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Estimates show the 50 million Americans enrolled in Medicare today will increase to 80 million by 2030, according to the program's actuaries. Simple demographics as the baby boom generation ages is making controlling the deficit without controlling increase in health care costs as both sides in the fiscal cliff negotiations are attempting to do can only lead to defunding critical areas such as education, R&D and infrastructure, and breaching the safety net for lower income Americans. Health care spending took up 7% of GDP in 1960, increasing to 17.9% of GDP in 2010. Federal spending on healthcare has grown to about 25% in 2012 from 10% in 1960, and is projected to increase to about 33% in ten years by the Congressional Budget Office.

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Moody's lowered Italy's credit ratings by two notches from A3 to Baa2, putting it two levels from junk territory. Moody's views are that Italy was subject to increasing deterioration in market confidence with contagion from Spain, as Spain may need more support and its banking system is likely to have more losses than expected. Moody's also sees diminished overseas investments in Italy. Its assessment is for a 2% decline in GDP in 2012. High debt levels and significant funding needs in 2012-2013 are also taken into account in this rating.

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Jobs and Bezos as polymath leaders combining various influences. Jobs influenced by calligraphy, design, technology and Buddhism- bringing this together in a fluid intelligence to come up with new products. An adventurous spirit also characterizes Bezos and Jobs.

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Medical experts say the pressure on the neck doubles for every inch that a person bends over to look at a smartphone, PC or tablet screen from a vertical posture. This reaches 60 pounds of presssure on the neck at a 60% degree angle. This is one of the serious hazards to health of the neck and spine by the commonly used postures of young people and adults for smartphones, tablets and laptops.

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Norbert Rottgen, chairman of the foreign affairs committee of the German parliament is realistic about the prospects of Minsk 2, after the failure of Minsk 1, which was negotiated in the Belarus capital Minsk in September 2014. The Russians have the upper hand militarily and the demarcation line moves further to the west in current negotiations in Minsk. The breakdown in Minsk 1 comes as Putin continues to support the separatists in Ukraine, who declared a Donestsk People's Republic with elections held recently, and have now taken territory to make their positions in eastern Ukraine more defensible. The war could end there with a de facto split of eastern Ukraine on the Russian side, or lead to further guessing of Russian president Putin's intentions if the conflict continues. Italy's foreign minister Paolo Gentiloni, points out that arms aid by the U.S. to Ukraine would only fail as Russia could respond, and it gives the Russian president the added advantage of the narrative that the U.S. and NATO are a threat to Russia at its borders. All sides say they respect the territorial sovereignty of Ukraine, but the fact remains that Ukraine is deeply divided with the eastern region bordering Russia having close ties to Russia, and the western region near Poland having strong ties to a newly emergent EU that includes much of Eastern Europe. Prudence and restraint is needed on all sides for a settlement. ...

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Peters and Wessel provide profiles of middle aged American men in 2014- as tech workers out of jobs as technology shifts and worker skills fall behind, younger men with masters degrees in fields such as public administration where it is hard to find jobs and workers lack retraining, and other men who lost jobs from globalization or the 2009 economic crisis. About one in 6 working age American men 25-54 are without jobs- about 10.4 million. Of this group two thirds are not looking for work either because they cannot find decent paying jobs or are too discouraged looking for work, and are not counted in the unemployment rate calculated by the Labor Department. About three quarters of the working age men not working have only a high school education compared to 55% with jobs. Wages for highschool dropouts have declined by 25% since the 1970's, and 15% for those without a college degree but having a high school diploma- some of these men are going back to school, others lacking retraining are too discouraged to look for work and depending on a spouse or government benefits. It is these people U.S. Fed chairpersons Ben Bernanke and Janet Yellen have in mind as they shape Fed policies since 2009 to not leave them behind....

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A detailed account by Thomas Schweich, a senior official and deputy in the law enforcement bureau to Anne Patterson, Assistant secretary of State for international narcotics and law enforcement affairs. He talks about how the Pentagon and the UK military have thwarted efforts for aerial eradication of poppy fields which has worked in other countries like Columbia. In fact Anne Patterson was an Ambassador to Columbia and knows about this first hand. He also talks about how through their efforts northern Afghanistan was cleared of poppy fields but how the cultivation has shifted to the south to Helmand and Kandahar provinces. The government officials in these provinces are actively involved in the poppy farms that are being setup there and support Karzai and help him organize the Pashtun vote for coming elections. So Karzai is protecting these officials and because of this opposes aerial eradication and does not support using Afghan Army for land eradication. The military in the U.S. and the UK does not want to take more casualties by turning against them the officials and farmers who support the government, but this is a short sighted policy because this helps make the Taliban insurgency stronger with access to cash and weapons because they also are actively setting up farms in their areas of southern Afghanistan. Aerial eradication takes care of poppy farms in all areas and has been effective in other countries. In the long run the military takes many more casulaties because of the bigger insurgency and Taliban they have to deal with. The military's policy is called "Sequencing," and its basically we'll deal with drugs later which is based on a complete misperception and understanding of the situation facing them. Schweich is in the thick of these battles and has fought them wit courage it appears from this account. He has the support of Secretary of State Rice but has not been able to get the Administration to get Karzai to change the way he is operating. It risks making the situation and insurgency in Afghanistan a lot worse if not corrected. Its a call for action and for educating the public and clearing all the misunderstanding and myths and fog about whats happening in Afghanistan....

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Bill Clinton, says about his foundation, in talking to voters in Detroit- " all we have done is save lives. If creating jobs and saving lives is bad, I guess you can zing me with it." He told another crowd in Durham, N.C, that he was tickled by Trump's comment that the Clinton Foundation was a "criminal enterprise." The criticism of the foundation hurts Mr. Clinton because of the lifesaving work it has done for AIDS, malaria and saving lives. The Clinton Foundation made the error of taking donations from overseas in the zeal for donations, which gave some critics an opportunity to smear the foundation. Another error was not to strictly separate the work of Bill Clinton from Hillary's work at the State Department. Even though in its activities it has been exceptional in its work. In poor countries like Haiti it has helped people overcome poverty. On one achievement alone the Foundation's work is exceptional- bringing HIV/AIDS medication at affordable prices to 11.5 million people in 70 countries. It has also worked to reduce obesity among American school children, and improved lives through its health initiative, including lives of farmers in African countries. George W. Bush did exceptional work in Africa for AIDS/HIV. Clinton's activities continue an American tradition of helping people in Africa's poorest regions.  In this case the funds raised aggressively by Bill Clinton during speeches, were used to save lives or improve lives. This has been lost in the criticism of the Clinton foundation, as if the good work done by George W. Bush for AIDS in Africa can ever be fairly diminished in the slightest way by criticism of the Bush family. ...

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Anderson Clayton 25 years, grew up in a rural part of North Carolina. She won the state leadership election and has clear ideas about what went wrong with the Democratic party. She gets asked not to keep saying "we've left Democrats behind." And responds by saying: "We have, we've left people behind." During the Obama administration the party became more of a metropolitan party and lost sight of rural voters. It also neglected towns that were dependent on factories that moved overseas. Her plan is to reach out to rural voters in North Carolina, and to the hundreds of thousands of students there. Clayton feels that rural and blue collar voters have been forgotten by the Democratic party and she wants to get this right. She won her race against a 73 year old candidate who had the support of the Democratic party establishment. Clayton who studied at Appalachian State University, is an organizer, and wants to be active throughout the year meeting and organizing rural voters and students. ...

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MP's and others on a panel give their views on the results of the local elections in England, and what this means for the general election. A Greens party MP says taking action on climate change is a clear vote winner. Sewage and water pollution in the rivers is an issue coming up again and again. Communities underfunded and undercared for by the Tories. John McConnell, a former shadow chancellor and MP, says for a decisive victory that helps get the majorities needed to pass legislation for funding investment in the economy, in infrastructure and fighting climate change, the Labor party needs a better result than this one. After a new Labor government is elected by the middle of its term it becomes important that the win in the general election is a big one with an overall majority in parliament. For this Labor needs to do well in Scotland taking back the position in Scotland that it held in 1997 before the emergence of the Scottish National Party.  ...

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The NYT says many of India's largest and most profitable companies are "relative models of probity," and several ranking among the world's best governed companies including companies in the software and pharmaceutical sectors. Large parts of the Indian economy have little appetite for the risk taken on by the Adani Group and are run on a financially conservative basis. Infrastructure is unique for this kind of risk taking because of decades of neglect of Indian infrastructure during the 1995-2015 period, when China was rapidly building infrastructure with large investments and India fell behind. It is that catchup mode that induced Adani Group's aggressive efforts taking on debt for outsize goals that it was willing to adopt for coal, solar and port logistics. As a result the Indian economy with companies such as Infosys and Dr. Reddy's Labs says the NYT, is largely not affected by the problems of the Adani group's debt structure.    ...

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Austrian chancellor Karl Nehammer meets Russian leader Putin for 90 minutes and tells him that he has "lost the war morally" and that "in war both sides are losers." As shown by the World Bank today the Russian economy could be impacted by somewhere between 11% to 25% loss for its economy, for Ukraine the loss would be 45%. For Belarus, Moldova and former soviet republics of Uzbekistan, Tajikistan, Krygyz, the loss to their economies about 30% because the region is interconnected with remittances and other trade impacted. These would be devastating economic losses. The entire region in this part of Europe would be suffering losses. Many of the countries would have to turn to the IMF or the World Bank to remain solvent. One of Russian leader Putin's goals was to build a rival economic bloc from former Soviet republics and regions. Instead the invasion has done just the opposite. The economic losses will have impoverished the whole region.   ...

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This WSJ report says IRS is working on collecting $10.7 bill in taxes from Amgen for the shift of $14 billion in profits to its Puerto Rican subsidiary. Puerto Rico is considered a foreign country for US tax purposes, and by locating profits there Amgen paid much lower taxes than most companies. In 2013 this was effective tax rate of 3.5%. Now this is coming into careful scrutiny from the US government as president Biden plans to generate revenues to pay for the shift to renewable energy to combat climate change with COP26 commitments by the US, and to reduce pharmaceutical cost inflation for the US public. This is the idea behind the $369 billion Inflation Reduction Act of 2022, both a climate and a tax bill that is being passed in the US Congress.

This bill is the biggest climate change bill in history and yes it depends on revenues from fair taxation that has not happened till the Biden administration's resolute effort in this direction.

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Safety checks at Norfolk Southern are the subject of this report in the WSJ. The derailment of a freight train leading to spill of toxic chemicals in Ohio on Feb 3, 2023, led to concern about the safety practices at American railroads in the efforts to cut costs. The National Transportation Safety Board has opened a probe into the safety culture and practices of Norfolk Southern. One practice called PSR or precison scheduled railroading has been used by railroads in America to cut costs. This means fewer employees, longer freight trains as long as 3 miles, and fewer locomotives. The result is that employees count went down from 159,000 in 2011 to 115,000 in 2021 a drop of 28% even when freight dropped by 11%. This increased profits resulting in higher dividends and stock buybacks, with a heavier workload and less time off  even for sick days until a threatened strike. President Biden intervened to set a new pay and work deal and an element of fairness for workers. ...

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Trade between South Korea and India is growing rapidly and will have exceeded $30 billion by 2022. Samsung and Hyundai have expanded investments in India. India has strong cultural and Buddhist connections to South Korea. Cultural connections should be stronger than what they are considering the historical roots of Buddhism in India and Asian Buddhist regions such as Korea, Vietnam and China rediscovering their roots in Buddhism and the Ancient Path historical sites in India after the pandemic. This will happen now that India is like South Korea and Japan a rapidly modernizing country that has not lost its connections with Vedanta and Buddhism. South Korea has close ties to Japan. During the first phase of modernization it expanded its ties to Japan. During this phase of modernization both Japan and South Korea can increase exchanges of students and visits by tourists, and business exchanges between the countries, as there is great potential for this and the time has come to do this. ...

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BRICS is becoming an obsolete concept as Brazil, India and South Africa are essentially looking for ways in which they can increase opportunities for growth. It was a concept started by a Goldman Sachs investment banker Mr. O'Neill at a different time in 2010. The world has gone through the 2009 financial crisis, the pandemic, and the supply chain crisis with overconcentration of EU and US supply chain in China. These events are leading to a shift under the Biden administration to bring India  into the G7 into a new G8 that includes India. Only Russia, China and South Africa remain from the original BRICS. Russia because of the war in Ukraine now depends on Chinese support and trade. Brazil will gradually shift back to its position as part of the US alliance in Latin America with Mexico, Argentina and Chile. India with its plans for rapid growth to build the modern third largest economy by 2040 seeks supply chain integration with the US and EU in the position that China holds today.   ...

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About one third of cars in China will be electric cars by the end of 2023 from one fourth today. Compare this with 6% of cars being electric in the US. EU, US and Japan are far behind. Toyota has only now ramped up EV's with a new CEO. In the domestic Chinese market 80% of EV's are made by Chinese auto manufacturers, And this could go up to 90%.  This means the share of the Chinese market for German and US manufacturers is actually shrinking. Chinese buyers now prefer Chinese brands over foreign brands. Over 4 decades says Keith Bradsher in NYT the US and European auto manufacturers trained a whole generation of Chinese auto engineers who now work for Chinese electric auto makers. This is one market in which China has built a formidable capacity. This is also a big contribution to cutting emissions from fossil fuel powered cars after China's massive use of fossil fuels over two decades worsening climate change.

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OPEC and Russian oil producers are planning to increase oil production by 400,000 barrels a day for each month through 2022. Demand is increasing with economic recovery and this will lead to higher oil prices. Oil prices are now $80 a barrel in October 2021. Shortages of natural gas and high prices are leading power generation companies to use oil in place of natural gas. This will increase demand for oil by 500,000 barrels a day. Oil export revenue was cut in half to $119 billion for Saudi Arabia in 2020 and Saudis want to see higher prices to make up for lost revenue. OPEC + that includes Russia decided to end a price war during the Trump administration and this time have designed a strategy that will gradually push up prices. In recent years shale oil producers in the US quickly responded to higher prices of oil and increased production. After the pandemic in March 2020 American shale oil producers in 2021 are not increasing production. This gives OPEC+ better ability to set oil prices at higher levels. ...

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Photos of industrial decline in the US with text by Helen Epstein, professor of human rights and public health in The Guardian. This was a period in the early 1980s when America's major industries in steel and other parts of the economy went into decline. Cities and towns across this vast land were left to decline with loss of jobs and with it decline in quality of life, decline in health, education, says Prof. Epstein, as the Democratic Party jettisoned its foundational principles. The term "Reagan Democrats" emerged in the late years of the Carter administration, and again after Clinton, Obama took the shape of the Trump vote. By 2021 the situation has reversed with the Democratic Biden administration putting forward a program for revival with his $1.8 trillion Families Plan for infrastructure and for the benefit of America's workers, students and families. What was a protest vote during 2016 is now taking new shape in the form of this plan for the renewal of America. ...

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Gary Starkweather, son of a dairy farmer in Lansing, Michigan, invented the laser printer in 1977 with the Xerox 9700.  He did this while working for Xerox Corporation, with his idea that optical technology could be used to provide pulses of laser striking a photosensitive drum, with toner attaching to the spots touched by light, the toner then fusing to the paper. His initial idea was rejected by his bosses at Xerox so he got a transfer to the Xerox Palo Alto Research Center where he worked on developing the first laser printer and then better laser printers. Interesting and useful are his thoughts on productivity and use of technology. His views were that it was not a good thing having people pressured working from the 40 hour week to the sixty hour week. He also disapproved of the pressure for people to stay digitally connected all the time. For him the concern about the future of information technology was- can I still be human in the process. ...

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China is in isolation and in a freeze in ways that are unprecedented, that have never happened before. It has depressed world trade, disrupted supply chains of world trade, forced companies to restrict their employees movement, or bring them back home. Apple with 10,000 employees has closed operations and offices in China till Feb. 9. This is happening for many foreign companies in China as they deal with something they have never encountered before.  There is slowing down in demand fro crude oil as the lockdown affects the economy of China and world trade, Oil prices dropped 16% since the virus was detected. When the Sars virus happened in 2003 the Chinese economy was sixth in size in the world, now it is the second largest. At that time 7 million Chinese travelled abroad, today it is about 150 million, affecting international tourism. First quarter growth in China is now forecast by economists surveyed by WSJ at 4.9%, the lowest in decades. ...

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China and Nepal differ on the exact height of Mount Everest. Nepal says is measurement shows it at 29029 feet or 8848 metres above sea level. China calculates it to be 8844.3 metres. Nepal uses as sea level the Bay of Bengal, China uses the Yellow Sea. It varies whether the rock base is used or the variable level of snow and ice at the top. There is more climbing activity on the Nepal side than the Chinese Tibetan side. The mountain is always moving even if it is minutely. Seismic activity has raised it 5 metres. Till 1840 Kanchenjunga was considered the highest till the British surveyed the mountain. In 1856 Andrew Waugh, Surveyor General of India stated that the peak 15 of Everest was 29002 feet or 8840 metres high. In 1865 the mountain was named after Sir Colonel George Everest a fellow surveyor in the British Army. In 1955 India declared the current height given by Nepal. The Chinese occupation of Tibet by 1956 made China a neighbor of Nepal and for Mount Everest. ...

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Olaf Scolz, Germany's Vice Chancellor and Minister of Finance, since 2018. He  wants to counter the myth that individual success is always self-made. As candidate for the Social Democrats he is the leading candidate to succeed Merkel. Scolz believes in genuine "respect." If elected chancellor he will take Germany in a new direction after the Merkel years marked by neglect of infrastructure, increased division among Germans and fragmentation of parties, addressing euro currency issues left behind by her mentor CDU chancellor Helmut Kohl, poor migrant policy that divided German opinion, lack of social mobility for working class Germans, and failing families in childcare, other services.  Biden in the US, Scolz in the European Union, could offer an opportunity for combining the strength of Europe and the US in tackling the problems the world faces today- restructuring supply chains, reducing divisions sown through neglect of families and the working class, climate change, competing with an assertive China using western technology and resources. ...

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PM Modi's address to the Law Conference in October 2022. Modi talks about the importance of laws in society playing a constructive role to promote ease of living, ease of justice, and innovation. Laws from the British times are still on our books, says Modi. About 1500 laws that were outdated have been scrapped and 23,000 compliances that were not needed and a burden on people were scrapped by his administration, says Modi. These laws and compliances had become a "loko ka dabai" a burden on society.  In Gujarat delays in justice were lessened by the introduction of evening courts. During Covid virtual hearings have facilitated the work of judges and made it possible to continue the work of the courts during the pandemic. It is imperative, says Modi, that the courts and the law officials keep this idea of ease of justice and ease of living in mind as they tackle the work of implementing the law, so that respect for the law is enhanced. ...

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This report in The Times shows how Africa is tackling malaria by using modern methods such as drones. Drones are used in Ghana to send medicine to remote parts of the country. The rollout of the world's first malaria vaccine is taking place in Malawi, Ghana and Kenya. The Glaxo developed vaccine requires 4 doses over 18 months. Gavi is a partnership that brings UNICEF and WHO in partnership with private companies to  buy vaccines in bulk and distribute them where it is not affordable. Gavi supported 66 million vaccines in 2018 for children, yet about 20 million children in Nigeria, Congo and other parts of Africa lacked routine immunizations in 2018. UPS and health service workers are joining in the effort for administering this vaccine correctly.  Software that tracks the taking of the vaccines by children is essential for success and this is being implemented with Ghanian authorites. This report shows how it is done in Dateng, Ghana, a town of 800 people 3 hour drive from Accra.  ...