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The costs benefits and savings in a patient focussed practice. The new models of thes practices that are emerging such as amonthly payment of $54-129 per patient to the doctor and insurance only to cover hospitalization and catastrophic illness. The satisfaction of patients who avoid crowded doctors waiting rooms and avoid having to limit their questions. and get in and out quickly. The satisfaction doctors derive fom not having to rush through the day's schedule. The reduction in emergency care visits as patients better m=nderstand and manage their medical conditions.

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This report on Venezuela in the NYT cites the IMF to say that the Venezuela currency is almost worthless today with hyperinflation of 1 million percent. An article in the Washington Post confirms this that the IMF first predicted 13,000 percent but now has corrected this to say yes, 1 million percent. Three million refugees are said to have left the country because of severe shortages, and another 5 million expected to leave in 2019.

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Alexis Tsipras and the Syriza government in Greece call for a referendum on July 5, 2015 on the spending cuts and policy changes proposed by the European Union and the IMF.

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Moody's downgraded its outlook on Germany's triple-A credit rating to negative. It also shifted to negative the outlook on triple-A ratings of Netherlands. Spain's ten year bond yield went up to 7.51% on July 23, 2012 according to Tradeweb. Analysts estimate Spain needs to issue 28 billion euros of debt for the rest of 2012 to cover deficits and repay maturing debt, and 50 billion euros in short term Treasury bills. An additional 30 billion euros may be needed if tax revenues decline increasing the deficit, and to meet the needs of regional governments. In changing the outlook for Germany, Moody's emphasized the costs Germany would incur if Spain needed a full bailout and if the situation spread to Italy, including the large exposures of German banks to Italy and Spain.

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The situation in Argentina in April 2021. Economic growth of 7% is expected with higher prices for soyabean exports. The financial crisis with extravagant borrowing by the Macri government led to negotiations for help from the IMF. The IMF under its new head, Georgina Kristalina Georgieva, is working with governments around the world to lessen the burden of loan payments.

This report shows that the pandemic has hit working families in Buenos Aires suburbs very hard. The Peronist administration of Mr. Alberto Fernandez is making efforts to help working class families during the pandemic.

Argentina is too dependent on agricultural exports. Diversification of the economy would add stability and protect Argentina with less fluctuation in financial reserves.

 

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Democrats in the House of Representatives need about five votes of moderate Republicans to get approval for spending that exceeds the debt ceiling if no agreement can be reached with the Republicans under Speaker McCarthy. This is one of the options Democrats under president Biden are keeping open if the spending cuts Republicans are asking for hurts workers and families in ways unacceptable to values of fairness to all segments of society supported by Lincoln, Wilson, FDR and Truman that have shaped America over two hundred years. T Though it is not readily apparent in an America where about 22% of 8th graders are able to get a passing grade in civics and history in NAEP tests, a rereading of the writings and speeches of Abraham Lincoln show the same concern for the rights of all segments of society that are found in Wilson and FDR or Truman. This is also what Biden means when he calls this a struggle for the soul of America. More not less funding for education, more not less funding for health after the pandemic and cost of living crisis, more not less funding for public services at a time like this where there is a fracturing of society as well as isolating certain segments of society from others such as the growing distance between workers and families from places such as Silicon Valley and capital markets in America.  ...

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Pakistan foreign reserves dropped to $5 billion says the Financial Times, and the rupee is at 255 to the US dollar. Inflation is at 25%. The situation is precarious as it negotiates with the IMF and much of the budget goes to debt servicing for $41 billion owed to international financial institutions and $30 billion to China.

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Without creditor agreement to release bailout funds Greece will not be able to make the $763 million payment to the IMF on May 12, 2015. Financial markets face uncertainty about the outcome of negotiations. In this report Landon Thomas Jr. describes meetings between debt lawyer Bucheit and the Greece finance minister Varoufakis, who are handling the negotiations with the EU and the IMF.

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Prime minister Passos Coelho of Portugal makes the decision not to ask for a precautionary credit line from lenders, as Portugal exits the EU bailout program in April 2014. Portugal received bailout funds of $78 billion euros from the EU, IMF and the ECB in 2011. Portugal's economy is expected to see growth of 1% in the next 2 years. Unemployment declined from 17.7% in the beginning of 2013 to 15.2% in 1st quarter of 2014. Portugal returned to bond markets in April 2014 with 750 million euros of 10 year government bonds at 3.575%. Still Portugal will take a long time to fully recover and the EU will continue to monitor its financial position. The last loan to the IMF is scheduled for repayment in 2024 and to the EU in 2042. Exports and a return to bond markets are the two bright areas, but the government debt continued to climb from 94% in 2010 to 129% in 2014. A 15% unemployment rate and mere 1% growth through 2015 suggests a slow recovery similiar to Spain.

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Nirmala Sitharaman brings together France, Japan, and India to bring attention to resolution of debt issues of Sri Lanka, Ghana and other countries during the annual spring meetings of the World Bank and the IMF in Washington D.C.

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Criticism of the EU's handling of the Greece crisis by IMF officials in a report. The report says the actions taken for debt restructuring in 2012 should have come much earlier to reduce the debt burden and the size of austerity measures in Greece. Similiar criticism has been voiced by president Hollande of France and in editorials by the WSJ. President Samaras of Greece says the sharp cuts in spending reduced potential for growth in the economy.

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Messi uncertain if he will play for the World Cup in the US in 2026. It is 20 years since he played at the age of 18. The aging Messi says some days he feels good, on other days not so good, and it depends on his physical condition if he will play. He recalls with affection the chance to play in Argentina and score goals in the game against Venezuela 3-0 before retiring. He was thankful for the chance to play for Barcelona fans.

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Foreign investors make up only 7% of Russia's domestic bond market compared to 30% for similiarly rated Mexico. Russia is rated BBB by Standard & Poor's. Moody's Investors Services rating is one notch higher. The yield on Russia's 10 year government bond is about 7%, compared to 4.35% for Italy and 1.8% for U.S. Treasurys. Russia's deputy finance minister, Alexei Moiseyev, says he hopes changes will raise the foreign holdings to about 33%. Martin Gilman, a former IMF representative to Russia in 1998, and now a professor at Moscow's Higher School of Economics, says rates will go higher because of appreciation in the ruble and large monetary easing in Europe and the U.S. The situation has changed completely from the 1998 Russian default on debt payments of $160 billion. The IMF estimate is for overall debt to be about 11% of GDP by the end of 2014.

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Foreign demand for US manufacturing exports especially in emerging market economies such as China, India, Mexico, the Middle East and South America, will help cushion the US economy from the effects of the housing market deterioration and the credit squeeze. Some of the figures point to a vigorous demand for US exports that will sustain the US economy in the years ahead as poorer countries around the world industrialize, urbanize, build infrastructure, and improve the living standards of people in their countries. First the world is less sensitive to US slowdown. Cooper cites numbers to show that the US contributionto world growth has declined from 19% to 12%. And in the past 10 years USA growth declined from 3% to 2.6% annually but the global economy accelerated from 3.2% to 4.4%. (Statistics from IMF?) IMF in World Economic Outlook estimates global economic growth in 2008 to slow from 5.2% to 4.8%, and the US in 2008 to be 1.9% same as 2007. Excluding the US, growth in the world economy would be 5.5%. China's imports of US goods is up 25% annually over the past 5 years. The proportion of US goods going to emerging markets is up to 45% from 38% in the past 2 years. And economies of countries like India and Mexico are sustained by internal consumer demand so they are stronger than before. Another way to see this happening is the US corporate earnings from overseas being up 22% from last year, and domestic profits up only 1%. Over the past year profits from foreign sales have accounted for 80% of increase in overall profits. So foreign trade and its continued expansion will act as a stabilizing effect on the US economy and US products especially in infrastructure development and related areas will help the developing countries make major improvements to living standards and infrastructure. ...

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Lecornu and Macron operate differently now with Lecornu making the decisions for negotiating with Socialists and putting aside pension reform. After his ouster Lecornu set conditions for his return - to have latitude to make decisions if he was to take the job of PM and to consult with Macron but make decisions to negotiate with socialists, to set aside pension reform, to use Article 49.3 when he thought it would be wise, on and on. Macron to be useful in his last year has agreed. Macron has dropped his Jupiterian presidency says Le Monde in favor of consultation and discussion and letting others make decisions to govern. One should not misread Macron's new style of opposing DJT- it is a way for him to bring all French parties, the movement of Melenchon, the Socialists, and the Le Pen National party, to agree on something, when even passing the Budget was difficult in a frayed political environment. Macron having lost trust and with low popularity, Le Pen and the Melenchon movement at odds every step of the way- an inability to govern. ...

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1.2-2 million barrels a day go from Iran's Kharg island through Straits of Hormuz for ship to ship transfers in South China Sea, then labeled Emirati oil and unloaded at refineries on Shandong coast. These refineries are called teapot refineries. In this way US sanctions are avoided. Shipments of oil were about 700,000 barrels a day before 2023. After 2023 this more than doubled. China gets this at a 10-15%  discount costing Iran about a third of revenues it would otherwise be able to sell this oil if it decided to work with the US in a new arrangement. This report in FR24 shows China as limiting it's relations with Iran to oil, careful to not let it affect more important trading relations with US European Union, and Germany. This is similar to the situation for Venezuela -which under a new arrangement the US has with Venezuela- now gets market prices for its oil increasing it's revenues substantially by about one third to benefit the Venezuelan people suffering from high inflation and economy wrecked by sanctions. ...

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Awesome, awesome advice from Diana Nyad- who did the 110 mile swim from Cuba to Florida when she was 60 years- on getting older and staying younger all the time. A better cognitive function and physical fitness is within reach after 40 years, after 65 years says Diana Nyad than when we were younger. All that is needed is a positive attitude, about not being self-absorbed and selfish like when we were in our twenties. Magggie Penman of the Washington Post interviews Diana Nyad, who says she is fitter, stronger at 76 than before. Part of this, says Nyad, comes from being nicer, more forgiving of people. One thing as you get older your connection with people around you means everything. You want to "embrace the chaos", says Nyad. It means getting to know the person next to you wherever you are, what is their life story. For Nyad even if you are an atheist like she is, be an atheist in awe at the sheer wonder of nature and the world. That gives you energy and gratitude that fills up your life. ...

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Xi's "Great Rejuvenationof the Chinese Nation" compared favorably to DJT's "Make America Great Again" by Xi Jinping during DJT visit to Zhonghanhai Compound of China's leaders in Beijing. Xi Jinping says during DJT visit to Beijing May 14 2026- “Through strengthened cooperation, both China and the United States can promote their respective development and revitalization." This is important to grasp if one wants to understand China. Much of the media focuses on this or that smaller aspect of the DJT visit to China, including the NYT when it shows DJT invited to a walk on the garden grounds of the Zhonghanhai Compound. It does not accept that president Xi Jinping finds little that is relevant to China today and its aspirations in places like Iran and the Middle East. That Xi admires the US efforts for reindustrialization and renewal in the same way he sees the rejuvenation and renewal of the great Chinese Nation and sees this as shared goals for betterment of their people's lives.  ...

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This article in the Atlantic Council September 17, 2024, shows that the world may be fixating on the Straits of Hormuz when it should really be focusing on the Red Sea shipping for the Suez Canal. The Iranians ship 1.5 million barrels a day of oil through the Straits of Hormuz, and closing it off would close off the oil revenues that sustain its economy. Wald writes that even if the Iranians in a crisis would clsoe off its waters to shipping another route exists in the Straits of Hormuz through UAE waters when needed by oil shipping and it has been used by British ships. The Red Sea and Suez presents risks coming from Houthi rebels supported by Iran, who have attacked the US Navy ships in the region.

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Porter cites research by Andrew Berg and Jonathan Ostry of the IMF, which shows the strong connections between having a vibrant middle class, lower inequality and the sustainability of economic growth. In countries with higher inequality growth comes in spurts which fizzle out, and there are sharp contractions. Having good income distribution is important according to Berg and Ostry, if the process of economic growth is to be sustained. This logic is also supported by the need for a strong middle class for consumer spending, to provide the demand that supports growth.

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Italy's National Reform Plan shows a forecast of GDP contraction in 2012 of 1.2%, up from an earlier forecast. Italy will show a budget deficit of 0.5% of GDP in 2013. Italy's Deputy Economy Minister Vittorio Grilli poitsed out that in structural, cyclically adjusted terms Italy will post a budget surplus of 0.6% of GDP in 2013, that fiscal policy was tightening. This was confirmed by the IMF which said that Italy will achieve structural balance in 2013- which means that if the economy were operating at full potential Italy would have a balanced budget.

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Faced with the prospects of severe hardship in poorer countries, the World Bank gives a realistic forecast for 2009 that shows the world economy shrinking in 2009. It says the neeeds of poorer countries are likely to overwhelm what the IMF and the World Bank can do. And called for seting up a"vulnerability fund". Even if the World Bank tripled its lending in 2009, it would only reach $35 billion. The combined gap the emerging market countries face it says, is at least $270 billion and upto $700 billion in the next 2 years.