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Years ago, a very good friend's husband, who had become a friend too, got blood clots in his lung or lungs. He was not yet 40, and had two small boys, and another child on the way. He was misdiagnosed, and by the time he was hospitalized, he was near death. They had to do major invasive surgery, including pulling out a major vein in either one or both legs (it was years ago, I can't remember) in order to save his life. His wife had to make the decision, it meant he might lose his leg/s. She chose to have the surgery done.

Thankfully, he survived, has circulation issues, but is alive and in pretty good health, more than 20 years later, and has grandchildren now.

Sometimes risks have to be taken in order to save the body - so I look at voting for Ryan/Rombag like that. Gives us a chance to stay alive and deal with the rest of the rot. Analogy isn't perfect, but I'd rather buy some time and try to get back to a Constitutional government with our freedoms and rights protected. 4 more years of 0kaka will guarantee bloodshed and huge loss of life, IMHO.