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Business Week's Chad Terhune points out that the health reform bill that passed Congress will do little to restrain the overbilling by pharmaceutical companies, medical device and equipment makers. Chad cites numbers from the U.S. Health and Human Services Department that shows $47 billion in Medicare spending went to dubious claims in the year ending Sept 30, 2009. This is 10% of the $440 billion Medicare program. And 10% of the Medicaid program also goes to dubious claims. Consider then that Congres allocated $10 million annual increase to fight fraud. A suit filed by a former Siemens manager at the federal court in Philadelphia states that Siemens routinely overbilled the Veterans Affairs Department and other governmental agencies by humndreds of millions of dollars for MRI and CT scan machines.

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Focus of questions in the U.S. Senate in July 2014 on why GM General Counsel Mike Milliken still runs GM's legal operations following the GM recall and the issues raised about the legal handling of customer complaints.

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Dennis Muilenburg succeeds Jim McNerney as CEO of Boeing in July 2015. He is former head of Boeing's defense and space business. Muilenburg's challenges include reducing costs on the 787 Dreamliner, and adapting its defense business to the situation of cuts in U.S. defense spending for reducing the deficit. Muilenburg was made president and COO in Dec. 2013.

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With an unemployment rate of 13% compared with 7% as the European average, and Spain having 3 million unemployed, the situation is serious. Spain's savings banks predict another 1 million may be unemployed to take the unemployment rate up to 18%. There are 5 million immigrants among the unemployed, as the immigrant population has risen eight fold in the last decade. The Zapatero government has a euros 33 billion public works programme that it hopes will lead to 25,000 new building projects by May to keep unemployment down. Unemployment benefits will run out for the first wave of jobless by December, 2009. The social safety net represented by the family support that is the backup during such times in Spain is weaker now, with many families having single parents.

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Voters back about $10 billion in bonds to start a high speed rail network system for California and $18 billion for expanding mass transit service in Seattle. About 23 initiatives were approved that would inject $75 billion into transportation systems according to the Center for Transportation Excellence. About 70% of transportation funding measures on the ballot were approved showing voter support.

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Perino, the White House spokewoman says the automaker's plight won't be a blight on President Bush's legacy, such is the mood at the White House and among Republicans. But reading the comments of readers on this piece and next to it. people of all political views oppose helping the automakers so its a popular stand, and practically all think the management and boards has to go and the union contracts have to go so the depth of feeling about this issue is real. Most everyone sees the fault as Detroit auto companies own fault.

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After all the fuss TARP will not buy up troubled assets like mortgage securities held by banks and will focus on injecting capital into banks and other needs.

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China's slowdown may be much worse than is generally thought. Germany went through this thinking that it was relatively safe as it had no housing bubble and no consumer debt like the US and the UK. But the drop in demand from China and other countries has led already to a contraction in the German economy by 0.5% in the third quarter of 2008, expected to worsen to 0.8% in 2009. China's National Statistics Bureau announced a 4% decline in electricity output inOctober from a year earlier. This is a result partly of factories manufacturing for export cutting back as their orders decline. There was a 17 drop in production of pig iron and crude steel in October and a 0.7% fall in output in the output sector. From all this it appears that even without the beggar thy neigbor policies of the 1930's, even without the protectionism of that period and even with the global coordination of the G20 and the G7 countries, its hard not to see the impact in one place flowing through to other places. The loss of export markets in the USA for Chinese export factories leads to this slowdown in China which in turn now needs much fewer machinery imports from Germany leading to a contraction in Germany. See the link to German economy in WSJ November 14, 2008. These effects show up in an exaggerated manner with economic contraction because of the heavy dependence on exports in Germany to China, and heavy dependence on exports in China to the USA, and the heavy consumption of Chinese exports in the USA, all ocurring in an exaggerated unsustainable way considering the American spending binge and the zero savings rate in the USA, the pressures on the environment with runaway growth in China, and the lack of any domestic led consumption in Germany. China's infrastructure spending can provide some growth along with the stimulus spending but much of the export led growth may disappear. The stimulus spending could help prevent a contraction in the Chinese economy but may deliver only a few points of growth, way off from the runaway over 10% growth of two decades which was heavily dependent on manufacturing exports. How badly Chinese exports are affected depends on how badly the US market is affected for Chinese imports. Higher unemployment in the US if the auto industry sees a collapse in its market in 2009, would lead to lower consumption in the US as laid off workers cut their purchases at Walmarts and Targets and at other retailers, and this would drive imports from China to even lower levels, wiping off a couple of percentage points of China's GDP growth rate. ...

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The Economist argues against a bailout ot Detroit automakers and says Chapter 11 could be made to work. the alternative is to get preferred equity in return for bailout money.

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China needs to make a serious effort to move away from export based model for growth and fix what is broken about that model which is investment in health care, education, the environment, improving rural incomes by giving farmers ownership of land, directing money to the poor and to rural areas that have suffered during the long three decade boom years. The growth rate is expected by analysts to hit 6% in the fourth quarter. And further declines can be expected as exports get hit hard as export markets in the USA and Europe see large declines in consumer spending. The stimulus package is less than what it appears because it includes things that were already planned expenditures, yet it is a step forward. Investment in railways to modernize the rail network is a good investment. And with proper reallocation to the rural sector this stimulus and approoriate new policies could unwind what the Economist calls the grotesque global distortion that has seen poor Chinese farmers help finance the debt fueled excesses of western consumers in countries like USA, UK, and Ireland. Something the Economist has not emphasized in the boom years, but now that the growth rate could drop to 4-6% there is deep concern what it would do for social stability, for rural incomes, and the disparity that has been built up between urban and rural incomes, both within China for policymakers and the media outside....

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If you are Exxon or Exxon's CEO Tillerson there are no regrets and its a hydrocarbopn world for as far as you can see and that is decades from now. Or has success made Exxon grow complacent when new winds are blowing.

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A professor of Environmental Design asks that GM be asked to build innovative transportation systems in addition to fuel efficient cars by the government in return for rescue money. He cites the warnings given by Stewart Udall, an interior secretary under John Kennedy and Lyndon Johnson about overdependence on mideast oil. See the article on Exxon's Tillerson's vision of a world based on hydrocarbons for decades still. Someone may rub his eyes and ask whats going on?

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In talking about the systemic risks of the failure of GM, about 3 million jobs depend on the auto industry with 1,187,000 employed by dealerships of which 325,000 are employed in GM dealerships. Another concern is that GM's pension obligations are underfunded by $18 billion at the end of 2008 according to Deutsche Bank. This would be added to the $11 billion deficit at the Pension Benefit Guaranty Corp. were GM to fail.

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A Prof. at New York University School of Law on why bankruptcy is the only viable option for GM, and his reasoning, including GM's legacy costs hard to get rid of without bankruptcy, the DIP set aside for warranties or a DIP loan for this to reassure customers, and the need for urgency to reduce brands, facilities, plants, dealerships, and have contracts that are realistic for the times, and retiree benefits taken up by the PGBC.

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China's diesel imports declined by 46% in October year over year, according to General Administration of Customs, and China was a net exporter of gasoline for 2 months in a row, signs that the slump in China is serious.

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About $229 billion, three fourth of Greece's debt, is now held by the European Central Bank, the IMF and the European Commission. This is taxpayer money and the governments are making sure that they get back bailout loans in the form of interest payments. About two thirds of the $177 billion given to Greece as bailout loans since May 2010 actually came back to the ECB, IMF, and the EC, in the form of interest. The ECB is keen on recovering taxpayer money. The money route has been setup with an escrow account in Greece for bailout loans so that interest payments get paid, and this money cannot be used for any other purpose. Banking experts say this is a practice in risk management, and with Greece's poor record in finances the controls have been put in place to recover money the ECB invested in Greek bonds in an effort to calm nervous financial markets and now gets about 10% in annual interest payment. Under earlier debt restructuring for private creditors to Greece a haircut of over 50% on Greek bonds was taken, with the ECB insisting on receiving full payment. If Greece were to repudiate the loans under a new elected government losses would have to be taken by the ECB, IMF, and EC, and by private creditors. The ECB has Greek bonds in the range of $44 billion to $69 billion, and the European Financial Stability Facility $88 billion, by some estimates. Greece's exit from the euro would result in losses on these bonds .for the ECB and the EFSF, ultimately European taxpayers. It would also make the new bonds to private creditors under the restructuring of little value which is why European banks would not favor that outcome. Greece's tax receipts at some point, possibly 2013, would exceed basic operating expenses of the government, at which point a future Greek government might decide to exit the euro and stop interest payments on debt in its best interest....

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The minimum wage was raised in Arizona, Colorado, Florida, Montana, Ohio, Oregon, Vermont, and Washington. Wage increases are for 28 to 37 cents an hour, and raises the minimum wage in these states to $7.64 to $9.04 an hour, with Washington as the only state with a minimum wage above $9.00. The federal wage level for most workers is $7.25 a hour. Labor Department data show most of the minimum wage workers in these states are women, over 20 and white. The added income is not expected to put these workers above the povety line because of higher inflation.