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Democrats voice their opinions on president Biden's run for president in 2024. Most Democrats say they back Mr. Biden and Mr. Biden has pushed through a program that is already changing America and preparing it for a better future. Yet a bias against age remains though both candidates are divided by a mere 3 years with Mr. Biden following a healthier health routine and nutrition than Mr. Trump according to reports. It is still a year before the 2024 election season and Mr. Biden is now taking his case to the American people on the question of democracy, the values and principles that have to be upheld and which are being challenged. Major changes are taking place for new infrastructure, for climate change that never happened before and president Biden and his team are taking this before the American people. 

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U.S. healthcare spending of about $3 trillion comes with poor results. The cost per person is about three times that of countries such as France, Britain, yet the results show U.S. doing extremely poorly. The author points out that less spending on healthcare and more on social services in areas such as education, nutrition, housing and other services would improve the outcomes and results. It is this missing factor that is helping other countries in Europe, Japan and China achieve better outcomes and returns per dollar spent.  Social spending can affect such things as nutrition, exercize levels, lifestyles, housing and result in dramatic improvements in obesity levels for instance, or inflammation levels in the population that play a role in many diseases. The idea is prevention. This is not happening because higher health dollar spending has lobbies to support it. Social spending also is a dollar expense that shows up immediately whereas results are spread out into the future as a longer term benefit with healthier populations that need to consume less healthcare and treatment. Elizabeth Bradley, president of Vassar College is an expert on this subject. She says social services spending gives more bang for buck  in health outcomes.  The point is relevant also for countries in South Asia and Africa that have taken some on some aspects of the U.S. health system resulting in health care spending that does not deliver the most for the dollar spent, and ignores the critical role of prevention.  The solution lies in moving these health care dollars out of the health care spending and into education for health outcomes, lifestyles, exercize habits education, and into social services that enable prevention and better health. ...

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Since 2000 the area under millet cultivation in India is steadily declining, reversing only since 2015. In 2006 millet was taken regularly by 39% of the population in India. By 2021 it had declined to 9 days a month. The area under cultivation for nutri-cereals declined from 41 million hectares in the 1980's to 24 million hectares in 2018 The reason being low yields, processing hand pounding millets time consuming laborious task of women, very little marketed.

Over the last 10 years production of sorghum (jowar), has declined, of pearl millet (bajra) stagnant, finger millet (ragi) also declining. Productivity of jowar and bajra has increased only marginally.

With these problems India if it is to realize the mission for millets in India's food supplies and nutrition, and export to the world, has to use mechanized hulling, better seeds, and improved agricultural practices, access to markets.

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Trump at 77 has serious issues of age for the US presidency says Frank Bruni, professor of journalism and public policy at Duke University. Age is a very personal journey, says one expert, and it depends on how good you are taking care of yourself. On this score Trump has serious drawbacks. Nutrition matters, exercise matters. Bruni says Trump's diet is garbage, and he is overweight. Biden is only 3 years older than Trump, and he is known for healthy eating habits and regular exercise. This is a serious difference that the press has paid little attention to. Another factor in aging is doing something for a purpose in life that extends beyond one's self. Trump's obsessive attention to himself means there is a lack of purpose beyond one's own egoistic pursuit of office which acts as a negative factor in aging.

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Linda McMahon, the Education Secretary and RFK Jr. the Health Secretary team up to fight the misplaced approaches to children's health and mental health. Typical is separation of health and mental health to treat them separately. The authors say there ia reason as early as the 2nd century the Roman poet Juvenal has commended "a sound mind in a sound body," that in so many languages and cultures has found a precious place since, in Latin "mens sana in corpore sano." We ignore this at our own and the Nation's peril, when in every culture this is so clearly grasped and cultivated. Healthy nutrition including the kinds of natural foods such as fruits, vegetables and ancient grains and getting fast foods and chemicals out of our food, and healthy exercise, participation in sports are a better way to approach mental health, and for the backward looking side of tech a no cell phones in schools rule. Screen and social media addiction, indoor lifestyles, and food with harmful ingredients are the true source of our children's mental health problems and should be treated as the culprits, say McMahon and RFK Jr.  ...

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The restructuring underway at Pfizer. Experts view the cut in R&D budgets, when more new drugs are needed, with skepticism. Pfizer and other drug manufacturers believe they can make up for this by working closer with universities. Pfizer is reducing the size of its Groton, Connecticut R&D facility and is moving research operations closer to universities in Boston and Cambridge, England. R&D budgets will be cut 30%, from $9.4 billon to $6.5- $7 billion. The emphasis now is to develop a new model for drug development by focussing on a few promising areas, collaborate closely with universities, and fill gaps with acquisitions, as a more efficient way to develop new drugs. In this new approach the infant nutrition business, even with its high growth rates, did not fit in. Cash from the operations sold to Nestle will be used to make share buybacks and be returned to shareholders. Other drug companies from Novartis to Bristol Myers are trying this approach.

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What is the one thing experts say is most beneficial for health? Improving our minds by building self-awareness. Understanding your feelings, motivations and behaviours in more depth, enables us to make better choices. To do this try journaling, meditating, practicing mindfulness or simply making time for self-reflection at the end of the day.

In doing this also pay attention to diversity in eating plant based foods for as many as 30 plant based foods, incorporating different exercize routines that get you motivated and happy, and get a good seven or eight hours of sleep, say these experts in health and nutrition.

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Isaacson's new book on Musk says Musk's story is a cautionary tale. The compulsion to be drama magnet or mean are not prized traits, say others.  More sinister (the hell) is celebrating a culture that does not respect the need for worklife balance, of respect for nutrition and exercize for good health. Musk's methods which he calls "algorithm", a word known more for obscurity than meaning, are nothing new. For years as the US, Japan and China, now India have innovated there is a focus on simplifying things, and to do this questioning the existing way of doing things by breaking down the existing method into pieces and reorganizing the pieces of the puzzle leaving out unneeded pieces. What is the key to his success as it was for Jobs at Apple is creating a culture in which people would invest in and take risks for innovation at the high end of the price spectrum. Jobs used design and new stuff like the iPod and iPad, iPhone to do this. Musk does this through playing the role of a social media icon but a dangerous one that does not respect worklife balance and good health habits of nutrition, exercize and mindfulness. In processes this can give you a process that takes less time and money- how India's moon mission and rover Chandrayan 3 was done for $78 million showing these work practices of Musk are nothing new, and universally adopted by successful companies and nations. Newer ask your employees to do what you would not do, is also adopted by the best managers. By turning it into a mantra it obscures the fact that America today is a country of massive inequalities where two thirds of 4th graders cannot pass ACT reading test and half of retirees have zero savings, working people and families face a cost of living and health crisis and are badly neglected. How does it help to role model as an icon and popularize a culture that tolerates and accepts such conditions that would leave men deeply troubled, including America's leaders Washington, Lincoln and FDR if they were alive today. ...

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A diet that has a good amount of fruits and vegetables as well as healthy grains is needed to keep body inflammation levels low, say experts in this video from DW.com. A varied diet is essential for good health. Keeping away from colas and sugary drinks is essential. Adding a good mix of healthy foods is also essential with whatever fruits and vegetables that are available in the season. Lower inflammation levels through healthy diets also help the body to avoid obesity and diseases that relate to obesity. During the coronavirus good nutrition and exercise can make a huge difference. In this video experts show that even changes over 6-8 weeks in adding more fruits and vegetables, whole grains, adding any form of exercize that appeals to one, can make a difference in building immunity levels against the coronavirus.

 

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Obesity is a problem today of global dimensions. In the U.S. this problem has reached a new high and increased U.S. risks in the face of the coronavirus. This author and her nutrition organization say the U.S. dietary guidelines put out by a government agency have failed over decades to do what they were supposed to do - guide people in the right direction to make good food choices. People at this time of the coronavirus need to make their own choices, independent of these guidelines that have failed. Intuitive choices for healthy eating by increasing vegetables and fruits in the diet, increasing use of healthy herbs such as turmeric, basil and ginger, eating carbohydrates and fat in a sensible way, increasing ancient whole grains in the diet, reducing meat in the diet in favor of plant based foods such as lentils and a large variety of whole grains. 

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Farming vegetables causes less greenhouse than livestock production. Climate experts say people should eat more vegetables for better health and for slowing greenhouse gas emissions that cause climate change.

Consider that studies show farming and other land use account for about a fourth of all greenhouse gas emissions, and about half of methane gas emissions are released into the atmosphere from cattle and rice fields. Meat in particular has more greenhouse gas emissions. 

Climate experts say the nutritional value of wheat grown in higher CO2 areas is 6% to 13% less for protein, and 5% to 8% less for iron. Another problem aggravating the situation is that drought has grown 1% a year between 1961 and 2013, IPCC researchers have found. This is a result of the growing climate change issues. Drought and nutrition is a major problem in India and Africa.

 

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WSJ looks at the changes in the way medicine should be practiced in the light of what we have learned from the pandemic.  Medicine practiced before the pandemic and still today relies mainly on a visit to the doctor or specialist who is short of time. There is a shortage of doctors. Patients have many illnesses as a result of decades of neglect of proper nutrition, and exercize habits. Obesity is at about 40% in the U.S. about 30% in the UK and 17% in France, and high also in other parts of the world. These high rates were unknown throughout history and result in many illnesses and increase by four times the vulnerability to the coronavirus. One authority in medicine calls obesity pouring gasoline on a fire for effects of the virus.  A doctor's appointment with doctors short of time with no coordination around a whole range of factors related to obesity, illnesses, health checkups, mental health, is now seen as a heavily handicapped way to practice medicine or for patient healthcare and wellbeing. The alternative is discussed here as the way forward. A  team will be responsible for a patient's care not just an individual doctor. The team would care for general health after a patient's checkup, cover individual illnesses, weight issues, mental health, exercize nutritional needs and other good healthcare habits. Instead of relying on doctors at a time of shortages of doctors the team would be led by nurse practitioners.  A nurse practitioner is someone with a bachelors degree and a masters degree or doctoral degree in nursing with 1000 hours of clinical training. Studies have shown that they are effective and even more effective than individual doctors. Today particularly with the problem of doctors with limited time compounded by the built up problems of decades of bad habits in nutrition and exercize and poor "cultural" habits getting entrenched, there has never been a greater need for a better way to practice real healthcare for a person's wellbeing. Particularly in rural areas with an even larger shortage of doctors the health practitioner led team will play a big role. Patients will under this setting receive more care virtually and get more followup care by phone and video messaging. The numbers tell the story- there are shortages of doctors in USA, Europe, Africa, Latin America and Asia. In the U.S. shortage of doctors is 55,000 projected to 2033 by Association of American Medical Colleges. There are 290,000 nurse practitioners licensed in the U.S. and 131,0000 physician assistants. The goal will be to get an adequate number of nurse practitioners licensed in this decade to take care of these teams. The pandemic has made virtual visits to doctors and nurse practitioners popular. Medicine reimbursement should and would be practiced on the basis of how well a patient is doing not on a fee for each micro service that is delivered. For this to happen the teams led by the nurse practitioner have to commit to patient education of the benefits from good practices and good habits for nutrition, exercize, caring for oneself. A doctor short of time is hardly the person to carry on this patient education which is where the major opportunities for a new system arise. The virtual care also provides a new medium for patient education and awareness of the risks of getting illnesses, preventive actions to be taken in advance. One approach being tested in California and Texas is for a monthly fee for patients more payments by health plans to doctors or healthcare teams if the patient is healthier. Additional health professionals are added to the team including health coaches, dietitians and medical assistants to increase its effectiveness in counseling and education and monitoring.  The nurse practitioner team approach is already being practiced in parts of the U.S. including the example of New Hampshire shown here, and is predicted to be the approach for primary care in the next decade. ...

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The Journal cites figures from the U.S. Department of Agriculture showing 44.7 million participated in the Supplemental Nutrition Assistance program in fiscal 2011. This is a big jump from the 28.2 million people in 2008. Texas has 4 million on food stamps, California 3.7 millon, Florida 3.1 million.

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Bayer AG's acquisition of vitamin maker Schiff Nutrition for $1.12 billion to bolster U.S. consumer product operations.

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Moderators Quick, Harwood and Quintanilla in tense exchanges with Trump on H1-B visas for Silicon Valley, Christie on climate change, and Carson for supporting health claims by a nutrition company. Cruz pointed out that the moderators were pitting the candidates against each other instead of going into serious policy questions.

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Add beans, peas and lentils, commonly known as pulses to your diet. High in protein and fiber these are some of the most affordable but not talked about much. Americans take about half a cup of beans each week which Christopher Gardner calls an insanely small amount. He is director of nutrition of the Stanford Prevention Research Center. “That’s an insanely small amount, given that beans, peas and lentils are such a powerhouse of protein and fiber and other nutrients. Nutrient-wise they have all of the good stuff and none of the bad stuff — and they tend to be a lot less expensive than other foods. There are few foods that cost as little as beans, peas and lentils.” A single cup of cooked lentils has 18 grams of protein- more protein than 3 large eggs, and it is fre of cholesterol and low in saturated fat. And it has 16 grams of fiber - about half of the recommended daily amount a adult should take. Try adding them to your daily meals and gradually increase intake. Try hummus as a dip or snack on chickpeas in salad. Take them in Mexican, Italian or Asian flavors. In today's inflation environment a pound of dried beans at 1.70 compares with $6 for a pound of ground beef, $4.20 a pound for chicken breast, and $4.60 for a dozen large eggs.      ...

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The Nation as a whole falls behind other nations, and becomes weaker as a result of children being asked to absorb learning on empty stomachs or inadequate nutrition. This is one of the major advances of modern civilization and which differentiated Europe and the US from Asian countries. It is now reversed as Europe and the US are cutting back while India and other Asian countries are backing free School lunches. India has gone one step ahead to destroy centuries of malnutrition for children and families backed a plan that provides free and subsidized grain, vegetables to every household of 1.2 billion people. The starvation and malnutrition are seen in India as a stigma that Europeans and Americans had about India an how they looked down upon India for sanitation and malnutrition. These are twin enemies in India and China for a reason both because of health of children and seen as a ticket to oppression by foreigners who ruled parts of India and China for centuries. One of the most remarkable achievements in school lunches that changed the face of Madras State (Tamilnadu) is the free lunch program for children in teh 1950's and 1960's under Tamil chief minister Kamaraj. ...

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Brazil's ever increasing production of soyabeans and investments in Brazil by China and US's Cargill ADM result in a oversupply of soyabeans in world's markets leading to lower prices for American farmers. 70% of soyabeans imports by China were from Brazil in 2024 and Cofco state owned agricultural company in China is building a large port terminal on Brazil's coast to handle soyabeans and other exports. Trade tensions with the US mean there are no written agreements farmers can count on for soyabean exports to China. China purchased 13 million metric tons from Argentina last month and committed to buying 25 million metric tons in 2026-2028. Argentina lifted its 26% export tax for the first $7 billion in agricultural exports to bolster it's peso recently. US is turning to other markets in Turkey, Egypt, Morocco, Pakistan, Bangladesh, Thailand and Europe to make up for volume lost to Brazil. For September and October there is a 45% increase in US exports in 2025 resulting from these non-Chinese buyers. No mention is made of India, yet India could in future be a significant buyer of soyabeans because of thenutritional value of soyabeans in an anti-cancer diet and the high protein content which would make Indian diets healthier. In agriculture farmers are not the ones who develop new tastes and new trends in new markets, yet this effort should be part of farmer's outreach to other nations and other cultural food habits with shifts to healthy nutrition. ...

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Preserving muscle mass, function and strength is important as people age, especially after 50 years of age. One solution is resistance training, and nutrition also plays a part- with protein intake supplements helping preserve muscle as one ages. Preserving muscle is as important as preserving bone mass- with medical practitioners describing the condition as sarcopenia, similiar to osteoporosis. Nestle and Danone are developing nutritional products for this.

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Adam Bryant talks to 4 women executives about the problems women face in taking up higher management positions. One of the problems addressed directly and at length by the head of Pfizer Nutrition, Amy Schulman, is what she calls "the dutiful daughter," doing what is expected of you. This is also described as a serious problem for women executives in Asia by Riva Gold, where women not having 100% of the skills for a higher management job will step back, whereas men with only 50% of the skills step forward. Schulman says women have to be well prepared and have a good grasp of the subject matter, have acquired experience, and having done that they need to make their voice heard. Any anxieties about not getting it just right, or asking the question about whether "she belongs" need to be left behind. The leaders of companies need to create the environment in which biases and assumptions about women in the workplace do not hinder getting a mix of different voices in the corporation, which can only benefit from that diversity of people and styles. Another point she makes is that women have to spend their political capital, to stand up for colleagues and the team where appropriate, for principles that are significant, to be build credibility and win credit. ...

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For the first time in three decades US economic growth will be much faster than China's. Second quarter 2021 growth in the US was 12.2% compared to 7.9% in China, and will continue to be much higher for five consecutive quarters. This report in the WSJ says it is the result of the US response to the Covid pandemic. The US vaccination drive, massive fiscal stimulus and near zero interest rates have helped, including the confidence generated by the $1 trillion infrastructure investments planned for this decade. Over the longer term Capital Economic estimates China's GDP around 2030 will drop to 2% growth with demographic decline, just as the demographic factors favor Indian growth to levels that China has seen in the last two decades. This was the plan and vision set out by the Indian prime minister for 2047, on the 100th anniversary of independence. For the future government help has helped US households accumulate $2.6 trillion in excess household savings, which Moody's estimates is 7 times that in China.  In the longer term gaps will have narrowed between Asia and Europe, the US, which is a good thing. More will need to be done in Africa and Latin America. Much of the talk about who leads ignores the local needs in cities and towns across all parts of the world for a better quality of life, better education, better nutrition, better healthcare, meeting aspirations of young people, and supporting hope for a better future. ...

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This essay in the WSJ by Louise Aronson, geriatrician, professor of Medicine at UC San Francisco and author of "Elderhood, Redefining Aging, Transforming Medicine, Reimagining Life," and Teva Brender, UC resident in Internal Medicine, says age should not be a factor  in electing leaders, as over the last century life expectancy has grown by 25 to 35 years. People can be healthy into their eighties and modern medicine provides ways to tackle small physical, auditory or visual impairments. In addition these can be handled with strength training, better nutrition and social support, says Aronson. His point is that there has been an increase in "health span" the years we define as being healthy, a compression of morbidity, the disease at the end of life. As a result people can be productive for many years, early retirement is a bad idea economically and for the people themselves when they feel better working. When there is so much wisdom and experience that they can bring to the job, and when that  wisdom and experience is sorely needed by the nation, that guiding light has immense unreplaceable value. President Franklin Roosevelt was at such a time able to steer the nation in the 1930's through the Great Depression and the 1940's through the Second World War, even though he had disabilities. Aronson says the work of elected leaders is fundamentally cognitive and when the basic physical demands can be met it is possible for leaders to work successfully. ...

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 Her mother was a real pioneer and large influence on Kamala Harris. Michael Kruse tells this story of Kamala Harris and the influence of her mother Shyamala Gopalan, a biomedical researcher at Berkeley, Cal and other national laboratories.  Shyamala had the same sense of adventure of America's pioneers on the frontier since George Washington in the  Pennsylvania country around Pittsburgh. And her striking attitude raising Kamala, one of two daughters, living in a minority neighborhood in the Berkeley area, and moving twice including to Montreal's McGill University and to Cal as a researcher. “Don’t let anybody tell you who you are. You tell them who you are.”  “Focus on what’s right in front of you, and the next thing, whatever that’s meant to be, will come."  "And … “don’t do anything half-assed.” Shyamala landed in Honolulu in 1958 when only 200 Indians were admitted each year, 1953 in all for the decade of the 1950's. America was 90 percent white and Berkeley was 98 percent white. America that we see today did not exist. John F. Kennedy and Lyndon Johnson opening America to immigrants from Asia happened years later in 1965 with the Immigration Act. She started classes at Berkeley in Nutrition on a $1600 scholarship.   ...

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The campaign in German schools "Smart ohne phone" or "Smart without a phone"  for school children in 2025. One student at Dalton High School in Alsdorf, North Rhine Westphalia, Klara Ptak, is cited in this report by  Oliver Pieper in DW.com. Klara 17 years old says- "A total of 51 phones were seized — that's a fairly significant number considering we have 700 students. And you can really see a difference, especially in the younger kids. They used to stand around in a circle staring at their screens, and now they are playing football, badminton, or board games together. It's a dramatic shift." A survey by the Körber Foundation, and pollster Forsa, says that parents of children ages 12 to 18 complain that their children's time spent on social media is out of control and is their leading source of stress. The German National Academy of Sciences Leopoldina is for banning phones upto tenth grade, it wants to keep children under 13 away from the internet for social media completely. It is interesting to note that the younger student are fine with it and adapted quickly seeing the benefits. This shows that a new generation of student can be trained for a different lifestyle. Today in the Washington Post Linda McMahon and RFK Jr. team up on an article saying just this that time spent on screens lifestyles along with nutrition and food fail school children badly, reminding people about the saying in Latin since the 2nd Century by poet Juvenal -"a healthy mind in a healthy body." ( Latin -"mens sana in corpore sano").   ...