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Peter Orszag's role in the healthcare debate and the formulation of health care policy proposals. One proposal of Orszag, who heads the Congressional Budget Office, is to set up a new agency with powers to cut spending and implement changes in Medicare. Says Orszag, "one of the reasons we have such disjointed and skewed incentives is that we have an excessively political process." At a recent meeting with House Democrats, one Congresswoman said her top priority is winning higher payments for oxygen suppliers, and Orszag was taken aback. For years officials have been trying to cut payments to oxygen and medical equipment suppliers, which are said to be inflated. When a new competitive bidding process was set to take effect last year, industry supporters in Congress were able to delay the plan, and these supporters are still fighting to block changes says the WSJ. Here is a 40 year old Orszag, with degrees from Princeton and London School of Economics, who got his early experience in the Clinton adminstration at age 24. He then followed this with a number of policy oriented jobs, ending with appointment to head CBO in 2007. And he faces the whole system of Congressmen from both parties beholden to interests in the healthcare industry, who provide the donations for them to finance their election campaigns. Dan Eggen describes this in the Washington Post, 7/21/2009. Max Baucus of Montana, and to some extent Grassley of Iowa, are senators from both parties who Eggen points out are beholden to the healthcare industry because of large donations they receive from the interests in the healthcare industry. These interests want to see their payments system protected. The further escalation in health care costs, which would make the whole healthcare system unaffordable even as it delivers poor results, can only be prevented by making cost control an exercize that is not influenced by healthcare industry donations. Jackie Calmes describes the huge hurdles in achieving a deficit neutral move to universal health care in the U.S. in the NYT 6/26/2009. See the link. The exchange between Grassley and Orszag on the issue of the $177 billion in savings needed from the payments to health insurers under the Medicare managed care plans- which allow seniors to obtain Medicare coverage outside the government run program -went as follows. These are dubbed overpayments by outside experts and efforts have been made to cut them in Congress. When Mr Grassley raised concerns about the impact of such cuts in a hearing, -and Grassley has opposed the cut for this overpayment to insurers- Orszag responded saying: "I very firmly believe that capitalism is not founded on excessively high subsidies to private firms. This is what this system delivers right now." ...

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Oil prices are forecast to remain above $100 a barrel in 2012 because of higher social spending in Saudi Arabia, Iran and other countries after the democracy protests, and the threat of retaliation by Iran in the Straits of Hormuz. Iranian threats of retaliation for increased sanctions has embedded a $10-$20 premium in oil prices say some experts.

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See the Breakthrough Agenda Report on Climate Change targets and hurdles after COP26, on the IEA website, and opportunity for 85 million additional jobs by 2030 in renewable energy. The report is done by the International Energy Agency, the International Renewable Energy Agency, and Climate Change Champions. It points out the need for better international coordination if climate change goals set at COP26 are to be achieved. The report calls for a breakthrough by addressing the international "collaboration gap."

IRENA makes 25 recommendations to be discussed at ministerial meetings. It also says that 85 million new jobs could be created in renewable energy worldwide by 2030 compared to 2019, offsetting the loss of 12 million jobs, creating a huge jobs opportunity with action on renewable energy.

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On Gandhi Jayanti remembering American president FDR's contribution to Hind Swaraj. FDR rejected Churchill's ideas of retaining the British Empire's colonies while fighting the German Nazis in the name of freedom. FDR said- " India should be made a commonwealth at once. After a certain number of years- 5 perhaps or 10- she should be able to choose whether she wants to remain in the Empire or have complete independence." 

FDR (US president Franklin Roosevelt) said -"I can't believe that we can fight a war against fascist slavery, and at the same time not work to free people all over the world from a backward colonial policy."

 

 

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This editorial in the WSJ says Puerto Rico is a failed welfare state and has similiarities to the problem in Greece with a bloated public sector (25% of the workforce in the public sector). It points out that the benefits are generous even though the employment is shrinking by 14% since 2005, as 300,000 young people have left for the U.S. since 2005. Welfare benefits it points out are $1743 a month compared to $1159 for minimum wage work. Puerto Rico's Governor Alejandro Padilla says the $72 billion debt "is not payable." Debt is 100% of GNP. Three public pension funds and the Electric Power Authority face serious problems. To manage its finances Puerto Rico has taxed ever higher, increasing sales taxes to 11.5%. The editorial says Puerto Rico is ready for a Detroit style restructuring of the debt, and rewriting of labor and other contracts following the U.S. giving access to Chapter 9 bankruptcy to Puerto Rico, doing this with orderly restructuring.

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Analysts fear an oil shock in 2012 similiar to that in 2008. There is similiarity in the situation now and in 2008- as in 2008, the surge in oil prices comes at a time of higher tensions with Iran and shrinking spare capacity. Spare capacity is at 2.5 million barrels a day on average for January and February 2012, according to the Energy Information Administration. This compares with 3.7 millon barrels a day for the same period in 2011. Part of the reason is that global oil demand is increasing in 2012 by 1 million barrels a day, to 89 million barrels a day. Technical and political problems have shutdown another 750,000 barrels a day. The problems begin to kick in during the second half of 2012. The U.S. ban on dealing with the Iranian central bank for oil trades starts in June 2012. According to the International Energy Agency, the EU embargo and U.S. sanctions will take 1 million barrels a day of Iranian crude out of the market. The result will be that demand exceeds supply by the third quarter by 1.1 million barrels a day, according to the U.S. Energy Information Administration. Use of existing reserves in Europe, the U.S. and other countries will make up the gap. The effect will be to put pressure on oil prices. May Brent crude on the ICE Futures Europe exchange was up to $125.81 a barrel, on March 16, 2012, and prices for April delivery were at $107.06 a barrel on the New York Mercantile Exchange....

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Working America, an arm of the U.S. trade union the AFL-CIO, conducted conversations with 350,000 voters in 17 U.S. states. Here a representative of Working America, says the overwhelming response to the question "does it make a difference whether Democrats or Republicans are in power for my well being," is reflected in one of the responses- "does it even matter?"

The suggested approach here is for Democrats in particular who have represented working class voters in the past, to start with a fresh approach by creating new conversations with working class Americans.

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Nocera looks at the lack of efforts to help homeowners under water in the Obama administration. Sheila Bair comments on Geithner's role, as Geithner's book "Stress Test" provides little detail on how the Obama administration addressed the issue. A story by Dougherty in the WSJ on April 20, 2014, points out that about 10 million households in America are underwater in 2014, and another 10 million households have only 20% equity in their homes. Unemployment statistics in the same issue of the WSJ show 7 million people taking parttime jobs because they cannot find work. These households are critical for consumer spending to support growth. The weak economic recovery could very well be one of the results of poor policy decisions by the Obama administration including this one, when other alternatives proposed by Sheila Bair and Martin Feldstein were offered repeatedly in 2009-2010. Here Nocera documents the efforts by Senator Durbin to give homeowners rights to go to bankruptcy court to provide ways to negotiate ways out of foreclosure....

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Julia Preston of the NYT looks at Mr. Trump's speech on August 31, 2016 in Pheonix, Arizona, and compares what one can discern about the Trump policies on immigration with that of president Obama. She points out that it is similar to the deportation that was conducted under president Obama in some ways, but is more extensive in its dimensions. It includes sanctioning sanctuary cities, expanding the deportation law enforcement personnel, and deporting about 2 million people with criminal backgrounds. The estimate under the Obama administration is for about 176,000 people with such backgrounds. The Trump estimate appears to include people with minor offenses says Preston, because it is so much higher. As a result this could also include people who have no criminal background and disrupt families on a large scale, with hundreds of thousands of longtime residents and families deported. Under the sanctuary example of Trump, Denver, New York and counties in California would be places where Trump would cut off federal funding. On the wall itself, Mexico's president Nieto says he told Trump Mexico would not pay for the wall, and Trump says exactly the opposite that Mexico would pay for the wall in his speech to supporters.  A Gallup poll shows that 76% of Republicans, 91% of Democrats favor a path to citizenship for those here in the U.S. illegally. For the whole population only 15% oppose giving illegal immigrants a pathway to citizenship and 84% support doing this. Which suggests that Trump is only appealing to his base of support, not adding to it, as Cillizza points out in the WP fact check.   ...

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Mohamed Bin Zayed was educated at the Royal Military Academy at Sandhurst in the UK and graduated in 1979. He is a strong proponent of US leadership in the Gulf region and Asia. He is now the third president of the United Arab Emirates with which India has significant trade and economic relations with 8 million Indians living in the Gulf region. Of the approximately 10.1 million people in UAE about 1.1 million are citizens and the rest are foreign workers. Mr. Modi has thanked Mr. Zayed for the good treatment given to Indians in the Gulf region by Zayed and his administration. 

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The Quad meeting of the US, Australia, Japan and India took place in Hiroshima, as shown here. The leaders expressed their deep concern over the economic effects of the Ukraine war, including "food, fuel and energy security, critical supply chains. The meeting was to take place in Sydney, Australia, but was cancelled due to debt talks taking place between Biden and Republicans in the US Congress. The next Quad meeting is in India in 2024. Biden will meet pm Modi in the US June 22. PM Modi also meets Macron on Bastille Day in Paris on 14 July as a special guest of France.

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The global economic map is rapidly redrawing bringing US and Europe closer. The US has imported more goods from Europe this year than from China. In September alone says WSJ Germany exported 50% more goods to the US year over year with the weaker euro increasing the momentum. European FDI foreign direct investment in the US increased by 13.5% in 2021 to $3.2 trillion. US FDI to Europe increased by 10% to $4 trillion. There is a push on both sides of the Atlantic to increase local manufacturing, and to increase trade, and shift supply chains away from the overdependence on China.  

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Improvement in the managing of India's trade deficit with China. Merchandise exports from India to China increased from $11.93 billion in 2014-2015 to $21.6 billion in 2021-2022, an increase of 78% over the last 6 years. Imports from China from $60.41 billion in 2014-15 to $94.6 billion in 2021-2022. The trade deficit with China during 2021-2022 is at $73.31 billion compared to $44.03 billion in 2020-2021. Most of the goods imported from India were in equipment and intermediate parts to meet the needs of electronics, telecom and power sectors in India. 

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WSJ's Alistair MacDonald talks to farmers in the Chernihiv region north of Kviv which was overrun by Russian troops early in the war before withdrawing. Herd farmers brave mines and continue to farm in difficult conditions. Many have borrowed heavily for next years harvest. Many farmers have damaged equipment and craters from bombing in the fields. About $4.3 billion in damage happened in the early days of the war. 

Farming is the occupation of 14% of the population. It brings in 40% of the $68 billion in Ukraine exports each year making it important to get farming back as early as possible. 

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The dominance of trillion dollar companies, Apple at $2.4 trillion and Microsoft at $2.1 trillion, which make up 13% of the S&P 500 index during the regional banking crisis of 2023. The index was up 3.5% in March even as some banks were shut down by the FDIC. This has given these two companies the role of a safe haven in the crisis, along with chipmaker Nvidia. Not for the tech sector's other companies such as Google, Amazon, Facebook and others which are companies facing monopoly behaviour scrutiny and possible breakup by the Biden administration and Congress.

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The US dollar is only 5% way from reaching parity with the euro. The euro was at $1.03 during the beginning of May. It is at $1.05 on May 21. With the US central bank raising rates, and the effects of energy shortages on the European economy, parity looks likely says this report in WSJ. Additionally weakening demand from China for European goods or the EU shifting its supply chains back to home countries and trading less with China could also have an impact from the ripple effects of China's support for the Russian position on Ukraine.

 

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The Guardian has this remarkable story of actor Anthony Hopkins, who comes alive and get all his vigour and energy from just working and being happy to stay alive. He is acting for some sixty years, yet all he wants is to work and be humble about it, no pretenses, and he is 81 years. He just acted in BBC's King Lear and in Netflix's The Two Popes as Pope Benedict. He has taken up classical music composition and painting on the advice of his wife Stella of fifteen years, helping him relax and not take himself seriously.

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A vote to call witnesses, including former National Security Advisor Mr. Bolton, by Democrats fails in the Senate 51 votes against to 49 votes in favor, with only 2 Republican Senators voting in favor. The impeachment trial of president Trump now goes forward to a vote almost certain to acquit Mr. Trump of all charges of abuse of power and obstruction of justice. A key vote was cast in favor by Republican Senator Lamar Alexander who said Mr. Trump had acted inappropriately on Ukraine but this clearly was not treason, and not a high crime and misdemeanors, the bar set in the Constitution for impeachment.

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U.S. gasoline demand is at about 8.6-9.2 million barrels a day down from the 9.6 -10 million barrels a day before mid March. It fell to 5 million barrels a day in April when prices were briefly at zero before recovering with the oil deal negotiated by president Trump. The lack of school reopenings, offices still closed and the surge in the pandemic in July and August has led to drop in the outlook for oil demand. Oil prices are now in the low $40's per barrel. Yet the overall recovery is strong considering that it is only 6 months into the pandemic.

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To just go for Israeli policy changes it would not accomplish anything says Schumer in this interview with NYT's Annie Karni at a Brooklyn school which he attended years ago. He says it took 2 months and 10 drafts for his 44 minute address. And not to address Netanyahu would do little as Schumer says Netanyahu "was the fount of the problems." Schumer said he looked at words "stepping down" and "resignation" and said to himself no they were not the right words. Instead he says he called for new Israeli elections, the chips fall where they would fall.