.

Hospital staff continues to deal with equipment shortages from the necessary agents to evaluate COVID tests, nasal cannulas, oxygen canisters, BIPAP and ECMO machines, and proning beds. Ambulances travel longer distances to do patient transfers and sometimes wait for hours to unload patients. Supplies of vital medications fluctuate, and one hospital in Yakima had an oxygen shortage.

When it comes to having the support of the home front, the medical community isn’t feeling it or seeing it. The COVID denial and anti-vaccination communities are small, but you would never know it on social media. Efforts at Facebook to control COVID misinformation ultimately failed while Twitter struggled to balance free speech versus protecting the public welfare from bull shit. On Tik Tok, misinformation runs wild while subject matter experts who create accurate content have their accounts closed for “community guideline violations.” The appeal process is opaque and capricious.

Medical workers are bombarded with messages that hospitals are empty, COVID is just the flu, and the vaccine doesn’t work. It is psychological warfare, and for some, it includes their friends and family who have fallen into QAnon rabbit holes or have accepted disinformation as the truth. After a 16-hour shift where they put three people into body bags, they see maskless people walking around the grocery store like everything is normal.

While the community tells them they are frauds, hospital management tells them they aren’t valued. As an example, Kaiser Permanente is negotiating in bad faith with its nurses. In Portland, Oregon, the company has offered a 1% pay raise in recent contract negotiations while paying traveling nurses $5,000, $6,000, even $8,000 a week. A nurse who quit to join the ranks of traveling nurses said, “they can treat me bad, or they can pay me bad, but they can’t do both.”

When it comes to clarity of mission, there is none. The American hospital system was not designed or staff to deal with an endless pandemic. Behind closed doors, hospital leaders are discussing the new normal. Until 85% to 90% of the total population gets vaccinated, which is a pipe dream, surges will continue. Hospital leaders are resigning themselves to continued COVID waves tearing through unvaccinated people. All while attempting to play catch up on canceled elective surgeries and supporting a nation fond of saying, “hold my beer and watch this,” for Internet clout.

The easiest way to make a strategic retreat and save what’s left of our battered hospital system is to reduce the patient load. The fastest way that can ethically be accomplished is to stop accepting COVID transfer patients from our Pacific Northwest neighbors.

Regrettably, the last three months have shown that a new tool in the fight against COVID misinformation has been the Delta variant itself. The virus has ruthlessly decimated prominent anti-vaccination voices and the people who followed them into an abyss. Their families and friends, taught the reality of COVID in the most terrible way possible, secretly get vaccinated.

By taking in the COVID patients of Alaska, Idaho, and Montana, Washington makes the crisis less visible in those states. It rewards their government leaders who actively spread misinformation. Idaho’s Lieutenant Governor Janice McGeachin should face the consequences of actively working against any action to protect Idaho’s people from an entirely preventable crisis. It will be increasingly difficult to claim COVID is just the flu, masks don’t work, and the vaccine is needle rape with multiple mobile morgues lined up in parking lots.

For non-COVID patients suffering from emergencies such as severe burns, heart attacks, and injuries from motor vehicle accidents, Washington should continue to try and find a place for them. These are the silent and hidden victims of a collapsing hospital system that is “combat ineffective.”

In medicine, compassion is a critical pillar, but it isn’t limitless. Where is the compassion for our doctors, nurses, specialists, and paramedics? The hospital systems of our neighbors are collapsing, and they are taking our medical community with them. Physician – heal thy self.

America has failed Josephine County, Oregon as politicians make empty promises

[JOSEPHINE COUNTY] – Last month I went to California to report on the drought and wildfires and visit family. I drove down versus flying because the rental car situation is a mess, and Seattle to Sacramento is a relatively easy day drive.

I’ve had an experience three times in my life where I’ve pulled off a highway for gasoline, a bathroom, and some food, and the hair stood up on the back of my neck. Where the vibe was, this was not a – welcoming – place.

The first time was when I was in my late teens. My girlfriend and I were driving to visit her family in Virginia from the Boston area. We got off an exit in Maryland to find gasoline and lunch. We couldn’t find anything open, and we both had a strong feeling we were being watched. The town had a vibe like you had shown up two days before the “Children of the Corn” took over. We felt so uneasy we got back on the highway.

My second time was in Vidor, Texas. Vidor is an infamous Texas sundown town with a dark history. As a transplant to Texas, I did not know this, and I was driving from Houston to Boston, making my first gasoline stop.

As I was pumping gas at a Chevron station, a white Ford van pulled up at another pump, and the driver got out. He was wearing what was admittedly the dazzling red robe of a Grand Dragon of the Klu Klux Klan. Black combat boots, no hood on. Just hey, I’m your local Grand Dragon coming from the local Klan meeting. I need gas, how are you doing? I pulled my cowboy hat down a bit lower and turned my back, not wanting any interaction.

The third time was in early 2020 in Namibia. In Namibia, the distances between villages and towns are long. If you’re traveling off the main roads and you find an open gas station, you should fill up because it could be a long drive until the next one.

We arrived in Kalkrad, north of the Fish River, where Germany is the primary language. Post-colonial Namibia has significant segregation, and not just between Blacks and whites. Generational Germans continue to live and socialize in groups, as do white South Africans, Dutch, and the ethnic Indigenous peoples. It isn’t unusual to come into a town where the majority speak German, Dutch, Afrikaans, or one of 38 different tribal languages.

We stopped for gasoline and lunch (and we were hungry), and both my wife and I got that bad feeling. My wife took some pictures of a group of local children who were hustling her for some money, and I came back out telling her that the menu was uninteresting (it was) and we could try to find another place. Then she expressed her uneasy feeling about the town, and I agreed. After topping off the tank, we drove on.

I experienced this feeling last month in Grants Pass, Oregon. The Gas Buddy app directed me to a Fred Meyer where I could use my points for cheap gasoline. I also knew I would have access to a clean bathroom and, while inside, could easily pick up a road snack. The hair standing up on the back of your neck, something is off; it just doesn’t feel right.

I’ll never put my finger on it, but the best way to describe it was a sense of underlying rage. That Grants Pass is two seconds away from someone yelling, “commence the purge,” and until sunrise, it will be a free-fire zone. I filled the tank, skipped the bathroom, and continued south to Medford.

Last night I learned that two counties in Oregon have requested mobile morgues (aka refrigerated trailers). The hospital morgues and funeral homes are overwhelmed with corpses, and things are expected to get much worse in Oregon over the next month. The two counties are Tillamook and Josephine.

I also learned that Josephine County requested National Guard troops a couple of weeks ago to support the area hospitals and have servicemembers on the ground. County officials asked for support yesterday.

Grants Pass has a 125-bed acute care hospital with a small ICU, Asante Three Rivers Medical Center. In the United States, hospitals networks are hub and spoke facilities similar to airlines. Larger regional hospitals serve as trauma centers with specialists, while suburban and rural hospitals deal with more routine cases.

Asante Rogue Regional Medical Center is a 378-bed Level II trauma center in Medford, Oregon. This week, it was featured on CBS News where patients are dying so fast in the ICU that they have to prep the room in under an hour for the next patient. While CBS was there, the hospital was surrounded by anti-vax and anti-mask protesters, chanting and honking horns. The staff is, in a word, demoralized.

People coming into both facilities are arriving so sick, acute care treatment isn’t an option. Monoclonal therapy is no longer an option when you’re that ill. Once you reach a point of needing oxygen therapy, the treatment can make symptoms significantly worse.

So the staff does everything they can, but many, too many, end up on O2 30L BIPAP therapy and still have their SaO2 drop into the 70s. From there, it is a ventilator, and the state is so overwhelmed, ECMO is near impossible.

Outside the doors. Rage.

Pure rage.

During a public meeting in Josephine County earlier this month, county commissioners questioned the vaccine, suggested the surge in cases was caused by Mexican immigrants and promoted Ivermectin. A drug that is not therapeutic for COVID with significant side effects. In the same meeting, Josephine County Commissioner Herman Baertschiger Jr. said, “I’m not going to hog-tie anybody and give them a vaccination.”

A month later, Josephine County has the distinction of having the fastest rate of new COVID cases in the United States and Oregon Poison Control is flooded with phone calls about Ivermectin poisoning. This is a stunning statistic when contrasting this with Florida, Mississippi, Alabama, Louisiana, Texas, or Arkansas.

Grants Pass has a Tractor Supply store, and you can check online inventory. So I did. Ivermectin is sold out not just in Grants Pass but in every Tractor Supply store for 150 miles. The message of county officials has been heard by the public.

Josephine County general immunization rates for children and adults are barely at 80% when you average the constellation of available vaccines. Only 64% of children are completing their recommended vaccines by 2 years old. That in itself is alarming, and this is even before COVID arrived in the United States.

The rate for the annual flu vaccine bounces between 36% to 40% since 2016. It should come as no surprise the COVID vaccination rate is 53% for age-eligible and around 40% for all persons.

The most recent county-level economic data indicated unemployment was 7.9% – almost 2 points above the United States average (May 2021). The average income of a Grants Pass resident is $20,402 a year, and the Median household income is $33,240 a year. Household income is over $20,000 less than the national average.

Only 78% of students who attend Grants Pass High School graduate. In Oregon, the rate is 91%, and nationally it is just under 86%. This is a failed school system.

20.2% of Grants Pass live in poverty. The poverty rate for whites is almost double the national average. After white and Hispanic/Latinx, only 4.1% of the population is another race (Black, Indigenous, Asian descent, NHOPI). Child poverty is disturbingly high, with 34% of children under 6, 26% of elementary school students, and 27% of middle and high school students live in poverty.

Out of 15,781 households, 4,200, 26.6%, are on EBT/SNAP. According to the US Census, only 50% of residents are homeowners, and the average rent is $939 a month. For the average resident of Josephine County and Grants Pass, life is hard.

This isn’t to belittle Grants Pass or the people there. There is nothing funny, nothing worthy of schadenfreude with low educational obtainment, high unemployment, and crushing poverty.

This isn’t funny – this is a catastrophe. Is it any wonder it felt the purge was going to happen at any second?

I could write about the hypocrisy of all of this. The high unemployment, the poverty, the number of households on public assistance, the failed education system, the terrible state of general public health. The amount of government aid at a state and federal level that is pouring into this area. Josephine County was set up for failure decades ago, and here we are.

Rage.

People who have something to live for are happier. You can’t convince a person with hope to do awful things because they see they have a better future. The stress of income, job, and food insecurity is crushing.

The latest census data indicated that rural counties in the United States are shrinking at the fastest rate ever recorded in the last 10 years. The only thing keeping that rate from going faster is minorities. This is after this trend reversed in the previous decade.

No jobs.

Jobs that are there are low paying.

Crushing poverty rivaling inner cities at 2X national level.

Low homeownership preventing the building of generational wealth.

Public assistance at two times the national level.

Failed schools that repeat the cycle of poverty, like in inner cities.

Poor community health even before the pandemic.

A vast corporate, political, and religious machine that preys upon hopelessness. Telling the residents of Josephine County about their unquestionable greatness and making promises they can’t keep. They never intended to keep in the first place. An entire county is being gaslighted, and this is repeated in rural counties across the United States.

If you just give me your money, I will make it better for you. I’m your politician – just give me your money. I’m your church – just give me your money. I’m a boss babe on Facebook selling you a cure from the plague like the snake oil salesman for a century ago – just give me your money.

Follow the money. It is always about the money.

Rage.

They are bringing mobile morgues to Josephine County.

It’s only getting worse from here.

Editorial: We can no longer ignore the climate crisis that is before us

[KIRKLAND] – (MTN) Climate is not weather. Weather is not climate.

A single meteorological event does not prove or disprove climate change. Just as a person cannot look at the devastating snow and ice storms in Texas that killed hundreds and sent gasoline prices soaring this winter, one cannot point to Portland, Oregon reaching 116 degrees this week as proof of climate change. They are single events.

When you look at the events in our home, our planet, this ball of rock, earth, water, and gases spinning around an unassuming C student of a star, a more alarming picture emerges.

Texas has experienced “hundred year floods” almost annually for close to a decade. In 2017 Houston experience several once in a hundred year floods in the same year. But the weather is not climate, and climate is not weather.

1953 was the last year a tornado killed more than 100 people in the United States – that is until 2011. Construction standards were driven by Cold War policy and establishing a national tornado warning system after the Great Worcester Tornado killed 90 people, resulting in more warnings and better construction. Then in 2011, a tornado outbreak over 3 days produced 360 tornadoes and killed 348 people, 158 in Joplin. Tornado season comes earlier, Dixie Alley has expanded further north into Tennessee and Kentucky, and states like Maine are seeing statistically significant increases in tornado-producing storms. But the weather is not climate, and climate is not weather.

Last year there were 30 named tropical storms, the most ever recorded. western Louisiana was hit repeatedly, impacting communities such as Lake Charles with devastating winds and floods. In the 2021 hurricane season, we had 4 named storms before June 30, tying the record for the most named storms this early in the season. The list of fastest growing, strongest winds, lowest barometric pressure, longest-lasting Category V storms continues to grow. But the weather is not climate, and climate is not weather.

Texas has had two once in a hundred year winter storm events and learned nothing and did nothing after the 2011 winter storms brought their electrical grid to its knees. This year hundreds died after power failures disabled medical equipment while others froze to death in their homes. But the weather is not climate, and climate is not weather.

Siberia is once again covered in wildfires, and it is only June. Temperatures have soared to 118 degrees, and in Canada to 121 degrees little more than a week later. The United States is in the worst drought in 1,200 years. Cities and towns in Utah, Arizona, Nevada, Colorado, New Mexico, and California are staring a water crisis in the face. Hoover Dam, a symbol of American will, technology, and engineering prowess, is slowly becoming a monument to hubris. But the weather is not climate, and climate is not weather.

In Alaska, the debate on opening up drilling permits on the North Slope continues to rage, but the point is moot. Almost no oil companies are interested in drilling in Alaska. The melting permafrost has turned the ground into soup during the summer. The ice road season, critical to bringing in heavy materials and equipment, gets shorter every winter.

The weather data before us is undeniable. To call it fake news would require accepting that this is a conspiracy at a planetary level involving governments that actively work against each other such as Russia, China, and the United States. CO2 levels on the planet are at the highest level in 4.5 million years. Melting permafrost in the Arctic releases methane gas trapped in ice, a greenhouse gas ten times more potent than carbon dioxide.

In the Pacific Northwest and Canada, crops literally cooked in the fields. Entire berry harvests have been wiped out from Oregon to British Columbia. Roads buckled from the heat, and the light rail had to stop operating because the tracks were so overheated. Industrial coolers at grocery stores failed and caught fire from the heat, resulting in stores losing their perishable food products. This after 16 months of spot shortages within the supply chain due to COVID.

Young hawk chicks jumped out of nests due to the extreme heat, and rescues are overwhelmed with so many hawks they have to rescue. Lose your raptors, and you get an explosion of rodents. Rodents destroy desired grasses creating erosion, and wipe out crops, as we see in Australia.

On Mount Rainier, 35 inches of snowpack melted in four days. The initial pack was 53 inches, leaving just 18 inches behind. The water is rushing down creeks and rivers and washed away bridges in the park. That water, the Pacific Northwest’s drinking water, is rushing out to the Pacific Ocean. It isn’t supposed to melt that quickly.

Last year in Oregon, Washington, and British Columbia, rain forests burned in defiance of the definition of a rain forest. This year Forks reached 109 degrees on June 28, and although another 100-degree heatwave is improbable for the region, the hottest part of our summer is about six weeks away. Cliff Mass wrote in 2016 that the wildfire smoke that blanketed our region was the product of poor forest management in the United States and unusual wind patterns. Wildfires have gotten worse each since except one, and 2020 was the worst year for smoke in Puget Sound. But the weather is not climate, and climate is not weather.

Greenland is losing 200 billion tons of ice a year, Antarctica, 100 billion. Arctic ice has declined steadily since 1979 in terms of area covered and has lost 66% of its thickness since the first nuclear power submarines sailed below the top of the planet. 85% of the glacier on Mount Kilimanjaro has melted since 1912 and is predicted to disappear in our lifetimes. Glacier National Park is well on its way to having no glaciers within its boundaries. Melting ice exposes darker surfaces, which absorbs more heat and causing higher temperatures.

Al Gore was mocked for an Inconvenient Truth and although there was creative liberty and some things were off the mark (Florida tidal flooding hasn’t reached the scale of the movie, flooding in some communities during normal tides has started), there is a lot he got right.

Communities in Maryland, Louisiana, South Carolina, and Virginia are slowly disappearing due to sea-level rise. The US Navy is working on addressing the sea-level rise in Norfolk. The melting polar ice caps are also considered a military strategic problem that the United States is ignoring. But the weather is not climate, and climate is not weather.

In Canada, it was so hot yesterday some aircraft could not engage in water drops to fight wildfires. For helicopters, the air-cooled engines were overheating even at altitude because the heat was so extreme. The thinner hot air impacts lift for fixed-winged aircraft, reducing the amount of water the aircraft could carry and possible water collection locations.

So what do we do? That’s the real challenge. In the United States, our government has reached a terrifying level of dysfunction with no political will to do anything. Russia is more than content to watch the United States tear itself apart. Indian and China, as rapidly developing nations with over a billion people, are moving to modernize through electrification and building middle-class societies. Both nations are walking away from coal power but are working toward long-term plans, not instant solutions.

China is facing its own energy crisis as 4-million Chinese enter the middle class every month. With a push to walk away from coal energy due to horrible pollution, the nation is pushing to project its power into the oil and natural gas-rich fields of the South China Sea. An effort by China that has been going on since the 1990s.

Here in the United States, there is a need for 7-million more homes because we’re deep in a housing crisis. That many homes require land and infrastructure. That requires cutting down trees, clearing grassland, or converting farmland into housing plots. All of this accelerates warming.

If the answers were simple and short term, we would do them. The human species is awful at setting long-term multigenerational goals. We know from our experiment of shutting down most of the global economy for a year that despite pollution free skies for cities around the world 12 months ago, the needle didn’t move on reducing the CO2 level. For some, that means, “well, what can we do?”

The late comedian George Carlin had this to say. “The planet isn’t going anywhere. We are! We’re going away! We’re going away, and we won’t leave much of a trace either. The planet will be here; we’ll be long gone; just another failed mutation; just another closed-end biological mistake; an evolutionary cul-de-sac. The planet will shake us off like a bad case of fleas, a surface nuisance.”

“The planet will be here for a long time after we’re gone, and it will heal itself, it will cleanse itself cause that’s what it does. It’s a self-correcting system. The air and the water will recover, the earth will be renewed, and if it’s true that plastic is not degradable, well, the planet will simply incorporate plastic into a new paradigm: The Earth plus Plastic.”

Humans cannot inhabit places that reach 122 degrees (50 degrees Centigrade) without massive infrastructure. Even then, being outside for more than a few hours can be fatal, even for the healthy. In the United States, the list of cities and towns creeping closer to those record highs, or exceeding them, are growing. Trained soldiers in the desert are in far better shape than the half of the United States that is obese and the one-third of the countries with diabetes or pre-diabetes.

The grim reality is this isn’t about saving the planet or the countless species that live with us who are dying off at the fastest rate in planetary history as I type this. Carlin is 100% correct, and the earth can shake us off like a bad case of fleas anytime it wants to, and nothing will care. The planet has shown that some other creature who found a way to survive, adapt, in this mess partially of our creation will live off of our wreckage, slowly evolve, and take over the surfaces or the seas, and everything we were will be forgotten forever. Even the satellites orbiting earth will eventually deorbit over time and disappear. The only traces left being microplastics, deeply buried ruins, and some strange pieces of equipment resting on planets in our solar system that must have been put there by some intelligent alien race.

Now that isn’t to say the end is near, and this great removal of the human flea on planet Earth is happening next year or the next decade. But if we don’t do something about it, we will soon live on a planet fighting increasing harsher wars over arable land, potable water, and places with temperatures below 122 degrees. We need to choose wisely in the few years we have left to respond.

If you’re looking to me to provide an answer on what to do, I don’t have one. I simply don’t know. If I use an analogy of a car, we have been driving a car, and now and then, the engine temperature gauge gets just below the red, and the check engine light is on. But instead of doing something about it, we keep driving. The car is still running today, but the engine temperature is now in the red, and steam is coming from the engine bay. The passenger in our backseat is screaming, “No! No! Don’t stop! Just keep driving because if you stop driving, everything will break.”

Save the planet? Who is going to save us, if not us.

Kesha Rodgers and Sara So of The Ally League discuss cancel culture

From Malcontentment Happy Hour, December 7, 2020

Kesha Rodgers and Sara So of The Ally League discuss cancel culture and the need for patience

Kesha Rodgers started The Ally League with her friend Sara So to help promote and support Black businesses and dismantle systemic racism. The events of 2020, including the resurgent Black Lives Matter movement and the disproportionate impact of COVID on the BIPOC community, created opportunity and hardship. As working moms, Rodgers and So realized that people wanted to support the Black community but didn’t have the time or resources to engage actively. The mission of The Ally League is to promote and support Black-owned businesses while enabling allies to learn about the available products. In this second part of our interview, Kesha and Sara talk about cancel culture and the need for patience.