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As tuberculosis cases rise in the US and worldwide, health officials puzzle over the resurgence of a disease once in decline

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theconversation.com – Karen Dobos, Professor of Microbiology, Colorado State University – 2025-03-06 07:36:00

A microscopic view of Mycobacterium tuberculosis, the bacteria that causes tuberculosis.
koto_feja/E+ via Getty Images

Karen Dobos, Colorado State University and Marcela Henao-Tamayo, Colorado State University

An outbreak of tuberculosis, or TB – a lung disease that is often accompanied by a hacking cough – began in January 2024 in Kansas City, Kansas, and two nearby counties and continues as of early March 2025. To date, 147 people have been reportedly diagnosed with TB in the outbreak, with 67 becoming ill. The remaining 80 people diagnosed with TB in Kansas contracted the illness but showed no symptoms, which is called a latent infection.

TB is the leading infectious cause of death around the world, outpaced only by COVID-19 during the first three years of the pandemic.

The Conversation asked microbiologists Karen Dobos and Marcela Henao-Tamayo, both from Colorado State University, to explain why this ancient disease seems to be making a comeback.

What’s the history of TB?

Mycobacterium tuberculosis is the organism that causes the disease tuberculosis in humans. The disease has been infecting humans for thousands of years. Researchers found evidence of the disease 9,000 years ago in the excavated remains of people who lived in the Eastern Mediterranean region during that time.

Reports of TB date back to around 410-400 B.C.E., when the physician Hippocrates termed the disease phthisis, an archaic word that means a progressive “wasting away,” due to the way people with the disease become emaciated.

TB was also known as consumption for the same reason. Similarly, it was called the white plague or white death – due to anemia from the disease, with people appearing pallid or chalky – leading to near-certain death. Untreated active TB, meaning cases that are symptomatic, is highly lethal.

About half of all people with untreated active TB die from the disease, whereas treatment reduces the death rate to 12%.

One of the more colorful phrases describing TB is “the king’s evil.” This is a form of TB that also causes neck swelling and lesions, a condition called scrofula. During the Middle Ages, people believed that the touch of a king could cure a person from this form of TB through miraculous intervention.

This illustration shows a TB infection in the lungs of a patient.
TB infections, which are typically found in the lungs, have risen since the COVID-19 pandemic.
Kateryna Kon/Science Photo Library via Getty Images

Finally, TB was most ominously called the “robber of youth” due to its historical propensity to afflict people 15 to 30 years old.

In 1865, Jean Antoine Villemin, an army physician in Paris, demonstrated that TB could be transmitted from infected animals to healthy ones through inoculation. Before these studies, the cause of TB was presumed to be primarily constitutional, by either an inherent predisposition or from unhealthy or immoral lifestyles.

The microorganism causing TB was ultimately discovered in 1882 by the German physician Robert Koch. Koch announced his findings on March 24, 1882, a day globally recognized as World TB Day.

How does TB spread?

Tuberculosis is spread by small infectious droplets in the air. A TB patient may emit these droplets by coughing, singing and potentially from regular breathing that occurs during sleep or resting.

One form of TB can be spread through unpasteurized dairy products. While rare, there have been reports of TB transmission through bone graphs, in which healthy, donated bone material is used to replace damaged bones.

Computer illustration of the microbes that cause TB.
Close-up view of an infection by Mycobacterium tuberculosis.
Kateryna Kon/Science Photo Library via Getty Images

The origin of the TB outbreak in Kansas remains unknown as of early March 2025. The outbreak has disproportionately affected those in low-income communities, and two people have died from it.

Importantly, a patient with untreated TB can infect 10 to 15 others.

Could the COVID-19 pandemic be a factor?

The COVID-19 pandemic has played a pivotal role in the resurgence of TB. Cases increased globally by 4.6% from 2020 to 2023, reversing decades of steady declines in the disease. In the U.S. alone, TB cases rose by more than 15% from 2022 to 2023.

During mandatory shutdowns, people were less able to access health care centers for early diagnosis of TB or to fill prescriptions for treatment, perhaps due to the fear of contracting COVID-19 while visiting a medical care facility. COVID-19-related disruptions in care resulted in nearly 700,000 excess deaths from TB.

Access to health care may not be the only factor behind this uptick. Medical supply shortages and delays in shipment may have also played a role. For example, the U.S. experienced shortages of one of the primary TB drugs between 2021 and 2023.

An historical photo of a doctor and nurse examining a TB-positive X-ray.
As illustrated by this 1963 photo, TB is often detected by an X-ray of the chest.
Smith Collection/Gado/Archive Photos via Getty Images

What are the main treatments?

Multidrug treatment is currently the only way to cure TB and stop its spread.

Prior to the late 1930s, when the first antibiotic for TB treatment was developed, TB treatments included bloodletting and consumption of cod liver oil. The most popular treatment involved isolated sanatoriums in high-altitude areas such as the Adirondacks and the Rocky Mountains, where the cold, dry air was believed to be a cure. Scholars at the time suggested that the potential for cure was due to these environments being more invigorating for the body and providing more restful sleep. There is no evidence to support these beliefs.

Streptomycin was the first antibiotic treatment to become available for TB, in the 1940s. However, the microorganism quickly became drug resistant. A second antibiotic, called isoniazid, was developed as a first-line treatment against TB in the 1950s. Again, the microorganism became drug resistant.

Two- and four-drug combinations are now used to treat both latent infections and active disease. Treatment of active TB requires at least six months of uninterrupted therapy. Disruptions in treatment result in further spread of TB and the emergence of multidrug resistant TB, which requires additional drugs and more than nine months of treatment.

All TB drugs are toxic; the quality of life for TB patients deteriorates during treatment and remains so throughout their lives. Finding cases and treating TB illness early, before symptoms begin, is important because it not only reduces the spread of disease but also greatly reduces drug toxicity.

What should people be aware of?

People should be aware that TB is still a public health problem across the globe. Education on the transmission, treatment and need for active work to eradicate TB is the best defense.

One of the reasons why education and awareness about TB are so important is that a person with latent TB may be unknowingly harboring the microorganism for years. In the absence of symptoms, these people are unlikely to seek care and will not be diagnosed and treated unless identified as part of an outbreak, as was the case for more than half of the patients in Kansas.The Conversation

Karen Dobos, Professor of Microbiology, Colorado State University and Marcela Henao-Tamayo, Associate Professor of Microbiology & Immunology, Colorado State University

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The Conversation

Daylight saving time and early school start times cost billions in lost productivity and health care expenses

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theconversation.com – Joanna Fong-Isariyawongse, Associate Professor of Neurology, University of Pittsburgh – 2025-03-07 13:55:00

Daylight saving time kicks in on March 9, 2025, but some say it leads to more heart attacks, depression and car accidents.
Lord Henri Voton/E+ via Getty Images

Joanna Fong-Isariyawongse, University of Pittsburgh

Investigations into the 1986 Space Shuttle Challenger disaster revealed that key decision-makers worked on little sleep, raising concerns that fatigue impaired their judgment. Similarly, in 1989, the Exxon Valdez oil spill resulted in a massive environmental catastrophe. The official investigation revealed the third mate, in charge of steering the ship, was running on too little sleep, among other problems.

While these specific disasters were not caused by daylight saving time, they are conclusively linked to fatigue, based on postaccident investigations and reports. They underscore the well-documented dangers of sleep deprivation and fatigue-related errors. Yet a vast body of research shows that every year, the shift to daylight saving time needlessly exacerbates these risks, disrupting millions of Americans’ sleep and increasing the likelihood of accidents, health issues and fatal errors.

Imagine a world where one simple decision – keeping our clocks aligned with the natural cycle of the Sun – could save lives, prevent accidents and improve mental well-being. It’s not just about an hour of lost sleep; it’s about how small disruptions ripple through our health, our workplaces and even our children’s futures.

I’m a neurologist who specializes in sleep health. I’ve seen firsthand the negative impacts of poor sleep; it has enormous personal and economic consequences.

Yet despite overwhelming research supporting better sleep policies – such as delaying school start times to align with adolescent biology and the adoption of permanent standard time – these issues remain largely overlooked in public policy discussions.

Sleep deprivation comes with real costs

Chronic sleep deprivation does more than leave people tired. It costs an estimated US$411 billion annually in lost productivity and health care costs. Poor sleep leads to workplace mistakes, car accidents and long-term health issues that strain businesses, families and the economy as a whole.

Fortunately, there’s a fix. Smarter sleep policies – such as permanent standard time and later school start times – can boost efficiency, improve health and save lives.

In a classroom setting, students take an exam.
Sleep-deprived teens have lower test scores and graduation rates.
skynesher/E+

Up before dawn

Teenagers are the most sleep-deprived age group in the U.S. Multiple studies and surveys show that anywhere from 71% to 84% of high school students report getting insufficient sleep.

This is largely due to early school start times, which force teens to wake up before their biological clocks are ready. If you have a teenager, you probably see it every day: The teen struggling to wake up before sunrise, rushing out the door without breakfast, then waiting in the dark for the school bus.

More than 80% of public middle and high schools in the U.S. start before 8:30 a.m., with 42% starting before 8 a.m. and 10% before 7:30 a.m. As a result, some districts have bus pickups as early as 5 a.m.

Teenagers are going through a natural shift in their circadian rhythms by about two hours. This shift, driven by hormones and biology, makes it hard for them to fall asleep before around 11 p.m. The bodies of teens aren’t wired for these schedules, yet schools and society have designed a system that forces them to function at their worst.

Declining scores, drowsy driving and depression

Sleep-deprived teens have lower grades and test scores, more car crashes caused by drowsy driving, more alcohol and drug use and higher rates of depression, anxiety suicide and aggressive behavior, including carrying weapons.

Along with the health benefits, studies have found that moving school start times to 8:30 am or later could add $8.6 billion to the economy within two years, partly by increased graduation rates.

While concerns about increased transportation costs exist, such as the need for additional buses or drivers due to staggered school start times, some districts have found that optimizing bus routes can offset expenses, making the change cost-neutral or even cost-saving. For instance, a study in Boston found that reorganizing bus schedules using advanced algorithms reduced the number of buses needed and improved efficiency, which allowed high school students to start later and better align with their natural sleep cycles. This change not only supported adolescent sleep health but also saved the district $5 million annually.

YouTube video
Studies show that daylight saving time does not reduce energy use.

More heart attacks, car wrecks and suicide

Every March, most Americans shift their clocks forward for daylight saving time. Studies show this change disrupts sleep and leads to measurable adverse outcomes, including a significant increase in heart attacks. These effects linger for days after the shift, as sleep-deprived workers struggle to adjust.

The mental health impact is also severe. Suicide rates increase in the weeks following the switch, particularly for those already vulnerable to depression.

Unlike daylight saving time, standard time follows the body’s natural circadian rhythm, which is primarily regulated by exposure to sunlight. Our internal clocks are most stable when morning light exposure occurs early in the day, signaling the body to wake up and regulate key biological functions such as hormone production, alertness and metabolism. In contrast, daylight saving time artificially extends evening light, delaying the body’s release of melatonin and making it harder to fall asleep at a biologically appropriate time.

Studies have found that adopting permanent standard time could prevent up to 5,000 suicides annually by reducing seasonal depression, decrease errors, injuries and absenteeism in the workplace and make roads safer, potentially preventing 1,300 traffic deaths each year.

Times are changing

The U.S. tried permanent daylight saving time in 1974. It was so unpopular that Congress repealed it within nine months.

Russia tried it too, in 2011, but switched back three years later. The United Kingdom dropped permanent daylight saving time in 1971 after three years, and Portugal in 1996 after four. All of these countries found that the switch caused widespread public dissatisfaction, health concerns, more morning car accidents and disrupted work schedules. No country is currently on year-round daylight saving time.

These examples provide real-world evidence that permanent DST is undesirable due to public dissatisfaction, safety concerns and negative health effects – all three countries attempted it and ultimately reversed course. Since 2022, there has been renewed debate, largely driven by former U.S. Sen. Marco Rubio’s Sunshine Protection Act, which aims to make DST permanent.

However, the name is misleading because it doesn’t “protect” sunshine but rather eliminates critical morning light, which is essential for regulating circadian rhythms. Major health organizations, along with the National Safety Council, strongly oppose permanent DST due to its well-documented risks.

There are signs that suggest the U.S. is finally waking up to these problems. Out of 13,000 school districts, 1,000 have independently adopted later school start times. California and Florida have enacted laws requiring high schools to start no earlier than 8:30 a.m. California’s mandate went into effect in 2022, and Florida’s is set to begin in 2026.

Permanent standard time and later school start times are not radical ideas. They’re practical, evidence-based solutions based on human biology. Implementing these changes nationally would require congressional action. However, current federal law already allows states to adopt permanent standard time, as Arizona and Hawaii have done, setting a precedent for the rest of the country.The Conversation

Joanna Fong-Isariyawongse, Associate Professor of Neurology, University of Pittsburgh

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How Trump’s $2B court battle over foreign aid could reshape executive authority

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theconversation.com – Charles Wise, Professor Emeritus of Public Affairs, The Ohio State University – 2025-03-07 11:58:00

A sign outside of the U.S. Agency for International Development building in Washington, D.C.
Bryan Dozier/Middle East Images/AFP via Getty Images

Charles Wise, The Ohio State University

Amid the chaos of the Trump administration’s first few weeks in office, a court case regarding the president’s legal right to stop payment of nearly US$2 billion in U.S. Agency for International Development contracts poses an important legal question whose answer may show just how strong the country’s separation of powers actually is.

On Jan. 20, 2025, President Donald Trump issued an executive order pausing all foreign aid funding, most of which is administered by USAID. A little more than two weeks later, USAID laid off all but a few hundred of its 10,000 workers.

U.S. District Judge Amir Ali issued a temporary order on Feb. 13 for the administration to not end or pause any existing foreign aid contracts – and again ordered on Feb. 25 that the administration needed to pay the $2 billion owed to various aid organizations for completed work.

After the Trump administration filed an emergency appeal of the decision to the Supreme Court, the justices, in a 5-4 ruling on March 5, found that the federal judge’s decision can temporarily take effect while the district court considers the merits of the case.

Now, the Trump administration is facing a deadline imposed by Judge Ali of 11 a.m. on March 10, 2025, to announce a new timeline for delivering the frozen foreign aid payments.

Amy Lieberman, a politics and society editor at The Conversation U.S., spoke with Charles Wise, an expert on public administration and law, to understand what is fueling this court case and why it has become a test of how far Trump can push the boundaries of presidential power.

Two white men and a white woman all wearing black robes face a man with white hair and a dark suit and smile at him.
Supreme Court Justices Brett Kavanaugh, left, Amy Coney Barrett, center, and former Justice Anthony Kennedy speak with President Donald Trump after his speech at the U.S. Capitol in March 4, 2025.
Chip Somodevilla/Getty Images

What is most important to understand about the Supreme Court’s ruling on USAID funding?

The Trump administration issued a blanket executive order freezing all USAID funds on Jan. 20, 2025. There have been many twists and turns in this case since then, but the Washington, D.C., district court determined in February that the organizations that receive USAID funding to deliver food or health care to people in need, as well as other recipients of USAID money in foreign countries, would suffer irreparable harm.

The U.S. District Court in Washington, D.C., also said that the administration did not follow proper procedures in the law. The Administrative Procedure Act has a set of standards that requires the president to do certain things before making any unilateral kind of action to withhold funds.

The Supreme Court’s March 5 order is not the final ruling on the case, but it does allow the U.S. District Court decision to stand – at least for now. This ruling requires the government to release funds to USAID recipients. The Supreme Court’s decision also directs the district court to clarify what the government must do to comply with the district court’s order, including considering the feasibility of the timeline within which the government must release the money.

This is all taking place in a very short time frame, in the context of the D.C. district court issuing a temporary restraining order. It is saying: Let’s freeze the existing situation in place so we can have a full hearing on this issue.

Why is this case important?

Any administration is prohibited from just withholding funds for any program it doesn’t like without following the procedures prescribed by law. This case matters because the D.C. district court’s decision puts boundaries on what the Trump administration can do to withhold funds that Congress has appropriated. It forces the administration to follow the laws that Congress and previous presidents have agreed on and adopted.

It ultimately comes down to a contest between the branches of government, and, specifically, the presidency and Congress. This is where Articles 1 and 2 of the U.S. Constitution – and how they divided powers between the president and Congress – comes in. The Trump administration claimed that the court should have respected the president’s Article 2 powers to administer the federal government’s spending. The D.C. court acknowledged the president’s powers under Article 2 but said it has to be balanced against Congress’ right, under Article 1, to appropriate funds.

A blonde woman wearing a blue shirt and holding an orange flower walks past people and wheels a suitcase outside.
A terminated federal worker leaves the offices of the U.S. Agency for International Development in Washington, D.C., on Feb. 28, 2025, after being fired.
Bryan Dozier/Middle East/AFP via Getty Images

What happens if Trump and his administration do not abide by this order?

Trump’s officials have a decision to make. Are they going to follow the executive order or the court’s order? That’s not a fun place to be. Administrative officials take an oath to uphold the Constitution and the laws of the U.S., which subjects them to court decisions.

The president himself is not responsible for distributing USAID funds. State Department officials are responsible for dispersing the funds, and Secretary of State Marco Rubio was appointed as the acting administrator of USAID on Feb. 3, 2025.

If Rubio and other officials refuse to comply with the court’s order, the D.C. judge, Amir Ali, can hold those officials in contempt of court. Ali has a variety of tools he can use – one is to levy fines against them individually. He could say they have to pay a thousand dollars per day for each day they don’t execute the court’s order.

What will happen next in this case?

The Supreme Court said in a brief opinion on March 5 that the Feb. 26, 2025, deadline for the government to pay USAID and its contractors had already passed and instructed Ali to “clarify what obligations the Government must fulfill to ensure compliance” with paying USAID.

The government has argued to the court that the timeline the judge initially set was too fast – they couldn’t do it that fast.

Now, a few things are going to happen. Ali has ordered the government to develop and release a new schedule to release funds and to have that ready by March 10.

The second part is that the district court judge will probably schedule a hearing on the merits of the case, in which Ali will be assessing the administration’s argument about whether the administration has violated the Administrative Procedure Act. Ultimately, the Trump administration could appeal Ali’s decision, and the case could wind up back at the Supreme Court.The Conversation

Charles Wise, Professor Emeritus of Public Affairs, The Ohio State University

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Pause in aid has introduced uncertainty into Ukraine’s military planning − forever changing its war calculus

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theconversation.com – Benjamin Jensen, Professor of Strategic Studies at the Marine Corps University School of Advanced Warfighting; Scholar-in-Residence, American University School of International Service – 2025-03-07 07:27:00

Is the Sun setting on Ukraine’s offensive capabilities?
Diego Herrera Carcedo/Anadolu via Getty Images

Benjamin Jensen, American University School of International Service

War is a numbers game. Each side involved must marshal the supplies, troops and firepower needed to sustain the fight, thwart advancing armies and, hopefully, prevail.

But it’s also a game of uncertainty.

For the past three years, Ukraine’s military planners have had to approach every battle with a series of cold calculations: How much ammunition is left? How many air defense interceptors can be fired today, without running short tomorrow? Do we have the men and equipment needed to advance or hold position?

But now, with U.S. military assistance on hold and European support constrained by economic realities, that uncertainty is growing.

As an expert on warfare, I know this isn’t just a logistical problem; it’s a strategic one. When commanders can’t predict their future resource base, they are forced to take fewer risks, prioritize defense over offense and hedge against worst-case scenarios.

In war, uncertainty doesn’t just limit options. It shapes the entire battlefield and fate of nations.

Trump orders a pause

On March 3, 2025, President Donald Trump announced a suspension to all U.S. military aid to Ukraine. It followed a fractious Oval Office meeting between the U.S. president and Volodymyr Zelenskyy, after which Trump declared the Ukrainian leader “not ready for peace.”

Two days later, Central Intelligence Agency Director John Ratcliffe announced Washington was also pausing all intelligence sharing and ordered key allies such as the United Kingdom to limit the information they give Kyiv.

National security adviser Michael Waltz has linked the pause to ongoing U.S.-Ukrainian negotiations, stating that weapons supplies and intelligence sharing will resume once Ukraine agrees to a date for peace talks with Russia.

A man in a blue suit and red ties shouts at another seated man.
U.S. President Donald Trump and Ukrainian President Volodymyr Zelenskyy argue in the Oval Office on Feb. 28, 2025.
Andrew Harnik/Getty Images

A critical supplier of weapons

Any pause, no matter how long, will hurt Ukraine.

The U.S. has been the largest provider of military assistance to Kyiv since Russia’s 2022 invasion, followed by the European Union.

While the level of support is debated – it is often skewed by how one calculates equipment donations using presidential drawdown authority, through which the president can dip into the Department of Defense’s inventory – the U.S. has undoubtedly delivered critical weapons systems and a wide range of ammunition.

Though this assistance has decreased U.S. military stockpiles, it has helped Washington invest in its domestic defense industry and expand weapons production.

In addition, while Europe is starting to increase its own defense expenditures, EU members are stuck with flat economic growth and limits on how much they can borrow to invest in their own militaries, much less Ukraine.

This makes the U.S. a critical partner for Ukraine for at least another two years while Europe expands its military capacity.

These conditions affect the design of Ukraine’s military campaigns. Planners in Kyiv have to balance predictions about the enemy’s strengths and possible courses of action with assessments of their own resources.

This war ledger helps evaluate where to attack and where to defend.

Uncertainty skews such calculation. The less certain a military command is about its resource base, the more precarious bold military maneuvers become.

It is through this fog of uncertainty that any pause in assistance shapes the course of the war in Ukraine and the bargaining leverage of all parties at the negotiating table.

A new uncertain world

The White House has indicated that the pause in military aid and intelligence sharing will be lifted once a date for peace talks is set.

But even if U.S. weapons and intel begin to flow again, Ukrainian generals will have to fight the duration of the war under the knowledge that its greatest backer is willing to turn off the taps when it suits them.

And the consequences of this new uncertain world will be felt on the battlefield.

Ukraine now faces a brutal trade-off: stretch limited resources to maintain an active defense across the front, or consolidate forces, cede ground and absorb the political costs of trading space for time.

Material supply has shaped operational tempo over the course of the war. When Moscow expects Kyiv to be low on ammunition, it presses the attack. In fact, key Russian gains in eastern Ukraine in 2024 coincided with periods of critical supply shortages.

Russia used its advantage in artillery shells, which at times saw Moscow firing 20 artillery shells to every Ukrainian artillery shell fired, and air superiority to make advances north and west of the strategic city of Avdiivka.

Looking to the front lines in 2025, Russia could use any pause in supplies to support its ongoing offensive operations that stretch from Kherson in southern Ukraine to Kharkiv in the north and efforts to dislodge Ukrainian units in the Russian Kursk region.

This means Ukraine will have to decide where to hold the line and where to conduct a series of delaying actions designed to wear down Russian forces.

Trading space for time is an old military tactic, but it produces tremendous political costs when the terrain is your sovereign territory.

As such, the military logic of delaying actions creates political risks in Ukraine – sapping civilian morale and undermining support for the government’s war management.

A horrible choice

This dilemma will drive where and how Ukraine weights its efforts on the battlefield.

First, long-range strike operations against Russia will become increasingly less attractive. Every drone that hits an oil refinery in Russia is one less warhead stopping a Russian breakthrough in the Donbas or counterattack in Kursk. Ukraine will have to reduce the complexity of its defensive campaign and fall back along lines deeper within its own territory.

Second, Russia doesn’t fight just on the battlefield – it uses a coercive air campaign to gain leverage at the negotiating table. With U.S. military aid on hold, Moscow has a prime opportunity to escalate its strikes on Ukrainian cities and infrastructure, forcing Kyiv into painful choices about whether to defend its front lines or its political center of gravity.

From Vietnam to Ukraine, airpower has historically been a key bargaining tool in negotiations.

President Richard Nixon bombed North Vietnam to force concessions. Russia may now do the same to Ukraine.

Seen in this light, Russia could intensify its missile and drone campaign against Ukrainian cities and infrastructure – both to weaken defenses and to apply psychological and economic pressure. And because Kyiv relies on Western assistance, including intelligence and systems such as U.S.-built Patriot surface-to-air missiles to defend its skies, this coercive campaign could become effective.

As a result, Ukraine could be faced with a horrible choice. It may have to concentrate dwindling air defenses around either key military assets required to defend the front or its political center of gravity in Kyiv. Interception rates of Russian drones and missiles could drop, leading to either opportunities for a Russian breakout along the front or increased civilian deaths that put domestic pressure on Ukrainian negotiators.

Uncertainty reigns supreme

The real problem for Ukraine going forward is that even if the U.S. resumes support and intelligence sharing, the damage is done.

Uncertainty, once introduced, is hard to remove. It increases the likelihood that Ukraine’s leaders will stockpile munitions to reduce the risk of future pauses, rather than use them to take the fight to Russia.

And with battlefield decision-making now limited, Ukraine’s military strategists will increasingly look toward the least worst option to hold the line until a lasting peace is negotiated.The Conversation

Benjamin Jensen, Professor of Strategic Studies at the Marine Corps University School of Advanced Warfighting; Scholar-in-Residence, American University School of International Service

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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