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Just one scheme by a Dallas doctor, Dr. Jacques Roy, cost Medicare $350 million over 5 years. HHS data analysis showed Dr. Roy approved 500 times the number of patients normally approved per physician for home health care services- he approved 5000 instead of 100. A case in 2011 resulted in charges against 115 doctors, nurses and company managers, in 9 cities leading to $240 million in false billings.

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Canada has still not figured out a way to assimilate the 800 or so Indian bands, who are the native peoples of Canada, and still help them keep their languages, cultures and traditions, and independent existence. The bureaucratic structures set up to adminster the Indian Act and post colonial policies act as another hurdle to creating apolicy that fits in with the new values of a new generation of multicultural Canadians.

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Matteo Renzi, Mayor of Florence, and a candidate for leadership of the Democratic Party in Italy described the voting for presidential candidate Marini, a union leader who is 80, as "disrespectful to the country," and as "a candidate of the past century." The voting exposed deep rifts between the younger and older generations in Italy.

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About 53% of the uninsured Americans disapprove of the Obama health care law, in comparison to 51% of the insured with health care coverage who disapprove of the new law. About 35% of the uninsured say they are likely to pay the penalty for not carrying insurance, and six of ten uninsured say it will make their health better. Overall the approval of the law is at 39% and disapproval at 50% in the Dec. 2013 poll. A striking part of the poll result is that 57% of the uninsured say it will increase their health care costs, compared to 52% of the insured. Only 20% say it will decrease their health care costs. This reflects the lack of serious controls on the surge in healthcare spending in the law. A separate research shows that more of the costs are passed on to users who will pay higher out-of-pocket costs after the law.

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John Taylor, a professor of economics at Stanford, points out that the numbers being thrown back and forth in the budget debate can be confusing. He suggests a better way to look at this. The U.S. budget was 20% of GDP in 2007, and has been at or below that level in recent years, before the higher spending to counteract the effects of the 2008 financial crisis. As the economy recovers and private investment increases it makes sense to bring the spending back to levels where it has been- spending levels that do not endanger the country's credit rating and are a prudent way to manage the nation's finances. Taylor asks the question- if the U.S. got by by spending 20% of GDP in 2007, then why is it not possible to do this in future years when the GDP will be higher. In 2000 spending was actually 18.2% of GDP. Taylor says that with higher incomes people will be moving into higher tax brackets which should increase revenues in future years. In three years since 2009 the spending levels are up to 24.4%. Under this scenario private investment would make up for lower government spending and debt, leading to higher employment and GDP as business confidence rises. ...

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Problems Russia faces in gaining entry into the WTO. This includes high import tariffs in Russia, arbitrary interpretation of rules, the customs union with Belarus and Kazakhstan, and corruption. Russia is the only major economy that is not part of the WTO. China was admitted in 2001. The WTO rules limit import tariffs and provides a legal system of dispute resolution for trade disputes. According to Business Europe, Russia increased tariffs for a range of factory products after the 2008 crisis. These tariffs alone cost EU companies $820 million a year. Russia's deputy prime minister Igor Shuvalov, says that without WTO access modernization and innovation for Russia will be very difficult. Companies like Boeing would be big winners with WTO entry for Russia. Tariffs on wide-body aircraft would then drop from 20% to 7.5%, and Russia expects to buy 1,000 new commercial aircraft in the next 20 years.

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New pictures released by NHS shows vaccination queues at Salisbury Cathedral near London, England. UK has reached 50% of people vaccinated or 33 million people, with July 31, 2021, the target date for all adults to be vaccinated. It took 136 days to do this for 64% of adults. Other parts of Europe are still struggling.

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In Brazil's 2018 elections most candidates talk about shoring up crumbling infrastructure, and law and order. Yet no one talks about the budget crisis as there is no money left for doing this.  Shocking as this may sound after years of overspending and a recession, Brazil now uses borrowed money to pay pensions and salaries, and keep schools and hospitals open. Brazil's public spending exceeds revenue by about 7% of annual economic output. Taxes are already 40% of economic output, according to CIA's World Factbook website, making it hard to raise taxes.  This WSJ analysis says you cannot overstate the problem in Brazil as about two thirds of the budget goes to paying old age pensions, payroll of public sector and public healthcare. By 2020 these liablilities will grow to the point there is nothing left for discretionary spending such as roads, infrastructure, new hospitals, police equipment. Trimming pensions and freezing wages are likely options to tackle the problem. Still this leaves Brazil with the prospect of a lost decade.   Neighboring Argentina is experiencing a contracting economy and had to turn to the IMF for assistance.  The decline in GDP comes as a new conservative administration took over promising an improvement in the economy. The peso declined by 18% in 2018 so far leaving Argentina's public and private debt of $166 billion which is 80% denominated in U.S. dollars much harder to pay off. The stronger dollar has hurt Argentina leading to a $50 billion support agreement with the IMF.  Much of Latin America is now in an economic crisis. ...

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DJT action to add another 50% tariff on China by Wednesday April 9, 2025 if it does not withdraw it's retaliatory tariff by Tuesday April 8.

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Folk singer Pete Seeger is the most popular folk singer in the U.S. since the 50's, and continues a tradition of folk songs started by Woody Guthrie in the 30's. He was able to bond with the public by having them sing along with him popular folk songs, including such tunes as "This Land is Your Land," "Michael Row the Boat Ashore," "So Long, It's Been Good to Know Yuh," "On Top of Old Smoky," "Turn, Turn, Turn," "If I Had a Hammer." The tradition of music and dissent ran in his family with his father being a music scholar who taught the first musicology course in the U.S. and a conscientious objector in World War I, his mother a professional composer and violinist. He attended Harvard but lost interest during the Depression years and dropped out.

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A new poll from YouGov shows the Conservative Party getting 310 seats and Labor Party at 257 seats. Labor would gain 30 seats and Conservatives lose 20 seats under this prediction. Conservatives would fall short of the majority of 326 seats needed. Support for Theresa May is slipping especially after announcing older people would have to take on more burden for care, dubbed the dementia tax by media. A coalition of Labor party with the Scottish National party (SNP) with 50 seats and the Liberal Democrats with 10 seats is now a possibility.

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A sign of how VW has faded in the American market. In 1970 the VW van sold at $20,000. Sales were 570,000 in 1970. Today the 2025 EV Van (ID.Buzz) priced at $60,000 has'nt made much opf a dent in the market with 2025 sales at under 10,000. It can charge up from 10 to 80 percent in 30 minutes in a DC fast charger. Its two tone yellow and white colors were a key part of its attractiveness to buyers, which were not produced on the production line. 

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European Union countries, Britain and the US face the risk of a resurgence of coronavirus through the Delta variant and other variants. The Delta variant detected in India is 40% to 80% more transmissible than the Alpha variant detected in the UK, with the Alpha variant 50% more transmissible than the original coronavirus that originated in Wuhan.    Virologists in Italy feel they are flying blind at this time because of the lack of genetic sequencing in Italy, Spain, France and across most European Union countries. The UK has done genetic sequencing on 27% of recent covid positive tests. The figure drops to 1% for Italy and is tiny for most of the EU countries including Spain and France. Without genetic sequencing it is hard to predict and take steps. Another problem in the EU is that the southern economies Spain, Portugal, Greece, Italy, Croatia are dependent on summer tourism for the economy. The UK economy can handle a delay to a full opening for 6 weeks without serious impact to the economy, says WSJ. Southern European economies can afford only short delays to full reopening. Croatia acted as a door to spread of coronavirus into central Europe when Germans and Austrians went to vacation spots in Croatia in summer 2020. This situation could be happening again in 2020 with British and other tourists visiting vacation areas in Portugal, and Germans visiting Greece and other summer tourism spots. Portugal's national health institute says the Delta variant represents 60% of new cases in the area around Lisbon based on early data. The government of Portugal is facing criticism for letting a Champions League soccer final to take place in Porto, Portugal between two English teams. Thousands of English fans watched the game at the stadium. Other problems are in relaxing of mask rules in France and Italy, last week in France and in the coming week in Italy. French nightclubs open July 9 without mask requirement. Germany is maintaining some social distancing measures and this includes mandating medical masks in closed public spaces and on public transport. Half of French, Italians, Germans are vaccinated and quarter fully vaccinated. Yet the gaps of unvaccinated people is large enough to cause serious concern of another wave. The relaxation of mask rules- the entire stadium in Budapest was packed for a recent game between Hungary and Italy for a soccer Euro 2021 game with no masks to be seen. Stadiums played a key role for the spread of the original coronavirus in Italy with a game in Bergamo, Italy, in the area near Milan. All this makes health officials concerned about the risks of still another wave of the coronavirus.   ...

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Lee describes the problems the Russian economy faces with the depletion of the Reserve Fund following collapse of oil prices. Finance minister Siluanov says the Reserve Fund could run out by 2017. The National Wealth Fund hols $73 billion and is used for infrastructure projects and bank bailouts, and pensions. The defense budget is expected to decline by 5% in 2016 as the military buildup slows from a slower economy. The World Bank predicts a poverty rate of 14.2%. The 50% decline in the ruble has hurt imports. The lack of access to international capital markets has also hurt growth, even though Russia has only small debt.

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The $350 billon in proposed cuts to Medicare and Medicaid in the 2011 deficit reduction talks will do little to reduce the rapid rise in medical costs. Instead it shifts the costs to seniors, state governments and public hospitals. Gail Wilensky, former head of Medicare under the first President Bush and now a senior fellow at Project Hope, says this should not be confused with real reform to Medicare which reduces the rapid increase in costs. It does little in the way of fundamental changes that would reduce the growth in costs. About $53 billion comes from reductions to senior's ability to buy extra Medicare supplemental insurance or Medigap. Another $14-26 billion would have the government reduce payments to hospitals for unpaid debt. The few items to curtail fraud in the use of CT scans or purchase of power wheelchairs would provide savings of $2-3 billion over 10 years. $4 billion comes from lowering Medicaid payments to hospitals treating a high percentage of low income patients, hospitals such as Cook County Hospital in Chicago, San Francisco General Hospital, and Parkland Hospital in Dallas....

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Analysts see the likelihood of Greece exiting the eurozone at over 50%. The actions of the ECB under Mario Draghi to provide funding to weak banks through the Long Term Financing Operation have reduced the effect the effects of contagion from a Greek default spreading to banks in other EU countries. The fiscal pact signed in Jan 2012 at the EU summit with automatic penalties for countries lacking budget discipline provides Angela Merkel more room with her domestic political base to support the EFSF's capacity to help other eurozone countries. Greece with its deteriorating economic situation would then be considered a special case.

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This editorial in the NYT praises the effort to bring peace to Colombia after years of conflict. President Santos of Colombia met U.S. president Obama at the White House in Feb 2016, following successful peace talks in Havana between the Santos government and the FARC guerilla group. The U.S. will provide $450 million in assistance for legal institutions, education and the economy. A new approach will have to be developed for the anti-drug effort.

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Tata's new water filtration device called "Swach," for pure, sells for 999 rupees ($22.50), and is expected to sell 1 million units a year. The head of Tata Chemical's water-purifier business, Sabeel Nandy, says the demand in India is huge, about 250 million households. The goal is to put a purifier in these households to save them from water-borne diseases. The device has similiar potential in Africa, Southeast Asia, and Latin America.

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The economic crisis in the Russian city of Yaroslavl, 150 miles northeast of Moscow on the Volga river. Auto sales are down 30% and the city's diesel engine making plant is down to working only 3 days aweek. Many of the other factories and plants here are laying off people and are also on 3 days a week. Cafes and bars in the city are empty and people are filling job search centers.

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DW.com's Becker looks at how much an iPhone would cost if made in the USA. Jason Dedrick of Syracuse University says it would add $20-$30 if final assembly was done in the U.S.. If components and parts were also made in the U.S. this would go up to $80-$90. Other factors are that the production clusters set up by Foxconn have taken three decades to set up and would take time to replicate. President Trump has said Apple should make the iPhones in the U.S. to create jobs. As Foxconn is rapidly adding robots and automation the number of jobs are shrinking in the production process.

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The cost will increase the longer the effort for cleanup of PFAS chemicals used in military bases is delayed and could also lead to increased contamination of water in surrounding areas. In 2025 the cost is about $31 billion for 50 US military installations says The Guardian.  The Environmental Working Group policy analysis group senior analyst Jared Hayes is cited in The Guardian- "The DoD is facing a ticking cleanup time bomb as funding falls dramatically behind cleanup costs.” “The DoD has an obligation to its service members, the families living on bases, and the surrounding communities that have already been contaminated, so they need to clean up their mess." The adjoining article in Le Monde shows the awareness being created by Le Monde and its partners and The Forever Pollution Project in Europe about PFAS cleanup in France, and in Europe. ...

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About the collapse of two banks- Silicon Valley Bank and Signature Bank Fed vice chairman for financial and banking supervision, Michael Barr, had this to say at a Congressional hearing last week- "I think anytime you have a bank failure like this, bank management clearly failed, supervisors failed, and our regulatory system failed."  The rest of this report looks at changes the Fed can on its own make stricter supervision of banks over $100 billion, action the Biden administration is thinking of taking, and action by the FDIC. The Biden administration does not want to be seen supporting wealthy depositors at Silicon Valley Bank by guaranteeing uninsured deposits as it did. It took this action solely to protect the financial system so that it would not hurt working families. For this reason alone the Biden administration will seek tighter controls of mid sized banks now that the illusion that banks below $250 billion do not pose a risk to the financial system is gone. It will also seek to recover all funds used to support these failed banks from the banks and financial sector that has lobbied for so long for less regulation leading to failure of banks not once in 2009, but again in 2023. This time under the Biden administration the damage is carefully controlled so that it does not affect the American economy and working families. ...

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On the idea that America is losing faith when it is losing churchgoing people it should be said that during the Second Awakening in the 1850's America was struggling against the sin of slavery. The country and Evangelicals rallied around Lincoln who had an unconventional idea of Christian beliefs coming directly from reading the bible not churchgoing.   Lincoln was denied the Whig nomination for Congress in 1843 and faced Evangelical opposition in the 1846 Congressional election which he won against an evangelist Cartwright, because of his unconventional views on Christianity coming from reading the Bible. The Lincoln Association of Springfield reports that during the dark days of 1862 Miner tells Lincoln that Christians are praying for you as they have never prayed before, and Lincoln replies "If I were not sustained by the prayers of God's people I could not endure this constant pressure. I would give up hoping for success."   Americans are less church going today than at previous times in history about 40 million Americans have stopped going to church in the last 25 years. This is evident among Presbyterians, Episcopalians, and Southern Baptists. White and Black congregations are affected in the same way, though less for Hispanics. Pew reports 63% of people in America identify as Christians, down from 78% in 2007.  ...

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Punjab National Bank has seen fradulaent transactions for $2 billion in 2018 by 2 jewelers, a power and steel company defrauding it of $550 million in 2019, and now bad loans defrauding it of $491 to a housing lender Dewan Housing Finance Corp. Dewan Finance is in insolvency resolution under the RBI, the central bank of India.  To clean up this banking sector mess, a result of bad loans by banks after the 2008 financial crisis, the RBI has taken some serious steps. One of the steps in 2017 was to order major banks to resolve bad debts or refer the debts to bankruptcy courts. RBI took over Yes Bank , and the largest state bank the State Bank of India organized a consortium of banks to invest $1.35 billion to support Yes Bank. In other action the government has merged smaller lenders and banks with larger banks. Much of the bad lending is a result of bad lending practices without due diligence taken, poor management, and bad administration from an earlier period. The lack of strong banking sector is holding back India's growth and GDP growth as there is less to lend for infrastructure or industrial projects. The result is growth that has fallen below 6% in recent years, and the Modi government sees this as an obstacle to rapid growth of the economy under its Atmanirbhar Bharat plan for a self-reliant economy. ...

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France's high speed train network SNCF and its new trains TGV m are the focus of French Connections series in FR24. It is a great success for France as it connects 230 cities across France and decentralizes the country making remote areas reachable in hours. 770 kms Paris Marseille is covered in 3 hours. It has transported about 3 billion passengers since its founding in 1981 under Francois Mitterand. 122 million people traveled on TGV trains in 2023, and this is increasing by 20% a year. The trains travel at 350 kilometers an hour and are capable of over 500 kms per hour. For countries like India this is very useful to know as the first bullet trains based on Japanese technology are being built for route Bombay- Ahmedabad- Jaipur- Delhi. It shows that if it worked so well in France it can work well in the US or India. In India it could transport many times the 122 million in France and connect remote regions exceeding 1000 kms. Madras Srinagar is 3000 kms or 1900 miles. Imagine this being done in 7 hours at 400 kms per hour. It would really decentralize India. Same for the US for Austin Texas to Boston Massachusetts 1600 miles in 7 hours. It would better integrate communities in the US that are far apart socially.   ...