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The national picture for Labor would include Scotland which is where Labor has roots. John Smith of Argyll and Butte in Scotland was elected Labor leader in 1992 and Leader of the Opposition in the British parliament. His untimely death in 1994 from an heart attack deprived Britain of a Labor prime minister from Scotland. Smith was able to get enthusiastic support of Scottish voters. It is this Smith period that Labor aspires to as it seeks to widen its lead of nine points over the Conservative party to be confident of getting an overall majority in parliament.

In 1997 a young Tony Blair of Labor who succeeded Smith won the general election. Blair setup the Scottish parliament not convened since 1707, starting a new chapter in Scottish history. In 2007 the Scottish National Party with Alex Salmond and Nicola Sturgeon formed a new government which is losing the confidence of Scottish voters with the cost of living crisis.

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About 12 million women left the workforce in the US during the pandemic. Women gradually returned to where there are 1.2 million more women in the workforce as of March 2021. In the new workforce remote work is an option for two career couples with children, wages are up, child care is up. WSJ looks at the situation of a 51 year old  mother of two boys ages 10 and 11, whose husband is a surgeon in the military. She quits work during 2021, and restarts work in a remote work job in 2023. Another worker with children decided not to return to the workforce. 

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Craig Smith, the head of Surgery at Columbia University's hospital in New York, and Craig Smith the writer using language that provides solace to many people at a difficult time. He is also poetic at times quoting from John Wooden, as well as Emily Dickinson. He is in the middle of this public health crisis that is New York City today. When he gave the presidential address to the American Association for Thoracic Surgery he opened and closed his lecture with meditations on a Yeats poem. Here he is as a human talking to humans caught in a most perplexing time for medicine.

He quotes Emily Dickinson in one note saying- 

"Not opening when the dawn will come/ I open every door." Doors are opening all over the place.

 

 

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The Senate passed the Kids Online Safety Act 91-3. It is now upto the House and Speaker Johnson to pass it quickly. Safeguards are already in place for communities. It is an appalling and dangerous sign of the reckless behaviour of tech companies in this social media space, the tech company lobbying conducted here. Ordinary Americans need protection, children in America need protection from the unacceptable risks to mental health in the social media space. Surgeon General Vivek Murthy has called for a warning label similar to the one on cigarette boxes to be placed on social media outlets. Senator Blumenthal and Senator Blackburn from northeast and southern states have come together on this issue to protect the Nation's children. It is now upto the House to take action in 2024 to protect the Nation and its children.

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Dr Denton A, Cooley, 93, Texas heart surgeon, who has operated on over 100,000 people, and was a pioneer in heart surgery.

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Caroline Schmitt describes the situation in Scotland just before the general election. Scottish voters rejected Brexit with 62% voting "no." Here Scottish National Party manifesto is cited about the loss of 80,000 jobs in a hard "Brexit," and the sentiment in Scotland about the way Theresa May has handled the situation.

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Marty Makary, John Hopkins surgeon, is the DJT nomnee for head of the US Food and Drug Administration, FDA. Here a colleague of his at John Hopkins offers her experience working with Makary.  Leanna Wen says Makary is concerned about plastics, dyes, preservatives and chemicals that are entering our bodies and causing disease. Diseases that were not so prevalent one or two generations back are widespread today, says Makary. Makary wants to know why. Why has obesity quadrupled among young people in the US?Makary is also asking questions about why rates of childhood obesity are 5 times lower in Japan. Makary tell this Post reporter that ultra processed foods that are loaded with chemicals such as preservatives, artificial dyes and thickeners , take up 60% of calories Americans consume. This and poor food habits of today can cause diabetes, cancer, heart attacks and dementia. Pesticides and microplastics can cause early onset Alzheimer's and autoimmune diseases, attention-deficit/hyperactivity disorders. Makary wants medicine practiced in the US to direct resources to prevention, not simply hand out medicines with increasingly risky side effects. ...

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The astonishing fact about America in 2023 is that 90% of people in retirement are insecure in retirement with less than $100,000 in savings, and 50% have no savings at all.  A situation like this would be impossible when America led the world in manufacturing in the 1960's and savings of a majority of Americans in today's dollars were higher multiple times. A tiny one tenths of one percent have around $5 million and 4% have over $1 million savings in retirement. This report in WSJ by Dagher and Tergesen shows that only 3% of Americans have saved $1-5 million and one tenth of one percent have saved $5 million plus in retirement. People shown here are  software salesperson, pilot, surgeon, veterinary practice specialist. About 4% have savings of $500,000 to $1 million. 18% have savings of $100,000 to $500,000 of which the greater part of this number are closer to $100,000. This reveals the shocking fact that in today's America in 2023 only 10% are income secure, the rest 90% are income insecure, of which a shocking 50% have zero savings. ...

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Shamil Shams interview with Shakuntala Banaji, expert on media and communication at the London School of Economics, on the general election in Britain. Banaji says there has been persistent negative coverage given to Jeremy Corbyn of the Labor Party for the last two years. A lot of hard work has been done by Labor MP's, Labor activists, volunteers, to get the Labor message across. Corbyn is seen as giving a calm composed performance in the face of hostile media and audience, including the televised interview in which he talked of real issues facing ordinary British people. One of the ways Corbyn has softened the media distorted image of him is by acting calmly under pressure and not taking on an autocratic style. This was best seen on the day he first handed out the Labor party manifesto with the focus on the message- for the many, not the few. Some of the coverage of Corbyn is described here as being improper and unacceptable.

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France's Foreign Minister Ayrault says of Boris Johnson: "He lied a lot to the British. Now, he is the one with his back against the wall." He sees missing in Johnson the "clear, credible and reliable" person with whom he can negotiate. Ray Stegner, deputy chairman of Germay's Social Democrat Party says "May looks weaker after such a choice of personnel. Now he is negotiating Brexit. Enjoy the trip." In China he is seen as a celebrity not a serious person. Bildt, ZDF, see in this a part of British humor. Jurgen Hardt, foreign policy spokesman for Christian Democrats Party in Germany had a different take on Johnson- seeing this as an astute move because if the government one day comes to conclude that Brexit should not be completed then having Johnson on board to explain it to the people would guarantee support in her party and with the people of England. In her first speech May emphasized that she was a "Unionist." Her first important meeting was with Nicola Sturgeon of Scotland and made Scotland's agreement necessary before invoking Article 50. Her talk of "burning injustices" for the poor and the underprivileged also goes to address the root of the problems behind the Leave vote. By having Johnson on board she can focus on the issues that really matter and which were on the minds of people in England, Wales, Scotland and Northern Ireland- to ensure that the economic system works for all.   ...

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Nizhar Mhani, a 30 year old oral surgeon in Cardiff, Britain, returns to Libya in Febrary as democracy protests erupted in Tripoli. Here he decribes his activities in the Tripoli underground resistance movement. He used a satellite dish to inform people in the capital. His activities included draping the old black, red and green Libyan flag on bridges at night and painting it on roads, and set up loudspeakers on street corners broadcasting the old Libyan national anthem.

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Walking is great for mental health, for keeping up your spirits and reinvigorating the soul. Its the best way to stay healthy in our sedentary world. Walking inside and walking outdoors, never spending too much time sitting. Useful tips-

Shoes should be comfortable should hug the feet not be tight.

Take gentle steps. Footsteps light rolling from heel to hoe to avoid a hard flat footed landing, says one orthopedic surgeon.

Start with posture stand up straight, relax your shoulders, keep pelvic neutral, engage the core, as these muscles keep your posture erect when walking. Look not down but 10 feet away or further.

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This WSJ report looks at the efforts of sugarly cola companies such as Pepsico under a new CEO to push their cola products aggressively with advertising, and modern logistics. It cites Barry Popkin, nutrition professor at the University of North Carolin School of Public Health that they are making products that are killing us more slowly. With less sugar than before but still at a time of dangerously high obesity levels in the world just as dangerous or more dangerous to humans, because they are not as healthy as previous generations. The pandemic proved the danger of higher obesity levels. The numbers say it all-1% of children 5-19 years obese in 1975 going up by 8% to 9% in 2020, and doubling to 19% in 2035, says the WSJ. That is doubling by 2035 to 19%-  simply astounding. Popkin says the fact that Americans are living more years with disabilities, and fewer disability free years, is very much linked to the food intake. On The Guardian's pages was an article about a surgeon who has a startup in Austin, Dr. Attia of Early Medical, that promotes "healthspan." It focuses on getting healthy living habits  through better nutrition, exercize, to start at an early age as being critical for a healthy life span. It is not the same starting at an early age with good food and exercize habits vs starting later in life as this means fewer disability free years when starting later in life.  ...

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The Hindu editorial on Nicola Sturgeon's resignation says she had taken controversial positions on using the next UK elections as a referendum for independence when the UK's Supreme Court ruled Westminster's agreement was needed for any referendum. The transgender issue comes at a time when the UK is suffering from a severe cost of living crisis, with the UK government of the Conservatives not doing as much as Germany and other EU countries to help people with the cost of living. Clearly Ms. Sturgeon failed to focus on the important issues for Scotland and the UK.

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Bruni of the NYT interviews the new Mayor of Rome, a transplant surgeon who lived most of his life in Pennsylvania. The effort by expatriates like the new mayor Ignazio Marino to give Italy a new start following the Berlusconi era and the stagnation in Italy's political and economic system. Marino won with 64% of the vote. Many of the people Bruni talked to in Italy are deeply conscious of the difficulties facing Italy as it tries to put itself on a new path, making a transfer to a younger generation, ending the Berlusconi era, and puting aside the sclerotic ways of the past.

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This editorial in the Economist says Scots should get fiscal autonomy, and manage their own affairs including setting minimum wage, and tax rates. It says England should not subsidize Scotland as it currently does, and this will lead to Scotland bearing additional cost of about 8 billion pounds. It reminds readers that only about 50% of Scottish voters voted for the Scottish National party in the 2015 general election, and once Scotland has to balance its own books voters would have a chance to rethink the level to which they want a welfare state. As in Quebec the nationalist party may not have the same voter support when it has to tackle the difficult tasks involved in self government. This also means Scots would not be voting on how to manage affairs in England, leading to a federation for England, Scotland, Wales and Northern Ireland.

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The general elections of 2015 show a nation divided, with Labor strong in the north of England and the Midlands, the conservatives in the south of England, the SNP in Scotland, and the UKIP competing for votes with Labor in the north of England. The election also raised questions about seats and representation in the voting system when SNP gained 56 seats with 1.5 million votes, half the votes cast for UKIP, and UKIP gaining only 1 seat. The Conservatives won a majority of the seats, 330 seats with a third of the popular votes. Voters distrusted both the Conservatives and the Labor party but distrusted Labor more, says Malik, and decided to stay with the Conservatives. Malik reminds readers that as late as 1992, Conservatives won a third of the popular vote in Scotland, and close to half of the votes till the 1950's. Now there is only one Conservative member of parliament from Scotland. Labor suffered a severe defeat in its base in Scotland with the SNP gaining 56 of 59 seats. Labor also lost the seat that was previously held by former prime minister Gordon Brown. On the EU the election promise of prime minister Cameron to hold a referendum on Britain staying in the EU in 2017, creates more uncertainty. David Cameron put the situation in the right words- " I want to reclaim the mantle that we should never have lost, the mantle of one nation, one United Kingdom....

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Taghreed's account in the NYT of a wounded surgeon caught in the crossfire in a Gaza City neighborhood, with his wife and child cut to pieces in an exchange of fire between suicidal fighters and an overpowering army on the other side. A reminder that the civilian side of the story in every war that goes on way beyond its time, the 60th year for Palestine, the 61st year for Kashmir, the 30th year in Afghanistan, is the story that is told less often and takes less print and television space than coverage of the hostilities and the war rhetoric. This continues to be the case even after fatigue sets in among the people from many years of conflict, casualties and the poverty that wars cause.

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Keir Starmer of Labour appeals to Scottish people after Nicola Sturgeon's resignation. He says Labour must win back the confidence of the Scottish people, that he wanted to be prime minister for the UK not of the UK. The road to electoral success "must run through Scotland."

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Tether is a cryptocurrency based out of the Virgin Islands that is pegged to the dollar 1:1. It has $120 billion in assets mostly safe US Treasury bills, and gold, bitcoin. It made $6.2 billion in profit for its owners more than Black Rock largest American asset manager fund. What does this mean? It offers an outlet for trade in oil for Russia and other countries such as Venezuela. At the same time it is useful to people in countries with high inflation such as Argentina and Turkey  where people use it to protect their assets from inflation erosion. When its use is widespread this also results in diversion of funds away from the Treasury as in Venezuela where an oil minister was toppled, says this WSJ report. And at the same time it gives protection to Venezuelans from extreme inflation. How it works- Tether Holdings issues virtual coins to a select number of direct customers, mostly trading firms, who wire real world dollars in exchange for Tether.  Tether buys US Treasury bills with these dollars to back Tether's value. Who runs Tether? Tether's cofounders included a plastic surgeon Giancarlo Devasini. All co-founders sold out to Devasini, who runs it from an enclave in southern coast of France. The company was founded in 2014. Interest was slim in a stable token backed by US Treasury bills. Then in 2020-21 bull run in the stock market traders started using it to buy and sell out of risky bets. It's market capitalization exploded from $4 billion to about $80 billion.  Tether says it avoids illicit transactions. WSJ report says 2713 wallets or about $1.2 billion were blacklisted, this out of $153 billion provided by Tether to its 2 popular blockchains. Rest of the funds already sent on, says WSJ. ...

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The former Surgeon General of the U.S., Vivek Murthy, has tackled issues such as the opioid crisis, obesity and poor health outcomes. In his new book "Together: The Healing Power of Human Connection in a Sometimes Lonely World," Murthy looks at the loneliness he says is pervasive in the new culture of iphones and social media that have perversely reduced not increased social connection and the feelings coming from good relationships and social concerns.  A 2020 Cigna survey shows 61% of American adults are lonely, up from 54% in the 2019 survey. It is not about having a lot of people around you, it is about feeling a genuine connection and the quality of relationships. Murthy finds this lack of genuine social concerns and social connection as fairly pervasive from his conversations with people all across the country. Normally it is felt in the fifties as life changes, and in the eighties with loss of mobility. Today the tech devices and what is called scoal media that appear to have increased communication have actually reduced the level of quality connections and interactions. Dr. Murthy suggests volunteering, and service in the community or larger communities worldwide as a way of breaking this. Capitalizing on informal day to day contacts, including with people one has not known before, is another way. This shifts the focus to the people around us and brings a new dimension and quality to our lives.  Saying hello often and smiling genuinely, says Murthy. Improving the  quality of time in day to relationships is another. This can also give us the confidence to connect with people on a regular basis.  ...

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The story of the Pfizer BioNTech vaccine is the story of 2 chikdren of Turkish immigrants to Germany. Sahin the son of a engineer working at a Ford factory in Cologne, and Tureci the daughter of a surgeon working at a hospital in Mainz Germany. Sahin was born in 1965 on the Mediterranean coast in Iskerundun, Turkey and he went to Germany when he was 4 years old, his father being recruited in a new effort to rebuild Germany with foreign labour. Both are motivated by scientific research and the drive to come up with some method to tackle cancer for patients with new research and cures.  Both did their doctoral dissertation on experimental therapies at the Johannes-Gutenberg University of Mainz in Germany, and both joined the faculty there. Sahin spent years studying the mRNA , genetic instructions that can be delivered to the body to help it defend itself against viruses and other threats. Much of this mRNA research was already at an advanced stage in January 2020 when Sahin heard about the coronavirus in China. At that point he saw the potential of retargeting the mRNA research to tackling the coronavirus. By this time he already had his own company with over 200 million euros invested in it  by investors including Helmut Jeggle, now supervisory board chairman of BioNTech. This report says he sat down one Saturday, January 25, 2020 and working on his computer designed the template for 10 possible coronavirus vaccines, one of which would become BNT162b2, the vaccine now approved in Britain. On the same day he told a surprised Jettle that he would refocus the company on the new virus that had not yet hit Europe. Shain he says cited the Hong Kong flu that claimed 4 million lives. Why Pfizer. Pfizer had already been working with BioNTech on a new flu vaccine based on mRNA technology. A cooperation deal was signed with Pfizer in March for organizing clinical trials, manufacture globally, and distribute the vaccine. BioNTech then acquired a U.S. company and a German pharmaceutical factory in Germany. ...

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The European Union response to Britain's decision to begin negotiations to leave the EU is a tough one that presents serious problems for Britain. EU Council president, Donald Tusk said that no talks on Britain's future trading relationship with the EU could take place till all the issues relating to Britain leaving have been resolved. Included is a bill of 60 billion euros, according to European authorites, for settling British committments in the EU. Tusk also said the EU wanted to see the rights of the 3 million EU citizens living in the EU, and the 1 million British citizens in the EU protected as a priority in negotiations. Without negotiations on a future trading relationship Britain faces tariffs and duties putting it at a disadvantage after the exit. Talks also cannot extend beyond March 2019 or new approval is needed from 27 EU states. The European parliament also has veto rights if the agreement is not seen as strong enough for the EU. Tusk says that Brexit has made the EU more united. Chancellor Merkel of Gemany has also separated exit from future trading relationship negotiations, the second only being discussed after the first is complete. The issue of Scottish independence also hangs in the balance, as the Scottish parliamentary leader Jack Salmond refused to accept prime minister May's point that her own constituency Islington had voted against Brexit yet she was negotiating for the whole of UK- Salmond responded in parliament that not taking Scotland's interests into account after it had voted against Brexit made "Scottish independence inevitable." The EU leaders are taking a calmer approach, in contrast to the more nationalist appeal in parliament to Tory back benches of prime minister May with promises she may have difficulty keeping.   ...