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The Economist cites the Dartmouth Atlas Project which shows differences in cost across the country for health outcomes and spending involving Medicare. It cost $5000 per person in Salem, Oregon in 2006, $8000 in San Francisco, and more than $16,000 in Miami, with outcomes for health tending to be better in places where the costs were lower. This is one of the statistics that Peter Orszag of the Congressional Budget Office uses to come up with his estimate of 30% waste in health care spending in the United States. Prof. Skinner at Dartmouth and Prof. Garber at Stanford point out that of most health systems around the world the American system is "uniquely inefficient" and wasteful. The Economist cites information that the American system is twice as costly per person for healthcare than the Swedish system, and that it costs twice as much in Minnesota as in Miami. A poll done for the Economist shows 52% of the people in the UA are dissatified with the quality of care, 40% think the system needs fundamental change, and 29% think that it should be fundamentally rebuilt. The lack of uniform coverage is also causing turmoil in the system. About 49 million are uninsured, and a quarter or more are able to buy insurance and do not buy it because it is so costly, has exclusions and coverage is inadequate. But these people also end up in the emergency rooms along with the indigent costing the whole system tens of billion of dollars for costly late interventions that could have been avoided with preventive care early on. With the economic crisis and rise in joblessness, the dire condition of state and local budgets, the situation has probably drastically worsened, and the system near breakdown. ...

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A recent poll shows Mr. Trump increasing his support from a bloc of voters that disapprove of his job performance but still give credit to Mr. Trump for an improving economy. A new WSJ/NBC poll shows 51% of Americans disapprove of his overall job performance, with 46% approving. The same percentage that say they disapprove of job performance are also saying they give him credit for a stronger economy up from the 44% in April 2017 who said they approved his way of handling the economy. Wages have increased 3.2%  in each of the last 2 months and unemployment is at an historic low over 50 years. One group that has a 10 point gap when it comes to the economic performance is among Independents, where 38% approve of Mr. Trump but 48% approve his economic performance. A big jump is among Hispanics who have benefited greatly with new jobs in construction and other areas of the economy. Trump's 46% approval rating in May 2019 is among the highest he has achieved, rising 3 points since the last identical poll in March 2019. About 29% still think the Mueller Report clears Mr. Trump of wrongdoing as they did in March. Still things can change as 42% believe the Mueller Report does not clear Mr. Trump of wrongdoing, and another 29% haven't made up their mind. On impeachment hearings about 48% think Congress should let Mr. Trump finish out his term, 49% think there is either enough evidence or Congress should continue investigating with an eye to future impeachment hearings. The survey margin of error is about 4 percentage points, covers 900 adults.  ...

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California is feeling overwhelmed by the pandemic with patients treated in parking lots, in hallways, and in lobbies of California hospitals. This report looks at the situation in California as it reports 53,000 new cases on December 16, 2020. The entire state from high deserts to beachfront cities, from the San Joaquin Valley to Sierra Nevada resort towns is facing a growing pandemic. In Apple Valley, California in the southern part of the state the only capacity is overcapacity with hospitals at 200 or 250% of capacity.  The scary thing is that the health care system is reduced to being available only to the gravest, most urgent medical conditions.

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There is a surge in online classes and web based learning by 2017. About 36 million people in the U.S. who have some college but no degree benefit from these classes. The low overhead and value of these classes is making colleges move ahead with investment in this field. Arizona State, University of Massachusetts, are some of the universities pushing ahead. Purdue University as part of its "You Can, Go Back" initiative under president Mitch Daniels,is planning to acquire Kaplan University to supplement its efforts. 2U which runs online school programs has revenue growth of 30% a year. It runs marketing and the web platform, nuts and bolts, while schools provide faculty, in a unique collaborative effort. Colorado State University Global Campus went from 200 students to 18,000 half from Colorado, with only a $12 million loan from the University in 2007, which it paid back by 2012, showing the financial viability of these classes. 

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Three factors make up risk in diversification and risk reduction through bonds in 2025 with the estimated 1.5 -3 trillion in spending planned by 2030 with $400 billion in 2025 alone. AI in corporate bond indexes up to 15% and reach 20% by 2030 vs 40% of stock indexes (JP Morgan),  AI risk in bonds diversification from over issuance and downgrades is something to look at. One cannot assume bonds will reduce risk in the same way as before with overissuance of corporate bonds to power AI spending by Tech companies. There is also the risk to the Nation in the massive capital misallocation of funds that will crowd out essential spending in the crumbling infrastructure of the Nation, in education and healthcare, that degrade American leadership in industry, science and technology.

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WSJ poll in January 2025 shows DJT has the support of the American people to make changes and at the same time not enough support for major changes the president elect has promised to make. Deport all migrants with criminal records 75% support. On large scale deportation of migrants 70% disapprove deporting long time residents who have no criminal records. Does this long time resident mean people who are here before 2021 when for the first time migrants reached 200,000 in mid year 2021 exceeding the 150,000 peak in DJT's first term, is not made clear by this report on the WSJ poll. This is the point mid 2021 when Biden was supposed to have removed Mayorkas as Homeland Secretary and come up with new legislation with Republicans to close the border before a surge.  Ending birthright citizenship- 64% disapprove 31% approve. Set tariffs on all foreign goods- 48% approve 46% disapprove Eliminating programs for healthcare, education, social safety net- 60% disapprove 34% approve. Eliminate the Department of Education, and eliminate replace career civil service officers- 60% disapprove. ...

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US is shutting down 10% of airport traffic because of government shutdown in November 2025. Democrats are holding up the passing of the new budget till Obama's Affordable Care Act healthcare subsidies for low income Americans are restored. Republicans who control both houses of Congress are unwilling to restore these subsidies saying it will cost $350 billion over 10 years. Editorials in the Washington Post in November see Obama's Affordable Care Act as a bandaid approach for a broken healthcare system in the US. Public opinion in the US supports this assessment. Trade unions and labor have called for an end to the government shutdown. Democrats are acting as though the party is for low income Americans and labor yet this is not the party of FDR who fought hard for labor over vested interests, Democrats today are the vested interests whether from Tech which is taking a disproportionate share of the Nation's wealth and resources and pouring it into projects that do not reduce the cost of living or rebuild crumbling obsolete infrastructure, or from Banks which were not sanctioned for their part in the 2009 financial crisis, or from healthcare interests that oppose restructuring the entire healthcare system for fairness in insurance, pharmaceutical pricing and wellness. Republicans are making an effort to displace Democrats in the role of FDR and Lincoln under newcomer DJT who rejects both the incompetent Bush (Republican) and Obama (Democrat) administrations that wasted money and resources in foreign wars while overlooking America's many challenges and strengthening foreign powers including China, while weakening the US. The US government is cutting airport traffic to relieve unpaid traffic controllers. Also at risk are SNAP benefits which are for the loew income Americans. The US president is asking the Senate to drop the filibuster rule which requires 60 votes in the Senate for the biudget to pass it and pass it by majority vote. The Senate Majority Leader Republican Thune wants to keep the filibuster because it acts as a brake for hasty legislation passed by whichever party is in government. ...

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The average U.S. light vehicle price was $30,303 in April 2012, up $1219 from the prior year. Incentives were also lower, down $146 to average of $2,446, according to TrueCar.com. This is happening even though cars account for a greater portion of sales of light vehicles. Used cars and trucks prices increased by 3.2% in March over the prior year, according to the Labor department data. Pent up demand is part of the reason. Another reason is the discipline exercized by auto manufacturers, especially the Big Three, in not letting supply exceed demand and therefore not having to offer higher incentives to get rid of inventory. These practices of oversupplying the market hurt the Detroit automakers in the period before bankruptcy, especially GM. Increases in used car prices and higher prices of new cars create a virtuous cycle for automakers to support higher margins. With the high retirement and healthcare costs reduced through bankruptcy and new agreements with the UAW, the Detroit automakers are now better positioned in the market to sustain margins by limiting production to demand. ...

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Daniel Altman's proposal for a tax on wealth over $1 million. He makes the case for taxing wealth not incomes to reduce inequality as this is where the situation in terms of inequality has worsened for the U.S. in recent decades. To support this proposal Altman cites the change in the U.S. Ginni coefficient, which measures inequality. The Ginni coefficient is anumber from 0 to 100 which goes up with higher income inequality. From the late 70's to the 1990's, the Cnesus Bureau showed this to be in the low 40's. By 1992 the Ginni coefficient went up to the mid-70's, according to the Federal Reserve data. It increased to about 80 in 2010. In 1992 the top 10% in the U.S. population controlled 20 times the wealth of the bottom 50%. By 2010 this figure triples to 65 times. and the graduated income tax even if it redistributes a small share of the wealth does little to affect the trend of wealth extremes from building up and threatening the social fabric of America, reducing mobility and opportunities for the bottom 50% to unprecedented levels since the 1950's. ...

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China's Bright Foods Group acquires a 60% stake in Britain's cereal maker, Weetabix Food company. Cereal demand is growing in China and increased to 1.2 billion yuan or $191 million in 2011. This is an increase of 70% over 2006, according to Euromonitor International. Everbright sees large potential for Weetabix cereal in Asian markets. Cereal Partners Worldwide, a joint venture of General Mills, Nestle SA and Seamild Group of China, has the largest share for cereals in the Chinese market. Everbright is looking for more acquisitions as it plans to double sales in China by 2015 to about $14 billion. It has 3,300 retail stores in China. With the Weetabix stake Everbright gains shelf space and distribution channels in Europe and the U.S. An effort to take a 50% stake in French yogurt maker Yoplait failed in an earlier bid when it lost out to General Mills.

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Joshua Wong of the group Scholarism is 17 years old and just entering college. His arrest and detention of 40 hours for stepping into a government building area led to increased protests. In 2012 Wong was part of protests that led to the withdrawal of a "patriotic classes" plan for Hong Kong schools. Asked what Hong Kong would be like in 10 years, he says, "there will be universal suffrage." The age of the protesters is one remarkable aspect of these protests, as they are not just young, but very young. And this should give Beijing pause, as this is China's next generation. And what seemed right in your own day may not be right around the corner as time passes, as Mr. Jinping and his revolutionary veteran father experienced, struggled with, and overcame in their own lives because of the tolerance of others.

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Hungary has only 17 billion euros of foreign exchange reserves but has to repay 27 billion euros to foreigners in the next 12 months, accordin to Barclays Capital. Hungary may need help from the IMF or the EU. Most Hungarians borrowed in Us dollars and Swiss francs and now that the currency has lost 21% ofits value just this month repayment is getting harder. As investors withdraw money from emerging markets the value of their currencies is dropping quickly. Even increasing interest rates is not helping as Hungary raised rates from 8.5% to 11.5% but the foriint dropped a further 3% on October 22, 2008. The Ukrainian, Polish and Turkish currencies have all seen a declilne of 20-30% in a few months and this makes debt burdens harder to repay. Hungary, Poland and Turkey all ran up large foreign debt in recent years when credit was easy.

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Global oil demand is expected to shrink in first quarter 2020, for the first time in 10 years, according to the International Energy Agency. China made up three fourths of growth in oil demand in 2019. The border closures, flight cancellations, and factory closures, are affecting Chinese oil consumption as a result of the coronavirus. China's growth in first quarter is expected to be 3-4% than a year earlier.

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The importance of time and compound interest in investing cannot be overstated. Over long time horizons steady saving and investing using index funds such as Vanguard with low expenses can take advantage of compound interest to generate good returns. This happens for a strategy of dollar-cost averaging into broad indexes over longer horizons. The longer horizons help overcome fluctuations and volatility, even bubble behaviours, as compound interest plays a larger role. Investing based on timing is not viable because no one is prescient about the market. It is risky if this route of timing is taken because the investor ends up staying out of the market for long periods thus missing out on the power of compound interest to generate good returns. One way of looking at this is to take a $100 investment and see what happens by the sixth year on a calculator if it is invested at 10%, in the sixth year it generates 16% on the original $100.

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Black women had 12% of the jobs in the federal government and did well above the average of 6% for jobs in the federal  government. In the Department of Education black women held 25% of the jobs says NYT.

A change is taking place with more Hispanic and white women, and white men gaining jobs in the private and government sectors. For black women 319,000 lost jobs in both the private and public sectors in Feb-July 2025, much of these losses in the federal government.  While 176,000 Hispanic women gained jobs in private and public sectors, for white women 142,000 gained jobs, and white men at 365,000 making the largest gain, labor statistics show.

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Inflation went upto 15.7% in February in Vietnam, the highest in 13 years. The dollar peg of Vietnam's currency helped to boost textile and electronics exports because they were chaeaper than products made in Thailand or Malaysia, the dollar being pegged by the central bank and its being allowed to rise or fall 0.75 a day.But now its boosting inflation as the dollar loses value and Vietnam's central bank widened the narrow band for the dong to 1% from 0.75 %, and the bank says it plans to expand the band to 2% for a rise or fall in one day. The black market rate has devalued the dollar by 3% since March 10, 2008 to 15500 dong to a dollar. Most Vietnamese ae now trying to get their hands on dong and exchanging dollars. The dong's increase in value will help reduce inflation but exporters who get dollars see their revenues in dong fall.

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Apartment rents went up by 5% in the 12 months through April 2011, according to Axiometrics. Senior economists at Capital Economics say rental yields (the rent divided by the property price) is expected to go up in 2011 to the highest level in more than 20 years.

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Mark Rutte of the Netherlands ends a 13 year career as prime minister. His four party coalition collapsed when he proposed strict asylum rules. The Farmer Citizen party won the most votes in recent provincial elections with its rural base among farmers opposed to new restrictions on livestock herds with strict nitrogen emissions controls. Denmark is the second largest exporter of agricultural products after the US. This rural base party leads in polls. It has created new sentiment against what it sees as a globalist plot to increase immigration and destroy traditional ways of life.  It also capitalizes on the cost of living with higher energy costs.

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President Trump says TikTok app would be banned in the U.S. after September 15. He said he had talked to Microsoft CEO Satya Nadella and told him Microsoft could buy the apps U.S. operations but if it does so a substantial portion of the price must go to the U.S. Treasury because of the approval of the deal the U.S. is giving after the review. He told Nadella "Look it can't be controlled for security reasons by China- too big,too invasive. Here's the deal, I don't mind whether its Microsoft or somebody else, a big company, a secure company, a very American company buy it."

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For the first time in decades Mexico has a president who travels on regular commercial flights, flying in tourist class. There is no presidential plane, no presidential mansion. He starts his day at 6 am with a crime report and a Cabinet meeting By 7 am he is at the presidential palace giving a free wheeling press conference. He has in 3 months talked to the media and the public more than was done in 6 years under the previous presidents. By noon he is on his way to catch a commercial flight to a provincial city such as Guadalajara.  There he meets local leaders, eats at a local cafeteria, and attends an open rally. He is most comfortable brushing against people, pressing the flesh, and making some comments in one liners, something he has done for twenty years since becoming the Mayor of Mexico City.  He is a bit evangelical, more like Bernie Sanders, but with the power. Mexicans listen to him attentively. Mexicans were so fed up with corruption, neglect of public opinion, and lack of rule of law, that Obrador after contesting with difficulty in previous two elections won decisively in the recent presidential election with large majorities in parliament. He has in the first 100 days moved to scrap a new $12 billion airport with costly cost overrruns using a referendum to make the decision. He has also cooperated with the Trump administration to slow the flow of migrants from central America, working with the U.S. on a $11 billion investment in Mexico and Central America to create the jobs and secure environment so that people can stay in their homes.   ...

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China's carefully planned stimulus in April 2014. It is designed to balance goals of not letting credit growth lead to a bubble and preserving a high enough growth rate of 7% to create 10 million new jobs each year. The smaller stimulus will be financed by the federal government which has more leeway than local governments burdened with debt. The stimulus is focussed on low income housing and railways. Pension funds, banks and other financial institutions will be encouraged to invest in shantytowns to create low income housing. Railways construction is focussed on southern and western China. Part of the rail construction is designed with the goal of creating export based industry in the interor of the country. IMF reports say this may not work out as planned as businesses may prefer to remain in the coastal or eastern part of the country.

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A surge in rural vote with anxieties about illegal immigration surges and little done by the Biden administration in the first two years when the surge from Venezuela became evident. The pandemic, vaccine was followed by two wars in the thrid and fourth year, yet the immigration issue was allowed to grow without forceful action to close the border and pass legislation early in the first 2 years, with an objective assessment of the situation as has happened in first Socialists in Denmark, northern Europe, and then Britain as the Labour party shifted to shut down illegal immigration in its policies by 2022. The unease in rural areas was accompanied by unease among younger people 18-34 years over cost of living, and the unease among Latinos in general and Black people  without a college degree.  Taking an approach to the wars that would remove them as distractions by looking for a settlement in Ukraine through negotiations, and prioritizing strong action on the border, price surges would have helped tackle pressing issues that caused so much unease.  ...

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Antonis Samaras, leader of Greece's New Democracy Party, opposes the tax increases mandated by the E.U.'s June 2011 program for Greece. He supports the spending cuts. The shrinking economy with no hope for recovery under the current plan will only worsen the situation. The Greek economy declined by 4.5% in 2010 and will decline 3% to 4% in 2011, and unemployment is already at 16%, with much higher unemployment among young people. Many experts, and editorials in the Wall Street Journal and the Economist, share this opinion. With the austerity program's cuts and tax increases deeply unpopular among ordinary Greeks Samaras's party is moving ahead of Prime Minister Papandreou's socialist party in public opinion polls. Papandreou is not expectd to complete his term of office which ends in 2013, and a change of government may come by the end of 2011. At that point the E.U. leaders will have to negotiate with Samaras. Samaras says he told German chancellor Merkel- if your plan works I will say I was wrong, but if it doesn't you will need a new plan....