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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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Akasaki of Meijo University, Amano of Nagoya University, Japan, and Nakamura of UC Santa Barbara, produced blue light beams from semiconductors in the 1990's. Nakamura, working for Nichia Chemicals developed his own version of the LED in 1988 following the earlier efforts of Akasaki and Amano, leading to the development of a cheaper easier method of creating LED. The technology is also behind the blue ray disc by using blue lights much shorter wavelength to store 4X more information. Today it is the technology used in smartphone screens.

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Some key features of the Iraqi effort to retake Ramadi are evident in the effort by new prime minister to keep out Shiite militias called Popular Mobilization Forces from Sunni areas. The effort to retake Ramadi involves American air support and retrained Iraqi units after the disasters in 2014 when Iraqi army units ill equipped and poorly led fled the area. By using tribal forces and Iraqi army units the effort keeps down sectarian tensions- essential for it to work in Sunni areas.

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Adolf Merckle of Blaubeuren, near Ulm, in Germany, whose financial dealings led to the collapse of his pharmaceuticals and other businesses, committed suicide probably by putting himself in front of a train at the rail tracks in Blaubeuren. The picture in the NYT is communicative of this period, with the few candles placed near the snowy railroad tracks of Blaubeuren, just as the train passes. It reflects the shock and grief of the town and the shock felt in Germany.

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This time there is less exposure for foreign investors as the Turkish lira drops because Turkish holdings were reduced. Turkey bondholdings have come down by half and holding of Turkey stocks down by 40%. The decline of the lira also reduced Turkish assets in benchmark emerging market indexes - in MSCI to 0.2%, and in JPMorgan's bond index to 1.1% from 5%. 

So far the situation in Turkey has not spread to other emerging markets such as Russia, Mexico and Brazil. With the Fed looking at raising interest rates earlier than planned, slower growth in China that takes in developing country commodity exports, emerging market assets are under some pressure. The WSJ Dollar Index was at a 15 month high on Nov. 24 and continues to be close to this.

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"My economic plan is working and we are just getting started," says president Biden about the US economy as it registers growth of 2.4% in the second quarter. Inflation is cut to 3% from about 9% last year. Even US central bank Fed increases in rates by 5 percentage points since March 22 at consecutive bank meetings has not slowed down the US economy enough. Biden says there is nothing accidental about this. Biden pushed investment in the US. Business investment increased by 56% in the last quarter accounting for a third of the economic growth, much of it in infrastructure, in bridges and roads, in manufacturing plants. Biden administration has allocated $299 billion in infrastructure funding for projects, another $503 billion is done by private investment. And more is coming down the pipeline.

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Italy's Five Star Movement is gaining in popularity before national elections in March 2018, because voters are fed up with the old political parties and the old political system. A Five Star Movement member Virginia Raggi is Mayor of Rome. Even though this has not led to improvements in tackling Rome's problems such as urban decay, garbage collection, and weak transportation, this is acceptable with angry voters who want to send a message to the traditional political parties that ran the government for 50 years. About a third of these voters who support the Five Star Movement are from the right, a third from the left and a third young people who never voted before, according to Italian pollster Pregliasco of You Trend. Recent polls show the Five Star support at 28% and the leading party. The anti-politician message really resonates in Italy with its lack of growth, and a sense that things will not change under politicians of the old system, right or left. As in France with the En Marche movement bringing in younger and new faces in parliament and in government, Five Star Movement is bringing younger faces to the forefront. As young as 31 years for the party's candidate for prime minister, Mr. Di Maio. As a result older politicians in their fifties from the established parties are running against younger people in their twenties and thirties, a situation seen in France in recent elections that brought new faces to parliament and new ways of governing.   ...

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Prof. Scott Kennedy of the Research center for Chinese Politics and Business, voices concerns of experts who think that the $585 billion stimulus and the doubling of lending this year, increase in exports by a third last month, all point to an economy that is expanding too quickly. Kennedy says that no one defies economic laws, that eventually endless growth can get get you in trouble. The concern is whether the overexpansion of credit and the size of the stimulus may have led to overreaction in stimulus spending. People's Daily newspaper of China said that China's leaders are moving much faster than leaders of developed nations. But the flip side of this is that in the rush to increase spending there may be a lot of wasteful spending resulting in many bad loans a few years from now.

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Zweig, Light and Pleven reflect on the experience of the last 5 years in the stock market. Investors who went through severe anxiety for higher investment allocation in stocks in 2009 now feel the opposite for low investment allocation in stocks. What does one make of this, and what have we learned, is the question posed. One lesson is that investors should be wary of relying too much on predictions. At one point predictions of Goldman Sachs and other bank economists was for the S&P at 1250 at the end of 2012, when it was 1421 in April 2012. The eurozone crisis and the sluggish U.S. job growth, debt overhang, were major factors in their assessment. The eurozone recovered faster than expected and the Iranian nuclear crisis risks were reduced through negotiations. QE 1, QE 2, QE 3 by the U.S. Fed under Bernanke provided support to the market. Banks recovered faster than expected with help from the Fed. Another lesson is that this can happen with higher volatility, 900 point drops occured in May 2010 and there were drops in April 2012 and other dates. Zweig gives April 2011 as a date for the start of a 5 month bear market, citing Oct 4, 2011 as another date with the market dropping 21% from the April 2011 peak. Another lesson is that performance statistics can play tricks, a month or a year can make a big difference. If 2013 is not included the statistics look very different, if 5 years go back to Feb 2009 when there was a 11% decline instead of March 2009 when there was a 9% improvement the numbers change quite a bit. Another lesson is that macroeconomic news played a major part in the story of the stock market in 2009-2014 and continues today, with continuing support and vigilance from the U.S. Fed and the ECB. The bad news from the eurozone throughout 2011 and into 2012, and sluggish job markets in the U.S., took a positive turn in 2013. The U.S economy is improving and the eurozone is returning to growth gradually in 2014. Because of different timing in their recovery P/E ratios are higher in the U.S., than in Europe....

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WSJ's Reilly says the U.S. Federal Reserve's effort to make stress tests unpredictable and keep the banks guessing is how it is supposed to be done for tests to be effective. This prevents banks from gaming the tests. The Fed has other interests to protect- the nation's financial system and taxpayers. Only by designing the tests correctly can the Fed ensure that it is doing its job of safeguarding the U.S. financial system.

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Gordon Brown, Britain's prime minister and the finance minister Alistair Darling have lifted their reputations with their decisive plan and execution of it to inject capital and take majority ownership of British banks RBS and HBOS/Lloyds. This comes after earlier missteps which led to a bank run on Northern Rock bank. Their plan is now held up as a model plan around the globe and is being followed in the US and in other countries. It could not have come at a better time, as in the US Fed chairman Bernanke and Treasury Secretary Paulson were having some missteps of their own with their plan to buy up troubled assets. That turned out to be difficult to carry out and may take months- very costly missteps leading to freezing up of global credit markets and criticism from most economists and experts. An account of how the plan was developed as daily events unfolded for Britain's banks.

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WSJ Jonathan Cheng's interview with David Eun, head of Samsung's Open Innovation Center, in Feb. 2014.

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The slowing job market without layoffs and yet robust, is giving new flexibility ot the US central bank, the Fed. Jerry Powell at Fed does not plan to cut rates and will keep rates steady. This mean housing affordability is affected though the problems in housing have to do with a lack of supply and factors such as retired people hanging on to larger homes and not downsizing. Overall this is a period of robust job growth and moderating inflation, and is a result of the huge investments Biden and Congress in bipartisan way are making to provide industry support to compete with China and in infrastructure investments that yield benefits for overall economic growth and productivity. This is true for investments in science and CHIPS Act.

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NYT provides a first hand look at how problems with lack of construction company oversight led to extensive damage to buildings in the Turkey earthquake. 

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Because there is no cash available in financing these days, the few deals in commerical real estate aare like this one in Birmingham, Alabama. An office building there aold for $147 million, but the buyer put up only $1.3 million. See the link to the report by Conway of the Fed's Rapid Response program on the danger to 45% of commercial loans that are expected to sour in 2009. And the WSJ analysis on the risks facing 800 banks with heavy real estate exposure.

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John Taylor on the dangers of a loose U.S. monetary policy and the effects this had in fueling a housing bubble in Spain, Ireland and other EU countries. Taylor points to the bubble ocurring in emerging market economies from low interest rates. Taylor says the ECB's interest rate moves in 2003-2005 were affected by the Fed's low interest rates. He estimates the ECB set rates about two percentage points too low leading to housing bubbles in EU countries. A similiar process is taking place today with the Fed's near zero interest rate policy. Taylor points to interest rates in a group of 18 emerging market economies- including Brazil, China, India, Mexico and Turkey, which have held interest rates on average about 5 percentage points below widely used benchmarks fueling a doubling of global commodity prices between 2009-2011. The U.S. Fed's policies make it harder for central banks in emerging market economies to take aggresssive action against bubbles developing in these countries. Taylor says his does not mean that the Fed should not pay attention to the U.S. unemployment rate and long term unemployed, but should keep in mind the negative effects of slowing demand in emerging market economies and in the EU as a result of its monetary policy of keeping rates at near zero for long periods of time. This feeds back to the U.S. economy at a critical time....

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The political fragility of the government in Greece led by the New Democracy Party. Polls for European parliament elections in 2014 show New Democracy with 19.5% support, Syriza with 20.2%, the new Centrist River Party 8.8% and Pasok down to 5.5%. Few alternatives exist to the Samaras coalition government. Economic progress is still fragile as a return to growth will take time. Both German chancellor Merkel and premier Samaras are sensitive to this situation, not wanting to upset the tangible gains made so far.

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Infrastructure renovation in Hoboken, New Jersey, on marshy land near the Hudson river, helped it escape the floods that affected New York City a few months back.

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As German schools reopen few countries can match Germany's robust effort to do speedy testing and contact tracing to limit the spread of the virus.

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A sense of purpose that benefits the common good and others around us, and small actions to achieve this, are a way to true happiness. Self centered attitudes have led to a loss of purpose in life and destructive behaviours in the last two decades.

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Term Asset Backed Loan Facility of $1 trillion is aimed at bringing new life to the market for asset backed securities that effectively subsidizes loans to consumers and businesses to buy cars, pay for tution, buy farm equipment or use credit cards. Through the program an investment fund can put down $5 to $14 for every $100 it plans to spend and borrow the remaining $95 to $86 cheaply from the Fed. The investment fund agrees to buy highly rated securities issued by lenders that the Fed deems eligible collateral for the loans. About $10 billion in such loans could be made available to auto lenders, Ford Motor Credit and World Omni Financial Corporation. Modifications to the TALF program are being proposed by the banks, but are being reviewed for risk by the Fed and Treasury.