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Epic Systems of Verona, Wisconsin, is one of the companies engaged in digitizing health records. It has helped develop records for 40 million patients in hospital systems such as Cedars-Sinai Medical Center in Los Angeles, Kaiser Permanente, the Cleveland Clinic, and John Hopkins Medicine in Baltimore and the Weill Cornell Physicians Organization of New York. Epic provides the software, the IT systems, the training and support. Epic is one of the pioneers in this, having been in the business for 30 years. About 40% of primary care doctors in the U.S. and 25% of hospitals use electronic patient records. The Federal government has provided $2.7 billion in funding from $27 billion of Stimulus funds assigned for the purpose of conversion to electronic medical records. This is likely to speed up the conversion. Other providers are Cerner, Allscripts, Meditech, Siemens Healthcare, G.E. Healthcare, and IBM. Epic Systems is considered the defacto standard in the industry for medical schools and some of the major hospital systems in the country. New contracts are leading to a major expansion of Epic Systems which employs 5100 people. Epic plans to hire an additional 1000 people. Revenue for the privately owned company are estimated at $1.2 billion, a 45% increase over the prior year. Epic is expected to have 127 million patients under medical records by mid 2013. To get the feedback essential for such a large conversion, CEO Faulkner relies on feedback from 250,000 doctors who use the Epic systems software, and on nurses and doctors from Epic who visit customer's sites to see first hand how it works and what needs improvement. Judith Faulkner started Epic more than 30 years ago. A project for the Psychiatry department led to other projects after she graduated in computer science from the University of Wisconsin. Epic continues to attract programmers to Wisconsin by making the Epic campus a fun environment and a great place to work. ...

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Pemex's new CEO, Emilio Lozoya, and his plans for improving the oil company's operations. He sees the opportunity to create efficiency and savings for Pemex as large because of the way the company has been run upto now. In this interview by Jose De Cordoba and Laurence Iliff, the new CEO cites as one example that only one airport in Mexico receives jet fuel by pipeline, the airport of Mexico City, the rest receive it by trucks. Lozoya is the son of a former energy minister. He is 38, has a Masters degree in economic development from Harvard and worked as an investment banker in New York. Lozoya says he will draw from the experience of other countries, including Brazil and Colombia which have sharply increased oil production after making their oil companies more competitive and transparent. In this interview he announced plans to setup a separate company to explore and produce shale gas and deep water oil in the U.S.

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This New York Times editorial after the Senate passed a bill in October 2011 calling for action on the misaligned Chinese currency, points to ways a misaligned currrency is damaging for China. It cites the Peterson Institute for International Economics estimate that this is costing China $240 billion a year. This is a result of accumulating huge dollar reserves that have a declining value against the renminbi. Higher import prices lead to higher inflation. And low interest rates on savings, to the point that they are lower than the inflation rate, hurt the vast majority of Chinese and reduce domestic consumption. And perversely this leads to money pouring into speculative uses such as real estate, creating unsustainable bubbles in housing. The Times editorial says China is not generating jobs from this strategy, as the export strategy is relying on use of advanced technology in manufacturing and not creating many jobs. It cites a statistic showing employment has increased by only 1 percent a year from 2004 even with GDP growth above 10%. China is beginning to realize the cost of this strategy, and is planning a shift in its five year economic plan. But this rebalancing has many obstacles. The current system dominated by state run companies, banks, local and federal government, is biassed in favor of the old export led strategy, and experts are pessimistic about the possibilities for change. The Times suggests China may be falling back on the export led strategy as the global economy is slowing. The whole system would have to change after three decades of this kind of development, and would require new leadership and major changes....

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Under the new change voting rights would be allocated at 42.1 % of the IMF's voting power to developing nations, and 57.9% for developed nations. The US has more than 15% of the voting rights and the EU has more than 15%.IMf's important decisions require 85% of the vote. This comes though at a time when the IMF is a less relevant institution for todays international financial institutions and international financial markets one could say outmoded to today's and tomorrow's needs. And the fairer allocation of voting rights comes a decade later than when it was needed during the Asian financial crisis and contagion effects on Brazil and Russia, when the IMF's positions did not show as good an understanding of the needs and problems facing developing countries as it could have, especially giving it a human face. Moreover the rotation of the position of the head of the IMF between financial leaders of the USA and Europe, as is true of the World Bank does not lend them to fresh thinking from countries in Asia and other parts of the world like Eastern Europe, Latin America, and the ability to bring afresh perspective from these countries. ...

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Commerce Department figures for May shows sales at retail establishments fell 1.2% in May 2010 from April 2010. The decline induced by drop in autos and building materials was the first decline since September 2009's 2.2% drop.

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If not passed by Congress, the extension of unemployment benefits expires by July 4, 2010. This would leave an estimated 1.6 million people without the average check of $309 a week. A bill when passed is expected to reduce benefits and reduce aid to states and local governments facing budget deficits.

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Tata has a couple of things going for it to make a car at a price under $2500- a different vision behind it and a longer term idea of the market and its opportunities for Tata Motors. This is a personal vision of Ratan Tata, the last in the series of Tata family members who have run a company that was at the leading edge of industrialization in India since British times in the closing years of the 19th century. He sees this as a way to bring a car that is affordable to millions of Indians, the average Indian, just as his father and great grand father were pioneers in India's early steps towards industrialization. This also will serve another purpose. It will provide momentum to India's manufacturing base by putting India's auto industry on its way to sell cars by the millions in the next ten years. The cost was a challenge to Indian engineers ingenuity. It would help them develop something from scratch from a clean slate, and as he hoped reinvent the car if possible. The cost also was doable in India because of the wages paid to Indian engineers and workers are different. The entire cost structure with suppliers like Bosch providing the engine also and internet purchases of parts coming under a completely different way of doing business, again a reinvent of things. And the skimping on a lot of basics like a radio is possible in the Indian context where the inital target market is the scooter family of which in India there are millions. People who would simply be waiting for such a bare bones car, not see it as such because it is a great advance over a scooter even in terms of safety. What most people who have never been to India would not be able to grasp is that a whole family of four can be seen riding on a scooter or motorbike in India on weekends in Indian urban areas. Tata's idea of the market potential is the way it can ride the next stages of increasing incomes in India. Once it has come up with this car it can come up with enhanced versions with an airconditioning and radio and so on, and still price it way below competitors with Tata's quality and brand name and innovative design. As long as Tata can sell all the cars it makes it can expand production rapidly. Tata's costs for engineering a top selling model may be only 20% of the $350 million it costs western companies, according to Alix Partners, with savings of $300 to $1000 per car right there. Labor costs are about $1.20 per hour in India, less than what auto workers make in China, this provides more cost savings. Tata plans to supply kits to dealers who will do the final assembly in small workshops. This distribution strategy will save Tata another chunk of costs, as about 20% of the car's cost is in distribution in the USA. ...

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Alice Rivlin's efforts to break the deadlock in the bipartisan Obama administration commission. The commission was setup to recommend ways to control the US budget deficit. This group is paralyzed by politics as Democrats have tried to safeguard Social Security, and the Republicans are dead set against tax increases. Rivlin is working through a shadow commission on the deficit headed by former Senator Pete Domenici. This shadow commission is supported by the Bipartisan Policy Center, a think tank setup by former Republican and Democratic majority leaders. The idea is to get the process started through leaders of both parties, as happened in 1983, when Senators Monynihan and Dole initiated the process after a similiar deadlock. The agreement reached then led to a change in the Social Security law, which increased the cap on payroll taxes and raised the retirement age.

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A description of Ben Bernanke's style at the Fed and how its different from Greenspan's. Bernake has brought a more open and cooperative style with lots of questions asked of other experts of all ages and experience and in different parts of the world, with lots of discussion, testing assumptions, and looking for creative ways to and creative solutions to address the problems. Its more collaborative mode. As one Fed staffer puts its more like a seminar room at Princeton. Description from insiders on how the Fed met with advisors on August 9, a day after the ECB had acted on the mortgage crisis, and how the response by the Fed was developed on that day in a collaborative cooperative mode with a lot of participation and discussion on the Fed's next move, calming the markets and reassuring them while making sure that the Fed's actions were well thought out in all aspects for a series of moves over the next couple of months. Involvement of NY Fed's Geithner, of former Treasury Secretary Rubin and Wall Street bankers, sought out for advice by Bernanke....

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When Amory Houghton was CEO in 1964 of Corning Glass, the company made the glass used to encase TV tubes. The company lost this market to cheaper Japanese imports. It was the shift to tiny strands of glass that replaced copper wire as away to transmit voice and data, that saved Corning.  He had to cut employees by one thirds in the beginning but soon was back to a new business. As Houghton says it was back on his own turf, with its own patents and scientific expertise.   After running the company till 1983 he considered becoming a missionary in Zimbabwe in the Episcopal Church, but decided instead to run for Congress as Amo his nickname, for the southern part of New York state. The company that made lightbulbs for Thomas Edison in the 19th century, shifted first to glass to encase TV tubes, and then in another change turned to fibre optics in the 20th and early 21st century. A change made possible when company management looked different than it is today, with humbler people and CEO's closer to the rank and file than today. ...

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Chrysler's effort to improve quality under a former Toyota executive, Mr. Betts. Fiat-Chrysler CEO, Marchionne, has given wide ranging authority to Betts to stop everything if needed to make changes and improve quality. Chrysler quality has lagged behind competitors GM, Ford, Toyota, Honda and Nissan, and is only now beginning to catch up. The new Jeep was given particular focus. And the product launch of the new Dart is getting a similiar focus on quality.

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Improving relations between Turkey and Iran after the election of Rouhani as president of Iran. Efforts by both sides leading Sunnis and Shiites to head off an increase in sectarianism in the Middle East, especially in Syria and Iraq. Both countries agree on the importance of democratically elected governments in the Middle East and reducing conflict.