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Walk in clinics at drug stores like CVS and stores like Walmart now have the cooperation of hospitals. Hospitals are now affiliated with 25 Walmart clinics. THe Cleveland Clinic has lent its name and backup services to a number of CVS clinics in northeastern Ohio. And the Mayo Clinic is operaing ne Express care clinic at asupermarke in Rochester, Minnesota, and asecond one at ashopping mall. This helps clear emergency rooms of people seeking bsic medical care as for astrep throat or flu. About one thousand clincs are operating in the US at drugstores, supermarkets and big stores since the idea took root 4 years ago. Wal-Mart has partnered with hopitals like the Christus Medical Group in Texas, Aurora Health System in Wisconsin and COxHealth in Missouri to setup clinics. Mayo did so after employees and patients said they wanted more convenient treatment for minor medical problems, so there may be a need here that as not been met. The lower costs at these centers compared to primary care doctors offices or emergency rooms make it possible for them to price lower and meet the needs of the 45 million or so uninsured people in the US, numbers growing as jobless rate increases. They are typically staffed by nurse practitioers or physicians asistants. Dr Herman at Mayo Clinic, who supervises its retail store clinics, says rather than fight this trend primary care doctors should learn from it, and work with hospitals around the country to offer more convenient locations and consumer friendly office hours, including periods of walk-in care with no appointment....

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Bill Keller looks at the options to use force to end Iran's nuclear weapons programs. He points out the common goals set by the Obama administration and the Bush administration for Iran's nuclear programs, even though politicians have taken different positions.

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This editorial in the New York Times favors President Obama's policy with Iran outlined during the visit of Israeli prime minister Netanyahu to Washington.

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About 38% of Gen Y (18-34 years) prefer to locate in mid or large sized cities such as San Francisco, Chicago and Boston. Companies are following this trend especially in the tech and internet field to attract young employees. Many professionals marry later with both partners working and prefer living in a close environment with many opportunities for interaction and activities. Commercial vacancy rates in central business districts are down faster than in the suburbs- 13.9% of urban space is empty in the 3rd quarter of 2013 compared to 18.5% in the suburbs, according to Reis Inc. The recession had reduced downtown rents and cities offered additional incentives. After the merger of Continental with United, the corporate offices were moved to the Sears Tower in downtown Chicago. Google's Motorola Mobility is moving into the Merchandise Mart in downtown Chicago from the suburbs. Twitter moved to a location in downtown San Francisco attracted by the space and lower rents.

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Pearlstein argues that the US and the Obama administration achieved most of its goals, even though the Europeans took the credit. On regulatory reform, Geithner's regulatory reform proposal he says, could well have been written at the French Finance Ministry, as at the US Treasury. And it gives Obama ammunition to prepare, as private equity, hedge funds, and banks try to water down his proposals for regulatory reform. By having member countries commit to adding $850 billion to the resources at the IMF, and regional development banks to provide help to countries in serious difficulties- and giving instructions that the money can be used not only for debt rollover, bank recapitalization and balance of payments support, but also for stimulus spending, infrastructure investment, trade finance and social support- the Obama adminstration has accomplished a great deal. It has succeeded in putting in place the necessary financial resources to support not only the financial systems of countries in Eastern Europe, Asia and Latin America that need help, but put emphasis on the need for resources to go for helping reduce job losses, create jobs, and provide some forms of income or support to people in these countries. This is a major step as it means the countries of Eastern Europe and other developing countries can deal with their crises in confidence. Mexico is taking loans from the IMF. Dominique Strauss Kahn had begun the policy of shifting IMF's focus to these social goals as significant parts of the recovery process in countries, but he faced the old mindset among the IMF staff, as when its reported staff wanted to increase interest rates in Pakistan by 10% instead of the 3% that was finally agreed to. That would have caused serious difficulty to the people of Pakistan, created chaotic situation and disturbed the social fabric of that country. See the link to this for S. Korea and for Pakistan. And as Gordon Brown put it the old conditionality that lay behind the IMF loans, is phased out. This makes it the new policy at the IMF backed by the G20 mandate. The Washington consensus which prescribed open borders, floating exchange rates and fiscal prudence is now ended. And to support this change the developing countries will have a bigger say in IMF policy and decisions. ...

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The surge in U.S. airline stocks in 2013-2014 as airlines gain pricing power.

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Behind the June jobs numbers is the information that the average workweek fell to 33 hours, the lowest ever on record, and 0.8 hours lower than before the recession began. With the extra 48 minutes the same aggregate work says Denning of the WSJ, could be done by 3.3 million fewer employees. And the unemployment rate would then be 11.7% rather than the 9.5% it is now. The number of people working parttime has doubled to about 9 million or about 5.8% of the workforce. Employers will first try to employ parttime workers as full time, and increase hours of existing workers before they hire new workers deepening the recession.

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U.S. Speaker Boehner's effort to strengthen support for his negotiating position by bringing together Republican Congressmen behind him as he negotiates with president Obama. Rep. Paul Ryan now sits on the strategy session and Boehner has more control over Republicans in the new Congress.

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In a Nov. 8 S&P report S&P's estimate for net government debt to GDP ratio for 2013 is over 80%. What S&P will look for in the debt negotiations is for the parties to produce an agreement that will stick and for the debt to GDP ratio to stabilize at close to current levels. Less important is the Jan. 1 deadline for S&P and Moody's according to executives at the credit ratings firms and more important real agreement that lasts.