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The costs benefits and savings in a patient focussed practice. The new models of thes practices that are emerging such as amonthly payment of $54-129 per patient to the doctor and insurance only to cover hospitalization and catastrophic illness. The satisfaction of patients who avoid crowded doctors waiting rooms and avoid having to limit their questions. and get in and out quickly. The satisfaction doctors derive fom not having to rush through the day's schedule. The reduction in emergency care visits as patients better m=nderstand and manage their medical conditions.

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Chancellor Merkel tells the newspaper "Sachsische Zeitung," that she sees a follow through on policies on refugees after reestablishing control over EU borders as one of the lessons learned from last years refugee crisis. This has reduced the flow of refugees and Merkel says the process of deportation of non-German nationals who had no residency permit had to be done rigorously and speeded up.  Having said this Merkel defended her policy on refugees as "coherent," and was clear about it- "I do not see a change of course, but coherent work over many, many months." Responding to Pegida and anti-immigrant sentiment in Dresden, Merkel said it is important to remember the lessons of history, that "we are the people" slogan used by the far-right is misplaced, that in a free society "we all are the people."

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The no jerks rule at Barclays and how it did not prevent traders from manipulating LIBOR rates with or without the knowledge of top management. The culture at Barclays and how this matters, and the role bonuses play in incentivizing wrong behaviours.

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Iraq is being dragged into Iran War with Iran backed Popular Mobilization Forces as part of the current Iraqi government. Today there are Sectarian divisions Shia and Sunni jostling for influence and power in the state of Iraq, a state created artificially in 1921 by Britain to protect its regional interests. After the Ottoman Empire 1524-1918 was broken up, after the WW1 in 1918, the British in subsequent negotiations got the League of Nations Mandate for Mesopotamia- historically the region between the Tigris and Euphrates rivers. It was made up of three provinces of the Ottoman Empire Basra, Baghdad and Mosul. Basra had a large Shia population, Baghdad and Mosul had a large Sunni population.  To this date no census has taken place except in 1987 and 2024 and never one that shows which portion of the population is Shia or Sunni, so no one really knows. Britain installed Faisal 1 as the King of this artificially created kingdom in 1924. The British operated in this way controlling the Shah of Iran at the time, and the Iraqi king, Egyptian king. Britain and France tried to install a Caliph in Istanbul who would rule Turkey and protect British and French interests but failed because of a Turkish military officer Ataturk who declared a independent Turkish state based in Ankara in the 1920's and defeated British sponsored armies and forces from Greece.   ...

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A pipeline through Ukraine territory supplies Hungary and Slovakia. It had to be functional and restored for Ukraine to get 90 billion euros from the European Union. Hungary has a new leader and the loan was quickly approved, the pipeline restored weeks after the Hungarian election ousting Orban.

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BBC looks at how immigration policy broke down in Canada for the first time in decades under PM Trudeau leading to his resignation and replacement by Mark Carney. About 1 million or about 3% of the population were admitted as immigrants in 2022 alone. about 5 million may have entered the country since 2019 taking the population from 36 million to 41 million which is a 14% addition in 7 years. By 2025 housing prices had shot up and social services were strained, the whole system was broken as foreign student visas became a way to get permanent resident status.

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Protestors on the side of governor Walz and mayor Frey both Democrats opposing the efforts of federal law enforcement create a situation where a car driven by Renee Good moves into the area with parked officers and leads to alleged car ramming and shots fired. An impasse in Minneapolis, with federal law enforcement efforts of immigration laws to remove migrants with criminal records opposed by Walz and Frey.  Following a surge in immigration under Biden, similar to that in World War II surge of migrants, which was followed by Operation Wetback in 1954 under Eisenhower. Walz was vice presidential candidate under Harris for the presidential election won by DJT. Political infighting and a alleged misuse of state funds have complicated the efforts. DHS Secretary Kristi Noem says today that the federal law enforcement by DHS had worked in Tennessee in cutting crime and made the city of Nashville safer, that there a Democrat Mayor had cooperated with federal law officers.She says about 490 people with criminal records were released into the city of Minneapolis by the state and local authorites under Walz and Frey, and not turned over as requested by DHS and Noem, under US law. On January 24, 2026, a man with a handgun and magazine of ammunition was in protests and in a confrontation with law enforcement was shot by a 6 year veteran of the federal law enforcement force. ...

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Susie Dent on Vocabulary in decline in UK ( and the US) as screen time takes time from learning new words. “There is a huge perception that screen time is having a negative impact on vocabulary, and I think that’s because it is taking away from reading time. The digital lives of our children are taking a greater and greater role and reading certainly is in decline." Dent cites a 2023 Oxford University Press report that 40% of children had fallen behind in vocabulary development. She says there is areal danger that vocabulary development is suffering for children and that this impacts learning for children.

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During question time in the US Congress US Senator Rand Paul stated that the US money was used to fund research at the Wuhan Institute of Virology. A ban on gain of function research on virus was lifted by the US in 2018. Following the lifting of this ban which was strongly opposed by scientists at Cambridge, Massachusetts, research was conducted that many of these scientists considered dangerous and risky. This report in the BBC shows Dr. Anthony Fauci. director of the NIAID, the Institute for Allergy and Infectious Diseases responding to Dr. Rand Paul, Senator from Kentucky. Much of the discussion goes into definition of "gain of function research" and misses the broader implications. Scientists in Cambridge had warned early of the danger of doing research because of earlier mishaps such as the one involving anthrax research from accidents that are always a risk. Epidemiologist Marc Lipsitch of the Harvard Chan School of Public Health warned of just such an "accidental pandemic" in Three Questions, Three Answers in the January 2018 issue of the Harvard Chan School of Public Health journal. He stated that an "accidental pandemic" could result from the lifting of a ban on a risky kind of research favored by some virologist professionals. Most of the medical and scientific community in Cambridge fiercely opposed the lifting of the ban on what they saw as risky research with little benefit in 2018.    ...

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British establishment Labour's Mandelson and Conservative's Prince Andrew -the Epstein connections in the Epstein files and the political fallout for Labour and the Conservatives. This happens as they approach local elections with the Greens, Liberals, and Reform UK already taking 50% of Labour's 2024 general election voters with disillusionment over results in the first 2 years of Labour. Labour assumed it had the immigration issue under control with some headline grabbing  stories of it taking tough action when it won in 2024. That has not deterred illegal migrant trafficking. Labour soon lost sight of the ball, and did not realize that the cultural issues around excessive tolerance of such migration itself had not been resolved such as ECHR rights which were completely misinformed when written to approve of such illegal migrants rights and ignore the citizens and women of the neighborhoods in which people had lived for generations. After decade and half of Conservative Cameron austerity Labour needed time to wrestle with the issues of levelling facing Britain's north and the Midlands. Instead Labour found itself on the backfoot and Farage was brought out of retirement after issues in towns like Epping and all across England, where migrants were put in hotels as women and locals loudly disapproved. Labour thought under Conservatives  that over 50,000 were in asylum hotels in 2023 and this has come down to 35,000 in 2025 under Labour, as a kind of improvement not realizing that the public mood questioned the whole idea of the migrants in hotels itself, of little tolerance for any illegal migrants in neighborhoods itself. It shows the political processes have great importance and a series of mediocre leaders from Blair, Brown, Cameron, Johnson, Sunak, Starmer and Farage over a period of 4 decades can change the trajectory for nations and region. A similar period for India in 1720-1760 with warring factions and regions inviting British East India Company troops to opposing sides fractured the country and led to losing its grip on itself. Gandhiji describes this for introspection in Hind Swaraj (1905) not taking the easy road most now discredited anticolonial writers after 1950 took in Asia, Africa and Latin America. Where does this leave Britain in 2026? It can only come to grips with it knowing that the quality of education, quality of leadership, honesty and introspection of the kind suggested by Teddy Roosevelt in Applied Idealism in his Autobiography, chapter 5, and in Gandhiji's Hind Swaraj are essential.  ...

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Kevin Warsh is a former governor of the Federal Reserve 2006-2011, becoming governor at age 35. He is a partner at the family office of investor Stanley Druckenmiller. Scott Bessent also had connections with the office of Druckenmiller. He is also a lecturer at Stanford Business School and a scholar at the Hoover Institution. He is married to Estee Lauder heiress Jane Lauder, and has spent the years since 2011 at the Stanford School.  Current Fed chairman was appointed by DJT in 2017 and retires in May 2026. If Powell continues as a Fed governor Warsh would take the seat vacated by Stephen Miran when he retires as Fed governor this week. Meantime the Fed under Powell faces an investigation by the Justice Department regarding renovation of its buildings and Senator Thomas Tillis on the Banking Committee says he will not support Warsh until that issue is resolved in favor of Fed retaining its independence. What is unique about Warsh and his selection by DJT? He is a Republican of long standing and his current views are that interest rates can be lower if the Fed reduces its holdings of Treasury securities and mortgage securities it holds. DJT's frustration is that Powell raised interest rates to fight inflation and after DJT became president was slow in cutting rates to boost the economy. DJT's resort to tariffs as a tool in world trade to ensure a level playing field with China when all other tools had failed means more uncertainty in the economy and DJT wanted the Fed to support his policies by lowering rates. ...

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After 3 by-elections in Toronto and Montreal Carney likely to have slim majority in Canadian parliament with 173 seats. The Liberals party has a 10-15% lead over the next party the Conservatives. Under Justin Trudeau Liberals had fallen behind the Conservative party in polling, only to be revived by Mark Carney of the Central Bank of England who sidelined some of the more controversial parts of Trudeau policies and gaining a big win in the recent elections. Carney has tried to find a way to keep Canada independent of US policy and able to chart its own path in the face of US tariffs and trade policy.

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Epidemiologist Marc Lipsitch of the Harvard School of Public Health says in Jan 2018 issue of Harvard Chan Institute of Public Health journal that an "accidental pandemic" could result from the lifting of the ban on a risky kind of research favored by some virologist professionals.  In "Three Questions, Three Answers" Lipsitch tells why. Most members of the broader scientific and medical community had serious questions and were fiercely against such research which had questionable value and great risk. At the beginning the interviewer Karen Feldscher writes:  "January 8, 2018- Last month the US government lifted a three year moratorium on funding risky research to genetically alter deadly viruses in ways that could make them even more lethal. Epidemiologist Marc Lipsitch of Harvard Chan School thinks the move could create an accidental pandemic." Lipsitch says rejecting the virologists who supported this dangerous research: "Others, like myself, worry that the human error could lead to the accidental release of a virus that has been enhanced in the lab so that it is more deadly and contagious than it already is." He cites an accident in 2014 at US Centers for Disease Control and Prevention Lab where workers were exposed to anthrax that was improperly handled. "Another accident like that- if it involved a virus that was both newly created and highly contagious- has the potential to jeopardize millions of people."  Lipsitch points out that this kind of research has given us modest scientific knowledge, was not essential to tackling the virus epidemics, was only one type of many types of research, and a type of research whose aims could be achieved in other ways that were not deadly to humans. Lipsitch pointed this out in The Journal of Medical Ethics stating the ethical considerations at stake. The lifting of the ban led to research at labs that is seen as a possible scenario of what happened to cause an accidental pandemic. The people of the world, and not just in America but the people of the whole world, and the poorest countries with little resources- Asia, Africa, Latin America bearing the consequences of this decision that violated medical ethical considerations of setting up a potential accidental pandemic.   ...

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US Trade Agreement with Japan $550 billion in investment in US and 15% tariff. The 15% tariff is lower than the 24%-25% tariff DJT had imposed on Japan.

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For 2025 US stocks S&P 500 returns 19%, foreign stocks in Europe 36%. An extraordinary year for foreign stocks with Germany's big investments in the economy. Actually the average S&P stock was down 3.7%. It was the large investments in AI that propelled the US stock markets S&P 500 to the 19% gain.  AI investment may take a long time to be profitable and some companies may lose money yet the building of data centers creates demand for construction activity, and tariffs are bringing larger investments into the US economy. Media skeptical about tariffs led to many missing the surge in stocks. It was the same overseas after years of Merkel and limits placed in the constitution on needed spending, and the SPD coaltition struggling to get through FDP obstruction to investment spending. Chancellor Merz of CDU joined the SPD to make a big $1 trillion investment in German infrastructure and defense, and removed the constitutional brake on investment Merkel had unwisely put in, with so much of Germany's infrastructure and digital in bad shape. This pushed up European stocks that had languished under the austerity logic of Cameron/Johnson-Merkel. This also was missed by many as the old logic was suddenly and quickly taken out with Russia emboldened in Ukraine taking over much of the eastern Ukraine's Donetsk region. Defense is now a rapidly growing part of the German economy. 2025 was a year of sudden and rapid change in the world economy with tariffs, US investment deals, and Germany taking on defense and infrastructure, which few could predict. And in which the media created confusion by saying the opposite of what was required from investors. ...

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ECP acquisition of Calpine  in 2017 for $5.6 billion and sale to Constellation for profit of $25 billion. In 2017 the market seeing the shift to renewable energy missed that it would take 20-30 years to make the transition and in the meantime natural gas had a big role to play as a low cost less polluting fuel than coal. ECP in 2017 saw good cash flow and an opportunity to improve it with some changes. Blackstone's $16 billion made on buying Hilton Hotels is the second best deal ever for such a sale, buying of private companies and making improvements to sell them at a profit.

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It might not all make sense that the Pakistan/China mediated ceasefire conditions (including US and Israeli condition of no nuclear weapons development and ballistic missile development) are really not known even in the media today, only known to the Iranian government and the US government. In these conditions Iran's government gets to show that it had achieved its goals, even with enormous reconstruction costs of the damage done during the war. DJT had pointed to a sort of regime change in Iran after most of the earlier leadership has been removed, and new leaders in place who are keen on setting up conditions for their own administration replacing the old one.  Over the period 2027-2030 the prospect is real that China, India and Japan may shift their oil supplies sources to other regions, increase conservation per unit of GDP, and increase supplies of renewable energy, steps already taken by Germany over the last decade. Most media looks only what happens today and in 2026. This may be the last of the Middle East Wars before Europe and the US, and India, China, Japan shift away from the Middle East to get supplies of fossil fuels, and it may bring new renewables technologies that reduce the dependence on fossil fuels to the point of making a true transition to renewable energy. It may also be the last of the Middle East Wars in the sense that people of European nations and the US insist on no involvement in MIddle East as a sort of quagmire for squandering American, European and Asian vital resources of people and capital, ample example being given over the last 40 years. Considering the costs of the war and the moral cost of destroying infrastructure such as power plants that hurt the local population more than the regime in power, China, Japan, the US, and EU, India may find it is easier to race each other in coming up with alternative supplies and shifting to renewable energy faster than planned, making Middle Eastern oil supplies  and volatility in prices redundant, which would be a good thing after the hugely negative and costly experience of the last 50 years of dependence.     ...