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Walmart is going to require employees to use certain hospitals for costly spine surgeries, an effort to weed out unnecessary procedures and lower healthcare costs. The retailer earlier used a voluntary scheme to get employees to use the hospitals offering lower cost quality care, but found that half of the people needing spine surgery who volunteered to travel decided not to undergo expensive spine surgery. A spinal fusion surgery costs $77,000 at Mayo Clinic which tries to first see if other options of physical therapy can do the job. Walmart has insurance coverage for 1 million people.

Costs are going up and up. The average cost of family health plans from employers is up 5% this year to $20,000, with workers paying one third of cost, a survey by Kaiser Family Foundation shows. 

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The Democratic Party's better performance in the midwestern states of Michigan, and Wisconsin, and in Pennsylvania, Arizona, Georgia,in the 2018 midterm elections.  These states are crucial to win in the presidential election of 2020.

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A Pew Research poll shows Democratic voters now favor a bold ambitious agenda by large margins. Voters seeking compromise swung sharply going downwards from 69% to 46%. Many are calling for Medicare for All. In the Republican Party the shift is slight from 46% to 44%.

In the House the Congressional Progressive Caucus now has about 90 members. Of the 50 newly elected members who are House Democrats 20 are part of this Caucus pushing for bold action.

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Six cities have rejected the Olympics, with Calgary in Canada being the last one. The problem with hosting the Olympics is how much it costs. Cost overruns are common. 20141 Sochi WInter Olympics estimated budget was $10 billion, in the end it cost $51 billion. 

Brazil is the latest example of the problem. With huge needs in sanitation, epidemic prevention, infrastructure and public services, the country did badly by spending money on new soccer stadiums in the northeast which were not used after the World Cup soccer championship, and in the summer Olympics. 

Learning from these lessons voters in Calgary, Canada, rejected hosting  the Winter Olympics. Voters or local councils in Innsbruck, Austria, Rome, Italy, Bern, Switzerland, Hamburg, Germany, Oslo and Stockholm have rejected the idea of hosting the Olympics. Other problems are the environmental impact with deforestation to create Olympic sites.

 

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British prime minister May puts her leadership on the line as she puts forward a Brexit deal to a divided cabinet. The deal keeps Britain in the customs union of the European Union and continues Britain's connections with the EU in other areas. It is opposed by some members of her cabinet. Transport minister Jo Johnson resigned calling for a second referendum. Pro Brexiters oppose the deal as it continues Britain's membership in the customs union.

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Kevin McCarthy, (Republican from California) is likely to win in the election of minority leader of the U.S. House of Representatives. He has the support of former Speaker Paul Ryan who resigned in April. House Democrats winning control of the House of Representatives in the 2018 election made it easier for McCarthy to win the election. In election of minority leader he needed only a majority of votes in a closed ballot election.

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A tentative Brexit deal with the EU is reached but it is not clear that it can win support of the Cabinet of prime minister Theresa May, even before it has any chance in the British parliament. March 29, 2018 is the 2 year period for negotiations to arrive at a deal with the EU. The pro-EU transport minister Jo Johnson resigned and called for a second referendum, saying that the decision in the first referendum to leave the EU was made because false prospects had been presented by the Leave EU campaign. 

Because of the issue of Northern Ireland the U.K would remain indefinitely in the customs union, and this is opposed by the Leave EU supporters in the Conservative party government of prime minister May.

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Oil prices in the U.S. drop to $55 a barrel on the New York Mercantile Exchange, and $65 a barrel for Brent crude price. Earlier expectation of the impact of reimposed sanctions on Iranian oil shrinking global oil supplies have been reversed with increased production from Saudi Arabia, Russia and the U.S.

Another new development that caused this reversal in sentiment is that the Trump administration granted waivers to some buyers of Iranian crude oil. The U.S. trade dispute with China has also added to this with lower growth forecasts. Unlike in previous years OPEC or Saudi Arabia cannot by itself shrink global supplies with production cuts. The U.S. and Russian output also plays a significant part.

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New York City and Northern Virgina are selected as the second and third locations for Amazon headquarters. Amazon will evenly split operations for the HQ locations between Long Island City and Arlington County's Crystal City locations. About 25,000 employees will be hired for each location. The location in Northern Virgina is close to Washington Reagan International Airport and metro stops making it appealing. Long Island City was a former industrial neighborhood that is going through a residential housing boom with 16,000 new apartments built since 2006. It is close to airports and subway lines.

Amazon had as criteria for the selection that the locations have flights with easy access for Seattle, job creation impact, and prominence as the main company in the area.

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Eric Spector is an ultra marathon runner at age 71. He lives in Palo Alto, Calif., and is semiretired, until 2014 he worked as CEO of OneRoof a social enterprise that opened internet centres in rural Mexico and India. He has run as much as 100 miles. His first was 50K. He avoids trail running because of the hazards.

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After the 2008 election of president Obama rural whites left the Democratic Party, Following the election of president Trump educated suburbanites left the Republican Party. These two trends have accelerated as seen in the 2018 U.S. Congressional elections. Democrats won in and around major cities, and Republicans won in rural and small town America. Democrats won 27 GOP Republican COngressional seats to win the majority. Republicans added 2 seats to their Senate majority.  The electorate is sharply divided in terms of education in a way that is regressive and not good for America, and in a way that has never happened before. Republicans share of of House districts with lowest shares of college education bachelors degrees increased from 44% in 1998 to 60% in 2018. Democrats share of House districts with the highest share of Bachelors degrees went up from 50% in 1998 to 81% in 2018. Much of the Democrats support from educated suburbanites comes from lopsided support from educated women. The result is that the Republican Party is trading faster growing counties for slower growing smaller counties and now has a base of older voters. The Democrats have to find a leader who can rally support from this new combination of educated suburbanites, younger voters, and minorities. And big issues are at stake. About 77% of people in recent polls now support a national health care insurance like than in the UK and Canada. Poor reading skills and reading comprehension in school tests show a need for greater investment  in education. Infrastructure investment is a big priority for a decade that has yet to be tackled directly. Of the 50 new Democrats in the House of Representatives 24 campaigned on a promise for a national health insurance like that in Canada or UK. The focus on economic issues would move the Democratic Party back to where it was in all the post war years till the distractions from cultural issues  in the last decade shifted its focus from its historical base support of working class voters. ...

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The centre right parties led by Angela Merkel's Christian Democrats lose their commanding position in the European parliament, with new EU elections in May 2019. The EU parliament's 705 seats are to be filled, and the party getting the most seats gets to name the president of the European Commission. The European People's Party which includes Merkel's CDU party has dominated the parliament for two decades, and secured the top posts for European Council and European Commission. Manfred Weber is the new lead candidate of the EPP. The EPP may have to join the Centre left Social Democrats or the pro market Liberals to form a new coalition.

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China's huge trade surplus with the U.S. continues to grow even after President Trump imposed tariffs on Chinese imports. China's total exports have risen by 15.6% from a year earlier, higher than the 14.5% increase year over year in September. Exports to India, Hong Kong, grew by more than 20% in October over a year earlier.  By Chinese figures China's trade surplus with the U.S. of $260 billion for 10 months of 2018 is up 15% from year earlier, ready to set another record. This does not tally with what the U.S. says it is, with the U.S. estimate of the trade gap at $375.2 billion, over $1 billion each and every day. Previous administrations of both Republican and Democratic parties put up with the trade surplus or did little. President Trump has taken this up as a big issue and imposed tariffs on Chinese goods in a series of actions. The combined U.S. and Chinese tariffs now cover 60% of their trade in goods after the latest round of tit for tat tariffs. Experts say there is front loading of Chinese exports which accounts for the sharp increase in exports to beat the date when tariffs go into effect. Yet the overall increase in China's exports, with an added impetus from a stronger dollar suggests that the trade gap with the U.S. is a problem that will fester for a while till the trends are reversed.  ...

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U.S. president Trump asks for resignation of Attorney General Jeff Session after the 2018 Congressional elections. The Democratic Party gained a majority in the House of Representatives, with the Republican Party retaining control of the Senate. This makes further investigations into Russian meddling in the 2016 presidential election likely. The official probe into this meddling is being conducted by Robert Mueller, Special Counsel, which is supervised by Assistant Attorney General Rod Rosenstein because Jeff Sessions recused himself from the investigation.  The resignation leads to the Justice Department being headed by Matthew Whitaker, Mr. Session's top aide. Mr. Whitaker, a former prosecutor, is a conservative legal advocate who was critical of the Mueller investigation, in several tweets cited in this WSJ report, calling it  political fishing expedition," and calling for cutting the budget of the Mueller investigation to make it ineffective. Mr. Whitaker now supervises the Mueller investigation for 210 days till a successor is nominated by Mr. Trump. ...

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Empowering people and civil society was the main goal of En Marche movement founded by Emmanuel Macron. As president Macron has governed in the presidential style of De Gaulle, creating dissatisfaction. Macron is criticized for centralizing power and decision making process so that the style of governing is in sharp contrast to the way En Marche draws on grass roots support. En Marche itself was critical of how the older politicians had governed France. The Interior Minister and Environment Minister resigned with the Environment Minister saying he felt "all alone" in government. This is happening as the European Union election is approaching with the poll numbers of Macron dropping to about 26%. Marie Le Pen's RN is ahead of Macron's En Marche for the first time in polls taken in November 2018 for the May 2019 European Union elections. The think tank Friends of Europe shows 41 percent of French respondents in a survey saying life would be the same without the EU, while only 21 percent thought it would be worse.    ...

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Over 1 million people have contributed to the Guardian in the last 3 years. Of this 500,000 are paying to support the Guardian on an ongoing basis. This covers its Donate effort and its Memberships program. Katharine Viner, the editor-in-chief of Guardian News and Media called the business model a new way for journalism to "regain its relevance, meaning and trusted place in society." She says many contributors donate specifically because they wanted the Guardian to stay free and outside a paywall. When readers come to know of the challenging commercial reality facing all news organization they express real interest in wanting to support, she said. Guardian is trying to breakeven in 2018 with new revenue streams. The Support appeal appears inside or at the bottom of articles and says "Support the Guardian from as little as $1- and it only takes a minute." The other approach is through $6 a month Supporter memberships. Guardian has two thrusts in its coverage. In an age of filter bubbles and hyper-partisan politics  it says its important to make space for different ides and diverse opinions. It has a Cities section for instance and looks at climate change impact. It also says "our guiding focus is to challenge the economic assumptions of the past three decades, which have extended market values such as competition and self-interest far beyond their natural sphere and seized the public realm." ...

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China's president Xi Jinping visiting a trade fair in Shanghai, says China will shift to larger imports as it responds to calls from the U.S. and Europe to further open its markets, and buy more rather than focus on selling to the world. He said "it is China's sincere commitment to open the Chinese market." More than 80% of China's trading partners have trade deficits with China with severe complaints and tariffs imposed on Chinese goods by the U.S. president Trump.