At no time here in this forum have I heard or seen anything to indicate anyone thinks they are or wants to be a Rambo. There are some egos and proud people here who have no problems stating their opinions but they keep things interesting (whether you agree with them or not). We have all seen situations where people had to bug out, and some of us were in those bug outs. We all agree that hunkering down is the best way to go, but if we are going to truly be prepared bug out scenarios have to be planned for as much if not more because if you prepare for hunkering down only then if it comes time to leave in an emergency then your screwed. If on the other hand you plan well for a bug out your planning will work for staying on place just as well. Then we come to some special needs people like me. I work away from home a minimum of ten months out of the year. I don’t like the idea of paying to stay in a motel room with no electricity or water. I tried that just after Katrina and didn't like it. If I am home I will hunker down and do what needs to be done, but if I am on the road I can, will, and have bugged out and will be happy about it. To answer your question of how tough am I. Am I tough enough to live in the field for an extended time and fight the mosquitoes and all the other bad things you mentioned? I am tough enough to do what ever I have to defend and help all those who depend on me, I am not Rambo but if it takes that for my family to survive I will be what or who I need to be.
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Depend on yourself, help those who are not able, and teach those that are.