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Community Aging in Place: Advancing Better Living for Elders, has been here since 2009, it is offered in about 65 places across 26 states. in the US. It helps people 60 and up stay in their homes such as Chikao Tsubaki 87 years shown here in the Washington Post. It brings a repair worker into the home to figure out how to make it safer for falls, in addition to an occupational therapist and a nurse. Center for Disease Control and Prevention says these falls contribute to deaths of 41,000 older Americans each year and cost Medicare $50 billion. Yet this report in The Washington Post shows Medicare does not cover it, and most private insurance plans do not grasp the idea of keeping people healthy in good settings, paying only when people fall, doing little to prevent the falls. Sarah Szanton is a nurse practitioner who worked with older Americans in home settings in West Baltimore and started CAPABLE in 2009, and is now Dean of the John Hopkins University School of Nursing. In it the client and care team work together to do problem solving and brainstorming. One study shows $20,000 in savings a year for Medicare continuing for 2 years person after one CAPABLE intervention. ...

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India's demographics show one startling fact. By 2020, the average age of Indians will be 29. This is happening just as the rest of the world is aging very fast. In the next 15 years India will have 130 million more people in the 20 to 49 age group. This compares with a shrinking in population of 100 million in that age group in developed countries and China, according to the U.N. Population Division. The problem facing India is malnutrition that runs as high as 43% for children with half the mothers anemic, weak educational system at the primary and secondary school levels especially in the government run schools, lack of good governance in the most populated states such as Uttar Pradesh in the Ganges plains which has 200 million people, the consequent overburdening of cities which have no plans to manage the migration of the rural poor to the cities. India has to find ways to fill the huge gaps in getting better nutrition, education, dignity and sense of opportunity, and work for the growing numbers....

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U.S. auto sales increased by 7.5% in October 2011. Chrysler sales were up 27% in October. Its Jeep vehicles had the best sales performance in 5 years. Jeep sales were up 25% and Ram pickup sales were up 21%. Ford Motor Company sales were up 6.2%, and GM sales were up 1.7%. Sales of Ford's F- series pickup trucks were up 7% and sales of Escape sport utility vehicles were up 30%. Lincoln sales declined 11%. For GM the Cruze small car and the Equinox crossover sales were up, while Buick sales were down 7% and Cadillac 12%. Because of limited vehicle supplies Honda and Toyota showed decline in sales by 1% and 7.9% respectively. The annualized seasonally adjusted selling rate in October was 13.26 million vehicles. Reasons given for the pickup in auto sales by analysts are that buyers had held off buying in 2009 and 2010 and are now back in the market as their vehicles show signs of aging. Hyundai sales were up 23%, VW's up 39.6% and Mercedes-Benz's sales up 28%.

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The artificial nature of the target of debt to GDP of 120% for Greece in 2020. This is the target being followed in negotiations by the troika of the ECB, IMF and the EU. Experts say the sustainable level would be much lower for Greece -this would be much lower because of the aging population in Greece and lower level of workers to support retirees in future years, the inefficient tax collection system and poor prospects for changing it, the degree of control over monetary policy and the rate of change of debt. A recent study by the Bank for International Settlements shows debt sustainability at 85% after studying 18 countries from 1980 to 2010. No precise source has been found for the 120% target. An IMF Report in 2011 said the 120% was the "maximum level considered sustainable." Alan Auerbach at UC Berkeley and Michael Woodford at Columbia University, say the additional factors are relevant to Greece. The many unpredictables over the course of ten years is another serious difficulty.

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Juarez, the city across from El Paso, has done well in the last 10 months with 27,000 jobs added in the maquiladoras. These foreign owned factories continue to attract business interest even with a drug war raging in the background. The reason is that Juarez connects straight to American Interstate highways and this makes it possible to deliver goods in 3-4 weeks in some cases from the time of order compared to 10 weeks for China. And wages can run as low as $4.21 an hour. Companies get incentives in the tax treatment and worker training is supported by the local government.

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Issues raised by the huge mismatch between revenues and investment for AI. $400 billion estimated investment by 5 Tech firms in 2025 alone with revenue of about $40 billion and huge uncertainty about when AI will produce returns. Articles seen this week of November 17 in the WSJ and NYT on this issue, podcasts, discussions in other media outlets. Could this lead to a dot com bubble type economic crisis? Could that lead to a recession? Alongside these articles another article in the WSJ on Nov 17 shows the benefits small firms get by using AI, benefits which are on the fringes of their business, not essential but with some experimenting firm owners/managers able to tweak AI information for use in business. Nothing significant which firms will pay much money for. The uncertainty is a major factor. Should geopolitics trump all these concerns? Is the competition with China require this scale of investment, and is China following a more utilitarian approach as reported in a WSJ article this month, of investing in AI in a utilitarian way targeting its use in improving manufacturing, improving infrastructure, and not wildly throwing money at experimental uses that are unlikely to yield much result. In geopolitical sense would the country that not only promoted AI but used it efficiently and cost effectively, used it in ways that promote the overall public good, get the WIN. In short it behooves everyone of us to ask hard questions of AI, to dehype the hype, to look for the public good that comes out of this from it's efficient use. To ask the tough questions when $400 billion generates only $40 billion in 2025 and the $3 trillion planned investment over 5 years is half unfunded, is it going to crowd out energy needs for homes and business, push renewable energy targets back, crowd out essential investments in the crumbling aging infrastructure of the US and Europe, crowd out essential investments in education, healthcare, pharmaceuticals, and manufacturing, that hold better promise for our People. Will it also put retirees at risk when corporate bonds from retirees money fund the unfunded portion of AI? This means making the political dimension not about migration, settling the illegal migration issue that was meant to be settled a long time back, or about cultural issues that have little day to day impact on our lives which are about groceries, childcare, housing that are non ideological. Making the political dimension not about remote countries that one knows little about except when it affects public safety and health as with fentanyl. Capital allocation decisions to the vital needs of America can then be free of politically induced error, so that it can be subjected to the test of how best it serves the public interest and the people of the Nation. ...

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US president Biden points out in his letter to the US Congress- "When I was elected President, a pandemic was raging and our economy was reeling, and trickle-down economics had undermined our nation’s growth long-term. I was determined to rebuild from the middle out and bottom up, not the top down, because when the middle class does well, we all do well. We can give everyone a fair shot and leave no one behind. Our plan has brought transformational progress." "Along the way, we’ve achieved one of the most successful legislative records in generations, bringing new opportunities to communities of all sizes nationwide. We’re tackling years of underinvestment in public infrastructure, clean energy, and advanced manufacturing, making sure the future is made in America by American workers. We’re making the biggest investment in American infrastructure in generations, including over $400 billion for 46,000 projects in 4,500 communities to date. These projects are rebuilding the nation’s roads, bridges, railroads, ports, airports, public transit, water systems, high-speed internet, and more, in every part of the country. We’re also making the most significant investment in fighting climate change in history—advancing breakthroughs in clean technology, boosting energy independence, lowering electricity costs for hardworking families, and revitalizing fence-line communities smothered by a legacy of pollution. At the same time, we’re working with the private sector to strengthen America’s semiconductor and advanced manufacturing industries as well, empowering workers and small businesses to share in the benefits. Already, my Investing in America agenda has attracted $650 billion." ...

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Goll describes the human condition in his descriptions of Weimar Germany, Nazi Germany, and the Cold War. He lived through it all and was a prolific writer. His diaries describe the conditions of the times, of the German condition through two wars and a divided Germany. He lived through the hard times of Weimar, and records this scene of a couple pushing a cart through the snow, working hard, getting stuck, the man raging, the woman enduring it all. He reflects about the human condition, going from one mistake to another, struggling and groping in the darkness, looking for a way out, for the good path.

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Without the option of using immigration to bring younger people into the country as the U.S. is doing, Japan is left with finding new ways of tackling its graying crisis. Schlesinger and Martin of the WSJ show how Japan is using novel ways of bringing older people into the workforce.

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Gerald Seib of the WSJ points out that the midterms helped America rebuild its democratic institutions and practices. Independent thinking prevailed in the midterms and the results provide an opportunity to move forward with investments in aging infrastructure, improving governance and helping tackling issues related to the cost of living, climate change action. 

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Gerard Lemos writes from London about Chinese society today. He was visiting professor to Chongqing University of Business and Technology from 2006 to 2010. During this period he talked to many ordinary Chinese to find out what was on their minds -concerns that stemmed from China's one child policy, urban migration, health care needs, education and jobs were all uppermost in their minds. Lemos says even with the rapid industrial progress the lives of ordinary citizens are affected by fears and uncertainty about the future. The lack of jobs, lack of good healthcare, children who have migrated, are all part of their daily lives. For older people the one child policy in an aging society means the prospect of being alone in old age and the prospect of inadequate health care. For the young education and job concerns. Lemos points out that it is not about a choice between China's model and a Western model, it is more about a search for the Chinese soul, now that the basic material conditions are in place with the usual gaps and problems. At the same time it is a society prone to political sentiment such as the anti-Japanese protests....

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Chrysler will have $1 billion in free cash flow each year in 2013 and 2014, down from an earlier estimate of $1 billion in 2013 and $3 billion in 2014. This is because Chrysler needs to increase spending to replace aging models. Even with the higher spending Chrysler will not be able to meet its original goal of 8 new or redesigned vehicles in 2013, including one midsize, one subcompact and two small Jeeps. Some will arrive in 2015-2016. Fiat will not give a dividend so that it can conserve cash to pay for buying the remaining 41% of Chrysler it does not own. Fiat's losses in Europe limit cash flow and under the agreement for the stake in Chrysler it does not not have access to Chrysler cash flow to finance increases in research and development of small car technologies used by Chrysler. Chrysler's margins are smaller than other automakers because of higher incentive costs. It increased market share in the U.S. market in 2012 from 10.7% to 11.4%. Ford and GM experienced declines in market share after a resurgence of Toyota and Honda and efforts to preserve margins....

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In the earlier history of Japan when Japan was still a poor agricultural country, these Japanese left for Brazil to work in the coffee plantations there. Because Japan's aging population meant foreign workers were helpful to ease shortages, especially for the hard and difficult jobs left for for foreigh workers, special work visas were issued to the descendents of these emigrants. Now an estimated 366,000 Brazilians and Peruvians live in Japan. Jiro Kawasaki, an LDP leader and lawmaker, has set up an emergency program of cash payments -$3000 for airfares and $2000 per recipient- to send these South Americans of Japanese descent home, on the condition that they sign papers never to return. Many of these people are agonizing over the decision especially the one that makes return impossible. The idea is to relieve pressure on labor markets as exports have dropped by 46% and unemployment is rising. However Japan has faced labor shortages in thepast, and these people have aJapanese heritage, which makes this policy in immigration averse Japan controversial. In Britain there have been protests as companies hired foreign workers when British workers were unemployed. It appears that this trend is happening even in immigration friendly countries....

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Glaxo acquires Sirtris Pharmaceuticals for $720 million. Sirtris is doing early stage research in drugs for slowing the aging process. Sirtris hopes to develop a drug from resveratrol, a chemical found in red wine.

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The secret say Dr. McGeverly an astonishing 104 years, as do others is to find things to do that make life meaningful and important and "our hearts sing." A daughter of missionary parents spent her childhood in India and is shown in an old photo carried in a basket. She studied medicine and had a holistic medicine practice in Arizona. She lives in a small home next to her daughter and is shown with her grandchildren. This last month we profiled Sandra Day O'Connor who created iCivics to spread civics knowledge in America for children after retiring from the Supreme Court at age 75. Jimmy and Rosalynn Carter were also profiled in Lyrarc.com for their resilience. In Virtues of Aging Carter says it is the action that is beneficial to others that is also beneficial to oneself that is the secret to aging right. This is also the concept we see common to the holy Bible, the Bhagavad Gita, and the Buddhist texts that define right living in this way.

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GM management is now considering government supported bankruptcy as a serious option, after insisting for months that that would not work, and that it would affect the whole supply chain. This comes as GM's auditors raised "substantial doubt" that GM could operate as agoing concern considering its state of finances. Prices on GM's bonds are down to less than 20 cents on the dollar, for GM's $3 billion 30 year bond. according to Thomson-Reuters. Under bankruptcy GM's entire debt load could be reworked and bondholders would see it in their interest to make necessary concessions for this to happen. Also the franchise overhaul could proceed on the retailing side. A prepackaged bankruptcy would typically be accomplished in afew months.

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Simon Denyer talks to experts in China in this remarkable piece about the risks to China's own forward development for the economy and society of adopting the so called Putin Way. Particularly when Mr. Putin himself may have second thoughts about as it offers so little and risks so much- actions in Ukraine reduce trade, much needed foreign investment and technology leading to slow growth. This is because technologically advanced societies and economies in a globally interdependent economy need to remain open and vibrant. Mr. Putin's failure to transform Russia's economy from overdependence on commodity exports, while risking development further for relatively insignificant gains on the fringes of its borders, reduces his own development scorecard from a B in the first term to a C in the second. Russia and China have large rural population with low incomes, and the risk is that these emerging markets will fall into the "middle income trap" reaching a certain level and then stagnating, with the additional burden of an an aging population. The irony is that Mr. Putin was elected with the help of this rural population outside the big cities specifically to preserve and expand economic gains made in the first term not erode these economic gains....

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China faces the problem of an ageing population as births decline and their are fewer young people to support senior citizens. The shift to a two child limit after the policy limiting children to one per couple has not accomplished the goal of restoring the birth rate. The Central Committee of the Communist Party and the president Xi Jinping have taken the decision to allow three children per family.  This comes at a time when the old policy meant a fine of 10 times the disposable income for having a third child. The law was not enforced in all regions but acted to deter larger families. Yet there is a cultural effect of decades of having smaller families that will not be easily overcome with a change in the law. In Latin America smaller families are the result of decades of cultural change towards smaller families. Young people are increasingly aware of the cost of raising and educating an additional child, and the effect on the standard of living. Experts say it is too costly to raise another child  and housing is not cheap in China.  This discussion with 3 billion comments over Weibo in the discussion of this policy in China last week, misses a more obvious point from the graph shown in this report in The Guardian. That graph shows the curve for the birth rate in 2019 dropping faster in South Korea and Japan than in China, so that in 2019 the birth rate in Japan and South Korea was lower than in China. This shows that even without a one child policy the birth rate in Chia would be closer to that of South Korea after industrialization progressed and society experienced profound cultural and economic change. Japan today has the lowest birth rate in Asia. The Latin American experience also confirms this shift to small families. ...

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Professor Rose Ann Kenny of Trinity College, Dublin, tells us what we can do to age-proof oneself and live a longer healthier life. Positive attitudes to life are important. Yoga, meditation, mindfulness help. Having people around us, volunteering and finding new purpose in life after retirement are a great help. There could be a difference of about 20 years in longevity and more importantly quality of life effects in how we approach aging.

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This piece in the Economist says the men involved in sexual harassment in Cologne identifed so far were Moroccans and Algerians, not Syrians. The police in Cologne are seen as failing to identify sexual attackers and apprehend them on the spot. Tensions will exist because of the different values in the Middle East, and as in America, the Economist says the refugees must be required to adopt the values and norms of the new country. Because most of the refugees are men, this could skew the men to women ratio in some places which welcome refugees, and for this reason the men should be allowed to bring their spouses. So far German chancellor Merkel has acted firmly, calling the sexual attacks "disgusting," passing laws that would make it possible to quickly deport those migrants and refugees who break the law in Germany. This is the right way to tackle the problem. In the long run the immigration will help countries such as Germany tackle the problem of aging of the labor force, yet in the short run stronger action is needed to prevent any abuses to the humanitarian welcome offered refugees. The problem of economically motivated migrants remains- Britain, Germany and France all agree that these migrants should go back to their home countries, as prime minister Cameron and chancellor Merkel have already affirmed....

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Problems facing Saudi Arabia in 2015 as King Salman, 79, takes over are an aging leadership, and lack of new solutions to problems facing the economy overly dependent on oil revenues and social spending. Like other Persian Gulf economies the oil sector makes up a large part of GDP- 44% for Saudi Arabia, and 59% for Kuwait. Under King Salman policies will remain the same as under King Abdullah. Social spending was boosted after the protests and political change in the Middle East in 2012-2013. Even with a drop in oil prices to below $50 a barrel high social spending and reliance on public sector jobs to meet the employment needs of young Saudis will continue. Young people under 25 years make up 47% of the Saudi population of 29 million. No new income streams are being pursued and taxation is not even considered as an option. The private sector is led by non-Saudis and is under financed with most employment generated in the public sector. Growing oil consumption inside the kingdom with its growing population is also likely to reduce the quantity of oil available for export in the long term. Reserves of $750 billion provide a buffer for now, but long term Saudi Arabia faces a structural deficit, says Steffen Hertog, an expert on Persian Gulf political economics, at the London School of Economics. ...

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Ajami makes the point that opinions and attitudes -after the Obama efforts to improve America's standing in the Muslim world - havent changed much since the Bush days. He cites the Pew Global Attitudes Survey for 2009- In Turkey after the Obama Anakra visit favorable rating is only 14%, 69% are unreconciled. In Egypt 27% have favorable view 70% do not, in Pakistan unfavorables actally went up from 63% to 68%. He also points to the situation in Iran where the protester for the fraud in the election of Ahmadinejad did not receive much supprt from Obama, as the Obama administration decided to engage with Ahmadinejad to achieve nuclear settlement. In effect the rhetoric from Obama has not been matched with courage of convicitions , and lacks the courage to turn a new chapter by breaking from the past not just with talk but in real policy changes. And says Ajami the Arabs havve stopped listening to the rhetoric as little has been accomplished by way of change. At the same time false expectations may have been aroused because the Cairo speech was made at the University with the aging Mubarak at Obama's side, and beyond addressing these students the feeling clearly must be that the US would simply continue its policies of supporting old regimes that tolerate no dissent of any kind such as Mubarak's. ...