Cause of Death: A Primer
By Kip Hansen | Watts Up With That? | November 28, 2020
There has been massive media attention on Covid-19 deaths – and there have been a lot of them. The CDC as of noon on 26 November 2020 was reporting that there have been 259,005 total Covid-19 deaths in the United States.
Yet anyone who reads widely is aware that there have been reports of a motorcycle accident victim being reported as a Covid death. There are many who correctly report that all people dying from or with Covid and even suspected of dying from-or-with Covid-19 are all being counted as certified reportable must-make-the-headlines Covid-19 Deaths.
[Note: This is a long and rather detailed explanation of what leads to the situation in which we find ourselves regarding Covid-19 Deaths reporting. Those who want a better understanding of the issue should continue reading. Readers with no or little interest can just accept this brief synopsis: “It’s Complicated” and move on to other posts. ]
Various experts, journalists, bloggers, and pundits tells us that “Covid Deaths” are being over-counted, mis-counted and even under-counted. Other pundits and media-reported experts desperately try to reassure us that Covid Death counts are correct and real – and that we should all stay concerned and follow all government mandates – which vary from “reasonable” to “obviously based on magical thinking” (closing bars and restaurants at 10 PM because that’s when the Corona Virus Zombies attack) — all this despite various governments having different and contradictory mandates (or even an absence of mandates) and the various States in the United States following differing rules and policies on Covid Deaths reporting. Those reporting “facts” like “US Covid-19 Deaths overestimated by 17 times” (based on this CDC comorbitity data) are sadly mistaken and misinform the general public, just adding to the general confusion on the subject.
Doctors, Coroners and Medical Examiners will calmly explain that “Cause of Death” is complicated and not simple. And they are right. Most of us think that when a person dies, it is obvious what killed him/her. But that is just not the case. In fact, everyone dies of a combination of ”heart stoppage” [cardiac arrest] and “cessation of breathing” which eventually leads to “brain death”. But these are not usually listed as the Cause of Death on a death certificate.
Covid Deaths are being counted and reported based on advice from the CDC, who has based its advice on advice from the Council of State and Territorial Epidemiologists (.pdf). More on what that means later.
The Primer: What is meant by Cause of Death?
When a person dies in a hospital or other setting, there is some doctor, coroner or medical examiner that fills out a death certificate – officially certifying that John/Jane Doe has died and reports the date, time, place, Social Security number and other personal details along with the circumstances and sequence of events that led to that death.
Here’s a CDC-annotated image of the Cause of Death portion of a typical death certificate:
We are interested here only in Parts I and II.
“Part I
This section on the death certificate is for reporting the sequence of conditions that led directly to death. The immediate cause of death, which is the disease or condition that directly preceded death and is not necessarily the underlying cause of death (UCOD), should be reported on line a. The conditions that led to the immediate cause of death should be reported in a logical sequence in terms of time and etiology below it.
The UCOD, which is “(a) the disease or injury which initiated the train of morbid events leading directly to death or (b) the circumstances of the accident or violence which produced the fatal injury” (7), should be reported on the lowest line used in Part I.”
[ source: CDC here – .pdf ]
Let’s look at a CDC example:
This patient had Coronary Artery Disease for seven years — which led to Coronary artery thrombosis from which the patient suffered for 5 years — which led to Acute myocardial infarction (heart attack) after which he survived for 6 days until — his heart ruptured resulting in death within minutes. Conditions contributing to his/her death were diabetes, COPD, and smoking. Each of these “significant conditions contributing to death, but not resulting in the underlying cause” are themselves known to cause a wide range of other serious conditions. For instance, smoking is believed to cause COPD and heart disease. Diabetes can cause cardiovascular diseases “including coronary artery disease with chest pain (angina), heart attack, stroke and narrowing of arteries (atherosclerosis).” Notice that there is a dedicated section “35” asking “Did tobacco use contribute to death?” For this patient, the doctor chose “Yes” – thus the CDC will count this death as one of the 480,000 annual tobacco deaths.
Let’s look at another example (from the same document):
This person suffered from noninsulin dependent Diabetes mellitus, often called Type 2 Diabetes, for 15 years. As sometimes happens, this diabetes sufferer eventually went into a Hyperosmolar nonketotic coma in which she/he remained for 8 weeks before finally succumbing to Acute renal failure (kidney failure). The family of the patient would have told friends and neighbors that their loved one died of kidney failure. They may have mentioned this was probably the end-of-line result of his/her long-term diabetes. Type 2 Diabetes is known to cause the following conditions: Heart and blood vessel diseases, Nerve damage (neuropathy), Kidney damage (as in this patient), Eye damage, Slow healing, Hearing impairment, and even Alzheimer’s disease.
It is clear that this second patient died of acute kidney failure – “Acute kidney failure is most common in people who are already hospitalized, particularly in critically ill people who need intensive care” — and is not necessarily a direct result of diabetes – but assumed in this case as kidney damage can be caused by diabetes. The death certificate Part I sequence is reasonable and represents the doctor’s professional opinion.
“In certifying the cause of death, any disease, abnormality, injury, or poisoning, if believed to have adversely affected the decedent, should be reported. If the use of alcohol and/or other substance, a smoking history, or a recent pregnancy, injury, or surgery was believed to have contributed to death, then this condition should be reported. The conditions present at the time of death may be completely unrelated, arising independently of each other; or they may be causally related to each other, that is, one condition may lead to another which in turn leads to a third condition, and so forth. Death may also result from the combined effect of two or more conditions.”
Source CDC Medical Examiners’ and Coroners’ Handbook on Death Registration (.pdf)
So, you call the Cause of Death of these two patients. What was the Cause of Death of each? Did diabetes kill them both? The first patient via atherosclerosis which kicked off the sequence in Part I? The second from the diabetes induced coma or was the coma from simply caused by being in intensive care? Or was it the first patient’s life-long cigarette smoking causing the coronary artery disease? Or would you, as this doctor did, start the death sequence with his/her seven years of Atherosclerotic coronary artery disease? In each case, there are several sequences that would be reasonable and could have been correctly entered by the attending physician, a coroner, or later by a medical examiner.
The above are pretty common examples – long-term conditions which lead to the next condition that finally leads to death. We don’t see the personal information part of the Death Certificate so we don’t know the age of these patients. The age of the patient is often key to Cause of Death – but is not to be used as a cause itself.
“Common problems in death certification
The elderly decedent should have a clear and distinct etiological sequence for cause of death, if possible. Terms such as senescence, infirmity, old age, and advanced age have little value for public health or medical research. Age is recorded elsewhere on the certificate. When a number of conditions resulted in death, the physician should choose the single sequence that, in his or her opinion, best describes the process leading to death, and place any other pertinent conditions in Part II.” [ source: CDC my bolds – kh ]
And then this:
“For statistical and research purposes, it is important that the causes of death and, in particular, the underlying cause of death, be reported as specifically and as precisely as possible. Careful reporting results in statistics for both underlying and multiple causes of death (i.e., all conditions mentioned on a death certificate) reflecting the best medical opinion.
Every cause-of-death statement is coded and tabulated in the statistical offices according to the latest revision of the International Classification of Diseases. “
Source CDC Medical Examiners’ and Coroners’ Handbook on Death Registration (.pdf) – my bold — kh
There are over 69,000 ICD-10 diagnostic codes. Someone goes through every death certificate filed and translates the diseases and conditions the doctors, coroners and medical examiners enter in Parts I and II into ICD-10 codes (soon to be ICD-11 codes). There are so many codes that there are many online look-up tools and apps to help medical staff code up office visits and others to code up Cause of Death certificates. The first Death Certificate above might be coded: “ E08.01 Diabetes mellitus due to underlying condition with hyperosmolarity with coma” – which would cover Part I lines “c” and “b”. This diagnosis is billable. This app helpfully informs the staff if the ICD-10 code they select is “billable” – if not billable, we can safely suspect that office assistants coding office visits can search for a true but alternate diagnostic code that is billable. “All conditions mentioned on a death certificate” are translated to ICD-10 codes and eventually tabulated “for statistical and research purposes.” In our two sample Death Certificates, there are ten different diseases and conditions mentioned. Thus each of the ten condition codes eventually, at the CDC and WHO level, gets a little “tick-mark” – a plus one – added to the number of deaths involving that ICD-10 code.
Thus the huge number of deaths reported for which smoking is claimed to be the cause, as we see in this next quote from the CDC:
“Smoking is the leading cause of preventable death.Worldwide, tobacco use causes more than 7 million deaths per year. If the pattern of smoking all over the globe doesn’t change, more than 8 million people a year will die from diseases related to tobacco use by 2030.
Cigarette smoking is responsible for more than 480,000 deaths per year in the United States, including more than 41,000 deaths resulting from secondhand smoke exposure. This is about one in five deaths annually, or 1,300 deaths every day.”
[ source: CDC here ]
Most people simply accept those statements as fact, though they know of no one who put a cigarette in their mouth, lit up, and died as a direct result. Through many years of public health anti-smoking/anti-tobacco education we have been taught that smoking or otherwise using tobacco can lead to a long list of health problems, many of which cause or contribute to the eventual death of the smoker. In this case, a life-time of tobacco use is referred to, by public health officials, as a “cause” of death – though it probably would not be listed as a cause on a death certificate. Despite not being listed as a cause on the Death Certificate, the CDC and WHO unequivocally tells us that smoking is “the leading cause of preventable death”.
As in many complicated subjects, there are varying definitions in use for the same terms – in this case “cause of death”. There is the general everyday use – like “something that directly causes the death of a person, if it hadn’t happened, they wouldn’t have died”. So, a person gets lung cancer, probably or presumably because they had been a life-long smoker, and dies from the lung cancer. We know they died of lung cancer but accept that smoking led to that death. It is this definition that the WHO uses above. But it is not the official definition that is to be used on a Death Certificate as Cause of Death, which is in the quote far above, labelled Part I.
Those readers who watch any of the popular crime and police television series know that Cause of Death in trauma deaths is even more complicated — “homicide, accident or suicide?” — though those TV Medical Examiners are always portrayed as having almost paranormal insight – “blunt trauma to the head…but that’s not what killed him.”
One last quote from the handbook for medical examiners:
“Precision of knowledge required to complete death certificate items
The cause-of-death section in the medical examiner’s or coroner’s certification is always a medical opinion. This opinion is, of course, a synthesis of all information derived from both the investigation into the circumstances surrounding the death …. It represents the best effort of the medical examiner or coroner to reduce to a few words his or her entire synthesis of the cause of death.”
[ emphasis in the original – kh ]
Bottom Line: Cause of Death determination and reporting is complicated and highly dependent on the training and opinion of the person making the report.
# # # # #
Reporting of Covid-19 Deaths
Here’s the pivot point on Covid-19 Deaths:
This is from the CDC’s weekly Covid report. See the Column 2 heading? It says “All Deaths Involving Covid-19 (U07.1)1”. The keyword is INVOLVING. To be perfectly clear, what is being reported by the CDC, as collected by the National Center for Health Statistics, are All (every one) Deaths (people dying) that Involved Covid-19. See the little footnote indicator “1”?
Footnote 1 says: “COVID-19 deaths are identified using a new ICD–10 code. When COVID-19 is reported as a cause of death – or when it is listed as a “probable” or “presumed” cause — the death is coded as U07.1. This can include cases with or without laboratory confirmation.”
Not just verified cases in which Covid-19 was the immediate cause of death. At least, to be even clearer, not necessarily what you, the average reader, would consider THE cause of death.
So, what exactly are they counting when the CDC and WHO report Covid-10 Deaths? The World Health Organization’s official guidelines are:
2. DEFINITION FOR DEATHS DUE TO COVID-19
A death due to COVID-19 is defined for surveillance purposes as a death resulting from a clinically compatible illness, in a probable or confirmed COVID-19 case, unless there is a clear alternative cause of death that cannot be related to COVID disease (e.g. trauma). ….
A- RECORDING COVID-19 ON THE MEDICAL CERTIFICATE OF CAUSE OF DEATH
COVID-19 should be recorded on the medical certificate of cause of death for ALL decedents where the disease caused, or is assumed to have caused, or contributed to death.
[ my emphasis – kh source: WHO here .pdf ]
Note that the Death Certificate — Cause of Death Part II is “Other significant conditions contributing to…”. So, there is where Covid-19 (ICD code U07.1) would be written for any death in which Covid wasn’t “caused, or is assumed to have caused” but only contributed to the death. If the decedent was a “Covid case” then he/she becomes a “Covid Death” if they die. Read on . . .
For the general public, who want to know “How many people are being killed by the SARS-CoV-2 Pandemic?”, this definition does not supply the answer to their question. The vagueness and breadth of these definitions is exacerbated, in this “possibly-too-broad” sense, by the definitions being used to define “What is a Covid-19 case?” We see that the WHO definition of a Covid death includes “a probable or confirmedCOVID-19 case”.
So, how do WHO and the CDC define or advise doctors how to define/determine a Covid-19 case?
Clinical Criteria
At least two of the following symptoms: fever (measured or subjective), chills, rigors, myalgia, headache, sore throat, new olfactory and taste disorder(s)
OR
At least one of the following symptoms: cough, shortness of breath, or difficulty breathing
OR
Severe respiratory illness with at least one of the following:
Clinical or radiographic evidence of pneumonia, OR
Acute respiratory distress syndrome (ARDS).
AND
No alternative more likely diagnosis
[ source: CDC here ]
So, by this definition, I could at this very moment be declared to be a Covid-19 case. I have muscle pain (myalgia) and a headache — two symptoms – — and yesterday, I had a cough — and, if I have reported to the ER and doctors are both rushed and spooked by the pandemic, there might be “no alternative more likely diagnosis”, in their minds at least. (Of course, I have these symptoms for reasons well known to me and my personal physician but this might not save me in the ER.) Especially if they also ask me a bunch of epidemiological questions:
“Epidemiologic Linkage
One or more of the following exposures in the 14 days before onset of symptoms:
Close contact** with a confirmed or probable case of COVID-19 disease;
OR
Close contact** with a person with:
clinically compatible illness
AND
linkage to a confirmed case of COVID-19 disease.
Travel to or residence in an area with sustained, ongoing community transmission of SARS-CoV-2.
Member of a risk cohort as defined by public health authorities during an outbreak.
**Close contact is defined as being within 6 feet for at least a period of 10 minutes to 30 minutes or more depending upon the exposure. In healthcare settings, this may be defined as exposures of greater than a few minutes or more. Data are insufficient to precisely define the duration of exposure that constitutes prolonged exposure and thus a close contact.”
[ source: see previous quote ]
So, if I were in the Emergency Room, the ER doctor might ask me these questions: Do you know anyone who isn’t feeling well? Have you been in close contact with them for more than 10 minutes? Have you attended any meeting with more than 10 people in the last 14 days? Have you been to church or a party? Have you visited a restaurant or a bar? Any YES epidemiologically qualifies me as a Covid case. More questions: Do you wear a face mask whenever you are out of your own home? in your car? in WalMart? at the park? while mountain biking? Any NO qualifies me as a Covid case epidemiologically.
You can see how easy it is to be classified as a Covid-19 case. And they haven’t even tested me yet. (Read the link to see why even testing wouldn’t save me.) They would report me as a Covid case even if I tested negative – I might not be positive “yet”.
And while I describe my pending Covid-19 Case classification jokingly, it is a very real scenario. And, heaven forbid, were I to die of almost anything (except obvious trauma) in the next 14 days, I would become another Covid-19 Death statistic.
As most of us know by now, advanced age is a key factor in the vast majority of Covid-19 deaths:
Eighty percent (80%) of Covid-19 deaths are of those 65 years of age of or older – and a full one-third of the deaths occur in those over 85 years. If you are an adult today, then you were born between 1925 and 2000. At your birth, you could expect to live (life expectancy at birth) between 58 to 72 years, depending on your birth year. Those who are dying at 85 or older had a life expectancy at birth of less than 61 years. [My life expectancy at birth was about 66 years – so I have beaten the odds and hope to continue to do so for many years more.]
If this does not seem significant to you, I’ll repeat the CDC quote on reporting cause of death for the elderly – those 65 year of age or older.
“Common problems in death certification: The elderly decedent should have a clear and distinct etiological sequence for cause of death, if possible. Terms such as senescence, infirmity, old age, and advanced age have little value for public health or medical research. Age is recorded elsewhere on the certificate. When a number of conditions resulted in death, the physician should choose the single sequence that, in his or her opinion, best describes the process leading to death, and place any other pertinent conditions in Part II.” [ source: CDC my bolds – kh ]
For the elderly, the aged, the older citizen, which comprise the majority (80%) of Covid-19 deaths, any illness or condition that leads to breathing problems is prone to being classified as a Covid case, and thus a Covid-19 death in “a clinically compatible illness, in a probable or confirmed COVID-19 case”.
Bottom Lines:
- It is complicated.
- Make no mistake, there are lots of people dying deaths that involve confirmed, assumed, or suspected Covid-19.
- Somewhere between “Most” and “Almost All” of those deaths involved other conditions that were already killing the patients – sometimes slowly, sometimes rapidly.
- The official health organizations have their own reasons for what they are counting and they are counting exactly what they say they are counting – but it is not what you or I would expect them to count. They are counting, as the CDC does, “All Deaths Involving Covid-19”.
- The Covid-19 Death statistics represent the counts of the WHO, the CDC and other National and State public health agencies. The general public often mistakenly thinks those counts mean deaths in which Covid-19 was the immediate cause of death – deaths in which the person was killed by Covid-19. That is not the case – it is far more complicated than that.
- The common citizen would have grave doubts about including each and every one of those dead people in the count of “Deaths Caused by Covid-19” if they were tasked with the job of reviewing all of the details of each death. Our citizen might make up our own sensible classifications: such as: ”Old Age complicated by Pneumonia initiated by a viral respiratory infection: maybe Covid-19 or influenza or the common cold”.
- Doctors (and here), Coroners and Medical Examiners are not immune to taking easy shortcuts. The official definitions for Covid-19 cases (in the essay) make it an easy choice for hurried doctors, and official guidance requires at least Covid-19’s mention on Death Certificates, under a vast array of normal circumstances during this pandemic. This is exacerbated by RT-PCR tests returning “positive” test results for very small amounts of viral RNA fragments in asymptomatic people.
# # # # #
Addendum:
There has erupted a flap concerning Genevieve Briand’s research at John Hopkins on U.S. Covid-19 Deaths: I supply these links on the controversy:
Covid-19 Deaths: A Look at U.S. Data
pdf file: https://drive.google.com/file/d/1iO0K75EZAF8dkNDkDmM3L4zNNY0X-Xw5/view
William Briggs: https://wmbriggs.com/post/33680/
Twitter Thread on the Paper: https://mobile.twitter.com/jhunewsletter/status/1332100136152035330
YouTube: https://www.youtube.com/watch?v=3TKJN61aflI
John Hopkins News-Letter retraction notice: https://www.jhunewsletter.com/article/2020/11/a-closer-look-at-u-s-deaths-due-to-covid-19
Author’s Comment:
I have mentioned previously that I come from a medical family and studied the prerequisites for medical school in university, before changing majors for personal reasons. Our home was filled with the joys of new life and the sorrow of babies’ and children’s deaths. My generation fought and died by the thousands in the misguided military intervention in Viet Nam – some of these were my cousins and high school and college friends.
We are all sad when lives are cut short.
Covid-19, the illness caused by the SARS-CoV-2 virus, is shortening the lives of thousands in the United States and around the world. One blessing is that it is mostly shortening the lives of those who have already had a life – as opposed to stealing the entire lives of our children and young people.
Public health organizations have valid reasons for counting “All Deaths Involving Covid-19” using their own internal definitions, which are suitable for epidemiological studies and research when combined with all the other information being collected to produce that statistic. That statistic, created with their surveillance and epidemiological definitions, is not suitable for release to the general public without a long and complicated explanation – releasing just the number, and labeling it as Covid-19 Deaths is a form of misinformation.
The media, politicians, health agencies and governments have utterly failed to effectively communicate the reality of Covid deaths, failed to illuminate the caveats and complexities of Cause of Death reporting and instead of have repeatedly just reported this “Big Number” in a usage that is seems to be intentionally misleading.
Gangsters Without A Code
Eric Striker – National Justice – November 28, 2020
A respected physics professor who taught at Imam Hussein University of Tehran was ambushed by gangsters sent by Washington and Israel.
Mohsen Fakhrizadeh is now the sixth Iranian scientist murdered by Jewish state actors. Fakhrizadeh was put on a hit list in 2018 when during a powerpoint presentation Benjamin Netanyahu accused him of being a leading expert in Iran’s nuclear program.
The International Atomic Energy Agency (IAEA) has repeatedly stated that there is about as much evidence for an Iranian nuclear weapons program as there was for Saddam Hussein’s weapons of mass destruction or Basher Assad’s gas attack. This has not stopped Jews around the world, including Netanyahu himself, from insisting otherwise.
Trump, in his usual candid form, revealed the real agenda behind the assassination by retweeting a loose-lipped Jewish journalist named Yossi Melman. According to the bragging Melman, Fakhrizadeh’s shooting is meant to be “a major psychological and professional blow for Iran.” In other words, the goal is to inflict fear; to send a message. The textbook definition of terrorism.
Men like Fakhrizadeh have been a vital resource as the country endures its “maximum sanctions” campaign. Fakhirzadeh’s research center has been busy dealing with the crippling blockade by developing effective homegrown treatments for COVID, while his defense work focused on upgrading legal anti-aircraft weapons through his knowledge of laser systems.
To call Trump, his Jews and the Israelis “gangsters” is a disservice to real mobsters. Unlike Steve Mnuchin, Al Capone had an honor code that prohibited torturing little kids with cancer to death.
But under the US Treasury Department’s “maximum sanctions” program, international medical companies risk American reprisals if they sell to Iran. The end result is a manufactured humanitarian crisis where children in need of cancer treatments are dying “in droves.”
The goal of this cruelty is, to reiterate Melman, to deal a psychological blow. The Iranians don’t have nuclear weapons, their crime is effectively resisting Israeli aggression in their region.
The Iranians are reacting to these provocations with incredible patience. State officials have remarked that they know Trump is trying to bait them into a war, possibly to win Jewish support for a second term, avoid prosecution once out of office or permanently destroy diplomatic channels between Iran and the US. The Persians are hoping, that a Biden administration, which will also be full of Zionists, will be more fair to them. Perhaps the bridges Trump burns will only provide a convenient cover for incoming Democrats to continue the siege indefinitely.
It doesn’t end there. Jared Kushner and Trump have done the equivalent of going back in time and giving Genghis Khan modern fighter jets by selling $100 billion dollars in high tech weapons for the Saudi barbarians to utilize against neighbors in Yemen.
Even with US support and an overwhelming technological advantage, the willful Houthis have fought the Saudis to a stalemate. In response, the US-Saudi alliance is engineering a man-made famine against the civilians in Yemen that is already being compared to the starvation in 1980s Africa.
When the US Senate passed bipartisan legislation to end American support for this atrocity, Trump used his microscopic amount of political capital to veto it. The Trump-obsessed Jewish media did not seem as upset about this abuse of executive authority as they are about his meaningless tweets. In fact, Trump’s most fanatical media critics “hailed” the president’s all-in support for Saudi brutality because of the terms he set: you only get our support if you restore ties to Israel.
The murder of Fakhrizadeh should be seen as a national embarrassment for our country. As the “liberal order” begins to sink, the Zionists are relying ever more on dirty tricks.
Eat Your Lemon!
By Israel Shamir • Unz Review • November 26, 2020
The G20 leaders have reached a consensus of a magnitude previously observed at Warsaw Pact summits. News in brief: they want to vaccinate us, and then, before we become restless, switch to combating global warming. If we survive masks and vaccines, austerity will kill off the survivors.
Remember, before the pandemic there was Greta? Greta will return, as soon as everyone gets a jab. This Save-The-World program appeals to a significant part of humanity, including Russians, Europeans, Americans. First, a jab to save us; then, save the planet from warming. So much of this world-saving is straight out of a comic strip. Now let us take time to look at what is happening.
While you were spending your weekend preparing for Thanksgiving, the leaders of twenty of the world’s leading countries held their Online Summit. Usually they come together, talk, discuss problems on the sidelines – this time it was all online. Although the summit was formally hosted by Saudi Arabia, Zoom is Zoom – the hosts of the summit had few opportunities to show off their hospitality. And there was little controversy. The leaders generally agreed with each other.
The main dissenter – the Orange Monster, aka President Trump – could have shoved a cane into the spokes of the-too-fast-by-half-chariot, but he had no time for them. He was immersed in his battle for the White House in the courts, and in his spare time he played golf.
The previous G20 summit took place in March, and there they decided to open the gates for lockdown and destroy the world, as we knew it. Before March, the Covid obsession was still a minority interest. Russians just laughed about it. After the March G20 decision, it became the top priority. The November Summit affirmed the March decisions, and went further, much further.
While President Putin stressed at the summit that the main danger to the world is unemployment, poverty, and economic depression of unprecedented scale, other speakers gave the impression that they were satisfied with the current situation, because it allows everything to be rebuilt. Build back better, is the slogan of Joe Biden:
For some, Covid is a plague, but for our leaders it is an Overton window. I’d advise them to eat a slice of lemon before speaking. This, of course, will not help against Covid, but at least it will wipe the blissful smiles off their faces. (“Eat a slice of lemon before speaking”, was advice given to a lady who complained of getting too much male attention in Italy).
The Chinese leader Xi proposed introducing worldwide QR codes so that without them people could not irresponsibly roam the planet. Nobody objected, but they did not support this initiative either. Xi is afraid that the wily Westerners will impose their own sanitary passports allowing only people injected with Western vaccines to travel. This possibility worried Putin, too, as Russia has developed two or three of their own vaccines. If the Chinese and Russian vaccines aren’t recognised by Europe, their people won’t be able to travel.
The WHO fancied that this virus was not the last; there will be more pandemics, and only vaccinations, masks and generous contributions to its budget will save us. They also promised a new wave of Covid in January, and then another, and so on until the earth will be covered with vaccines. To help poor countries, the leaders declared that the repayment of debts may be postponed, and that vaccines will be supplied to the impecunious nations for free. Free for them, but you will pay for them. (Not that they need it. Poor countries do not suffer of Covid. China’s neighbour Mongolia, despite open border with China, had no Covid. Poor Cambodia, ditto. Africa, none, excepting South Africa. )
The EU representatives called for Global Rebuilding – Build Back Better. That is, we will rebuild everything, but better and in way which is inclusive, green, sustainable. And much more expensive. And at your expense. The struggle for the climate is austerity under another name; it calls for a radical drop in living standards. We shall tighten our belts, and we will regret that Covid did not relieve us from unnecessary torment.
In past forums, Trump has constantly spoken out against the fight against warming, but this time he resigned himself. And his likely successor, Joe Biden, has already pledged to return America to how it was with the WHO and the Paris climate agreement.
So the worldwide rebuilding, perestroika seems to be as inevitable as Gorbachev’s in 1986. The Russian perestroika killed more people than Stalin’s Gulag; it destroyed the livelihood of millions. The wealth of the Russian people has been looted by Messrs Abramovich, Deripaska et al. From the earliest days of these changes, a minority of Russians weren’t optimistic about the outcome, but they were marginalised and their voices were silenced. Now the same is in store for the disaffected and dissidents – if all 20G take this disastrous route, this is well-nigh unavoidable. I do not know what is worse, the Covid lockdown or climate austerity, but there is no need to decide for we shall have both.
A few numbers regarding climate austerity. The Russian perestroika reduced CO2 emissions by 5 per cent year after year for ten years. The Great Depression was even better: a 10 per cent drop in emissions year after year. Millions of Americans died (The Grapes of Wrath), and nobody told them they were saving the planet. Optimistic researchers with the Global Carbon Project say the emissions should be cut by 5.5 per cent per year over the next 45 years. This is a deadly collapse; what we have now is a preview of what they have in store for us and our children. (You can check the numbers here).
The Chinese do not mind this, as they do not mind lockdowns, face recognition and social rating. Their popular film The Wandering Earth shows a world that fights global warming the Chinese way and depicts a future so grim that 1984 looks Utopian beside it. Even so it was still considered a positive and encouraging film by the Chinese audience. We should not accept Chinese methods of fighting diseases or climate change or indeed general governance. They are too different.
If they insist on fighting global warming, let us begin with them personally. Let Gore and Greta and their followers live ecologically on average salary. It is not difficult to live green if you are a millionaire. Do it on the average income. After you pay electricity, water, rates, transport, school you won’t even think of paying much more for making your car “green” and CO2-neutral. You’d be happy to survive as it is. I’d make it a law: every green activist should surrender his assets for safekeeping and manage his green life on the average income for at least one year.
The summit called for further digitalisation, for increased information flows across borders, for a combination of distance learning with conventional learning. Perhaps some digitalisation is unavoidable, but do we need more of it? We need more freedom, and digitalisation appears to be strongly repressive. It is a good tool for tyranny. Any tyrant of old, be it Hitler or Borgia, would be able to achieve much more in union with Zuckerberg. We need to stop the data giants, tax them to the hilt, make their life miserable, change their CEO by users’ vote at least once a year.
Distance schooling is probably the worst innovation of its kind. And rich folks know it well. In New York, the public schools were barred, but private schools operated normally all right, because distance schooling is no better than learning by watching telly. It also kills social fabrics and habits, making children boorish and unable to communicate. It is unnecessary, for children practically do not suffer of Covid. The main reason of going distant is to make our children even more stupid than they are likely to become anyway after watching YouTube. Another reason is to make them asocial and unable to act together against their betters. It should be outright forbidden, not encouraged.
A detailed declaration was prepared and drawn up before the summit and confirmed by the leaders. It also contains approval of the previous March declaration which began the triumphant march of lockdowns around the world.
Of course, the summit did not make binding decisions – only declarative ones, but they were detailed and unambiguous. Vaccinations, a perpetual fight against pandemics, smoothly turning into a fight against global warming, more austerity accompanied by QR codes on a global scale. What we have is what we shall have, this is what they decided. Masks are now and forever:
The leaders agreed to strengthen the WTO (the United States will return to as it was before under Biden) and strive to create a unified global tax system. The IMF (International Monetary Fund) will be at the centre of efforts to coordinate cryptocurrencies in relation to debtor countries, banks and other financial institutions. Some analysts were expecting a departure from the dollar as a reserve currency, but this has not yet been debated.
In the ongoing discussion between liberal globalism and nationalism, the G20 went for globalism and liberalism on steroids. Though President Trump still hopes to conclude the elections in his favour, the G20 already went the Biden way. It is difficult to understand, as the WTO, IMF, WHO are universally disliked by Russians, Americans and many Europeans, too. This is a sad and discomforting decision.
Humanity has made a big step towards unity at this summit. I am not sure it is worth rejoicing. Disagreement is a dangerous thing and leads to wars, but unanimity can be even more dangerous if it is the unanimity of experts and not peoples.
A comforting thought before you despair: declarations of unity were adopted earlier, in particular, when the League of Nations and the UN were created, but then disagreements took over, and a blessed diversity of opinions came back. I do not think we are ripe for that much of unity.
Israel Shamir can be reached at adam@israelshamir.net
‘The Machines Did The Killing’: Obama Awkwardly Defends Drone Kill List In New Memoir
By Tyler Durden – Zero Hedge – 11/24/2020
Former President Barack Obama still can’t shake his legacy as the “drone president” given he still holds the record for number of ordered covert assassination strikes via drones.
“There were ten times more air strikes in the covert war on terror during President Barack Obama’s presidency than under his predecessor, George W. Bush,” one prior human rights study found.
“Obama embraced the US drone program, overseeing more strikes in his first year than Bush carried out during his entire presidency. A total of 563 strikes, largely by drones, targeted Pakistan, Somalia and Yemen during Obama’s two terms, compared to 57 strikes under Bush,” the study said.
This infamously included not only the killing of Yemeni-American citizen Anwar al-Awlaki due to his suspected al-Qaeda links, but also his son, 16-year-old US citizen and Colorado native Abdulrahman Anwar al-Awlaki, by a drone airstrike ordered by Obama on October 14, 2011. The boy was not even suspected of a crime upon his death while he had been casually eating dinner with this friends at a cafe in Yemen.
The Obama administration later claimed the teen’s death was “collateral damage” and despite lawsuits related to the CIA operation, no US official has ever been held accountable for literally assassinating two US citizens without trial or so much as filing official charges.
“The machinery…had me killing them.”
This, from Obama’s memoir, is pretty pathetic from a president who, for example, slashed economic assistance to Iraq and then ramped up military involvement while lying about it. pic.twitter.com/PYI5kTSph7
— Phil Klay (@PhilKlay) November 23, 2020
In his new 768-page memoir out this month, A Promised Land, there’s scant mention of the massively expanded secret drone ‘targeted killing’ program under his watch, however, when it does receive brief attention, it’s merely in passing but is still filled with cringeworthy level of self-justification and rationalization:
“… the machinery I commanded, more often had me killing them instead,” he wrote.
Clearly he and the editor (and his ghostwriters) took pains to twist the limits of grammar and bizarre sentence structure to create as much distance as possible between the former president and owning up to the killings.
Here’s the section in full from the book, where he actually attempts to present himself as the ‘savior’ of those victims he ordered killed:
In places like Yemen and Afghanistan, Pakistan and Iraq, the lives of millions of young men like those three dead Somalis (some of them boys, really, since the oldest pirate was believed to be nineteen) had been warped and stunted by desperation, ignorance, dreams of religious glory, the violence of their surroundings, or the schemes of older men. I wanted somehow to save them—send them to school, give them a trade, drain them of the hate that had been filling their heads. And yet the world they were a part of, and the machinery I commanded, more often had me killing them instead.
Under Obama estimates of the number of victims that were a result of the White House’s secretive “Kill List” often range from 300 to over 500 civilians killed, including over 60 children.
Just looks like Obama’s attempt to build a sentence that says everything except the simple reality: “I killed them.” https://t.co/FT96VRwPlE
— Thomas Gibbons-Neff (@Tmgneff) November 24, 2020
But that’s just a snapshot of a few years out his total two terms, and the true numbers remain classified.
The New York Times would report in 2012 that Obama began to designate “all military-age males in a strike zone as combatants, according to several administration officials, unless there is explicit intelligence posthumously proving them innocent.”
Obama adviser Robert Gibbs previously said when asked point blank about the ordered killing of a 16-year old American citizen: He should’ve “had a more responsible father.”
So it seems years later Obama’s justification is now essentially ‘the machines did it’.
Or again in his own bizarre and twisted words, “… the machinery I commanded, more often had me killing them instead.”
Abdulrahman Awlaki, the 16-year old American-born son of Anwar al-Awlaki, was ordered killed by Obama in 2011.
And let’s not forget, this is the man awarded the 2009 Nobel Peace Prize, and who is still heralded by Liberals as the most enlightened leader this country has ever had.
Featured Video
Prof John Mearsheimer TRUMP WILL BE FORCED TO CUT A DEAL w/IRAN
or go to
Aletho News Archives – Video-Images
From the Archives
Britain’s secret role in the brutal US war in Vietnam
By Mark Curtis | MintPress News | November 16, 2022
There is a myth the UK did not support Washington’s war against Vietnam in the 1960s and 1970s. In fact, Labour and Conservative governments backed every phase of US military escalation and played secret roles in the conflict, declassified files show.
- UK sent SAS team to Vietnam in 1962, flew secret RAF missions to deliver arms, and provided intelligence to US
- UK governments lied to parliament they were not providing military advice to South Vietnam’s brutal regime
- Labour government secretly gave arms to US for use in Vietnam, stressing need for “no publicity”
- It also connived with Washington to deceive UK public over its support for US
- UK governments knew of atrocities against civilians but backed US war aims
- Whitehall only started to advocate a peaceful solution, on US terms, once the war became unwinnable
During its war in Vietnam in the 1960s and 1970s the US dropped more bombs than in the whole of World War Two, in a conflict that killed over two million people. The wholesale destruction of villages and killing of innocent people was a permanent feature of the US war from the beginning, along with widespread indiscriminate bombing.
Britain’s role in the war has been largely buried and must be almost completely unknown to the public. When the UK media mentions the war now, reports often simply reference the refusal by Harold Wilson’s government to agree to US requests to openly deploy British troops.
Although this was certainly a public rebuff to Washington, Britain did virtually everything else to back the US war over more than a decade, the declassified documents show. … continue
Blog Roll
Aletho News- Prof John Mearsheimer TRUMP WILL BE FORCED TO CUT A DEAL w/IRAN
- Hantavirus, the WHO, and the Conflicts in Weighing Mortality
- Russia says disputes over Iran, Greenland and Canada distract from Palestine
- Russia Not Ruling Out West’s Preparing Another ‘Bloody Hoax’ in Ukraine – Diplomat
- Iraq, Pakistan ink Hormuz safe passage deals with Iran: Report
- CIA Waging Covert War Against Drug Cartels in Mexico – Reports
- ‘Utterly baseless’: Iran rejects Kuwait’s claim of hostile plot on its island
- Hidden deep in an NPR story about a man who threatened to kill Jews at Cornell… He admits he did it to benefit Israel
- Col Douglas Macgregor: If We Go Back To BOMBING IRAN
- Trump admits US sent weapons to fuel riots, terrorism inside Iran
- If Americans Knew
- Nakba Day is almost here, but every day is also Nakba Day – Daily Update
- Gaza: ‘Doctors Under Attack’ Wins Top Award After Being Shelved by the BBC
- The Nakba at 78: A statistical snapshot of Palestine
- Israel Expels Father Louis Salman from Palestine
- How Israel Turned Eurovision’s Stage Into a Soft Power Tool
- Palestinians in Jerusalem receive only 7% of housing units
- If not stopped, Israel will wipe out Christians from Palestine by 2050: Bethlehem pastor
- Hidden Deep in an NPR Story About a Man Who Threatened to Kill Jews at Cornell… He Admits He Did It to Make People Love Israel
- Peter Mandelson: the untold Israel connection
- Epstein Advised U.S. Treasury on Crypto During Obama’s Iran Sanctions Push
- No Tricks Zone
- German Expert: “No Climate Crisis” …”Warming Generally Better For Humanity”
- New Paleo Research: Modern ‘Climate Change’ Has Had No Apparent Impact On Precipitation Patterns
- 90% Subsidized… Bielefeld Germany’s €7 Million Hydrogen Garbage Truck Fleet Sits Idle
- New Study: Declining Trends In 1980-2023 Tropical Cyclone Frequency, Accumulated Energy
- 46 IPCC Scientists Break Rank, Publicly Challenge Long-Standing Dogmatic Climate Claims
- Another Study Links Warming To Cloud Forcing, Shortwave Radiation, Natural Atmospheric Circulation
- Wind Energy Is Toxic, Hazardous To Human Health, Scientific Review Shows
- Oversupply Of Volatile Solar Energy Leads To Record NEGATIVE Prices!
- New Study: Extreme Heat Records, Heatwaves, Extreme Cold Records Declining Across US Since 1899
- It’s The Cold, Stupid! Cold 20 Times More Lethal Than Heat, Multiple Studies Show
Aletho News 