Medical Update

Feeling fine, looking good.

Went through my annual physical on Tuesday, and all seems well. Blood work will be done next week to reveal what’s going on under the skin.

I went through the TURBT procedure for bladder cancer in late June. Next steps are the BCG wash. My urologist first said it would start in July, maybe August.

I mentioned this to my PCP on Tuesday. She was surprised. “Oh, they’re doing them? There was a nationwide shortage.”

Oh.

Forward to today. The BCG wash won’t start until the end of October.

The reason: a nationwide shortage of BCG. The United States has one source, a Merck facility. They’re trying to increase production but that won’t be successful — if it happens — until the end of 2026.

This is only a US issue:

The BCG shortage in the United States has been primarily due to a reliance on a single manufacturer, Merck, which produces the TICE strain of BCG. This dependency became critical after Sanofi Pasteur ceased production of the Connaught strain in 2012, leaving Merck as the sole supplier for the U.S. and many other countries . In contrast, other countries have access to multiple BCG strains produced by various manufacturers . In the U.S., the stringent FDA approval process has limited the availability of foreign-produced BCG strains, contributing to the prolonged shortage.

I’m simultaneously happy that the BCG wash is available and I have the means to have the procedure and frustrated by this continuing trend in the US. We become dependent on one source, and live and die by it.

It’s not just BCG; an article I read the other day recounted the US shortage of 155mm howitzer shells:

Manufacturing woes hamper US 155-mm ammo production

Businesses love to consolidate, buying up competitors, merging to ‘improve production’. Rarely works. Instead, we find ourselves more and more with just one location, putting all our trust and faith in them.

We often won’t modernize infrastructure until it reaches the brink of failure.

And in the US, we tend to wait to earnestly fix things until a crisis is clear. Witness what’s going on with Lake Meade and the growing water shortage. Even there, instead of actively addressing the problem, the Trump administration is paying to reduce consumption.

Something to think about as news and entertainment companies continue to merge.

The State of Trump

These declarations sum up the state of the union and Trump right now:

Trump praises “cash cow” data centers as his neighbors reject major project

While US towns, citizens, and states are more and more frequently challenging the need for AI centers, Trump is gung-ho to get them built. Many variables are being rolled out against building them:

  • Are they actually needed and will they be profitable?
  • Impact on the dwindling water supply
  • The heat data and AI centers are shown to displace
  • Energy use and costs

Many Trump supporters think Trump is a ‘smart businessman’. The rest of us count Trump’s many bankruptcies, the continual grifting, and his mismanagement of war with Iran, the economy, trade deals, tariffs, the Lincoln Memorial Reflecting Pool, and respond, not so fast.

Harry Enten explains why Trump’s signature issue just turned into a polling nightmare

Donald Trump is currently plummeting in the polls on his signature issue of immigration, noted CNN’s chief data analyst Harry Enten on Tuesday.

It was “one of the pillars of Donald Trump’s first campaign back in 2016, winning that Republican primary,” noted Enten, who also pointed to Trump’s anti-immigration agenda enjoying 53% backing when he won his second term in 2024.

But now there’s been “a massive change in the court of public opinion,” he said.

“Now, 58% of Americans say no, they do not, in fact, trust Trump on immigration. Just 41% say yes. So what we’re seeing with ICE is finding its way to the Trump administration at large, to Trump at large.”

ICE keeps killing people, using under claims for public safety or ‘fear for their own lives’. But the video evidence and witnesses’ recounting completely contradicts those narratives. Meanwhile, more FAFO stories show up about Trump’s ICE forces grabbing people trying to complete their citizenship requirements and wholly, totally legally here.

More of We the People are saying, “Enough.”

Americans Know Trump Is Lying

No amount of media sanewashing can convince Americans that Donald Trump is rationally prosecuting the Iran war or accurately relating the terms of a (sort of) deal. No matter how many times Trump repeats his outlandish lies on matters big or small — e.g., vandals at the reflecting pool! She begged me for a photo! — or tosses out bacchanalian distractions, or seeks refuge in hapless propaganda (none creepier than Vice President JD Vance’s pro-Nixon spin), he cannot arrest a growing national consensus: whatever Trump is doing is a failure and whatever he says is a bald-faced lie.

Trump’s inability to snow over the public with his blizzard of deceit bodes well for Democrats’ chances to trounce Republicans in the midterms. Candid after his primary defeat, Republican Texas Sen. John Cornyn let on: “The jury’s still out whether this MAGA populist movement can survive the midterms.” But widespread agreement that Trump is an inveterate liar offers the opportunity for something beyond a midterm victory, which would be nothing less than a reality reset.

In the late stages of any authoritarian crack, the degenerating despot’s spin, lies, and excuses eventually reach a point of diminishing returns. Each additional fabrication only reinforces exasperation with his galling mendacity. That, in turn, may whet the public’s appetite for some unvarnished truth-telling and public accountability.

Jen Rubin wrote this, and she is absolutely right.

Trump keeps rolling out new distractions. He’s doing everything he can to turn We the People’s attention away from his increasing lists of lies, failures, and broken promises.

His latest Operation Epic LOOK — SQUIRREL! effort is for money to fight communism in the United States. But all of it is secret. Trump runs an opaque administration. Whenever documentation and proof is demanded, he blusters and folds.

The ‘war on communism’ is his latest desperate attempt to stoke fear, sow divisions, and stay in power.

Johnson Says Pentagon Needs More Money for ‘Fighting Communism on Our Own Shores’

As he pushed for Congress to approve $350 billion in new spending requested by the Pentagon, House Speaker Mike Johnson suggested Tuesday that some of the funds were needed for “fighting communism on our own shores,” an ominous notion in light of President Donald Trump’s threats to deploy the US military against his domestic enemies.

In addition to the already record-breaking $1.1 trillion military spending bill that was approved last month by the House Appropriations Committee, the Pentagon has requested a separate $350 billion package to be passed through a separate GOP-led spending bill known as “Reconciliation 3.0,” which can pass without Democratic support.

Sure. They’re fighting ‘communism’. Some of We the People will hear the word and shrivel up in fear. But most of us know this dance and will not be fooled again. As Jen Rubin wrote, we know Trump is lying. So is Johnson.

Next, we have this piece by Paul Krugman.

The Humbling of the Once Almighty Dollar

Donald Trump’s stunning failure in Iran has weakened America on many fronts. The world now perceives us as neither a reliable ally nor an invincible enemy, with an extortionately expensive military that is losing its best and brightest to Pete Hegseth’s prejudice and incompetence. We are now four months into a war that was supposed to last a couple of weeks.There is no end in sight as strikes and counter-strikes continue despite Trump’s farcical proclamations of American victory and Iranian surrender. Sixteen months into his presidency, Trump has squandered all of America’s credibility with the rest of the world.

So let me add one more item to the tally of destruction: The supremacy of the dollar, the pre-eminent tool in America’s toolbox of global financial power, has been seriously damaged by the rise of alternative payment systems – a rise that was greatly hastened by the Iran war.

Paul Krugman summarizes how the United States and the USD are losing ground in international affairs. Instead of increasing respect for the United States, Trump has managed to reveal that, with him in charge, the US is now an unreliable ally and trade partner. Trump thumbs his nose at international law, sneers at history, and makes boasts and claims that he can’t back up.

Like We the People, the world is reaching the point that they’ve had enough.

Here is the capstone of the current trend:

Trump’s 37% approval problem just got harder to ignore

Trump’s approval rating is more than a single bad headline. At 37%, the president is sitting in territory that usually signals a broad coalition of dissatisfaction, not just predictable opposition from the other party.

Yes, it’s more than bad headlines, distractions, an unneeded war, and constant lies. Those are all symptoms.

The truth is that a person who should not be in charge of this nation won an election. Since his election, he’s done grave damage to our nation’s system of government and has grown as a threat to not just We the People, but to democracy itself.

Trump knows this. As much as he tries to spin matters, as much as his staff hides the truth, the cracks are showing.

Trump is failing. He and his policies need to be reined in before it’s too late.

The Trends

Interesting trends are taking over the United States.

Manufacturing and production plants are shutting down or gone. It varies by region and industry.

The United States had about 25,000 malls in the 1980s. We’re down to about 1200. Many rural malls have shut down. Stores like Aldi and Dollar General or Dollar Store have replaced them. Some are being successfully repurposed by turning stores into churches. Some areas turn to casinos to counter the loss of malls and manufacturing.

Rural movie theaters are closing, as are rural hospitals, which is creating healthcare deserts.

These are anchor industries. As plants, malls, movie theaters, and hospitals close, jobs are lost, along with local revenue streams. Income drops; spending drops. Local restaurants and service industries suffer. That ripples into the local area’s ability to maintain public buildings, schools, and infrastructure. As these effects are felt, more people move away. People lack incentives to move there. The population shrinks.

With fewer students, rural public schools close. Small community colleges and universities feel it as enrollment drops. Falling enrollments force them to cut programs and raise tuition to fill the gaps, but factors have changed, and the loop of falling tuition and less classes grow.

Railroads, which used to be a rural lifeline, have cut way back in the United States. Small-town passenger train service is mostly gone.

Meanwhile, Data and AI Centers are being built fast. They’re being built in rural areas where there used to be mining or manufacturing. While they’ll provide temporary economic stabilization and add some revenue from construction, these places don’t typically employ many people. Automation takes care of many service needs. Such centers also don’t produce products that can be taken to a store and sold.

I was thinking about all of this because those kinds of economic and service declines in rural areas were a meaningful part of the political environment that helped Donald Trump gain support. He frames his attacks on ‘narco-terrorists’ as a war on crime and drugs. The war in Iran is part of his America First agenda. They build on the same themes of strength, distrust of elites, and national priority that resonated politically in earlier elections.

All those rural trends have been causing a youth drain. Educated young citizens are moving out of rural areas. Those left behind tend to be older and less educated and are more likely to be Trump supporters. For me, then, what Trump is now doing will do little to ameliorate the polarization affecting United States politics.

Long-term rural revitalization isn’t just about economics or infrastructure. It’s deeply tied to political will, governance, and coalition-building. Without bipartisan or broadly supported political action, even the best economic initiatives struggle to take hold.

Trump’s style, though, is exactly the opposite; he goes it alone instead of building coalitions, demonizing political opponents. At the end of the term, we’re likely to see many of the same problems affecting rural areas that we now see. The polarization will remain, but there will be less voters in the rural areas to support people like Trump.

They may have won some short-term victories by putting Trump in office, but the problems remain.

A war in Iran does nothing to help.

Monday’s Theme Music –

Ashland, Oregon — Monday, March 9, 2026.

Cold and gloomy this morning. 44 F underneath clouds and tepid light. Showers are possible, along with a high in the fifties. Not bad as weather goes; just uninspiring.

Many things rocking the mind in this early Monday hours. A new week is underway and we don’t know what will happen next. We can guess but the overall trajectories are pointing toward bleak.

The partial government shutdown is creating travel problems as unpaid TSA agents fail to show up for work, resulting in long security lines in the United States. More importantly, a stressed and diminished security force can be a huge liability as Trump increases attacks on Iran.

A Federal court ruled that Kari Lake lacks the authority to make changes to the Voice of America and ordered people released to be returned.

Besides a rising death toll and greater regional destruction, the Trump Iran War is causing international shipping and travel chaos.

With Iran’s previous leader killed in the initial bombings, a new leader has been established: his son, a hardliner, much like his father.

Measles outbreaks continue growing in the United States, with sharp inclines in North Dakota, Utah, South Carolina, Colorado, and Ohio reported, along with a Texas Homeland Detention Center. Over 1100 cases are reported so far in 2026.

Although the weather here isn’t stormy, the mood around the world seems stormy and moving toward greater destabilization, and we must ride it out. Thinking of that inspired The Neurons to deliver “Riders on the Storm” by The Doors to the morning mental music stream.

This atmospheric song from my youth is always thought provoking but, on my way to find a video to share, I came across Playing for Change’s version, which includes Robby Krieger and John Densmore of The Doors. I enjoyed the new musical inflections added by different singers and instruments from around the world. I hope you enjoy this as much as me.

And off we go. I hope for the best for you and us, this day and every day.

Cheers

Fridaz Theme Music

Muted sunshine and faded skies greet Ashlandia. New chills float through. It’s Fridaz, September 9, 2025. 68 F, rain’s short shadow hovers the mountains. 86 F will be the high but a sense that it’ll be a cool 86 pervades.

Speaking personally, slumber and I were good friends last night. Residual abdominal pain haunts me. My gallbladder matter tracks in a worsening trend. Each cough and flex ushers in uncomfortable spasms. My gut makes noise like a pen full of feeding hogs. I look forward to my surgery in November. Until then, like others, all I can do is endure and work around the issues.

Political news casts no happy sunshine. Trump and his conservative army of dunces remain bent on Making America Poor and Stupid. Oh, the top 1% will be the richest in the world. On paper, we’ll compare pretty good. Into the trenches of life, most will live the lives of Les Miserables. Hate and stupidity is an ugly brew but it addicts many.

Reading on of Peter Sage’s post this week left me with more dispirited headshaking. Peter writes about politics, often addressing it from the southern Oregon point of view. Peter writes,

“Pence, along with Reagan, both Bush presidents, Dole, McCain, and Romney, are the old establishment, the America that isn’t great, the one that paid unnecessary respect to the wrong people. The old GOP leaders accepted laws and norms. That defined “conservatism.” Trump is different. Trump is a rebel. He smashes those laws and norms because they were tacitly part of the oppression. The old order didn’t protect and reward normal White guys and their wives, good Christians.

“Trump is stomping on the symbols and policies of the old order. Stop wind and solar projects. Erase monuments to civil rights. Fire Black leaders in government, the military, and the universities. Cancel medical research grants. Question vaccinations. Stop the slow-motion, checks-and-balances process-dominated government. The establishment respected the wrong people: foreigners and immigrants. It respected diversity, and “diversity” is just part of the groupthink that benefits everyone except people like my correspondent.”

Many of us understand that Trump has used people like Peter Sage’s correspondent as political pawns. They think he’s going to make life better for them. He won’t. We will instead all be interred in a dark existence of poverty and illness. All those regulations which kept the essentials safe for the Joe and Karen average citizen will be swept away in the name of trade and commerce. This will benefit the wealthiest, but not the commoners. And with Trump’s direction, the commoners will be largest, fastest growing segment.

Today’s music is by Hall & Oates. My wife and I went to have our eyes checked. We did this at Costco. Not wanting to be late, my wife guided us there twenty minutes early. Shopping was done in six minutes, leaving time to waste. We did this by drifting through the book, snack, and clothing regions. Quickly bored, I drifted, and when I turned back to my wife, she was gone. That prompted The Neurons to reboot the 1973 Hall & Oates ballad, “She’s Gone”. A short while later, I heard her call out, “Cah, cah.” That’s how we get one another’s attention. So she wasn’t gone. But The Neurons were so amused by this whole turn that they’ve kept the song going in my morning mental music stream.

Time to get up and get out. Hope peace and grace finds you and keeps you standing.

Fridaz Wandering Political Thoughts

Trump and his enablers continue to remake the United States from a democratic republic into a one-party mirror of Joseph Stalin’s Soviet Union.

Acting on fallacies which he promotes as genius, Trump continues cratering the economy. Economists are warning everyone that Trump’s ideas are misguided and that dire consequences are coming. The Hill reports on one in an article, Trump has resurrected one of economics’ oldest fallacies, in a recent issue, the ‘Broken Window Fallacy’. Frédéric Bastiat formulated the Broken Window Fallacy in the 1800s. Scott Burns and Caleb Fuller explain.

Suppose a vandal hurls a rock through a shopkeeper’s window. The shopkeeper is dismayed—this cruel stroke of luck will cost him $1,000. But a local wise guy consoles him, saying, “Actually, there’s a silver lining in this dark cloud!” The broken pane, he explains, creates a job for the local glazier. Perhaps he’ll use those hard-earned shekels to buy shoes from the local cobbler, and so on. Society is ultimately made richer from the shopkeeper’s misfortune — all thanks to the domino effect of spending triggered by two seconds of petty mischief.

It’s a nice story — but as Bastiat illustrates, it’s wildly incomplete. Had the window not been shattered, the shopkeeper could’ve spent his $1,000 on something else he valued. Perhaps he would have bought a new suit, creating income for a local tailor. Or maybe he would have bought some meat, ale, and bread for a party, creating income for the local butcher, brewer, and baker. 

The fatal flaw in the wise guy’s analysis, Bastiat concludes, is confining his theory to “that which is seen” — the income earned by the glazier, the cobbler, etc. In so doing, he ignores “that which is unseen” — everything else the shopkeeper could have bought, had his window not been smashed.

That example summarizes Trump and MAGA thinking. Notoriously short-sighted, they refuse to embrace facts or history and set to rewrite both. Not satisfied with destroying the government and its effectiveness by blindly cutting federal personnel and services, he’s eagerly trashing systems the United States methodically developed through centuries to harness data and give us insights into nature.

As part of this, another FAFO tale has emerged. CEO Sachin Shivaram of Wisconsin Aluminum Foundry, wrote a WaPo OP-ED. In it, he explained how Trump’s trade war has already hurt his workers. Many of them were Trump supporters. Raw Story covered the piece: ‘Batten down the hatches’: CEO warns Trump tariff ‘tsunami’ about to wreck economy In his piece, Sachin Shivaram noted that the tariffs are having a negative impact.

The fee that largely determines the cost of buying aluminum in North America has tripled in the past six months, and the company’s nonaluminum inputs have increased by 7 percent in the last month, and the foundry has had no choice but to raise their prices and lay off some workers.

Sachin Shivaram continues:

“What is not debatable is that our order rate is down 35 percent to 40 percent since the start of the year,” he wrote. “At other companies, too, demand is crumbling. In such a situation, companies have a fiduciary duty to bring costs down, and the one surefire way to do that is layoffs. At our company, we’ve had little choice but to lay workers off at all of our plants. Shareholders aren’t suffering — not yet — because the impact is being absorbed first by the very people Trump’s policies are meant to help.”

The education system that helped the United States grow and succeed as a world power is being deliberately and systematically dismantled. He has no substitute in mind, just as he had no substitute in mind all those times when he promised a new healthcare program to replace ACA. Notice that he’s quietly quit saying anything about that.

Trump used to pretend that Democrats and their demonic behavior was documented in the Epstein File. Throughout his campaign to be elected, he kept promising to release that file. Now he claims that file was created by Democrats. Desiring nothing to do with releasing it because of the photos, accusations, and testimony against him existing outside of the file, he’s trying to make the Epstein matter go away.

Ignoring the Constitution’s checks and balances, and the power of the purse given to Congress, he’s again played Congress, refusing to release legally legislated funds, daring them to take him to court again. The general belief is it will be taken to court and will end up before the Roberts Supreme Court. There, if the past is a predictor of what’s to come, Roberts and his right-wing justices, will give Trump another victory, dealing greater damage to our nation and system of government.

As a self-professed ‘man of peace’, Trump has activated national guard units to patrol cities where no patrols are needed, upping the nation’s divisions, increasing tensions, and further polarizing politics. He does this without regard to his promise to lower the deficit. It costs millions to deploy these troops and distracts from real issues. The troops are not needed there because facts and statistics show that crime is down in those cities. Instead, it is Red States and Red Cities, led by Republicans, who are showing the most violent crime.

Is it ironic that Trump and the Red State MAGALand inhabitants are rebuilding a Red State nation that is so similar to the old communist Soviet Union which was featured in so many Republican ‘red scare’ tactics?

In short, Trump is remaking the nation in his graven, greedy, ignorant image. As bad as that is, he’s delusional, irrational, and detached from reality. The gestalt creature which will emerge from this insult to truth, history, facts, and logic, will forever stain the nation’s Founders’ history and intentions.

Saturda’s Wandering Thoughts

I am again mystified. This isn’t shoutitfromtheroof news. I’m often mystified.

I know I mystify others, too. Especially my wife. She often avoids asking questions to clarify, preferring to express her doubts and confusion with her facial expressions. I used to ask her, “What’s that look for?” when I was young. I don’t make those inquiries these days.

My mystification is again with other people. Specifically, other drivers. They often mystify me. Cars stop four car lengths back from the car in front of them. “Why do they do that?” I ask myself and my wife. We laundry list reasons for fun. It’s not satisfying because I never know the real answer.

Other driving aspects which mystify me is the lack of adherence to speed limits. It’s not that I’m worried about speeding. I speed. No, the other drivers’ weird behavior in regards to speed limits trigger me. “It was thirty-five,” I tell my wife. “And they were going thirty. Now it’s a twenty-five miles an hour limit and they’re still going thirty.”

“I think most drivers don’t pay attention,” my wife says.

I agree with her in principle, but I don’t know. That bugs me.

The latest driving mystery involves turn signals. “I’ve noticed a new trend,” I tell my wife. “People are coming to a traffic light, stopping at the red light, but if they’re turning, they’re not putting on their turn signals before until they start to turn. Why do they do that? Don’t they understand what a turn signal is about?”

“Maybe they forgot where they’re going,” my wife says.

That’s possible. But I don’t know. That bugs me.

Returning from the library the other day, she rushed in and said, “You’re right. I had three different drivers not turn on their turn signal until they began turning. What’s going on? Why are they doing that?”

“Right?” I respond. I’m very pleased.

It’s always good to have someone else join your party.

Thursday’s Theme Music

Mood: humordacious

It’s the first Thursday in September, the fifth day of the month in the common era year of 2024.

We awoke to chilly night air but guess what? Today’s projected high will be another 30 degrees above this current 70 degrees F temp, leveling out at 102. The air quality is not bad at 52 according to airnow.gov.

The light on these days where the temperatures enter triple digits always seems stronger and brighter to me in the AM. I don’t know if that’s a psychological thing for me or if there’s an actual meteorological explanation.

A local fire polluted us and put us on high alert yesterday. Started at about 11 AM. Hot day but not a whole lot of wind. A fire broke out at Exit 11 on I-5. The southbound entrance to the Interstate, it’s a couple miles past the town’s southern boundary, about three miles from my house in Ashlandia.

The authorities responded fast. Some early evacuations were ordered because the wind was blowing northwest, which would push the fire toward one mountainous, isolated neighborhood. But the fire was contained within two hours and declared done after eleven acres went up.

My wife has been an energetic individual this week. She’s organized purchases of Harris – Walz bumper stickers and yard signs for her friends and fellow Harris – Walz supporters. They’ve also been buying Harris – Walz tee-shirts. My wife emphatically stated, “I want to publicize her support so people see how strong the blue wave is and feel more encouraged to add their support.”

I lost a bet. My healthcare system reached out to me and I have an appointment with an Ortho surgeon on September 26. I thought the appointment wouldn’t be for six weeks. I’m happy to have lost. I’d like something down about the foot/ankle, as it signals regular messages that all’s not well on my body’s southernmost regions. That’s how I look at it. My feet are my south, and my head is the north.

I read some posts and stories about Trump’s support among young men, especially when they’re white. Not real surprising to me. My wife has been fascinated by relationships between the sexes for years and updates me on what she reads and sees. One of the many facts she’s provided to me is that less men are pursuing higher education. More women are enrolling in college and universities these days. There’s fall out from that in several ways. One, men are increasingly less likely to land higher pay professional positions. Two, men are less educated, which makes them less attractive to women. That triggered the incel — involuntary celibat — movement among men, driving resentment and outright hatred toward women. Hence, young men are increasingly not dating women, not getting good jobs where women are succeeding, and feel resentful. Trump and Project 2025’s message speaks directly to them, that women need to be put back into place, at home, taking care of her family while the man brings home the bacon.

As women have said to that, we are not going back.

Today has The Neurons playing “Lola” by the Kinks in the morning mental music stream (Trademark muddled). The 1970 song infliltrated the stream after I read another’s blog. She wrote about “You Really Got Me” by the Kinks. The Neurons just started playing other Kinks songs. Then they settled into this terrific love song, “Lola”. The rest is history.

Stay real and be positive. Vote blue n 2024. Coffee has been sipped up. Here’s the music from over fifty years ago, about an encounter between a man and a man — at least, that’s what it might be.

Cheers

Wednesday’s Wandering Thought

A car ran the red traffic light. He noted it without surprise. What was once extremely rare was now witnessed daily. Maybe he was paying more attention now. Or maybe there’s a general trend of greater lawlessness expanding, a growing sense among people that the law doesn’t apply to them.

Or maybe there were just more bad drivers.

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