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The worst flaw in the health care bill says the Economist is that "fee for service" and doctors billing for each test done continues as before.The whole idea of medical services based on medical necessity and value for money has been left out of the billsin Congress. Alan Meltzer also pointed this out in his discussion of the deficits and debt over the next decade; that the 25% reduction in medical expenditures does not look anywhere closer to reality, worsening the deficits. This is also the view expressed in the discussion of health care reform in the November 2, 2009, issue of Business Week. Never mind said BW that the doctors and hospitals account for one third of medical expenditures and there is waste in Medicare spending. Congress said BW has made no changes in the "fee-for-service" system of medical care that has inflated medical costs, by paying doctors for the volume of services delivered and not the quality of services delivered.

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The costs of fraud in medical care from spurious Medicare claims to kickbacks for unecessary services is estimated at $125 to 175 billion. Costs of unnecessary care from overuse to unnecessary lab tests are between $250-325 billion. The amount wasted for on treatment for preventable conditions such as heart disease and diabetes. is $25-50 billion. This number is much higher when all the complications from obesity are figured in. These amounts alone add up to $500 billion. Add to it the problems and the costs of medical errors leading to bad drug reactions or other misdiagnosed procedures which cost an estimated $75-100 billion and the the total is upto $600 billion. These amounts are not going to be tackled by computerization of medical records. The whole manner and ways in which medicine is practiced today and the manner in which the public takes care of its health would have to change for an impact to be made in these numbers.

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Profits at international oil companies are lower for a number of reasons. At Exxon the refining margins dropped 27% in 2007 compared to 2006. Cost for drilling, oil rigs and oil personnel are up sharply, and the production sharing agreements for Exxon in West Africa mean that the higher the oil price the less oil Exxon gets. The govenments of oil producing countries are taking a larger share of dollar coming from oil in their countries, and Exxon recently pulled out of Venezuela- the production at Exxon actually declined by 2% and at BP and Royal Dutch Shell by 4%. This decline will continue as the reserve replacement ratios of these oil companies are in a big decline as oil prices go higher. Most of the countries producing oil are renegotaiting their contracts at the first opportunity. Nigeria is about to do this, and even Alberta and the US government are doing this.

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Ausra using Australian David Mills technology and research has come up with soar mirrors that focus the intense heat of the suns rays in desert climates onto water that is directly turned into steam that then runs the turbines that generate electricity. With PG&E for distribution and Vinod Khosla's venture capital investment solar energy for about 10 cents per kilowatthour (kwh) is within reach using Ausra's technology and compettitve with cola based energy. Carbon is also going to be about 20% more expensive with higher environmental costs of coal based energy factored into the price as governments restrict its use. The plan is to go from a initial $47 million investment to a $400 million investment for a 100 megawatt plant. This technology could bring a promising future for solar energy and cut dependence on oil and coal, and help bring down oil prices and spur growth with cheaper and clean energy.

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Dana comes out ahead of Delphi and exits bankruptcy. Mistakes made by Steve Miller which are costing Delphi. One was to take on the unions publicly. Dana's McCracken thinks its best not to do this publicly and create antagonisms. Delphi's rocky relations with the unions means that talks that ended in June 2007 took 21 months of negotiation. And then with the involvement of Cerberus the talks dragged along for longer. Because of the deteriorating union-Delphi relations Cerberus exited. By then in late 2007 Delphi faced the credit crunch and changed credit markets so that financing is difficult. Hedge fund Appaloosa Management is the lead investor in Delphi and its founder David Tepper has poor relations with the UAW. In contrast the UAW brought in private equity investor Centerbridge Capital Partners and they had good communications witht the unions. Delphi is losing $1.3 billion in 3rd quarter 2007, whereas Dana is expected to breakeven in 2008.

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Inflation on an annual basis hit 27% in June. The central bank widened the band it alloed the dong to rise or fall against the dollar each day from 1% to 2% and announced a devaluation of 2% in June 2008. At this time the dollar buys 19000 dong on the black market compared to the official rate of 16600 dong, and the official rate is climbing up to the higher unofficial rate. A large part of the inflation is caused by a flood of foreign investment and bank loans to state owned companies, and the spending by state owned companies. The state owned companies like the Vietnam Shipbuilding Industry Group are controllinng their spending. Some of the inflationary influx is investment from foreign manufacturers trying to escape rising costs in China, showing the risks if this and other factors are not carefully managed. Recently Greenspan advised Vietnamese premier Nguyen Dung to mop up the liquidity surge and restrict spending by state owned firms.

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Business Week tries a new idea. After 2 years of quiet development Business Week develops the Business Exchange as it calls it. It will have topic pages with topics like the 787 Dreamliner, Blackberry vs. Iphone, and so on. At this time publications are trying a lot of things like verticals, aggregation, user-generated content, popularity rankings, and also something like social networks. Each Business Exchange topic page links to articles and Blog posts from many sources including BW's competitors, with the contents updated automatically by a web crawler. Nearly all traditional news organizations offer only their own content, not taking on the role of an aggregator considering that as an invitation to readers to leave their websites. On Business Exchange a user can create a new page, choosing subject and title and brief introductory description, it would take 24 hours to get permission from BW for this. Objectionable posts would be taken down. Users can also post new material to a topic page. ...

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James Galbraith's ideas on the bailout in the Washington Post. He would remove the cap of $100,000 on FDIC insurance and put $500 billion into the FDIC and more resources for the FBI and hire the auditors and investigators needed to clean up the mess. Next he would use $200 billion to buy the preferred shares in the banks that need the money. He would let the investmet banks and hedge funds to themselves. And he woul provide federal funds to stte and local governments in a Nixon administration type of revenue sharing scheme so that local governments do not cut essential services and investments in education and so on. And he would focus on energy and climate change issues for the next 10-20 years as national goals. His point that even with freeing up the illiquid assets two things dont change one the borrowing still will be weak as the economy slows, and the recession and slowing economic conditions will not change.

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Costco's money saving strategies. Says Sinegal, son of a coal miner, "the biggest concern to me is that we lose our way and start thinkig it doesn't matter if you charge another dimeor another dollaar or another hundred dollars. Wihtout those disciplies, we don't have anything." Costco looks at every small saving, a penny here, a dime there. Savings in bananas, savings in pallets, savings in truckers time and trucks, on and on it goes. Costco gets three quarters of its operating profits from its membership fees of $50 to $100 from its 29 million members and it cannot afford to lose members who leave because bargains are not there or prices are not absolutely low for quality products. Sinegal is challenging Costco people to come up with new ways to save and pass on te savings to customers and where suppliers raise prices looking for alternative sources as with Bonita bananas fro Ecuador.

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GM will hasten plant closings as its cash situation deteriorates and it finds itself without access to credit, as the credit markets remain frozen in the global financial crisis that hit in late September. GM will hasten closing of Moraine, Ohio plant, Grand Rapids Stamping Plant to close December 2009, and Janesville, Wisconsin plant to close December 23, 2008. All 3 plants make parts for large and midsize pickup trucks. Accelerated plant closigs save money. The Janesville plant assembles GMC Yukon, Chevrolet Tahoe, and Chevrolet Suburban, all large SUV's. whos sales have fallen badly and precipitiously. And more than 40% of the parts produced at Grand Rapids went into large SUV's. Othe plant closings GM announced earlierinclude ending production of a truck lie in Toluca, Mexico, and ending production at an assembly plant in Oshawa, Ontario. All are part of the shift to cars, smaller cars, and crossover vehicles to respond to changing consumer preferences after gas prices went above $4 a gallon. ...

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The 41 year old actor and comedian Volodymyr Zelensky, is elected president of Ukraine winning 73% of the vote, compared to 24% for Petro Poroshenko. He plays a fictional Ukrainian president in a popular television comedy Servant of the People. Zelensky's team has promised a new era in which political and business interests are unable to interfere in the judicial system. Poroshenko made similar promises but failed to live upto them. A member of the Zelensky team Ruslan Stefanchuk, says "we need to cut the lines between the presidential administration and the courts and prosecutors."

Many of the countries in Eastern Europe that emerged from the fall of the Soviet bloc, face similar challenges. Zelensky emerged as Ukrainians were struggling with the issues of corruption and deteriorating relations with Russia following a separatist movement in the eastern part of Ukraine supported by Russia. 

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A photographic trip of the Remain and Leave movements in Britain as parliament votes on Brexit. A March 29 deadline to leave the European Union is coming up fast, and the country is badly divided.

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Alexander Van Der Bellen, a pro Europe independent candidate supported by the Green Party wins Austria's presidential election with 53.3% of the vote. The anti immigrant Freedom Party candidate Norbert Hofer wins 46% of the vote. Van Der Bellen is for an open Europe and is pro Europe. The election is seen in Germany as "lifting a great burden off of our shoulders," in the words of Sigmar Gabriel. This is important for the future of Europe as France, Netherlands and Germany face major elections in 2017.

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NYT's Mokoto Rich provides this excellent report from Daegu, the fourth largest city in South Korea, where the current president's father attended teacher's college, and where she draws her base of support. Her father is the dictator president Park who ruled South Korea from 1961 to 1979, known for efforts to modernize South Korea and protect it from the Communist North.Most of the city's residents no longer support president Park Geun-hye because they say even though she herself is a good person, she had poor judgement in having a friend who they say swindled her. That friend Ms. Choo Soon-Sil won favors and contracts using the powers of the presidential office with the full knowledge of the president. This makes her incompetent for the presidential office say even conservative supporters who disagree with the opposition's protests. 

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A small group of founders of the Pay Pal company Sacks, Thiel and Musk  are only a small fraction of the larger tech universe that includes Apple, Google and Amazon and other technology companies in many industries including auto, aerospace, chips, other manufacturing,  possibly no more than 10--20%. They are now enabled by US Supreme Court decisions to allow business supported PAC's to operate freely to influence political events in 2024 for promoting their own business interests.  The influence operates through social media channels in ways that limit verifying of information because of the speed with which information can be posted on the internet. This has created new challenges for 2024 and the American system of representative government enshrined in the words in the preamble of the Constitution about  "We the People" - "We the People of the United States, in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defense, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity, do ordain and establish this Constitution for the United States of America." ...

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The Labour leader and prime minister of Britain met Donald Trump during a trip to speak at the UN General Assembly in New York on September 26, 2024 Starmer has misgivings that Trump may withhold support for the United Nations and its framework for maintaining peace in the world, and tackling issues of development and climate change. Britain's leader Starmer told the UN General Assembly- "People talk about an age of polarization, impunity, instability and an unraveling of the U.N. charter. And I feel a sense of fatalism has taken hold.” “But our task is to say no … This is the moment to reassert fundamental principles and our willingness to defend them. To recommit to the U.N., to internationalism, to the rule of law.” With Macron's shaky coalition government in France, and a coalition government in Germany with less popular Greens, FDP and Social Democrats, Russia engaged in a conflict with NATO in Ukraine, Starmer speaks for Europe at an important time to recommit to the UN Charter and uphold the principles of the UN for the betterment of mankind. ...

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India lags behind in the number of tourists visiting the country. Part of the reason was the lack of good infrastructure in the country. Indian Railways and new highways, modern river transport has opened up remote parts of the country from the jungles of Assam to deserts of Rajasthan, the mountainous regions of Kashmir, Sikkim, Bhutan and Ladakh, Arunachal, and the river regions of the Brahmaputra river and Ganges to tourism. Compared to France with 100 million tourists a year India has about a tenth of that.  Tourism is now seen as an engine for job growth as small handicraft industries can tap into the tourist market, hotels and restaurants can add to employment. The new budget for 2025-26 recognizes this by almost tripling the 95 million euros budget for 2024 to 283 million euros in 2025. Delhi with images of pollution is a distraction yet the tourist from Europe or America can find much to see in smaller towns and metros in the country from Buddhist and Vedic civilizations thousands of years old and recent history after invasions from Western Asia and Europe since 1600, and interesting cuisine, culture, language and regional influences. ...

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Seantor Dan Sullivan and the WSJ say Alaska's economic potential and its standard of living was ignored with blanket blocking of any development of its resources. WSJ says under the Biden administration the state was turned into a nature museum.  WSJ says the state's leaders know that spoiling the environment would be mistake. Yet developing some of the state's resources would help the US in sourcing natural gas and rare earth minerals for renewable energy products. This would achieve a policy balance. One of the arguments North Dakota Governor Borghum and new US Interior Secretary makes is that China is building a coal plant every 2 weeks with 12 built in the first 6 months of 2024. As of July 2024 Statista shows China with 1161 coal plants operational, 6 times the 204 US coal plants and 4 times the 295 coal plants in India, 89 in Japan- and 90% of new coal power capacity added. This means climate change issues remain no matter what the US does. By using natural gas fired electricity the US gets transition time for the shift to renewables and can attack the cost of living, export to the EU.  ...

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A centrist 73 years, and mentor of Macron, the head of the Movement Democrate allied to Macron's Renaissance party is appointed to succceed Banrnier as PM of France. Macron hit a new low of public approval rating of 23% by Ipsos. Scholz of Germany is at 18% following reaching 65% in Jan 2022. Bayrou says-“I am fully aware of the Himalaya of difficulties that lie before us,” Bayrou says he would strive for a “necessary reconciliation” with Melenchon of France Unbowed party and Marie Le Pen of National Rally on the left and right of the centrist Macron. These are mere labels- both Melenchon and Marie Le Pen want to see higher public spending and no cuts in the Budget for 2025, Macron is not eager for cuts, Barnier wanted to cut the budget to cut the growing deficit but this is not a time to cut spending as investment is needed to grow the economy and meet needs for public services and cost of living assistance. Macron was taken by surprise by Barnier's approach leading to a no confidence vote and Barnier resigning.  ...

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ProPublica Report that shows taxes paid by Warren Buffett of Berkshire, Jeff Bezos of Amazon, Michael Bloomberg of Bloomberg, Soros of financial business, and Elon Musk of Tesla. This report put out by Americans for Tax Fairness shows tax rates of a group of 25 such business persons at 3.4% on wealth growth between 2014-2018 of $401 billion. This is not to say that Democrats or Republicans can be elected to solve this, which is basically a problem not of fairness but of how it enables underfunding of America's basic infrastructure of health, education, transportation, and public services such as parks, clean air, and renewable energy, energy grids, water supplies, heating infrastructure, on and on on the list. Why because the difference between a modern industrial base country and a backward, lack of industrial base country is just this list. When the companies also unfund maufacturing in the US as Apple does by making almost  all products overseas it means lossof manufacturing knowhow and loss of leadership of the free world which simply means chaos without America's leadership based on its founder's values.   ...

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Trump rally for 100 Days in Warren, Michigan, at a community college gymnasium, April 29, 2025. DJT also visits Selfridge Air Force Base and says it will get 15 new F-16 jets to replace old jets.  DJT says we're "getting woke lunacy and transgender ideology the hell out of our government." Border crossings of 8400 in February 2025 and 7200 in March 2025 are the lowest since the 1960's, one of the lowest ever, compared to 140,000 in March 2024 under Biden. DJT says he is protecting the middle class and Main Street. The millions of jobs lost to China, DJT says he is bringing them back. He talks about creating manufacturing jobs and restoring the industrial base of America that was lost in the last 30 years.  Trump lists the cost of everything from eggs to gasoline at the pump. He says there are three states where gas at the pump is below $2.00 a gallon. He cites the 345,000 jobs created in 100 days and the lowering of inflation.   ...

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International Court for Trade in New York (Customs Court for New York setup 1970) ruling on tariffs May 29 2025. An obscure NY federal court that few know about has issued a ruling saying tariffs are not legal under emergency powers of the president. In the first term DJT used Section 301 of the Trade Act of 1974, which provides firm legal footing to act in the Nation's interest. This court says there is no emergency not considering the trade deficit of $ 1 trillion and with it a loss of manufacturing technologies lost to other nations a danger. A loss of manufacturing technologies that comes with shipping manufacturing overseas, that makes it impossible to make the ships the US Navy need on time, as not posing  dangers to the Nation.  The administration says unelected judges should not be making such decisions. The Court jurisdiction is to review the decisions of customs officials on import duties. Was the Court in New York City with judges appointed by the president, expected to decide on what presidential decisions in the Nation's interest were legal. Nothing about its history suggests that it was designed to do this. ...

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EU Japan South Korea face serious negotiations ahead, regardless of ITT ruling on May 28, 2025 saying the president did not have emergency powers. The ruling does not apply to sector by sector action by DJT just not across the board tariff of 50%. And the ruling is being appealed.  Initial analysis is that this does nothing to affect the US president's other options to use other legal authorites and laws, conduct sector by sector investigations of harm done to the US in unfair trade, take action on sector by sector basis on steel, semiconductors, autos, pharmaceuticals.  Another factor is that all are allies, EU and India is dependent on US for security cooperation, and Japan, South Korea are entirely US dependent on security. Japan also has a past history of unfair trade practices and the prime minister senior officials both understand the US need to rebuild manufacturing, and support this. This is also true of the UK which has completed it's trade negotiations and deal with the US, and sees the ITT or other actions as an internal matter for the US people. ...

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Alluring scenery but hollowing out. Rail station in Dunedin New Zealand looks like it is from the 19th or early 20th century. New Zealand wages are 27% lower than Australian wages in 2025. New Zealand's weak, economy cuts in public services in 2025 affect jobs and employment. New Zealand sees emigration of 69,000 for the year to Feb 2025, highest on record.  Australia has mining and huge demand from China and India for its coal to support it's economy. In a paradox black coal in the interior supports a healthy lifestyle with weather and sports in the coastal belt of Brisbane, Melbourne, Sydney, and further up the coastline in Perth and Adelaide. New Zealand life means higher grocery prices and less quality than Australia, it means health services are not as good, and the public services are being cut to reduce the deficit and borrowing. Most migration is to Auckland and towns in the interior look scenic such as Dunedin but are increasingly seeing people leaving for lack of prospects, lack of pay raises and high cost of living, poor public services. This is a cycle that was felt in 2002 and goes back a long way and is unlikely to change. ...

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Jack Mapanje is a visiting fellow at Newcastle University Center for Literary Arts in Britain and has written a memoir of his period in prison. He was in Mikuyu Prison in Malawi when the news of Mandela's release was brought to him as a rumor by a prison guard. The same guard had earlier brought the rumor in 1989 that South African President Klerk had started secret talks with Mandela. He describes the therapeutic effect of rumors in prison. At the time Martin Munthali was also a political prisoner in Malawi after being sent to prison by Malawi's president Hastings Banda, a year after Mandela was sent to prison. Mandela spent 27 years in prison before his release. After Mandela's release, political prisoners at Mikuyu were released and free elections were planned putting an end to the regime of Hastings Banda, who had supported the Apartheid government in South Africa.