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Relentless work, extremely long hours create depression, burnout and suicidal risks for those in US medical residency programs. Research shows that between the last year of medical schoool and the first year of residency, the depression risks grow 5 times. Of people in US medical residency programs it found that 25% considered self-harm, 20% know peer or colleague who considered suicide -US residents in 2024 survey by Physician  Foundation. First year residents get about $67,000 a year and have total average debt of $200,000. 

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The broken world economy has hurt the American people, in small communities and towns across the US whose societal fabric was destroyed by a system of world trade with abuses done by China. Japan, European Union, Canada and Mexico since 2000. Shortsighted American leaders and economists allowed this to happen. Robert Lighthizer on the New World Order a new system of world trade that replaces the old in 2026. The old trading system was one in which lip service was made to free trade while all the time the system was used by Japan, Germany, China, Canada, Mexico and other nations to build non tariff barriers and other policies to support their industry  at the expense of the United States leading to disillusionment in the US. The facts are mind boggling- the loss of 5 million jobs, many small communities across the US decimated with loss of jobs. About 20 trillion in wealth transfers to China and other countries over 2000-2020, with foreigners owning $27 trillion more of US assets than the US owns of theirs. US Trade Deficits that went up by 40% in 4 years of the Biden administration from $800 billion to $1.2 trillion. Economists and weak leaders got it all wrong allowing this to happen from Geoge W. Bush to Clinton Bush and Obama. Lighthizer says "shortsighted leaders aided and abetted this process," from 1990 to early 2010. Consider that US had 17.3 million  people in manufacturing, in factories all over the US in 1970, in 1999 we had the same number of jobs, even though there were changes in technology and productivity- the US held its own with the rest of the world. The Bush, Obama years were the worst for the US industry - by 2026 we have 12.6 million - loss of 4.7 million jobs since 1999. And real median household income took a big hit growing from $72,000 to $84,000 about 17% in the last 25 years, compared to twice that in the period 1975-2000 prior quarter century. The result is the fracturing of American society- and dire consequences for healthcare as communities suffered from loss of jobs leading to drug overdoses, alcohol abuse and suicides, which are common in post industrial American communities. Think of this fact: two thirds of America's workforce that does not have a college degree, that is working class people, lives 8 fewer years than college graduates, a gap that was only 2.5  years in 1992. The wars carried on by Bush and continued by Obama in the Middle East also wracked these same communities till Biden and DJT pulled out. One has only to drive across America to see this with one's own eyes. Trade may be an abstract topic for economists and politicians- there is nothing abstract about this. And the economic growth of the US has suffered with the unfair trading system with China, European Union, Japan, Canada and Mexico. From 1945 to 2000 American growth was 3.2% a year. Since 2000 only 2 years of growth over 3%. US has not seen historically normal growth for the last 19 years and at this rate (if we continued along this path) the Congressional Budget Office says 1.8% growth for 2027-2035. There are other factors yet the the major driver of this is our trade deficit of $1.2 trillion dollars a year. It is a story of remarkable persistence in the Nation's interest through 2 adminstrations- this Lighthizer story. Lighthizer fought Japanese commercial interests as Deputy Trade Representative under Ronald Reagan, and as US Trade Representative under DJT in the first DJT administration in 2016-2020. His Deputy at the time is Jamieson Greer who is now the US Trade Representative in the second DJT adminstration in 2025. For 30 years this brave American patriot has fought to reverse the bad actions of presidents and economists that have led to devastating losses in the American countryside. He says any new trading system must be perceived as fair to working people. It will survive only if working people think it is good for them. It cannot and must entrench a small, permanent elite. The benefits going to labour must be at least as great as those going to capital. It should create fulfilling high paying jobs for the vast majority of the American people. This is America's new promise to its people, its new compact with its people. ...

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This story from "Japan Untold Stories" looks at the use of blue light in Japan's railway stations as a way to reduce the suicide rate. Studies show it has worked with the suicide rate since 2013 falling by as much as 84%. It is attributed to making persons more aware of what they are doing. It is based on a nudge technique of influencing behaviour.

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The suicide of celebrity chef Anthony Bourdain who had a popular television program, brings new attention to the increase in middle age suicides ages 45 to 64 in the U.S.  The CDC figures show a 60% increase for women and 37% for men between 2000 and 2016. A clinical instructor in psychiatry and medicine at Cornell, Ms. Boardman says life satisfaction is low at this age,a dip in satisfaction called the U curve. A 2016 study in the American Journal of Preventive Medicine  shows stress factors as problems with intimate partners job/finances, health, family, and criminal/legal problems.  The demographic group driving suicide rates up is mainly white people without a 4 year college degree, who have done poorly compared to that group in a previous generation, say experts at Columbia University. 

Generally isolation and loneliness is also a factor, and social connections a big antidote to depression type stress.

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Krugman calls the fiscal compact agreement in Europe and the efforts to impose austerity measures- at a time of 24% unemployment in Spain- simply insane and a form of economic suicide. A different view was expressed by Martin Feldstein in the WSJ, April 5, 2012, Europe Needs the Bond Vigilantes, in which he pointed to areas in the Fiscal Compact agreement for Europe that do not impose strict spending limits.

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China's rapidly aging population is leading to a new problem of rapidly increasing rural suicides. With urbanization about half of the people over 60 have no adult children living with them and 10% live alone. With meagre savings there are more suicides in isolated communities. 

Over two decades the number of people over 65 has risen from 7% of the population to 12%. The one-child policy is only partly to blame. A rapid drop in births as seen in Latin America was also taking place in China with urbanization and modernization.

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Lack of coordination between EU nations and with Turkey on terrrorism risks is a serious problem. Information on one of the suicide bombers in the Brussels airport and subway attacks in March 2016 is not shared by Turkey with the EU countries because of lack of adequate coordination and no proper mechanism for this. Hillary Clinton points to this as a serious problem to address in a speech at Stanford University following the attacks.

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William Broeksmit built Merrill Lynch's business of trading financial derivatives with Anshu Jain in the early 1990's, and was later hired by Deutsche Bank with Jain for the investment bank of Deutsche Bank. He is found to have committed suicide by hanging, with multiple suicide notes including one to Jain. Coroners say the notes show Broeksmit felt he was being investigated in connection with probes into Deutsche Bank and was being abandoned by colleagues.

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The suicide note left by CFO Wauthier of Zurich Insurance in August 2013. This followed heated and tense exchanges with chairman Josef Ackermann of Zurich Insurance, who joined the company in 2012. Wauthier says Ackermann created a very stressful working environment and treated managers disrespectfully, putting pressure on the finance department. Ackermann joined Zurich Insurance after a career as investment banker and CEO of Deutsche Bank AG. Zurich Insurance's board said an internal investigation will be conducted on cultural issues about whether excessive pressure was placed on the finance department by senior management. Ackermann resigned immediately. Ackermann had tried to change the culture at Zurich of courteous and quiet internal meetings. His position was non executive chairman but he took a vigorous role. Zurich Insurance was facing a difficult macroeconomic environment and missed three year operational targets set in 2010. Wauthier was a 53 year old dual French-British citizen who joined the company in 1996. He worked in southern California for the company in one position, where he improved his surfing skills. The differences between the hard charging investment banking demeanor of Ackermann and the quiet demeanor with engagement in sports of Wauthier, suggests serious differences in management styles leading to conflict that ended in tragedy....

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Lufthansa's CEO announced in the early days following the crash that pilot Lubitz was "100 percent" fit to fly. Kulish and Clark point to the denial at Lufthansa and some other airlines about the need for airlines to have a clear understanding about the psychological condition of pilots. This exceptional report with contributions by a team of NYT reporters tells the story of Lubitz and the airline industry's lack of effective screening. The lack of systematic screening of pilots for psychological issues was raised by the UN's Civil Aviation Organization in 2012, and by the European Commission's Aviation Safety Agency focussing on strict data protection rules with Germany in November 2014. A culture of privacy in Germany following the experience of pervasive intrusions into privacy by the Nazis and the Soviet backed GDR government in East Germany, and strict data protection rules, create a special situation in Germany of being reluctant to pass on information or delve into personal records. The head of Lufthansa's department of aviation psychology, says he would not have accepted the pilot Lubitz if he had known about his medical problems of depression before or during the training period....

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The U.S. aid package to tackle the coronavirus includes $425 million for mental health and substance use disorders and $50 million for suicide prevention to ramp up mental health services. A telemedicine program for mental health providers is being expanded and a suicide prevention program at Veteran Affairs Department is being expanded to other Americans. Second lady Mrs Pence is supporting the suicide prevention program. 

Widespread anxiety and post traumatic stress disorder is expected by experts as a profound aftershock from the coronavirus.

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Adolf Merckle of Blaubeuren, near Ulm, in Germany, whose financial dealings led to the collapse of his pharmaceuticals and other businesses, committed suicide probably by putting himself in front of a train at the rail tracks in Blaubeuren. The picture in the NYT is communicative of this period, with the few candles placed near the snowy railroad tracks of Blaubeuren, just as the train passes. It reflects the shock and grief of the town and the shock felt in Germany.

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Hon Hai has about 800,000 workers. About 400,000 are employed in the southern industrial town of Shenzhen. After a number of worker suicides (13 people have committed or attempted to commit suicide in 2010 so far), the company has announced that it will give 20% raise to its workers. Workers at one plant in Longhua are paid 900 yuan or $132, the legal minimum wage in Guangdong province, though many workers work overtime at 1.5 times the standard rate. The company is secretive about its activities and uses the trade name of Foxconn. It makes personal computers and other products for Apple, HP and other companies. The company uses a military style discipline and it is reported that there is excessive stress in working conditions.

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Professor Mia Bloom of Penn State University has written two books on suicide terror. She point out that Al Quaeda learnt about suicide bombing from the Tamil Tigers terrorist actions in Sri Lanka, especially suicide bombings.

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A terrorist attack in Istanbul, Turkey, in Jan. 2015. Most of the people killed and injured are German tourists. The attack targets Turkey's tourism industry.

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Adolf Merckle, a native of Dresden, left for West Germany after World War II and built up businesses RatioPharm a generics pharmaceutical maker, and Heidelberg Cement. After making a bad bet in shortselling of VW shares, just when the Prosche family moves ran up the price of VW shares from 210 euros to 1000 euros in 2 trading sessions to obtain majority control of VW, Merckle faced losses of several hundred million euros and possible loss of RatioPharm. A badly timed acquisition by Heidelberg Cement also created worsening finances for Merckle's business. When he failed to get a bridge loan Merckle committed suicide. A public outcry prevented the state government there to provide any loans to Merckle.

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Belgium's justice and interior ministers acknowledge the error in not taking action after being alerted by Turkish authorites of Islamic radicals suspected to be a serious terrorist threat. Turkey's president raised this issue in the media about the Belgian officials failure to act on a Turkish request to take into custody a radical arrested in Turkey for trying to enter Syria. The individual was one of two brothers who were suicide bombers in the attack at the Brussels airport and subway in March 2016.