Harvard psychiatrist: Americans should be able to walk into a pharmacy & buy antidepressants over the counter
Maryanne Demasi, reports | April 15, 2024
In a recent STAT article, Roy Perlis, a professor of psychiatry at Harvard Medical School, argued that antidepressants, known as selective serotonin reuptake inhibitors (SSRIs), should be made available at US pharmacies without a prescription.
Perlis called on the drug manufacturers to “engage with the FDA and invest the necessary resources” to make it possible because SSRIs have “repeatedly been shown to be safe and effective for treating major depression and anxiety disorders.”
It comes off the back of a recent FDA ruling that allows the purchase of the oral contraceptive Opill (norgestrel) over-the-counter, without a prescription at drug stores, convenience stores and grocery stores, as well as online.

Roy Perlis, Department of Psychiatry at Massachusetts General Hospital in Boston, and a professor of psychiatry at Harvard Medical School.
Perlis, who treats patients at Massachusetts General Hospital, failed to declare his ties to the pharmaceutical industry in the article, sparking anger among academics online.
While his concerns about patients’ limited access to doctors and treatment services are valid, doing “everything possible” to make antidepressants more easily available is not the answer.
Antidepressants are among the most prescribed treatments in the world. In fact, many experts have argued they are over-prescribed.
In February 2024, the journal Pediatrics published new research that revealed monthly antidepressant prescriptions to adolescents and young adults jumped more than 66% between January 2016 and December 2022.
And following pandemic lockdowns in March 2020, prescriptions rose 63% faster due to soaring rates of depression, anxiety, trauma, and suicidality – so limited access to antidepressants is not the problem.
Perlis acknowledges that antidepressants can increase the risk of suicide in people under the age of 25, but he also claims there’s “clear evidence” the risk of suicidality is reduced in older people.
However, SSRI-induced suicidality is not limited to young people. In 2007 the FDA updated the black box label on SSRI packaging, warning doctors to monitor suicidality in patients of all ages after commencing the medications:
All patients being treated with antidepressants for any indication should be monitored appropriately and observed closely for clinical worsening, suicidality, and unusual changes in behavior, especially during the initial few months of a course of drug therapy, or at times of dose changes, either increases or decreases.
Large trials are rare in the field of antidepressant research. Most of them have been industry funded and the few that exist are short term, typically 4-6 weeks, and inadequate for assessing suicidality and clinically meaningful outcomes.
In some instances, when researchers have gained access to regulatory documents, they’ve found that vital data on suicides were excluded from the journal publications.
In the two major Prozac trials in children, for example, Gøtzsche and Healy analysed clinical study reports and found the authors made numerous data errors, including omitting two suicide attempts from the journal publication. The journal editors have refused to retract or correct the studies.
Perlis also says there is low potential for misuse and abuse of antidepressants, but he overlooks the fact that SSRIs can lead to dependency. People often experience ‘discontinuation syndrome’ upon ceasing SSRIs because they are habit-forming and can cause abstinence symptoms.
In fact, about half of people on SSRIs have difficulty stopping them, and in rare cases, their withdrawal symptoms can lead to suicide, violence, and homicide – some patients report that withdrawal is worse than their original depression.
Many doctors still mistake the symptoms of antidepressant withdrawal for a relapse of depression, which conceals the scale of the problem.
Fortunately, SSRI withdrawal is being taken more seriously by the establishment following the recent publication of the Maudsley Deprescribing Guidelines, which provides guidance to healthcare practitioners on how to stop these medications safely in patients.

If SSRIs become available without prescription, who will counsel patients about tapering off their medications? Cutting out doctors from the patient:doctor relationship will only harm patients and deny them of the ability to obtain informed consent about their therapy.
Another significant problem is that few patients – and doctors for that matter – are aware that SSRIs have potential to cause severe, sometimes irreversible, sexual dysfunction that persists even after discontinuing the medication.
The condition, called Post-SSRI Sexual Dysfunction (PSSD), has been described by sufferers as ‘chemical castration.’ The problem is under-recognised and largely under-reported, but drug regulators are starting to pay attention.
In June 2019, the European Medicines Agency updated the ‘Special Warnings and Precautions’ section on the package inset label to warn that sexual dysfunction can persist even after treatment stops.
And in 2021, Health Canada also did a review of the evidence and “found rare cases of long-lasting sexual symptoms persisting after stopping SSRI or SNRI treatment” and updated the product label for Canadians.
Perlis says that people with depression may be uncomfortable talking about their symptoms, or simply unable to schedule and keep appointments because of work or family obligations.
But cognitive behavioural therapy has been shown to reduce repeated self-harm and repeated suicide attempts, unlike SSRIs. Sure, taking a pill is easy, but dealing with the short and long-term harms of SSRIs, may ultimately be worse.
Perlis says people should be able to access antidepressants without prescription because they’re capable of “self-diagnosing” their own depression, in the same way many over-the counter products are used to treat symptoms when people diagnose their own conditions.
“Think yeast infections, acid reflux, or respiratory infections,” explained Perlis.
But this is misguided because it undermines the role of the doctor-patient relationship.
Not only will it lead to the medicalisation of negative emotions, but clinical depression requires careful assessment by a doctor to exclude other serious conditions.
Self-diagnosis means that one might assume they have depression and completely miss an underlying medical syndrome – for example, low mood and anxiety, can manifest in other conditions like hypertension, thyroid disorders, or heart disease.
Missing a diagnosis can be harmful, even fatal.
I’m not a medical doctor and I don’t give medical advice, but I am a medical researcher and I have spent the last decade reading the literature on antidepressants.
Encouraging people to diagnose their own depression and buy medication without a prescription – medication which has an unfavourable benefit:harm profile in most people and is difficult to stop taking – is a very bad idea.
US Will Try to Rally Other Nations to Sanction Iran Over Israel Attack
By Kyle Anzalone | The Libertarian Institute | April 16, 2024
US Treasury Secretary Janet Yellen will attempt to convince the international community to increase economic penalties on Iran as punishment for the drone and missile barrage Tehran launched at Israel. Iran’s attack followed Israel’s assassination of several high-ranking officials when Tel Aviv bombed Tehran’s consulate in Damascus.
On Tuesday, Axios reported that the Treasury is preparing new sanctions to levy on Iran and will use an International Monetary Fund (IMF) meeting later this week to try to convince other countries to join. “All options to disrupt terrorist financing of Iran continue to be on the table,” she said.
The sanctions would be a response to Iran’s drone and missile attack on Israel. The Iranian attack was a response to Israel’s bombing of the Iranian consulate in Syria, which killed 16 people, including seven IRGC officials.
“Treasury will not hesitate to work with our allies to use our sanctions authority to continue disrupting the Iranian regime’s malign and destabilizing activity,” Yellen is set to say during her opening remarks at the IMF conference. “The attack by Iran and its proxies underscores the importance of Treasury’s work to use our economic tools to counter Iran’s malign activity.”
According to Axios, Washington hopes the sanctions will show Tel Aviv that there is a way to punish Tehran without a direct attack on Iran. The war government in Tel Aviv says it will respond to the Iranian attack “clearly and forcefully.”
However, the Washington Post notes that the White House has few options for sanctioning Tehran as the Iranian economy is already one of the most heavily sanctioned. The Post explains that one of Washington’s few options for expanding sanctions on Iran is to blacklist Chinese firms purchasing Iranian crude oil.
Pursuing that path may create more problems for the White House as it will likely upset Beijing and drive up oil prices. The Biden administration is seeking to prevent an increase in gas prices in an election year and has previously asked Ukraine not to attack Russian energy infrastructure.
Why US Scheme to Kill Russia’s Arctic LNG 2 is Dead in the Water
By Ekaterina Blinova – Sputnik – 16.04.2024
The US is trying to upend Russia’s Arctic LNG 2 project and do whatever it takes to ensure it is “dead in the water.” Will Washington succeed in killing Russia’s bold energy endeavor?
The US plans to use sanctions to asphyxiate the Arctic LNG-2 gas liquefaction project by the Russian company Novatek, the Wall Street Journal reported on Sunday, citing US Assistant Secretary of State for Energy Geoffrey Pyatt.
In particular, Washington is trying to prevent Moscow from receiving specialized ice-class tankers needed for transporting liquefied natural gas (LNG). As a result, the South Korean shipbuilder Hanwha Ocean, assigned with building six gas carriers for the project, has ceased cooperation with the customer.
Washington’s actions go well beyond international law or free market rules, according to Stanislav Mitrakhovich, leading expert of the National Energy Security Foundation and the Financial University under the Government of the Russian Federation.
“The Americans simply use their clout in the world, that is, their financial, political, and technological influence, to force the whole world to act in the way they want,” Mitrakhovich clarified.
When it comes to Russia’s energy trade, the US has a long history of trying to squeeze the nation out of the European market under various pretexts. Eventually, Washington managed to force the EU into severing energy ties with Russia (to Europe’s detriment) after the beginning of the special military operation in Ukraine in February 2022.
In September 2022, the Nord Stream pipelines carrying natural gas from Russia to Europe were destroyed by “unknown perpetrators”, believed by Pulitzer Prize-winning journalist Seymour Hersh to be American and Norwegian operatives acting on Team Biden’s orders.
Thus, it was hardly surprising that the US emerged as the largest supplier of liquefied natural gas (LNG) to Europe (EU-27 and the UK) in 2022 and 2023, as per the US Energy Information Administration (EIA). Nonetheless, Russia remained Europe’s third-largest LNG supplier. According to some estimates, EU imports of Russian LNG have soared by 40% since February 2022.
Arctic LNG-2 is Russia’s third LNG project. According to expectations, once the endeavor is completed, it would encompass three liquefaction trains producing a total of 19.8 million tons per annum (MTPA) of LNG and up to 1.6 MTPA of stable gas condensate (SGC). Apparently, that does not fit into the US energy market expansion plans.
West No Longer Trustworthy
Russian President Vladimir Putin repeatedly stated that Western restrictions against Russia violate the principles of the World Trade Organization (WTO) and are unfair methods of competition.
According to Mitrakhovich, the US and its allies have demonstrated that they cannot be trusted neither as guarantors of the global economy, nor as standard-bearers, or responsible partners.
“It’s hard to trust the West as a banker because they can seize those assets. It is difficult to trust the West as a technological partner because it can say: ‘I will no longer provide technologies, despite existing contracts.’ The West cannot be trusted as a country that honors contracts; on the contrary, the West has shown in every possible way over the past couple of years that contracts mean little to them, thereby violating the basic principle of Roman law that contracts must be respected,” he pointed out.
Western Sanctions Catalyzed Russia’s Development
That said, Western sanctions have triggered Russia’s re-industrialization and import substation, Mitrakhovich noted.
The expert has no doubts that the work on Arctic LNG-2 will be continued despite Western pressure. It will take time and effort to launch the production of suitable ice-class gas tankers at Russia’s shipbuilding facilities instead of those stuck in South Korea, acknowledged Mitrakhovich, adding that Moscow has another technological partner in Asia.
“I would be glad to see Russian-Chinese cooperation in the field of shipbuilding,” the expert said, referring to vast untapped opportunities in the sphere.
In addition, there are several alternatives of how to proceed with the project without significant delays, Mitrakhovich continued:
“One option is to move the second and third lines of Arctic LNG-2 to the Murmansk region, near the locations where these lines are being technologically built. What is interesting about the transfer to the Murmansk region is that from there gas can be exported to world markets. For example, it can be exported to Asia without going through the ice barrier. In other words, regular tankers will be needed, instead of ice-class ones.”
Western Options are Limited
On top of that, the West’s capabilities of hindering Russia’s flagship LNG projects are limited, according to Sputnik’s interlocutor. Even though the EU Parliament has recently approved legal options to block Russian LNG imports to the Old Continent and the US has vowed to introduce new sanctions as well, other global players are continuing to boost energy cooperation with Moscow, the expert stressed.
“Thirty years ago, in 1994, when there was a US unipolar moment, the Americans could do almost anything in the world, and few people could withstand them,” Mitrakhovich noted. “Now the situation has changed. There are countries that are acting independently on the world arena. These are Russia, China and India. And they can use their technologies, expand mutual trade, and so on. Therefore, America will not be able to completely stifle the independence of these countries,” he pointed out.
Furthermore, Washington’s aggressive actions on the world stage are accelerating the pace of rapprochement between major Eurasian players, the expert highlighted.
“The Chinese see how unceremoniously the Americans are acting. And in fact, all these American attacks against Russia are being actively studied in China. I think this will ultimately push the Chinese to focus more on cooperation with Russia instead of that with America,” he said.
“I think that the [Russo-Chinese] project Power of Siberia-2 needs to be accelerated, because in the event of a mess in Taiwan the Americans could limit the supply of all sorts of commodities to China by sea. And if there is a pipe from Russia, [China wouldn’t suffer from a possible energy blockade]. Russia’s LNG exports could also be redirected to China (…) along the safe Northern Sea Route,”he said.
The West can throw sand in Russia’s gears, but it cannot stop the nation’s industrial and technological development based on its vast resources, expertise, and international links, the expert concluded.
US Navy Depletes $1Bln Worth of Weapons in Middle East in 6 Months – Secretary Del Toro
Sputnik – 16.04.2024
WASHINGTON – The US Navy needs to replace about $1 billion worth of munitions that it used to combat attacks on Red Sea shipping and defend Israel over the last six months, Navy Secretary Carlos Del Toro said in testimony to the Senate Appropriations Committee on Tuesday.
“Over the course of the last six months we have actually countered over 130 direct attacks on US Navy ships and merchant ships,” Del Toro said. “We currently are approaching $1 billion in munitions that we need to replenish at some point in time.”
Del Toro emphasized that it would be “critical” for Congress to pass a national security supplemental in order to replace the weapons, which include SM-2, SM-3 and SM-6 missiles.
The national security supplemental passed by the US Senate includes $2 billion in funds for the US Navy that would be used to replenish the weapons, he added.
Scholz has one trump card in talks with China, but he’ll never use it
By Tarik Cyril Amar | RT | April 16, 2024
German Chancellor Olaf Scholz is on a three-day visit to China. He is not traveling alone. A large delegation of German business representatives, including from flagship companies such as Mercedes, Siemens, and BMW, is coming along. Scholz’s agenda is ambitious: The chancellor wishes to talk about international trade and competition, climate politics, the tensions over Taiwan, the war in Ukraine and Beijing’s relationship with Russia. Since Iran has just made use of its clear right to self-defense and retaliated following Israel’s illegal attack on Tehran’s diplomatic premises in Damascus, Scholz felt compelled to make a statement about that as well.
Two of these topics tower above the others: matters of trade and the relationship between China and Russia. Regarding trade, the crucial issue is that the West in general – led by the US – has embarked on a policy of de facto economic warfare against China, while constantly threatening to escalate further.
That was the essence of Janet Yellen’s recent Beijing trip; the US Treasury Secretary arrived with a list of demands to curb what America denounced as Chinese “overcapacity” and dumping, and left with a blunt warning that “nothing was off the table” in terms of additional strikes against China’s economy.
Then there is the EU, which as usual, follows Washington’s lead. Under hardliners like European Commission President Ursula von der Leyen and Vice President Margrethe Vestager, Brussels is ramping up anti-Chinese rhetoric and measures. Beijing has officially been declared a “partner for cooperation, an economic competitor, and a systemic rival.” With the EU Commission defining “economic security” clearly in opposition to China and launching probes targeting Chinese electric vehicles, wind turbines, and soon the procurement of medical devices, the accent clearly is on competitor and rival.
At the same time, however, German business leaders know that they cannot afford a policy of sustained conflict. A high-ranking Siemens executive has just gone public with a warning that “decoupling” from Chinese manufacturing would take “decades.” That, clearly, is just another way of saying it’s a very bad idea to even try.
Superficially, it may appear that there is an opportunity here for Scholz – an opportunist to a fault – to appear as a mediator or, at least, to deftly balance and weave between competing demands. The Global Times, a media outlet owned by the Central Committee of the Chinese Communist Party, prefaced the chancellor’s visit with a generally welcoming article, depicting Scholz as, in essence, a dove among hawks, arguing that while Foreign Minister Annalena Baerbock and Economic Minister Robert Habeck stand for confrontation, the chancellor is seeking to find a balanced approach.
Yet, even if he wanted to try to be smart and flexible, Scholz is hamstrung in multiple ways. He will struggle to be taken seriously because both Germany and its chancellor lack international standing, and Germany lacks leverage in its relationship with China.
Let’s look at the leverage deficit first: In economic terms, the Chinese-German relationship is substantial and complex. Many factors are important; multiple indicators are relevant, such as, for instance, foreign direct investment (which is currently dipping). But overall trade volumes suffice to show that Germany cannot speak to Beijing from a position of strength or even parity.
China, according to 2023 export data, is still Germany’s single biggest trading partner, as Bloomberg has noted. That is not unusual in today’s world: with the second-largest economy in the world (the largest in Purchasing Power Parity terms), China is the top trade partner for a total of 120 countries. China is also the largest (external) trade partner of the European Union as whole. However, from China’s perspective, Germany ranks only 8th among export destinations, less than the US, Japan, and even Vietnam.
None of the above means that the economic relationship with Berlin does not matter to Beijing, but it does mean that it matters even more for Berlin. Among rational actors, such a pattern of mutual dependency is a reason for cooperation. What it certainly is not is one-sided leverage for Germany. If anyone has the whip hand here, it’s China, which may have tried to “gently” signal this fact with Scholz’s intriguingly low-key, not to say humiliating reception on his arrival in the Chinese manufacturing metropolis Chongqing.
In fundamental terms, Germany, according to data from the International Monetary Fund (IMF), is a country of not quite 84 million people (in China, Chongqing alone is home to over 30 million inhabitants) with projected GDP growth this year down to almost zero (0.5 percent). China has a population of over 1.4 billion, and its GDP is estimated to grow by 4.6 percent.
In sum, China’s economy has problems, such as its over-expanded real estate sector, which are inevitable and often obsessively exaggerated by Western “China doomers.” Germany’s economy is a problem.
The German chancellor can only play a weak hand, due to economics. There is only one way to play it well, and that would involve politics. Scholz could create some room for maneuver for Germany if he did what the Global Times article signaled Beijing would like to see from him: to show some autonomy, a little bit of distance between himself and the hardliners now dominating both Washington and Brussels.
Indeed, for the China hawks in the West, the mere possibility that the German chancellor might go off script is such a nightmare scenario it had to be exorcised in one of America’s two most authoritative journals on international politics. Foreign Policy dedicated a whole article to, in essence, asking if Scholz will chicken out and be too conciliatory toward Beijing. If the Global Times sent an invitation of the “an-offer-you-should-not-refuse” kind, Foreign Policy’s message was “don’t you dare.”
Scholz should dare. It would be only rational because it is really the only trump card he has. As Foreign Policy acknowledges, the EU’s hardball approach cannot work if Berlin is not on board. Without the EU toeing the line, Washington’s game would become much more challenging, too. That is power right there: the power to balance and play both sides.
Unfortunately, this is where we come up against Scholz’s very narrow limits. This is no Bismarck. Instead, we are dealing with a chancellor who can be called the most recklessly and – it must be said, spinelessly – subservient to the US in Germany’s post-WWII history. Scholz grinned when Biden announced, in essence, that the US would destroy the Nord Stream pipelines if it felt like it. When it happened, nothing happened: Germany took it and kept grinning.
Under Scholz, Berlin has become a perfect client of the US. Accordingly, there is no real daylight between Berlin and Brussels either; another ultra-Atlanticist German, Ursula von der Leyen, runs the European Commission. True, some observers speculate that Germany is slyly cutting corners, but that will amount to too little, in absolute terms, for Beijing.
The issue of dependency also brings us to the penultimate irony of Scholz’s visit: The German chancellor has let it be known that he intends to challenge Beijing on its policy toward Russia and thus the war in Ukraine. In essence, Scholz seems to believe it is his job – and within his rights – to urge China to loosen its ties with Russia as well as to support the West’s unrealistic proposals for ending the war in Ukraine without acknowledging that Russia is winning it.
There are two things wrong with this astonishingly tone-deaf attitude: First, obviously, neither Germany nor the EU are in a position to make such requests of Beijing. They have neither the arguments nor the power to back them up. In such cases, the wiser and more dignified course is to be quiet. Second, less obviously, who is Scholz to try to interfere in the partnership between Moscow and Beijing, a partnership marked by rationality and respect for both partners’ national interests? As long as Germany offers a spectacle of unquestioning and irrational obedience to Washington, no one will be interested in its advice on how to cooperate.
That was the penultimate irony. Here is the ultimate one: Scholz’s visit is, most fundamentally, an outcome of the fact that the West has not been able to cajole China. With respect to Germany in particular, it is true that, according to a recent poll, two thirds of German businesses active in China complain of unequal treatment. And yet they are there. And yet a German chancellor still arrives with a planeload of business leaders.
The true message of the poll is about how indispensable China is, talk of “derisking” this and “decoupling” that notwithstanding. In the not-too-distant future, a successor of Scholz may well find himself on a similar trip, but to Moscow. Namely, when two realities will have become so compelling that they must be acknowledged: Russia, too, cannot be cajoled by the West; and, for Germany as well as for Europe as a whole, Russia, too, remains indispensable.
Tarik Cyril Amar is a historian from Germany working at Koç University, Istanbul.
Iran’s strike on Israel was much more successful than it seems. Here’s why
By Abbas Juma | RT | April 16, 2024
On the night of April 14, Iran and its proxy forces launched a series of cruise missile and kamikaze drone strikes on Israeli territory. The attacks did not come as a surprise. Tehran had warned that it would respond to the Israeli airstrike on Iran’s consulate in Damascus, Syria, on April 1, which killed several high-ranking officers of the Islamic Revolutionary Guard Corps (IRGC), including two generals. The retaliatory strike was called Operation True Promise.
There is still much debate on whether Iran’s retaliatory strike was successful. Most military experts agree that there was nothing unusual about Tehran’s actions, except that this was Iran’s first direct attack on Israel. From a technical point of view, the strategy was simple and correct: Iran first suppressed the enemy’s air defense systems with drones and then launched hypersonic missiles which the Israelis and Americans were not able to intercept. Incidentally, in light of this, Ukraine’s statements about shooting down Russian Kinzhal hypersonic missiles sound ridiculous.
Do not jump to conclusions
Many experts were skeptical about Iran’s strike and hastened to say that the retaliation did not live up to expectations. Given the clip thinking of most commentators, this reaction is hardly surprising. Their reasoning resembles a Hollywood blockbuster stuffed with special effects, where the end of the world and its miraculous salvation fit into 90-120 minutes, with a love scene in the middle. In real life, things are different. As Sun Tzu wrote in ancient times, to fight 100 battles and win 100 battles is not the height of skill. The best way to win is not to fight at all. This is Iran’s strategy. Its strike against Israel was not so much a military response as a grandmaster’s move in a big chess game. And the game is not over yet.
After the attack on the Iranian consulate in Syria’s capital, Tehran found itself in a tough situation. It had to respond in a way that would look convincing and would achieve specific military goals, but would not start World War III.
To achieve the first point, Iran had to carry out a direct strike without resorting exclusively to proxy forces – and that is indeed how it acted. Regarding the second point, even though most of the missiles and drones were indeed shot down, some managed to penetrate Israeli air space and hit military targets. The Chief of Staff of the Iranian Armed Forces, Mohammad Bagheri, said that the information center on the Israeli-Syrian border and Israel’s Nevatim air base were hit. And finally, as to the third point – war didn’t happen. This resembled the situation in 2020, when the Iranians hit US bases in Iraq in response to the assassination of General Soleimani.
However, it is still too early to speculate as to whether Iran’s attack was a success or not. The big question now is how Israel will respond.
What Iran has accomplished
It’s important to emphasize that Iran’s operation carried more political than military weight. In this sense, it was carried out subtly and was a success. Obviously, the Iranians did not want to start a war which would involve the US, even though that is what Netanyahu wanted. In other words, Israel didn’t manage to provoke Iran.
It is also obvious that the Islamic Republic possesses more powerful drones and missiles than those used in the attack on April 14. However, even the less advanced drones and missiles were able to penetrate Israeli air space and inflict economic damage, since Israel spent much more money on shooting down the missiles and drones than Iran spent on launching them.
Tehran has once again demonstrated that Israel is not invulnerable, and it is possible to attack it. As for the degree of inflicted damage, which some commentators were unsatisfied with, it largely depends on the type of missiles and drones used in the attack – and Iran has a lot of military equipment.
Finally, Iran’s main achievement is that it has managed to confuse Israel in the same way that it was confused after the October 7 Hamas attack. The country has to respond. But how? Should Israel strike Iranian proxy forces? This is possible, but Israel does it all the time without much result. Should it hit Iran directly? But that would start a war which no one is prepared for, including the US.
Conclusion
The ball is now in Israel’s court, and the country faces the same challenges that the Islamic Republic did after April 1. But will Israel be able to solve these challenges as efficiently?
It is noteworthy that IRGC Commander-in-Chief, Hossein Salami, said that from now on, if Israel attacks the interests of Iran and Iranian citizens, Tehran will strike it again.
This is an important statement. Essentially, the attack carried out by Iran on April 14 was not just a retaliatory strike, but established a new order. Iran demonstrated that it is ready to resort to new means of influence in a situation where words are not sufficient. It attacked Israel directly not in order to start a war, but to demonstrate what could happen if all other methods of pressure on Israel fail.
A new option has been put forward. Israel may be deprived of its most important advantage – absolute impunity, which until recently had been guaranteed by the US.
US makes failed bid for Iran to allow ‘symbolic strike’ by Israel
The Cradle | April 16, 2024
An Iranian military security official has revealed exclusively to The Cradle that the US contacted the Islamic Republic, asking the nation to allow Israel “a symbolic strike to save face” following Iran’s retaliatory drone and missile barrage this weekend.
“Iran has received messages from mediators to let the regime do a symbolic strike to save face and asked Iran not to retaliate,” the source, who spoke on condition of anonymity, revealed to The Cradle.
He added that Tehran “outright rejected” the proposal, delivered by mediators, and reiterated warnings that any Israeli attack on Iranian soil would be met with a decisive and immediate response.
The reply was delivered directly to the Swiss envoy in Tehran by officials from the Islamic Revolutionary Guard Corps (IRGC) and not the foreign ministry. According to The Cradle’s source, the decision for the IRGC to reply directly was meant “to send a strong warning to the US.”
“Iran successfully embarrassed all of the integrated radar network and anti-missile systems of the US and the [Israeli] regime. The US even activated its parked satellites over the region to do maximum protection and failed miserably,” the Iranian military official added.
The revelations come as US defense officials have told western media that they expect a “limited response” from Israel against Iran, which will reportedly focus on targets outside of Iranian territory.
Nevertheless, US officials stressed that Tel Aviv had not briefed the Pentagon on a “final decision” as discussions within Israel’s fractured war cabinet continued.
“The US does not intend to take part in the military response,” they confirmed. However, they expect Israel to inform Washington about response plans in advance.
Israel has publicly vowed to respond to the Iranian operation this weekend, which saw the launch of hundreds of drones, ballistic and cruise missiles by the Islamic Republic in retaliation to the Israeli bombing of Iran’s consulate in Damascus.
“This launch of so many missiles, cruise missiles and drones into Israeli territory will be met with a response,” Israeli army chief of staff, Lt Gen Herzi Halevi, said on Sunday, speaking from the Nevatim air force base in southern Israel, which was one of three military targets successfully hit by the Iranian barrage.
Iranian Deputy Foreign Minister Ali Bagheri Kani told state TV on Monday night that Tehran’s response to any Israeli retaliation would come in “a matter of seconds, as Iran will not wait for another 12 days to respond.”
‘Nothing You Can Do to Stop Us’: Iran’s Strikes on Israeli Bases Establish Deterrence
By John Miles – Sputnik – 15.04.2024
Former US Marine Corps intelligence officer Scott Ritter urged observers to look beyond Israel and the United States’ framing of Iran’s retaliatory strike, noting Tehran was able to successfully deal damage to Israeli military assets.
Former United Nations weapons inspector Scott Ritter stressed that Iran is playing the long game in its dealings with Israel, carefully calibrating its actions to restore deterrence against the country rather than concerning itself with world opinion.
The former US Marine Corps intelligence officer offered the analysis on Sputnik’s Fault Lines program Monday, challenging the perception that Israel is in a stronger position after intercepting most of Iran’s retaliatory strikes over the weekend.
“The point is prior to this Israel had established a dominance – I’ll call it deterrence dominance,” claimed Ritter. “Meaning that, from an Israeli perspective, nobody should ever dare attack Israel, that Israel has let it be known that if you attack Israel, there will be a ten-fold response, that your life would end, it would be horrible, you can’t do it. And, for the most part, people didn’t attack Israel.”
“And so Israel had become very arrogant, had become sort of the neighborhood bully writ large,” he explained. “And this is why Israel was bombing Syria with impunity, striking targets in Lebanon with impunity, striking targets in Iraq with impunity.”
Israel frequently bombs Syrian airports and other infrastructure and has been illegally occupying the country’s Golan Heights territory since 1967. In 1982 the Israeli military bombed the Lebanese capital of Beirut so aggressively the US President Ronald Reagan referred to the event as a “holocaust,” hurting the feelings of Israeli Prime Minister Menachem Begin.
Observers also suggest Zionist opposition to Iraqi President Saddam Hussein played a role in the United States’ decision to invade the country and remove him from power in 2003. “It’s very clear: Israel had the most influence in this and more so since we know how the Israelis were running into the Pentagon consulting with Rumsfeld and all those guys without even having to show any badge or anything,” former CIA Analyst Ray McGovern claimed on Sputnik’s The Critical Hour program recently.
“And then they struck the wrong target,” said Ritter, referring to Israel’s recent strike on Iran’s diplomatic compound in Syria earlier this month. “You see, Iran said, ‘we have a great latitude for pain because we’ll absorb that pain, because we recognize that in a broader sense of the word Iran is prevailing strategically against Israel, especially when it comes to Gaza and the Israeli defeat that is ongoing in Gaza.’”
“And so Iran delivered a blow, but remember, the purpose of the blow was not to destroy Israel or even bring harm to Israel,” he clarified. “The purpose of the blow was to establish Iranian deterrence precedent so that in the future Israel would know what the consequences of its actions would be. And this Iran did with extreme alacrity and extreme effectiveness.”
“The job wasn’t to say, ‘we’re going to hurt you.’ The job was to say, ‘hey, Israel, look around you. Right now you have America’s most sophisticated X-band radar to give you intelligence when we launch our missiles… you have the whole world coming to your assistance to protect you and you can’t stop our missiles from hitting your most important bases. That’s the future, if you dare attack us again.’”
Israel has claimed in public statements that it was allegedly able to intercept most of Iran’s strikes and prevent major damage. But the country has conspicuously forbidden journalists from observing the aftermath of the attack on Israel’s bases, notes former CIA analyst Larry Johnson. Video posted to social media appeared to show several hypersonic missiles striking Israel’s Ramon military airbase in the Negev desert.
Host Jamarl Thomas pushed back on Ritter’s analysis, asking, “At the point where their generals keep getting murdered, are you really projecting that level of strength if ultimately you are just choreographing in this way?… Is it really a projection of strength if you’re choreographing what you’re doing?”
“You’re referring to the Iranian attack on al-Assad airbase after the [US] assassination of Qasem Soleimani and the fact Iran telegraphed that so that they struck empty buildings and they didn’t kill Americans,” Ritter responded. “Let’s look at it this way. When Iran shot down a Global Hawk [US drone] and Donald Trump wanted to bomb Iranian air defense sites, did he? The answer’s no. Why? Because the Pentagon said they’ll kill everybody. They just set their deterrence. They showed us what they got, and we got nothing to defend against it.”
“When Iran said we’re going to strike Israel, what did the United States do?” he asked. “Say bring it on? We stand side by side with the Israelis? We will attack you? We will bomb your territory? The United States went ‘wow, we’ll defend Israel, but we’re not attacking you.’ Yeah, that’s called deterrence.”
“Iran doesn’t want a shooting match with the United States,” Ritter argued. “They wanted to avoid it, and they have done so. The United States is scared to death of bombing Iran, of creating a conflict because they know what Iran will do. Iran will flatten every single American military base within the range of their missiles. And if the United States takes its next step, Iran will shut down international oil supplies and the economy will crash, and Joe Biden will never get reelected.”
Ritter insisted that Iran attacked Israel in such a way that Israeli Prime Minister Benjamin Netanyahu could save face and back down while also revealing Tehran’s capabilities if Israel strikes it again.
“All those things that were shot down – understand those were designed to be shot down,” he claimed. “Iran put a program together with the United States that said, ‘we’re going to let you shoot all this stuff down so you feel good. But in the end our good stuff hit the bases, just so you know that we can do that anytime we want, and there’s nothing you can do to stop us.’”
Ritter also claimed Iran is focused on economic development rather than seeking military conflict with Tel Aviv.
“They’ve been focused on the Shanghai Cooperation Organization, they’ve been focused on BRICS, they’ve been focused on their strategic pivot to the East,” he noted. “So for them to come in and do this feel good thing to make you, me and everybody else feel good – because apparently that’s what this is about, making the larger audience that has nothing to do with Iran feel good about the Iranian response – they don’t care.
“The Iranians are focused strategically on maintaining that pivot to the East, building strong economic relations, normalizing relations with Saudi Arabia, and, more importantly since October 7th, facilitating the victory of Hamas over Israel which by Israel’s own admission Hamas is winning,” he claimed.
“Haaretz – I think a day before the Iranian retaliation – came out with a headline story that said ‘Israel’s lost this thing, it’s over.’ I mean, there’s nothing Israel could do to turn this around in Gaza. They’ve lost the world. They can’t defeat Hamas. Hamas is emerging still intact militarily, they’re stronger politically. And Iran’s like, ‘we want to sustain that, too. We don’t want to distract the world with this larger Israeli-Iranian conflict, we want to keep the focus on Palestinian statehood.’”
Censorship & persecution of dissident voices continues across the world
The ‘cautionary tale’ modus operandi
Health Advisory & Recovery Team | April 15, 2024
Those who, like the members of HART, have been speaking out for three or four years about the perils of lockdowns, the lack of access to proper medical care and the utter debacle of the unsafe and ineffective vaccines, keep hoping the tide is turning. But for every stone upturned another boulder seems to descend to crush the truth. There is also no apparent end to the persecution of doctors speaking out.
Two physicians from opposite ends of the world and facing loss of their medical careers for speaking out against the vaccine saviour narrative, typify the current authoritarian approach. Charles Hoffe from Canada and Shankara Chetty from South Africa have two things in common, firstly both are clinicians serving a large local population and secondly both have shared their experiences widely. In Dr Chetty’s case he has reported his success at treating over 1000 covid patients with a combination of repurposed drugs including antihistamines in a clinical centre in rural South Africa with no access to oxygen let alone intensive care. In Dr Hoffe’s case, he first hit the headlines when he reported a high frequency of serious adverse events when his patients started receiving the mRNA vaccines.
Both these hard working and ethical physicians now, three years on, are being subjected to investigations by their medical boards. For Dr Chetty, he has previously been found guilty of professional misconduct but was called to attend a further hearing last week in front of the Health Professionals Council of South Africa. The results of their deliberations are awaited.
For Charles Hoffe the situation is even more bizarre. He was due for a hearing last week but when he submitted all the supportive evidence for his case, the health board in British Columbia deposited a large amount of evidence of their own but then threatened to invoke a ruling by which their evidence would be accepted as ‘fact’ by the court and Dr Hoffe and his legal team would be unable to cross question the data or present any information to the contrary. It looks like the right to a free trial has been abandoned in Canada, along with the right to free speech.
Below is a list of some senior clinicians and academics from across the world who have been vilified for speaking truth to power. It is by no means comprehensive.
USA:
Canada:
Australia:
- Dr Robert Brennan
- Dr Melissa McCann (subject to ‘re-education’)
- Dr Ros Neelon-Cook
- Dr Paul Oosterhuis
New Zealand:
Germany:
- Sucharit Bhakdi (acquitted of charge of antisemitism)
France:
- Dr Didier Raoult (an outspoken academic accused of unethical practice)
Switzerland:
- Thomas Binder (initially incarcerated in a mental institution)
UK:
- Dr David Cartland (GMC investigation ongoing)
- Professor Angus Dalgleish (clinical work suspended by St George’s Hospital)
- Dr Jayne Donegan (struck off by GMC, working as an independent)
- Professor Christopher Exley (told by Keele University to discontinue all research into Aluminium toxicity)
- Dr Aseem Malhotra (GMC initially declined to investigate until a legal case was brought to force an investigation)
- Mr Ahmad Malik (suspended by his private hospital for online posts)
- Dr Sarah Myhill (suspended by GMC, appeal pending)
- Dr Anne McCloskey (suspended by GMC in 2021, further hearing April 2024)
- Dr Sam White (NHS suspended him and GMC placed restrictions which were overturned in the High Court, currently working in independent practice)
This list is continuing to grow despite the increasing reports in the scientific literature which confirm almost everything they have said.
When does it stop?
Congress Summons WEF-Affiliated Media Alliance Co-Founder Over Demonetization Scandal
By Didi Rankovic | Reclaim The Net | April 15, 2024
The US Congress would like to have a word with Robert Rakowitz, co-founder of the Global Alliance for Responsible Media (GARM) – an organization with ties to the World Economic Forum (WEF).
The questions being raised here concern suspicion that coordinated targeting of conservative media was organized in order to deprive them of advertising revenue.
GARM is an initiative established by the World Federation of Advertisers (WFA) in 2019, to then be promoted as a key project in WEF’s Platform for Shaping the Future of Media, Entertainment and Culture.
And now the House Judiciary Committee wants Rakowitz to clarify the role of both WFA and GARM, as part of the ongoing investigation into collusion to suppress conservative outlets.
In this case, the concern is that the collusion involved antitrust behavior as various industry giants teamed up to damage financial interests of other entities, for political reasons.
Rakowitz is asked to appear voluntarily for a transcribed interview, according to a letter Committee Chairman Jim Jordan dispatched last Friday.
Jordan writes that, given his role at GARM, Rakowitz is privy to “unique and specialized information that will advance the Committee’s oversight and inform legislative reforms.”
“To advance our oversight and inform potential legislation related to this coordination, the Committee must understand how and to what extent WFA and GARM may facilitate collusion,” Jordan stated.
The committee’s interest in Rakowitz and GARM stems from documents it has already obtained, which another letter said demonstrated that the Daily Wire itself, but also Fox News and Breitbart were all targeted because of their editorial slant.
GARM is suspected as facilitating – via “brand safety” advice – corporations like Unilever, Procter & Gamble, Mastercard, and Mars, among others on the organization’s steering committee, and cutting advertising ties with those disfavored in the current political climate in the US.
This is believed to have been happening all under the guise of reducing “misinformation” and “fake news.”
And GARM’s influence is massive, given that it gathers over 60 of the top companies globally when it comes to spending money on advertising, in addition to as many as 35 advertising industry groups.


