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Ontario waited weeks to trigger restrictions while COVID-19 spread. Did changes come too late?

For months, Ryan Imgrund has meticulously tracked the ebbs and flows of coronavirus transmission in Ontario.

New weekly COVID-19 cases per capita. Infections tied to community transmission. The shifts in impacted regions and age groups.

After the Civic Holiday weekend in early August, one rising metric stood out to the biostatistician: The virus’s Rt value — the number of cases linked to every primary infection — went above 1.0 after a summer lull. 

It signalled a shift to exponential growth, where every one person carrying the virus could infect 1.1 more, and so on. 

“That’s when my alarm bells started going off,” said Imgrund, who works at Southlake Regional Health Centre in Newmarket, Ont..  

As the weeks passed and summer turned to fall, those alarms rang louder and louder. Clinicians, epidemiologists and hospital leaders all started sharing other concerning metrics — including rising demand for testing, spikes in hospital admissions, long-term care outbreaks — and pushed Ontario to take action.

Several hundred people line up on a soccer field in Ottawa to wait for COVID-19 testing on Sept. 15, as urban areas of Ontario saw a surge in new cases. The provincial government on Friday announced a return to earlier restrictions for Ottawa, Toronto and Peel Region. (Adrian Wyld/The Canadian Press)

But it wasn’t until Friday that provincial health officials announced a sweeping rollback to earlier restrictions for the hot zones of Toronto, Peel Region and Ottawa, including the closing of restaurants, gyms, movie theatres, casinos and other indoor gathering spots.

A bid to curb runaway case growth before yet another holiday weekend, the move came the same day Ontario reported a new record high of more than 900 COVID-19 cases.

So why now? 

Why not take action on Thursday, when critical-care physicians flagged a one-day spike in ICU admissions not seen since early June?

Why not a week ago, when Toronto’s medical officer of health called for indoor dining and fitness centre closures to stop “exponential growth” in infections?

Why not in early October, after the province’s own modelling data projected 1,000 new cases each day?

Why not sometime in September, when cases and hospitalizations were rising while new infections shifted from mostly younger adults to more older, vulnerable Ontarians?

Why not back in August, when the reproductive number Imgrund kept tracking hit the tipping point for case growth — an early signal of trouble to come?

“A couple weeks ago, we didn’t see these numbers,” Premier Doug Ford told reporters on Friday, referring to this week’s record-breaking case growth, which spiked despite lagging testing data and a hefty processing backlog.

“We saw them creep up, creep up, and then, over a day or two — bang — they doubled.”

WATCH | Ontario premier’s changing message on COVID-19:

Just days ago, Premier Doug Ford said the province was “flattening the curve.” Now, cases are hitting record highs and he has different advice for the public. 1:04

Ford said closing businesses wasn’t an easy decision and involved balancing both public health and the economy. He also said not acting would leave the province in “worse shape” down the road.

“But it’s not too late, folks,” the premier said.

Others worry there’s been a dangerous delay.

Cases shifting to older adults

“I think we’re two to four weeks too late,” warned physician epidemiologist Dr. Nitin Mohan, a partner at ETIO Public Health Consultants and an assistant professor at Western University in London, Ont.

“And frankly, even delaying a week we’re going to see unnecessary cases and deaths,” said Dr. Samir Sinha, director of geriatrics at Sinai Health in Toronto.

That’s because the concerning metrics of today foreshadow worse problems to come, and there’s no going back in time to change the past.

Dr. Nitin Mohan, a partner at ETIO Public Health Consultants and an assistant professor at Western University in London, Ont., says while the new restrictions are a ‘step in the right direction,’ it will take some time before their impact is clear. (Zoom)

According to Imgrund’s data analysis, the number of new cases reported among adults over 60 has tripled over the last month. The finding suggests more vulnerable seniors could soon be facing serious forms of COVID-19 as their illnesses progress, including hundreds of residents — and staff — infected amid outbreaks in long-term care.

Hospitalizations of COVID-19 patients over the last three weeks have also increased 250 per cent, the province revealed on Friday, while the number of intensive care unit beds being occupied is expected to cross the 150-bed threshold within the next 30 days. 

“This will have a direct, negative impact on the ability of some hospitals to provide access to other vital surgeries and procedures,” Anthony Dale, president and CEO of the Ontario Hospital Association said following Friday’s announcement.

And while Mohan said the restrictions are a “step in the right direction,” it will take some time before the impact is clear — with many recently infected Ontarians set to become sicker as the days pass.

“We’ve now created a situation in the province where we’re going to have weeks of hardship,” said Dr. Nathan Stall, a geriatrician at Mount Sinai Hospital. “The damage still needs to be mopped up.”

Ontario aiming to avoid full lockdown

To provincial officials, bringing Ontario back to a cleaner state involves curbing case growth enough to not only avoid an overwhelmed health-care system but also a lengthy lockdown.

Health Minister Christine Elliott told reporters on Friday that rolling back to earlier restrictions now is a better bet than waiting until the situation “spirals out of control.”

Given that the risk that could still occur, Mohan said officials need to refocus their communication to the public during this next phase of the pandemic, since even with targeted restrictions, the takeaway for Ontarians may remain unclear, and enforcement could be a challenge.

Patrons wearing masks sit on the patio of a Toronto restaurant in June, as the city entered Stage 2 of reopening. Under COVID-19 restrictions announced in Ontario on Friday, indoor dining is prohibited in Toronto, Peel Region and Ottawa, but patios can remain open. (Nathan Denette/The Canadian Press)

The closures apply to Toronto and Peel but not to the neighbouring regions of Halton and York; the province is pushing residents to avoid non-essential outings and has halted indoor dining in the three hot zones, yet patios can remain open.

“What we should be doing is providing these businesses with additional support to help them close down safely so we can curb the spread of the virus and drive case counts low,” Mohan said. “If we take this sort of half-step approach, then we can’t expect the results we really need to see.”

Ford said the province is investing millions of dollars to help businesses with fixed costs, including property taxes and hydro and gas bills, while the federal government announced targeted aid, including rent relief for some businesses hit by shutdowns.

The question after weeks of alarming metrics and, for many, even more alarming inaction is whether all of the efforts will be enough to bring Ontario back from the edge of disaster.

“Have we missed the opportunity?” Stall said. “I still think we can control this — we can deal with this — but it’s going to delay things.”

How damaging that delay proves to be only time will tell.

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Cuts to Alberta health-care system trigger privatization, safety fears

A patient advocacy group is worried potential cuts to front-line health-care workers could jeopardize patient safety, while others fear they could lead to calls for privatization.

The province has warned unions that thousands of health-care positions could be eliminated over the next three years, including hundreds of front-line nursing jobs.

Rick Lundy, founder of the Open Arms Patient Advocacy Society, says the cuts are making people nervous.

“We all agree that our health-care system needs to look at how we spend money, without a question. But let’s make sure patient safety is not jeopardized in doing that. That’s not a good trade-off,” he said.

‘That scares me’

“We’re taking so many valuable nurses off the front line. That scares me, as a patient.”

On the weekend, Premier Jason Kenney said job losses could be mitigated if negotiators lowered their expectations for salaries.

He said it’s clear that in order to balance Alberta’s books, the size of the public sector must be reduced. But he said he’s hopeful that can be achieved mostly through attrition.

Sandra Azocar, the executive director of Friends of Medicare, says her group has big worries about the direction the UCP government is taking the health-care system.

“It will impact wait times, it will impact quality of care in terms of not having enough of the care that’s needed out there.”

“You don’t improve health care by removing the people that are providing the health care. What you have to look at is where the money that we do get in the health-care system is actually being allocated.”

I just don’t think that the kinds of cuts that they are proposing are likely to achieve any improvement in health outcomes.– Lorian Hardcastle, U of C professor

Lorian Hardcastle, who teaches in the faculties of law and medicine at the University of Calgary, says the sheer numbers of layoffs being considered are quite shocking and it will be very challenging for the health-care system to absorb the cuts.

“I just don’t think that the kinds of cuts that they are proposing are likely to achieve any improvement in health outcomes,” she said.

“This may save some amount of dollars in the health-care system, but at what cost? And I think that the costs we’re going to see are patients having longer waits for care, patients having poorer health outcomes.”

She said there could be a stronger push for privatization as a result of the cuts.

“If the public system struggles with bearing these cuts, then I think that the conservatives may use that as an opportunity to say, ‘well, maybe now is the time to look at private alternatives.'”

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Powerful quakes buckle Alaska roads, briefly trigger tsunami warning

Back-to-back earthquakes measuring 7.0 and 5.7 shattered highways and rocked buildings Friday in Anchorage and the surrounding area, sending people running into the streets and briefly triggering a tsunami warning for islands and coastal areas south of the city.

No tsunami arrived, and there were no immediate reports of deaths or serious injuries.

The U.S. Geological Survey said the first and more powerful quake was centred about 12 kilometres north of Anchorage, Alaska's largest city, with a population of about 300,000. People ran from their offices or took cover under desks. The 5.7 aftershock arrived within minutes, followed by a series of smaller quakes.

Items from shelves that came unbolted from a wall are strewn across Anchorage True Value Hardware's stockroom floor. Store owner Tim Craig said no one was injured in the store but hundreds of shelf items hit the floor. He said off-duty staffers as well as customers offered to help clean up. (Dan Joling/Associated Press)

"We just hung onto each other. You couldn't even stand," said Sheila Bailey, who was working at a high school cafeteria in Palmer when the quake struck. "It sounded and felt like the school was breaking apart."

A large section of an off-ramp near the Anchorage airport collapsed, marooning a car on a narrow island of pavement surrounded by deep chasms in the concrete. Several cars crashed at a major intersection in Wasilla, north of Anchorage, during the shaking.

Anchorage Police Chief Justin Doll said he had been told that parts of Glenn Highway, a scenic route that runs northeast out of the city past farms, mountains and glaciers, had "completely disappeared." Traffic in the three lanes heading out of the city was bumper-to-bumper and all but stopped Friday afternoon as emergency vehicles passed on the shoulder.

The quake broke store windows, knocked items off shelves, opened cracks in a two-storey building downtown, disrupted electrical service and disabled traffic lights, snarling traffic. It also threw a full-grown man out of his bathtub.

The U.S. Geological Survey said the first and more powerful quake was centred about 12 kilometres north of Anchorage, Alaska's largest city, with a population of about 300,000.

Flights at the airport were suspended for hours after the quake knocked out telephones and forced the evacuation of the control tower. And the 1,287-kilometre Alaska oil pipeline was shut down while crews were sent to inspect it for damage.

Anchorage's school system cancelled classes and asked parents to pick up their children while it examined buildings for gas leaks or other damage.

Fifteen-year-old Sadie Blake and other members of the Homer High School wrestling team were at an Anchorage school gymnasium waiting for a tournament to start when the bleachers started rocking "like crazy" and the lights went out.

People started running down the bleachers in the dark, trying to get out.

"It was a gym full of screams," said team chaperone Ginny Grimes.

When it was over, Sadie said, there was only one thing she could do: "I started crying."

Jonathan Lettow was waiting with his five-year-old daughter and other children for a school bus near their home in Wasilla when the quake struck. The children got on the ground while Lettow tried to keep them calm.

"It's one of those things where in your head you think, 'OK, it's going to stop,' and you say that to yourself so many times in your head that finally you think, 'OK, maybe this isn't going to stop,"' he said.

Soon after the shaking ended, the school bus pulled up and the children boarded, but the driver stopped at a bridge and refused to go across because of deep cracks in the road, Lettow said.

Former Alaska governor Sarah Palin tweeted that her home was damaged: "Our family is intact — house is not. I imagine that's the case for many, many others." She posted a video of the inside of her parents' home, with broken dishes littering the kitchen floor. A large set of antlers appeared to have fallen off a wall of the living room.

Gov. Bill Walker issued a disaster declaration. He was in an elevator in a high-rise Anchorage office building and said it was a "rough ride" coming down. He described the quake as a 7.2, though it was unclear why his figure differed from that of the USGS.

Thrown from bathtub

In Kenai, southwest of Anchorage, Brandon Slaton was home alone and soaking in his bathtub when the earthquake struck. Slaton, who weighs 209 pounds, said it created a powerful back-and-forth sloshing that threw him out of the tub.

His 120-pound mastiff panicked and tried to run down the stairs, but the house was swaying so much that the dog was thrown into a wall and tumbled down the stairs, Slaton said.

Students stand amid fallen ceiling tiles and other debris at Chugiak High School in Anchorage. (Submitted by Clint Scholtisek)

Slaton ran into his son's room after the shaking stopped. The boy's fish was on the floor, gasping, its tank shattered. Slaton put the fish in a bowl.

"It was anarchy," he said. "There's no pictures left on the walls, there's no power, there's no fish tank left. Everything that's not tied down is broke."

Alaska was the site of the most powerful earthquake ever recorded in the U.S. The 9.2-magnitude quake on March 27, 1964, was centred about 120 kilometres east of Anchorage. It and the tsunami it triggered claimed about 130 lives.

The state averages 40,000 earthquakes a year, with more large quakes than the 49 other states combined. Southern Alaska has a high risk of earthquakes because the Earth's plates slide past each other under the region.

Alaska has been hit by a number of powerful quakes over 7.0 in recent decades, including a 7.9 last January southeast of Kodiak Island. But it is rare for a quake this big to strike so close to such a heavily populated area.

David Harper was getting some coffee at a store when the low rumble began and intensified into something that sounded "like the building was just going to fall apart." He ran for the exit with other patrons.

"People who were outside were actively hugging each other," he said. "You could tell that it was a bad one."

Cases of beer lie jumbled in a walk-in cooler at a Value Liquor in Anchorage. Owner Mary Funner said she considered closing Friday until customers began lining up. They were allowed to come in in small groups. (Dan Joling/Associated Press)

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Carolina connection key trigger in Flames' reset

The 2017-18 season went south for the Flames, so the Flames looked south for the solution.

The answer, apparently, was in Carolina.

After finishing sixth in the Pacific Division and out of the playoffs, Glen Gulutzan was out as head coach after two seasons, replaced by former Hurricanes coach Bill Peters.

The search didn't stop there, as the Flames and Hurricanes then orchestrated the biggest trade of the off-season: Dougie Hamilton, Michael Ferland and prospect Adam Fox to Carolina for Noah Hanifin and Elias Lindholm.

It's not so much a rebuild as it is a reset.

With Johnny Gaudreau (24G-60A-84 Pts) knocking on the door of the NHL's top tier, Sean Monahan (31-33-64) not far behind and a defence anchored by Mark Giordano (13-25-38), the Flames have the nucleus of a contender.

Adding Lindholm (16-28-44) and free-agent James Neal (25-19-44) to the mix gives the Flames options for a top line that can compete with most in the league.

As good as Hamilton is, it wasn't working in Calgary. In Hanifin, the fifth overall pick of the 2015 draft, the Flames get a defenceman with tremendous upside. That was clearly the thinking in quickly signing him to a six-year deal with an annual average value of $ 4.95 million US. If Hanifin develops the way the Flames hope, he will be a bargain at that price.

In net, Mike Smith (.916 SV%., 2.65 GAA) has proven the reliable goaltender the Flames wanted when they acquired the 36-year-old from Arizona in 2017.

Names and numbers:

2017-2018 record: 37-35-10 (84 points), 5th in Pacific Division, missed playoffs

New faces: Coach Bill Peters, F James Neal, F Elias Lindholm, F Derek Ryan, D Noah Hanifin,

Key forwards: James Neal, Johnny Gaudreau, Sean Monahan, Elias Lindholm, Matthew Tkachuk

Key defencemen: Mark Giordano, Noah Hanifin, T.J. Brodie, Travis Hamonic

No. 1 goaltender: Mike Smith

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U.S. Secretary of State says poisoning of ex-spy in Britain will 'certainly trigger a response'

U.S. Secretary of State Rex Tillerson cast the poisoning of an ex-spy in Britain as part of a “certain unleashing of activity” by Russia that the United States is struggling to understand.

He also warned that the poisoning would “certainly trigger a response.”

Tillerson, echoing the British government’s finger-pointing toward Moscow, said he didn’t yet know whether Russia’s government knew of the attack with a military-grade nerve agent, but that one way or another, “it came from Russia.” He said it was “almost beyond comprehension” why a state actor would deploy such a dangerous substance in a public place, where others could be exposed.

“I cannot understand why anyone would take such an action. But this is a substance that is known to us and does not exist widely,” Tillerson told reporters as he flew from Nigeria to Washington. “It is only in the hands of a very, very limited number of parties.”

Nerve agent developed during Cold War

British Prime Minister Theresa May said that Novichok, the nerve agent used against ex-spy Sergei Skripal and his daughter, was developed by the Soviet Union near the end of the Cold War.

Skripal, 66, was a Russian military intelligence officer before flipping to the British side in the 1990s, going to jail in Russia in 2006 and being freed in an exchange of spies in 2010. Moscow has dismissed the suggestion it was involved in his March 4 poisoning as “a circus show.”

Tillerson, who spoke Monday by phone with British Foreign Secretary Boris Johnson, said he’s grown “extremely concerned” about Russia, noting that he spent most of the first year of the Trump administration trying to solve problems and narrow differences with the Kremlin. He said that after a year of trying, “we didn’t get very far.

“Instead, what we’ve seen is a pivot on their part to be more aggressive,” Tillerson said. “And this is very, very concerning to me and others that there seems to be a certain unleashing of activity that we don’t fully understand what the objective behind that is.”

He said if the poisoning turned out to be the work of Russia’s government, “this is a pretty serious action.

“It certainly will trigger a response. I’ll leave it at that,” Tillerson said.

Britain Spy

Military forces work on a van in Winterslow, England, Monday as investigations continue into the nerve-agent poisoning of Russian ex-spy Sergei Skripal and his daughter Yulia, in Salisbury, England. (Frank Augstein/Associated Press)

Tillerson, whose relationship with Russian President Vladimir Putin dates back to his days as Exxon Mobil’s CEO, has sought to work with Russia on narrow areas where the two countries could find common ground, such as a ceasefire in southwestern Syria that has largely held since last year.

But those efforts have had diminishing results. Tillerson’s efforts to persuade Moscow to stop propping up Syrian President Bashar al-Assad and to pull out of Crimea have yielded little to no progress.

At the same time, President Donald Trump’s critics regularly accuse his administration of failing to stand up to the Kremlin, especially over Russian interference in the 2016 presidential election.

Russia hawks in Congress are particularly miffed that the State Department so far has declined to use a new law letting the U.S. slap sanctions on foreign companies or governments that do business with Russia’s defence or intelligence sectors. Those powers took effect in January, but so far no one has been punished.

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Why North Korea's latest nuclear test should trigger a tougher response – but not military action

North Korea’s sixth and largest-yet nuclear test, a detonation that occurred while most Americans dozed during the long weekend, may have finally ended efforts to prevent Pyongyang from achieving nuclear weapons capable of reaching the U.S. mainland, experts say.

The North now claims to have a hydrogen bomb. It has at the very least blown up a thermonuclear weapon that, if mounted on an intercontinental ballistic missile, could devastate an American city.

If that’s indeed the case, experts say, the international community must shift focus away from keeping such weapons out of the North’s hands to making sure the rogue state never deploys them.

Sunday’s massive explosion caused a jolt that registered a 6.3 on the Richter scale, a seismic event that experts say could indicate a hydrogen bomb. Such a device would be eight times more powerful than the bomb dropped on Hiroshima during the Second World War.

Nuclear War Anxiety 20170810

A man watches a television screen showing U.S. President Donald Trump, left, and North Korean leader Kim Jong-un during a news program at the Seoul Train Station in Seoul last month. (Ahn Young-joon/Associated Press)

“Once they get to a hydrogen bomb level, we’re talking millions of tonnes of TNT,” said Harold Kazianis, director of defence studies at the Center for the National Interest, a Washington think-tank.

“We’re out of time when it comes to stopping North Korea in acquiring nuclear weapons. They already have them, they’re already there.”

Making the option of using such weapons unthinkable or at least extremely unappealing for North Korea could come down to more deterrence through military exercises and shows of regional co-ordinated military strength, experts say.

U.S. President Donald Trump and Treasury Secretary Steve Mnuchin are also telegraphing policies of containment to cut off the North Koreans from the economic, diplomatic and financial systems of the world.

No good options

While there are never good options when dealing with North Korea, Kazianis said, “it’s time to focus on the here and now” by applying tougher sanctions on the North’s allies and ratcheting up diplomatic pressures.

He believes the North may be only six to 18 months away from a key step of miniaturizing and mounting a hydrogen bomb on a missile that can reach the U.S. mainland.

Whatever the case, Kazianis said, the U.S. response shouldn’t veer into a unilateral military option that would trigger catastrophic collateral damage. 

APTOPIX South Korea Koreas Tensions

In this photo provided by South Korea Defence Ministry, South Korea’s Hyunmoo II ballistic missile is fired during an exercise at an undisclosed location in South Korea on Monday. The South Korean military said it conducted a live-fire exercise simulating an attack on North Korea’s nuclear test site to ‘strongly warn’ Pyongyang over the latest nuclear test. (South Korea Defence Ministry/Associated Press)

A targeted strike on nuclear weapons sites, for example, risks triggering war in the Korean Peninsula if the U.S. can’t guarantee 100 per cent accuracy on wiping out the entire nuclear program, Kazianis said.

“The challenge is we don’t know where all the North Korean nuclear weapons are,” Kazianis said. “Say you take out 28 out of 30 nuclear weapons, if Kim has one or two left, he’ll launch them at South Korea or Japan or the west coast of the United States.”

Aside from its atomic arsenal, North Korea still has 10,000 artillery tubes pointed at South Korea and 4,500 tonnes of chemical weapons “so you’d still be condemning hundreds of thousands of people to die,” Kazianis said.

When a reporter asked Trump on Sunday if he would attack the North, Trump answered, “We’ll see.”

Military threat

U.S. Defence Secretary James Mattis struck a strident tone in discussing the prospect of war in the Korean Peninsula.

“Total annihilation” of a country, Mattis said, “namely North Korea,” was at risk if it continued its aggression against the U.S. or its allies.

Experts agree that a military threat from the U.S. remains the most compelling reason for why North Korean leader Kim Jong-un is likely to hold back from approaching all-out war.

‘Kim understands an attack on the U.S. homeland would likely lead to the end of their regime.’– Anthony Ruggiero

“The North Koreans aren’t suicidal,” said Anthony Ruggiero, a senior fellow with the Foundation for Defence of Democracies, a Washington think-tank. “Kim understands an attack on the U.S. homeland would likely lead to the end of their regime.”

But by declaring it has obtained a hydrogen bomb and with its stepped-up tests of its intercontinental ballistic missile, the North Korean leader is also gambling that the U.S. would be hesitant to risk the lives of its own citizens by intervening in the North’s ultimate goal of reunifying the Korean Peninsula, Ruggiero said.

“For them, this is all about having the capability to attack the U.S. homeland,” he said. “Does North Korea sort of wrap this up and say, ‘We showed you the H-bomb, we conducted two ICBM tests, now we’re going to declare it’s on an ICBM that we’re willing to use on the U.S.?’ “

Likely Pyongyang now believes it may have reached a point at which it’s too late for the U.S. to try to take away its atomic weapons, he said.

With the rapid pace at which the North has accelerated its weapons program, Ruggeiro said Washington can’t afford to wait much longer for the United Nations in order to press ahead with the most robust sanctions it can.

Sanctions proposed

“I think the U.S. can impose sanctions the first day of business this week, on Tuesday morning, if they really wanted to, and show the Chinese and the Russians we’re serious.”

Congress returns from a summer break on Tuesday and Mnuchin is drafting a sanctions package to present to the president.

He told Fox News the package would indicate “that anybody that wants to do trade or business with [North Korea] would be prevented from doing trade or business with us,” a pointed reference to the North’s allies China and Russia.

Beijing continues to export crude oil and food to Pyongyang, but the U.S. cutting off business with the Chinese could cause profound economic pain. The U.S. and China do more than $ 600 billion in annual trade.

APTOPIX China Koreas Tensions

Trucks crosses the bridge connecting China and North Korea in the Chinese border town of Dandong, opposite side of the North Korean town of Sinuiju on Sept. 4, 2017. China said Monday that Trump’s threat to cut off trade with countries that deal with North Korea is unacceptable and unfair. (Helene Franchineau/Associated Press)

Decades of dithering in Washington about what to do about North Korea have led up to this moment, said former State Department adviser David Asher, who headed a task force into North Korea during the George W. Bush administration.

“Where on earth is the North Korean regime getting the money for all this nuclear activity? Their GDP is eclipsed by these programs, so obviously they’re getting outside assistance.”

Asher would like to see sanctions targeting Chinese and Russian firms and individuals.

“Whether we’re going to do it, I don’t know. We’ll see if we have the gumption to do it,” he said. “I’m a diplomat and I’m not against diplomacy, but I’m also a realist. We can’t stop living in a surrealistic strategy where the clocks have melted like a Salvador Dali painting. Time hasn’t stood still.”

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