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Javier E

Pandemic Shoppers Are a Nightmare to Service Workers - The Atlantic - 0 views

  • For generations, American shoppers have been trained to be nightmares. The pandemic has shown just how desperately the consumer class clings to the feeling of being served.
  • The most immediate culprit is decades of cost-cutting; by increasing surveillance and pressure on workers during shifts, reducing their hours and benefits, and not replacing those who quit, executives can shine up a business’s balance sheet in a hurry.
  • Wages and resources dwindle, and more expensive and experienced workers get replaced with fewer and more poorly trained new hires. When customers can’t find anyone to help them or have to wait too long in line, they take it out on whichever overburdened employee they eventually hunt down.
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  • as the production of food and material goods centralized and rapidly expanded, commerce reached a scale that the country’s existing stores were ill-equipped to handle, according to the historian Susan Strasser, the author of Satisfaction Guaranteed: The Making of the American Mass Market. Manufacturers needed ways to distribute their newly enormous outputs and educate the public on the wonder of all their novel options. Americans, in short, had to be taught how to shop.
  • In 2019, one in five American workers was employed in retail, food service, or hospitality; even more are now engaged in service work of some kind.
  • This dynamic is exacerbated by the fact that the United States has more service workers than ever before, doing more types of labor, spread thin across the economy
  • Customers might not have been able to afford a household staff to do their bidding like the era’s truly wealthy, but corporate stores offered them a little taste of what that would be like. The middle class began to see itself as the small-time beneficiaries of industrialization’s barons.
  • With these goals in mind, Leach writes, customer service was born. For retailers’ tactics to be successful, consumers—or guests, as department stores of the era took to calling them—needed to feel appreciated and rewarded
  • From 1870 to 1910, the number of service workers in the United States quintupled. It’s from this morass that “The customer is always right” emerged as the essential precept of American consumerism—service workers weren’t there just to ring up orders
  • they were there to fuss and fawn, to bolster egos, to reassure wavering buyers, to make dreams come true.
  • they were also quite intentionally building something far grander: class consciousness. Leach writes that the introduction of shopping was fundamental to forming middle-class identity at a particularly crucial moment, as the technological advances of the Gilded Age helped create the American office worker as we now know it.
  • Retailers won over this growing middle class by convincing its members that they were separate from—and opposed to—industrial workers and their distrust of corporate power,
  • For many of these workers, the difficulty of finding non-service employment enables companies to pay low wages and keep their prices artificially low, which consumers generally like as long as they don’t have to think about what makes it possible. In theory, these conditions are supposed to encourage better performance on the part of the worker; in practice, they also encourage cruelty on the part of the consumer.
  • Previously confined to a few lavish European-owned hotels in America, tipping “aristocratized consumption,
  • Department-store magnates alleviated these concerns by linking department stores to the public good. Retailers started inserting themselves into these communities as much as possible, Leach writes, turning their enormous stores into domains of urban civic life. They hosted free concerts and theatrical performances, offered free child care, displayed fine art, and housed restaurants, tearooms, Turkish baths, medical and dental services, banks, and post offices. They made splashy contributions to local charities and put on holiday parades and fireworks shows. This created the impression that patronizing their stores wouldn’t just be a practical transaction or an individual pleasure, but an act of benevolence toward the orderly society those stores supported.
  • In the 150 years that American consumerism has existed, it has metastasized into almost every way that Americans construct their identities. Today’s brands insert themselves into current events, align themselves with causes, associate patronage of their businesses with virtue and discernment and success.
  • Most Americans now expect corporations to take a stand on contentious social and political issues; in return, corporations have even co-opted some of the language of actual politics, encouraging consumers to “vote with their dollars” for the companies that market themselves on the values closest to their own.
  • For Americans in a socially isolating culture, living under an all but broken political system, the consumer realm is the place where many people can most consistently feel as though they are asserting their agency.
  • Being corrected by a salesperson, forgotten by a bartender, or brushed off by a flight attendant isn’t just an annoyance—for many people, it is an existential threat to their self-understanding.
  • “The notion that at the restaurant, you’re better than the waiters, it becomes part of the restaurant experience,” and also part of how some patrons understand their place in the world. Compounding this sense of superiority is the fact that so many service workers are from historically marginalized groups—the workforce is disproportionately nonwhite and female.
  • Because consumer identities are constructed by external forces, Strasser said, they are uniquely vulnerable, and the people who hold them are uniquely insecure
  • If your self-perception is predicated on how you spend your money, then you have to keep spending it, especially if your overall class status has become precarious, as it has for millions of middle-class people in the past few decades
  • Although underpaid, poorly treated service workers certainly exist around the world, American expectations on their behavior are particularly extreme and widespread, according to Nancy Wong, a consumer psychologist and the chair of the consumer-science department at the University of Wisconsin. “Business is at fault here,” Wong told me. “This whole industry has profited from exploitation of a class of workers that clearly should not be sustainable.”
  • Tipping ratcheted up the level of control that members of the middle class could exercise over the service workers beneath them: Consumers could deny payment—effectively, deny workers their wages—for anything less than complete submission.
  • Modern businesses have invented novel ways to exacerbate conflicts between their customers and their workers.
  • A big problem at airlines and hotels in particular, Wong said, is what’s called the “customer relationship management” model. CRM programs, the first and most famous of which are frequent-flyer miles, are fabulously profitable; awarding points or miles or bucks encourages people not only to increase the size and frequency of their purchases, but also to confine their spending to one airline or hotel chain or big-box store.
  • Higher-spending customers access varying levels of luxury and prestige, often in full view of everyone else. Exposure to these consumer inequalities has been found to spark antisocial behavior in those who don’t get to enjoy their perks, the classic example of which is air rage
  • Workers must do what the sociologist Arlie Russell Hochschild, in her 1983 book, The Managed Heart, identified as “emotional labor.”
  • Workers must stifle their natural emotional reactions to, in the case of those in the service industry, placate members of the consumer class. These workers are alienated from their own emotional well-being, which can have far-reaching psychological consequences—over the years, research has associated this kind of work with elevated levels of stress hormones, burnout, depression, and increased alcohol consumption.
nataliedepaulo1

John Kasich: Repealing Medicaid expansion is 'a very, very bad idea' - CNNPolitics.com - 0 views

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  • Washington (CNN)Ohio Gov. John Kasich says he won't "sit silent" and watch the Affordable Care Act's Medicaid expansion get "ripped out" as Republicans work to repeal the law.
  • Kasich said 700,000 Ohio residents now receive care who did not before Obamacare became law, including "a third of whom have mental illness and need to be treated or drug treatment, which is a problem throughout the country."
Javier E

Tech Is Splitting the U.S. Work Force in Two - The New York Times - 0 views

  • Phoenix cannot escape the uncomfortable pattern taking shape across the American economy: Despite all its shiny new high-tech businesses, the vast majority of new jobs are in workaday service industries, like health care, hospitality, retail and building services, where pay is mediocre.
  • automation is changing the nature of work, flushing workers without a college degree out of productive industries, like manufacturing and high-tech services, and into tasks with meager wages and no prospect for advancement.
  • Automation is splitting the American labor force into two worlds. There is a small island of highly educated professionals making good wages at corporations like Intel or Boeing, which reap hundreds of thousands of dollars in profit per employee. That island sits in the middle of a sea of less educated workers who are stuck at businesses like hotels, restaurants and nursing homes that generate much smaller profits per employee and stay viable primarily by keeping wages low.
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  • economists are reassessing their belief that technological progress lifts all boats, and are beginning to worry about the new configuration of work.
  • “We automate the pieces that can be automated,” said Paul Hart, a senior vice president running the radio-frequency power business at NXP’s plant in Chandler. “The work force grows but we need A.I. and automation to increase the throughput.”
  • “The view that we should not worry about any of these things and follow technology to wherever it will go is insane,”
  • But the industry doesn’t generate that many jobs
  • Because it pushes workers to the less productive parts of the economy, automation also helps explain one of the economy’s thorniest paradoxes: Despite the spread of information technology, robots and artificial intelligence breakthroughs, overall productivity growth remains sluggish.
  • Employment in the 58 industries with the lowest productivity, where it tops out at $65,000 per worker, grew 10 times as much over the period, to 673,000.
  • The same is true across the high-tech landscape. Aircraft manufacturing employed 4,234 people in 2017, compared to 4,028 in 2010. Computer systems design services employed 11,000 people in 2017, up from 7,000 in 2010.
  • To find the bulk of jobs in Phoenix, you have to look on the other side of the economy: where productivity is low. Building services, like janitors and gardeners, employed nearly 35,000 people in the area in 2017, and health care and social services accounted for 254,000 workers. Restaurants and other eateries employed 136,000 workers, 24,000 more than at the trough of the recession in 2010. They made less than $450 a week.
  • While Banner invests heavily in technology, the machines do not generally reduce demand for workers. “There are not huge opportunities to increase productivity, but technology has a significant impact on quality,” said Banner’s chief operating officer, Becky Kuhn
  • The 58 most productive industries in Phoenix — where productivity ranges from $210,000 to $30 million per worker, according to Mr. Muro’s and Mr. Whiton’s analysis — employed only 162,000 people in 2017, 14,000 more than in 2010
  • Axon, which makes the Taser as well as body cameras used by police forces, is also automating whatever it can. Today, robots make four times as many Taser cartridges as 80 workers once did less than 10 years ago
  • The same is true across the national economy. Jobs grow in health care, social assistance, accommodation, food services, building administration and waste services
  • On the other end of the spectrum, the employment footprint of highly productive industries, like finance, manufacturing, information services and wholesale trade, has shrunk over the last 30 years
  • “In the standard economic canon, the proposition that you can increase productivity and harm labor is bunkum,” Mr. Acemoglu said
  • By reducing prices and improving quality, technology was expected to raise demand, which would require more jobs. What’s more, economists thought, more productive workers would have higher incomes. This would create demand for new, unheard-of things that somebody would have to make
  • To prove their case, economists pointed confidently to one of the greatest technological leaps of the last few hundred years, when the rural economy gave way to the industrial era.
  • In 1900, agriculture employed 12 million Americans. By 2014, tractors, combines and other equipment had flushed 10 million people out of the sector. But as farm labor declined, the industrial economy added jobs even faster. What happened? As the new farm machines boosted food production and made produce cheaper, demand for agricultural products grew. And farmers used their higher incomes to purchase newfangled industrial goods.
  • The new industries were highly productive and also subject to furious technological advancement. Weavers lost their jobs to automated looms; secretaries lost their jobs to Microsoft Windows. But each new spin of the technological wheel, from plastic toys to televisions to computers, yielded higher incomes for workers and more sophisticated products and services for them to buy.
  • In a new study, David Autor of the Massachusetts Institute of Technology and Anna Salomons of Utrecht University found that over the last 40 years, jobs have fallen in every single industry that introduced technologies to enhance productivity.
  • The only reason employment didn’t fall across the entire economy is that other industries, with less productivity growth, picked up the slack. “The challenge is not the quantity of jobs,” they wrote. “The challenge is the quality of jobs available to low- and medium-skill workers.”
  • the economy today resembles what would have happened if farmers had spent their extra income from the use of tractors and combines on domestic servants. Productivity in domestic work doesn’t grow quickly. As more and more workers were bumped out of agriculture into servitude, productivity growth across the economy would have stagnated.
  • The growing awareness of robots’ impact on the working class raises anew a very old question: Could automation go too far? Mr. Acemoglu and Pascual Restrepo of Boston University argue that businesses are not even reaping large rewards for the money they are spending to replace their workers with machines.
  • the cost of automation to workers and society could be substantial. “It may well be that,” Mr. Summers said, “some categories of labor will not be able to earn a subsistence income.” And this could exacerbate social ills, from workers dropping out of jobs and getting hooked on painkillers, to mass incarceration and families falling apart.
  • Silicon Valley’s dream of an economy without workers may be implausible. But an economy where most people toil exclusively in the lowliest of jobs might be little better.
Javier E

To Fix Health Care, Help the Poor - NYTimes.com - 0 views

  • Why are these other countries beating us if we spend so much more? The truth is that we may not be spending more
  • we broadened the scope of traditional health care industry analyses to include spending on social services, like rent subsidies, employment-training programs, unemployment benefits, old-age pensions, family support and other services that can extend and improve life.
  • We studied 10 years’ worth of data and found that if you counted the combined investment in health care and social services, the United States no longer spent the most money — far from it. In 2005, for example, the United States devoted only 29 percent of gross domestic product to health and social services combined, while countries like Sweden, France, the Netherlands, Belgium and Denmark dedicated 33 percent to 38 percent of their G.D.P. to the combination. We came in 10th.
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  • What’s more, America is one of only three industrialized countries to spend the majority of its health and social services budget on health care itself. For every dollar we spend on health care, we spend an additional 90 cents on social services. In our peer countries, for every dollar spent on health care, an additional $2 is spent on social services. So not only are we spending less, we’re allocating our resources disproportionately on health care.
  • Our study found that countries with high health care spending relative to social spending had lower life expectancy and higher infant mortality than countries that favored social spending.
  • It’s time to think more broadly about where to find leverage for achieving a healthier society. One way would be to invest more heavily in social services
sarahbalick

ISIS: Leaked documents reveal fighters' preferences - CNN.com - 0 views

  • What's your first and last name? Your education and work experience? Do you have recommendations? And are you willing to be a suicide attacker or would you prefer to be a fighter for ISIS?
  • Germany's interior minister said he believes data in the documents -- described by European media as the names and personal data of tens of thousands of possible ISIS recruits -- could allow authorities to prosecute people who joined ISIS and then returned to their home countries.
  • If they did not hear from him, they would know that he is dead."
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  • as I have a headache because (of) shrapnel in my head."
  • Search »U.S. Edition+U.S.InternationalArabicEspañolSet edition preference:U.S.InternationalConfirmU.S. Edition+U.S.InternationalArabicEspañolSet edition preference:U.S.InternationalConfirmHomeU.S.Crime + JusticeEnergy + EnvironmentExtreme WeatherSpace + ScienceWorldAfricaAmericasAsiaEuropeMiddle Easthpt=aGVhZGVyXzE0Y29sX21pZGRsZWVhc3RfYXJ0aWNsZV9wb2xpdGljc19uby12YWx1ZS1zZXRfbm8tdmFsdWUtc2V0X3pvbmUtbGV2ZWxfbm8tdmFsdWUtc2V0;hpt2=aGVhZGVyXzE0Y29sX21pZGRsZWVhc3RfYXJ0aWNsZV9wb2xpdGljc19uby12YWx1ZS1zZXRfb
  • The words include answers to simple questions such as the would-be militant's birth date, blood type, address, marital status and countries visited.
  • German intelligence officials said they, too, have similar if not identical documents, though they didn't detail how they got them.
  • That means the people questioned could have gone into ISIS-controlled territory, have been turned away or perhaps fought for the terror group in Syria and Iraq and then perhaps left. If they aren't in the war zone, one fear is that they may bring their ISIS approach, tactics and mindset elsewhere -- perhaps proving a threat to other countries.
  • Koths said. "We are taking these into consideration of our law enforcement measures and security. "
  • We have seen the attacks perpetrated on mainland Europe over the past year,"
  • That is why it is so important for us to work together to counter this threat."
  • Form has 23 items
katherineharron

Fact check: No, impeachment itself would not ban Trump from a 2024 run - CNNPolitics - 0 views

  • A viral tweet claims that impeaching President Donald Trump for a second time would mean he would lose the ability to run for president in 2024. That's not true. Nor are other claims in the tweet.
  • The tweet was posted on Friday, two days after a Capitol insurrection by a mob of Trump supporters sparked a new impeachment push from House Democrats.
  • It says the following: "For those wondering if it's worth impeaching him this time, it means he: 1) loses his 200k+ pension for the rest of his life2) loses his 1 million dollar/year travel allowanceRead More3) loses lifetime full secret service detail
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  • 4) loses his ability to run in 2024"
  • he tweet is inaccurate in multiple ways. 1) Trump would lose his post-presidency pension only if both the House voted to impeach him and then the Senate voted to remove him from office; impeachment itself, without removal, would not result in Trump being denied any benefits.2) The law makes clear that presidents who have lifetime Secret Service protection never get a $1 million travel allowance. 3) It is unclear that Trump would lose lifetime Secret Service protection even if the Senate voted to remove him and prohibit him from running.4) Even a Senate vote to remove Trump would not prohibit him from running in 2024; for the Senate to ban him from the presidency, it would have to hold an additional vote on this question.
  • Trump would not lose his pension if the House impeached him for his role in inciting the insurrection -- just as he didn't lose his pension when the House impeached him in 2019 over his effort to use the US' relationship with Ukraine for his own political ends
  • Lots of average citizens use the word "impeachment" to refer to impeachment and removal, so we're not bashing Costiloe for this common error, but the statement is incorrect.
  • Neither a second House impeachment nor even a Senate vote to convict Trump and remove him from office would prevent him from running again, in 2024 or beyond.
  • Presidents who have not been impeached and removed are entitled to a lifetime pension equivalent to the annual salary of a head of an executive department. For Trump, like predecessor President Barack Obama, that would indeed amount to more than $200,000 per year.
  • Rather, after two-thirds of senators present voted to remove Trump, a simple majority of senators present would have to approve an additional vote to bar him from the presidency in the future.
  • There is at least some uncertainty about the disqualification issue, since no president has ever been removed from office by the Senate and only judges have been disqualified from future office.
  • One law, the Former Presidents Act we mentioned earlier, specifically says that a president who gets booted by the Senate does not count as a "former president" for the purpose of certain post-presidency perks. However, another law signed by Obama in 2013, the Former Presidents Protection Act, simply authorizes lifetime Secret Service protection for former presidents -- without defining "former president" in any particular way.
  • It is not clear which definition the federal government or the courts would use when it came to deciding whether an impeached and removed Trump should get lifetime Secret Service protection
  • Trump was not certain to get a $1 million travel allowance in the first place. In fact, the travel allowance -- technically, a security and travel allowance -- is only for former presidents who are not getting lifetime Secret Service protection.
  • In other words: under normal circumstances -- if Trump finished out his term as scheduled and then accepted the lifetime Secret Service protection he would indisputably be entitled to in that case -- there would be no $1 million security and travel allowance for him.
saberal

Community's Loss of Hospital Stirs Fresh Debate Over Indian Health Service - The New Yo... - 0 views

  • In effect, the health service was caught between the desire of one constituency to take control of its own health care and the need of another to keep a well-established hospital operating. In the end, it slashed services at the hospital in November, closing its inpatient critical care unit, women’s services and emergency room.
  • The closing of the hospital facilities comes as coronavirus cases rise across the state and hospital beds dwindle, forcing the leader of one of the tribes served by the hospital, Gov. Brian D. Vallo of the Pueblo of Acoma, to declare a state of emergency.
  • t was not hospital policy for patients to be told to wait in the parking lot for emergency care. He said the agency had requested more information on the situation but had yet to receive it.
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  • “If a patient comes to the urgent care clinic but is in need of emergency care, they will be stabilized and transferred to an emergency department at another facility for appropriate care,” he said.
  • The pandemic has exacerbated the Indian Health Service’s decades-long weaknesses and has contributed to disproportionately high infections and death rates among Native Americans. The Albuquerque service area has a seven-day rolling positivity rate of about 14 percent, compared with 7 percent for New Mexico and about 8 percent nationwide.
  • The office in the Albuquerque area is one of I.H.S.’s 12 service regions and serves 20 Pueblos, two Apache bands, three Navajo chapters and two Ute tribes across four southwest states. There are five hospitals, 11 health centers and 12 field clinics serving the residents of the area.Wendy Sarracino, 57, a community health representative for the Acoma people, said that when her son broke his leg, she had to stop at two hospitals before he could receive the care he needed.
  • “That was kind of our lifeline,” Ms. Sarracino said of the hospital. “We didn’t have to go very far for health care. An awareness needs to be made that people do live in rural New Mexico and we need health care.”
  • Dr. Thomas said the agency requested an extension of the removal of the tribe’s financial shares in the hospital given the pandemic but Laguna denied that request. “We’re doing everything we can to maintain all services for the tribal communities,” he said. “We take it very seriously and want to make sure we’re there for the patients.”
  • It has always been difficult for I.H.S. to attract doctors and nurses to its facilities, many of which are in isolated areas. In the Albuquerque area, the overall job vacancy rate of the health system is 25 percent for doctors and 38 percent for nurses.
  • “There’s already so much loss that we have to deal with in term of the unavailability of goods and services because we live on the reservation,” she said, “so basically we are fighting to keep whatever we can because at this point the health of our community isn’t great enough to sustain itself on it own.”
Javier E

Republicans and evangelicals think they're victims and remain unmoved by real discrimin... - 0 views

  • In general, Americans of all races, ages, education levels and income groups are becoming more tolerant; the same is not true of Republicans, and evangelical Christians in particular.
  • “A&nbsp;majority (53%) of Americans oppose allowing businesses that provide wedding services, such as catering, flowers, and wedding cakes, to refuse services to same-sex couples, compared to about four in ten (41%) who say they would support allowing these wedding-based businesses to refuse services to same-sex couples for religious reasons.”
  • &nbsp;A majority (56%) of Americans oppose allowing small business owners in their state to refuse services or goods to gay and lesbian people if doing so violates their religious beliefs, while nearly four in ten (39%) favor
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  • However, two-thirds of Republicans and nearly two-thirds of evangelicals think wedding vendors should be allowed to deny service. While 60 percent of women oppose denying service, only a 48 percent plurality of men do.
  • A majority (54%) of white evangelical Protestants oppose same-sex marriage, although a significant minority (43%) now expresses support
  • “There is continued strong support for gay, lesbian, bisexual, and transgender people and non-discrimination laws. More than seven in ten (72%) Americans favor laws that would protect lesbian, gay, bisexual, and transgender (LGBT) people from discrimination in jobs, public accommodation, and housing.
  • As for transgender people serving in the military, the partisan divide reappears, with&nbsp;Democrats “more than twice as likely as Republicans (83% vs. 37%, respectively) to say that transgender people ought to be allowed to serve in the armed forces.
  • On same-sex marriage, we see a familiar pattern: “Nearly two-thirds (66%) of Americans favor allowing gay and lesbian couples to marry legally, while fewer than one-third (28%) oppose.
  • Support for such service refusals has increased since earlier this year. In February 2017, two-thirds (64%) opposed allowing small businesses to refuse goods or services to gay and lesbian people, compared to fewer than one-third (32%) who supported such actions.&nbsp;…
  • “A majority (53%) of Republicans, two-thirds (67%) of independents, and more than eight in ten (81%) Democrats oppose allowing religiously affiliated adoption agencies that receive federal funding to refuse to place children with gay and lesbian couples.
  • The percentage of evangelicals who would prevent gay couples from adopting is&nbsp;63 percent.
  • In sum, evangelicals and Republicans more generally are increasingly out of step with other Americans on issues affecting the LGBT community. Once commanding an overwhelming majority of opinion, these Americans may well feel as though the culture has “declined” or they have “lost something.”
  • Among partisans, 21% of Democrats agreed with the statement to some extent compared to 63% of Republicans. Conversely, 59% of Democrats disagreed (47% strongly) while just 17% of Republicans disagreed.
  • Sixty-three percent of Republicans strongly or somewhat agree that whites are under attack.
  • a very large number of evangelicals, and even more Republicans in general, are convinced it is true. That may also account for high levels of opposition to immigrants among these groups.
  • Other polling by PRRI also shows that these two groups are much less likely to believe&nbsp;minorities suffer from discrimination.
aidenborst

US Postal Service removing mailboxes for security reasons ahead of inauguration - CNN - 0 views

  • The US Postal Service has temporarily removed some mailboxes in several major cities across the country, a security measure ahead of next week's inauguration of President-elect Joe Biden.
  • "It's part of our normal procedures to keep our employees and customers safe during times of protest or when large crowds are gathered near postal facilities, on postal routes, or by mailboxes," Postal Service spokesman David Partenheimer told CNN on Saturday.
  • In Washington, DC, mailboxes will either be temporarily removed or locked, and notices have been placed on the individual boxes indicating the date they will be unavailable for service, according to the Postal Service. At least 14 post offices in the nation's capital will be temporarily closed as well on Inauguration Day.
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  • The Postal Service removed mailboxes in Washington, DC, during the inauguration of President Trump in 2017 as a safety measure, Partenheimer said.
  • The expansion of security measures to other locations across the nation is based on the Postal Service's awareness of "planned protests or other situations involving large crowds" in key cities and areas, Partenheimer said.
rerobinson03

Feudalism - Ancient History Encyclopedia - 0 views

  • Feudalism was the system in European medieval societies of the 10th to 13th centuries CE whereby a social hierarchy was established based on local administrative control and the distribution of land into units (fiefs). A landowner (lord) gave a fief, along with a promise of military and legal protection, in return for a payment of some kind from the person who received it (vassal).
  • military service or the regular payment of produce or money
  • The word ‘feudalism’ derives from the medieval Latin terms feudalis, meaning fee, and feodum, meaning fief
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  • The feudal system proper became widespread in Western Europe from the 11th century CE onwards, largely thanks to the Normans as their rulers carved up and dished out lands wherever their armies conquered.
  • Starting from the top of society’s pyramid, the monarch – a good example is William the Conqueror (r. 1066-1087 CE) who considered all the lands of England as his personal property – could give a parcel of land (of no fixed size) to a noble who, in return, would be that monarch’s vassal,
  • The most common and needed service was military service,
  • The system was often weighted in favour of the sovereign as when a noble died without an heir, his estate went back to the monarch to either keep for themselves or to redistribute to another noble.
  • The arrangement which created a vassal was known as ‘homage’ as they often knelt before their particular lord and swore an oath of loyalty, for which, in return, they not only received the land but also their lord’s protection if and when required.
  • The feudal system perpetuated itself as a status quo because the control of land required the ability to perform military service and, because of the costs involved (of weapons, armour and horses), land was required to fund military service. Thus there was a perpetual divide between the landed aristocracy (monarchs, lords, and some tenants) and those who worked the land for them who could be free or unfree labourers.
  • Unfree labourers were serfs,
  • who were at the bottom of the social pyramid and who made up the vast majority of the population
  • The nobles who had received land, often called suzerain vassals, could have much more than they either needed or could manage themselves and so they often sub-let parts of it to tenant vassals.
  • In addition, the system could create serious unrest. Sometimes a monarch might insist on active military service because of a war but nobles might also refuse, as happened to King John of England in 1215 CE and the Barons' Revolt which led to the signing of the Magna Carta.&nbsp; In 1215 CE, and in subsequent revolts in the 13th century CE, the barons were acting collectively for their own interests which was a direct threat to the entire system of feudalism, based as it was upon single lords and vassals working out their own private arrangements.
  • The feudal system was essentially based on the relationship of reciprocal aid between lord and vassal but as that system became more complex over time, so this relationship weakened. Lords came to own multiple estates and vassals could be tenants of various parcels of land so that loyalties became confused and even conflicting with people choosing to honour the relationship that suited their own needs best.
  • Another blow to the system came from sudden population declines caused by wars and plagues, particularly the Black Death (which peaked between 1347-1352 CE), and by peasant revolts (most famously in England in 1381 CE)
  • Such crises caused a chronic shortage of labour and the abandonment of estates because there was no one to work them. The growth of large towns and cities also saw labour leave the countryside to find a better future and the new jobs available there.
  • By the 13th century CE, the increase in commerce and the greater use of coinage changed the way the feudal system worked. Money allowed lords to pay their sovereign instead of performing military service; the monarch’s use of mercenaries then meant military service, and thus the barons themselves became less important to the defence of the realm. Conversely, a monarch could now distribute money instead of land in his system of rewards
maddieireland334

Senator Mike Lee Fears Enrolling Women in the Selective Service Could Lead to Mandatory... - 0 views

  • (a) Lord, save us from this herd of retrograde, sexist swine; (b) Thank heavens a few leaders are still willing to stand up to such PC nonsense; (c) Wait! There hasn’t been a draft since 1973.
  • Back in February, after White House contenders Chris Christie, Jeb Bush, and Marco Rubio voiced support for the move, National Review denounced this “step toward barbarism.” “Men should protect women,” the magazine asserted. “They should not shelter behind mothers and daughters.”
  • And presidential wannabe Ted Cruz was aiming straight at his base’s paternalistic gut when—after calling Christie, Bush, and Rubio “nuts”—he raised the specter of his own wee daughters being forced into military fatigues and decried the very notion as “immoral.”
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  • Specifically, the senator has become convinced that the push to register every young American for the draft, women included, is in fact a stalking horse for Big Government’s push to establish a system of compulsory national service.
  • One is the move (championed by Senator John McCain) to open the draft to women. The other aims to create a “National Commission on Military, National, and Public Service” that would “consider methods to increase participation in military, national, and public service in order to address national security and other public service needs of the nation.”
  • Today, more funding is made available to create additional Americorps jobs; tomorrow, 18-year-olds are being forced to man soup kitchens in the name of patriotism.
julia rhodes

Echoes of Palestinian partition in Syrian refugee crisis | Al Jazeera America - 0 views

  • With more than 2 million Syrians already living outside their war-torn country and 1 million more expected to flee in the coming months, there is a growing protection gap. Indeed, a report (PDF) released in November by Harvard University shows that even Canada, which prides itself on being hospitable to refugees, has been systematically closing its borders to asylum seekers. Without a doubt, development-related aid is an important incentive to host countries, and providing sanctuary for vulnerable populations is just as vital, but what refugees need most is a legal status, which can be achieved only through a regional framework of protection and national asylum policies. The Bangkok Principles are a good start because they highlight the commitment among these states to develop a regional framework and national solutions to protect refugees, with the support of the international community. The U.S. must do its part and encourage the Middle East to build on these principles. Syrians deserve an organized and effective framework, and the risk of turning our backs is that Syrians, along with the Palestinians, will be wandering without a homeland. Galya Benarieh Ruffer is the founding director of the Center for Forced Migration Studies at the Buffett Center for International and Area Studies at Northwestern University and a public voices faculty fellow with the OpEd Project.&nbsp; The views expressed in this article are the author's own and do not necessarily reflect Al Jazeera America's editorial policy. 180401 Join the Conversation Post a new commentLogin&nbsp;&nbsp; c
  • Although the cause of Syrians fleeing their homeland today differs fundamentally from the flight of Palestinians in 1948, one crucial similarity is the harsh reception they are experiencing in neighboring countries. The tragedy of the Syrian refugee crisis is palpable in news stories and in the images of those risking their lives in rickety boats on Europe’s shores. More than one-third of Syria’s population has been displaced, and its effects are rippling across the Middle East. For months, more than 1,500 Syrians (including 250 children) have been detained in Egypt. Hundreds of adults are protesting grotesque conditions there with a hunger strike. Lebanon absorbed the most refugees but now charges toward economic collapse, while Turkey will house 1 million Syrians by the year’s end.
  • The surge of Syrians arriving in urban centers has brought sectarian violence, economic pressure and social tensions. As a result, these bordering countries, having already spent billions of dollars, are feeling less hospitable and are starting to close their borders to Syrians.
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  • A Dec. 13 Amnesty International report calls the Syrian refugee crisis an international failure, but this regional crisis necessitates a regional response — one that more systematically offers Syrian refugees legal protections. The Amnesty report rightly points out that it is not just the European Union that is failing the refugees. It is the countries of the Gulf Cooperation Council that, in spite of their wealth and support for the military action in Syria, have not offered any resettlement or humanitarian admission places to refugees from Syria.&nbsp;
  • After World War II, the European refugee crisis blotted out other partition crises across the globe as colonial powers withdrew in South Asia, Africa and the Middle East. Partitions at the time were about questions of borders and the forced un-mixing of populations.
  • The 1951 Convention Relating to the Status of Refugees — the international legal framework for the protection of refugees, which obligated states to not return refugees to their countries of origin (non-refoulement), to respect refugees’ basic human rights and to grant them freedoms equivalent to those enjoyed by foreign nationals living legally in the country — did not include those displaced from partitioned countries in its definition of a refugee.
  • Today, this largely leaves Syrian refugees entering those countries without legal recourse. It is also the most dangerous injustice that Syrian refugees face.
  • Turkey is heeding the call. In April it enacted a law establishing the country’s first national asylum system providing refugees with access to Turkish legal aid
  • The origins of the Middle East’s stagnation lie in the partition of Palestine in 1948. When half a million Arab refugees fled Jewish-held territory, seeking refuge in neighboring states, countries like Lebanon and Saudi Arabia moved to stop them. In the final days of the drafting of the United Nation General Assembly’s Universal Declaration of Human Rights, with the war in Palestine raging, Saudi Arabia persuaded many countries, including the U.S., to dilute the obligation of a state to grant asylum. The Middle Eastern countries feared that they would be required to absorb Palestinians and that Palestinians might lose a right of return to what is now Israel.
  • I am heartened by the United Nations High Commissioner for Refugees’ recent call not just for financial and humanitarian assistance and emergency development in the Middle East to aid Syria but also for legal protection for refugees.
  • Bangkok Principles on the Status and Treatment of Refugees. Formally adopted in 2001, the principles provide for a right of return, a broader definition of a refugee and a mandate that countries take up the responsibility of determining refugee status based on rule of law.
  • With more than 2 million Syrians already living outside their war-torn country and 1 million more expected to flee in the coming months, there is a growing protection gap. Indeed, a report (PDF) released in November by Harvard University shows that even Canada, which prides itself on being hospitable to refugees, has been systematically closing its borders to asylum seekers.
  • what refugees need most is a legal status, which can be achieved only through a regional framework of protection and national asylum policies.
  • The Bangkok Principles are a good start because they highlight the commitment among these states to develop a regional framework and national solutions to protect refugees, with the support of the international community. The U.S. must do its part and encourage the Middle East to build on these principles. Syrians deserve an organized and effective framework, and the risk of turning our backs is that Syrians, along with the Palestinians, will be wandering without a homeland.
Javier E

With Uber, Less Reason to Own a Car - NYTimes.com - 0 views

  • if Uber and its ride-sharing competitors succeed, it wouldn’t be a stretch to see many small and midsize cities become transportation nirvanas on the order of Manhattan — places where forgoing car ownership isn’t just an outré lifestyle choice, but the preferred way to live.
  • “In many cities and even suburbs, it’s becoming much easier to organize your life car-free or car-lite,” said David A. King, an assistant professor of urban planning at Columbia University who studies technology and transportation. By car-lite, Dr. King means that instead of having one car for every driver, households can increasingly get by with owning just a single vehicle, thanks in part to tech-enabled services like Uber.
  • car-sharing services like Zipcar and bike-sharing services have already led to a significant net reduction of car ownership among users.
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  • though you may think of taxis as a competitor to subways and buses, several studies have found just the opposite.
  • The richest Americans do use taxis more often than middle-class Americans, but so do the poorest Americans, who rely heavily on taxis for trips that aren’t practical through public transportation — shopping trips that involve heavy parcels that wouldn’t be convenient to take on the bus, say, or a ride back home after a medical procedure.
  • Taxis and other car services are usually seen as the province of the rich, but that’s only partly true, studies show.
  • many taxi trips are “multimodal,” meaning that riders mix taxis with other forms of transportation. For instance, people from other boroughs might get to Manhattan by train, and then use cabs to return home late at night.
  • “The one-way travel of taxis allows people to use transit, share rides and otherwise travel without a car,” the researchers wrote. “In this way taxis act as a complement to these other modes and help discourage auto ownership and use.”
  • There’s only one problem with taxis: In most American cities, Dr. King found, there just aren’t enough of them. Taxi service is generally capped by regulation, and in many cities the number of taxis has not been increased substantially in decades
  • Ride-sharing services solve this problem in two ways. First, they substantially increase the supply of for-hire vehicles on the road, which puts downward pressure on prices. As critics say, Uber and other services do this by essentially evading regulations that cap taxis. This has led to intense skirmishes with regulators
  • But Uber has done more than increase the supply of cars in the taxi market. Thanks to technology, it has also improved their utility and efficiency. By monitoring ridership, Uber can smartly allocate cars in places of high demand, and by connecting with users’ phones, it has automated the paying process. When you’re done with an Uber ride, you just leave the car; there’s no fiddling with a credit card and no tipping. Even better, there’s no parking.
  • Compared with that kind of convenience, a car that you own — which you have to park, fill up, fix, insure, clean and pay for whether you use it or not — begins to seem like kind of a drag.
Javier E

The Antitrust Case Against Facebook, Google and Amazon - WSJ - 0 views

  • A growing number of critics think these tech giants need to be broken up or regulated as Standard Oil and AT&amp;T once were.
  • antitrust regulators have a narrow test: Does their size leave consumers worse off?
  • By that standard, there isn’t a clear case for going after big tech—at least for now. They are driving down prices and rolling out new and often improved products and services every week.
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  • That may not be true in the future: If market dominance means fewer competitors and less innovation, consumers will be worse off than if those companies had been restrained. “The impact on innovation can be the most important competitive effect” in an antitrust case
  • Yet Google’s monopoly means some features and prices that competitors offered never made it in front of customers. Yelp Inc., which in 2004 began aggregating detailed information and user reviews of local services, such as restaurants and stores, claims Google altered its search results to hurt Yelp and help its own competing service. While Yelp survived, it has retreated from Europe, and several similar local search services have faded.
  • When the federal government sued to break up Standard Oil, the Supreme Court acknowledged business acumen was important to the company’s early success, but concluded that was eventually supplanted by a single-minded determination to drive others out of the market.
  • Standard Oil and AT&amp;T used trusts, regulations and patents to keep out or co-opt competitors. They were respected but unloved.
  • By contrast, Google and Facebook give away their main product, while Amazon undercuts traditional retailers so aggressively it may be holding down inflation. None enjoys a government-sanctioned monopoly; all invest prodigiously in new products.
  • All are among the public’s most loved brands, according to polls by Morning Consult.
  • Yet there are also important parallels. The monopolies of old and of today were built on proprietary technology and physical networks that drove down costs while locking in customers, erecting formidable barriers to entry.
  • . If they’re imposing a cost, it may not be what customers pay but the products they never see.
  • In a 2005 paper, Mr. Scherer found that Standard Oil was indeed a prolific generator of patents in its early years, but that slowed once it achieved dominance.
  • Amazon hasn’t yet reached the same market share as Google or Facebook but its position is arguably even more impregnable because it enjoys both physical and technological barriers to entry. Its roughly 75 fulfillment centers and state-of-the art logistics (including robots) put it closer, in time and space, to customers than any other online retailer.
  • “Just like people joined Facebook because everyone else was on Facebook, the biggest competitive advantage AT&amp;T had was that it was interconnected,”
  • Early in the 20th century, AT&amp;T began buying up local competitors and refusing to connect independent exchanges to its long-distance lines, arousing antitrust complaints. By the 1920s, it was allowed to become a monopoly in exchange for universal service in the communities it served. By 1939, the company carried more than 90% of calls.
  • After AT&amp;T was broken up into separate local and long-distance companies in 1982, telecommunication innovation blossomed, spreading to digital switching, fiber optics, cellphones—and the internet.
  • when Google launched its own comparison business, Google Shopping, those sites found themselves dropping deeper into Google’s search results. They accused Google of changing its algorithm to favor its own results. The company responded that its algorithm was designed to give customers the results they want.
  • At that same hearing Jeffrey Katz, then the chief executive of Nextag, responded, “That is like saying move to Panama if you don’t like the tax rate in America. It’s a fake choice because no one has Google’s scope or capabilities and consumers won’t, don’t, and in fact can’t jump.”
  • In 2013 the U.S. Federal Trade Commission concluded that even if Google had hurt competitors, it was to serve consumers better, and declined to bring a case. Since then, comparison sites such as Nextag have largely faded.
  • The different outcomes hinge in part on different approaches. European regulators are more likely to see a shrinking pool of competitors as inherently bad for both competition and consumers. American regulators are more open to the possibility that it could be natural and benign.
  • Internet platforms have high fixed and minimal operating costs, which favors consolidation into a few deep-pocketed competitors. And the more customers a platform has, the more useful it is to each individual customer—the “network effect.”
  • But a platform that confers monopoly in one market can be leveraged to dominate another. Facebook’s existing user base enabled it to become the world’s largest photo-sharing site through its purchase of Instagram in 2012 and the largest instant-messaging provider through its purchase of WhatsApp in 2014. It is also muscling into virtual reality through its acquisition of Oculus VR in 2014 and anonymous polling with its purchase of TBH last year.
  • Once a company like Google or Facebook has critical mass, “the venture capital looks elsewhere,” says Roger McNamee of Elevation Partners, a technology-focused private-equity firm. “There’s no point taking on someone with a three or four years head start.”
  • “There should be hundreds of Yelps. There’s not. No one is pitching investors to build a service that relies on discovery through Facebook or Google to grow, because venture capitalists think it’s a poor bet.”
  • As the dominant platform for third-party online sales, Amazon also has access to data it can use to decide what products to sell itself. In 2016 Capitol Forum, a news service that investigates anticompetitive behavior, reported that when a shopper views an Amazon private-label clothing brand, the accompanying list of items labeled “Customers Who Bought This Item Also Bought,” is also dominated by Amazon’s private-label brands. This, it says, restricts competing sellers’ access to a prime marketing space
  • In the face of such accusations, the probability of regulatory action—for now—looks low, largely because U.S. regulators have a relatively high bar to clear: Do consumers suffer?
  • “We think consumer welfare is the right standard,” Bruce Hoffman, the FTC’s acting director of the bureau of competition, recently told a panel on antitrust law and innovation. “We have tried other standards. They were dismal failures.”
  • What would remedies look like? Since Big Tech owes its network effects to data, one often-proposed fix is to give users ownership of their own data: the “social graph” of connections on Facebook, or their search history on Google and Amazon. They could then take it to a competitor.
  • A more drastic remedy would be to block acquisitions of companies that might one day be a competing platform. British regulators let Facebook buy Instagram in part because Instagram didn’t sell ads, which they argued made them different businesses. In fact, Facebook used Instagram to engage users longer and thus sell more ads
  • Ben Thompson, wrote in his technology newsletter Stratechery. Building a network is “extremely difficult, but, once built, nearly impregnable. The only possible antidote is another network that draws away the one scarce resource: attention.” Thus, maintaining competition on the internet requires keeping “social networks in separate competitive companies.”
  • How sound are these premises? Google’s and Facebook’s access to that data and network effects might seem like an impregnable barrier, but the same appeared to be true of America Online’s membership, Yahoo ’s search engine and Apple’s iTunes store, note two economists, David Evans and Richard Schmalensee, in a recent paper. All saw their dominance recede in the face of disruptive competition.
  • It’s possible Microsoft might have become the dominant company in search and mobile without the scrutiny the federal antitrust case brought. Throughout history, entrepreneurs have often needed the government’s help to dislodge a monopolist—and may one day need it again.
yehbru

Investing just 30 cents per person could make health care safer in the developing world... - 0 views

  • As Covid-19 swept across the world, protecting those on the front lines became front of mind. Governments, the World Health Organization, UNICEF and other partners mobilized masks and gowns from every corner of the world even as the cost of those items skyrocketed.
  • Many doctors and nurses don't have the means to wash their hands when treating patients, and disease and death are the result.
  • New figures show that an estimated 1.8 billion people use or work in clinics or hospitals without basic water services, meaning no access to running water, as detailed in a recent WHO report. Worldwide, nearly 1 in 4 health facilities lacks basic water services, 1 in 3 lacks adequate means to wash hands where patients are treated, 1 in 10 has no sanitation services, and 1 in 3 do not segregate waste safely. In the world's 46 least developed countries, half of all health facilities have no clean water on site.
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  • health workers and people in need of treatment are being sent into facilities without clean water, decent toilets or even soap on a vast scale.
  • In the context of the Covid-19 pandemic, infections among health workers have been far greater than those in the general population: Health care workers represent less than 3% of the population yet account for 14% of reported Covid-19 cases worldwide.
  • Preliminary estimates show that making sure all health facilities in all these countries have basic water, sanitation, hygiene, waste management and cleaning services will cost an additional $3.6 billion between 2021 and 2030.
  • That's around 30 cents a year to cover both the initial investment and the ongoing costs of providing these basic services to each person in the least-developed countries where such basic water services are lacking.
  • In the world's 46 least developed countries, governments spent around $10 per person in 2018 on health services. But where budgets are spread so thinly, even this hugely cost-effective investment becomes a challenge.
  • the UK government alone budgeted £15 billion (around $20 billion) for personal protective equipment during 2020-21.
  • Each year, that's how many mothers and babies are estimated to die from infections soon after birth, a tragedy that is easily preventable with better conditions.
Javier E

U.S. Internet Users Pay More for Slower Service - Bloomberg - 0 views

  • The arrival of commercial Internet communications in the mid-1990s posed a threat to both the phone and cable companies; eventually, the FCC deregulated the entire sector, thinking that competition among various modalities of Internet access --cable, phone, wireless, satellite -- would protect Americans. And in 2002, when the five-year period of deregulation began, there was indeed rough parity in speed and price between the cable companies and telephone companies providing Internet access.
  • Soon, however, cable companies found a way to upgrade their networks to provide connections perhaps 100 times faster than what was possible over copper wires, and at much lower expense than the phone companies incurred replacing their phone lines. Goodbye, Copper The American copper wire telephone system is, in fact, becoming obsolete. The physical switches used in the network are reaching the end of their useful lives. But now that cable has won the battle for wired Internet service and consumers are moving to mobile phones for voice service, the telephone companies are looking to shed the obligation to maintain their networks at all.
  • Meanwhile, the U.S. is rapidly losing the global race for high-speed connectivity, as fewer than 8 percent of households have fiber service. And almost 30 percent of the country still isn’t connected to the Internet at all.
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  • Other countries have different goals. The South Korean government announced a plan to install 1 gigabit per second of symmetric fiber data access in every home by 2012. Hong Kong, Japan and the Netherlands are heading in the same direction. Australia plans to get 93 percent of homes and businesses connected to fiber. In the U.K., a 300 Mbps fiber-to-the-home service will be offered on a wholesale basis.
  • The first step is to decide what the goal of telecommunications policy should be. Network access providers -- and the FCC -- are stuck on the idea that not all Americans need high-speed Internet access. The FCC’s National Broadband Plan of March 2010 suggested that the minimum appropriate speed for every American household by 2020 should be 4 megabits per second for downloads and 1 Mbps for uploads. These speeds are enough, the FCC said, to reliably send and receive e-mail, download Web pages and use simple video conferencing.
  • In a sense, the FCC adopted the cable companies’ business plan as the country’s goal. The commission’s embrace of asymmetric access -- slower upload than download speeds -- also serves the carriers’ interests: Only symmetric connections would allow every American to do business from home rather than use the Internet simply for high-priced entertainmen
  • Think of it this way: With a dialup connection, backing up 5 gigabytes of data (now the standard free plan offered by many storage companies) would take 20 days. Over a standard (3G) wireless connection, it would take two and a half days. Over a 4G connection it would be more than seven hours, and over a cable DOCSIS 3.0 connection, an hour and a half. With a gigabit fiber-to-the-home connection, it can be done in less than a minute.
  • If the U.S. had a fully fiber-based network, Hollywood blockbusters could be downloaded in 12 seconds, video conferencing would become routine, and every household could see 3D and Super HD images. Americans could be connected instantly to their co-workers, their families, their teachers and their health-care monitors. To make this happen, though, the U.S. needs to move to a utility model, based on the assumption that all Americans require fiber-optic Internet access at reasonable prices. How much would it cost to bring fiber to the homes of all Americans? Corning Inc. (GLW), the American glass manufacturer, and others have estimated that it would take between $50 billion and $90 billion.
  • The Internet has taken the place of the telephone as the world’s basic, general-purpose, two-way communication medium. All Americans need high-speed access, just as they need clean water, clean air and electricity. But they have allowed a naive belief in the power and beneficence of the free market to cloud their vision. As things stand, the U.S. has the worst of both worlds: no competition and no regulation.
Javier E

Amazon same-day delivery: How the e-commerce giant will destroy local retail. - Slate M... - 0 views

  • Amazon’s tax capitulation is part of a major shift in the company’s operations. Amazon’s grand strategy has been to set up distribution centers in faraway, low-cost states and then ship stuff to people in more populous, high-cost states. When I order stuff from Amazon, for instance, it gets shipped to California from one of the company’s massive warehouses in Kentucky or Nevada.
  • now Amazon has a new game. Now that it has agreed to collect sales taxes, the company can legally set up warehouses right inside some of the largest metropolitan areas in the nation. Why would it want to do that? Because Amazon’s new goal is to get stuff to you immediately—as soon as a few hours after you hit Buy
  • Same-day delivery has long been the holy grail of Internet retailers, something that dozens of startups have tried and failed to accomplish. (Remember Kozmo.com?) But Amazon is investing billions to make next-day delivery standard, and same-day delivery an option for lots of customers. If it can pull that off, the company will permanently alter how we shop. To put it more bluntly: Physical retailers will be hosed.
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  • In Seattle, New York, and the United Kingdom, the firm has set up automated “lockers” in drug stores and convenience stores. If you order something from Amazon and you work near one of these lockers, the company will offer to drop off your item there. On your way home from work, you can just stop by Rite Aid, punch in a security code, and get your stuff.
  • I’m a frequent Amazon shopper, and over the last few months I’ve noticed a significant improvement in its shipping times. As a subscriber to Amazon’s Prime subscription service, I’m used to getting two-day shipping on most items for free. But on about a third of my purchases, my package arrives after just one day for no extra charge. Sometimes the service is so speedy it seems almost magical. One Friday afternoon last month, I ordered three smoke alarms, and I debated paying extra for shipping so that I could install them over the weekend. The $9 per item that Amazon charges for Saturday delivery seemed too steep, though, so I went with standard two-day service. The next morning, the delivery guy arrived with my smoke detectors. I’d gotten next-day Saturday service for free
  • I suspect that, over the next few years, next-day service will become its default shipping method on most of its items. Meanwhile it will offer same-day service as a cheap upgrade. For $5 extra, you can have that laptop waiting for you when you get home from work. Wouldn’t you take that deal?
  • Order something in the morning and get it later in the day, without doing anything else. Why would you ever shop anywhere else?
Javier E

When Hospitals Buy Doctors' Offices, and Patient Fees Soar - NYTimes.com - 0 views

  • Medicare, the government health insurance program for those 65 and over or the disabled, pays one price to independent doctors and another to doctors who work for large health systems — even if they are performing the exact same service in the exact same place.
  • This week, the Obama administration recommended a change to eliminate much of that gap. Despite expected protests from hospitals and doctors, the idea has a chance of being adopted because it would yield huge savings for Medicare and patients.
  • The heart doctors are a great example. In 2009, the federal government cut back on what it paid to cardiologists in private practice who offered certain tests to their patients. Medicare determined that the tests, which made up about 30 percent of a typical cardiologist’s revenue, cost more than was justified, and there was evidence that some doctors were overusing them. Suddenly, Medicare paid about a third less than it had before.But the government didn’t cut what it paid cardiologists who worked for a hospital and provided the same test. It actually paid those doctors more, because the payment systems were completely separate. In general, Medicare assumes that hospital care is by definition more expensive to provide than office-based care.
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  • Cardiologists are not the only doctors who have been migrating toward hospital practice. In the last few years, there have been increases in the number of doctors working for hospitals across the specialties. And spreads between fees for office services exist in an array of medical services, down to the basic office visit. The president's proposal would apply to all doctors working in off-campus, hospital-owned practices.
  • Like Medicare, most private insurers pay higher prices to hospitals than to independent doctors.Private insurers tend to copy many of Medicare’s payment policies. And, in general, large hospital groups tend to have more negotiating clout with insurers, meaning they can bargain for higher prices than smaller practices.
  • Hospitals don’t like the idea. Nearly all the money would come out of their pockets, and they argue that running a medical practice really does cost more for hospitals than it does for independent physician practices. Hospitals have to stay open at all hours, run emergency rooms and comply with an array of regulatory requirements that physician-owned practices don't need to worry about.
  • The Medicare Payment Advisory Committee, a group of experts that advises Congress, thinks that the pay differences should be narrowed, but only for a select set of medical services in which it’s really clear that there’s no difference between the care offered by a hospital and a physician office.
  • The pay differences, of course, are not the only reason that more doctors are going to work for hospitals. There are generational trends: Younger doctors are less interested in entrepreneurship and more interested in predictable hours and salary. And another Medicare program is trying to create financial incentives for health systems to manage patients’ entire health care experience, which many hospitals find easier to do if they employ the doctors.
  • in contrast to a lot of things in the president’s budget, it’s hard to dismiss this proposal as mere wishful thinking. Congress is often looking for places to save money in the Medicare budget, in part because it must find money every year to keep all doctors’ pay from declining precipitously — the result of a misguided payment formula passed in the 1990s.
carolinehayter

14-hour days and no bathroom breaks: Amazon's overworked delivery drivers | Amazon | Th... - 0 views

  • Fourteen-hour shifts were common because delivery service providers wouldn’t allow drivers to return any packages from their routes and the pressure to meet delivery rates meant Meyers used a plastic bottle to go to the bathroom on a daily basis.
  • “Any time a van is off route or stops for longer than three minutes, it notifies the delivery service provider. Amazon encourages the delivery service owners to cut down on said stops
  • Amazon uses contractors for delivery services, a move Meyers said makes it exceedingly difficult for workers to organize, and he said, contributes to drivers being overworked and underpaid by the delivery service providers who are paid bonuses on metrics such as route completion percentages.
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  • “If Amazon decides to take millions of jobs and essentially cut their labor costs in half, that only comes out of workers’ pockets,” added Korgan. “That creates a major economic problem in an industry that for the last 50 years has done a good job of supporting millions of middle-class jobs.”
  • “This sort of model is problematic for the entire industry,” said Randy Korgan, the director of the Teamster’s Amazon Project. “They’re willing to loan these small subcontractors money, get them access to their vans and help them advertise for employees to offload all the responsibility that would normally fall on Amazon.”
  • Amazon has been publicly opposed to unionization and organizing among their employees, most recently through an anti-union campaign launched ahead of a union election vote at a warehouse in Bessemer, Alabama, which has included anti-union captive audience meetings and sending mass texts and ads to workers encouraging them to vote against the union.
  • Drivers for Amazon contractors have complained of the surveillance and pressure they receive through cameras and a tracking app, Mentor.
  • remain
  • Drivers for Amazon delivery service providers also face fear of retaliation for trying to organize in their workplaces.
  • Jeff Bezos and Elon Musk have gone back and forth every week about who is the wealthiest person in the world and I can’t even pay my rentDerrick Flournoy
  • “Sixteen dollars an hour isn’t enough for the amount of work that we have to do. We’re a representation of the wealthiest company in the world and we’re barely making enough money to live,”
  • An Amazon spokesperson claimed drivers have built-in time through their routes for breaks and provide a list of nearby restrooms in the delivery app. They did not comment on the unfair labor practice charge or on organizing efforts by drivers.
hannahcarter11

Biden Has A $400 Billion Plan To Bolster Families' Home Health Care Needs : Shots - Hea... - 0 views

  • There's widespread agreement that it's important to help older adults and people with disabilities remain independent as long as possible.
  • That's the challenge President Joe Biden has put forward with his bold proposal to spend $400 billion over eight years on home and community-based services — a major part of his $2 trillion infrastructure plan.
  • It comes as the coronavirus pandemic has wreaked havoc in nursing homes, assisted living facilities and group homes, killing more than 174,000 people, by some estimates, and triggering awareness of the need for more long-term care options.
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  • Republicans decry its cost and argue that much of what the proposed American Jobs Plan contains, including the emphasis on home-based care, doesn't count as real infrastructure.
  • Medicare covers home-based health care services only for older adults and people with severe disabilities who are homebound and need skilled services from nurses and therapists. It does not pay for 24-hour care or care for personal aides or homemakers. In 2018, about 3.4 million Medicare members received home health services.
  • doesn't address the full extent of care needed by the nation's rapidly growing older population. In particular, middle-income seniors won't qualify directly for programs that would be expanded. They would, however, benefit from a larger, better paid, better trained workforce of aides that help people in their homes — one of the plan's objectives.
  • This reflects a sobering reality: for most individuals and families paying for long-term care services is even more expensive than providing the care themselves.
  • Home and community-based services help people who need significant assistance live at home as opposed to nursing homes or group homes.
  • Medicaid — the federal-state health program for 72 million children and adults in low-income households — can be an alternative, but financial eligibility standards are strict and only people with meager incomes and assets qualify.
  • Biden's proposal doesn't specify how the $400 billion in additional funding would be spent, beyond stating that access to home and community-based care would be expanded and caregivers would receive "a long-overdue raise, stronger benefits and an opportunity to organize or join a union."
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