1. Harvard university and medical school international standing and academic ranking drop.
  2. Europe Russia and China form alliance.
  3. NATO disbands and US ordered out of Europe.
  4. Russia gains territory in Ukraine and detonates nuke on Ukraine. Washington DC panics and backs out of Ukraine.
  5. Saudi Aramco drops US dollar.
  6. Western and European nation align with Russia and China.
  7. Us economy spirals down.
  8. Americans begin exiting the United States as the nation slides into Totalitarian rule.
  9. Washington DC begins execution of Americans resiting by the millions.
  10. Mexico and Canada seek protection from US threat. Canada, Europe, Russia , China and Latin America form alliance.