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Leonhardt argues that rationing is rational allocation of limited resources, health care budgets are limited resources even in rich countries like the USA, and if you overpay here you cut somewhere else. Now the cuts that are not noticed he says are in take home pay as employers face increased premiums from insurers. Rationing is taking place all the time with poor health outcomes relative to the cost for poor allocation of resources as survival rate for many diseases are not that much better than other countries. Rationing takes place everyday when patients see doctors only for a few minutes as doctors race to see more patients, and when diseases are not caught early on in the process as doctors do not know their patients well enough. And rationing is taking place as patients simply delay or forego treatments based on the extra cost, or as uninsured get no care. There are so many buzzwords like this thrown around, with doctors, hospitals and insurers and other groups trying to preserve the status quo, even as it is becoming rapidly unaffordable fort the US to be spending so much on health care....

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The strong euro is hurting sales of European cars like the VW and Volvo in the USA.

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Since the last landing of a man on the moon in 1972, not much has happened. China recently made 3 lunar landings and Israel failed in its recent Beersheba module effort. India is trying a second time with Chandrayan 2 to make the soft landing in the last critical 15 minutes on the lunar surface without any problems.    The Indian space program has the potential to build up the global research and knowledge about our planet.  Factors unique to India's space program are its development of its own rockets, similar to China's. The multipurpose satellite system services a number of users- telecommunications, TV broadcasting, meteorology, disaster warning, land and water management, ocean studies, drought and flood forecasting. The fleet of satellites IRS (Indian Remote Sensing Satllite Systems) will be used for teleducation, telemedicine, and other new uses. The NAViC navigation Constellation System acts as India's own GPS reducing the need to rely on U.S. based GPS. Other aspects of India' space program are the effort to explore new planets with the Mars Orbiter Mission MARS , with a module reaching Martian orbit in 2014. ...

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In this highly informative piece WSJ's Scism shows why buying long term care insurance policies in the U.S. in 2015 should be weighed carefully, because of large premium increases, and fewer insurers willing to sell such policies. The period of stays in nursing homes is shorter than previously estimated, with more men and women spending some time in nursing homes as they get beyond age 65. A Boston College study in 2014 shows men and women have 44% and 58% lifetime risk of needing nursing home care, higher than previous research, but the stays are much shorter 10 months and 16 months for men and women respectively. And 50% of nursing home stays for men, 36% for women do not exceed 3 months, giving them coverage under Medicare 100 day maximum for stays following hospitalizations. This changes the earlier calculations. About 8 million people have long term care insurance, according to Limra, a research firm, and 131,000 such policies were sold in 2014, down 24% from 2013, and way down from the 750,000 a year in the 2000s. A typical basic policy provides $164,000 in potential proceeds by paying a premium ranging from $1,685 to $2,813 for a 60 year old couple, according to the American Association for Long Term Care Insurance....

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Credit card debt in the U.S. increased by $46 billion to $930 billion in 2019, well above the peak seen in 2008 before the financial crisis, according to the Federal Reserve Bank of New York. Proportion of debt in serious delinquency is up to 5.32% in fourth quarter 2019.

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The extensive marketing push and viewer enthusiasm for "Star Wars- The Force Awakens," movie in Dec 2015 as it is released in theatres acros the U.S. It is expected to beat "Avatar," which made about $3.1 billion worldwide in 2009, as the best selling movie in history. In its first week it is breaking records, beating "The Hobbit- An Unexpected Journey" for ticket sales in a December release. Hobbit movie made $85 million in Dec. 2012. "The Force Awakens" had ticket pre-sales of $100 million. This is the first Star Wars movie in a decade.

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Honda is now exporting the small compact Fit made at its Chinese plant to Canada. A Honda plant in Mexico will assemble the Fit and export the car to the U.S. and Canada in 2014.

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Providing health insurance to the roughly 50 million people that are uninsured costs some $120 billion ayear. This will hae to be paid for through limiting the tax deduction on employer provided health insurance (something Obama campaigned against), or cost reduction in the bloated cost structure for health care in the country. But the same health care providers who committed to cost reduction in arecent conference at the White House are lobbying against some measures that reduce cost.

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Laurent Bonadei says of this German team as they fended off repeated French attempts at goal over the first 90 minutes- “Germany deserves their qualification because they defended very well. Usually we manage to create more chances. We were against a team that was very smart. There was no panic from them – we wanted to get them to panic but it didn’t happen.” It was a game of sheer chaos starting with a bizarre hair pull by Katherine Hendrichs of the German team leading to a red card, and two goals for France not given because of offside decisions by umpires, and two penalty kicks for fouls. Not to mention a saved own goal by Anne-Katrin Berger that was something sensational to watch.Berger faced constant French attempts on goal for 90 minutes as France controlled the ball 70% of the time. Somehow the German team with 10 players held its defense together. Berger's soft spoken style stands out- “All the credit should go to the team, not me. Everybody here should talk about the performance of the team.” ...

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Questions being addressed to get health care to the uninsured and to all Americans at an affordable level.

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The Cass Commission for Britain's NHS on how transgender affects children has concluded that there are dangers in the gender affirming care for minors.

Cass Commission's 4 year research for Britain's National Health Service concludes that gender affirming approach is mistaken. The American Medical Association, the American Academy of Pediatrics and the Department of Health and Human Services, are not a taking a science based approach to this important issue for parents of children, and the serious unease this is causing across the Nation in 2024, is shown in a report in the NYT by Pamela Paul.

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In his farewell address Mr. Trump stated there were no new wars during his presidency- "the first president in decades who started no new wars." He also stated that he stood up to China- "we rallied the nations of the world to stand up to China like never before."

About the controversies that dogged his administration he said - "I did not take the easiest course, by far it was actually the most difficult. I did not seek the path that would get the least criticism. I took on the tough battles, the hardest fights, the most difficult choices, that's what you elected me to do."

He urged prayers for the new administration.

About the movement he started to defend borders, bring back American factories, Mr. Trump said - "The movement we started is just beginning. There has never been anything like it."

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VW's global plans to increase sales and surpass Toyota. Efforts to increase sales in the U.S. by redesigning the Passat and having it compete with the Toyota Camry in the same price range of about $20,000. To develop new small cars for Asian markets VW has taken a 20% stake in Suzuki, giving it access to small car technology. Suzuki deal gives VW access to the Indian market. VW plans are to double the network of dealers in China to 1600 in 5 years and a sales target of 2 million cars for China. VW has stumbled before in the U.S. and lacks a presence in Asia outside of China. This is about to change.

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Pictures of Gale Crater and the surface of Mars from the Curiosity rover that landed safely on Mars in August 2012.

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Germany, the UK and Canada offer additional models for health care insurance that vastly improve results for dollar spent over the dysfunctional U.S. model. Here Jamie Daw take a look at the German social health insurance system which dates back to hte period of Bismarck in 1884. The German system is funded through progressive taxation which charges for healthcare based on incomes not on health needs.

About 100 nonprofit health insurers provide insurance and all Germans are required to have health insurance. Contributions to sickness funds are centrally pooled and allocated using a formula to insurers. Insurers can only charge small out of pocket fees limited to 2% of income annually. Sickness funds combine market power to negotiate lower prices.

Administrative and governance costs are 3% in Canadian system and 5% in the German system. 

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Such realism is needed today to listen to all so that climate change action on auto carbon emission can be de-politicized and realistic plan can be adopted. Too many floods, fires and adverse events by 2024 for the US not to have a plan and deny climate change does not exist. The Biden administration gives flexibility to automakers to meet auto carbon emissions rules by 2032 by accelerating the progress in the last 3 years as the capital investments, research and learning curve for new technologies, manufacturing improvements and cost reduction, and charging station infrastructure enlargement have taken place by 2030. Biden administration officials clearly understand resistance of carbuyers when the charging stations needed do not exist and costs are high in 2024, and EV technologies are at learning stage.

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NYT's Keith Bradsher points out that weak sales in interior of China, and construction industry no longer supporting the economy, is leading to the new policy of pushing solar/EV's exports and sales overseas. These industries are state promoted with hidden subsidies of land, energy, and labor pool that the US lacks in similar subsidies- subsidies treated with theory arrogance in the US by economists who lack a grasp of the realities of manufacturing and trade. President Biden is freeing US industry from this stranglehold of weak economic theory that has too long beset US industry, by supporting American industry in every way possible, protecting and enlarging American manufacturing, and CHIPS technology scientific endeavors.