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Generic brands and bulk buying  American thriftiness should increase savings cut inflation, hit pricey brands that are increasing prices. This will enable Americans to build up depleted savings, and live healthier lives by reducing processed foods and making intelligent choices in the supermarket. Products which offer better health, are priced to be economical, save buyers money and offer value, will do better in this market.

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Some features of the U.S. health care law are likely to be retained even if the Supreme Court overturns the health care law- the feature that lets parents carry a teenager on their polcy till age 26, and the feature that private insurers cover preventive services without copays. These are very popular and preventive services make sense for the insurance companies to reduce higher costs later on. Other features such as the discount pharmaceutical companies must give to seniors falling under the Medicare gap, and annual physicals without copays may not be retained. 3.6 million Medicare benificiaries saved $2.1 billion on prescription drugs, $604 per person, from the Medicare gap discount. And 32.5 million Americans took advantage of the annual physical without co-pays in 2011. About 50,000 Americans insured temporarily for people with a pre-existing condition also may lose their coverage. Another provision which prevents states from tightening eligibility rules for Medicaid before 2014, may be questioned also as states feel burdened by these rules during a period of budget cutting in areas such as education....

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Nicola Sturgeon resigns as Scotland's First Minister after a drop in support and controversial position on a new transgender law. She is seen as not having done enough in education, health and other pressing issues.

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UK's National Health Service needs another 9 billion pounds just to carry on as before and Rachel Reeves is determined to get this. Opinion surveys show a large majority of 70% of people in Britain support this.

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Nepal is a remote mountainous country with some of the highest Himalayan mountain ranges and Mt. Everest. For decades it has stagnated economically with Chinese help making little difference, Indian help more recent, and the country with per capita income of about $1500 for a population of  29 million. Neighboring India with 1.4 billion people is seeing huge increase in young people's aspirations in neighboring Indian states such as Bihar and Uttar Pradesh under the Modi government. Average age in Nepal is 25 years, in Bihar a neighboring state in India it is 22 years. This is affecting Nepal with the similar lack of tolerance for corrupt governments that cannot deliver on infrastructure and health/education. Urbanization is only 17% in Bihar state in India that is neighbor of Nepal and most people live in rural areas, the same is true for Nepal with 20% urbanization. Per capita income in Bihar state is $900 one third of India's $2700 per capita income, in Nepal it is $1500. Who is Balen Shah- a 35 year old structural engineer into hiphop music who is Mayor of Kathmandu, the capital. He supported the student protests against the corruption of government led by PM Oli which had to resign. His party RSD leads in two thirds of 275 parliamentary seats. Each voter gets 2 votes, one is for 165 seats on first past the post basis, and the other vote is to allocate 110 seats based on the party vote. Average age in Nepal is 25 years with 800,000 first time voters in voting population of 19 million.  ...

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In this report from Kavumu, DRC, democratic Republic of congo, the NYT's Stephanie Nolan looks at a hospital in the area. This is the epicenter of the Mpox epidemic that has 17000 patients in the Congo. It has reached Kenya, South Africa, and Nigeria. And places like Sweden. WHO has declared it a global health emergency.

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Dr. Muller, Emeritus professor of physics at University of California, Berkeley, and Dr. Quay, founder of Atossa Therapeutics, point out why the presence of double CGG sequence  in the coronavirus genome is strong evidence of gene splicing done at the labs in research settings. The purpose of the research is to increase the lethal effect of existing virus and it goes under the harmless sounding term gain of function research when it is a risky and dangerous form of research. Other articles in the WSJ refer to the lifting of the ban on such research by NIH and HHS in 2018, in the face of fierce opposition from the scientific community at large, including the Cambridge community. Harvard's School of Public Health carried articles by epidemiologist Marc Lipsitch about the risks of "an accidental epidemic" which were ignored.

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Salad company Sweetgreen supports Naomi Osaka as she draws attention to mental health issues. During the pandemic large parts of the population in countries such as the UK are known to be affected by mental health issues. The NHS, other agencies are tackling this and providing help.

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The worst flaw in the health care bill says the Economist is that "fee for service" and doctors billing for each test done continues as before.The whole idea of medical services based on medical necessity and value for money has been left out of the billsin Congress. Alan Meltzer also pointed this out in his discussion of the deficits and debt over the next decade; that the 25% reduction in medical expenditures does not look anywhere closer to reality, worsening the deficits. This is also the view expressed in the discussion of health care reform in the November 2, 2009, issue of Business Week. Never mind said BW that the doctors and hospitals account for one third of medical expenditures and there is waste in Medicare spending. Congress said BW has made no changes in the "fee-for-service" system of medical care that has inflated medical costs, by paying doctors for the volume of services delivered and not the quality of services delivered.

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The health care system is designed to encourage procedure based specialist practices and discourages the patient understanding education and monitoring that occurs with a well designed preventive family physician practice. As a result a patient only spends 30 minutes ayear on average with family physician compared to one hour in other developed nations. In the USA there has been a steady decline in the level and quality and extent of family care and the close one on one rapport with well trained family physicians who enjoyed their work and understood their patients and kept up with their health conditions and provided good and regular advice on these conditions. There is no money in this care as a result first you provide an environment where a whole range of medical conditions can flourish and expand, and then you hit them with a whole series of tests to rule out specific medical conditions. It is a perfect way to expand the testing and let testing flourish, so it would appear that if someone had wanted to start with a goal of letting testing proliferate unhindered then this would be the perfect way to design it. ...

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At a time when family physicians in Britain are experiencing burnout a plan for patients to use text messages to rate family physicians by the new Health Secretary Sajid Javid arouses intense criticism. A former Health Secretary Jeremy Hunt and the British AMA say the Boris Johnson government's effort to increase in person appointnments by offering incentives of 250 million pounds was a bad idea. They say efforts should be made to attract 6000 more general practitioners rather than demoralize family physicians who are already burned out.

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U.S. health insurance company WellPoint Inc. will offer higher payments to primary care physicians. This is part of new strategy to reduce emergency room visits and costs after deterioration in a patients condition by relying on primary care physicians for better care at the outset. Payments to primary care physicians will be increased by 10%, with higher payments when the results show better quality and preventive care. WellPoint has a network of 100,000 primary care doctors. Physicians who meet certain goals such as lowering the overall cost of a patient's health care costs will be given an incentive of 20-30% of the savings realized. The new effort will add 1-2 percentage points to the 6-8% of the $100 billion that Wellpoint pays for claims processed each year. WellPoint's management sees a reduction in medical costs of about 20% by 2015 as a result of such efforts.

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WSJ's Monica Langley provides an exceptional report with a close look at the first woman CEO at a large corporation in the cusp of great change. IBM CEO Ginni Rometty is remaking IBM by moving out of existing businesses and shifting to new growth areas such as analytics, cloud computing, new R&D advances. She sees her job as building the IBM of the future, and this includes divestments and phasing out of some businesses, acquisitions, and building some businesses such as the Watson Heath Care business from scratch. In some fast growing areas such as cloud computing this means competing with other established competitors, Amazon, Google, and Microsoft. Rometty's job is tough because of the size of IBM with 380,000 people in 170 countries, a culture that lacks the agilityof younger companies, and the older businesses which continue to slow IBM's progress, and where divestments reduce revenues. IBM sales are down for 12 consecutive quarters from the year earlier quarter. IBM's share price is down about 10% since Rometty became CEO in Jan. 2012, resulting in investor dissatisfaction with results. Rometty's goal is for 40% of IBM's revenues to come from corporate markets in analytics, cloud computing, cybersecurity, social networking, and mobile technologies, increasing it from 27% of about $93 billion in sales in 2014, and 15% of $105 billion in sales in 2013. Sold off and divested are low end servers, IBM's chip maker, and other hardware businesses. It is so extensive that whats left of the mainframe business is focussed on new technologies for mobile. Rometty setup a partnership with Apple for the corporate mobile market, and started Watson Health as a new venture in analytics for healthcare using its Watson Computer technology. Rometty grew up in Chicago, one of 3 daughters raised by a single mom, who says she was taught to be "fearless" by her mother. She graduated from Northwestern University with majors in electrical engineering and computer science, joining IBM as a systems engineer in 1981. She carries a backpack, school size notebooks, on her frequent trips to see customers in person and is constantly prodding employees at IBM to go faster. Rometty has a passion for scuba diving in her spare time and always carries the gear with her. Christine Lagarde at the IMF is one of the few women heading large organizations that have the same level of energy. Lagarde's passion is swimming having competed in sychronized swimming, and both Rometty and Lagarde describe the loss of a parent in different ways as a significant impact in their life. ...

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It is true carrots are good for eyesight and to prevent macular degeneration. Sunglasses help prevent ultraviolet rays from affecting the eyes. Reading without taking your eyes off the page is not conducive to good eye health- take time out every 20 minutes to look outside for at least 20 seconds. It is a good idea to relax the eyes by looking at Nature, what is good for mental health is also good for the eyes. Move the eyes to the left the right and draw large imaginary visualization circles with the eyes, large squares, for 30 seconds as away to exercize the eyes. Closing the eyes and concentrating on an imaginary visualization candle is a form of meditation that is also good for resting the eyes. 

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One survey in 2021 shows that about 73% of workers in all age groups are feeling burnout since the pandemic started says this BBC report on Work Life. The situation is the worst for young workers in their twenties who have the least work capital and the most work. For these Generation Z workers the burnout rate is higher at 80%. This presents a huge problem for mental health. Across all age groups volume of work is up over 50% with the highest for young inexperienced workers who are pushed to the limit, working late hours and not able to say no. 

This situation shows that so much has happened during the pandemic that mental health is a major priority in 2022 and beyond.

 

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Efforts in Utah by Governor Cox to limit the damage to children's mental health from overuse and addiction to social media outlets including Facebook, Instagram, and TikTok. Utah governor Cox says in answer to the question why now, the better question is why didn't we do this 5 years ago. "If this was child cancer or car accidents we would be losing our minds about this," he says. New laws in Utah would put time restrictions and give parents access to messages and posts. Utah and other states will file lawsuits to make tech companies accountable. The CDC found 3 in 5 American adolescent girls had mental health issues in 2021, this has increased every year since 2011.

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The picture on the cost of living action is mixed. In this report some Easterners in Pennsylvania and New York are shown taking loans to pay for groceries at high prices. In Michigan trips to the supermarkets show a modest increase of 1% in prices and prices coming down. Overall the faster the situation the better it is for working people and a top priority for president Joe Biden. Biden has approached it on a macro and micro level with a range of actions to bring cost of living down for people, from action on student debt for 5 million people, from health care cost cuts setting a ceiling on what health care cost would be, to cutting costs in areas such as housing, groceries and gas through concerted action across the economy.

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It shows the need for government and the need for regulation if we are to have safety in food. Just look at China's experience with inadequate regulation and the dangers to the health safety of the Chinese people with so many chemicals in the air and water that contaminate food supplies. The chemical DCPA or dacthal regulated here is described in this report as used on broccoli, cabbage and onions.

 “DCPA is so dangerous that it needs to be removed from the market immediately.”  

“In this case, pregnant women who may never even know they were exposed could give birth to babies that experience irreversible lifelong health problems.” -Michal Freedhoff, the E.P.A. assistant administrator for the Office of Chemical Safety

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Walking is great for mental health, for keeping up your spirits and reinvigorating the soul. Its the best way to stay healthy in our sedentary world. Walking inside and walking outdoors, never spending too much time sitting. Useful tips-

Shoes should be comfortable should hug the feet not be tight.

Take gentle steps. Footsteps light rolling from heel to hoe to avoid a hard flat footed landing, says one orthopedic surgeon.

Start with posture stand up straight, relax your shoulders, keep pelvic neutral, engage the core, as these muscles keep your posture erect when walking. Look not down but 10 feet away or further.

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The UN World Population Fund India study shows the Dashboard for India in 2023- a population of 1.428 billion and information on fertility rate, school enrollment, women's health. These numbers come from UN agencies and are updated annually.

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The kind of early effort needed to control the public health crisis of the coronavirus. Steps taken in Washington State on social distancing and action underway in the U.S. so that a proactive approach takes place, acting early and decisively.

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How transgender issues played out in the 2024 election. Pamela Paul looks at the effects across Europe of the Cass Commission's 4 year research for Britain's National Health Service concluding that gender affirming approach is mistaken. The American Medical Association, the American Academy of Pediatrics and the Department of Health and Human Services, are not a taking a science based approach to this important issue for parents of children, and the serious unease this is causing across the Nation in 2024, is shown in this report in the NYT. This type of unease added to the anxieties about efforts to change the cultural identity of the US based on its history of European settlers, first from Spain and later from France and Britain, over the eighteenth, nineteenth and twentieth century putting politics before history. Not being alarmed enough about a general price increase of 30 percent over 3 years in groceries and housing costs created a general sense of unease in the Nation. ...