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  • Japan's Most Senior Oncologist, Prof. Fukushima Condemns mRNA Vaccines as 'Evil Practices of Science'

    Highlights
    I am the most senior medical oncologist in Japan. I was the first to open a cancer outpatient clinic at Kyoto University, and before that, in Kyoto University, in 2020, I was the head of a section at the Aichi Cancer Center, all positions were at the Aichi Cancer Center Hospital. I established the first course in pharmacoepidemiology at Kyoto University in Japan.

    People are saying about what's being called "turbo cancer," a type previously unseen by doctors, characterized by its incredibly fast speed. By the time it's discovered, it is already in stage four, advanced cancer, and such cases are starting to sporadically appear in consultations...

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    Japan's Most Senior Oncologist, Prof. Fukushima Condemns mRNA Vaccines as 'Evil Practices of Science' Highlights I am the most senior medical oncologist in Japan. I was the first to open a cancer outpatient clinic at Kyoto University, and before that, in Kyoto University, in 2020, I was the head of a section at the Aichi Cancer Center, all positions were at the Aichi Cancer Center Hospital. I established the first course in pharmacoepidemiology at Kyoto University in Japan. People are saying about what's being called "turbo cancer," a type previously unseen by doctors, characterized by its incredibly fast speed. By the time it's discovered, it is already in stage four, advanced cancer, and such cases are starting to sporadically appear in consultations... Indeed, doctors have been sensing from the field that something unusual related to cancer may be happening. They were feeling it on the ground. https://vk.com/video-177757343_456244270?access_key=168de67aa8aeaaec25
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  • The mRNA shots deliver toxic lipid nano particles (LNPs), whole spike mRNA, fragments of mRNA and trigger the production of spike protein and antibodies to the same, and possibly fragments of spike protein (see this substack).

    Furthermore both LNPs and spike protein trigger the creation of microclots in blood vessels.

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    For microclots you can break them down with blood thinners like aspirin and enzymes like nattokinase and serrapeptase.

    But what about the mRNA and LNPs? How can those be removed?



    http://donshafi911.blogspot.com/2024/04/the-ultimate-mrnaspike-detox-whole.html
    The mRNA shots deliver toxic lipid nano particles (LNPs), whole spike mRNA, fragments of mRNA and trigger the production of spike protein and antibodies to the same, and possibly fragments of spike protein (see this substack). Furthermore both LNPs and spike protein trigger the creation of microclots in blood vessels. There are methods for detoxing from spike protein - for example you can take enzymes like bromelain to digest the spike protein, it can be bound up and more easily removed by taking ivermectin, you can induce autophagy to destroy it by fasting, cold and heat therapies and with supplements like resveratrol and spermidine. For microclots you can break them down with blood thinners like aspirin and enzymes like nattokinase and serrapeptase. But what about the mRNA and LNPs? How can those be removed? http://donshafi911.blogspot.com/2024/04/the-ultimate-mrnaspike-detox-whole.html
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  • Pre-emptive Nuclear War: The Role of Israel in Triggering an Attack on Iran
    Chapter III of "The Globalization of War" by Michel Chossudovsky


    Firmly All Global Research articles can be read in 51 languages by activating the Translate Website button below the author’s name.

    To receive Global Research’s Daily Newsletter (selected articles), click here.

    Click the share button above to email/forward this article to your friends and colleagues. Follow us on Instagram and Twitter and subscribe to our Telegram Channel. Feel free to repost and share widely Global Research articles.

    Author’s Introduction and Update

    In a recent article entitled “A Planned US-Israeli Attack on Iran is Contemplated” I focussed on how Israel’s criminal attack on the People of Palestine could evolve towards an extended Middle East War.

    At the time of writing, US-NATO war ships –including two aircraft carriers, combat planes, not to mention a nuclear submarine– are deployed in the Eastern Mediterranean and the Red Sea, all of which are intended to confront what both Western politicians and the media casually describe as “Palestine’s Aggression against the Jewish State”.

    “Israel ranks” as “the 4th strongest military” after Russia, the U.S and China. Ask yourself: Why on earth would Israel need the support of U.S. aircraft carriers to lead a genocide against the Palestinians who are fighting for their lives with limited military capabilities.

    Is the U.S. intent upon triggering a broader war?

    “U.S. Warns Hezbollah, Iran. It Will intervene if they Escalate”

    Who is “Escalating”? The Pentagon has already intimated that it will attack Iran and Lebanon, “If they Escalate”. Is the Pentagon Seeking to Trigger one or more “False Flags”?



    Times of Israel, November 9, 2023

    Also of significance (less than 4 months prior to October 7, 2023) is the adoption on June 27, 2023 of the US Congress Resolution (H. RES. 559) which Accuses Iran of Possessing Nuclear Weapons. H.RES 559 allows the use of force against Iran, intimating that Iran has Nuclear Weapons.

    Whereas Iran is tagged (without a shred of evidence) as a Nuclear Power by the U.S. Congress, Washington fails to acknowledge that Israel is an undeclared nuclear power.





    The article below was first published in my book entitled “The Globalization of War. America’s Long War against Humanity” (2015).

    I remain indebted to the former Prime Minister of Malaysia Tun Dr. Mahathir Mohamad who took the initiative of launching my book in Kuala Lumpur. (image right).

    Firmly committed to “the criminalization of war”, Tun Mahathir is a powerful voice in support of Palestine.

    The article below (Chapter III of “Globalization of War”) provides analysis in a historical perspective of U.S. war plans directed against Iran.

    Numerous “war theater scenarios” for an all-out attack on Iran have been contemplated.

    Dangerous Crossroads in our History

    The current and ongoing US-NATO military deployment in The Middle East — casually presented by the media as a means to coming to the rescue of Israel– is the pinnacle of U.S. war preparations extending over a period of more than 20 years.

    Contemplated by the Pentagon in 2005 was a scenario whereby an attack by Israel would be conducted on behalf of Washington:

    “An attack by Israel could, however, be used as “the trigger mechanism” which would unleash an all-out war against Iran, as well as retaliation by Iran directed against Israel.” (quoted from text below)

    At the outset of Bush’s second term

    “Vice President Dick Cheney had hinted, in no uncertain terms, that Iran was “right at the top of the list” of the “rogue enemies” of America, and that Israel would, so to speak, “be doing the bombing for us” (Ibid)

    The article also focusses on the dangers of a US-Israel nuclear attack against Iran which has been contemplated by the Pentagon since 2004.

    The US Israel “Partnership”: “Signed” Military Agreement

    Amply documented, the U.S. Military and Intelligence apparatus is firmly behind Israel’s genocide. In the words of Lt General Richard Clark:

    Americans Troops are “prepared to die for the Jewish State”.

    What should be understood by this statement is that the US and Israel have a longstanding Military “Partnership” as well as (Jerusalem Post) a “Signed” Military Agreement (classified) regarding Israel’s attack on Gaza.

    Lt. General Richard Clark is U.S. Third Air Force Commander, among the highest-ranking military officers in the U.S. Armed Forces. While he refers to Juniper Cobra, “a joint military exercise that has been conducted for almost a decade”, his statement points to a much broader “signed” military-intelligence agreement (classified) with Israel which no doubt includes the extension of the Israeli-US bombing of Gaza to the broader Middle East.

    While this so-called “signed” military agreement remains classified (not in the public domain), it would appear that Biden is obeying the orders of the perpetrators of this diabolical military agenda.

    Does President Biden have the authority (under this “Signed” Agreement with Israel) to save the lives of innocent civilians including the children of Palestine:

    Q (Inaudible) Gaza ceasefire, Mr. President?

    THE PRESIDENT: Pardon me?

    Q What are the chances of a Gaza ceasefire?

    THE PRESIDENT: None. No possibility.

    White House Press Conference, November 9, 2023

    Lt. General Clark confirms that:

    “U.S. troops could be put under Israeli commanders in the battlefield”, which suggests that the genocide is implemented by Netanyahu on behalf of the United States.

    Everything indicates that the US military and intelligence apparatus are behind Israel’s criminal bombing and invasion of Gaza.

    We stand firmly in Solidarity with Palestine and the People of the Middle East.

    It is my intent and sincere hope that my writings (including the text below) will contribute to “Revealing the Truth” as well “Reversing the Tide of Global Warfare”.

    Michel Chossudovsky, Global Research, November 17, 2023, March 10, 2024

    Pre-emptive Nuclear War:

    The Role of Israel in Triggering an Attack on Iran

    by

    Michel Chossudovsky



    Introduction

    While one can conceptualize the loss of life and destruction resulting from present-day wars including Iraq and Afghanistan, it is impossible to fully comprehend the devastation which might result from a Third World War, using “new technologies” and advanced weapons, until it occurs and becomes a reality.

    The international community has endorsed nuclear war in the name of world peace. “Making the world safer” is the justification for launching a military operation which could potentially result in a nuclear holocaust.”

    The stockpiling and deployment of advanced weapons systems directed against Iran started in the immediate wake of the 2003 bombing and invasion of Iraq. From the outset, these war plans were led by the U.S. in liaison with NATO and Israel.

    Following the 2003 invasion of Iraq, the Bush administration identified Iran and Syria as the next stage of “the road map to war”. U.S. military sources intimated at the time that an aerial attack on Iran could involve a large scale deployment comparable to the U.S. “shock and awe” bombing raids on Iraq in March 2003:

    American air strikes on Iran would vastly exceed the scope of the 1981 Israeli attack on the Osiraq nuclear center in Iraq, and would more resemble the opening days of the 2003 air campaign against Iraq.1

    “Theater Iran Near Term” (TIRANNT)

    Code named by U.S. military planners as TIRANNT, “Theater Iran Near Term”, simulations of an attack on Iran were initiated in May 2003 “when modelers and intelligence specialists pulled together the data needed for theater-level (meaning large-scale) scenario analysis for Iran.”2

    The scenarios identified several thousand targets inside Iran as part of a “Shock and Awe” Blitzkrieg:

    The analysis, called TIRANNT, for “Theater Iran Near Term,” was coupled with a mock scenario for a Marine Corps invasion and a simulation of the Iranian missile force. U.S. and British planners conducted a Caspian Sea war game around the same time. And Bush directed the U.S. Strategic Command to draw up a global strike war plan for an attack against Iranian weapons of mass destruction. All of this will ultimately feed into a new war plan for “major combat operations” against Iran that military sources confirm now [April 2006] exists in draft form.

    … Under TIRANNT, Army and U.S. Central Command planners have been examining both near-term and out-year scenarios for war with Iran, including all aspects of a major combat operation, from mobilization and deployment of forces through postwar stability operations after regime change.3

    Different “theater scenarios” for an all-out attack on Iran had been contemplated:

    The U.S. army, navy, air force and marines have all prepared battle plans and spent four years building bases and training for “Operation Iranian Freedom”. Admiral Fallon, the new head of U.S. Central Command, has inherited computerized plans under the name TIRANNT (Theatre Iran Near Term).4

    In 2004, drawing upon the initial war scenarios under TIRANNT, Vice President Dick Cheney instructed U.S. Strategic Command (U.S.STRATCOM) to draw up a “contingency plan” of a large scale military operation directed against Iran “to be employed in response to another 9/11-type terrorist attack on the United States” on the presumption that the government in Tehran would be behind the terrorist plot. The plan included the pre-emptive use of nuclear weapons against a non-nuclear state:

    The plan includes a large-scale air assault on Iran employing both conventional and tactical nuclear weapons. Within Iran there are more than four hundred fifty major strategic targets, including numerous suspected nuclear-weapons-program develop- ment sites. Many of the targets are hardened or are deep underground and could not be taken out by conventional weapons, hence the nuclear option. As in the case of Iraq, the response is not conditional on Iran actually being involved in the act of ter- rorism directed against the United States. Several senior Air Force officers involved in the planning are reportedly appalled at the implications of what they are doing –that Iran is being set up for an unprovoked nuclear attack– but no one is prepared to dam- age his career by posing any objections.5

    The Military Road Map: “First Iraq, then Iran”

    The decision to target Iran under TIRANNT was part of the broader process of military planning and sequencing of military operations. Already under the Clinton administration (1995), U.S. Central Command (U.S.CENTCOM) had formulated “in war theater plans” to invade first Iraq and then Iran. Access to Middle East oil was the stated strategic objective:

    The broad national security interests and objectives expressed in the President’s National Security Strategy (NSS) and the Chairman’s National Military Strategy (NMS) form the foundation of the United States Central Command’s theater strategy. The NSS directs implementation of a strategy of dual containment of the rogue states of Iraq and Iran as long as those states pose a threat to U.S. interests, to other states in the region, and to their own citizens. Dual containment is designed to maintain the balance of power in the region without depending on either Iraq or Iran. U.S.CENTCOM’s theater strategy is interest-based and threat-focused. The purpose of U.S. engagement, as espoused in the NSS, is to protect the United States’ vital interest in the region – uninterrupted, secure U.S./Allied access to Gulf oil.6

    The war on Iran was viewed as part of a succession of military operations. According to (former) NATO Commander General Wesley Clark, the Pentagon’s military road-map consisted of a sequence of countries:

    [The] Five-year campaign plan [includes]… a total of seven countries, beginning with Iraq, then Syria, Lebanon, Libya, Iran, Somalia and Sudan.6 (For further details, see Chapter I)

    The Role of Israel

    There has been much debate regarding the role of Israel in initiating an attack against Iran.

    Israel is part of a military alliance. Tel Aviv is not a prime mover. It does not have a separate and distinct military agenda.

    Israel is integrated into the “war plan for major combat operations” against Iran formulated in 2006 by U.S. Strategic Command (U.S.STRATCOM). In the context of large scale military operations, an uncoordinated unilateral military action by one coalition partner, namely Israel, is from a military and strategic point almost an impossibility. Israel is a de facto member of NATO. Any action by Israel would require a “green light” from Washington.

    An attack by Israel could, however, be used as “the trigger mechanism” which would unleash an all-out war against Iran, as well as retaliation by Iran directed against Israel.

    In this regard, there are indications going back to the Bush administration that Washington had indeed contemplated the option of an initial (U.S. backed) attack by Israel rather than an outright U.S.-led military operation directed against Iran.

    The Israeli attack –although led in close liaison with the Pentagon and NATO– would have been presented to public opinion as a unilateral decision by Tel Aviv. It would then have been used by Washington to justify, in the eyes of World opinion, a military intervention of the U.S. and NATO with a view to “defending Israel”, rather than attacking Iran. Under existing military cooperation agreements, both the U.S. and NATO would be “obligated” to “defend Israel” against Iran and Syria.

    It is worth noting, in this regard, that at the outset of Bush’s second term, (former) Vice President Dick Cheney had hinted, in no uncertain terms, that Iran was “right at the top of the list” of the “rogue enemies” of America, and that Israel would, so to speak, “be doing the bombing for us”, without U.S. military involvement and without us putting pressure on them “to do it.”8

    According to Cheney:

    One of the concerns people have is that Israel might do it without being asked. …Given the fact that Iran has a stated policy that their objective is the destruction of Israel, the Israelis might well decide to act first, and let the rest of the world worry about cleaning up the diplomatic mess afterwards.9

    Commenting the Vice President’s assertion, former National Security adviser Zbigniew Brzezinski in an interview on PBS, confirmed with some apprehension, yes: Cheney wants Prime Minister Ariel Sharon to act on America’s behalf and “do it” for us:

    Iran I think is more ambiguous. And there the issue is certainly not tyranny; it’s nuclear weapons. And the vice president today in a kind of a strange parallel statement to this declaration of freedom hinted that the Israelis may do it and in fact used language which sounds like a justification or even an encouragement for the Israelis to do it.10

    What we are dealing with is a process of joint U.S.-NATO-Israel military planning. An operation to bomb Iran has been in the active planning stage since 2004. Officials in the Defense Department, under Bush and Obama, have been working assiduously with their Israeli military and intelligence counterparts, carefully identifying targets inside Iran. In practical military terms, any action by Israel would have to be planned and coordinated at the highest levels of the U.S. led coalition.

    Israel's Prime Minister Ariel Sharon and Vice President Dick Cheney discuss a vision of peace for Israel and Palestine as they conduct a press briefing in Jerusalem, Israel, March 19, 2002.

    Israel’s Prime Minister Ariel Sharon and Vice President Dick Cheney discuss a vision of peace for Israel and Palestine as they conduct a press briefing in Jerusalem, Israel, March 19, 2002. “It is our hope that the current violence and terrorism will be replaced by reconciliation and the rebuilding of mutual trust,” said the Vice President. (Source)

    An attack by Israel against Iran would also require coordinated U.S.-NATO logistical support, particularly with regard to Israel’s air defense system, which since January 2009 is fully integrated into that of the U.S. and NATO.11

    Israel’s X band radar system established in early 2009 with U.S. technical support has “integrate[d] Israel’s missile defenses with the U.S. global missile [Space-based] detection network, which includes satellites, Aegis ships on the Mediterranean, Persian Gulf and Red Sea, and land-based Patriot radars and interceptors.”12

    What this means is that Washington ultimately calls the shots. The U.S. rather than Israel controls the air defense system:

    This is and will remain a U.S. radar system,’ Pentagon spokesman Geoff Morrell said.

    ‘So this is not something we are giving or selling to the Israelis and it is something that will likely require U.S. personnel on-site to operate.13

    The U.S. military oversees Israel’s Air Defense system, which is integrated into the Pentagon’s global system. In other words, Israel cannot launch a war against Iran without Washington’s consent. Hence the importance of the so-called “Green Light” legislation in the U.S. Congress sponsored by the Republican party under House Resolution 1553, which explicitly supported an Israeli attack on Iran:

    The measure, introduced by Texas Republican Louie Gohmert and 46 of his colleagues, endorses Israel’s use of “all means necessary” against Iran “including the use of military force.” … “We’ve got to get this done. We need to show our support for Israel. We need to quit playing games with this critical ally in such a difficult area”.14

    In practice, the proposed legislation serves as a “Green Light” to the White House and the Pentagon rather than to Israel. It constitutes a rubber stamp to a U.S. sponsored war on Iran which uses Israel as a convenient military launch pad. It also serves as a justification to wage war with a view to defending Israel.

    In this context, Israel could indeed provide the pretext to wage war, in response to alleged Hamas or Hezbollah attacks and/or the triggering of hostilities on the border of Israel with Lebanon. What is crucial to understand is that a minor “incident” could be used as a pretext to spark off a major military operation against Iran.

    Known to U.S. military planners, Israel (rather than the U.S.A) would be the first target of military retaliation by Iran. Broadly speaking, Israelis would be the victims of the machinations of both Washington and their own government. It is, in this regard, absolutely crucial that Israelis forcefully oppose any action by the Netanyahu government to attack Iran.

    Global Warfare: The Role of U.S. Strategic Command (U.S.STRATCOM)

    In January 2005, at the outset of the military deployment and build-up directed against Iran, U.S.STRATCOM was identified as “the lead Combatant Command for integration and synchronization of DoD-wide efforts in combating weapons of mass destruction.”15 What this means is that the coordination of a large scale attack on Iran, including the various scenarios of escalation in and beyond the broader Middle East Central Asian region would be coordinated by U.S.STRATCOM. (See Chapter I).

    Confirmed by military documents as well as official statements, both the U.S. and Israel contemplate the use of nuclear weapons directed against Iran. In 2006, U.S. Strategic Command (U.S.STRATCOM) announced it had achieved an operational capability for rapidly striking targets around the globe using nuclear or conventional weapons. This announcement was made after the conduct of military simulations pertaining to a U.S. led nuclear attack against a fictional country.16

    Continuity in Relation to the Bush-Cheney Era

    President Obama has largely endorsed the doctrine of pre-emptive use of nuclear weapons formulated by the previous administration. Under the 2010 Nuclear Posture Review, the Obama administration confirmed “that it is reserving the right to use nuclear weapons against Iran” for its non-compliance with U.S. demands regarding its alleged (nonexistent) nuclear weapons program.17 The Obama administration has also intimated that it would use nukes in the case of an Iranian response to an Israeli attack on Iran. Israel has also drawn up its own “secret plans” to bomb Iran with tactical nuclear weapons:

    Israeli military commanders believe conventional strikes may no longer be enough to annihilate increasingly well-defended enrichment facilities. Several have been built beneath at least 70ft of concrete and rock. However, the nuclear-tipped bunker-busters would be used only if a conventional attack was ruled out and if the United States declined to intervene, senior sources said.18

    Obama’s statements on the use of nuclear weapons against Iran and North Korea are consistent with post-9/11 U.S. nuclear weapons doctrine, which allows for the use of tactical nuclear weapons in the conventional war theater.

    Through a propaganda campaign which has enlisted the support of “authoritative” nuclear scientists, mini-nukes are upheld as an instrument of peace, namely a means to combating “Islamic terrorism” and instating Western style “democracy” in Iran. The low-yield nukes have been cleared for “battlefield use”. They are slated to be used against Iran and Syria in the next stage of America’s “War on Terrorism” alongside conventional weapons:

    Administration officials argue that low-yield nuclear weapons are needed as a credible deterrent against rogue states. [Iran, Syria, North Korea] Their logic is that existing nuclear weapons are too destructive to be used except in a full-scale nuclear war. Potential enemies realize this, thus they do not consider the threat of nuclear retaliation to be credible. However, low-yield nuclear weapons are less destructive, thus might conceivably be used. That would make them more effective as a deterrent.19

    The preferred nuclear weapon to be used against Iran are tactical nuclear weapons (Made in America), namely bunker buster bombs with nuclear warheads (for example, B61-11), with an explosive capacity between one third to six times a Hiroshima bomb.

    The B61-11 is the “nuclear version” of the “conventional” BLU 113. or Guided Bomb Unit GBU-28. It can be delivered in much same way as the conventional bunker buster bomb.20 While the U.S. does not contemplate the use of strategic thermonuclear weapons against Iran, Israel’s nuclear arsenal is largely composed of thermonuclear bombs which are deployed and could be used in a war with Iran. Under Israel’s Jericho III missile system with a range between 4,800 km to 6,500 km, all Iran would be within reach.

    Radioactive Fallout

    The issue of radioactive fallout and contamination, while casually dismissed by U.S.-NATO military analysts, would be devastating, potentially affecting a large area of the broader Middle East (including Israel) and Central Asian region.

    In an utterly twisted logic, nuclear weapons are presented as a means to building peace and preventing “collateral damage”. Iran’s nonexistent nuclear weapons are a threat to global security, whereas those of the U.S. and Israel are instruments of peace “harmless to the surrounding civilian population.”

    “The Mother of All Bombs” (MOAB) Slated to be Used against Iran?

    Of military significance within the U.S. conventional weapons arsenal is the 21,500-pound “monster weapon” nicknamed the “mother of all bombs” The GBU-43/B or Massive Ordnance Air Blast bomb (MOAB) was categorized “as the most powerful non-nuclear weapon ever designed” with the the largest yield in the U.S. conventional arsenal. The MOAB was tested in early March 2003 before being deployed to the Iraq war theater. According to U.S. military sources, the Joint Chiefs of Staff had advised the government of Saddam Hussein prior to launching the 2003 that the “mother of all bombs” was to be used against Iraq. (There were unconfirmed reports that it had been used in Iraq).

    The U.S. Department of Defense already confirmed in 2009 that it intends to use the “Mother of All Bombs” (MOAB) against Iran. The MOAB is said to be ”ideally suited to hit deeply buried nuclear facilities such as Natanz or Qom in Iran”21. The truth of the matter is that the MOAB, given its explosive capacity, would result in significant civilian casualties. It is a conventional “killing machine” with a nuclear type mushroom cloud.



    The procurement of four MOABs was commissioned in October 2009 at the hefty cost of $58.4 million, ($14.6 million for each bomb). This amount includes the costs of development and testing as well as integration of the MOAB bombs onto B-2 stealth bombers. This procurement is directly linked to war preparations in relation to Iran. The notification was contained in a ninety-three-page “reprograming memo” which included the following instructions:

    “The Department has an Urgent Operational Need (UON) for the capability to strike hard and deeply buried targets in high threat environments. The MOAB [Mother of All Bombs] is the weapon of choice to meet the requirements of the UON [Urgent Operational Need].” It further states that the request is endorsed by Pacific Command (which has responsibility over North Korea) and Central Command (which has responsibility over Iran).23

    The Pentagon is planning on a process of extensive destruction of Iran’s infrastructure and mass civilian casualties through the combined use of tactical nukes and monster conventional mushroom cloud bombs, including the MOAB and the larger GBU-57A/B or Massive Ordnance Penetrator (MOP), which surpasses the MOAB in terms of explosive capacity.

    The MOP is described as “a powerful new bomb aimed squarely at the underground nuclear facilities of Iran and North Korea. The gargantuan bomb–longer than eleven persons standing shoulder-to-shoulder or more than twenty feet base to nose”.24

    These are WMDs in the true sense of the word. The not so hidden objective of the MOAB and MOP, including the American nickname used to casually describe the MOAB (“Mother of all Bombs”), is “mass destruction” and mass civilian casualties with a view to instilling fear and despair.

    State of the Art Weaponry: “War Made Possible Through New Technologies”

    The process of U.S. military decision making in relation to Iran is supported by Star Wars, the militarization of outer space and the revolution in communications and information systems. Given the advances in military technology and the development of new weapons systems, an attack on Iran could be significantly different in terms of the mix of weapons systems, when compared to the March 2003 Blitzkrieg launched against Iraq. The Iran operation is slated to use the most advanced weapons systems in support of its aerial attacks. In all likelihood, new weapons systems will be tested.

    The 2000 Project for the New American Century (PNAC) document entitled Rebuilding American Defenses, outlined the mandate of the U.S. military in terms of large scale theater wars, to be waged simultaneously in different regions of the World: “Fight and decisively win multiple, simultaneous major theater wars”. (See Chapter I)



    This formulation is tantamount to a global war of conquest by a single imperial superpower.

    The PNAC document also called for the transformation of U.S. forces to exploit the “revolution in military affairs”, namely the implementation of “war made possible through new technologies”.25 The latter consists in developing and perfecting a state of the art global killing machine based on an arsenal of sophisticated new weaponry, which would eventually replace the existing paradigms.

    Thus, it can be foreseen that the process of transformation will in fact be a two-stage process: first of transition, then of more thoroughgoing transformation. The breakpoint will come when a preponderance of new weapons systems begins to enter service, perhaps when, for example, unmanned aerial vehicles begin to be as numerous as manned aircraft. In this regard, the Pentagon should be very wary of making large investments in new programs –tanks, planes, aircraft carriers, for example– that would commit U.S. forces to current paradigms of warfare for many decades to come.26

    The war on Iran could indeed mark this crucial break-point, with new space-based weapons systems being applied with a view to disabling an enemy which has significant conventional military capabilities including more than half a million ground forces.

    Electromagnetic Weapons

    Electromagnetic weapons could be used to destabilize Iran’s communications systems, disable electric power generation, undermine and destabilize command and control, government infrastructure, transportation, energy, etc. Within the same family of weapons, environmental modifications techniques (ENMOD) (weather warfare) developed under the HAARP program could also be applied.27 These weapons systems are fully operational. In this context, the U.S. Air Force document AF 2025 explicitly acknowledged the military applications of weather modification technologies:

    Weather modification will become a part of domestic and international security and could be done unilaterally. … It could have offensive and defensive applications and even be used for deterrence purposes. The ability to generate precipitation, fog, and storms on earth or to modify space weather, improve communications through ionospheric modification (the use of ionospheric mirrors), and the production of artificial weather all are a part of an integrated set of technologies which can provide substantial increase in U.S., or degraded capability in an adversary, to achieve global awareness, reach, and power.28

    Electromagnetic radiation enabling “remote health impairment” might also be envisaged in the war theater.29 In turn, new uses of biological weapons by the U.S. military might also be envisaged as suggested by the PNAC: “[A]dvanced forms of biological warfare that can ‘target’ specific genotypes may transform biological warfare from the realm of terror to a politically useful tool.”30

    Iran’s Military Capabilities: Medium and Long-range Missiles

    Iran has advanced military capabilities, including medium and long-range missiles capable of reaching targets in Israel and the Gulf States. Hence the emphasis by the U.S.-NATO Israel alliance on the use of nuclear weapons, which are slated to be used either pre-emptively or in response to an Iranian retaliatory missile attack.

    In November 2006, Iran tests of surface missiles two were marked by precise planning in a carefully staged operation. According to a senior American missile expert, “the Iranians demonstrated up-to-date missile-launching technology which the West had not known them to possess.”31 Israel acknowledged that “the Shehab-3, whose 2,000-km range brings Israel, the Middle East and Europe within reach”.32

    According to Uzi Rubin, former head of Israel’s anti-ballistic missile program, “the intensity of the military exercise was unprecedented… It was meant to make an impression – and it made an impression.”33

    The 2006 exercises, while creating a political stir in the U.S. and Israel, did not in any way modify U.S.-NATO-Israeli resolve to wage war on Iran.

    Tehran has confirmed in several statements that it will respond if it is attacked. Israel would be the immediate object of Iranian missile attacks as confirmed by the Iranian government. The issue of Israel’s air defense system is therefore crucial. U.S. and allied military facilities in the Gulf states, Turkey, Saudi Arabia, Afghanistan and Iraq could also be targeted by Iran.

    Iran’s Ground Forces

    While Iran is encircled by U.S. and allied military bases, the Islamic Republic has significant military capabilities. What is important to acknowledge is the sheer size of Iranian forces in terms of personnel (army, navy, air force) when compared to U.S. and NATO forces serving in Afghanistan and Iraq.

    Confronted with a well-organized insurgency, coalition forces are already overstretched in both Afghanistan and Iraq. Would these forces be able to cope if Iranian ground forces were to enter the existing battlefield in Iraq and Afghanistan? The potential of the Resistance movement to U.S. and allied occupation would inevitably be affected.

    Iranian ground forces are of the order of 700,000 of which 130,000 are professional soldiers, 220,000 are conscripts and 350,000 are reservists.34 There are 18,000 personnel in Iran’s Navy and 52,000 in the Air Force. According to the International Institute for Strategic Studies, “the Revolutionary Guards has an estimated 125,000 personnel in five branches: Its own Navy, Air Force, and Ground Forces; and the Quds Force (Special Forces).”

    According to the CISS, Iran’s Basij paramilitary volunteer force controlled by the Revolu- tionary Guards “has an estimated 90,000 active-duty full-time uniformed members, 300,000 reservists, and a total of 11 million men that can be mobilized if need be”35, In other words, Iran can mobilize up to half a million regular troops and several million militia. Its Quds special forces are already operating inside Iraq.

    U.S. Military and Allied Facilities Surrounding Iran

    For several years now, Iran has been conducting its own war drills and exercises. While its Air Force has weaknesses, its intermediate and long-range missiles are fully operational. Iran’s military is in a state of readiness. Iranian troop concentrations are currently within a few kilometers of the Iraqi and Afghan borders, and within proximity of Kuwait. The Iranian Navy is deployed in the Persian Gulf within proximity of U.S. and allied military facilities in the United Arab Emirates.

    It is worth noting that in response to Iran’s military build-up, the U.S. has been transferring large amounts of weapons to its non-NATO allies in the Persian Gulf including Kuwait and Saudi Arabia.

    While Iran’s advanced weapons do not measure up to those of the U.S. and NATO, Iranian forces would be in a position to inflict substantial losses to coalition forces in a conventional war theater, on the ground in Iraq or Afghanistan. Iranian ground troops and tanks in December 2009 crossed the border into Iraq without being confronted or challenged by allied forces and occupied a disputed territory in the East Maysan oil field.

    Even in the event of an effective Blitzkrieg, which targets Iran’s military facilities, its communications systems etc., through massive aerial bombing, using cruise missiles, conventional bunker buster bombs and tactical nuclear weapons, a war with Iran, once initiated, could eventually lead into a ground war. This is something which U.S. military planners have no doubt contemplated in their simulated war scenarios.

    An operation of this nature would result in significant military and civilian casualties, particularly if nuclear weapons are used.

    Within a scenario of escalation, Iranian troops could cross the border into Iraq and Afghanistan.

    In turn, military escalation using nuclear weapons could lead us into a World War III scenario, extending beyond the Middle-East – Central Asian region.

    In a very real sense, this military project, which has been on the Pentagon’s drawing board for more than ten years, threatens the future of humanity.

    Our focus in this chapter has been on war preparations. The fact that war preparations are in an advanced state of readiness does not imply that these war plans will be carried out.

    The U.S.-NATO-Israel alliance realizes that the enemy has significant capabilities to respond and retaliate. This factor in itself has been crucial in the decision by the U.S. and its allies to postpone an attack on Iran.

    Another crucial factor is the structure of military alliances. Whereas NATO has become a formidable force, the Shanghai Cooperation Organization (SCO), which constitutes an alliance between Russia and China and a number of former Soviet Republics has been significantly weakened.

    The ongoing U.S. military threats directed against China and Russia are intended to weaken the SCO and discourage any form of military action on the part of Iran’s allies in the case of a U.S. NATO Israeli attack.

    Video Interview: Michel Chossudovsky and Caroline Mailloux

    November 2023 Interview

    Notes

    1. See Target Iran – Air Strikes, Globalsecurity.org, undated.

    2. William Arkin, Washington Post, April 16, 2006.

    3. Ibid.

    4. New Statesman, February 19, 2007.

    5. Philip Giraldi, Deep Background,The American Conservative August 2005.

    6. U.S.CENTCOM, http://www.milnet.com/milnet/pentagon/centcom/chap1/stratgic.htm#U.S.Policy, link no longer active,

    archived at http://tinyurl.com/37gafu9.

    7. General Wesley Clark, for further details see Chapter I.

    8. See Michel Chossudovsky, Planned U.S.-Israeli Attack on Iran, Global Research, May 1, 2005.

    9. Dick Cheney, quoted from an MSNBC Interview, January 2005.

    10. According to Zbigniew Brzezinski.

    11. Michel Chossudovsky, Unusually Large U.S. Weapons Shipment to Israel: Are the U.S. and Israel Planning a Broader Middle East War? Global Research, January 11, 2009.

    12. Defense Talk.com, January 6, 2009.

    13. Quoted in Israel National News, January 9, 2009.

    14. Webster Tarpley, Fidel Castro Warns of Imminent Nuclear War; Admiral Mullen Threatens Iran; U.S.-Israel versus Iran-Hezbollah Confrontation Builds On, Global Research, August 10, 2010.

    15. Michel Chossudovsky, Nuclear War against Iran, Global Research, January 3, 2006.

    16. David Ruppe, Pre-emptive Nuclear War in a State of Readiness: U.S. Command Declares Global Strike Ca- pability, Global Security Newswire, December 2, 2005.

    17. U.S. Nuclear Option on Iran Linked to Israeli Attack Threat – IPS ipsnews.net, April 23, 2010.

    18. Revealed: Israel plans nuclear strike on Iran – Times Online, January 7, 2007.

    19. Opponents Surprised By Elimination of Nuke Research Funds, Defense News, November 29, 2004.

    20. See Michel Chossudovsky, “Tactical Nuclear Weapons” against Afghanistan?, Global Research, December 5, 2001. See also http://www.thebulletin.org/article_nn.php?art_ofn=jf03norris.

    21. Jonathan Karl, Is the U.S. Preparing to Bomb Iran? ABC News, October 9, 2009.

    22. Ibid.

    23. ABC News, op cit, emphasis added. To consult the reprogramming request (pdf) click here.

    24. See Edwin Black, “Super Bunker-Buster Bombs Fast-Tracked for Possible Use Against Iran and North Korea Nuclear Programs”, Cutting Edge, September 21, 2009.

    25. See Project for a New American Century, Rebuilding America’s Defenses Washington DC, September 2000, pdf.

    26. Ibid, emphasis added.

    27. See Michel Chossudovsky, “Owning the Weather” for Military Use, Global Research, September 27, 2004. 28. Air
    Force 2025 Final Report, See also U.S. Air Force: Weather as a Force Multiplier: Owning the Weather in 2025, AF2025
    v3c15-1.

    29. See Mojmir Babacek, Electromagnetic and Informational Weapons:, Global Research, August 6, 2004.

    30. Project for a New American Century, op cit., p. 60.

    31. See Michel Chossudovsky, Iran’s “Power of Deterrence” Global Research, November 5, 2006.

    32. Debka, November 5, 2006.

    33. www.cnsnews.com November 3, 2006.

    34. See Islamic Republic of Iran Army – Wikipedia.

    Featured image is from The Libertarian Institute

    The Globalization of War: America’s “Long War” against Humanity

    Michel Chossudovsky

    The “globalization of war” is a hegemonic project. Major military and covert intelligence operations are being undertaken simultaneously in the Middle East, Eastern Europe, sub-Saharan Africa, Central Asia and the Far East. The U.S. military agenda combines both major theater operations as well as covert actions geared towards destabilizing sovereign states.

    ISBN Number: 978-0-9879389-0-9

    Year: 2015
    Pages: 240 Pages
    Price: $9.40

    Click here to order.
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    https://www.globalresearch.ca/pre-emptive-nuclear-war-the-role-of-israel-in-triggering-an-attack-on-iran/5840256


    https://telegra.ph/Nuclear-war-03-10
    Pre-emptive Nuclear War: The Role of Israel in Triggering an Attack on Iran Chapter III of "The Globalization of War" by Michel Chossudovsky Firmly All Global Research articles can be read in 51 languages by activating the Translate Website button below the author’s name. To receive Global Research’s Daily Newsletter (selected articles), click here. Click the share button above to email/forward this article to your friends and colleagues. Follow us on Instagram and Twitter and subscribe to our Telegram Channel. Feel free to repost and share widely Global Research articles. Author’s Introduction and Update In a recent article entitled “A Planned US-Israeli Attack on Iran is Contemplated” I focussed on how Israel’s criminal attack on the People of Palestine could evolve towards an extended Middle East War. At the time of writing, US-NATO war ships –including two aircraft carriers, combat planes, not to mention a nuclear submarine– are deployed in the Eastern Mediterranean and the Red Sea, all of which are intended to confront what both Western politicians and the media casually describe as “Palestine’s Aggression against the Jewish State”. “Israel ranks” as “the 4th strongest military” after Russia, the U.S and China. Ask yourself: Why on earth would Israel need the support of U.S. aircraft carriers to lead a genocide against the Palestinians who are fighting for their lives with limited military capabilities. Is the U.S. intent upon triggering a broader war? “U.S. Warns Hezbollah, Iran. It Will intervene if they Escalate” Who is “Escalating”? The Pentagon has already intimated that it will attack Iran and Lebanon, “If they Escalate”. Is the Pentagon Seeking to Trigger one or more “False Flags”? Times of Israel, November 9, 2023 Also of significance (less than 4 months prior to October 7, 2023) is the adoption on June 27, 2023 of the US Congress Resolution (H. RES. 559) which Accuses Iran of Possessing Nuclear Weapons. H.RES 559 allows the use of force against Iran, intimating that Iran has Nuclear Weapons. Whereas Iran is tagged (without a shred of evidence) as a Nuclear Power by the U.S. Congress, Washington fails to acknowledge that Israel is an undeclared nuclear power. The article below was first published in my book entitled “The Globalization of War. America’s Long War against Humanity” (2015). I remain indebted to the former Prime Minister of Malaysia Tun Dr. Mahathir Mohamad who took the initiative of launching my book in Kuala Lumpur. (image right). Firmly committed to “the criminalization of war”, Tun Mahathir is a powerful voice in support of Palestine. The article below (Chapter III of “Globalization of War”) provides analysis in a historical perspective of U.S. war plans directed against Iran. Numerous “war theater scenarios” for an all-out attack on Iran have been contemplated. Dangerous Crossroads in our History The current and ongoing US-NATO military deployment in The Middle East — casually presented by the media as a means to coming to the rescue of Israel– is the pinnacle of U.S. war preparations extending over a period of more than 20 years. Contemplated by the Pentagon in 2005 was a scenario whereby an attack by Israel would be conducted on behalf of Washington: “An attack by Israel could, however, be used as “the trigger mechanism” which would unleash an all-out war against Iran, as well as retaliation by Iran directed against Israel.” (quoted from text below) At the outset of Bush’s second term “Vice President Dick Cheney had hinted, in no uncertain terms, that Iran was “right at the top of the list” of the “rogue enemies” of America, and that Israel would, so to speak, “be doing the bombing for us” (Ibid) The article also focusses on the dangers of a US-Israel nuclear attack against Iran which has been contemplated by the Pentagon since 2004. The US Israel “Partnership”: “Signed” Military Agreement Amply documented, the U.S. Military and Intelligence apparatus is firmly behind Israel’s genocide. In the words of Lt General Richard Clark: Americans Troops are “prepared to die for the Jewish State”. What should be understood by this statement is that the US and Israel have a longstanding Military “Partnership” as well as (Jerusalem Post) a “Signed” Military Agreement (classified) regarding Israel’s attack on Gaza. Lt. General Richard Clark is U.S. Third Air Force Commander, among the highest-ranking military officers in the U.S. Armed Forces. While he refers to Juniper Cobra, “a joint military exercise that has been conducted for almost a decade”, his statement points to a much broader “signed” military-intelligence agreement (classified) with Israel which no doubt includes the extension of the Israeli-US bombing of Gaza to the broader Middle East. While this so-called “signed” military agreement remains classified (not in the public domain), it would appear that Biden is obeying the orders of the perpetrators of this diabolical military agenda. Does President Biden have the authority (under this “Signed” Agreement with Israel) to save the lives of innocent civilians including the children of Palestine: Q (Inaudible) Gaza ceasefire, Mr. President? THE PRESIDENT: Pardon me? Q What are the chances of a Gaza ceasefire? THE PRESIDENT: None. No possibility. White House Press Conference, November 9, 2023 Lt. General Clark confirms that: “U.S. troops could be put under Israeli commanders in the battlefield”, which suggests that the genocide is implemented by Netanyahu on behalf of the United States. Everything indicates that the US military and intelligence apparatus are behind Israel’s criminal bombing and invasion of Gaza. We stand firmly in Solidarity with Palestine and the People of the Middle East. It is my intent and sincere hope that my writings (including the text below) will contribute to “Revealing the Truth” as well “Reversing the Tide of Global Warfare”. Michel Chossudovsky, Global Research, November 17, 2023, March 10, 2024 Pre-emptive Nuclear War: The Role of Israel in Triggering an Attack on Iran by Michel Chossudovsky Introduction While one can conceptualize the loss of life and destruction resulting from present-day wars including Iraq and Afghanistan, it is impossible to fully comprehend the devastation which might result from a Third World War, using “new technologies” and advanced weapons, until it occurs and becomes a reality. The international community has endorsed nuclear war in the name of world peace. “Making the world safer” is the justification for launching a military operation which could potentially result in a nuclear holocaust.” The stockpiling and deployment of advanced weapons systems directed against Iran started in the immediate wake of the 2003 bombing and invasion of Iraq. From the outset, these war plans were led by the U.S. in liaison with NATO and Israel. Following the 2003 invasion of Iraq, the Bush administration identified Iran and Syria as the next stage of “the road map to war”. U.S. military sources intimated at the time that an aerial attack on Iran could involve a large scale deployment comparable to the U.S. “shock and awe” bombing raids on Iraq in March 2003: American air strikes on Iran would vastly exceed the scope of the 1981 Israeli attack on the Osiraq nuclear center in Iraq, and would more resemble the opening days of the 2003 air campaign against Iraq.1 “Theater Iran Near Term” (TIRANNT) Code named by U.S. military planners as TIRANNT, “Theater Iran Near Term”, simulations of an attack on Iran were initiated in May 2003 “when modelers and intelligence specialists pulled together the data needed for theater-level (meaning large-scale) scenario analysis for Iran.”2 The scenarios identified several thousand targets inside Iran as part of a “Shock and Awe” Blitzkrieg: The analysis, called TIRANNT, for “Theater Iran Near Term,” was coupled with a mock scenario for a Marine Corps invasion and a simulation of the Iranian missile force. U.S. and British planners conducted a Caspian Sea war game around the same time. And Bush directed the U.S. Strategic Command to draw up a global strike war plan for an attack against Iranian weapons of mass destruction. All of this will ultimately feed into a new war plan for “major combat operations” against Iran that military sources confirm now [April 2006] exists in draft form. … Under TIRANNT, Army and U.S. Central Command planners have been examining both near-term and out-year scenarios for war with Iran, including all aspects of a major combat operation, from mobilization and deployment of forces through postwar stability operations after regime change.3 Different “theater scenarios” for an all-out attack on Iran had been contemplated: The U.S. army, navy, air force and marines have all prepared battle plans and spent four years building bases and training for “Operation Iranian Freedom”. Admiral Fallon, the new head of U.S. Central Command, has inherited computerized plans under the name TIRANNT (Theatre Iran Near Term).4 In 2004, drawing upon the initial war scenarios under TIRANNT, Vice President Dick Cheney instructed U.S. Strategic Command (U.S.STRATCOM) to draw up a “contingency plan” of a large scale military operation directed against Iran “to be employed in response to another 9/11-type terrorist attack on the United States” on the presumption that the government in Tehran would be behind the terrorist plot. The plan included the pre-emptive use of nuclear weapons against a non-nuclear state: The plan includes a large-scale air assault on Iran employing both conventional and tactical nuclear weapons. Within Iran there are more than four hundred fifty major strategic targets, including numerous suspected nuclear-weapons-program develop- ment sites. Many of the targets are hardened or are deep underground and could not be taken out by conventional weapons, hence the nuclear option. As in the case of Iraq, the response is not conditional on Iran actually being involved in the act of ter- rorism directed against the United States. Several senior Air Force officers involved in the planning are reportedly appalled at the implications of what they are doing –that Iran is being set up for an unprovoked nuclear attack– but no one is prepared to dam- age his career by posing any objections.5 The Military Road Map: “First Iraq, then Iran” The decision to target Iran under TIRANNT was part of the broader process of military planning and sequencing of military operations. Already under the Clinton administration (1995), U.S. Central Command (U.S.CENTCOM) had formulated “in war theater plans” to invade first Iraq and then Iran. Access to Middle East oil was the stated strategic objective: The broad national security interests and objectives expressed in the President’s National Security Strategy (NSS) and the Chairman’s National Military Strategy (NMS) form the foundation of the United States Central Command’s theater strategy. The NSS directs implementation of a strategy of dual containment of the rogue states of Iraq and Iran as long as those states pose a threat to U.S. interests, to other states in the region, and to their own citizens. Dual containment is designed to maintain the balance of power in the region without depending on either Iraq or Iran. U.S.CENTCOM’s theater strategy is interest-based and threat-focused. The purpose of U.S. engagement, as espoused in the NSS, is to protect the United States’ vital interest in the region – uninterrupted, secure U.S./Allied access to Gulf oil.6 The war on Iran was viewed as part of a succession of military operations. According to (former) NATO Commander General Wesley Clark, the Pentagon’s military road-map consisted of a sequence of countries: [The] Five-year campaign plan [includes]… a total of seven countries, beginning with Iraq, then Syria, Lebanon, Libya, Iran, Somalia and Sudan.6 (For further details, see Chapter I) The Role of Israel There has been much debate regarding the role of Israel in initiating an attack against Iran. Israel is part of a military alliance. Tel Aviv is not a prime mover. It does not have a separate and distinct military agenda. Israel is integrated into the “war plan for major combat operations” against Iran formulated in 2006 by U.S. Strategic Command (U.S.STRATCOM). In the context of large scale military operations, an uncoordinated unilateral military action by one coalition partner, namely Israel, is from a military and strategic point almost an impossibility. Israel is a de facto member of NATO. Any action by Israel would require a “green light” from Washington. An attack by Israel could, however, be used as “the trigger mechanism” which would unleash an all-out war against Iran, as well as retaliation by Iran directed against Israel. In this regard, there are indications going back to the Bush administration that Washington had indeed contemplated the option of an initial (U.S. backed) attack by Israel rather than an outright U.S.-led military operation directed against Iran. The Israeli attack –although led in close liaison with the Pentagon and NATO– would have been presented to public opinion as a unilateral decision by Tel Aviv. It would then have been used by Washington to justify, in the eyes of World opinion, a military intervention of the U.S. and NATO with a view to “defending Israel”, rather than attacking Iran. Under existing military cooperation agreements, both the U.S. and NATO would be “obligated” to “defend Israel” against Iran and Syria. It is worth noting, in this regard, that at the outset of Bush’s second term, (former) Vice President Dick Cheney had hinted, in no uncertain terms, that Iran was “right at the top of the list” of the “rogue enemies” of America, and that Israel would, so to speak, “be doing the bombing for us”, without U.S. military involvement and without us putting pressure on them “to do it.”8 According to Cheney: One of the concerns people have is that Israel might do it without being asked. …Given the fact that Iran has a stated policy that their objective is the destruction of Israel, the Israelis might well decide to act first, and let the rest of the world worry about cleaning up the diplomatic mess afterwards.9 Commenting the Vice President’s assertion, former National Security adviser Zbigniew Brzezinski in an interview on PBS, confirmed with some apprehension, yes: Cheney wants Prime Minister Ariel Sharon to act on America’s behalf and “do it” for us: Iran I think is more ambiguous. And there the issue is certainly not tyranny; it’s nuclear weapons. And the vice president today in a kind of a strange parallel statement to this declaration of freedom hinted that the Israelis may do it and in fact used language which sounds like a justification or even an encouragement for the Israelis to do it.10 What we are dealing with is a process of joint U.S.-NATO-Israel military planning. An operation to bomb Iran has been in the active planning stage since 2004. Officials in the Defense Department, under Bush and Obama, have been working assiduously with their Israeli military and intelligence counterparts, carefully identifying targets inside Iran. In practical military terms, any action by Israel would have to be planned and coordinated at the highest levels of the U.S. led coalition. Israel's Prime Minister Ariel Sharon and Vice President Dick Cheney discuss a vision of peace for Israel and Palestine as they conduct a press briefing in Jerusalem, Israel, March 19, 2002. Israel’s Prime Minister Ariel Sharon and Vice President Dick Cheney discuss a vision of peace for Israel and Palestine as they conduct a press briefing in Jerusalem, Israel, March 19, 2002. “It is our hope that the current violence and terrorism will be replaced by reconciliation and the rebuilding of mutual trust,” said the Vice President. (Source) An attack by Israel against Iran would also require coordinated U.S.-NATO logistical support, particularly with regard to Israel’s air defense system, which since January 2009 is fully integrated into that of the U.S. and NATO.11 Israel’s X band radar system established in early 2009 with U.S. technical support has “integrate[d] Israel’s missile defenses with the U.S. global missile [Space-based] detection network, which includes satellites, Aegis ships on the Mediterranean, Persian Gulf and Red Sea, and land-based Patriot radars and interceptors.”12 What this means is that Washington ultimately calls the shots. The U.S. rather than Israel controls the air defense system: This is and will remain a U.S. radar system,’ Pentagon spokesman Geoff Morrell said. ‘So this is not something we are giving or selling to the Israelis and it is something that will likely require U.S. personnel on-site to operate.13 The U.S. military oversees Israel’s Air Defense system, which is integrated into the Pentagon’s global system. In other words, Israel cannot launch a war against Iran without Washington’s consent. Hence the importance of the so-called “Green Light” legislation in the U.S. Congress sponsored by the Republican party under House Resolution 1553, which explicitly supported an Israeli attack on Iran: The measure, introduced by Texas Republican Louie Gohmert and 46 of his colleagues, endorses Israel’s use of “all means necessary” against Iran “including the use of military force.” … “We’ve got to get this done. We need to show our support for Israel. We need to quit playing games with this critical ally in such a difficult area”.14 In practice, the proposed legislation serves as a “Green Light” to the White House and the Pentagon rather than to Israel. It constitutes a rubber stamp to a U.S. sponsored war on Iran which uses Israel as a convenient military launch pad. It also serves as a justification to wage war with a view to defending Israel. In this context, Israel could indeed provide the pretext to wage war, in response to alleged Hamas or Hezbollah attacks and/or the triggering of hostilities on the border of Israel with Lebanon. What is crucial to understand is that a minor “incident” could be used as a pretext to spark off a major military operation against Iran. Known to U.S. military planners, Israel (rather than the U.S.A) would be the first target of military retaliation by Iran. Broadly speaking, Israelis would be the victims of the machinations of both Washington and their own government. It is, in this regard, absolutely crucial that Israelis forcefully oppose any action by the Netanyahu government to attack Iran. Global Warfare: The Role of U.S. Strategic Command (U.S.STRATCOM) In January 2005, at the outset of the military deployment and build-up directed against Iran, U.S.STRATCOM was identified as “the lead Combatant Command for integration and synchronization of DoD-wide efforts in combating weapons of mass destruction.”15 What this means is that the coordination of a large scale attack on Iran, including the various scenarios of escalation in and beyond the broader Middle East Central Asian region would be coordinated by U.S.STRATCOM. (See Chapter I). Confirmed by military documents as well as official statements, both the U.S. and Israel contemplate the use of nuclear weapons directed against Iran. In 2006, U.S. Strategic Command (U.S.STRATCOM) announced it had achieved an operational capability for rapidly striking targets around the globe using nuclear or conventional weapons. This announcement was made after the conduct of military simulations pertaining to a U.S. led nuclear attack against a fictional country.16 Continuity in Relation to the Bush-Cheney Era President Obama has largely endorsed the doctrine of pre-emptive use of nuclear weapons formulated by the previous administration. Under the 2010 Nuclear Posture Review, the Obama administration confirmed “that it is reserving the right to use nuclear weapons against Iran” for its non-compliance with U.S. demands regarding its alleged (nonexistent) nuclear weapons program.17 The Obama administration has also intimated that it would use nukes in the case of an Iranian response to an Israeli attack on Iran. Israel has also drawn up its own “secret plans” to bomb Iran with tactical nuclear weapons: Israeli military commanders believe conventional strikes may no longer be enough to annihilate increasingly well-defended enrichment facilities. Several have been built beneath at least 70ft of concrete and rock. However, the nuclear-tipped bunker-busters would be used only if a conventional attack was ruled out and if the United States declined to intervene, senior sources said.18 Obama’s statements on the use of nuclear weapons against Iran and North Korea are consistent with post-9/11 U.S. nuclear weapons doctrine, which allows for the use of tactical nuclear weapons in the conventional war theater. Through a propaganda campaign which has enlisted the support of “authoritative” nuclear scientists, mini-nukes are upheld as an instrument of peace, namely a means to combating “Islamic terrorism” and instating Western style “democracy” in Iran. The low-yield nukes have been cleared for “battlefield use”. They are slated to be used against Iran and Syria in the next stage of America’s “War on Terrorism” alongside conventional weapons: Administration officials argue that low-yield nuclear weapons are needed as a credible deterrent against rogue states. [Iran, Syria, North Korea] Their logic is that existing nuclear weapons are too destructive to be used except in a full-scale nuclear war. Potential enemies realize this, thus they do not consider the threat of nuclear retaliation to be credible. However, low-yield nuclear weapons are less destructive, thus might conceivably be used. That would make them more effective as a deterrent.19 The preferred nuclear weapon to be used against Iran are tactical nuclear weapons (Made in America), namely bunker buster bombs with nuclear warheads (for example, B61-11), with an explosive capacity between one third to six times a Hiroshima bomb. The B61-11 is the “nuclear version” of the “conventional” BLU 113. or Guided Bomb Unit GBU-28. It can be delivered in much same way as the conventional bunker buster bomb.20 While the U.S. does not contemplate the use of strategic thermonuclear weapons against Iran, Israel’s nuclear arsenal is largely composed of thermonuclear bombs which are deployed and could be used in a war with Iran. Under Israel’s Jericho III missile system with a range between 4,800 km to 6,500 km, all Iran would be within reach. Radioactive Fallout The issue of radioactive fallout and contamination, while casually dismissed by U.S.-NATO military analysts, would be devastating, potentially affecting a large area of the broader Middle East (including Israel) and Central Asian region. In an utterly twisted logic, nuclear weapons are presented as a means to building peace and preventing “collateral damage”. Iran’s nonexistent nuclear weapons are a threat to global security, whereas those of the U.S. and Israel are instruments of peace “harmless to the surrounding civilian population.” “The Mother of All Bombs” (MOAB) Slated to be Used against Iran? Of military significance within the U.S. conventional weapons arsenal is the 21,500-pound “monster weapon” nicknamed the “mother of all bombs” The GBU-43/B or Massive Ordnance Air Blast bomb (MOAB) was categorized “as the most powerful non-nuclear weapon ever designed” with the the largest yield in the U.S. conventional arsenal. The MOAB was tested in early March 2003 before being deployed to the Iraq war theater. According to U.S. military sources, the Joint Chiefs of Staff had advised the government of Saddam Hussein prior to launching the 2003 that the “mother of all bombs” was to be used against Iraq. (There were unconfirmed reports that it had been used in Iraq). The U.S. Department of Defense already confirmed in 2009 that it intends to use the “Mother of All Bombs” (MOAB) against Iran. The MOAB is said to be ”ideally suited to hit deeply buried nuclear facilities such as Natanz or Qom in Iran”21. The truth of the matter is that the MOAB, given its explosive capacity, would result in significant civilian casualties. It is a conventional “killing machine” with a nuclear type mushroom cloud. The procurement of four MOABs was commissioned in October 2009 at the hefty cost of $58.4 million, ($14.6 million for each bomb). This amount includes the costs of development and testing as well as integration of the MOAB bombs onto B-2 stealth bombers. This procurement is directly linked to war preparations in relation to Iran. The notification was contained in a ninety-three-page “reprograming memo” which included the following instructions: “The Department has an Urgent Operational Need (UON) for the capability to strike hard and deeply buried targets in high threat environments. The MOAB [Mother of All Bombs] is the weapon of choice to meet the requirements of the UON [Urgent Operational Need].” It further states that the request is endorsed by Pacific Command (which has responsibility over North Korea) and Central Command (which has responsibility over Iran).23 The Pentagon is planning on a process of extensive destruction of Iran’s infrastructure and mass civilian casualties through the combined use of tactical nukes and monster conventional mushroom cloud bombs, including the MOAB and the larger GBU-57A/B or Massive Ordnance Penetrator (MOP), which surpasses the MOAB in terms of explosive capacity. The MOP is described as “a powerful new bomb aimed squarely at the underground nuclear facilities of Iran and North Korea. The gargantuan bomb–longer than eleven persons standing shoulder-to-shoulder or more than twenty feet base to nose”.24 These are WMDs in the true sense of the word. The not so hidden objective of the MOAB and MOP, including the American nickname used to casually describe the MOAB (“Mother of all Bombs”), is “mass destruction” and mass civilian casualties with a view to instilling fear and despair. State of the Art Weaponry: “War Made Possible Through New Technologies” The process of U.S. military decision making in relation to Iran is supported by Star Wars, the militarization of outer space and the revolution in communications and information systems. Given the advances in military technology and the development of new weapons systems, an attack on Iran could be significantly different in terms of the mix of weapons systems, when compared to the March 2003 Blitzkrieg launched against Iraq. The Iran operation is slated to use the most advanced weapons systems in support of its aerial attacks. In all likelihood, new weapons systems will be tested. The 2000 Project for the New American Century (PNAC) document entitled Rebuilding American Defenses, outlined the mandate of the U.S. military in terms of large scale theater wars, to be waged simultaneously in different regions of the World: “Fight and decisively win multiple, simultaneous major theater wars”. (See Chapter I) This formulation is tantamount to a global war of conquest by a single imperial superpower. The PNAC document also called for the transformation of U.S. forces to exploit the “revolution in military affairs”, namely the implementation of “war made possible through new technologies”.25 The latter consists in developing and perfecting a state of the art global killing machine based on an arsenal of sophisticated new weaponry, which would eventually replace the existing paradigms. Thus, it can be foreseen that the process of transformation will in fact be a two-stage process: first of transition, then of more thoroughgoing transformation. The breakpoint will come when a preponderance of new weapons systems begins to enter service, perhaps when, for example, unmanned aerial vehicles begin to be as numerous as manned aircraft. In this regard, the Pentagon should be very wary of making large investments in new programs –tanks, planes, aircraft carriers, for example– that would commit U.S. forces to current paradigms of warfare for many decades to come.26 The war on Iran could indeed mark this crucial break-point, with new space-based weapons systems being applied with a view to disabling an enemy which has significant conventional military capabilities including more than half a million ground forces. Electromagnetic Weapons Electromagnetic weapons could be used to destabilize Iran’s communications systems, disable electric power generation, undermine and destabilize command and control, government infrastructure, transportation, energy, etc. Within the same family of weapons, environmental modifications techniques (ENMOD) (weather warfare) developed under the HAARP program could also be applied.27 These weapons systems are fully operational. In this context, the U.S. Air Force document AF 2025 explicitly acknowledged the military applications of weather modification technologies: Weather modification will become a part of domestic and international security and could be done unilaterally. … It could have offensive and defensive applications and even be used for deterrence purposes. The ability to generate precipitation, fog, and storms on earth or to modify space weather, improve communications through ionospheric modification (the use of ionospheric mirrors), and the production of artificial weather all are a part of an integrated set of technologies which can provide substantial increase in U.S., or degraded capability in an adversary, to achieve global awareness, reach, and power.28 Electromagnetic radiation enabling “remote health impairment” might also be envisaged in the war theater.29 In turn, new uses of biological weapons by the U.S. military might also be envisaged as suggested by the PNAC: “[A]dvanced forms of biological warfare that can ‘target’ specific genotypes may transform biological warfare from the realm of terror to a politically useful tool.”30 Iran’s Military Capabilities: Medium and Long-range Missiles Iran has advanced military capabilities, including medium and long-range missiles capable of reaching targets in Israel and the Gulf States. Hence the emphasis by the U.S.-NATO Israel alliance on the use of nuclear weapons, which are slated to be used either pre-emptively or in response to an Iranian retaliatory missile attack. In November 2006, Iran tests of surface missiles two were marked by precise planning in a carefully staged operation. According to a senior American missile expert, “the Iranians demonstrated up-to-date missile-launching technology which the West had not known them to possess.”31 Israel acknowledged that “the Shehab-3, whose 2,000-km range brings Israel, the Middle East and Europe within reach”.32 According to Uzi Rubin, former head of Israel’s anti-ballistic missile program, “the intensity of the military exercise was unprecedented… It was meant to make an impression – and it made an impression.”33 The 2006 exercises, while creating a political stir in the U.S. and Israel, did not in any way modify U.S.-NATO-Israeli resolve to wage war on Iran. Tehran has confirmed in several statements that it will respond if it is attacked. Israel would be the immediate object of Iranian missile attacks as confirmed by the Iranian government. The issue of Israel’s air defense system is therefore crucial. U.S. and allied military facilities in the Gulf states, Turkey, Saudi Arabia, Afghanistan and Iraq could also be targeted by Iran. Iran’s Ground Forces While Iran is encircled by U.S. and allied military bases, the Islamic Republic has significant military capabilities. What is important to acknowledge is the sheer size of Iranian forces in terms of personnel (army, navy, air force) when compared to U.S. and NATO forces serving in Afghanistan and Iraq. Confronted with a well-organized insurgency, coalition forces are already overstretched in both Afghanistan and Iraq. Would these forces be able to cope if Iranian ground forces were to enter the existing battlefield in Iraq and Afghanistan? The potential of the Resistance movement to U.S. and allied occupation would inevitably be affected. Iranian ground forces are of the order of 700,000 of which 130,000 are professional soldiers, 220,000 are conscripts and 350,000 are reservists.34 There are 18,000 personnel in Iran’s Navy and 52,000 in the Air Force. According to the International Institute for Strategic Studies, “the Revolutionary Guards has an estimated 125,000 personnel in five branches: Its own Navy, Air Force, and Ground Forces; and the Quds Force (Special Forces).” According to the CISS, Iran’s Basij paramilitary volunteer force controlled by the Revolu- tionary Guards “has an estimated 90,000 active-duty full-time uniformed members, 300,000 reservists, and a total of 11 million men that can be mobilized if need be”35, In other words, Iran can mobilize up to half a million regular troops and several million militia. Its Quds special forces are already operating inside Iraq. U.S. Military and Allied Facilities Surrounding Iran For several years now, Iran has been conducting its own war drills and exercises. While its Air Force has weaknesses, its intermediate and long-range missiles are fully operational. Iran’s military is in a state of readiness. Iranian troop concentrations are currently within a few kilometers of the Iraqi and Afghan borders, and within proximity of Kuwait. The Iranian Navy is deployed in the Persian Gulf within proximity of U.S. and allied military facilities in the United Arab Emirates. It is worth noting that in response to Iran’s military build-up, the U.S. has been transferring large amounts of weapons to its non-NATO allies in the Persian Gulf including Kuwait and Saudi Arabia. While Iran’s advanced weapons do not measure up to those of the U.S. and NATO, Iranian forces would be in a position to inflict substantial losses to coalition forces in a conventional war theater, on the ground in Iraq or Afghanistan. Iranian ground troops and tanks in December 2009 crossed the border into Iraq without being confronted or challenged by allied forces and occupied a disputed territory in the East Maysan oil field. Even in the event of an effective Blitzkrieg, which targets Iran’s military facilities, its communications systems etc., through massive aerial bombing, using cruise missiles, conventional bunker buster bombs and tactical nuclear weapons, a war with Iran, once initiated, could eventually lead into a ground war. This is something which U.S. military planners have no doubt contemplated in their simulated war scenarios. An operation of this nature would result in significant military and civilian casualties, particularly if nuclear weapons are used. Within a scenario of escalation, Iranian troops could cross the border into Iraq and Afghanistan. In turn, military escalation using nuclear weapons could lead us into a World War III scenario, extending beyond the Middle-East – Central Asian region. In a very real sense, this military project, which has been on the Pentagon’s drawing board for more than ten years, threatens the future of humanity. Our focus in this chapter has been on war preparations. The fact that war preparations are in an advanced state of readiness does not imply that these war plans will be carried out. The U.S.-NATO-Israel alliance realizes that the enemy has significant capabilities to respond and retaliate. This factor in itself has been crucial in the decision by the U.S. and its allies to postpone an attack on Iran. Another crucial factor is the structure of military alliances. Whereas NATO has become a formidable force, the Shanghai Cooperation Organization (SCO), which constitutes an alliance between Russia and China and a number of former Soviet Republics has been significantly weakened. The ongoing U.S. military threats directed against China and Russia are intended to weaken the SCO and discourage any form of military action on the part of Iran’s allies in the case of a U.S. NATO Israeli attack. Video Interview: Michel Chossudovsky and Caroline Mailloux November 2023 Interview Notes 1. See Target Iran – Air Strikes, Globalsecurity.org, undated. 2. William Arkin, Washington Post, April 16, 2006. 3. Ibid. 4. New Statesman, February 19, 2007. 5. Philip Giraldi, Deep Background,The American Conservative August 2005. 6. U.S.CENTCOM, http://www.milnet.com/milnet/pentagon/centcom/chap1/stratgic.htm#U.S.Policy, link no longer active, archived at http://tinyurl.com/37gafu9. 7. General Wesley Clark, for further details see Chapter I. 8. See Michel Chossudovsky, Planned U.S.-Israeli Attack on Iran, Global Research, May 1, 2005. 9. Dick Cheney, quoted from an MSNBC Interview, January 2005. 10. According to Zbigniew Brzezinski. 11. Michel Chossudovsky, Unusually Large U.S. Weapons Shipment to Israel: Are the U.S. and Israel Planning a Broader Middle East War? Global Research, January 11, 2009. 12. Defense Talk.com, January 6, 2009. 13. Quoted in Israel National News, January 9, 2009. 14. Webster Tarpley, Fidel Castro Warns of Imminent Nuclear War; Admiral Mullen Threatens Iran; U.S.-Israel versus Iran-Hezbollah Confrontation Builds On, Global Research, August 10, 2010. 15. Michel Chossudovsky, Nuclear War against Iran, Global Research, January 3, 2006. 16. David Ruppe, Pre-emptive Nuclear War in a State of Readiness: U.S. Command Declares Global Strike Ca- pability, Global Security Newswire, December 2, 2005. 17. U.S. Nuclear Option on Iran Linked to Israeli Attack Threat – IPS ipsnews.net, April 23, 2010. 18. Revealed: Israel plans nuclear strike on Iran – Times Online, January 7, 2007. 19. Opponents Surprised By Elimination of Nuke Research Funds, Defense News, November 29, 2004. 20. See Michel Chossudovsky, “Tactical Nuclear Weapons” against Afghanistan?, Global Research, December 5, 2001. See also http://www.thebulletin.org/article_nn.php?art_ofn=jf03norris. 21. Jonathan Karl, Is the U.S. Preparing to Bomb Iran? ABC News, October 9, 2009. 22. Ibid. 23. ABC News, op cit, emphasis added. To consult the reprogramming request (pdf) click here. 24. See Edwin Black, “Super Bunker-Buster Bombs Fast-Tracked for Possible Use Against Iran and North Korea Nuclear Programs”, Cutting Edge, September 21, 2009. 25. See Project for a New American Century, Rebuilding America’s Defenses Washington DC, September 2000, pdf. 26. Ibid, emphasis added. 27. See Michel Chossudovsky, “Owning the Weather” for Military Use, Global Research, September 27, 2004. 28. Air Force 2025 Final Report, See also U.S. Air Force: Weather as a Force Multiplier: Owning the Weather in 2025, AF2025 v3c15-1. 29. See Mojmir Babacek, Electromagnetic and Informational Weapons:, Global Research, August 6, 2004. 30. Project for a New American Century, op cit., p. 60. 31. See Michel Chossudovsky, Iran’s “Power of Deterrence” Global Research, November 5, 2006. 32. Debka, November 5, 2006. 33. www.cnsnews.com November 3, 2006. 34. See Islamic Republic of Iran Army – Wikipedia. Featured image is from The Libertarian Institute The Globalization of War: America’s “Long War” against Humanity Michel Chossudovsky The “globalization of war” is a hegemonic project. Major military and covert intelligence operations are being undertaken simultaneously in the Middle East, Eastern Europe, sub-Saharan Africa, Central Asia and the Far East. The U.S. military agenda combines both major theater operations as well as covert actions geared towards destabilizing sovereign states. ISBN Number: 978-0-9879389-0-9 Year: 2015 Pages: 240 Pages Price: $9.40 Click here to order. Related Articles from our Archives https://www.globalresearch.ca/pre-emptive-nuclear-war-the-role-of-israel-in-triggering-an-attack-on-iran/5840256 https://telegra.ph/Nuclear-war-03-10
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  • ‘No, dear. I will never leave Gaza.’
    I tried to convince my parents to leave Gaza, but my father’s resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly. The weight of our conversation lingered long after we said our goodbyes.

    Ghada HaniaMarch 30, 2024
    A Palestinian man sits near the damage to a building after an overnight Israeli air raid in Rafah, southern Gaza, March 29, 2024. (Photo: Ahmed Ibrahim/APA Images)
    A Palestinian man sits near the damage to a building after an overnight Israeli air raid in Rafah, southern Gaza, March 29, 2024. (Photo: Ahmed Ibrahim/APA Images)
    I sip my coffee, pondering whether my mother has enough coffee stocked at home. Recognizing the importance of this question, especially during the sacred month of Ramadan when she typically begins her fast with a sip of coffee, a ritual I have mirrored, I resolve to call her via WhatsApp.

    Dialing her number, I encounter the frustration of a phone call that fails to connect, indicating a lack of internet service. Undeterred, I make my way to the nearby supermarket, where I top up my phone with 60 RM, the maximum allowed per charge. With experience guiding me, I opt for three charges, estimating that 180 units should afford me about a 35-minute conversation.

    Each call to my mother serves as a conduit for updates on her well-being, my father’s health, and the overall status of our extended family, all residing together in one apartment.

    During Ramadan, these conversations delve into her preparations for breaking the fast. Perhaps this time, she’s managed to procure budget-friendly alternatives from the market, steering away from the monotony of canned meals like beans, hummus, or tuna, and perhaps opting for cherished dishes like chicken maqloubeh or mloukhiyyeh, beloved by both herself and our family.

    As the phone finally rings after multiple attempts, I eagerly await my mother’s answer. When she finally picks up on the fifth try, I greet her affectionately, “Hello, my love. How are you?”

    “I am fine, my dear Ghadoosh,” she responds, using her term of endearment for me.

    I ask about her third-day iftar meal, to which she replies, “Today, we’re preparing beans with lemon and tomato, served alongside saj bread.”

    “You know we’ve finished building a clay oven on the roof of the house, and we use it to bake bread.”

    “Oh, that sounds good, Mom. Bon appétit,” I replied, understanding how monotonous it can be to eat the same meal for more than 100 days.

    Concerned about her health, especially given her diagnosis of irritable bowel syndrome (IBS), I ask about her condition. She acknowledges her discomfort, expressing gratitude for the doctor’s recommendations to avoid certain foods. Unfortunately, everything the doctor recommended is either unavailable or too expensive to afford.

    As our conversation progresses, the familiar sound of her voice brings comfort, even amidst the backdrop of challenges we face. Every time we talk, there’s a quiet sadness that hangs in the air, partly because of the miles between us and the heavy load of worries we both carry.

    “All praises to Allah,” my mother began, her voice tinged with discomfort. “I have persistent abdominal pain, but it’s bearable. It will pass,” she reassured me.

    Responding like a concerned physician, I rushed to advise her, “Mom, please pay careful attention to your diet and hydration during Ramadan. Make sure you drink plenty of water and consume nourishing foods like dates, while avoiding anything that exacerbates your discomfort. Choose light, healthy meals like thyme and cheese with bread, and incorporate olive oil. If canned foods like hummus, beans, or chickpeas make you feel tired or worsen your symptoms, refrain from eating them. Your well-being is paramount, so take care of yourself, my love. Remember to say bismillah before each meal, and trust in Allah for strength and healing.”

    “Okay, my love. Don’t worry,” she responded, her tone conveying gratitude for my concern.

    “How is your husband and his family?” she inquired. “How is your mother-in-law? Please convey my regards to them, and I hope we can meet soon once the war ends, Allah willing, if we are still alive on that day.”

    “Oh, mom, please don’t say that. May all negativity fade away. May Allah safeguard you and bring us all together again.”

    My husband’s family and I are unable to communicate with each other within Gaza due to poor connectivity. Therefore, when I speak to my husband’s relatives, I extend greetings from my family, and when I converse with my own family, I convey greetings from my husband’s family.

    “How are my sisters, mom? Have you been in touch with Sara? Did you manage to visit Mona?” I asked anxiously.

    “Sara is still in Gaza with her kids, husband, and his family. They’re facing immense struggles to find food and water. I’ve only managed to contact her once during these difficult months. Sadly, the call was abruptly cut off, and I couldn’t even say goodbye,” my mom explained with a heavy heart.

    “Mona and her family are living in a tent in Khan Younis. The conditions are harsh — when it rains, the tent floods, and when it stops, the sand’s smell makes them sick,” she continued.

    “We’ve had limited contact with your sisters, Ghada. Last week, we were able to confirm Sara’s well-being through one of your father’s cousins in Gaza. However, you know there’s a famine in the north. May Allah ease their hardships,” my mom said tearfully.

    After composing herself, she added, “Mona visited us briefly yesterday. Thankfully, she and her kids are doing okay. Don’t worry, dear.”

    “Don’t cry, mom. Let’s pray. It’s our most powerful tool. May Allah alleviate their suffering, guide us all, and bring an end to this war. May the situation improve,” I reassured her.

    The wail of an ambulance interrupted our conversation. My mother’s voice, usually composed, now shook with emotion as she recounted the struggles since being forcibly displaced from Gaza City to Rafah. Reflecting on our decision to settle in Rafah in my uncle’s home due to the lack of available housing, she expressed her sorrow, “If we had a home in Gaza, we would never have left, Ghada. They’ve destroyed everything in Gaza: the trees, the stones, the streets. There’s nothing left, my dear. The city has transformed; you wouldn’t recognize it.”

    “Inshallah everything will improve, mom. We’ll rebuild the city again,” I said optimistically.

    She replied softly, “Inshallah, dear.”

    I broached the topic of leaving Gaza for Malaysia, but his resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly, revealing a depth of sentiment I hadn’t fully grasped before.
    I seized the opportunity to speak to my father, eagerly greeting him, “Hello, Dad. How are you?”

    His warm voice comforted me, assuring me, “Everything is good, dear. Don’t worry. We’re in good spirits, and as long as we have each other, we’ll be fine.”

    “How much is the fish per kilo?” I asked. My father has always had a deep love for fish, enjoying it day after day before the war.

    He replied with sadness, “The price for a kilo of sardines is around 130 shekels. That’s the cheapest rate in the market. Prices have increased tenfold.”

    Despite his assurances, I couldn’t shake the heavy burden weighing on my heart. “May Allah protect you, dear Baba,” I said, my voice trembling with emotion. “I know it’s not easy, but please stay steadfast. Your strength gives me hope.”

    I broached the topic of leaving Gaza for Malaysia, but his resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly, revealing a depth of sentiment I hadn’t fully grasped before.

    “We’ve purchased tents in case the situation deteriorates further. We’ll relocate to Nuseirat refugee camp or Deir al-Balah,” he added.

    The weight of our conversation lingered long after we said our goodbyes. Despite my efforts to offer comfort, I couldn’t shake the sense of helplessness that settled over me, leaving me feeling powerless to ease their suffering.

    https://mondoweiss.net/2024/03/no-dear-i-will-never-leave-gaza/
    ‘No, dear. I will never leave Gaza.’ I tried to convince my parents to leave Gaza, but my father’s resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly. The weight of our conversation lingered long after we said our goodbyes. Ghada HaniaMarch 30, 2024 A Palestinian man sits near the damage to a building after an overnight Israeli air raid in Rafah, southern Gaza, March 29, 2024. (Photo: Ahmed Ibrahim/APA Images) A Palestinian man sits near the damage to a building after an overnight Israeli air raid in Rafah, southern Gaza, March 29, 2024. (Photo: Ahmed Ibrahim/APA Images) I sip my coffee, pondering whether my mother has enough coffee stocked at home. Recognizing the importance of this question, especially during the sacred month of Ramadan when she typically begins her fast with a sip of coffee, a ritual I have mirrored, I resolve to call her via WhatsApp. Dialing her number, I encounter the frustration of a phone call that fails to connect, indicating a lack of internet service. Undeterred, I make my way to the nearby supermarket, where I top up my phone with 60 RM, the maximum allowed per charge. With experience guiding me, I opt for three charges, estimating that 180 units should afford me about a 35-minute conversation. Each call to my mother serves as a conduit for updates on her well-being, my father’s health, and the overall status of our extended family, all residing together in one apartment. During Ramadan, these conversations delve into her preparations for breaking the fast. Perhaps this time, she’s managed to procure budget-friendly alternatives from the market, steering away from the monotony of canned meals like beans, hummus, or tuna, and perhaps opting for cherished dishes like chicken maqloubeh or mloukhiyyeh, beloved by both herself and our family. As the phone finally rings after multiple attempts, I eagerly await my mother’s answer. When she finally picks up on the fifth try, I greet her affectionately, “Hello, my love. How are you?” “I am fine, my dear Ghadoosh,” she responds, using her term of endearment for me. I ask about her third-day iftar meal, to which she replies, “Today, we’re preparing beans with lemon and tomato, served alongside saj bread.” “You know we’ve finished building a clay oven on the roof of the house, and we use it to bake bread.” “Oh, that sounds good, Mom. Bon appétit,” I replied, understanding how monotonous it can be to eat the same meal for more than 100 days. Concerned about her health, especially given her diagnosis of irritable bowel syndrome (IBS), I ask about her condition. She acknowledges her discomfort, expressing gratitude for the doctor’s recommendations to avoid certain foods. Unfortunately, everything the doctor recommended is either unavailable or too expensive to afford. As our conversation progresses, the familiar sound of her voice brings comfort, even amidst the backdrop of challenges we face. Every time we talk, there’s a quiet sadness that hangs in the air, partly because of the miles between us and the heavy load of worries we both carry. “All praises to Allah,” my mother began, her voice tinged with discomfort. “I have persistent abdominal pain, but it’s bearable. It will pass,” she reassured me. Responding like a concerned physician, I rushed to advise her, “Mom, please pay careful attention to your diet and hydration during Ramadan. Make sure you drink plenty of water and consume nourishing foods like dates, while avoiding anything that exacerbates your discomfort. Choose light, healthy meals like thyme and cheese with bread, and incorporate olive oil. If canned foods like hummus, beans, or chickpeas make you feel tired or worsen your symptoms, refrain from eating them. Your well-being is paramount, so take care of yourself, my love. Remember to say bismillah before each meal, and trust in Allah for strength and healing.” “Okay, my love. Don’t worry,” she responded, her tone conveying gratitude for my concern. “How is your husband and his family?” she inquired. “How is your mother-in-law? Please convey my regards to them, and I hope we can meet soon once the war ends, Allah willing, if we are still alive on that day.” “Oh, mom, please don’t say that. May all negativity fade away. May Allah safeguard you and bring us all together again.” My husband’s family and I are unable to communicate with each other within Gaza due to poor connectivity. Therefore, when I speak to my husband’s relatives, I extend greetings from my family, and when I converse with my own family, I convey greetings from my husband’s family. “How are my sisters, mom? Have you been in touch with Sara? Did you manage to visit Mona?” I asked anxiously. “Sara is still in Gaza with her kids, husband, and his family. They’re facing immense struggles to find food and water. I’ve only managed to contact her once during these difficult months. Sadly, the call was abruptly cut off, and I couldn’t even say goodbye,” my mom explained with a heavy heart. “Mona and her family are living in a tent in Khan Younis. The conditions are harsh — when it rains, the tent floods, and when it stops, the sand’s smell makes them sick,” she continued. “We’ve had limited contact with your sisters, Ghada. Last week, we were able to confirm Sara’s well-being through one of your father’s cousins in Gaza. However, you know there’s a famine in the north. May Allah ease their hardships,” my mom said tearfully. After composing herself, she added, “Mona visited us briefly yesterday. Thankfully, she and her kids are doing okay. Don’t worry, dear.” “Don’t cry, mom. Let’s pray. It’s our most powerful tool. May Allah alleviate their suffering, guide us all, and bring an end to this war. May the situation improve,” I reassured her. The wail of an ambulance interrupted our conversation. My mother’s voice, usually composed, now shook with emotion as she recounted the struggles since being forcibly displaced from Gaza City to Rafah. Reflecting on our decision to settle in Rafah in my uncle’s home due to the lack of available housing, she expressed her sorrow, “If we had a home in Gaza, we would never have left, Ghada. They’ve destroyed everything in Gaza: the trees, the stones, the streets. There’s nothing left, my dear. The city has transformed; you wouldn’t recognize it.” “Inshallah everything will improve, mom. We’ll rebuild the city again,” I said optimistically. She replied softly, “Inshallah, dear.” I broached the topic of leaving Gaza for Malaysia, but his resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly, revealing a depth of sentiment I hadn’t fully grasped before. I seized the opportunity to speak to my father, eagerly greeting him, “Hello, Dad. How are you?” His warm voice comforted me, assuring me, “Everything is good, dear. Don’t worry. We’re in good spirits, and as long as we have each other, we’ll be fine.” “How much is the fish per kilo?” I asked. My father has always had a deep love for fish, enjoying it day after day before the war. He replied with sadness, “The price for a kilo of sardines is around 130 shekels. That’s the cheapest rate in the market. Prices have increased tenfold.” Despite his assurances, I couldn’t shake the heavy burden weighing on my heart. “May Allah protect you, dear Baba,” I said, my voice trembling with emotion. “I know it’s not easy, but please stay steadfast. Your strength gives me hope.” I broached the topic of leaving Gaza for Malaysia, but his resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly, revealing a depth of sentiment I hadn’t fully grasped before. “We’ve purchased tents in case the situation deteriorates further. We’ll relocate to Nuseirat refugee camp or Deir al-Balah,” he added. The weight of our conversation lingered long after we said our goodbyes. Despite my efforts to offer comfort, I couldn’t shake the sense of helplessness that settled over me, leaving me feeling powerless to ease their suffering. https://mondoweiss.net/2024/03/no-dear-i-will-never-leave-gaza/
    MONDOWEISS.NET
    ‘No, dear. I will never leave Gaza.’
    I tried to convince my parents to leave Gaza, but my father’s resolute refusal caught me off guard. “No, dear. I will never leave Gaza,” he stated firmly. The weight of our conversation lingered long after we said our goodbyes.
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  • The Silent Shame of Health Institutions
    J.R. Bruning
    For how much longer will health policy ignore multimorbidity, that looming, giant elephant in the room, that propagates and amplifies suffering? For how much longer will the ‘trend’ of increasing diagnoses of multiple health conditions, at younger and younger ages be rendered down by government agencies to better and more efficient services, screening modalities, and drug choices?

    Multimorbidity, the presence of many chronic conditions, is the silent shame of health policy.

    All too often chronic conditions overlap and accumulate. From cancer, to diabetes, to digestive system diseases, to high blood pressure, to skin conditions in cascades of suffering. Heartbreakingly, these conditions commonly overlap with mental illnesses or disorders. It’s increasingly common for people to be diagnosed with multiple mental conditions, such as having anxiety and depression, or anxiety and schizophrenia.

    Calls for equity tend to revolve around medical treatment, even as absurdities and injustices accrue.

    Multimorbidity occurs a decade earlier in socioeconomically deprived communities. Doctors are diagnosing multimorbidity at younger and younger ages.

    Treatment regimens for people with multiple conditions necessarily entail a polypharmacy approach – the prescribing of multiple medications. One condition may require multiple medications. Thus, with multimorbidity comes increased risk of adverse outcomes and polyiatrogenesis – ‘medical harm caused by medical treatments on multiple fronts simultaneously and in conjunction with one another.’

    Side effects, whether short-term or patients’ concerns about long-term harm, are the main reason for non-adherence to prescribed medications.

    So ‘equity’ which only implies drug treatment doesn’t involve equity at all.

    Poor diets may be foundational to the Western world’s health crisis. But are governments considering this?

    The antinomies are piling up.

    We are amid a global epidemic of metabolic syndrome. Insulin resistance, obesity, elevated triglyceride levels and low levels of high-density lipoprotein cholesterol, and elevated blood pressure haunt the people queuing up to see doctors.

    Research, from individual cases to clinical trials, consistently show that diets containing high levels of ultra-processed foods and carbohydrates amplify inflammation, oxidative stress, and insulin resistance. What researchers and scientists are also identifying, at the cellular level, in clinical and medical practice, and at the global level – is that insulin resistance, inflammation, oxidative stress, and nutrient deficiencies from poor diets not only drive metabolic illness, but mental illnesses, compounding suffering.

    There is also ample evidence that the metabolic and mental health epidemic that is driving years lost due to disease, reducing productivity, and creating mayhem in personal lives – may be preventable and reversible.

    Doctors generally recognise that poor diets are a problem. Ultra-processed foods are strongly associated with adult and childhood ill health. Ultra-processed foods are

    ‘formulations of ingredients, mostly of exclusive industrial use, typically created by series of industrial techniques and processes (hence ‘ultra-processed’).’

    In the USA young people under age 19 consume on average 67% of their diet, while adults consume around 60% of their diet in ultra-processed food. Ultra-processed food contributes 60% of UK children’s calories; 42% of Australian children’s calories and over half the dietary calories for children and adolescents in Canada. In New Zealand in 2009-2010, ultra-processed foods contributed to the 45% (12 months), 42% (24 months), and 51% (60 months) of energy intake to the diets of children.

    All too frequently, doctors are diagnosing both metabolic and mental illnesses.

    What may be predictable is that a person is likely to develop insulin resistance, inflammation, oxidative stress, and nutrient deficiencies from chronic exposure to ultra-processed food. How this will manifest in a disease or syndrome condition is reflective of a human equivalent of quantum entanglement.

    Cascades, feedback loops, and other interdependencies often leave doctors and patients bouncing from one condition to another, and managing medicine side effects and drug-drug relationships as they go.

    In New Zealand it is more common to have multiple conditions than a single condition. The costs of having two NCDs simultaneously is typically superadditive and ‘more so for younger adults.’

    This information is outside the ‘work programme’ of the top echelons in the Ministry of Health:

    Official Information Act (OIA) requests confirm that the Ministries’ Directors General who are responsible for setting policy and long-term strategy aren’t considering these issues. The problem of multimorbidity and the overlapping, entangled relationship with ultra-processed food is outside of the scope of the work programme of the top directorates in our health agency.

    New Zealand’s Ministry of Health’s top deputy directors general might be earning a quarter of a million dollars each, but they are ignorant of the relationship of dietary nutrition and mental health. Nor are they seemingly aware of the extent of multimorbidity and the overlap between metabolic and mental illnesses.

    Neither the Public Health Agency Deputy Director-General – Dr Andrew Old, nor the Deputy Director-General Evidence, Research and Innovation, Dean Rutherford, nor the Deputy Director-General of Strategy Policy and Legislation, Maree Roberts, nor the Clinical, Community and Mental Health Deputy Director-General Robyn Shearer have been briefed on these relationships.

    If they’re not being briefed, policy won’t be developed to address dietary nutrition. Diet will be lower-order.

    The OIA request revealed that New Zealand’s Ministry of Health ‘does not widely use the metabolic syndrome classification.’ When I asked ‘How do you classify, or what term do you use to classify the cluster of symptoms characterised by central obesity, dyslipidemia, hypertension, and insulin resistance?’, they responded:

    ‘The conditions referred to are considered either on their own or as part of a broader cardiovascular disease risk calculation.’

    This is interesting. What if governments should be calculating insulin resistance first, in order to then calculate a broader cardiovascular risk? What if insulin resistance, inflammation, and oxidative stress are appearing at younger and younger ages, and ultra-processed food is the major driver?

    Pre-diabetes and Type 2 diabetes are driven by too much blood glucose. Type 1 diabetics can’t make insulin, while Type 2 diabetics can’t make enough to compensate for their dietary intake of carbohydrates. One of insulin’s (many) jobs is to tuck away that blood glucose into cells (as fat) but when there are too many dietary carbohydrates pumping up blood glucose, the body can’t keep up. New Zealand practitioners use the HbA1c blood test, which measures the average blood glucose level over the past 2-3 months. In New Zealand, doctors diagnose pre-diabetes if HbA1c levels are 41-49 nmol/mol, and diabetes at levels of 50 nmol/mol and above.

    Type 2 diabetes management guidelines recommend that sugar intake should be reduced, while people should aim for consistent carbohydrates across the day. The New Zealand government does not recommend paleo or low-carbohydrate diets.

    If you have diabetes you are twice as likely to have heart disease or a stroke, and at a younger age. Prediabetes, which apparently 20% of Kiwis have, is also high-risk due to, as the Ministry of Health states: ‘increased risk of macrovascular complications and early death.’

    The question might become – should we be looking at insulin levels, to more sensitively gauge risk at an early stage?

    Without more sensitive screens at younger ages these opportunities to repivot to avoid chronic disease are likely to be missed. Currently, Ministry of Health policies are unlikely to justify the funding of tests for insulin resistance by using three simple blood tests: fasting insulin, fasting lipids (cholesterol and triglycerides), and fasting glucose – to estimate where children, young people, and adults stand on the insulin resistance spectrum when other diagnoses pop up.

    Yet insulin plays a powerful role in brain health.

    Insulin supports neurotransmitter function and brain energy, directly impacting mood and behaviours. Insulin resistance might arrive before mental illness. Harvard-based psychiatrist Chris Palmer recounts in the book Brain Energy, a large 15,000-participant study of young people from age 0-24:

    ‘Children who had persistently high insulin levels (a sign of insulin resistance) beginning at age nine were five times more likely to be at risk for psychosis, meaning they were showing at least some worrisome signs, and they were three times for likely to already be diagnosed with bipolar disorder or schizophrenia by the time they turned twenty-four. This study clearly demonstrated that insulin resistance comes first, then psychosis.’

    Psychiatrist Georgia Ede suggests that high blood glucose and high insulin levels act like a ‘deadly one-two punch’ for the brain, triggering waves of inflammation and oxidative stress. The blood-brain barrier becomes increasingly resistant to chronic high insulin levels. Even though the body might have higher blood insulin, the same may not be true for the brain. As Ede maintains, ‘cells deprived of adequate insulin ‘sputter and struggle to maintain normal operations.’

    Looking at the relationship between brain health and high blood glucose and high insulin simply might not be on the programme for strategists looking at long-term planning.

    Nor are Directors General in a position to assess the role of food addiction. Ultra-processed food has addictive qualities designed into the product formulations. Food addiction is increasingly recognised as pervasive and difficult to manage as any substance addiction.

    But how many children and young people have insulin resistance and are showing markers for inflammation and oxidative stress – in the body and in the brain? To what extent do young people have both insulin resistance and depression resistance or ADHD or bipolar disorder?

    This kind of thinking is completely outside the work programme. But insulin levels, inflammation, and oxidative stress may not only be driving chronic illness – but driving the global mental health tsunami.

    Metabolic disorders are involved in complex pathways and feedback loops across body systems, and doctors learn this at medical school. Patterns and relationships between hormones, the brain, the gastrointestinal system, kidneys, and liver; as well as problems with joints and bone health, autoimmunity, nerves, and sensory conditions evolve from and revolve around metabolic health.

    Nutrition and diet are downplayed in medical school. What doctors don’t learn so much – the cognitive dissonance that they must accept throughout their training – is that metabolic health is commonly (except for some instances) shaped by the quality of dietary nutrition. The aetiology of a given condition can be very different, while the evidence that common chronic and mental illnesses are accompanied by oxidative stress, inflammation, and insulin resistance are primarily driven by diet – is growing stronger and stronger.

    But without recognising the overlapping relationships, policy to support healthy diets will remain limp.

    What we witness are notions of equity that support pharmaceutical delivery – not health delivery.

    What also inevitably happens is that ‘equity’ focuses on medical treatment. When the Ministry of Health prefers to atomise the different conditions or associate them with heart disease – they become single conditions to treat with single drugs. They’re lots of small problems, not one big problem, and insulin resistance is downplayed.

    But just as insulin resistance, inflammation, and oxidative stress send cascading impacts across body systems, systemic ignorance sends cascading effects across government departments tasked with ‘improving, promoting, and protecting health.’

    It’s an injustice. The literature solidly points to lower socio-economic status driving much poorer diets and increased exposures to ultra-processed food, but the treatments exclusively involve drugs and therapy.

    Briefings to Incoming Ministers with the election of new Governments show how ignorance cascades across responsible authorities.

    Health New Zealand, Te Whatu Ora’s November 2023 Briefing to the new government outlined the agency’s obligations. However, the ‘health’ targets are medical, and the agency’s focus is on infrastructure, staff, and servicing. The promotion of health, and health equity, which can only be addressed by addressing the determinants of health, is not addressed.

    The Māori Health Authority and Health New Zealand Joint Briefing to the Incoming Minister for Mental Health does not address the role of diet and nutrition as a driver of mental illness and disorder in New Zealand. The issue of multimorbidity, the related problem of commensurate metabolic illness, and diet as a driver is outside scope. When the Briefing states that it is important to address the ‘social, cultural, environmental and economic determinants of mental health,’ without any sound policy footing, real movement to address diet will not happen, or will only happen ad hoc.

    The Mental Health and Wellbeing Commission, Te Hiringa Mahara’s November 2023 Briefing to Incoming Ministers that went to the Ministers for Health and Mental Health might use the term ‘well-being’ over 120 times – but was silent on the related and overlapping drivers of mental illness which include metabolic or multimorbidity, nutrition, or diet.

    Five years earlier, He Ara Ora, New Zealand’s 2018 Mental Health and Addiction enquiry had recognised that tāngata whaiora, people seeking wellness, or service users, also tend to have multiple health conditions. The enquiry recommended that a whole of government approach to well-being, prevention, and social determinants was required. Vague nods were made to diet and nutrition, but this was not sufficiently emphasised as to be a priority.

    He Ara Ora was followed by 2020 Long-term pathway to mental well-being viewed nutrition as being one of a range of factors. No policy framework strategically prioritised diet, nutrition, and healthy food. No governmental obligation or commitment was built into policy to improve access to healthy food or nutrition education.

    Understanding the science, the relationships, and the drivers of the global epidemic, is ‘outside the work programmes’ of New Zealand’s Ministry of Health and outside the scope of all the related authorities. There is an extraordinary amount of data in the scientific literature, so many case studies, cohort studies, and clinical trials. Popular books are being written, however government agencies remain ignorant.

    In the meantime, doctors must deal with the suffering in front of them without an adequate toolkit.

    Doctors and pharmacists are faced with a Hobson’s choice of managing multiple chronic conditions and complex drug cocktails, in patients at younger and younger ages. Ultimately, they are treating a patient whom they recognise will only become sicker, cost the health system more, and suffer more.

    Currently there is little support for New Zealand medical doctors (known as general practitioners, or GPs) in changing practices and recommendations to support non-pharmaceutical drug treatment approaches. Their medical education does not equip them to recognise the extent to which multiple co-existing conditions may be alleviated or reversed. Doctors are paid to prescribe, to inject, and to screen, not to ameliorate or reverse disease and lessen prescribing. The prescribing of nutrients is discouraged and as doctors do not have nutritional training, they hesitate to prescribe nutrients.

    Many do not want to risk going outside treatment guidelines. Recent surges in protocols and guidelines for medical doctors reduce flexibility and narrow treatment choices for doctors. If they were to be reported to the Medical Council of New Zealand, they would risk losing their medical license. They would then be unable to practice.

    Inevitably, without Ministry of Health leadership, medical doctors in New Zealand are unlikely to voluntarily prescribe non-drug modalities such as nutritional options to any meaningful extent, for fear of being reported.

    Yet some doctors are proactive, such as Dr Glen Davies in Taupo, New Zealand. Some doctors are in a better ‘place’ to work to alleviate and reverse long-term conditions. They may be later in their career, with 10-20 years of research into metabolism, dietary nutrition, and patient care, and motivated to guide a patient through a personal care regime which might alleviate or reverse a patient’s suffering.

    Barriers include resourcing. Doctors aren’t paid for reversing disease and taking patients off medications.

    Doctors witness daily the hopelessness felt by their patients in dealing with chronic conditions in their short 15-minute consultations, and the vigilance required for dealing with adverse drug effects. Drug non-compliance is associated with adverse effects suffered by patients. Yet without wrap-around support changing treatments, even if it has potential to alleviate multiple conditions, to reduce symptoms, lower prescribing and therefore lessen side effects, is just too uncertain.

    They saw what happened to disobedient doctors during Covid-19.

    Given such context, what are we to do?

    Have open public discussions about doctor-patient relationships and trust. Inform and overlay such conversations by drawing attention to the foundational Hippocratic Oath made by doctors, to first do no harm.

    Questions can be asked. If patients were to understand that diet may be an underlying driver of multiple conditions, and a change in diet and improvement in micronutrient status might alleviate suffering – would patients be more likely to change?

    Economically, if wrap-around services were provided in clinics to support dietary change, would less harm occur to patients from worsening conditions that accompany many diseases (such as Type 2 diabetes) and the ever-present problem of drug side-effects? Would education and wrap-around services in early childhood and youth delay or prevent the onset of multimorbid diagnoses?

    Is it more ethical to give young people a choice of treatment? Could doctors prescribe dietary changes and multinutrients and support change with wrap-around support when children and young people are first diagnosed with a mental health condition – from the clinic, to school, to after school? If that doesn’t work, then prescribe pharmaceutical drugs.

    Should children and young people be educated to appreciate the extent to which their consumption of ultra-processed food likely drives their metabolic and mental health conditions? Not just in a blithe ‘eat healthy’ fashion that patently avoids discussing addiction. Through deeper policy mechanisms, including cooking classes and nutritional biology by the implementation of nourishing, low-carbohydrate cooked school lunches.

    With officials uninformed, it’s easy to see why funding for Green Prescriptions that would support dietary changes have sputtered out. It’s easy to understand why neither the Ministry of Health nor Pharmac have proactively sourced multi-nutrient treatments that improve resilience to stress and trauma for low-income young people. Why there’s no discussion on a lower side-effect risk for multinutrient treatments. Why are there no policies in the education curriculum diving into the relationship between ultra-processed food and mental and physical health? It’s not in the work programme.

    There’s another surfacing dilemma.

    Currently, if doctors tell their patients that there is very good evidence that their disease or syndrome could be reversed, and this information is not held as factual information by New Zealand’s Ministry of Health – do doctors risk being accused of spreading misinformation?

    Government agencies have pivoted in the past 5 years to focus intensively on the problem of dis- and misinformation. New Zealand’s disinformation project states that

    Disinformation is false or modified information knowingly and deliberately shared to cause harm or achieve a broader aim.
    Misinformation is information that is false or misleading, though not created or shared with the direct intention of causing harm.
    Unfortunately, as we see, there is no division inside the Ministry of Health that reviews the latest evidence in the scientific literature, to ensure that policy decisions correctly reflect the latest evidence.

    There is no scientific agency outside the Ministry of Health that has flexibility and the capacity to undertake autonomous, long-term monitoring and research in nutrition, diet, and health. There is no independent, autonomous, public health research facility with sufficient long-term funding to translate dietary and nutritional evidence into policy, particularly if it contradicted current policy positions.

    Despite excellent research being undertaken, it is highly controlled, ad hoc, and frequently short-term. Problematically, there is no resourcing for those scientists to meaningfully feedback that information to either the Ministry of Health or to Members of Parliament and government Ministers.

    Dietary guidelines can become locked in, and contradictions can fail to be chewed over. Without the capacity to address errors, information can become outdated and misleading. Government agencies and elected members – from local councils all the way up to government Ministers, are dependent on being informed by the Ministry of Health, when it comes to government policy.

    When it comes to complex health conditions, and alleviating and reversing metabolic or mental illness, based on different patient capacity – from socio-economic, to cultural, to social, and taking into account capacity for change, what is sound, evidence-based information and what is misinformation?

    In the impasse, who can we trust?

    Published under a Creative Commons Attribution 4.0 International License
    For reprints, please set the canonical link back to the original Brownstone Institute Article and Author.

    Author

    J.R. Bruning is a consultant sociologist (B.Bus.Agribusiness; MA Sociology) based in New Zealand. Her work explores governance cultures, policy and the production of scientific and technical knowledge. Her Master’s thesis explored the ways science policy creates barriers to funding, stymying scientists’ efforts to explore upstream drivers of harm. Bruning is a trustee of Physicians & Scientists for Global Responsibility (PSGR.org.nz). Papers and writing can be found at TalkingRisk.NZ and at JRBruning.Substack.com and at Talking Risk on Rumble.

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    https://brownstone.org/articles/the-silent-shame-of-health-institutions/
    The Silent Shame of Health Institutions J.R. Bruning For how much longer will health policy ignore multimorbidity, that looming, giant elephant in the room, that propagates and amplifies suffering? For how much longer will the ‘trend’ of increasing diagnoses of multiple health conditions, at younger and younger ages be rendered down by government agencies to better and more efficient services, screening modalities, and drug choices? Multimorbidity, the presence of many chronic conditions, is the silent shame of health policy. All too often chronic conditions overlap and accumulate. From cancer, to diabetes, to digestive system diseases, to high blood pressure, to skin conditions in cascades of suffering. Heartbreakingly, these conditions commonly overlap with mental illnesses or disorders. It’s increasingly common for people to be diagnosed with multiple mental conditions, such as having anxiety and depression, or anxiety and schizophrenia. Calls for equity tend to revolve around medical treatment, even as absurdities and injustices accrue. Multimorbidity occurs a decade earlier in socioeconomically deprived communities. Doctors are diagnosing multimorbidity at younger and younger ages. Treatment regimens for people with multiple conditions necessarily entail a polypharmacy approach – the prescribing of multiple medications. One condition may require multiple medications. Thus, with multimorbidity comes increased risk of adverse outcomes and polyiatrogenesis – ‘medical harm caused by medical treatments on multiple fronts simultaneously and in conjunction with one another.’ Side effects, whether short-term or patients’ concerns about long-term harm, are the main reason for non-adherence to prescribed medications. So ‘equity’ which only implies drug treatment doesn’t involve equity at all. Poor diets may be foundational to the Western world’s health crisis. But are governments considering this? The antinomies are piling up. We are amid a global epidemic of metabolic syndrome. Insulin resistance, obesity, elevated triglyceride levels and low levels of high-density lipoprotein cholesterol, and elevated blood pressure haunt the people queuing up to see doctors. Research, from individual cases to clinical trials, consistently show that diets containing high levels of ultra-processed foods and carbohydrates amplify inflammation, oxidative stress, and insulin resistance. What researchers and scientists are also identifying, at the cellular level, in clinical and medical practice, and at the global level – is that insulin resistance, inflammation, oxidative stress, and nutrient deficiencies from poor diets not only drive metabolic illness, but mental illnesses, compounding suffering. There is also ample evidence that the metabolic and mental health epidemic that is driving years lost due to disease, reducing productivity, and creating mayhem in personal lives – may be preventable and reversible. Doctors generally recognise that poor diets are a problem. Ultra-processed foods are strongly associated with adult and childhood ill health. Ultra-processed foods are ‘formulations of ingredients, mostly of exclusive industrial use, typically created by series of industrial techniques and processes (hence ‘ultra-processed’).’ In the USA young people under age 19 consume on average 67% of their diet, while adults consume around 60% of their diet in ultra-processed food. Ultra-processed food contributes 60% of UK children’s calories; 42% of Australian children’s calories and over half the dietary calories for children and adolescents in Canada. In New Zealand in 2009-2010, ultra-processed foods contributed to the 45% (12 months), 42% (24 months), and 51% (60 months) of energy intake to the diets of children. All too frequently, doctors are diagnosing both metabolic and mental illnesses. What may be predictable is that a person is likely to develop insulin resistance, inflammation, oxidative stress, and nutrient deficiencies from chronic exposure to ultra-processed food. How this will manifest in a disease or syndrome condition is reflective of a human equivalent of quantum entanglement. Cascades, feedback loops, and other interdependencies often leave doctors and patients bouncing from one condition to another, and managing medicine side effects and drug-drug relationships as they go. In New Zealand it is more common to have multiple conditions than a single condition. The costs of having two NCDs simultaneously is typically superadditive and ‘more so for younger adults.’ This information is outside the ‘work programme’ of the top echelons in the Ministry of Health: Official Information Act (OIA) requests confirm that the Ministries’ Directors General who are responsible for setting policy and long-term strategy aren’t considering these issues. The problem of multimorbidity and the overlapping, entangled relationship with ultra-processed food is outside of the scope of the work programme of the top directorates in our health agency. New Zealand’s Ministry of Health’s top deputy directors general might be earning a quarter of a million dollars each, but they are ignorant of the relationship of dietary nutrition and mental health. Nor are they seemingly aware of the extent of multimorbidity and the overlap between metabolic and mental illnesses. Neither the Public Health Agency Deputy Director-General – Dr Andrew Old, nor the Deputy Director-General Evidence, Research and Innovation, Dean Rutherford, nor the Deputy Director-General of Strategy Policy and Legislation, Maree Roberts, nor the Clinical, Community and Mental Health Deputy Director-General Robyn Shearer have been briefed on these relationships. If they’re not being briefed, policy won’t be developed to address dietary nutrition. Diet will be lower-order. The OIA request revealed that New Zealand’s Ministry of Health ‘does not widely use the metabolic syndrome classification.’ When I asked ‘How do you classify, or what term do you use to classify the cluster of symptoms characterised by central obesity, dyslipidemia, hypertension, and insulin resistance?’, they responded: ‘The conditions referred to are considered either on their own or as part of a broader cardiovascular disease risk calculation.’ This is interesting. What if governments should be calculating insulin resistance first, in order to then calculate a broader cardiovascular risk? What if insulin resistance, inflammation, and oxidative stress are appearing at younger and younger ages, and ultra-processed food is the major driver? Pre-diabetes and Type 2 diabetes are driven by too much blood glucose. Type 1 diabetics can’t make insulin, while Type 2 diabetics can’t make enough to compensate for their dietary intake of carbohydrates. One of insulin’s (many) jobs is to tuck away that blood glucose into cells (as fat) but when there are too many dietary carbohydrates pumping up blood glucose, the body can’t keep up. New Zealand practitioners use the HbA1c blood test, which measures the average blood glucose level over the past 2-3 months. In New Zealand, doctors diagnose pre-diabetes if HbA1c levels are 41-49 nmol/mol, and diabetes at levels of 50 nmol/mol and above. Type 2 diabetes management guidelines recommend that sugar intake should be reduced, while people should aim for consistent carbohydrates across the day. The New Zealand government does not recommend paleo or low-carbohydrate diets. If you have diabetes you are twice as likely to have heart disease or a stroke, and at a younger age. Prediabetes, which apparently 20% of Kiwis have, is also high-risk due to, as the Ministry of Health states: ‘increased risk of macrovascular complications and early death.’ The question might become – should we be looking at insulin levels, to more sensitively gauge risk at an early stage? Without more sensitive screens at younger ages these opportunities to repivot to avoid chronic disease are likely to be missed. Currently, Ministry of Health policies are unlikely to justify the funding of tests for insulin resistance by using three simple blood tests: fasting insulin, fasting lipids (cholesterol and triglycerides), and fasting glucose – to estimate where children, young people, and adults stand on the insulin resistance spectrum when other diagnoses pop up. Yet insulin plays a powerful role in brain health. Insulin supports neurotransmitter function and brain energy, directly impacting mood and behaviours. Insulin resistance might arrive before mental illness. Harvard-based psychiatrist Chris Palmer recounts in the book Brain Energy, a large 15,000-participant study of young people from age 0-24: ‘Children who had persistently high insulin levels (a sign of insulin resistance) beginning at age nine were five times more likely to be at risk for psychosis, meaning they were showing at least some worrisome signs, and they were three times for likely to already be diagnosed with bipolar disorder or schizophrenia by the time they turned twenty-four. This study clearly demonstrated that insulin resistance comes first, then psychosis.’ Psychiatrist Georgia Ede suggests that high blood glucose and high insulin levels act like a ‘deadly one-two punch’ for the brain, triggering waves of inflammation and oxidative stress. The blood-brain barrier becomes increasingly resistant to chronic high insulin levels. Even though the body might have higher blood insulin, the same may not be true for the brain. As Ede maintains, ‘cells deprived of adequate insulin ‘sputter and struggle to maintain normal operations.’ Looking at the relationship between brain health and high blood glucose and high insulin simply might not be on the programme for strategists looking at long-term planning. Nor are Directors General in a position to assess the role of food addiction. Ultra-processed food has addictive qualities designed into the product formulations. Food addiction is increasingly recognised as pervasive and difficult to manage as any substance addiction. But how many children and young people have insulin resistance and are showing markers for inflammation and oxidative stress – in the body and in the brain? To what extent do young people have both insulin resistance and depression resistance or ADHD or bipolar disorder? This kind of thinking is completely outside the work programme. But insulin levels, inflammation, and oxidative stress may not only be driving chronic illness – but driving the global mental health tsunami. Metabolic disorders are involved in complex pathways and feedback loops across body systems, and doctors learn this at medical school. Patterns and relationships between hormones, the brain, the gastrointestinal system, kidneys, and liver; as well as problems with joints and bone health, autoimmunity, nerves, and sensory conditions evolve from and revolve around metabolic health. Nutrition and diet are downplayed in medical school. What doctors don’t learn so much – the cognitive dissonance that they must accept throughout their training – is that metabolic health is commonly (except for some instances) shaped by the quality of dietary nutrition. The aetiology of a given condition can be very different, while the evidence that common chronic and mental illnesses are accompanied by oxidative stress, inflammation, and insulin resistance are primarily driven by diet – is growing stronger and stronger. But without recognising the overlapping relationships, policy to support healthy diets will remain limp. What we witness are notions of equity that support pharmaceutical delivery – not health delivery. What also inevitably happens is that ‘equity’ focuses on medical treatment. When the Ministry of Health prefers to atomise the different conditions or associate them with heart disease – they become single conditions to treat with single drugs. They’re lots of small problems, not one big problem, and insulin resistance is downplayed. But just as insulin resistance, inflammation, and oxidative stress send cascading impacts across body systems, systemic ignorance sends cascading effects across government departments tasked with ‘improving, promoting, and protecting health.’ It’s an injustice. The literature solidly points to lower socio-economic status driving much poorer diets and increased exposures to ultra-processed food, but the treatments exclusively involve drugs and therapy. Briefings to Incoming Ministers with the election of new Governments show how ignorance cascades across responsible authorities. Health New Zealand, Te Whatu Ora’s November 2023 Briefing to the new government outlined the agency’s obligations. However, the ‘health’ targets are medical, and the agency’s focus is on infrastructure, staff, and servicing. The promotion of health, and health equity, which can only be addressed by addressing the determinants of health, is not addressed. The Māori Health Authority and Health New Zealand Joint Briefing to the Incoming Minister for Mental Health does not address the role of diet and nutrition as a driver of mental illness and disorder in New Zealand. The issue of multimorbidity, the related problem of commensurate metabolic illness, and diet as a driver is outside scope. When the Briefing states that it is important to address the ‘social, cultural, environmental and economic determinants of mental health,’ without any sound policy footing, real movement to address diet will not happen, or will only happen ad hoc. The Mental Health and Wellbeing Commission, Te Hiringa Mahara’s November 2023 Briefing to Incoming Ministers that went to the Ministers for Health and Mental Health might use the term ‘well-being’ over 120 times – but was silent on the related and overlapping drivers of mental illness which include metabolic or multimorbidity, nutrition, or diet. Five years earlier, He Ara Ora, New Zealand’s 2018 Mental Health and Addiction enquiry had recognised that tāngata whaiora, people seeking wellness, or service users, also tend to have multiple health conditions. The enquiry recommended that a whole of government approach to well-being, prevention, and social determinants was required. Vague nods were made to diet and nutrition, but this was not sufficiently emphasised as to be a priority. He Ara Ora was followed by 2020 Long-term pathway to mental well-being viewed nutrition as being one of a range of factors. No policy framework strategically prioritised diet, nutrition, and healthy food. No governmental obligation or commitment was built into policy to improve access to healthy food or nutrition education. Understanding the science, the relationships, and the drivers of the global epidemic, is ‘outside the work programmes’ of New Zealand’s Ministry of Health and outside the scope of all the related authorities. There is an extraordinary amount of data in the scientific literature, so many case studies, cohort studies, and clinical trials. Popular books are being written, however government agencies remain ignorant. In the meantime, doctors must deal with the suffering in front of them without an adequate toolkit. Doctors and pharmacists are faced with a Hobson’s choice of managing multiple chronic conditions and complex drug cocktails, in patients at younger and younger ages. Ultimately, they are treating a patient whom they recognise will only become sicker, cost the health system more, and suffer more. Currently there is little support for New Zealand medical doctors (known as general practitioners, or GPs) in changing practices and recommendations to support non-pharmaceutical drug treatment approaches. Their medical education does not equip them to recognise the extent to which multiple co-existing conditions may be alleviated or reversed. Doctors are paid to prescribe, to inject, and to screen, not to ameliorate or reverse disease and lessen prescribing. The prescribing of nutrients is discouraged and as doctors do not have nutritional training, they hesitate to prescribe nutrients. Many do not want to risk going outside treatment guidelines. Recent surges in protocols and guidelines for medical doctors reduce flexibility and narrow treatment choices for doctors. If they were to be reported to the Medical Council of New Zealand, they would risk losing their medical license. They would then be unable to practice. Inevitably, without Ministry of Health leadership, medical doctors in New Zealand are unlikely to voluntarily prescribe non-drug modalities such as nutritional options to any meaningful extent, for fear of being reported. Yet some doctors are proactive, such as Dr Glen Davies in Taupo, New Zealand. Some doctors are in a better ‘place’ to work to alleviate and reverse long-term conditions. They may be later in their career, with 10-20 years of research into metabolism, dietary nutrition, and patient care, and motivated to guide a patient through a personal care regime which might alleviate or reverse a patient’s suffering. Barriers include resourcing. Doctors aren’t paid for reversing disease and taking patients off medications. Doctors witness daily the hopelessness felt by their patients in dealing with chronic conditions in their short 15-minute consultations, and the vigilance required for dealing with adverse drug effects. Drug non-compliance is associated with adverse effects suffered by patients. Yet without wrap-around support changing treatments, even if it has potential to alleviate multiple conditions, to reduce symptoms, lower prescribing and therefore lessen side effects, is just too uncertain. They saw what happened to disobedient doctors during Covid-19. Given such context, what are we to do? Have open public discussions about doctor-patient relationships and trust. Inform and overlay such conversations by drawing attention to the foundational Hippocratic Oath made by doctors, to first do no harm. Questions can be asked. If patients were to understand that diet may be an underlying driver of multiple conditions, and a change in diet and improvement in micronutrient status might alleviate suffering – would patients be more likely to change? Economically, if wrap-around services were provided in clinics to support dietary change, would less harm occur to patients from worsening conditions that accompany many diseases (such as Type 2 diabetes) and the ever-present problem of drug side-effects? Would education and wrap-around services in early childhood and youth delay or prevent the onset of multimorbid diagnoses? Is it more ethical to give young people a choice of treatment? Could doctors prescribe dietary changes and multinutrients and support change with wrap-around support when children and young people are first diagnosed with a mental health condition – from the clinic, to school, to after school? If that doesn’t work, then prescribe pharmaceutical drugs. Should children and young people be educated to appreciate the extent to which their consumption of ultra-processed food likely drives their metabolic and mental health conditions? Not just in a blithe ‘eat healthy’ fashion that patently avoids discussing addiction. Through deeper policy mechanisms, including cooking classes and nutritional biology by the implementation of nourishing, low-carbohydrate cooked school lunches. With officials uninformed, it’s easy to see why funding for Green Prescriptions that would support dietary changes have sputtered out. It’s easy to understand why neither the Ministry of Health nor Pharmac have proactively sourced multi-nutrient treatments that improve resilience to stress and trauma for low-income young people. Why there’s no discussion on a lower side-effect risk for multinutrient treatments. Why are there no policies in the education curriculum diving into the relationship between ultra-processed food and mental and physical health? It’s not in the work programme. There’s another surfacing dilemma. Currently, if doctors tell their patients that there is very good evidence that their disease or syndrome could be reversed, and this information is not held as factual information by New Zealand’s Ministry of Health – do doctors risk being accused of spreading misinformation? Government agencies have pivoted in the past 5 years to focus intensively on the problem of dis- and misinformation. New Zealand’s disinformation project states that Disinformation is false or modified information knowingly and deliberately shared to cause harm or achieve a broader aim. Misinformation is information that is false or misleading, though not created or shared with the direct intention of causing harm. Unfortunately, as we see, there is no division inside the Ministry of Health that reviews the latest evidence in the scientific literature, to ensure that policy decisions correctly reflect the latest evidence. There is no scientific agency outside the Ministry of Health that has flexibility and the capacity to undertake autonomous, long-term monitoring and research in nutrition, diet, and health. There is no independent, autonomous, public health research facility with sufficient long-term funding to translate dietary and nutritional evidence into policy, particularly if it contradicted current policy positions. Despite excellent research being undertaken, it is highly controlled, ad hoc, and frequently short-term. Problematically, there is no resourcing for those scientists to meaningfully feedback that information to either the Ministry of Health or to Members of Parliament and government Ministers. Dietary guidelines can become locked in, and contradictions can fail to be chewed over. Without the capacity to address errors, information can become outdated and misleading. Government agencies and elected members – from local councils all the way up to government Ministers, are dependent on being informed by the Ministry of Health, when it comes to government policy. When it comes to complex health conditions, and alleviating and reversing metabolic or mental illness, based on different patient capacity – from socio-economic, to cultural, to social, and taking into account capacity for change, what is sound, evidence-based information and what is misinformation? In the impasse, who can we trust? Published under a Creative Commons Attribution 4.0 International License For reprints, please set the canonical link back to the original Brownstone Institute Article and Author. Author J.R. Bruning is a consultant sociologist (B.Bus.Agribusiness; MA Sociology) based in New Zealand. Her work explores governance cultures, policy and the production of scientific and technical knowledge. Her Master’s thesis explored the ways science policy creates barriers to funding, stymying scientists’ efforts to explore upstream drivers of harm. Bruning is a trustee of Physicians & Scientists for Global Responsibility (PSGR.org.nz). Papers and writing can be found at TalkingRisk.NZ and at JRBruning.Substack.com and at Talking Risk on Rumble. View all posts Your financial backing of Brownstone Institute goes to support writers, lawyers, scientists, economists, and other people of courage who have been professionally purged and displaced during the upheaval of our times. You can help get the truth out through their ongoing work. https://brownstone.org/articles/the-silent-shame-of-health-institutions/
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    The Silent Shame of Health Institutions ⋆ Brownstone Institute
    There is no scientific agency outside the Ministry of Health that has flexibility and the capacity to undertake autonomous, long-term monitoring and research in nutrition, diet and health.
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