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The worst flaw in the health care bill says the Economist is that "fee for service" and doctors billing for each test done continues as before.The whole idea of medical services based on medical necessity and value for money has been left out of the billsin Congress. Alan Meltzer also pointed this out in his discussion of the deficits and debt over the next decade; that the 25% reduction in medical expenditures does not look anywhere closer to reality, worsening the deficits. This is also the view expressed in the discussion of health care reform in the November 2, 2009, issue of Business Week. Never mind said BW that the doctors and hospitals account for one third of medical expenditures and there is waste in Medicare spending. Congress said BW has made no changes in the "fee-for-service" system of medical care that has inflated medical costs, by paying doctors for the volume of services delivered and not the quality of services delivered.

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Japan's foreign minister Taro Kono says Japan will propose an alternative to China's One Belt, One Road Initiative. He is particularly looking at the role of Japan, Australia, India and the U.S. in coming up with an alternative. Kono sees France and the UK as additional partners. 

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Ford shows originality at the March New York Auto Show by showing a crashed Taurus which was intentionally crashed into a barrier at 35 mph for this display. It has amonitor which shows how the crash happened and how the electonics work to protect the occupants in a crash. Ford learned from its bland ads of taurus as the safest car in America which did not boost sales as Taurus sales dropped 13% so far this year. VW had an ad of the Jetta in a crash but nothing this original has been tried. For Ford it helps draw the attention of car buyers who have defected to foreign makes.

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Harris focus on Detroit as plans to revive automobile manufacturing continue under the Biden administration. Detroit suburb Dearborn one of the centers of the automobile industry looks very different today as Ford makes major investments with the support of the Biden-Harris administration. A new EV electric vehicle industry is being created from scratch for the long term transformation.

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San Francisco's newly elected Mayor Daniel Lurie says of the drug paraphernalia distribution, and the proliferation of use of fentanyl and drugs in San Francisco-

“We’ve lost our way. We are no longer going to sit by and allow people to kill themselves on the streets.”

Daniel Lurie defeated London Breed for Mayor of San Francisco on a platform of cutting the use of fentanyl and drugs in the city, with the support of the business community.

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This article in DW.com looks at China's development of the port of Hambantota, made using a loan of $312 million from the Export-Import Bank of China. State owned China Harbour Engineering worked on the construction of the port. This report says the port can handle about 2500 ships initially to take some of the load off of Colombo port which handles about 6000 ships annually.

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Strack of DW.com reports on the 2016 CDU convention where Merkel received 89.5% of the vote. Merkel receives applause for the burqa ban, and her denunciation of populist hate sentiment, of Islamism and parallel societies, parallel cultures. The best passages of Merkel's speech says Strack, were about reunification, about how she started in politics from the natural sciences, her start at SPD, then shifting  quickly to the "Democratic Beginning" leading to the CDU. "Head into the open," "that is where freedom is," and says Strack she had the hall listening to a chancellor speaking with emotion when in the past she has been cool and reserved. Parallels to the 1994 campaign of Kohl for a fourth term when enthusiasm came only from "generation" Kohl are being made.

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Kenyan president Ruto says after the tax hikes that led to protests were cancelled- this would increase the borrowing needs. The funding gap in Kenya's finances was 600 billion shillings or $2.7 billion, now he will add another 346 billion shillings to this borrowing.

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Iraq's population is estimated to be 44-46 million, double that of 1997 the last time a census was done in the country. A census is taking place across Iraq to get a better idea of the population. With one Mp for 100,000 people seats in parliament will increase to 450 from 329. Shias share power with Sunnis and Kurds under an arrangement set by the US in 2003.

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Germany's leading candidate for chancellor Merz gets an exemption for Germany to EU Common European Asylum System (CEAS) asylum laws for National Security reasons. The goal is to tight Schengen border controls to keep out illegal migrants.  EU president Von der Leyen calls Merz action on CEAS  asylum laws "innovative solutions." Germany takes U turn on asylum law as public opinion shifts with a series of crimes committed by illegal migrants allowed to stay in Germany including car rampages through crowds on streets, most recently in Munich. A sense of fatigue in EU with illegal migrants and a desire for normalcy, the old way of life, and secure neighborhoods and urban spaces. It is now seen in CDU as Merkel's policy errors and failure of judgement in letting in a flood of illegal migration.

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Astoundingly in America 90 percent of people support universal background checks, yet private party sellers are not required to conduct background checks when selling guns. According to a Pew Research Center poll 67 percent of people support a ban on selling assault weapons to civilians, yet no such ban exists. It has taken this long just for president Trump to come out in favor of background checks. Ironically mass shootings have led to higher stock prices for gun manufacturers such as Smith and Wesson, as DW.com points out.  The National Rifle Association, NRA, has five million members and it lobbies hard to prevent gun control measures being passed in Congress. Members of Congress are even rated A to F based on their support for the NRA. Today an estimated 42% of Americans own guns, with 265 million guns in private hands. The NRA sees gun owning rights as part of the Second Amendment of the U.S. Constitution, believing that the right to bear arms is a basic right supported by the Constitution. The NRA over many decades has shown no flexibility in its stance and fierce lobbying has brought down every gun control measure introduced. ...

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Mexico's domestic car market is weak, most of the cars are manufactured for export. From 2000 to 2008 the domestic car market in Brazil grew by 80% to 2.67 million vehicles, and in Argentina by 79% to 610,713 vehicles. Sales went up in 2008 by 14% in Brazil and by 8% in Argentina. Whereas in Mexico domestic sales fell 6.8% during 2008 to 1.03 million vehicles. Sales for 2009 in the domestic market are expected to fall by 20%. And auto exports from Mexico fell dramatically in Jan-Feb 2009 dropping by 52% to 89,242 units over same period last year. Auto exports generate a $15 billion surplus for Mexico so there is concern about this sharp drop. Auto exports rose 3% in 2008 to 1.7 million units, and 79% of 2008 domestic production of 2.1 million units went to exports. One in 74 people were sold a car in Brazil in 2008, and 1 in 66 in Argentina, whereas in Mexico it is one in 107 people. And Mexico's minimum wage of 55 pesos is $3.85 per day, the lowest of the 3 countries. The low paying jobs and poor income distribution in Mexico is a reason for this. Under Nafta Mexico also allows the import of cars from the USA which are over 10 years old. Mexico imported 909,000 vehicles in 2009. To keep the Mexican auto industry from sinking the government is considering assistance to the domestic manufacturers, dealers, and car loan companies, a total of 9.5 billion pesos, as well as sales incentives for buyers. But domestic sales are relatively smaller and the market weak to make up for the huge loss in exports judging by the Jan-Feb 2009 numbers off 52%. A lot is at risk with the domestic car industry generating 24% of manufacturing exports, 16% of manufacturing, and with more than a million workers directly or indirectly associated with the industry. Already GM and VW have announced layoffs. ...