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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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Milan Cortina Olympics 2026 Medals table  Norway and Italy on top US France Germany Sweden France Switzerland and Austria Japan in top 10 for gold medals. Britain with 1 was surpassed by Australia with 2 gold medals.

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US president DJT reaches a framework in discussions with Rutte of the Netherlands. This will form the basis of future negotiations and the US has withdrawn its 10% tariff on EU countries opposing the US on Greenland. 

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Even though ambitious targets are being set by the government raising from 50 million to 80 million in 3 years the target for new LPG connections to shift rural households from firewood to natural gas use, more needs to be done. The head of the Economic Advisory Council to Prime Minister Modi of India. Bibek Debroy, asks questions about the Ujjwalla program in India to shift rural homes from firewood to gas use. Is the fixed subsidy of Rs 1600 enough? Is a 5kg cylinder what the market wants instead of the 14.2 kg cylinder? Are there externalities that favor use of firewood? Will rural households replace the cylinders at this subsidy level because the costs are still high?  The PMUY, or Pradhan Mantri Ujjwalla Yojana was launched in India in 2016 in Ballia, Uttar Pradesh under the Modi administration. The target for LPG gas use for firewood using households was 15 million in the first year and 50 million for the next 3 years. The government pays Rs. 1600 subsidy for a new connection reimbursing the oil company making the connection. The refill and cost of stove, is the rural household's responsibility. Separate guidelines were made for urban households. The government website mygov.in shows 41 million households have used Ujjwalla to get LPG and stop firewood use. The new target of 80 million means the goal post is moving higher. The 2011 Census is cited showing the rural household use moved up from 6% to 12% by 2011. For All India it was from 17% to 29%. About 100 million rural households use firewood, 62.5% of all rural households in 2011. A big issue is how this affects the health of women using firewood for cooking, and who collects this firewood. Firewood is still cheaper says Debroy, and there are negative externalities associated with firewood not understood enough. Changing the face of rural India is a project in motion, with new issues to tackle, new hurdles to overcome, every bit of progress showing how much more needs to be done. ...

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Mumbai's rail system is used by about 8 million passengers each day. Many workers commute as long as 50 kms to get to work from the suburbs to Mumbai. This report looks at possible action to limit the spread of coronavirus through the rail system. The rail system is run by the Western Railways and Central Railways. Between March 11 and March 18 there has been about 50% drop in passenger traffic. The divisional head of Central Railways says it is essential not to compromise the entire rail system there by taking action now.

 

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The Sri Lankan economy, jobs and growth are affected by economic relations with India, loans and assistance from India, and from investment from India in the 2025 period. USAID plays very little part in jobs and growth. This is true of other countries.  In the past the USAID was seen as part of the activity of the State Department overseas yet kept separate so that aid would not be based on US diplomatic activity. Over time it became a place which supported what critics call bureaucrats pet projects in developing countries. Many developing nations have advanced in their development and no longer need USAID projects, this includes India, Indonesia, China, Vietnam, Brazil, Chile, and parts of Africa. Because development aid was at one time critical as in the period when John Kennedy came to office in the Cold War with the Soviet Union, many nations in Asia and Africa were just becoming independent there was a sense from that time that its acitvity and budget was somehow both independent of the State Department and sacrosanct. As a result it became a target of critics and did not advance the US interests overseas as the US Information Service, the VOA Voice Of America and other agencies have done. A country's development no longer depended on USAID. Why does it need to be separate when it should advance US goals and interests around the world which are benevolent- consider that it is the US that helped build up the Chinese economy and still provides it with a large market. ...

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DW.com shows Kashmiris voicing their concerns about their future. The Kashmir economy can get an immediate and significant boost from tourism which creates significant number of jobs and opportunities for young Kashmiris. Spain gets 85 million tourists and its economy is highly dependent on tourism. Kashmir also has the potential for boosting production of fruits and vegetables for export. 

It is this economic force that Kashmir can see building its future and would boost the living standards of the people in this region. By creating a strong economy Kashmir can boost investments in schools, universities and hospitals, healthcare, to improve the quality of life in the region.

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A bill passed in the House and now going to the Senate in the US will put a tax on remittances of 3.5% for people who are not US citizens or nationals. It was at 5% but lowered to 3.5% just before the vote. 

Total remittances from the US in 2023 are  $656 billion, according to the World Bank. Total remittances to Africa from US $12 billion of $92 billion total. DW.com shows a family outside Accra, Ghana depending on these remittances for food, medicine and education.

An out of control migrant problem with tens of millions of migrants flooding the US and Europe became a major issue in the 2024 US election. Voters clearly supported strong action to control migration and human smuggling across borders.

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A good meeting of Merz with Trump at the White House and reaching out at a personal level. The German leader handed Trump a birth certificate of his grandfather from the Palatinate region of Bavaria. Merz says-

"I'm returning with the feeling that I've found in the American president someone I can speak with very well on a personal level," he said. "We have a lot in common, even in the different career paths we've taken between politics. That creates a certain bond."

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France moves to a mandatory health pass for most activities as cases rise 150% from 7000 last week to 18,000 week of July 20.

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A $50 billion infusion from the Swiss central bank does not stabilize Credit Suisse. The next step is for the Swiss central bank to arrange for UBS bank to take over Credit Suisse. For many years Credit Suisse management has taken outsize risks. 

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EV's are costlier to insure by about 30% than internal combustion engine ICE vehicles. Over time this is expected to come down. Insurance costs of EV's are also higher in China where 40% of cars sold are EV's.

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Brazil's Senate passes a 20 year spending cap to be reviewed every 10 years put forward by interim president Michel Temer. After years of increased spending and higher deficits, the action is intended to control government spending. It also means reversing some of the spending on healthcare and social programs of the Workers Party of Rousseff and Da Silva. After a long period of Workers party rule with higher spending, the drop in commodity prices and declining growth in China led to stalling growth in a commodities (metals and grain) dependent Brazilian economy. The spending cap passed the Senate 53 to 16. President Temer is  unpopular and seen as part of the same government and elite as Rousseff that led to the corruption scandals- recent polls show 63% of Brazilian people want him to resign and only 10% saying he is doing a good job. A Datafolha poll shows 60% oppose the spending cap. After the impeachment of president Rousseff in the corruption scandal, vice president Temer assumed the presidency till 2018. Brazil's Workers Party was popular during the da Silva years as it expanded spending on social programs- supported by a growing economy with commodities exports to China and high prices- only to see a slumping economy and falling popularity under successor Rousseff as the boom ended. In Argentina a similar process unfolded with higher spending on social programs and growing popularity during the Kirchner presidency- with commodities exports of grains to China- followed by declining popularity as the economy entered a difficult phase with a fall in the value of the peso, and the election of a new president Mauricio Macri.   ...

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Did you know that SUV's are the second largest source of emissions after Power. We hear a lot about aviation which is much smaller but little about SUV's in the impact on climate change. SUV's make up about 40% of cars in Britain, and higher in the U.S. at 43%, 40% worldwide an astounding sixfold increase from 32 million to 200 million since 2010. People may even be driving an SUV and talking a lot about climate change.

Any savings from electric cars expected to grow from 2 million to 20 million by 2030  will be offset by more SUV's on the road. This is the view of the International Energy Agency in its recent report. Again all the talk about electric cars as a way to address climate change misses what is really happening in automobiles. Even in China the SUV's make up 42% of sales, and in India 30%. It is more profitable to make SUV's and they are harder to electrify adding 25% to energy consumed compared to cars. 

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This editorial in the WSJ, says its a surprise the protest vote in EU parliamentary elections did not come earlier, considering 11% unemployment in Europe and about 50% youth unemployment in some countries. Italy's Renzi government did well in the elections with 41% of the vote. The CDU got 30% of the vote. The French UMP party getting 20% and the Socialists 14%, a poor showing in France compared to the Natonal Front 25%. UKIP Independence party took 27% of the vote in the UK, with Labor and Conservatives a close second and third. Overall the results in Italy and Germany salvaged the situation, says the editorial, by making the pro-EU European People's Party (EPP), the largest group. It includes the UMP in France and CDU in Germany, and has 213 seats for then next 5 years, the largest group in a 753 member EU parliament.

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At this time following the Brexit vote $1 trades for 82 pence. This is a sharp drop in the value of the British pound. With it tech companies Dell, Microsoft, HP, and Apple are raising their prices sharply. Apple prices are up about 25% as a result of Brexit and fall in value of sterling. The price of Apple apps now reflects the falling value of the pound. Not only Britain is affected. In India the app which cost $0.99 now costs 80 rupees in India from 60 rupees previously, a 33% increase. In Turkey the increase is 30%. It all goes to show that as the Bank of England's GOvernor Carney has pointed out that Brexit comes at a price, a price that the British public were not alerted on at the time of the vote with the temporary crises of refugees influx and internal squabbles inside Labor and Tories deciding the vote.

 

 

 

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The social media site Twitter frequently loses money and took on $13 billion in debt says this report in the NYT. Musk faces financial challenges a he takes over the company, and this report says the company would be unlikely to invest and simply be paying the bills. Twitter it says, has not made a profit for 8 of its past 10 years. 

Twitter's interest expense alone would grow from $50 million to $1 billion with the new debt. Company operations generated about $630 million in cash flow to fund operations. Twitter had $6 billion in cash before the buyout and a large part of this would have gone to close the acquisition. All the financial resources of the company will now go to service the debt. About $1.2 billion in marketing expenses mostly salaries are likely to be cut. And layoffs of a significant fraction of the total employees may be a way to conserve capital to service the added debt, this report shows.

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Suggestions are not to take Fridays off but instead take Mondays off and sometimes break the week with Wednesday off. Fridays off are seen as a drawback because one is seen cramming five days work into four that week. Here a Unilever manager manages her 15 days off and another week that she gets after 18 years service to somehow add the weekends to get 9 days off for a break using 5 vacation days. Taking vacations for less than a week are seen as not productive for reducing stress at work and for getting better sleep. Procrastinating vacations to when work gets slower is not recommended as the answer for many is work never gets slower and you could end up overworking. Planning ahead lets this Unilever manager plan trips that act as rejuvenating experiences up and down the Eastern seaboard after getting her vacation life in order following some misssteps. She shows how with 20 days she could create 50 days vacation during the year adding in public holidays.

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A heat wave over northern India with New Delhi recording temperatures never seen of over 50 degrees centigrade happens just as voters go to the polling places in May 2024. Results will be announced June 5 for parliament's 543 seats. Turnout is considered to be resilient in the face of the heat wave with only 20% of the voting seats having lower numbers of voters than 2019. The drop in voting was slight of 1.5 percentage points overall from 67.2% to 65.6%. The last phase starts June 1, and 485 seats have voting completed.This vote is all about development and delivery of infrastructure, jobs, and modernization, improving governance and rapidly developing the country held back for about six decades after independence during which Japan recovered from the war, and China rapidly modernized its economy, and India only setting the beginnings of recovery in the administration since 2014, with prime minister Modi setting the goal of a modernized country by 2047 or Vikshit Bharat. ...

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In this economy there is wide divergence in the US for upper income people earning well on assets they own at 5%+ for extra income and the lower middle classes wage earners that are struggling even with low unemployment and inflation at 3%. WSJ looks at these two divergent parts of the US economy and what can be done. Inflation could be worse with higher Trump tariffs on imports, says WSJ. The situation is a difficult one for families struggling even with higher incomes, as this one in Michigan in the WSJ, that finds it necessary to take money out of savings with prices higher but not reflected in inflation statistics of 3%. One example is higher housing and apartment rental costs with 25% of families having to spend over 50% of their income on home rental leaving little for food and expenses. President Biden has called for limiting price increases on home and apartment rentals to 5%, and Harris has proposed aid for families spending more than 30% of household income on housing costs. Strong action is needed. ...

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The most remarkable gain for Harris is among the group that the Opportunity Economy does the most, the group that has the most to gain from The New Way Forward proposed by Harris. It is the 25-34 years age group where Harris as gained 12 percentage points. By effectively getting the message of Opportunity and looking to the future this gain has potential to be expanded.   Harris has gained among groups the Democrats needed to do most from lower income workers who were supporting Trump and Rural voters. Among Rural Voters 3 percentage points. Among people making less than $25K 20 percentage points, and for people making $50-$100K 3 percentage points. Among Trump 2020 voters 2 percentage points. The biggest gains is in group called Somewhat unfavorable view of Trump where Harris has gained 46 percentage points. These are also Republicans like the ones that voted for Nikki Haley and Republicans who fear the chaos of a personality focused presidency.   ...