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Leonhardt argues that rationing is rational allocation of limited resources, health care budgets are limited resources even in rich countries like the USA, and if you overpay here you cut somewhere else. Now the cuts that are not noticed he says are in take home pay as employers face increased premiums from insurers. Rationing is taking place all the time with poor health outcomes relative to the cost for poor allocation of resources as survival rate for many diseases are not that much better than other countries. Rationing takes place everyday when patients see doctors only for a few minutes as doctors race to see more patients, and when diseases are not caught early on in the process as doctors do not know their patients well enough. And rationing is taking place as patients simply delay or forego treatments based on the extra cost, or as uninsured get no care. There are so many buzzwords like this thrown around, with doctors, hospitals and insurers and other groups trying to preserve the status quo, even as it is becoming rapidly unaffordable fort the US to be spending so much on health care....

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President Obama's new rtegulatory reforms in final form as they go to Congress for passage. Exrtensive preparatory meetings with financial firms and industry participants, legislators, and consumer agencies and otehrs between Summers, Geithner and their aides and these firm's executives and leaders before the reforms were worked out.

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Is the new size of Black Rock at $2.7 trillion in assets after the acquisition of Barclay Global Investors reason for concern. Black Rock CEO Larry Fink says that 100% of its assets is not trading for its bottom line but managing assets as a fiduciary responsibility. Its leverage is minimal, using $20 billion, or less than 1% of its $2.7 trillion in assets. He says for every dollar of equity Black Rock has a dollar of assets , and that "you cannot compare the two," referring to the overleveraging that brought down many financial firms like Bear Stearns and Lehman. He added that most of the money from BGI is in stock and bond index funds.

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The White House announced it has the plan for regulatory reform outlined in a 85 page white paper. It provides the bbasic steps planned and the the reasons the administration chose to modernize the existing setup analogous to redesigning and making improvements based on the existing framework rather than building from the ground up. The five key steps are: 1) Increase the power of the Federal Reserve to provide strong and consistent supervision of the larges financial firms. 2) Getting Congress to authorize the government to dismatle large firms to avoid the kind of chaotic collapse that ocurred at Lehman and which worsened this crisis. 3) New rules for derivatives trading and securites built from mortgage loans. 4) Creating anew agency to protect consumers of mortgage, credit card, and other financial products. 5) the administration having a setup to increase coordination with other countries to prevent businesses from migrating to less regulated locations. Obama's comments to CNBC were " Speed is important. We weant to do it right. We want to do it carefully. But we don't want to tilt at windmills. We want to make sure that we're getting the best possible regulatory framework in place so that we're not repeating the mistakes of the past."...

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The Congressional Budget Office's Elmendorf says without spending cuts in payments to doctors and hospitals and other providers, providing coverage to the unisured will put the nation deeper into debt. Popular measures such as increasing preventative care, expanding medical records and rewarding doctors for choosing treatments that improve cost and quality have potential but its not proven how much the savings from this would be. The administration and the White House Budget Director, Peter Orszag, say they are in agreement with the CBO that something needs to be done to seriously reduce costs, reducing payments for Medicare and Medicaid to doctors and hospitals, and making other changes.

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Two brothers Ian and Murray Callum, are leading the way for For Design. Moray is the new design director of Ford motor Company. He says Ford Motor is convinced that exciting products are key to acceptance in the marketplace. Moray helped Mazda become a design leader. The wo brothers are from a small Scottish town. The budgets atre tighter these days, and there are fewer designers, but everyone respects and apprecitates the work these designers are doing at Ford, says Moray.

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A Consumer Financial Product Safety Commission will take over financial and regulatory oversight of the credit card and mortgage industry from the Fed and other banking regulators. Its job will be to protect consumers and ordinary investors. The Fed under former chairman Greenspan failed to do anythingabout the deceptive practices in these industries which led to the current crisis.

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Speakers at the National Summit in Michigan agreed that the US's traditional role of leadership was slipping away. The causes were attributed to many things including a less than rigorous educational system to a lawsuit happy legal system. The second theme that emerged was that government is not the problem or the cause of what is happening. Beth Chappell, CEO of the Detroit Economic Club said that "a new era of cooperation and collaboration between business and government" is taking place. She defined the needs of the private sector as:, stable and predictable policies that alig with the nation's longterm goals and a policy of leaving the choosing of winners and losers to the marketplace. Another theme at the summit was the opportunity facing American companies as the problems facing the country are addressed and the country heals from the wounds inflicted by the bubble economy.