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Doctors face a 21% cut in the amount of Medicare payments for treating seniors having Medicare, though this cut will be delayed till 2011 under legislation in Congress. This issue goes back to 1997, when a budget law set spending targets, and stated that if they were exceeded formulas to reduce doctors payments would go into effect. The formulas seriously cut into doctor payments by Medicare in 2002, so the formula was put off. The result of this is that the cuts based on the formula now amount to 21%. The cuts are not expected to go through, but at the same time Congress has an headache on its hands with the growing deficit. In the Senate there is opposition to a $120 billion bill to extend long term unemployment benefits which lapsed in June 2010, for tax breaks, and other expenses. Senators want to pare down the bill's price tag, as $80 billon of this is unfunded and will be added to the budget deficit. For a primary care doctor in Washington state, Medicare pays about $95 compared to private insurers payment of $129, and a plan for state workers that pays $140....

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Fitch Ratings Agency says that 65-75% of homeowners getting home loan modifications under the Obama administration's Home Affordable Loan Modification Program (HAMP) will default in 12 months. This is because the median ratio of total debt payments to pretax income is about 64% according to a Treasury Department estimate. Many of these homeowners have large credit card and other debt, and little is left for food, clothing and other expenses. By April 2010, 295,000 homeowners had taken loan modifications under HAMP, which provides interest rates of as low as 2%. And another 637,000 homeowners are in trial modifications, which require that homeowners show they can make the lower payments consistently and provide documets to show eligibility. The Obama administration has provided $50 billion for the HAMP program, with financial incentives to loan servicers and mortgage investors to modify loans. Critics say the program would have worked better if the government and HAMP dealt directly with homeowners- as homeowners complain about the long time, upto a year, it takes for loan servicers and mortgage companies to get the loan modified on a long-term basis....

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The methane gas explosion at the Upper Big Branch coal mine in Montcoal, W. Virginia. The Massey Energy Company runs this mine, and there are questions about failure to ensure safety both by the Massey Energy Company, and the regulatory agency that oversees coal mines, the federal Mine Safety and Health Administration (MHSA).

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US Senate lawmakers agreed to increase the FDIC deposit insurance limits to $250,000 from $100,000. These limits have not been permanently increased since 1980- the increase in late 2008 was a temporary measure to support the banking system. Credit rating agencies pushed hard to avoid the setting up of a credit ratings watchdog agency and succeeded. Under Senator Al Franken's provision a government overseen credit ratings agency board would be setup and it would assign new financial products to ratings agencies for rating. 63 Senators had supported this provision in a Senate debate. Intense lobbying from ratings agencies to avoid this government oversight resulted in shelving of this provision. The change is to ask the SEC to study the conflict of interests issue and how an independent agency might function, and give the SEC authority to setup such a system.

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The retirement age in France is much lower than other European countries. As people live longer and pension system finances are strained retirement ages are being increased. In France the retirement age is 60, and dates back to the Socialist president Francois Mitterand in the 1980's when the Socialists and the unions strongly supported a retirement age of 60 and a 35 hour work week. Socialist party former general secretary, Francois Hollande, calls changes "unjust reform." The Sarkozy government is treading softly by making a gradual change with the legal retirement age increasing by 4 months per year starting in July 2011, till it reaches 62 by 2018. The pension deficit is forecast at $40 billion a year for 2010. People in taxing jobs or in difficult occupations are exempted. By contrast Germany as plans to change the retirement age from 65 o 67. Britain and Italy have set this at 65.

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The new government of prime minister Naoto Kan in Japan has tapped 2 business executives for posts as Ambassador to Greece and Ambassador to China. A former top executive at Nomura Securities heads for Greece, and former CEO of Itochu Corporation heads for Beijing. It is an effort to stay on top of changes in the global economy with experienced businessmen. Kan's idea is to harness the needs of Asian countries, finding solutions to problems, to raise the Japanese growth rate.

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Shiller, Kashyap, Mishkin, Slaughter, Stein, Stulz, Rajan and others are part of a 15 academic economists group called the Squam Lake Group. They first met at a conference in November 2008 at Squam Lake in New Hampshire. The group has come up with a report that they hope gets the prominence of the 9/11 report. It is called the Squam Lake Report. The book will be introduced in a conference at Columbia University by Fed chairman Ben Bernanke. Some of the economists have little faith in regulators and a new Financial Stability oversight Council led by Treasury Secretary Geithner. (Stulz, Kashyap). The group sees need for better disclosure of risks of financial products, especially retirement savings products.The editor Seth Itchik sees the book as today's version of the 1938 book by Harvard and Tufts economists called "An Economic Program for American Democracy." The motivation for this effort in a field where economists have different opinions, is to build a consensus for decisive action by Congress and the government of the U.S. Two new suggestions that are not in the Congressional bills for financial reform. One is issuance of contingent convertible bonds or CoCo bonds. Banks would be encouraged or required to issue such debt which would convert into equity in a crisis. These funds would help recapitalize a bank in a crisis with no taxpayer liability. Another new proposal is to have a fraction of each year's bonus pool for banking executives to be held separately- if the bank ran into trouble, that portion of pay would be withheld from senior managers. And the group sees political aspects and lobbying making sound plans less implementable in Congress. Congress lets regulators curb pay practices and coordinate other actions which has not worked in the past and during the crisis. Congress has even in its best effort acted on only some of the things needed in its bills- this includes higher capital requirements, and compulsory "living wills" for the largest financial institutions, and the Volcker Rule. The rules for derivatives are still being negotiated by Blance Lincoln who introduced this provision, with the result being more transparency. If it is watered down it would not ensure the strict separation of derivatives trading on the capital accounts of banks that Blanche Lincoln envisaged. ...

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After being very much on the defense, and taking reactive and not proactive steps during the Gulf Oil Spill, U.S. President Obama moved to show he was in charge during a television speech from the Oval Office in the White House.

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Speaking on national television in the U.S., President Obama outlined his plans for action relating to the BP Gulf Oil Spill. He is appointing former Mississippi governor Ray Mabus, as head of a Gulf Resoration program to work in cooperation with communities, conservationists, fishermen, and local residents. Obama also said he will tell the chairman of BP's board, Carl Henric-Svanberg, that he will have to set aside resources for compensating workers and business owners who have suffered through this Oil Spill. The White House wants to see an escrow account for this purpose and is negotiating this- the amount varies from an estimate of $20 billion by Senate Democrats to other estimates. Other action was appointment of Michael Bromwich, as head of the Minerals Management Service.

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Carl Henric-Svanberg, chairman of BP, is from Sweden. He was formerly the CEO of Ericcson, a Swedish telecom company. He has been criticized for not being more visible during the BP Oil Spill.

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In April 2010 P&G's Dawn liquid dish detergent was shown in television commercials as the right stuff to clean birds and marine life affected by oil spills. The Gulf Oil Spill that happened afterwards has created a live opportunity for the product to be used to help clean marine life and birds that are stained by the grimy oil in the Gulf waters. P&G will have donated 12,000 bottles of Dawn detergent to help clean up for marine life and birds caught in this spill.

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Michael Bromwich, a Washington lawyer and experienced investigator, will head the Minerals Management Service. He is from outside the oil and gas industry, and may have the benefit of looking at the industry from the angle of proper regulatory action.

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In hearings before Congress in the USA, the leaders of Chevron, Shell and ExxonMobil said that they would not drill the well the way BP did (Tillerson-ExxonMobil), that the standards that should have been implemented were not in place (Watson-Chevron), and that its not a well that they would have drilled in that mechanical setup (Odum-Shell). On one issue all the companies came under criticism. All 5 oil major oil companies presented virtually the same plans to government regulators and the Congressional committee on their response plans for a major spill. As the oil spill has dragged on unresolved there is increasing frustration with BP's response and the other oil company leaders are moving away from presenting a common front in this crisis, which they had done upto now.