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Javier E

Is Trump All Talk on North Korea? The Uncertainty Sends a Shiver - The New York Times - 0 views

  • After Mr. Trump repeated his taunt in a tweet late Saturday and threatened that Mr. Kim and his foreign minister “won’t be around much longer” if they continue their invective against the United States, reactions ranged from nervous disbelief to sheer terror.
  • His strengths as a politician — the ability to appeal in a visceral way to the impulses of ordinary citizens — are a difficult fit for the meticulous calculations that his own advisers concede are crucial in dealing with Pyongyang.
  • His new chief of staff and his national security team have drawn a line at trying to rein in his more incendiary provocations, fearing that their efforts could backfire with a president who bridles at any effort to control him. What remains unclear — and the source of much of the anxiety in and out of the government and on both sides of the Pacific — is whether they would step in to prevent the president from taking the kind of drastic action that matches his words, if they believed it was imminent.
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  • Mr. Trump’s increasingly bellicose threats and public insults of the famously thin-skinned Mr. Kim could cause the United States to careen into a nuclear confrontation driven by personal animosity and bravado.
  • “It does matter, because you don’t want to get to a situation where North Korea fundamentally miscalculates that an attack is coming,” said Sue Mi Terry, a former intelligence and National Security Council specialist who is now a senior adviser for Korea at Bower Group Asia. “It could lead us to stumble into a war that nobody wants.”
  • A new Washington Post-ABC News poll found that 37 percent of adults trust Mr. Trump “a great deal” or “a good amount” to responsibly handle the situation with North Korea, while 42 percent trust him “not at all.” By contrast, 72 percent trust American military leaders, who have largely avoided combative language on North Korea even as they have said publicly that a military option is possible.
  • “Knowing each of them personally, I am certain they are counseling operational caution, measured public commentary and building a coalition approach to dealing with Kim Jong-un,” Mr. Stavridis, a retired admiral, said in an email. “But controlling President Trump seems incredibly difficult. Let’s hope they are not engaged in mission impossible, because the stakes are so high.
  • the comments could badly undercut Mr. Trump’s ability to find a peaceful solution to the dispute, playing into Mr. Kim’s characterization of the United States as an evil nation bent on North Korea’s destruction and relieving pressure on the Chinese to do more to curb Pyongyang
  • “The comments give the world the sense that he is increasingly unhinged and unreliable,”
  • he and Condoleezza Rice, then the secretary of state, routinely advised Mr. Bush to “avoid the personal invectives,” because “they never help.”
  • Yet current and former senior officials said it was clear that Mr. Trump would continue his brinkmanship, particularly his belligerent tweets, no matter what his advisers do or say.
  • Ms. Terry said such menacing talk could put Mr. Trump into a box. “Trump is limiting our own options by behaving and speaking like this, because now we either have to act, which really is unthinkable, or we’re going to look like a paper tiger because we can’t act,” she said. “Internationally, we look foolish, and now he has made it extremely personal, so Kim Jong-un cannot back down. It’s reckless.”
anonymous

Texas Republicans Look To Curb Local Efforts To Expand Voting Access : NPR - 0 views

  • Harris County is home to Houston, and is one of the most populous and diverse areas of the country. Longoria says figuring out how to make polling locations less crowded was a main focus in the leadup to the 2020 elections, but she had always wanted to make voting easier as well.
  • One of her solutions was to increase the hours that voting centers were open. Some polling locations were open 24 hours at one point. Longoria says being open late at night gave shift workers — including first responders — more opportunities to vote. She says it also "spread out the number of people voting at any time" at a location.
  • Longoria also looked to local businesses, which were shifting to curbside options for their customers. She came up with drive-thru voting.
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  • Longoria and her team also tried to make mail voting easier by sending out ballot applications to all eligible voters, in case people didn't know they had that option.
  • During a recent news conference, Gov. Greg Abbott argued that local election officials — including those in Harris County — were doing things not explicitly allowed by law. He also accused them of effectively opening the door to voter fraud.
  • In response to those local efforts, Republicans who control the state legislature filed a series of restrictive voting bills. Researchers last year said "Texas is the state with the most restrictive voting processes," but it's likely its laws will become stricter.
  • But mostly Davis says he feels like lawmakers are accusing election administrators of doing bad things, which he says just isn't true.
  • Davis says the proposed changes to how local officials run elections are "incredibly short-sighted" and could lead to a misuse of public resources. And he also takes issue with proposals that would allow people to record video and sound in polling locations and ballot counting sites. He says that creates election security concerns.
  • One measure that's been proposed would make distributing ballot applications to voters who didn't ask for one a felony. Others would outlaw drive thru-voting, and not allow polling locations to be open for more than 12 hours — specifically beyond 7 a.m. to 7 p.m. Another would require that election administrators put the same amount of voting machines in every one of their polling sites, no matter what.
  • Committees in the Texas House and Senate began hearing two of the most notable Republican voting bills this week — including House Bill 6 and Senate Bill 7. Texas Democrats have raised concerns that certain bills would make running elections harder because of the fear of prosecution looming over many possible mistakes.
  • Harris County's Longoria says the reaction from state leaders has been disappointing because she was successful in getting more people to vote while also limiting the potential spread of the coronavirus. Turnout in Harris County hit about a 30-year high in 2020.
  • Longoria, as well as voting rights advocates in Texas, are also worried these voting bills could make it harder for marginalized communities to vote. Longoria says it's difficult to disregard the role of race in this effort as lawmakers zero in on things like drive-thru voting.
anonymous

Suez Canal: A Long Shutdown Might Roil The Global Economy : NPR - 0 views

  • Before the grounding of the massive Ever Given container ship in the Suez Canal, some 50 vessels a day, or about 10% of global trade, sailed through the waterway each day — everything from consumer electronics to food, chemicals, ore and petroleum.
  • Now, with the ship lodged sideways in the canal, closing off the main oceangoing highway between Europe and Asia, much of that cargo is sitting idle. It's either waiting to transit the canal or stuck in port while owners and shippers decide what to do.
  • Ultimately, they may be forced to place a bet on whether the canal will be reopened soon or gamble on expensive and time-consuming alternate routes. Lloyd's List estimates that the waiting game is costing $9.6 billion per day.
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  • Ship owners and operators have some options, but none of them are particularly good ones. The adage that time is money couldn't be more true in the shipping business. For the vessels already backed up in the canal, if the waterway isn't clear for transit soon, a decision will need to be made about whether to continue waiting or go to Plan B.
  • To get an idea just what a shortcut could be lost, commodity analysts Kpler said that for a vessel averaging 12 knots (14 mph), Suez to Amsterdam, takes 13 days via the canal. Around the Cape of Good Hope, it takes 41 days.
  • The situation could become clearer in the next week, Karatzas said, but if the Ever Given looks likely to require a massive operation to break free, shippers will have to make some tough and potentially costly decisions. The same goes for vessels that haven't yet left port, although the cost in time and money for them wouldn't be as great.
  • Another possible option is to go through the Panama Canal by way of the Pacific. But many of the largest commercial vessels today, such as the 1,300-foot Ever Given, are too big to fit through the Panama Canal.
  • Jonathan Roach, a container market analyst for Braemar ACM Shipbroking, said in a recent letter to clients that the route via the Cape of Good Hope was the most likely detour, even for vessels that can fit through the Panama Canal.Last year, due to a combination of excess capacity and falling fuel prices, some shippers did just that — opting to go the Africa route to avoid the Suez Canal transit fees.
  • There is one more possibility, but it too has severe limitations. A shorter route through the Arctic known alternately as the Northeast Passage, or the Northern Sea Route, or NSR, is being touted by Russia.
  • The number of vessels using the NSR has increased to several hundred each year, thanks in part to global warming that has reduced polar ice. However, traffic there still amounts to a mere fraction of what passes through the Suez.
  • The Northern Sea Route is still not considered practical by most shipping companies. For example, in 2018, Maersk, the world's largest container line, sent one of its ships via the NSR, but the company emphasized it doesn't see the route "as an alternative to our usual routes" and that the voyage was merely "a trial to explore an unknown route for container shipping and to collect scientific data."
  • Lastly, it's worth noting that a prolonged shutdown of the Suez Canal is not unprecedented. The waterway was closed for eight years, beginning in 1967, after war broke out between Egypt and Israel. As a result, ships were forced to divert around the tip of Africa.
  • Global supply chains, already significantly disrupted by the coronavirus pandemic, could be further stressed by a prolonged shutdown of the Suez Canal, said Jonathan Gold, vice president for supply chain and customs policy with the National Retail Federation.
  • The greatest impact would be felt in the European market, which relies most on transfers through the canal, but given the interconnected nature of global manufacturing and commerce, there's likely also to be a knock-on effect for the United States.
  • Bisceglie said it's time for companies to consider "having more disparate [supply hubs] instead of having all our eggs on one cargo ship." Maersk told NPR on Friday that it was too early to commit to rerouting any of its massive global container fleet. The Copenhagen, Denmark-based company said in a statement, that while "out of our control, we apologize for the inconvenience this incident may cause to your business and for critical shipments."
  • Like much else about the situation, it depends on how long it goes on. A weeklong delay for a few hundred ships at the Suez might have only a negligible impact for consumers, but a prolonged delay could increase the cost of shipping, complicate manufacturing and ultimately drive up prices.
  • That's $80,000 a day in fuel and an extra 10 days travel time — both to and from Asia. "So, you're looking at the best part of a million dollars with your operating costs. So it's a million dollars out and a million dollars back," he said.
  • In his letter to clients, Roach also noted problems at the Suez Canal could disrupt the flow of containers. A trade imbalance between Europe and Asia means that filled containers going west return mostly empty to ports in the east to be refilled. "If empty stocks dwindle in Asia, there is the short-term possibility of an increase" in prices, Roach wrote.
  • Overall, though, Joanna Konings, a senior economist at ING, told Bloomberg that she's "relatively sanguine" about the impact on trade. But she doesn't rule out "an inflationary shock that could come right to the consumer."
  • Shipping rates for petroleum products have nearly doubled since the Ever Given's grounding on Tuesday, according to Reuters. Although oil prices may also be feeling some upward pressure in the wake of the Ever Given incident, their increase so far has been blunted by news of further COVID-19 lockdowns in Europe that are likely to continue to depress demand.
martinelligi

What is the Senate filibuster, and what would it take to eliminate it? - 1 views

  • st weeks into Joe Biden’s presidency, it is clear that he faces considerable obstacles in pursuing his agenda in Congress. The Senate cloture rule—which requires 60 votes to cut off debate on most measures—is probably the highest hurdle. Democrats’ Senate majority rests on the tie-breaking vote of Vice President Kamala Harris, and even the process of organizing the Senate’s committees got bogged down by a debate over whether Democrats would attempt to eliminate the legislative filibuster in the opening weeks of the 117th Congress.
  • Rather, its emergence was made possible in 1806 when the Senate—at the advice of Vice President Aaron Burr—removed from its rules a provision (formally known as the previous question motion) allowing a simple majority to force a vote on the underlying question being debated.
  • Filibusters then became a regular feature of Senate activity, both in the run-up to and aftermath of the Civil War. Senate leaders from both parties sought, but failed, to ban the filibuster throughout the 19th century. Opponents would simply filibuster the motion to ban the filibuster.
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  • re’s no perfect way to measure the frequency with which the filibuster has been used over time. Senators are not required to formally register their objection to ending debate until a cloture motion actually comes up for a vote. If Senate leaders know that at least 41 senators plan to oppose a cloture motion on a given measure or motion, they often choose not to schedule it for floor consideration.
  • Senators have two options when they seek to vote on a measure or motion. Most often, the majority leader (or another senator) seeks “unanimous consent,” asking if any of the 100 senators objects to ending debate and moving to a vote. If no objection is heard, the Senate proceeds to a vote. If the majority leader can’t secure the consent of all 100 senators, the leader (or another senator) typically files a cloture motion, which then requires 60 votes to adopt. If fewer than 60 senators—a supermajority of the chamber—support cloture, that’s when we often say that a measure has been filibustered
  • The most straightforward way to eliminate the filibuster would be to formally change the text of Senate Rule 22, the cloture rule that requires 60 votes to end debate on legislation. Here’s the catch: Ending debate on a resolution to change the Senate’s standing rules requires the support of two-thirds of the members present and voting. Absent a large, bipartisan Senate majority that favors curtailing the right to debate, a formal change in Rule 22 is extremely unlikely
  • Importantly, this approach to curtailing the filibuster—colloquially known as the “nuclear option” and more formally as “reform by ruling”—can, in certain circumstances, be employed with support from only a simple majority of senators.
cartergramiak

One and Done: Why People Are Eager for Johnson & Johnson's Vaccine - The New York Times - 0 views

  • In North Dakota this week, health officials are sending their first Johnson & Johnson Covid-19 vaccines to pharmacies and urgent care clinics, where people who don’t necessarily have a regular doctor can get the single jab. In Missouri, doses are going to community health centers and rural hospitals. And in North Carolina, health providers are using it to inoculate meatpacking, farm and grocery workers.
  • Since Johnson & Johnson revealed data showing that its vaccine, while highly protective, had a slightly lower efficacy rate than the first shots produced by Moderna and Pfizer-BioNTech, health officials have feared the new shot might be viewed by some Americans as the inferior choice.
  • But the early days of its rollout suggest something different: Some people are eager to get it because they want the convenience of a single shot. And public health officials are enthusiastic about how much faster they could get a single shot distributed, particularly in vulnerable communities that might not otherwise have access to a vaccine.
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  • “There are circumstances in which it is going to be a really good option or maybe the best option,” said Dr. Matthew Daley, a senior investigator at Kaiser Permanente Colorado’s Institute for Health Research and a member of the Centers for Disease Control and Prevention’s independent vaccine advisory committee.
  • One of Dr. Gaskin’s church’s members, Patricia Cooper, a teacher in Washington, D.C., said that President Donald J. Trump’s efforts to claim credit for a vaccine last year and the label “emergency use authorization” suggested to her that the federal government may have rushed its reviews of vaccines, leaving her jittery about their safety. But she said she was eager to get a vaccine, especially Johnson & Johnson’s.
  • Mr. Allen said that Oregon was creating similar distribution plans for Johnson & Johnson and Moderna because both vaccines can be stored in refrigerators for the short term. The state is treating the Pfizer-BioNTech vaccine as the one with “special considerations,” with its stricter shipping requirements and large packages of vials more suited to mass vaccination sites, he said.
anonymous

Microsoft email server hacks put Biden in a bind - 0 views

  • The scale of a hack on Microsoft Exchange is beginning to emerge, with tens of thousands of organisations potentially compromised.The attack used previously unknown flaws in the email software - and sometimes stolen passwords - to steal data from targets' networks.Microsoft says the attackers are "state-sponsored and operating out of China".
  • the two attacks put the new Biden administration under pressure to respond.And weary cyber-defenders say events are not just escalating but spiralling out of control.
  • rhetoric about cyber-campaigns is escalating, heightening pressure for tough action.Although, it is unclear what effective options the president has.And there are concerns his administration has boxed itself in with tough talk when it is unclear if it can actually deter adversaries.
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  • The US military's Cyber Command has pursued a strategy in recent years of "defend forward" and "persistent engagement". This means hacking into adversary systems to find out what they are doing - and stopping operations against the US before they are unleased.
  • This contesting of cyber-space was seen by many as long overdue. But Russia and China appear undeterred. One option now might be to hit back harder. But escalation carries its own risks.
  • The US had considered espionage - stealing information - acceptable, because it practised it extensively, as whistleblower Edward Snowden revealed in 2013. The problem for Washington is recent breaches may fit into the same category.That leaves the US in a bind.
  • US says destructive cyber-attacks are unacceptable but was the first to cross that line a decade ago when it used the Stuxnet attack to destroy parts of the Iran nuclear system.
aidenborst

To punish Saudi Arabia with the "Khashoggi Ban," Biden mirrored a plan developed under ... - 0 views

  • When the Biden administration announced a ban on dozens of Saudis from traveling to the US in response to intelligence that the kingdom's powerful crown prince, Mohammed bin Salman, had approved the murder of journalist Jamal Khashoggi, it was rolling out a plan that had been spiked by the Trump administration and brought back to life once President Joe Biden took office.
  • Dubbed the "Khashoggi Ban" by the State Department, the measure issued visa restrictions on 76 Saudis and their families.
  • The plan had initially been drafted by the Trump administration, which shelved it over fears of alienating the key Middle Eastern ally.
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  • "The work was done," a senior Trump administration official confirmed, noting that the plan was rejected by "consensus recommendation" after it had been sent up and discussed by the most senior officials in the Trump administration.
  • Once Biden was sworn in, new officials appointed to the State Department arrived with "a very similar concept already in mind," a Biden administration official said.
  • Ultimately, the list of 76 Saudis on the "Khashoggi Ban," whose names the State Department has said it will not publish, had been sent to Congress in February 2020 as part of a classified report of actions the department was considering under then Secretary Mike Pompeo, an official who has seen the lists told CNN.
  • While it's not unusual for an administration, especially early on, to use an idea that had been considered by past White Houses, it is notable that the Biden team would implement a policy that had been discussed at such high levels under Trump
  • "It is fairly normal for departments and agencies to float previously considered policies up for review when new administrations come in," said Javed Ali, a longtime national security official who served under both Trump and President Barack Obama
  • "Any country that would dare engage in these abhorrent acts should know that their officials -- and their immediate family members -- could be subject to this new policy," a senior State Department official said in a statement. "We expect it will have a deterrent effect the world over."
  • When the intelligence report came out on Feb. 26, the Biden administration announced the "Khashoggi Ban," and the new sanctions aimed at the crown prince's protective team and one former senior Saudi intelligence official, Ahmad al-Asiri. But sanctions were never considered for MBS himself, according to administration officials. It was never a "viable option" and would be "too complicated," multiple administration officials said, with the potential to jeopardize US military interests.
  • Still unexplained is why on the day the long-awaited report was published, the Office of Director of National Intelligence quietly took it down and replaced it with a second version in which three names were removed.
  • "It was not some accident the three names were on one version of the report," the official said.
  • One of the three men whose names were removed, Abdulla Mohammed Alhoeriny, is a senior counterterrorism official whose brother is the head of Saudi Arabia's Presidency of State Security. It's not known whether he or the others are among the 76 who've been banned from traveling to the US.
lmunch

The IPCC: Who Are They | Union of Concerned Scientists - 0 views

  • The Intergovernmental Panel on Climate Change (IPCC) was established in 1988 by the World Meteorological Organization (WMO) and the United Nations Environment Programme (UNEP) to assess climate change based on the latest science.
  • Governments request these reports through the intergovernmental process and the content is deliberately policy-relevant, but steers clear of any policy-prescriptive statements.  Government representatives work with experts to produce the "summary for policymakers"
  • The fifth assessment report, AR5,  is the most comprehensive synthesis to date. Experts from more than 80 countries contributed to this assessment, which represents six years of work. More than 830 lead authors and review editors drew on the work of over 1000 contributors. About 2,000 expert reviewers provided over 140,000 review comments. 
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  • the purpose of assessing “the scientific, technical and socioeconomic information relevant for the understanding of the risk of human-induced climate change. It does not carry out new research nor does it monitor climate-related data. It bases its assessment mainly on published and peer reviewed scientific technical literature.”
  • And the Fifth Assessment Report (AR5, 2013/14) asserted that “[h]uman influence on the climate system is clear, and recent anthropogenic emissions of greenhouse gases are the highest in history.” These findings informed the climate negotiations resulting in the Paris Agreement of 2015, in which 197 countries committed to limiting global warming to below 2°C.
  • In the end, it is the authors who bear the sole responsibility for the content of their chapters. Government representatives, however, do participate in the line-by-line review and revision of the much shorter summary for policymakers, or SPM, for each technical report.
  • Each of these working groups has two co-chairs—one from a developed country and one from a developing country. An additional set of governmental representatives (frequently scientists) have been nominated by their countries to serve on the bureau of each working group. Together, the two co-chairs and the bureau members function as an executive committee, while the team of scientists drafting individual chapters of each working group’s assessment is sometimes referred to as the scientific core.
  • The technical support units, co-chairs, and bureaus of each working group together assemble a list of proposed authors for its assessment, but the lead authors are selected by the entire working group. Governments and non-governmental organizations around the world are invited to nominate potential authors. 
  • AR5 WG1 alone generated 54,677 review comments. Many authors attest that this review process ranks among the most extensive for any scientific document.
  • For the AR5, Working Group I  summarized the physical science basis of climate change. Working Group II  addressed the vulnerability of human and natural systems to climate change (i.e., the negative and positive consequences of global warming) and options for adapting to the changes. Working Group III  assessed options for limiting heat-trapping emissions, evaluated methods for removing them from the atmosphere, and examined other means of slowing the warming trend, as well as related economic issues.
  • The word “consensus” is often invoked, and sometimes questioned, when speaking of IPCC reports. In fact, there are two arenas in which a consensus needs to be reached in the production of IPCC assessments. One is the meeting of the entire IPCC, in which unanimity is sought among government representatives. Even though such consensus is not required (countries are free to register their formal dissent), agreement has been reached on all documents and SPMs to date—a particularly impressive fact.
  • Government representatives propose authors and contributors, participate in the review process, and help reach a consensus on the report’s major findings. This can result (especially in the SPMs) in language that is sometimes weaker than it otherwise might be. 
  • The full assessment is a multi-level document for a wide array of audiences ranging from planners investing in protecting their communities to political leaders.
  • But it also means that governments cannot easily criticize or dismiss a report that they themselves have helped shape and approved during political negotiations. As Sir John Houghton, co-chair of TAR Working Group I, once put it: “Any move to reduce political involvement in the IPCC would weaken the panel and deprive it of its political clout. . . . If governments were not involved, then the documents would be treated like any old scientific report. They would end up on the shelf or in the waste bin.” 
  • It is important, however, to reiterate a fundamental point about IPCC assessments: although governments are involved in the process and support it financially, science ultimately predominates. The chapters that underpin all the documents are written by and under the control of scientists, and scientists ensure that all the documents are both consistent with the findings of each chapter and scientifically credible in their own right.
ethanshilling

Japan to Start Releasing Radioactive Water From Fukushima in 2 Years - The New York Times - 0 views

  • Japan said on Tuesday that it had decided to gradually release tons of treated wastewater from the ruined Fukushima Daiichi nuclear plant into the ocean, describing it as the best option for disposal despite fierce opposition from fishing crews at home and concern from governments abroad.
  • Disposal of the wastewater has been long delayed by public opposition and by safety concerns. But the space used to store the water is expected to run out next year, and Prime Minister Yoshihide Suga said during the cabinet meeting on Tuesday that disposing of the wastewater from the plant was “a problem that cannot be avoided.”
  • The Fukushima crisis was set off in March 2011 by a huge earthquake and tsunami that ripped through northeastern Japan and killed more than 19,000 people. The subsequent meltdown of three of the plant’s six reactors was the worst nuclear disaster since Chernobyl.
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  • The government will “take every measure to absolutely guarantee the safety of the treated water and address misinformation,” he said, noting that the cabinet would meet again within a week to decide on the details for carrying out the plan.
  • Ten years later, the cleanup is far from finished at the disabled plant, which is operated by the Tokyo Electric Power Company. To keep the three damaged reactor cores from melting, cooling water is pumped through them continuously.
  • There are now about 1.25 million tons of wastewater stored in more than 1,000 tanks at the plant site. The water continues to accumulate at a rate of about 170 tons a day, and releasing all of it is expected to take decades.
  • But the Japanese government’s plan faces strong opposition from local officials and fishing crews, who say that it would add to consumer fears about the safety of Fukushima seafood.
  • Responding to Japan’s decision, the U.S. State Department said in a statement, “In this unique and challenging situation, Japan has weighed the options and effects, has been transparent about its decision, and appears to have adopted an approach in accordance with globally accepted nuclear safety standards.”
Javier E

China's Sinopharm Vaccine Approved for Emergency Use By W.H.O. - The New York Times - 0 views

  • Developing countries racing for coronavirus vaccines now have another dependable option — and China’s reputation as a rising scientific superpower just got a big boost.
  • The World Health Organization on Friday declared a vaccine made by a Chinese company, Sinopharm, as a safe and reliable way to fight the virus. The declaration marks a significant step toward clearing up doubts about the vaccine, after little late-phase clinical trial data was disclosed by the Chinese government and the company.
  • “The addition of this vaccine has the potential to rapidly accelerate Covid-19 vaccine access for countries seeking to protect health workers and populations at risk,”
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  • The W.H.O. emergency use approval allows the Sinopharm vaccine to be included in Covax, a global initiative to provide free vaccines to poor countries. The possible inclusion in Covax raises hopes that more people — especially those in developing nations — will get access to shots at a crucial moment.
  • “This should be the golden time for China to practice its vaccine diplomacy. The problem is, at the same time, China itself is facing a shortage,”
  • “The whole world is short of this vaccine,” said a Sinovac spokesman, Pearson Liu. “The demand is just too great.”
  • Andrea Taylor, who analyzes global data on vaccines at the Duke Global Health Institute, called the potential addition of two Chinese vaccines into the Covax program a “game changer.”
  • “The situation right now is just so desperate for low and lower middle income countries that any doses we can get out are worth mobilizing,” Ms. Taylor said. “Having potentially two options coming from China could really change the landscape of what’s possible over the next few months.”
  • China’s vaccines have been rolled out to more than 80 countries, but they have faced significant skepticism, in part because the companies have not released Phase 3 clinical trial data for scientists to independently assess the vaccines’ efficacy rates. An advisory group to the W.H.O. published the data this week.
  • The Sinopharm vaccine developed with the Beijing Institute of Biological Products has an efficacy rate of 78.1 percent, according to the W.H.O. advisory group.
  • The Sinovac vaccine has varying efficacy rates of between 50 percent to 84 percent, depending on the country where Phase 3 trials were conducted.
  • for China’s leaders, the W.H.O. approval can still be seen as a badge of honor. Xi Jinping, China’s top leader, has pledged to make a Covid-19 vaccine a “global public good.”
  • After India announced export restrictions on vaccines last month, Indonesia and the Philippines said they would turn to China for help. Last week, China’s foreign minister offered to help South Asian nations get access to vaccines.
  • Indonesia said it would get additional doses from Sinovac after President Joko Widodo held talks with Mr. Xi. In a speech the same week, President Rodrigo Duterte of the Philippines said he owed “a debt of gratitude” to China for its vaccines.
  • “They don’t like to subsume their generosity in their products under some U.N. brand,” said J. Stephen Morrison, director of the global health policy center at the Center for Strategic and International Studies. “They are in a historic phase,” he said. “They want the recipients to know that this is China delivering.”
hannahcarter11

President Biden has released his $6 trillion budget. Here's what's in it. - CNNPolitics - 0 views

  • President Joe Biden on Friday proposed a $6 trillion budget for fiscal year 2022, laying out details of a proposed dramatic increase in federal spending that serves as the underpinning of an economic agenda that seeks to transform the American economy as the country emerges from dual public health and economic crises.
  • The budget proposal, which is an opening bid in negotiations with Congress and is expected to change before being signed into law, calls for the most sustained period of spending in more than half a century. The White House budget serves more as a marker of administration priorities than a policy blueprint destined to be signed into law. It would invest heavily in Biden's top priority areas including infrastructure, education, research, public health, paid family leave and childcare.
  • The proposal includes the American Jobs Plan and the American Families Plan, the $4 trillion infrastructure, jobs and economic proposal that the President had previously laid out and is negotiating with lawmakers. It also outlines additional funds to launch a new health research agency to focus on diseases like cancer, and funds to address gun violence, tackle the climate crisis, help end homelessness and curb the opioid epidemic.
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  • The scale of the spending, which Biden has made the center of his economic plans, is an intentional effort to transform an economy the President has repeatedly said leaves too many behind and, just as importantly, has made the US less competitive in the face of an ascendant China.
  • At its core, the budget underscores the fundamental divide in viewpoints between the two parties in the wake of the pandemic -- as well as the clear shift in the Democratic Party towards an embrace of ramping up spending and tax increases on corporations in the wealthy in order to expand the federal government's role in assisting those on the lower-end of the income scale.
  • Biden is asking Congress for $932 billion for discretionary, non-defense programs for fiscal year 2022 -- a significant increase from last year. The President has proposed $756 billion in defense funding, which is also an uptick from last year
  • Young argued the investments are "front-loaded" and would be "more than paid for" by the reforms to the tax code that would require the wealthiest of Americans and corporations to pay higher taxes. The President has repeatedly pledged that Americans making less than $400,000 would not have to pay increased taxes.
  • Biden has made racial equity a top focus of his administration, but there is no specific line item in the budget focused on addressing racial inequality. Young argued it wasn't necessary because Biden has directed the entire federal government to address racial inequality as it implements all of its programs.
  • In addition to the American Jobs Plan and the American Families plan, the budget proposal calls for:
  • The presidential budget did not include the Hyde amendment -- a four-decade-old ban on federal dollars being used for abortions except in cases of rape, incest or when the woman's life is in danger -- which Biden previously supported before reversing course and denouncing during the Democratic primary. Abortion rights supporters had long called for Biden to drop the measure.
  • In his budget overview, the President calls on Congress to enact several of his major health care initiatives, including lowering prescription drug costs by allowing Medicare to negotiate prices, creating a public health insurance option, giving those age 60 and older the option to enroll in Medicare and closing the Medicaid coverage gap.
  • Instead, the White House budget focuses on the health care measures contained in the American Families Plan, which would make permanent enhanced Affordable Care Act subsidies that were contained in the Democrats' $1.9 trillion rescue plan that Biden signed into law in March. That boost to the federal subsidies currently lasts only two years.
  • The budget also doesn't include increasing the national minimum wage to $15 an hour, which Biden had included in his $1.9 trillion relief proposal. But the measure was dropped from the Senate version after the parliamentarian ruled it did not meet a strict set of guidelines needed to move forward in the Senate's reconciliation process.
  • What is in the budget is setting the hourly minimum wage at $15 for federal contractors. This process is already underway, thanks to an executive order Biden signed in late April.
Javier E

How Index Funds May Hurt the Economy - The Atlantic - 0 views

  • Thanks to their ultralow fees and stellar long-term performance, these investment vehicles have soaked up more and more money since being developed by Vanguard’s Jack Bogle in the 1970s
  • as of 2016, investors worldwide were pulling more than $300 billion a year out of actively managed funds and pushing more than $500 billion a year into index funds. Some $11 trillion is now invested in index funds, up from $2 trillion a decade ago. And as of 2019, more money is invested in passive funds than in active funds in the United States.
  • Indexing has also gone small, very small. Although many financial institutions offer index funds to their clients, the Big Three control 80 or 90 percent of the market. The Harvard Law professor John Coates has argued that in the near future, just 12 management professionals—meaning a dozen people, not a dozen management committees or firms, mind you—will likely have “practical power over the majority of U.S. public companies.”
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  • Indexing has gone big, very big. For nine in 10 companies on the S&P 500, their largest single shareholder is one of the Big Three. For many, the big indexers control 20 percent or more of their shares. Index funds now control 20 to 30 percent of the American equities market, if not more.
  • The problem is that the public markets have been cornered by a group of investment managers small enough to fit at a lunch counter, dedicated to quiescence and inertia.
  • Passively managed investment options do not just outperform actively managed ones in terms of both better returns and lower fees. They eat their lunch.
  • Let’s imagine that a decade ago you invested $100 in an index fund charging a 0.04 percent fee and $100 in a traditional mutual fund charging a 1.5 percent fee. Let’s also imagine that the index fund tracked the S&P 500, and that the mutual fund ended up returning what the S&P 500 returned. Your passively invested $100 would have turned into $356.66 in 10 years. Your traditionally invested $100 would have turned into $313.37.
  • Actively managed investment options could make up for their higher fees with higher returns. And some do, some of the time. Yet scores of industry and academic studies stretching over decades show that trying to beat the market tends to result in lower returns than just buying the market. Only a quarter of actively managed mutual funds exceeded the returns of their passively managed cousins in the decade leading up to 2019,
  • What might be good for retail investors might not be good for the financial markets, public companies, or the American economy writ large, and the passive revolution’s scope has raised all sorts of hand-wringing and red-flagging. Analysts at Bernstein have called passive investing “worse than Marxism.” The investor Michael Burry, of The Big Short fame, has called it a “bubble,” and a co-head of Goldman Sachs’s investment-management division has warned about froth too. Shortly before his death in 2019, Bogle himself warned that index funds’ dominance might not “serve the national interest.”
  • One primary concern comes from the analysts at Bernstein: “A supposedly capitalist economy where the only investment is passive is worse than either a centrally planned economy or an economy with active, market-led capital management.”
  • Active managers direct investment dollars to companies on the basis of those companies’ research-and-development prospects, human capital, regulatory outlook, and so on. They take new information and price it into a company’s stock when buying and selling shares.
  • Passive investors, by contrast, ignore annual reports and market rumors. They do nothing with trading-floor gossip. They make no attempt to research what to invest in and what to skip. Whether holding international or domestic assets, holding stocks or bonds, or using a mutual-fund structure or an ETF structure, they just mirror the market. Big U.S.-stock index funds buy big U.S. stocks just because they’re big U.S. stocks.
  • At least in a Soviet-type centrally planned economy, apparatchiks would be making some attempt to allocate resources efficiently.
  • Passive management is merely a giant phenomenon, not an all-encompassing one. Hundreds of actively managed mutual funds are still out there, as are legions of day traders, hedge funds, and private offices buying and selling and buying and selling. Stock prices still move around, sometimes dramatically, on the basis of new data and new ideas.
  • Still, passive investing may well be degrading the informational content of the markets, messing up price signals and making business decisions harder as a result.
  • When one of these commodities ends up on an index, the firms that use that commodity in their business see a 6 percent increase in costs and a 40 percent decrease in operating profits, relative to firms without exposure to the commodity, the academics found
  • Their theory is that ETF trading shifts prices in subtle ways, making it harder for businesses to know when to buy their gold and copper. Corporate executives “are being influenced by what happens in the futures market, and what happens in the futures market is being influenced by ETF trading,”
  • More broadly, the Bernstein analysts, among others, worry that index-linked investing is increasing correlation, whereby the prices of stocks, bonds, and other assets move up or down or sideways together.
  • the price fluctuations of a newly indexed stock “magically and quickly” change. A firm’s shares begin to move “more closely with its 499 new neighbors and less closely with the rest of the market. It is as if it has joined a new school of fish.”
  • A far bigger concern is that the rise of the indexers might be making American firms less competitive, through “common ownership,” in which the mega-asset managers control large stakes in multiple competitors in the same industry. The passive firms control big chunks of the airlines American, Delta, JetBlue, Southwest, and United, for instance
  • The rise of common ownership might be perverting corporate behavior in weird ways, academics argue. Think about the incentives like this: Let’s imagine that you are a major shareholder in a public widget company. We’d expect you to desire—insist, even—that the company fight for market share and profits. But now imagine that you are a major shareholder in all the important widget companies. You would no longer really care which one succeeded, particularly not if one company doing better meant another company doing worse. You’d just care about the widget sector’s corporate profits, which would go up if the widget companies quit competing with one another and started raising prices to pad their bottom line.
  • one major paper showed that common ownership of airline stocks had the effect of raising ticket prices by 3 to 7 percent.
  • A separate study showed that consumers are paying higher prices for prescription medicines because generic-drug makers have less incentive to compete with the companies making name-brand drugs.
  • Yet another study showed that common ownership is leading retail banks to charge higher prices.
  • Across firms, executive compensation seems to be more closely linked to a company’s performance when its shareholders are not invested in the company’s rivals, the study found. In other words, firms stop paying managers for performance when owned by the same people who own their rivals.
  • The market clout of the indexers raises other questions too. The actual owners of the stocks—not the index-fund managers but the people putting money into index funds—have little say over the companies they own. Vanguard, Fidelity, and State Street, not Mom and Dad, vote in shareholder elections
  • In fact, the Big Three cast roughly 25 percent of the votes in S&P 500 companies.
  • In an interview with The Wall Street Journal, the chief executive officer of State Street said he thought it was “almost inevitable, when you see this kind of concentration, that it probably will make sense to do something about it.”
  • But figuring out what the appropriate restrictions are depends on determining just what the problem with the indexers is—are they distorting price signals, raising the cost of consumer goods, posing financial systemic risk, or do they just have the market cornered? Then, what to do about it? Common ownership is not a problem the government is used to handling.
  • , thanks to the passive revolution, a broad variety and huge number of firms might have less incentive to compete. The effect on the real economy might look a lot like that of rising corporate concentration. And the two phenomena might be catalyzing one another, as index investing increases the number of mergers and makes them more lucrative.
  • In recent decades, the whole economy has gone on autopilot. Index-fund investment is hyperconcentrated. So is online retail. So are pharmaceuticals. So is broadband. Name an industry, and it is likely dominated by a handful of giant players. That has led to all sorts of deleterious downstream effects: suppressing workers’ wages, raising consumer prices, stifling innovation, stoking inequality, and suffocating business creation
  • The problem is not just the indexers. It is the public markets they reflect, where more chaos, more speculation, more risk, more innovation, and more competition are desperately needed.
cartergramiak

Opinion | Even for Bargain Hunters, Green Cars Make Sense - The New York Times - 0 views

  • NASHVILLE — In this family, we are not new-car people. My husband and I buy used vehicles, and we keep them until the cost of patching them up far exceeds their value, a time-honored practice known as driving a car into the ground. We don’t drive a lot, either: My husband works a mile and a half from our house, and I work from a home office. I kept thinking about electric cars anyway.
  • Meanwhile, evidence of the growing climate calamity was becoming clearer and grimmer with every new study — and with every wildfire, every drought, every hurricane — even as the Trump administration kept rolling back environmental protections at a breathtaking rate. I felt a rising desperation to do everything possible to reduce my own carbon footprint, to foster as much biodiversity as I could on my own little half-acre plot of ground.
  • But the single greatest change we can make is to change the way we get around. “Transportation is the largest source of planet-warming greenhouse gases in the United States today, and the bulk of those emissions come from driving in our cities and suburbs,”
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  • The cost of an electric car can be prohibitive, it’s true, or at least it can appear to be from a glance at the window sticker. But we chose a Nissan Leaf, a vehicle made by our neighbors down in Smyrna, Tenn., and the model we bought qualified for the highest possible federal tax credit. So the actual cost of our car was $7,500 less than the price we paid for it, even if it didn’t seem that way when we signed the papers.
  • Even without the tax credit, many upcoming models are projected to cost no more than their carbon-spewing counterparts. The number of purchase options is about to explode, too, so you don’t have to give your money to Elon Musk if you want to drive an electric vehicle.
  • But none of these potential liabilities should be deal breakers. I love our little red Leaf, and I have never had a single moment of buyer’s remorse since we brought it home. It’s quiet, it’s comfortable, and it’s amazingly fun to drive.
  • All I can hope is that by the time we need to replace it, all our options will be electric. Because if they aren’t, the planet will pay a terrible price.
anniina03

The Rohingya Know International Law's Failures Better Than Anyone - The Atlantic - 0 views

  • And on the second anniversary of the genocide, it fell upon Ullah to tell his fellow Rohingya that they were fast running out of options.
  • he spoke into a microphone, telling the assembled spectators that they had two choices: to resign themselves to life here—by some measures the world’s densest refugee camp—and rely on global compassion that was eroding, or demand that their rights be upheld in Myanmar (by a government whose army has sought to slaughter them) and then return home.
  • These are now the only real possibilities on offer for the Rohingya, a community that is, by and large, on its own, with dwindling numbers of supporters on the international stage
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  • In the reams that have been written about the plight of the Rohingya, chronic and utter disenfranchisement is the most consistent thread. The origins of their bottom-tier status are colonial, but were codified in 1982 when the Burmese government passed a law that restricted their movement and access to education, and allowed for arbitrary confiscation of property.
  • With repatriation stalled, Bangladesh is now exploring relocation. The country has thus far been patient and welcoming, but its willingness to host such a large refugee population is wearing thin.
  • The atrocities continue to this day, deepening the humanitarian catastrophe in the province of Rakhine. (Myanmar has repeatedly denied carrying out any ethnic cleansing or genocide.)
  • Myanmar government signed a memorandum of understanding with two UN agencies as a first step toward the Rohingya’s repatriation, they were not consulted. So when 3,450 Rohingya families were offered voluntary return to Rakhine, not a single one took up the offer.
  • Wave after wave of extreme violence against them culminated in August 2017 with a crackdown that forcibly displaced nearly a million people. At least 9,000 members of their community died in just the first month of the onslaught
  • Staying here in the camps carries its own risks. Children have had no access to formal education, creating what UNICEF has called a “lost generation,” while human traffickers prey on young girls and boys.
  • the storm surge during the monsoon often triggers landslides, and the mud, water, and sewage from makeshift toilets in the camps combine to form a deadly cocktail of infectious and waterborne diseases.
  • Yet somehow, when faced with repatriation to Rakhine or relocation to Bhasan Char, the squalid camps appear the safest option.
  • For one thing, donor support is in doubt. Bangladesh, itself a poor nation, is struggling to cope with the economic and environmental impact of hosting so many refugees.
  • At the same time, the conditions in the camps are worsening. Bangladesh directed local telecom operators at the beginning of September to shut down networks in the camps
  • Last week, the government took the clampdown a step further, announcing that refugees were now expected to stop using Bangladeshi cellphone SIM cards or face potential fines and jail time. Rohingya families rely on internet connectivity to stay in touch with loved ones still in Rakhine
  • On September 7, a parliamentary committee on defense recommended that a barbed-wire fence be built around the camps, restricting the free movement that refugees are afforded under international law. The decision has essentially created an open-air prison.
  • This relative unwillingness to criticize either the Myanmar or Bangladesh government—seen by UN agencies as necessary to preserve relationships with the two countries so that they continue to allow them to carry out relief work—has rankled Rohingya leaders such as Ullah, who argue that the language of international politics and humanitarianism is instead being used to mask inaction.
  • official UN Security Council designation of genocide is critical to activating the 1948 Genocide Convention, allowing perpetrators to be punished and peacekeeping forces to be deployed.
  • China and Russia, veto-wielding members of the body, are likely to block any action against Myanmar
  • Two years ago, when foreigners rushed in with aid, the Rohingya expected their plight to improve. They thought they would get a seat at the negotiating tables where their fates are being sealed, so that the human rights enshrined in international law might be extended to them.Instead, Ullah and his fellow Rohingya here are reduced to holding out hope that their children will receive a better education, to at least offer the prospect that their community’s lot will improve in the future.
Javier E

Want a Green New Deal? Here's a better one. - The Washington Post - 0 views

  • the goal is so fundamental that policymakers should focus above all else on quickly and efficiently decarbonizing. They should not muddle this aspiration with other social policy, such as creating a federal jobs guarantee,
  • the goal is so monumental that the country cannot afford to waste dollars in its pursuit. If the market can redirect spending most efficiently, money should not be misallocated on vast new government spending or mandates.
  • we propose our own Green New Deal. It relies both on smart government intervention — and on transforming the relentless power of the market from an obstacle to a centerpiece of the solution.
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  • U.S. natural gas is far less damaging to the environment than coal. It has become so cheap that it is displacing coal in electricity generation, driving down emissions. To others, Cove Point is an environmental catastrophe. Natural gas is still a fossil fuel, and burning it releases lots of greenhouse-gas emissions, which cause climate change. Both arguments are right.
  • society must eliminate its carbon dependency. It cannot burn vast amounts of any fossil fuel for “decades and decades,” as Mr. Farrell hopes, unless there is a revolution in emissions capture technology. Even in the short term, U.S. emissions are rising, despite the restraint that stepped-up natural-gas burning has provided. The government must demand more change, more quickly.
  • One objection is that carbon pricing is not powerful enough. The European Union’s carbon pricing program has not worked well. But that is a failure of design and political will. A carbon price equal to the challenge would start high and rise higher, sending a much stronger price signal.
  • carbon pricing is still the best first-line policy
  • A high-enough carbon price would shape millions of choices, small and large, about what to buy, how to invest and how to live that would result in substantial emissions cuts. People would prioritize the easiest changes, minimizing the costs of the energy transition. With a price that steadily rose, market forces would steadily wring carbon dioxide out of the economy — without the government trying to dictate exactly how, wasting money on special-interest boondoggles.
  • The Intergovernmental Panel on Climate Change found last year that an average carbon price between 2030 and the end of the century of $100, $200 or even $300 per ton of carbon dioxide would result in huge greenhouse-gas emissions cuts, could restrain warming to the lowest safety threshold of 1.5 degrees Celsius and would almost certainly prevent the world from breaching the traditional warming limit of 2 degrees Celsius
  • Republicans never embraced the market-based idea, even though conservative economists admit its appeal, because they never accepted the need to act at all. Some environmentalists, meanwhile, are increasingly wary of carbon pricing. The Democrats’ Green New Deal, which is noncommittal on the policy, reflects the accelerating drift from the obvious.
  • Another criticism is that carbon pricing hurts the poor, who would suffer most when prices rose. But the revenue from carbon pricing could be recycled back to Americans in a progressive way, and most people would end up whole or better off.
  • A third objection is that carbon pricing is politically impossible, because it reveals the cost of fighting global warming in the prices people pay
  • This is a leadership challenge, not a policy challenge. More than 40 governments globally, including several states, have found the political will to embrace carbon pricing programs, which is the only option that would plausibly be bipartisan.
  • One objection does have merit: Though carbon pricing would spur huge change in infrastructure and power generation, that alone would not be enough. It would not stimulate all the innovation the nation needs in the climate fight, nor would it change behaviors in circumstances where the desired price signal is muted or nonexistent
  • Start with carbon pricing. Then fill in the gaps.
  • , economists know that companies that invest in research and development do not get rewarded for the full social value of their work. Others benefit from their innovations without paying. Consequently, firms do not invest in research as much as society should want
  • It would take only a small fraction of the revenue a carbon pricing system would produce to fund a much more ambitious clean-energy research agenda. Basic scientific research and applied research programs such as ARPA-E should be scaled up dramatically
  • The government must also account for the fact that not all greenhouse-gas emissions come from burning the fuels that a carbon pricing program would reach — coal, oil and gas. How would the government charge farmers for the methane their cows emit or for the greenhouse gases released when they till their soil? How about emissions from cement, ammonia and steel production? The federal government would have to tailor programs to the agricultural and industrial sectors, which might include judicious use of incentives and mandates.
  • only government can ensure adequate mass transit options. Local governments could help with zoning laws to encourage people to live in denser, more walkable communities. The federal government should also press automakers to steadily improve fuel efficiency.
  • That starts with making sure that emissions-cutting efforts at home do not have unintended consequences. If the United States puts a price on greenhouse-gas emissions, other countries would lure U.S. manufacturers with the promise of lax environmental rules. Relocated manufacturers could then export their goods to the United States. The net effect would be no benefit for the planet but fewer U.S. manufacturing jobs.
  • One response is a kind of tariff on goods entering the country from places with weaker carbon-dioxide policies. That would both eliminate the incentive to offshore manufacturing and encourage countries to strengthen their own rules.
  • Participating in the agreement would give the United States a forum — and a basis — to press other nations to reduce emissions.
  • Foreign aid to prevent deforestation could be among the most cost-effective climate-preserving measures. Helping other countries to replace archaic cooking stoves that produce noxious fumes would help cut emissions and improve quality of life across the developing world.
  • There are a lot of bad ideas out there.
  • The Green New Deal that some Democrats have embraced is case in point. In its most aggressive form, the plan suggests the country could reach net-zero greenhouse-gas emissions by 2030, an impossible goal
  • that would be more spent every three years than the total amount the country spent on World War II.
  • At the same time, the Democratic plan would guarantee every American “high-quality health care” and “a job with a family-sustaining wage, adequate family and medical leave, paid vacations, and retirement security.” These expensive aspirations, no matter how laudable, would do nothing to arrest greenhouse-gas emissions.
  • Massive social reform will not protect the climate. Marshaling every dollar to its highest benefit is the strongest plan.
Javier E

Jimmy Dore and the Left's Naïve Cynics Have Turned on AOC - 0 views

  • The fact that this decision has earned AOC the enmity of some influential progressive commentators reflects a pathological tendency within a small subset of the U.S. left — namely, a habit of mining anti-political cynicism out of its own naïveté.
  • A political tactic is only as moral as it is effective.
  • To see what I mean by this, it’s worth examining the most thoughtful case for Dore’s strategy in some detail.
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  • Her argument can be summarized as follows:
  • • The pandemic has made Medicare for All more substantively necessary — and politically possible — than ever before.
  • • Although AOC argues that the “opportunity cost” is “too high to waste on a floor vote for a bill that wouldn’t ultimately pass,” the extraordinary circumstances of the COVID pandemic make this the best chance that progressives are going to get to win Medicare for All for the foreseeable future
  • • Even if the vote fails, forcing the debate “could spark a referendum on our failing health-care system at a moment when no other issue takes credible priority,” heightening the salience of the left’s signature policy demand — and the contradictions between a corrupt Democratic leadership and its base,
  • • Ultimately, “the moral case for action requires no strategic justification.
  • If one posits that the strategic wisdom of a political tactic has no bearing on the morality of pursuing it, then whether Dore’s proposal would achieve what he says it would is immaterial. But that’s a strange thing to stipulate!
  • Like most ardent Sanders supporters, they draw their moral fervor from a consequentialist analysis of public policy. Time and again, Berniecrats have accused opponents of universal health care of complicity in preventable deaths, as such loss of life is a predictable consequence of failing to extend health coverage to all Americans
  • But if Gray and Kulinski are indeed consequentialists, then they should recognize that “strategic justification” is the only measure of a political tactic’s moral worth. If politics is a tool for minimizing needless suffering — rather than a theater for performing one’s personal convictions — then a tactic is only as morally sound as it is likely to succeed.
  • whether it is in AOC’s power to effect the outcome Kulinski demands is precisely the object of contention! And that question can only be answered by a debate over strategy.
  • The core premise of Gray’s column is that single-payer health care enjoys overwhelming popular support
  • Lamentably, support for single-payer simply is neither as widespread nor intense as Gray suggests. Medicare for All does poll well — but it polls best when respondents are given few details about what the policy actually entails.
  • Even when pollsters spell out the meaning of single-payer in explicit terms, voters still have a tendency to interpret the proposal as a strong public option
  • This point is made plain by a KFF survey from September 2019, which found a majority of Democrats voicing approval for single-payer — but also favoring “building on the Affordable Care Act” over “replacing the Affordable Care Act with Medicare for All.”
  • Big money can corrupt Democratic politicians. But it can also buy off public opinion.
  • Democratic voters were treated to a nationally televised debate over Medicare for All about a dozen times during the 2020 primary — and they proceeded to vote for the candidate with the least progressive health-care policy in the field
  • Progressives may argue that the primary debates over Medicare for All were distorted by the biases of corporate media (I would argue this). But where do we think most voters are going to get their information about a House vote on Medicare for All if not from corporate-media entities?
  • This gets at a conspicuous tension in progressive electoral analysis. Some left-wing pundits posit that (1) big money exerts a profound influence on American politics, (2) corporate media influences how voters see the world, (3) big money and corporate media are profoundly hostile to left-wing policies, and yet (4) Democrats have no electoral incentive to spurn left-wing policies, and only do so because they are personally reactionary or corrupt.
  • he left’s critique of corporate media implies that it is not necessarily irrational for Democrats to believe that antagonizing powerful interest groups might cost them elections
  • they can also influence voter behavior through propaganda campaigns. And on Medicare for All specifically, the health-care industry has demonstrated success in turning voters against the policy.
  • In Colorado four years ago, progressives and health-care lobbies did battle over a ballot referendum that would have brought a single-payer health-care system to the Rocky Mountain State. The referendum went down by a margin of 79 to 21 percent.
  • the collapse of Vermont’s attempt to establish single-payer through legislative action – and the subsequent election of a Republican to its governorship –lends further credence to this notion.
  • The reality that big money can thwart progressive aims — even when Democratic officials are supportive — was made plain by some of this year’s ballot measures. In Illinois, Democratic governor J.B. Pritzker backed a referendum that would have lifted the state’s constitutional prohibition on progressive taxation. Specifically, the measure would have enabled the state to raise taxes on residents who earn over $250,000 so as to limit budget cuts in the midst of a fiscal crisis. Opponents spent over $100 million propagandizing against the policy. Supporters spent roughly as much, but the combination of well-funded propaganda and the public’s aversion to higher taxes led to 53 percent of the deep-blue state’s voters opting to make it impossible for their representatives to tax the rich at a higher rate than the poor.
Javier E

Colonoscopies Explain Why U.S. Leads the World in Health Expenditures - NYTimes.com - 0 views

  • In many other developed countries, a basic colonoscopy costs just a few hundred dollars and certainly well under $1,000. That chasm in price helps explain why the United States is far and away the world leader in medical spending, even though numerous studies have concluded that Americans do not get better care.
  • Whether directly from their wallets or through insurance policies, Americans pay more for almost every interaction with the medical system. They are typically prescribed more expensive procedures and tests than people in other countries, no matter if those nations operate a private or national health system. A list of drug, scan and procedure prices compiled by the International Federation of Health Plans, a global network of health insurers, found that the United States came out the most costly in all 21 categories — and often by a huge margin.
  • “The U.S. just pays providers of health care much more for everything,” said Tom Sackville, chief executive of the health plans federation and a former British health minister.
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  • Largely an office procedure when widespread screening was first recommended, colonoscopies have moved into surgery centers — which were created as a step down from costly hospital care but are now often a lucrative step up from doctors’ examining rooms — where they are billed like a quasi operation.
  • The high price paid for colonoscopies mostly results not from top-notch patient care, according to interviews with health care experts and economists, but from business plans seeking to maximize revenue; haggling between hospitals and insurers that have no relation to the actual costs of performing the procedure; and lobbying, marketing and turf battles among specialists that increase patient fees.
  • While several cheaper and less invasive tests to screen for colon cancer are recommended as equally effective by the federal government’s expert panel on preventive care — and are commonly used in other countries — colonoscopy has become the go-to procedure in the United States. “We’ve defaulted to by far the most expensive option, without much if any data to support it,”
  • Hospitals, drug companies, device makers, physicians and other providers can benefit by charging inflated prices, favoring the most costly treatment options and curbing competition that could give patients more, and cheaper, choices. And almost every interaction can be an opportunity to send multiple, often opaque bills with long lists of charges: $100 for the ice pack applied for 10 minutes after a physical therapy session, or $30,000 for the artificial joint implanted in surgery.
  • Even doctors often do not know the costs of the tests and procedures they prescribe. When Dr. Michael Collins, an internist in East Hartford, Conn., called the hospital that he is affiliated with to price lab tests and a colonoscopy, he could not get an answer. “It’s impossible for me to think about cost,” he said
  • The more than $35,000 annually that Ms. Yapalater and her employer collectively pay in premiums — her share is $15,000 — for her family’s Oxford Freedom Plan would be more than sufficient to cover their medical needs in most other countries. She and her husband, Jeff, 63, a sales and marketing consultant, have three children in their 20s with good jobs. Everyone in the family exercises, and none has had a serious illness.
  • A major factor behind the high costs is that the United States, unique among industrialized nations, does not generally regulate or intervene in medical pricing, aside from setting payment rates for Medicare and Medicaid, the government programs for older people and the poor. Many other countries deliver health care on a private fee-for-service basis, as does much of the American health care system, but they set rates as if health care were a public utility or negotiate fees with providers and insurers nationwide, for example.
  • “In the U.S., we like to consider health care a free market,” said Dr. David Blumenthal, president of the Commonwealth Fund and a former adviser to President Obama. ”But it is a very weird market, riddled with market failures.”
  • Consumers, the patients, do not see prices until after a service is provided, if they see them at all. And there is little quality data on hospitals and doctors to help determine good value, aside from surveys conducted by popular Web sites and magazines. Patients with insurance pay a tiny fraction of the bill, providing scant disincentive for spending.
  • The United States spends about 18 percent of its gross domestic product on health care, nearly twice as much as most other developed countries. The Congressional Budget Office has said that if medical costs continue to grow unabated, “total spending on health care would eventually account for all of the country’s economic output.”
  • Instead, payments are often determined in countless negotiations between a doctor, hospital or pharmacy, and an insurer, with the result often depending on their relative negotiating power. Insurers have limited incentive to bargain forcefully, since they can raise premiums to cover costs.
  • “People think it’s like other purchases: that if you pay more you get a better car. But in medicine, it’s not like that.”
Javier E

Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care - The New Yo... - 0 views

  • Hospitals across the country are charging private insurance companies 2.5 times what they get from Medicare for the same care, according to a new RAND Corporation study
  • “The prices are so high, the prices are so unaffordable — it’s just a runaway train,” said Gloria Sachdev, the chief executive of the Employers’ Forum of Indian
  • While the pandemic caused losses for many hospitals, many of these big systems are sitting on large profit reserves, while also receiving some of the $175 billion in aid Congress allocated to make up for their costs and lost revenue.
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  • Employers provide health insurance coverage for more than 153 million Americans. The companies and insurers in the study paid nearly $20 billion more than Medicare would have for the same care
  • Proponents of a so-called public option seize on such price-gouging news to argue that creating a government health plan that could use its clout to demand lower prices would help bring down the cost of care.
  • A public option, distinct from the more controversial “Medicare for all” proposals that would do away with private insurance, has been embraced by Joseph R. Biden Jr., the Democratic presidential nominee. Democrats and even some Republicans seem open to the idea, according to a recent poll from the Kaiser Family Foundation.
nrashkind

Japan to explore 'simplified' Games to avoid outright cancellation: Yomiuri - Reuters - 0 views

  • Japan will consider various options such as having fewer spectators and mandatory coronavirus testing for a “simplified” Olympic Games next year to avoid the outright cancellation of the event, the Yomiuri newspaper reported on Thursday.
  • John Coates, the head of the International Olympic Committee’s (IOC) inspectorate for Tokyo, has said a lack of a defence against the new coronavirus threatened the Games and organisers had to start planning for what could be a “very different” Olympics if there were no signs of COVID-19 being eradicated.
  • he Yomiuri, citing government and organising committee sources, said making Polymerase chain reaction (PCR) tests mandatory for all spectators — in addition to athletes and staff — and limiting movement in and out of the athletes village were among the options Japan would discuss with the IOC.
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  • A further delay beyond 2021 has been ruled out.
  • The new coronavirus has infected more than 6.4 million people and killed about 380,000 around the world.
  • Japan has avoided the kind of explosive outbreak seen in countries such as the United States and Brazil, with about 17,000 infections and 900 known deaths to date.
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