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The marketing pitches are bold and arriving fast: Invest opioid settlement dollars in a lasso-like device to help police detain people without Tasers or pepper spray. Pour money into psychedelics, electrical stimulation devices, and other experimental treatments for addiction. Fund research into new, supposedly abuse-deterrent opioids and splurge on expensive, brand-name naloxone.

This story also ran on Fortune. It can be republished for free. More from This InvestigationPayback: Tracking the Opioid Settlement Cash

Opioid manufacturers and distributors are paying more than $54 billion in restitution to settle lawsuits about their role in the overdose epidemic, with little oversight on how the money is spent. Were tracking how state and local governments use or misuse the cash.Read More

These pitches land daily in the inboxes of state and local officials in charge of distributing more than $50 billion from settlements in opioid lawsuits.

The money is coming from an array of companies that made, sold, or distributed prescription painkillers, including Johnson & Johnson, AmerisourceBergen, and Walgreens. Thousands of state and local governments sued the companies for aggressively promoting and distributing opioid medications, fueling an epidemic that progressed to heroin and fentanyl and has killed more than half a million Americans. The settlement money, arriving over nearly two decades, is meant to remediate the effects of that corporate behavior.

But as the dollars land in government coffers more than $4.3 billion as of early November a swarm of private, public, nonprofit, and for-profit entities are eyeing the gold rush. Some people fear that corporations, in particular with their flashy products, robust marketing budgets, and hunger for profits will now gobble up the windfall meant to rectify it.

They see a cash cow, said JK Costello, director of behavioral health consulting for the Steadman Group, a firm that is being paid to help local governments administer the settlements in Colorado, Kansas, Oregon, and Virginia. Everyone is interested.

Costello receives multiple emails a week from businesses and nonprofits seeking guidance on how to apply for the funds. To keep up with the influx, he has developed a standard response: Thanks, but we cant respond to individual requests, so heres a link to your localitys website, public meeting schedule, or application portal. Email Sign-Up

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KFF Health News obtained email records in eight states that show health departments, sheriffs offices, and councils overseeing settlement funds are receiving a similar deluge of messages. In the emails, marketing specialists offer phone calls, informational presentations, and meetings with their companies.

Alabama Attorney General Steve Marshall recently sent a letter reminding local officials to vet organizations that reach out. I am sure that many of you have already been approached by a variety of vendors seeking funding for opioid initiatives, he wrote. Please proceed with caution.

Of course, not all marketing efforts should prompt concern. Emails and calls are one way people in power learn about innovative products and services. The countrys addiction crisis is too large for the public sector to tame alone, and many stakeholders agree that partnering with industry is crucial. After all, pharmaceutical companies manufacture medications to treat opioid addiction. Corporations run treatment facilities and telehealth services.

Its unrealistic and even harmful to say we dont want any money going to any private companies, said Kristen Pendergrass, vice president of state policy at Shatterproof, a national nonprofit focused on addiction.

The key, agree public health and policy experts, is to critically evaluate products or services to see if they are necessary, evidence-based, and sustainable instead of flocking to companies with the best marketing.

Otherwise, you end up with lots of shiny objects, Costello said. Carolyn Williams lost her 47-year-old son, Haison Akiem Williams, to an overdose in February. She wants settlement funds to support services she thinks could have kept him alive: mental health treatment, case management, and housing. In June, she spoke at a protest outside a Drug Enforcement Administration building in Arlington, Virginia, where people called for an end to a criminal justice approach to addiction.(Aneri Pattani/KFF Health News)

And, ultimately, failure to do due diligence could leave some jurisdictions holding an empty bag.

Take North Carolina. In 2022, state lawmakers allotted $1.85 million of settlement funds for a pilot project using the first FDA-approved app for opioid use disorder, developed by Pear Therapeutics. There were high hopes the app would help people stay in treatment longer.

But less than a year later, Pear Therapeutics filed for bankruptcy.

The state hadnt paid the company yet, so the money isn’t lost, according to the North Carolina Department of Health and Human Services. But the department and lawmakers have not decided what to do with those dollars next.

$1 Million for Drug Disposal Pouches

Jason Sundby, CEO of Verde Environmental Technologies, said the Deterra pouches his company sells are a low-cost way to prevent expensive addictions.

Customers place their unused medications in a Deterra pouch and add water, deactivating the drugs before tossing them, ensuring they cannot be used even if fished out of the trash. A medium Deterra pouch costs $3.89 and holds 45 pills.

The goal is to get these drugs out of people’s homes before they can be misused, diverted, and people start down the path of needing treatment or naloxone or emergency room visits, Sundby said.

Sundbys company ran an ad about spending settlement dollars on its product in a National Association of Counties newsletter and featured similar information online. The Deterra website prominently features opioid settlement funds as a potential funding stream to purchase drug disposal pouches. Several other companies have taken similar approaches, urging consumers to consider applying opioid settlement funds to their products. (KFF Health News screenshot of https://deterrasystem.com/resources/funding/ on Nov. 21, 2023)

It may be paying off, as Deterra is set to receive $1 million in settlement funds from the health department in Delaware County, Pennsylvania, and $12,000 from the sheriffs office in Henry County, Iowa. The company also has partnerships with St. Croix and Milwaukee counties in Wisconsin, and is working on a deal in Connecticut.

Several other companies with similar products have also used their product sites to urge jurisdictions to consider the settlements as a funding stream and theyre seeing early success.

DisposeRx makes a drug deactivation product its version costs about a dollar each and received $144,000 in South Carolina for mailing 134,000 disposal packets to a program that educated high school football players, coaches, and parents about addiction.

SafeRx makes $3 pill bottles with a locking code to store medications and was awarded $189,000 by South Carolinas opioid settlement council to work with the Greenville County Sheriffs Office and local prevention groups. It also won smaller awards from Weld and Custer counties in Colorado.

None of the companies said they are dependent on opioid settlements to sustain their business long-term. But the funds provide a temporary boost. In a 2022 presentation to prospective investors, SafeRx called the opioid settlements a growth catalyst.

Critics of such investments say the products are not worthwhile. Todays crisis of fatal overdoses is largely driven by illicit fentanyl. Even if studies suggest the companies products make people more likely to safely store and dispose of medications, thats unlikely to stem the record levels of deaths seen in recent years.

The plausible mechanism by which they would even be able to reduce overdoseis a mystery because prescription medications are not driving overdose, said Tricia Christensen, policy director with the nonprofit Community Education Group, which is tracking settlement spending across Appalachia.

Safe storage and disposal can be accomplished with a locking cabinet and toilet, she said. The FDA lists opioids on its flush list for disposal and says there is no evidence that low levels of the medicines that end up in rivers harm human health.

But Milton Cohen, CEO of SafeRxs parent company, Caring Closures International, said keeping prescription medicines secure addresses the root of the epidemic. Fentanyl kills, but often where people start, where water is coming into the boat still, is the medicine cabinet, he said. We can bail all we want, but the right thing to do is to plug the hole first. SafeRx has been awarded $189,000 in opioid settlement funds in South Carolina to work with the Greenville County Sheriffs Office and local prevention groups.(Caring Closures International)

Products to secure and dispose of drugs also provide an opportunity for education and destigmatization, said Melissa Lyon, director of the Delaware County Health Department in Pennsylvania. The county will be mailing Deterra pouches and postcards about preventing addiction to three-quarters of its residents.

The Deterra pouch is to me a direct correlation to the overprescribing that came from pharmaceutical companies aggressive marketing, she added. Since the settlement money is to compensate for that, this is a good use of the funds.

Tools for Law Enforcement That Superheroes Would Envy

Other businesses making pitches for settlement funds have a less clear relationship to opioids.

Wrap Technologies creates tools for law enforcement to reduce lethal uses of force. Its chief product, the BolaWrap, shoots a 7-foot Kevlar tether more than a dozen feet through the air until it wraps around a persons limbs or torso almost like Wonder Womans Lasso of Truth. Brownwood, Texas, has spent about $15,000 of opioid settlement funds to buy nine BolaWrap devices.(Wrap Technologies)

Terry Nichols, director of business development for the company, said the BolaWrap can be used as an alternative to Tasers or pepper spray when officers need to detain someone experiencing a mental health crisis or committing crimes related to their addiction, like burglary.

If you want to be more humane in the way you treat people in substance use disorder and crisis, this is an option, he said.

The company posts body camera footage of officers using BolaWrap on YouTube and says that out of 192 field reports of its use, about 75% of situations were resolved without additional use of force.

When officers de-escalate situations, people are less likely to end up in jail, Nichols said. And diverting people from the criminal justice system is among the suggested investments in opioid settlement agreements.

That argument convinced the city of Brownwood, Texas, where Nichols was police chief until 2019. It has spent about $15,000 of opioid settlement funds to buy nine BolaWrap devices.

Our goal is to avoid using force when a citizen is in need, said James Fuller, assistant police chief in Brownwood. If were going to take someone to get help, the last thing we want to do is poke holes in them with a Taser.

After Brownwoods purchase, Wrap Technologies issued a press release in which CEO Kevin Mullins encouraged more law enforcement agencies to take the opportunity afforded by the opioid settlement funds to empower their officers. The company has also sent a two-page document to police departments explaining how settlement funds can be used to buy BolaWraps.

Language from that document appeared nearly word-for-word in a briefing sheet given to Brownwood City Council before the BolaWrap purchase. The council voted unanimously in favor.

But the process hasnt been as smooth elsewhere. In Hawthorne, California, the police department planned to buy 80 BolaWrap devices using opioid settlement funds. It paid its first installment of about $25,000 in June. However, it was later informed by the state Department of Health Care Services that the BolaWrap is not an allowable use of these dollars.

Bola Wraps will not be purchased with the Settlement Funds in the future, Hawthorne City Clerk Dayna Williams-Hunter wrote in an email.

Carolyn Williams, a member of the advocacy group Vocal-TX, said she doesnt see how the devices will address the overdose crisis in Texas or elsewhere.

Her son Haison Akiem Williams dealt with mental health and addiction issues for years. Without insurance, he couldnt afford rehab. When he sought case management services, there was a three-month wait, she said. Police charged him with misdemeanors but never connected him to care, she said. Share Your Story

Do you have concerns about how your state or locality is using the opioid settlement funds? Are they doing something effective that other places should replicate? Tell us here.Share Your Story

In February, he died of an overdose at age 47. His mother misses how he used to make her laugh by calling her Ms. Carol.

She wants settlement funds to support services she thinks could have kept him alive: mental health treatment, case management, and housing. BolaWrap doesnt make that list.

Its heartbreaking to see what the government is doing with this money, she said. Putting it in places they really don’t need it.

Aneri Pattani: apattani@kff.org, @aneripattani Related Topics Multimedia Public Health States Alabama California Colorado Connecticut Investigation Iowa North Carolina Opioid Settlements Opioids Pennsylvania South Carolina Texas Wisconsin Contact Us Submit a Story Tip

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Apple sued by Which? over iCloud use – with potential payout for 40 million UK customers

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Apple sued by Which? over iCloud use - with potential payout for 40 million UK customers

Consumer rights group Which? is suing Apple for £3bn over the way it deploys the iCloud.

If the lawsuit succeeds, around 40 million Apple customers in the UK could be entitled to a payout.

The lawsuit claims Apple, which controls iOS operating systems, has breached UK competition law by giving its iCloud storage preferential treatment, effectively “trapping” customers with Apple devices into using it.

It also claims the company overcharged those customers by stifling competition.

The rights group alleges Apple encouraged users to sign up to iCloud for storage of photos, videos and other data while simultaneously making it difficult to use alternative providers.

Which? says Apple doesn’t allow customers to store or back-up all of their phone’s data with a third-party provider, arguing this violates competition law.

The consumer rights group says once iOS users have signed up to iCloud, they then have to pay for the service once their photos, notes, messages and other data go over the free 5GB limit.

More on Apple

“By bringing this claim, Which? is showing big corporations like Apple that they cannot rip off UK consumers without facing repercussions,” said Which?’s chief executive Anabel Hoult.

“Taking this legal action means we can help consumers to get the redress that they are owed, deter similar behaviour in the future and create a better, more competitive market.”

Apple ‘rejects’ claims and will defend itself

Apple “rejects” the idea its customers are tied to using iCloud and told Sky News it would “vigorously” defend itself.

“Apple believes in providing our customers with choices,” a spokesperson said.

“Our users are not required to use iCloud, and many rely on a wide range of third-party alternatives for data storage. In addition, we work hard to make data transfer as easy as possible – whether it’s to iCloud or another service.

“We reject any suggestion that our iCloud practices are anti-competitive and will vigorously defend against any legal claim otherwise.”

It also said nearly half of its customers don’t use iCloud and its pricing is inline with other cloud storage providers.

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How much could UK Apple customers receive if lawsuit succeeds?

The lawsuit will represent all UK Apple customers that have used iCloud services since 1 October 2015 – any that don’t want to be included will need to opt out.

However, if consumers live abroad but are otherwise eligible – for example because they lived in UK and used the iCloud but then moved away – they can also opt in.

The consumer rights group estimates that individual consumers could be owed an average of £70, depending on how long they have been paying for the services during that period.

Apple is facing a similar lawsuit in the US, where the US Department of Justice is accusing the company of locking down its iPhone ecosystem to build a monopoly.

Apple said the lawsuit is “wrong on the facts and the law” and that it will vigorously defend against it.

Read more from climate, science and tech:
The almighty row over climate cash that’s about to boil over
Oil state Azerbaijan is ‘perfectly suited’ to hosting a climate summit, says Azerbaijan

Big tech’s battles

This is the latest in a line of challenges big tech companies like Apple, Google and Samsung have faced around anti-competitive practices.

Most notably, a landmark case in the US earlier this year saw a judge rule that Google holds an illegal monopoly over the internet search market.

The company is now facing a second antitrust lawsuit, and may be forced to break up parts of its business.

Read more: Google faces threat of being broken up

FILE PHOTO: The logo for Google LLC is seen at their office in Manhattan, New York City, New York, U.S., November 17, 2021. REUTERS/Andrew Kelly/File Photo
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File pic: Reuters

And in December last year, a judge declared Google’s Android app store a monopoly in a case brought by a private gaming company.

“Now that five companies control the whole of the internet economy, there’s a real need for people to fight back and to really put pressure on the government,” William Fitzgerald, from tech campaigning organisation The Worker Agency, told Sky News.

William Fitzgerald at Lisbon's Web Summit, where he spoke to Sky News
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William Fitzgerald at Lisbon’s Web Summit, where he spoke to Sky News

“That’s why we have governments; to hold corporations accountable, to actually enforce laws.”

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‘He was the light of my life and I lost him’: How a famous surgeon died in an Israeli prison after being taken from Gaza hospital

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'He was the light of my life and I lost him': How a famous surgeon died in an Israeli prison after being taken from Gaza hospital

As a famous orthopaedic surgeon, Dr Adnan Al-Bursh spent much of his career fixing broken limbs and broken bodies at Gaza’s Al-Shifa Hospital.

One of the best-trained doctors in the enclave, a photo showing him covered in blood in Al-Shifa’s operating theatre went viral in 2018.

When war broke out last October, he worked around the clock. Pictures stored on his mobile phone show him standing in a hole, swinging a blunt-edged shovel as the hospital descended into crisis.

It had run out of fuel, food and basic pain relief and there was no more space to store dead bodies. Dressed in hospital scrubs, Dr Al-Bursh and his colleagues dug mass graves as the sound of explosions rang out behind the hospital’s walls.

Soon after the outbreak of the conflict, the surgeon, along with his wife Yasmin, realised that their world had changed forever.

“Adnan was needed every time there was a war,” she recalled. “So, I told him, ‘get ready, there will be lots of operations, they will need your help’. He went to hospital to receive the injured and stayed for 24 hours. He did not stop.”

SPARKS GAZA FEATURE - DR AB - Wife and kids
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Dr Adnan Al-Bursh’s wife and children

Dr Al-Bursh spent his days in the operating room and slept in the staff room at night.

He also kept a diary of sorts with his mobile phone, documenting the increasingly desperate scenes unfolding around him.

“Despite the pain, we are steadfast,” he said as he filmed the scene in a crowded operating theatre.

SPARKS GAZA FEATURE - DR AB - Staff room
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Dr Al-Bursh and others in the staff room

Israel said the foundations of Al-Shifa were laced with tunnels where Hamas operated a ‘command-and-control centre’, something Hamas denies.

As Israeli troops advanced towards the facility, Dr Al-Bursh captured the mood inside. Another video found on his mobile phone shows a colleague in the staffroom recalling a painful conversation with his wife.

“I remember that she only asked one thing of me, what do you think it was? That request was ‘just let me see you smile’.

“Smile. It’s the first thing I want to do after this war, if God saves us.”

SPARKS GAZA FEATURE - DR AB - Evacuation
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Tens of thousands of people had to evacuate the hospital

By mid-November, Al-Shifa was under siege by Israeli troops.

A week later, patients, staff and some 50,000 displaced residents sheltering in the compound were ordered to evacuate.

Dr Al-Bursh captured the scene of long columns of people walking towards southern Gaza.

But the surgeon did not follow them. Instead, he went northeast to another facility – the Indonesian Hospital – still operating in northern Gaza. What he found on his arrival horrified him.

“I was shocked by the size of the catastrophe here,” he said in a video. “There are injured people who have been waiting for their operations for more than ten days. [Their] wounds were severely infected.”

On 20 November 2023, the Indonesian Hospital was surrounded by Israeli tanks and later that evening, projectiles were fired into the second floor. At least 12 people were killed.

Dr Al-Bursh survived with minor scrapes but the front entrance of the facility was torn apart. “The destruction is everywhere,” he said in another video.

A spokesman for the IDF denied that Israeli forces were responsible.

By early December 2023, Dr Al-Bursh had moved to a small hospital, also in the north, called Al-Awda.

A series of pictures, posted on the hospital’s social media page, show him examining patients with fatigue etched on his face.

These are the last known images taken of the surgeon.

SPARKS GAZA FEATURE - DR AB - Last pic
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These are the last known images taken of the surgeon at Al-Awda hospital

SPARKS GAZA FEATURE - DR AB - Last pic 1
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The last images were released on hospital social media

The Israeli military surrounded the hospital on 5 December, and the staff were worried about what the soldiers would do.

Dr Al-Bursh worked at Al-Awda alongside a friend and colleague, Dr Mohammad Obeid.

Eventually, the hospital’s director told them that they would have to leave the building.

“[The director] told us that the [Israeli army] have full data of all males aged between 14 and 65 at Awda hospital,” Dr Obeid said, tearfully. “They told him that if all men do not come down… they will destroy the Awda Hospital with all the women and children in it.”

We put this allegation to the IDF but they did not respond.

The men filed out of the hospital and five, including Dr Al-Bursh, were taken away.

“A soldier came up to us and called out Dr Adnan’s name, who was sitting next to me… I felt he was in a very difficult situation. The occupation soldier took him and the treatment was very rough.”

Read more:
A timeline of events in the year since 7 October
Video of Israeli hostage released

SPARKS GAZA FEATURE - DR AB - SDE TEIMAN
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The Israeli military base, Sde Teiman, where Dr Al-Bursh was taken. Pic: Breaking the Silence

In a brief statement, the Israel Defence Forces (IDF) confirmed to Sky News that Dr Al-Bursh was detained by its personnel. On 19 December 2023, it says the surgeon was taken to an Israeli military base called Sde Teiman, which has been used for processing detainees since the early part of the war.

Allegations of physical, mental and sexual abuse are rife. A former camp inmate, Dr Khalid Hamouda, believes many of the prisoners at Sde Teiman were medical professionals.

“In the camp where I was, there were about 100 prisoners. I think at least a quarter of them were involved in healthcare. Some of them were doctors, nurses and technicians.”

Dr Hamouda was put to work by the guards at the base as their helper or ‘shawish’, and remembers being told to fetch Dr Al-Bursh at the gate. When he collected him, his fellow doctor said he had been badly beaten and felt pain all over his body.

“He thought he may have broken ribs,” Dr Hamouda said. “He was unable to even go to the toilet alone.”

Israeli soldiers stand outside Ofer military prison near Jerusalem on Friday, Nov. 24, 2023. Friday marks the start of a four-day cease-fire in the Israel-Hamas war, during which the Gaza militants pledged to release 50 hostages in exchange for 150 Palestinians imprisoned by Israel. (AP Photo/Mahmoud Illean)
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Israeli soldiers stand outside Ofer military prison near Jerusalem. Pic: AP

The IDF told Sky News that after Dr Al-Bursh was processed, he left Sde Teiman on 20 December and became the “responsibility” of the Israeli Prison Service.

In April, the surgeon was taken to an incarceration facility near Jerusalem called Ofer Prison.

He died shortly after his arrival. News of the surgeon’s death was announced in a statement from two Palestinian prisoner support associations at the beginning of May. The Israelis offered no explanation or cause of death.

Sky News has spoken to people who claim to have witnessed the moments before Dr Al-Bursh’s death.

A prisoner, who says he previously knew Dr Al-Bursh in Gaza, provided details in a deposition to lawyers from the Israeli human rights organisation HaMoked.

“In mid-April 2024, Dr Adnan Al-Bursh arrived at Section 23 in Ofer Prison. The prison guards brought Dr Adnan Al-Bursh into the section in a deplorable state. He had clearly been assaulted with injuries around his body. He was naked in the lower part of his body.

“The prison guards threw him in the middle of the yard and left him there. Dr Adnan Al-Bursh was unable to stand up. One of the prisoners helped him and accompanied him to one of the rooms. A few minutes later, prisoners were heard screaming from the room they went into, declaring Dr Adnan Al-Bursh (was dead).”

SPARKS GAZA FEATURE - DR AB
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Dr Al-Bursh treating a young patient earlier in the war

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While some people might suggest that Dr Adnan Al-Bursh was a terrorist, Daqqa said: “If you want to formally answer this question, he was not charged until now. And many of these detainees are not charged from Gaza.”

In a statement to Sky News, a spokesman for the Israel Prison Service said: “IPS is a law enforcement organisation that operates according to the provisions of the law and under the supervision of the state comptroller and many other official critiques.

“All prisoners are detained according to the law. All basic rights required are fully applied by professionally trained prison guards.

“We are not aware of the claims you described and as far as we know, no such events have occurred under IPS responsibility. Nonetheless, prisoners and detainees have the right to file a complaint that will be fully examined and addressed by official authorities.”

GAZA SPARKS
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Dr Al-Bursh’s family paid tribute to him

Sky News was told by colleagues and Dr Al-Bursh’s wife Yasmin that he was in good physical condition before his arrest.

“He was the light of my life and I lost him,” Yasmin said.

Dr Al-Bursh was prepared to risk his life to save others. This story is one of a countless number, now buried under the immovable weight of Gaza’s recent past.

But Dr Al-Bursh lived and lost his life in a manner that demands acknowledgement, his friends and family members say.

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Ukrainian frontline commander warns: ‘The world is scared of Russia and losing is not only our problem’

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Ukrainian frontline commander warns: 'The world is scared of Russia and losing is not only our problem'

In the courtyard of a farmhouse now home to soldiers of the Ukrainian army’s 47th mechanised brigade, I’m introduced to a weary-looking unit by their commander Captain Oleksandr “Sasha” Shyrshyn.

We are about 10km from the border with Russia, and beyond it lies the Kursk region Ukraine invaded in the summer – and where this battalion is now fighting.

The 47th is a crack fighting assault unit.

They’ve been brought to this area from the fierce battles in the country’s eastern Donbas region to bolster Ukrainian forces already here.

War latest: Russia ready to carry out ‘massive attack’

The captain known by his men as 'Genius'
Image:
The captain known by his men as ‘Genius’

In the summer, Ukraine launched an incursion into Russian territory, in Kursk
Image:
In the summer, Ukraine launched an incursion into Russian territory, in Kursk

Captain Shyrshyn explains that among the many shortages the military has to deal with, the lack of infantry is becoming a critical problem.

Sasha is just 30 years old, but he is worldly-wise. He used to run an organisation helping children in the country’s east before donning his uniform and going to war.

He is famous in Ukraine and is regarded as one of the country’s top field commanders, who isn’t afraid to express his views on the war and how it’s being waged.

His nom de guerre is ‘Genius’, a nickname given to him by his men.

Captain Sasha Shyrshyn and Sky News chief correspondent Stuart Ramsay
Image:
Captain Sasha Shyrshyn and Sky News chief correspondent Stuart Ramsay

‘Don’t worry, it’s not a minefield’

Sasha invited me to see one of the American Bradley fighting vehicles his unit uses.

We walk down a muddy lane before he says it’s best to go cross-country.

“We can go that way, don’t worry it’s not a minefield,” he jokes.

He leads us across a muddy field and into a forest where the vehicle is hidden from Russian surveillance drones that try to hunt both American vehicles and commanders.

Sasha shows me a picture of the house they had been staying in only days before – it was now completely destroyed after a missile strike.

Fortunately, neither he, nor any of his men, were there at the time.

“They target commanders,” he says with a smirk.

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‘The world is scared of Russia’

It takes me a moment or two to realise we are only a few steps away from the Bradley, dug in and well hidden beneath the trees.

The disguised American Bradley vehicle hidden in the forest
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The disguised American Bradley vehicle hidden in the forest

Sasha tells me the Bradley is the finest vehicle he has ever used.

A vehicle so good, he says, it’s keeping the Ukrainian army going in the face of Russia’s overwhelming numbers of soldiers.

He explains: “Almost all our work on the battlefield is cooperation infantry with the Bradley. So we use it for evacuations, for moving people from one place to another, as well as for fire-covering.

“This vehicle is very safe and has very good characteristics.”

The American Bradley fighting vehicle that Ukrainian soldiers have found vital in their efforts
Image:
The American Bradley fighting vehicle that Ukrainian soldiers have found vital in their efforts

Billions of dollars in military aid has been given to Ukraine by the United States, and this vehicle is one of the most valuable assets the US has provided.

Ukraine is running low on men to fight, and the weaponry it has is not enough, especially if it can’t fire long-range missiles into Russia itself – which it is currently not allowed to do.

If President-elect Donald Trump cuts the supply of military aid, the Ukrainians will lose – it’s that simple.

U.S. President-elect Donald Trump gestures as he meets with House Republicans on Capitol Hill in Washington, U.S., November 13, 2024. REUTERS/Brian Snyder
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US President-elect Donald Trump has been clear he intends to change his nation’s policy on the war in Ukraine. Pic: Reuters

Sasha says: “We have a lack of weapons, we have a lack of artillery, we have a lack of infantry, and as the world doesn’t care about justice, and they don’t want to finish the war by our win, they are afraid of Russia.

“I’m sorry but they’re scared, they’re scared, and it’s not the right way.”

Like pretty much everyone in Ukraine, Sasha is waiting to see what the US election result will mean for his country.

He is sceptical about a deal with Russia.

“Our enemy only understands the language of power. And you cannot finish the war in 24 hours, or during the year without hard decisions, without a fight, so it’s impossible. It’s just talking without results,” he tells me.

Read more from Stuart Ramsay:
How Ukrainian units are downing Russia’s drones
Heartbreaking final moments of girl who tried to flee Gaza
Inside a brutal and deadly Mexican gang war

‘Losing will be not only our problem’

These men expect the fierce battles inside Kursk to intensify in the coming days.

Indeed, alongside the main supply route into Kursk, workers are already building new defensive positions – unfurling miles of razor wire and digging bunkers for the Ukrainian army if it finds itself in retreat.

Barbed wire rolled out in the Sumy region ahead of expected fighting
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Barbed wire rolled out in the Sumy region ahead of expected fighting

Tank traps in the Sumy region
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Tank traps in the Sumy region

Sasha and his men are realistic about support fatigue from the outside world but will keep fighting to the last if they have to.

“I understand this is only our problem, it’s only our issue, and we have to fight this battle, like we have to defend ourselves, it’s our responsibility,” Sasha said.

But he points out everyone should realise just how critical this moment in time is.

“If we look at it widely, we have to understand that us losing will be not only our problem, but it will be for all the world.”

Stuart Ramsay reports from northeastern Ukraine with camera operator Toby Nash, and producers Dominique Van Heerden, Azad Safarov, and Nick Davenport.

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