LyrArc Article Gist
The private sector ignores health insurance. And state coverage in China is inadequate. More than two thirds of China's 1.3 billion people have no health insurance at all. If you have insurance you still pay up front in cash, if you do not have the cash up front you cannot get a surgery, treatment of any kind or any drugs, even if the insurance will later reimburse you. The Chinese health care system is dysfunctional and in a crisis because of the way it is structured, and the faulty policy incentives. It caps prices for basic drugs and procedures at below market rates, yet it lets hospitals profit from everything else from advanced drugs to sophisticated diagnostic tests. So hospitals invest heavily in technology and expensive testing. and drug sales account for 45% of revenues. And enforcement is lax. Doctors in Shanghai make monthly incomes of about $400, about what a taxi driver makes, so they supplement their income with bonuses earned by prescribing more expensive tests and drugs. There is no utilization review so the state reimburses for whatever the hospitals charge regardless of whether the test was needed or not. So the system is dysfunctional and lurching towards a crisis. In fact heavily burdening the middle class. The private outlays and burden of total health care spending has increased from 20% to 60% of total health care spending from 1978 to 2003, as the the health care system got the same dose of unfetterred capitalism as the rest of the system. The Government's share of total health care spending has dropped sharply. In addition there are design flaws that push expensive care and build in incentives for expensive care at the expense of good medical care. The government recognizes this problem and sees it as athreat to social stability. It has committed to increase spending on healthcare. ...

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Awareness about climate change is increasing. A poll in 2017 shows 61% of people in 38 countries seeing it as a big threat. Only terrorists inspired bigger fear. Even with the U.S. withdrawal from the climate change agreement many cities and states in the U.S. including California and New York are committed to the goals set in the Paris Accords. China is making a shift away from coal and fossil fuels. Yet the huge demands in Asia, particularly India as it shifts from a rural to an urbanized economy, mean that the shift away from fossil fuels is going to be very difficult. In the last decade 2006-2016 energy demand in Asia increased by 40%, according to the Economist, oil and coal use increased by about 3% a year and natural gas at 5.2% a year. Solar energy and wind power use is increasing and solar becoming cost efficient. Yet Asia still depends on fossil fuels. Even the use of electric cars in China as it pushes for higher numbers of electric vehicles means use of energy coming from a electricity grid powered two thirds by coal, producing more carbon dioxide than some very efficient gasoline driven car models. There are short term costs in the shift from coal but this comes with a better cleaner air demanded by urban residents, and less costs in health. In certain countries like India the costs are to be balanced with the need to tackle rural poverty.   ...

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In a major western nation the Shadow Government is now being led by someone who did not spend childhood years growing up in that country, putting this out of reach for millions of children whose parents and grandparents have lived there for generations. The result is that the common people are losing faith in government. In that major western nation people are deserting the main parties looking for alternatives and common sense even though the laws on birthright citizenship were finally and belatedly changed in 1983. US vs Wong Kim Supreme Court case of 1898 is about Wong as a son of parents lawfully and permanently domiciled in the country, and was seen by the Supreme Court as a natural born child for good reason. That this does not apply to women coming to a western country to give birth specifically to gain citizenship for a child and then departing appears obvious. Just one year after a mother from West Africa arrived along with others who made the same journey from around the world to give birth for citizenship in the UK, the UK changed its laws to prevent this from happening again. In the US as it seeks to  follow other countries in Europe to prevent birthright citizenship used in opportunistic ways not inherent in genuine citizenship, this jurisdiction does not apply to people here illegally or temporarily.   The authors of this article in WSJ say temporarily as understood by ephemeral jurisdiction. They cite the citizenship clause.Sen. Jacob Howard (R., Mich.), sponsored the Citizenship Clause. Senator Jacob Howard argued that it “ought to be construed so as to imply a full and complete jurisdiction on the part of the United States.”    ...

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The poor and moral arguments for cutting off food stamp assistance and unemployment benefits. Egan looks at the U.S. Congress and opinions on this subject.

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Reports that the family and relatives of China's prime minister Wen Jiabao have accumulated assets worth about $2.7 billion.

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A study by Prof. Joseph Gyourko, of the Wharton School, University of Pennsylvania, shows that the FHA risks having $50 billion in losses over the next couple of years. Analysts say the largest banks could face billions of dollars in losses if the FHA were to push defaulted mortgages back into the hands of the banks that originated these mortgages. If home prices continue their decline, a restructuring at FHA and a taxpayer bailout will be inevitable.

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Egyptian soccer riots at Port Said and the ineptitude of the police forces on the scene further damages the credibility of the military council. Vigorous debate in the newly elected parliament and efforts by the Muslim Brotherhood to wrest the drafting of the new constitution away from the military.

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White, Thomson and Blumenstein interview Russian President Medvedev. Medvedev says he is very conscious of what is happening to the EU and its fiscal affairs, and to the euro, in this intervew. He sees Russia's future as a European country closely related to the future of the EU and its member countries, especially how the EU countries do as they adopt austerity measures and cut spending.

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Condoleeza Rice, former U.S. Secretary of State, who insisted on meeting opposition leaders in Cairo during the Mubarak regime (in Condoleeza Rice, Washington Post, 2/16/2010, The Future of a Democratic Egypt), reflects on the situation after parliamentary and presidential elections in Russia in March 2012. She says that the growing middle class in Russia seeks respect and participation in how Russia is to be governed. She thinks Russia's dependence on oil and commodities for revenues fosters a climate of corruption and it should move faster in the direction of diversifying its economy. Russian entry in the World Trade Organization, fostering a climate for Russian engineers and scientists to work inside Russia and start new companies, and building U.S. and European business and private ties with Russia's public and private sectors, should be promoted to help the Russian economy diversify. Resetting Russian relations or depending on the U.S. government to come up with solutions appears to be the wrong answer, Rice points out, because resetting is still based on internal politics in Russia. ...