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A survey published in the Journal of the American Medical Association shows mental health related ER visits from 2011 to 2020 rose from 4.8 million to 7.5 million. The proportion of ER visits for mental health issues rose from 7.7 percent to 13.1 percent. Insufficient treatment options and availability of preventative care is leading families to seek help in emergency rooms. The JAMA paper's conclusion: "A dedicated national commitment will be needed to address the gaps."

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UK government tax authority, HMRC has 42 billion in unpaid taxes from business and individuals under the Tory government, says this report in The Guardian. This would be more than what all local authorites in England will spend on social care, environment and planning, culture, it says. Another 4.5 billion pounds were lost in fraud and error. The Guardian calls Tory prime minister Sunak "the billionaires prime minister" and says "the little people" are us.

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The head of the hospital group that represents 39 public hospitals in the Paris region APHP, Mr. Hirsch, says that by October 24 about 800 to 1000 coronavirus cases in intensive care ICU are expected taking up 70 to 90 percent of capacity in the Paris region.This has placed added urgency to the actions of the French government and tougher measures are expected following the Macron announcement of a curfew in Paris region and eight metropolitan regions in France.

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After France makes vaccination mandatory for health care workers Germany's Merkel says she has ruled out mandatory vaccination in Germany. Merkel visited the Robert Koch Institute on July 12 to urge everyone to get vaccinated. Following a slow start 43% of Germany's population is now fully vaccinated. Merkel says "I think we can gain trust by advertising vaccination and also by letting people become ambassadors for the vaccine from their own experience."

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The differences in the Democratic party between conservatives and liberals that make it difficult to get things done in healthcare, energy and other areas. The lack of White House leadership in a number of areas, and in anumber of instances. The lack of Senate leadership on these issues with the Senate not having done much in energy and healthcare legislation. Add to this the influence of the $133 million that lobbyists spent in the 2nd quarter 2009 alone. The failure of Republicans and Democrats in Congress to push vigorously for cost control in the health care industry adds to these problems.

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Using the design-build method under which architects and construction experts work together as a team, Orange Medical Centre, a new 374 bed hospital in Middletown, New Jersey, has reduced the construction costs by one third. Only 9% of the total square footage of hospitals built in the USA used this method according to Modern Healthcare an industry publication, so this is one more area in which health care savings can be found- and there may be many more areas like this- which goes to show that ingenuity, experimenting with new ways and asking questions about old ways of doing things, can generate large savings, especially when it becomes a necessity. As the old proverb says, necessity is the mother of invention. Design-build differs from traditional construction in that the architect and the construction company come from the same company. They understand each other so well that they can finish each other's sentences. This cuts out the waste and back and forth that goes on with changes that are made, as the changes are minimal. This is a big source of the savings. This is similiar to the integration of design and manufacturing experts into one team in the auto and other industries. HBE Corporation of St Louis is the company that handled this work. Its asmall outfit with 500 people and this is the largest hopital it has built, so there is potential for doing alot more in this field for health care savings....

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LDP Komeito alliance wins 47 seats. Sanseito nationalist challenging LDP  government wins 14 seats in Japan parliamentary election July 2025. A tariff of 24% on Japanese car imports are increased by DJT to 25% in frustration over slow talks about an agreement. Japanese prime minister Ishiba is unlikely to remain in office more than a few months after losing majority in parliament. This means more uncertainty in the talks with the US over reciprocal and car tariffs. With the nationalists challenging the LDP's stiad party politics the LDP does not want to look weak in defending Japan's national interests.

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DJT appeared on Oz's health show in 2016 as a presidential candidate, and sees OZ as a fellow tv show host, a kindred spirit with a passion for what he is doing. As head of Medicare and Medicaid after afailed effort for a Senate seat from Pennsylvania, Oz is still someone whit a keen sense for the politics as well as what is good for the healthcare of Americans. He shares apassion for good health as a goal for America that was held up by JFK, and his nephew Robert Kennedy Jr who now leads the Make America Health Again movement. Oz fervently believes the time for healthy America is now after many wasted years under Clinton/Bush/Obama when national interests were neglected for places like Bosnia in a historical conflict of Turks and Serbia that goes back centuries (Clinton), in the deserts of Iraq (older Bush), in the mountains of Afghanistan that claimed Brezhnev as a victim the younger Bush followed, two wars prolonged by Obama and closed by DJT and Biden. Something as basic as health and pharmaceutical prices was allowed to get as bad as it is in 2026 with prices through the roof. DJT's plan is to get the pharmaceutical companies to commit to certain prices, to the lowest price they sell the same medicine in Europe. This is what Dr Oz wants to see not just for the next 3 years but put into established practice for the future years.  Oz says about presenting the DJT plan on healthcare to Congress and the Nation- “We didn’t demand that they do it. We said, ‘This is something that is very popular and highly achievable.’ ” Healthcare costs, gas and automobile costs, energy costs, housing costs are all part of the 4-5 costs that are the key elements in the cost of living crisis or affordability crisis that is uppermost on the minds of Americans. Already the Medicare payments to insurers are going to be flat for 2026 compared to 2025, as part of policy to get costs down, push pharmaceutical costs down. ...

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US and Iran accept Pakistan's mediation of the war with a 2 week ceasefire and opening of Straits of Hormuz- April 7 2026. The mediation by prime minister Sharif of Pakistan gave both sides in the war a way to back down. Both sides agreed to talks in Islamabad, Pakistan. As a partner of Pakistan, China may also have a role in setting up a settlement as China and Japan have the most to lose from the Straits of Hormuz being closed, oil prices rocketing up to $115 and higher, and even a prolonged shutdown of Hormuz Straits. Both China and Japan get 90% of their imports from Hormuz Straits. Oil prices drop to the $100 level from $115 after the announcement of talks in Islamabad. This is not a long term settlement. After the two weeks US president meets president Xi of China in Beijing shortly afterwards on May 14-15. It is likely that preparations for that trip will involve China and Pakistan working together to get the US and Iran to agree to an extension of the ceasefire. One outcome of this war is as Le Monde has noted- the unreliability of Hormuz supplies and shift to imports from US and Venezuela and other parts of the world for fossil fuels. And with this a renewed effort to reduce the fossil fuels needed by accelerating renewable energy supplies in Europe, India and China. More attention will also be focused on reducing the proliferation of nuclear weapons by all major powers. Removing US involvement in NATO may also turn out to be positive in some ways to bring Russia and US as nuclear powers to better working relationships, and reduce the nuclear arms race and weapons race. For Europe it means meeting needs of Ukraine and improving military capabilities. The overall result may be positive for all countries. The Middle East region will be seen as one in which no powers should get involved in and the Middle East will also find it has squandered its valuable oil dividend in five decades of wars and mismanagement and fall behind the rest of Asia and Europe, the US in economic progress and development. ...

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Iran peace talks in Islamabad on April 12 and Iranian refusal on nuclear weapons development and ballistic missiles leading to collapse in 21 hours of talks. Vance leaves talks and US plans to impose a naval blockade of Iran. This report by the Guardian shows that media coverage has created a sense of delusion that the world including the poorest countries in the world in Asia, in Latin America and even in Europe, and the industrialized countries will somehow allow the free navigation for oil and other raw materials to be interrupted by any nation. There are protests all over the world about increase in fuel prices, some of this affects LPG supplies for cooking in countries with a population of 1.4 billion people (India) many times that of the entire Middle East. Tens of millions of migrant workers head back to their homes in poorest states in India as LPG cylinder prices quadruple and are in short supply April 13, 2026.It also affects China and Japan which are dependent on Hormuz,  not the US which exports oil and does not seek to gain from oil prices. Posturing by the media and European governments on this issue has created this delusion that this is about US actions, when the US is only acting in the interests of all nations to keep the planet safer from dangerous nuclear proliferation in the region most torn by repeated wars in the last 50 years. Some of the language used about attacks on power plants has become a reason to justify such reporting to present aggressive ballistic missile development and nuclear weapons development in Iran in a benign way, becoming oblivious of how it affects the lives of billions of people around the world, as the Middle Eastern region a small fraction of the world's population (less than 7%) and a small fraction of the planet's surface (less than 6%) continues to operate in a way that is destructive for the lives of people around the world.   ...

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The US booster vaccine drive is lagging behind as only 30% of Americans fully vaccinated have taken the booster vaccine, according to CDC. Only half of Americans over ager 65 have taken the booster shot. In New York City only 1.5 million Americans out of 8 million have taken the booster vaccine. This report in NYT shows Dr. Oshita's 3 urgent care clinics in Sacramento, California, and no rush of people to get the booster vaccine. It is scary, he says, of the lack of a rush of people into the vaccine centers. This is happening as the new omicron variant is spreading.

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A team of 45 designers, sculptors, design engineers and scientists are working in the EFlex Systems Design studio to continue work on the Chevy Volt. It will be dedicated to designing a variety of vehicles that will use the electric plug in concept for cars.

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In his speech at the Labour party conference Keir Starmer wll put mental health as Labour's key pitch to voters. Starmer will say that a Labour government will take note of the mental health crisis after Covid and make mental health treatment available to anyone who needs it within a month, and create drop-in mental health hubs for children and young people. This is Starmer's first in person address to Labour's party conference.

Labour believes the mounting fuel crisis with most petrol stations out of gasoline is creating concerns about Boris Johnson's ability to tackle Britain's problems after Covid pandemic. Referring to Boris Johnson's plea for motorists not to fill cars unless necessary, Starmer will try to contrast the challenges facing Britain after the pandemic with the chaotic approach of Boris Johnson. 

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How GM 3 crossover vehcles built at the same plant in lansing, Michigan running at full capacity, are taking sales away from the Toyota and Honda brands. About 20% of all Acadia and Outlooks go to customers trading in Asian cars, about 14% of all Enclaves go to customers trading in Asian cars. In general only 3% of GM vehicle sales go to customers trading in vehicles made by Toyota and Honda. Figures from JD Powers. GM just added a third shift at Lansing and the inventory numbers also reflect hot selling crossovers- only a 22 day supply of Enclaves, 32 day supply of Acadias and a 51 day supply of Outlooks. In general GM is carrying 70 days inventory of vehicles. With smaller stocks less need for incentives so Enclaves and Acadias go at full price. Note: Why is there this juxtaposition of figures amuch higher inventory of Saturn Outlooks at 51 days compared to 22 days for Buick Enclave, and yet more people are trading in their Japanese or Asian cars for Outlooks than they are for Enclaves, 20% for Outlooks vs 14% for Enclaves? Here a Mercedes customer went for an Enclave at $45,000, $30,000 less than a comparable Mercedes. ...

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Frances tax system places 40% tax on single earner family with 2 children compared to 20% in the US. France debates how to pass the budget and how to meet budget shortfalls in revenue, where to tax. France's top tax bracket is already at 55%, the second highest in Europe, which does not make the job of setting taxes easier. Additional 1.9 billion euros was to be raised by raising the tax rate for families that had tax liability of 20% if they made over 250,000 euros. This has raised 400 million euros only in 2025. This editorial in the Washington Post is critical of the French tax structure and says it is not just the rich who end up with higher taxes. It says that the average French single worker gets to keep only 53% of income after taxes, whereas American average single worker who gets to keep 70%. The extra 20% could be what the American worker pays for health care if as in some cases health care has become so costly in the US as to cost more than a mortgage, as reported in the WSJ in January 2026. Can government buy healthcare more efficiently and distribute it than families on their own. In the case of pharmacy products would removing the power to negotiate  prices with pharmaceutical companies conducted in government run by special interest groups as happened under US president Bush make it so expensive to buy pharmaceutical products that the advantage of smaller taxes is destroyed by a perverse healthcare system run by special interest groups with help of lobbyists. This is just to show that yes the US tax system with lower taxes can fail when other things go wrong in managing crtical costs such as healthcare and housing.   ...

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Afghanistan plunges into a dire economic crisis and socio economic collapse with the collapse of basic services such as health care, banks, food supplies, financial systems. The EU promises humanitarian aid of $1.16 billion to be delivered directly by aid organizations. A virtual group of 20 summit leads to discussion of how to prevent famine and collapse In October 2021.

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Norbert Reithofer initiated changes at BMW when he took over as CEO in 2007. He reduced costs and improved margins at BMW. BMW has also benefitted from increasing demand for premium and luxury cars in 2010-2012.

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The situation in farms and orchards in the U.S. as growers face shortages of labor to pick vegetable and fruit produce. A special visa program provides U.S. farms for vegetable and fruit produce with agricultural workers from Mexico. In 2019 this program brought in about 268,000 agricultural workers from Mexico.This report looks at the effort of companies to ensure that agricultural workers are well taken care of. This includes delivery of groceries to limit trips to nearby towns, offering food trucks with prepared meals. Problems of overcrowded housing and lack of access to health care are problems that are being tackled. Some companies are reconfiguring field work for health safety, and funding overtime work at local health clinics.

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The House-Senate conference report contains $1 billion for the cash for clunkers program. It provides funding through the end of the current fiscal year September 30, 2009. It is expected to result in 250,000 better mileage cars being put on the road. Originally the House had voted in facvor of a $4 billion 2 year program. To qualify older trade-in vehicles must be driveable, insured by the same owner for at least one year prior to the trade-in, have been manufactured in the 1984 model year or later, and have a city-highway combined fuel rating of 18 mpg or less. Vouchers are baed on the mileage of the new vehicle compared with the old and can be worth upto $4500.

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The large number of part time workers reduces the pressures of wage growth on inflation for a considerable period, in the view of analysts. The upward pressure from medical care costs, housing and import prices is also expected to subside in the rest of 2014.

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Release of 50 hostages and 4 day ceasefire required extraordinary efforts from president Biden and a special group of aides working for the president, says Shear in this NYT report. Biden put pressure on Israel and on Hamas through the emir of Qatar to get agreement on hostage release and ceasefire. As part of the ceasefire 150 Palestinian prisoners will be released. Biden does not want to stop there- he wants to end these wars for good, see his article in The Washington Post.

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After the outbreaks in July Florida, the Carolinas, Arizona, and other states in the southern U.S. imposed some form of mask mandates either locally or at the state level. This combined with the restrictions on gatherings and reversal of opening of restaurants and bars, other places of gatherings, have helped slow the spread and reduce cases. Even though the cases are still high there is a levelling off in late August, says this report in the NYT, with graphs in color showing trends.