From  Jack Posobiec

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The picture is from a Washington Post sob story:

The border wall Trump called unclimbable is taking a grim toll.

Since 2019, when it was raised to 30 feet along much of the border in California, the number of patients coming to UCSD Medical Center’s trauma ward after falling off jumped fivefold to 375. wapo.st/3MCKcio

That would be their problem:

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This has to be counted a success for Trump.

See, earlier

A Reader Wonders Why Trump Isn't Putting Razor Wire On The Fence. The Answer Is He Tried, But Subordinates Refused

An Experienced Rock-Climber Says Trump's Wall Prototypes Aren't Really Climbable, Even Without Razor Wire