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For decades without the leadership needed and the collaboration of the entire tech sector and health systems the goal of getting a patients record on the computer or on a phone app anywhere in the US across all health systems was out of America's grasp. This was happening even in countries such as Indonesia and India which were vastly improving health outcomes through their apps of patient health records available across the entire country. The US finally is making that effort which should help not only treat patients but give patients better control of their food, alternative ideas on what to eat and for exercise, other ways to improve their health. CMS Medical Records Interoperability Framework brings together 21 networks to align to it, 60 companies to work collaboratively, and 30 companies to try and improve patient health outcomes and their health in general. Australia, Indonesia and countries in Europe have done this, says Health Secretary Robert Kennedy. It is time the US did so also. ...

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Knight Capital's aggressive introduction of software with ony a short period between approval and implementation resulted in a wave of erroneous orders resulting in losses for the brokerage firm of $440 million. These losses were incurred as Knight Capital had to sell all the stocks it accidentally bought as a result of malfunctioning software that sent out waves of wrong orders on August 1, 2012. Knight accounted for 11% of the stock traded in the U.S. in the first half of 2012, according to TABB Group. It took 45 minutes for the New York Exchange to detect the problem, identify Knight Trading as the source and shut down trading.

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Protests by US members of Congress against the surcharge fees charged by the IMF on loans to countries such as Pakistan, Argentina, Brazil, Ukraine, South Africa, and other countries that is causing additional distress during the pandemic. Fund estimates are that almost $4 billion in extra fees will have been collected in addition to interest charges by the IMF. The US pays the largest share of IMF revenues. Letters went to Janet Yellen, US Treasury Secretary from members of US Congress saying that the fund was a lender of last resort but intended to do this "without resort to measures destructive of national and international prosperity."

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The aggressive effort of the US central bank, the Federal Reserve, to increase interest rates to dampen inflation will have an effect on Asian currencies and trade. The Japanese yen lost 14% of its value and the Korean won 8%, Chinese yuan 5% since the beginning of 2022. This is a result of the widening gap between interest rates in the US and Japan where the interest rates have not been increased due to mild inflation.  Asian trade is done in US dollars and exports to the US are invoiced in dollars. Citigroup says about three quarters of trade in Asia-Pacific is invoiced in dollars. Weaker currencies would translate into higher effective prices for imported commodities - energy and food. This pushes up domestic inflation and hurts manufacturing.   Add to this a shift in the US demand from goods into services in 2022 and there is weaker external demand for the economies of Asia. This will exacerbate the slowdown in Asian economies. Many countries such as South Korea and Thailand have increased their external borrowing in dollars. Debt service ratio was 21% in South Korea and 14.5% in Thailand, according to Bank for International Settlements. Years of low rates allowed governments in Asia to borrow more without incurring high interest bills. Now that situation is changing quickly and will result in difficulties for South Korea and Thailand says this report in WSJ. In the last 10 years Asian economies excluding China increased debt to GDP ratios by 15 percentage points, according to Gavekal. The result might not be debt crises as in Sri Lanka but painful slowdowns in economy with combination of loss in external demand from the US and higher inflation, higher interest bills. ...

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It is a serious problem when big banks such as JP Morgan Chase offer 1-2% in interest on deposits when the Fed has increased market rates to above 5%. The average for all banks is only 0.73%. Consider that JP Morgan Chase made $14 billion in profit in 2022. This reduces the interest earned by the vast majority of average Americans who have savings at American banks and reduces their wealth further increasing inequality in the US.

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This WSJ report looks at how the sudden increase in interest rates by the US Federal Reserve is impacting mortgage rates and home buyers in the US. Mortgage rates going up from 3% to 6% over a short period of 24-36 months is doubling the mortgage payment for many home buyers and affecting the affordability of homes for Americans in most cities.

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European businesses are increasing investment in the US because of its relative stability and growth compared to a sharp slowdown with covid lockdowns in China and political risk in China with the war in Ukraine. The US is also more attractive than Europe for investment as Europe face a slowing economy with the war in Ukraine and the embargo on Russian energy supplies.

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A decline in German manufacturing driven by the decline in its large auto sector. This in addition to Germany's large investments in China under Merkel and Chinese lockdowns will delay a post pandemic recovery, says this report in WSJ. Germany is now shifting its investments to the US as shown by the new investment in a VW Scout brand restarted in the US.

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Todd Blanche, a former federal prosecutor joins Mr. Trump's legal team for the indictment in New York. He spent nearly 10 years as the assistant US attorney in the Southern District of New York. He joins Mr. Tacopina, another assistant US attorney for the Souther District of New York, and Ms. Necheles who was an assistant district attorney in Brooklyn.

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US Secretary of State Antony Blinken's remarks to the Australian foreign minister that the US will "not leave Australia alone on the field, or I should say alone on the pitch in the face of economic coercion from China." Trade relations between China and Australia are being reduced as Australia takes on a new role in the Indo-Pacific region.

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The Biden student loan plan is for canceling $10,000 per student with $125,000 income cap. This is increased to $20,000 for other students with low incomes and Pell Mell grant loans. US president Biden says 12 years of universal instruction is not enough for a country like the US. How do we stay competitive in the world, asks Biden, without good education.

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Inflation is down in industrialized countries of Europe and in the US. Inflation has dropped from about 10% to about 3% in the US and Europe. In the Netherlands prices are lower than a year earlier. In the eurozone inflation dropped to 2.9% in October from 4.3% in September. In 2024 further decline in inflation is expected as retail sales slow or decline.

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The hidden costs of pollution are shown by the Forever Pollution Project in France. Le Monde and partners estimate the cost at euros 12 billion a year for cleaning up PFAS, with the smallest particles TFA widely present in water to be treated. The cost of cleanup in the US for PFAS must be vastly higher in the US and has not been estimated.

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The Big Beautiful Tax and Spending Bill in the US Congress faces close votes in the US Senate with Senators Rand Paul of Kentucky, and Thom Tillis of North Carolina, both Republicans against it.  The Senate version has additional cuts to Medicaid funding. Tillis expressed concern about these cuts. Senator Rand Paul is opposed to increasing the deficit for enlarged spending and tax cuts. Republicans and DJT have close votes in the Senate and in the Congress. Republicans Murkowski of Alaska and Curtis of Utah want to change the early phaseouts of tax credits to the renewable energy industry in the Senate bill, and the excise tax after 2027 to avoid buying from China and develop American manufacturing in renewables. Senator Collins of Maine has an amendment to add $25 billion for rural healthcare and rural hospitals to offset the effects of large Medicaid cuts. Collins plan also lets taxes revert to 39.6% from 37% for married couples incomes over $50 million.  The bill then heads back to the House for changes by Wednesday, July 2, for a goal to have it on the president's desk by July 4th, Friday. ...

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Climate Solutions series of The Washington Post. Click on Original Article to see the USS North Carolina Battleship Memorial and Brad Dennis's article. Retired Navy Captain Terry Brag is shown at a flooded parking lot next to the USS North Carolina Battleship Memorial in Wilmington, North Carolina. Water goes over concrete sea walls and fills drainage ditches. This is a tourist site with quarter million visitors and a famous battleship from WW II that is on a site on low lying Eagles island which faces rising oceans and inundation. 7000% rise in flooding since 1961, flooded half the year. It sits 28 miles upstream from Cape Fear River's confluence with the Atlantic Ocean. The climate solution uses $4.1 million in state and federal funds to remove the parking lot and fill it to create and extended shore line with marshy land and 100 trees plus vegetation that would return the spot to nature and adapt so that over 15 years the waters would be handled by the new design. It looks at nature as an asset, water as an asset and how to live with it as it rises, and as such offers clues on adaptive behaviours for climate change. ...

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View from Le Monde in France on the visions of Macron, Merz,, and Rubio for rebuilding the transatlantic alliance.  France under Macron sees less hope for the rebuild of the transatlantic friendship. The Germans under Merz and Soder of Bavaria see it differently. As shown in Nina Haase's interveiw with Johann Wadephul Germany's Foreign Minister, he sees Marco Rubio's speech very positively and like Merz wants to rebuild the relationship. It is not fully understood in Europe that Vance was also. partly reflecting his own views and his own tendency to sound and act like DJT. RUbio was once a candidate for the presidency in 2014 whom DJT had to defeat in the primaries. Rubio's recent book on how the elites have failed US and Europe shows a man of his own convictions. He and DJT agree because he brings out the best that is in the Republican party today to look back at its heroes from the past, Teddy Roosevelt and Abraham Lincoln with a profound belief in western civilization and America's role in it. When seen in this context it changes everything- all that talk of Vance means little because Vance is a much less experienced politician from the midwestern state of Ohio compared to Rubio with his long years in the Florida legislature and in the Senate in Foreign Affairs. Rubio speaks for the United States so much more so than an inexperienced and very young politician from Ohio who has emerged only in the last 5 years, compared to Rubio's 20 years in public service. ...

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Zillow's partnership with Beijing Yisheng Leju Information Servies Inc. A jointly branded website will provide Chinese buyers access to Zillow's U.S. property listings in the Chinese language.

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Zaraska says a vegetarian diet or one that includes vegetarian diet in meals is a good idea to reduce the risk of heart disease, obesity, diabetes and other medical problems. Be sure to add zinc, iron and calcium, Vitamin B12 to the diet if you are older she points out, to compensate for the change. About 2.5 million Americans over the age of 55 are vegetarian according to a 2012 Harris poll done for the Vegetarian Resource Group. There is a common perception of vegetarianism as purely vegetable type foods. However vegetarianism in India is practiced with the inclusion of all dairy products- milk, yogurt, and buttermilk. Not only are they included, they play a significant role in the diet. Also included and playing a large role in the diet are lentils and beans which provide a significant source of protein. When the idea of vegetarianism is broadened to a more normal vegetarianism as practiced in countries like India and includes dairy, lentils and beans, the diet is able to provide most of the nutrients needed. By including this kind of vegetarian food as an integral part of the diet and reducing meat is another way the health needs of Americans facing a high rate of obesity and other medical problems can be met. If insurance companies were to give incentives for increased consumption of these vegetarian foods and lowered consumption of meat, and the public was made aware of its benefits through advertising, the cost of health care in the U.S. could be brought down....

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Hillary Clinton's estate tax plan would increase the estate taxes on the largest estates from 40% today and her proposed 45% to the higher figure of 65% proposed by Senator Bernie Sanders. Compared to the current $5.45 million exemption only the first $3.5 million would be exempt from estate tax for individuals ($7 million for a married couple). The top rate of 65% would apply to individuals with over $500 million. Beyond $10 million a 50% rate, and beyond $50 million a 55% rate.

The latest proposal adds $260 billion over 10 years adequate to pay for simplified small business taxes, and for expanding child tax credit.  Over 10 years Clinton would increase taxes by $1.5 trillion to pay for expanded education assistance, paid family leave and other programs. She would increase federal revenue by 4% and have the burden fall on only a small portion of households.

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The limited options the US has to get China to appreciate the value of its currency, the yuan. Some of the options depend on getting the IMF or the WTO to prod the Chinese, others depend on a Plaza type Accord.

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This photo gallery in The Indian Express shows 32 pictures of how International Yoga Day happened in all parts of India from the capital New Delhi to Alfred School in Rajkot where Mohandas Gandhi went to school. It links past to present across India's huge diversity and many states.

PM Modi put Yoga in this way- "The whole universe starts from our own body and soul. The universe starts from us. And Yoga makes us conscious of everything within us, and builds a sense of awareness." India's development in the next decades to come will be driven by a profound sense of what Yoga is and what it is to be a Yogi.

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Tariffs in the US for European goods are low, only 2.5%, compared to 10% with other countries, so low that free trade doesn't mean much of anyhting these days. Add to this the angst of free trade and globalization creating marginalized communities that depended on manufacturing in the heydays of the period after World War II for three decades till the eighties. Politicians and people in the US worry about other things. Jake Sullivan, NSA adviser at the White House says- "The project of the 202's and 2030's is different from the project of the 1990's. The US has a different set of fundamental priorities than simply bringing down tariffs."

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A visit by president Biden to Canada to meet president Trudeau shows a unity of purpose of the two leaders who have a close Justin and Joe relationship, says this report in NYT. Before the trip an agreement had been reached by which the two countries can ease pressures of migration from the southern hemisphere. Migrants seeking asylum in Canada from the US will be turned back at Roxham Crossing. Canada will accept 15,000 refugees from persecution, violence or economic devastation, to ease pressures of illegal crossings into the US from Mexico. The trip comes after Trudeau's frosty relationship with former president Trump. It also comes as Canada and the US build a closer relationship to meet challenges of multipolar world from China.

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Missing workers in direct contact service industries with the Great Resignation in the US and Europe. The US is missing 4.3 million workers. This also includes many women who have not returned to work as the pandemic drags on. The share of the population in the US 16 years or older either working or looking for work is at 63.3%. Workers are quitting at the highest rates in manufacturing, retail and trade, transportation and utilities, and in professional or business services. Quitting is high for women, workers without college degree and in low paying service industries such as hotels, restaurants, and child care. It appears now that these trends will stay and not be reversed easily.

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US Trade Representative Tai and India Commerce and Industry Minister Piyush Goyal will meet in New Delhi November 22-23 on Tai's visit to New Delhi, Seoul and Tokyo to strengthen trade and investment ties for Indo-Pacific region. Following Modi's meeting with Biden in Washington DC the discussions with Tai will reconvene the India US Trade Policy Forum in 2021, and push forward with the negotiations for the Investment Incentive Agreement to increase investment in development projects in India. All aspects of investment, trade and industry will be covered as India builds a closer relationship with US in its drive for economic development that also strives to achieve goals for renewable energy.