thats how many the lower 48 states could support by foraging, by those who knew HOW. So yes, shtf IS going to mean 250 million deaths in the US. Within a year. It's going to mean 25 millioln deaths in ONE MONTH. The power goes off, no fuel to move people or goods, UTTERLY dependent upon refrigerated meds, breathing machines, kidney dialysis, insulin-needing med care elderly and infants are going to perish, within a few weeks, man. no lights so surgeons can see what they are doing. No ultraviolet lights to help keep down infection. No fuel for running autoclaves or boiling surgical instruemnts, etc. No forumla for infants to drink. mothers who are bottle feeding have already had their milk "dry up".