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The Writing Is On The Wall (Again)

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The Writing Is On The Wall (Again) Authored by Bonner & Partners' Bill Bonner, (annotated by Acting-Man's Pater Tenebrarum),

-*Time to Sell… Maybe*-

Yesterday, the S&P 500 hit a new all-time high. And the Dow just hit a new record close as well. *If you haven’t sold yet, dear reader, this may be one of the best times ever to do so.*

 

It’s still flying… sorta. Meet Bill Bonner’s tattered crash flag

 

We welcome new readers with a simple insight: *Markets are contrary, pernicious, and downright untrustworthy. Just when the mob begins to bawl most loudly for stocks… the market sets its trap.*

Longtime Diary sufferers will be quick to straighten out the record. We’ve warned that stocks have reached a peak several times over the last four years. Each time, we thought we saw the writing on the wall… and each time, we were mistaken. We raised our Crash Alert flag.

But the poor ol’ Black and Blue just fluttered in the wind, as stock prices rose ever higher. Eventually, it became so tattered, we took pity on it, folded it up, and put it away.

In the interest of full disclosure, as well as reputation hygiene, we saw a bear market coming in 1999 and 2007, too. We were right then. But lately, we’ve either been dead wrong… or dead early.

* *

Since stocks, bonds, gold, bitcoin, works of art – literally anything that looks like an investable asset – are rising indiscriminately in price, our suspicion is growing that we nay be witnessing the early signs of a plunge in money’s purchasing power that is bound to eventually spread beyond the confines of markets for financial assets and collectibles. Just saying, one should perhaps not rule it out – click to enlarge.

* *

-*The Zombie – Crony Complex*-

Which just goes to show what a four-flusher Mr. Market can be.  He (helped by the Fed’s EZ money policies and the Greenspan-Bernanke-Yellen “put”) has driven prices higher and higher – even as the global economy slows down.

And we’re not talking about a regular, unimportant slowdown. We’re talking about a slowdown of a special variety – one caused by deep trends that cannot be easily reversed.

For one, most of the major economies face a demographic challenge. They have more old people to support and fewer young people to support them. Then there’s the problem posed by the zombie-crony complex. New readers may not have heard of the ZCC, so we will explain.

“Zombie” is a generic term we use to describe people who live at other people’s expense. People who get food stamps, people who push papers for the government, people who collect “disability” or medical/pension benefits beyond what their contributions would justify – all are zombies.

In today’s world, there’s a zombie on every street corner.

As former Republican presidential hopeful Mitt Romney was famously overheard saying, almost half the population has been zombified. And as he discovered, there’s no point in trying to win a national election by running against zombies: They vote.

 

It’s even worse… they actually vote early. And why not? Crumbs from the crony table are at stake!

 

You don’t want to run against the cronies either; they have the money!

Nowadays, it’s a little mixed up. But in the old days you could rely on the zombies to vote for Democrats. They lived in the Maryland suburbs of Washington; the cronies lived in the Virginia suburbs.

Today, you cut someone off in heavy traffic on the Washington Beltway, and you don’t know who is giving you the finger – a crony or a zombie.

 

-*Mock Battle*-

In the media, you hear a lot about the fight between them – red states versus blue states –  Dems vs. the GOP… Hillary vs. “The Donald.”

But it is largely a mock battle, designed to give the impression that there is something really at stake. Who will rule the country? What direction will it take? It depends on which group wins the election, doesn’t it? Probably not.

*What is really going on is a bipartisan collusion to transfer the nation’s wealth from the people who earned it to the zombies and cronies. The zombies get a few handouts… crumbs under the insiders’ tables – as their payoff for not causing trouble.*

Meanwhile, the cronies make deals among themselves for the real money. One gets a subsidy for growing sugar. Another is able to force people to buy health insurance (whether they want it or not). Another sells the Pentagon a fighter jet that not even the generals want.

You can find zombies in every McDonald’s in America. But go to dinner at Assaggi Osteria in McLean, Virginia, and you will dine with cronies. Cronies get favors from the government by pretending to offer some useful service. Like running a prison. Or building weapons. Or developing a website for education bureaucrats.

*There are fewer cronies than zombies, but the cronies have more money. They buy influence with political contributions… job opportunities… speaking fees.*

 

This Deep State rep is an example for a “speaking fees” crony (one with obsessive-compulsive presidential ambitions). That sly wink is directed at everybody. On the one hand, it is meant for the useful idiots who are actually deluded enough vote for this sociopathic harridan (inwardly she’s laughing at their incomprehensible stupidity), and it’s also meant for all the others who have just been slack-jawed witnesses (again) to the fact that cronies of this caliber are utterly untouchable…

 

*Retired generals used to “fade away,” as General MacArthur put it. No more. Now, they become cronies, lobbying Congress for more military hardware and more money.*

Together, the cronies (elected and unelected) and the zombies form a permanent “shadow government” that, for ease of identification, we call the Deep State.

 

-*Den of Foxes*-

*This description of our government is so at odds with what we learn in school about “checks and balances” and democracy in action that we are reluctant to believe it. It sounds like a dark conspiracy bred in the hottest fires of Hell.*

But there’s nothing surprising or clandestine about it. There are always people who figure out how to game the system. They play the angles. They understand how it really works.  Vilfredo Pareto, the great Italian economist, called them “foxes.”

No matter whether you think you have an absolute monarch or a constitutional republic, the foxes eventually capture the real power… and then wield it.

During the reign of Louis XIV, the foxes gathered around Versailles like moths around a flame. They were excused from taxes. They got to collect tolls and import fees. They found hundreds of ways to make the system work for them.

 

The “Sun King” Louis XIV – the man who set an example for cronyism exceeding the worst excesses of the alleged Roman “era of decadence” (which have actually become the subject of considerable doubt, but as a vivid descriptor they still do…). You won’t be surprised to learn that the leading light of mercantilism, Jean-Baptiste Colbert, actually served under him (we discussed Colbert briefly yesterday – the man after whom the bureaucrats of modern-day regulatory democracies are evidently modeled). A major difference between then and now is that there’s a lot more to steal for today’s cronies.

 

*Now, you find these people in the Washington, D.C., suburbs and a few enclaves of high-income cronyism, such as Lower Manhattan. The den of foxes known as Wall Street deserves special attention.* Reported by Zero Hedge 2 days ago.

Fully understand the IoT with this report

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Fully understand the IoT with this report The Internet of Things (IoT) Revolution is picking up speed and it will change how we live, work, and entertain ourselves in a million ways big and small.

From agriculture to defense, retail to healthcare, everything is going to be impacted by the growing ability of businesses, governments, and consumers to connect to and control their environments:

· “Smart mirrors” will allow consumers to try on clothes digitally, enhancing their shopping experience and reducing returns for the retailer
· Assembly line sensors will detect tiny drops in efficiency that indicate critical equipment is wearing out and schedule down-time maintenance in response
· Agricultural equipment guided by GPS and IoT technology will soon plant, fertilize and harvest vast croplands like a giant Roomba while the “driver” reads a magazine
· Active people will share lifestyle data from their fitness trackers in order to help their doctor make better health care decisions (and capture discounts on health insurance premiums)

No wonder the Internet of Things has been called “the next Industrial Revolution.” It’s so big that it could mean new revenue streams for your company and new opportunities for you. The only question is: Are you fully up to speed on the IoT?

Research analysts John Greenough and Jonathan Camhi of BI Intelligence, Business Insider's premium research service, spent months of researching and reporting this exploding trend and have put together a report on the Internet of Things that explains its exciting present and the fascinating future.

It covers how IoT is being implemented today, where the new sources of opportunity will be tomorrow and how 17 separate sectors of the economy will be transformed over the next 20 years, including:

· Agriculture
· Connected Home
· Defense
· Financial services
· Food services
· Healthcare
· Hospitality
· Infrastructure
· Insurance

· Logistics
· Manufacturing
· Oil, gas, and mining
· Retail
· Smart buildings
· Transportation
· Connected Car
· Utilities

 

If you work in any of these sectors, it's important for you to understand how the IoT will change your business and possibly even your career. And if you’re employed in any of the industries that will build out the IoT infrastructure—networking, semiconductors, telecommunications, data storage, cybersecurity—this report is a must-have.

Among the big picture insights you’ll get from *The Internet of Things: Examining How the IoT Will Affect The World*:

· IoT devices connected to the Internet will more than triple by 2020, from 10 billion to 34 billion. IoT devices will account for 24 billion, while traditional computing devices (e.g. smartphones, tablets, smartwatches, etc.) will comprise 10 billion.
· Nearly $6 trillion will be spent on IoT solutions over the next five years.
· Businesses will be the top adopter of IoT solutions because they will use IoT to 1) lower operating costs; 2) increase productivity; and 3) expand to new markets or develop new product offerings.
· Governments will be the second-largest adopters, while consumers will be the group least transformed by the IoT.

And when you dig deep into the report, you’ll get the whole story in a clear, no-nonsense presentation:

· The complex infrastructure of the Internet of Things distilled into a single ecosystem
· The most comprehensive breakdown of the benefits and drawbacks of mesh (e.g. ZigBee, Z- Wave, etc.), cellular (e.g. 3G/4G, Sigfox, etc.), and internet (e.g. Wi-Fi, Ethernet, etc.) networks
· The important role analytics systems, including edge analytics, cloud analytics, will play in making the most of IoT investments
· The sizable security challenges presented by the IoT and how they can be overcome
· The four powerful forces driving IoT innovation, plus the four difficult market barriers to IoT adoption
· Complete analysis of the likely future investment in the critical IoT infrastructure: connectivity, security, data storage, system integration, device hardware, and application development
· In-depth analysis of how the IoT ecosystem will change and disrupt 17 different industries

*The Internet of Things: Examining How the IoT Will Affect The World* is how you get the full story on the Internet of Things.

To get your copy of this invaluable guide to the IoT universe, choose one of these options:

1. Subscribe to an ALL-ACCESS Membership with BI Intelligence and gain immediate access to this report AND over 100 other expertly researched deep-dive reports, subscriptions to all of our daily newsletters, and much more. >> *START A MEMBERSHIP*
2. Purchase the report and download it immediately from our research store. >> *BUY THE REPORT*

The choice is yours. But however you decide to acquire this report, you’ve given yourself a powerful advantage in your understanding of the fast-moving world of the IoT.

Join the conversation about this story » Reported by Business Insider 1 day ago.

Breast cancer survivor turns experience to education

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After being diagnosed with breast cancer in April 2014, Kristie Fields chose to fight through the stress of figuring out how to get treatment with no health insurance while still working and taking care of her three children.

With two more chemo treatments left and no support group, Fields said... Reported by dailypress.com 17 hours ago.

Illinois Obamacare Co-Op Goes Bust Leaving Tens of Thousands At Risk

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Illinois Obamacare Co-Op Goes Bust Leaving Tens of Thousands At Risk Submitted by Mike Krieger via Liberty Blitzkrieg blog,

The fact that Obamacare is a gigantic train wreck barreling uncontrollably into a brick wall is pretty much undeniable at this point. I’ve covered this reality from several angles in 2016, with one of the more popular posts being, *The Health Insurance Scam – “Coverage” Doesn’t Mean Affordability or Access*, in which I noted:* *



*Politicians, particularly those of the Democratic persuasion, love to throw around statistics about how many additional people have healthcare coverage without ever talking about the cost of such coverage, or whether it actually translates into actual access in the real world.*

 

*While a greater number of Americans having health insurance is a good thing when it comes to protecting against unexpected catastrophic events or extended hospital stays, it doesn’t tell you anything about two very important variables: 1) How much does it cost? 2) What kind of access does it provide? As usual, the devil is in the details.*

 

*We’ve all seen headlines about higher monthly premiums, but that’s just the tip of iceberg. Once you’ve paid your premium, you’re far from off the hook. Another one-two punch of deductibles, copays and out of pocket maximums appear which can collectively run into the thousands if not tens of thousands of dollars for families.*



In my opinion, the above situation represents the number one failure of Obamacare, but there are others. Today’s piece focuses in on the state of Obamacare co-ops, which were “created under the federal health law to provide cost-effective coverage and competition in state insurance markets.”

Just like with Obamacare in general, stark reality is not living up to the sales pitch, and 16 of the 23 nonprofit cooperatives created nationwide have now failed.

As the Chicago Tribune reports:   



The Illinois Insurance Department moved Tuesday to shut down Land of Lincoln because of its unstable financial health, leaving about 49,000 policyholders in a lurch. They will lose coverage in the coming months, but neither regulators nor the company have said exactly when.

 

Policyholders will be able to buy insurance from a different carrier to cover them for the rest of 2016, according to the state Insurance Department. But switching plans is going to cost them.

 

*The co-pays and deductibles enrollees have been paying since January will not transfer to new plans. A new plan will reset deductibles and out-of-pocket maximums paid by consumers.*

 

Beyond the impact on consumers, the demise of Land of Lincoln is a significant setback for the Affordable Care Act in Illinois. *The insurer was one of 23 nonprofit cooperatives nationwide created under the federal health law to provide cost-effective coverage and competition in state insurance markets. With Land of Lincoln’s failure, the list of co-ops has shrunk to seven.*

 

Just last week, Connecticut took control of its health insurance co-op, but policyholders will have coverage until the end of the year, avoiding the disruption that is coming to Illinois, disruption that Illinois’ top insurance regulator warned the federal government about two weeks ago.

 

After a slow start in 2014, Land of Lincoln grew rapidly last year, finishing 2015 with more than 35,000 individual policyholders and about 15,000 members in small and large employer plans. The co-op captured about 6 percent of the individual market in Illinois, which was good for second place but *well behind Blue Cross’ 83 percent market share.*



Pretty massive concentration for a “free market.”



But Land of Lincoln lost more than $90 million in 2015, as the premiums it collected fell well short of the health-care costs of its enrollees. The shortfall in premium revenue was a problem also experienced by large, established insurers like Blue Cross that also participated in the restructured individual markets.

 

Shortfalls in anticipated levels of federal funding also put Land of Lincoln in a bind. While big insurers have the financial reserves to cushion against losses, Land of Lincoln was in a precarious condition at the end of last year. *Still, Illinois insurance regulators allowed the company to sell plans for 2016 to consumers.*

 

The company has continued to lose money this year, even after increasing rates by an average of 29.7 percent. Through May, the co-op lost more than $17 million, according to the state Insurance Department.

 

Land of Lincoln is the latest casualty in the health-care law co-op program. According to Americans for Tax Reform, the company is the 16th co-op to fail. The federal government financed co-ops with low-interest loans totaling $2.4 billion. In Illinois, the Metropolitan Chicago Healthcare Council, a hospital trade association, received $160 million in funding to start Land of Lincoln.

 

The company’s collapse will hit hospitals and physicians throughout Illinois. The company had nearly $49 million in unpaid claims at the end of the first quarter.



Very sad for the people affected. Obamacare is a dead man walking.

  Reported by Zero Hedge 20 hours ago.

Higher-Income Individuals Are Struggling to Afford Obamacare, and That's a Problem

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This small group of enrollees has big implications for the health insurance industry. Reported by Motley Fool 18 hours ago.

EC rolls out re-registration, exhibition of voters’ register

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The Electoral Commission will starting Monday roll out the exhibition of the voters’ register exercise and the re-registration of over 56,000 National Health Insurance Scheme registrants whose names were deleted. Reported by Myjoyonline 6 hours ago.

PCIHIPAA Launches OfficeSafe™ to Help Healthcare Professionals Streamline HIPAA Compliance and Educate Employees

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New technology platform positioned to help healthcare providers navigate HIPAA requirements and prepare for random HIPAA audits.

LOS ANGELES, California (PRWEB) July 18, 2016

PCIHIPAA introduces OfficeSafe™, a new technology platform to help medical and dental practices comply with stringent Payment Card Industry (PCI) and Health Insurance Portability and Accountability Act (HIPAA) regulations. OfficeSafe™ provides customized HIPAA policies and documents, emergency and disaster recovery planning, staff training tools, and other resources to give healthcare professionals a new level of confidence that they have taken the necessary steps to protect their offices.

The launch of OfficeSafe™ comes on the heels of an important announcement surrounding HIPAA compliance regulation. The U.S. Department of Health and Human Services’ Office for Civil Rights recently announced that random HIPAA audits are expected to continue throughout 2016 because of the rising number of claims that protected health information has been compromised. As the Office for Civil Rights has become more aggressive with HIPAA enforcement, large settlements have become widespread, and penalties for HIPAA noncompliance are now a recurring reality.

Through OfficeSafe™ and its Compliance Programs, PCIHIPAA customers can now institute preemptive actions to help protect their practices from data breaches and ensure their compliance with PCI and HIPAA law. Now practices can easily:·     Create customized HIPAA policies and procedures.
·     Conduct and store results of their mandatory HIPAA risk assessment.
·     Generate, e-mail, sign, and store customized Business Associate Agreements.
·     Train employees with videos, quizzes, and other materials.
·     Create emergency and incident response plans.
·     Access their data breach and PCI compliance monthly coverage.
·     Access and maintain data backup and email encryption account information.
·     Perform annual PCI self-assessment questionnaire (SAQ) requirements.
·     Perform quarterly IP address scanning.
·     Easily add users and access account information.

“With the launch of OfficeSafe™, PCIHIPAA offers the best solution on the market for small to mid-sized medical and dental practices that don’t have the time and resources to follow changes in governmental regulation and risks surrounding the protection of sensitive protected health information,” said Jeff Broudy, CEO of PCIHIPAA. “For less than $7 per day, our Compliance Program is a great value, and now with the launch of OfficeSafe™, we are adding additional value for our customers. We take care of the details related to compliance to allow medical and dental professionals to focus on what they do best: treating patients,” he added.

###

About PCIHIPAA
PCIHIPAA is an industry leader in PCI and HIPAA compliance providing turnkey, convenient solutions for its clients. Delivering primary security products to mitigate the liabilities facing dentists and doctors, PCIHIPAA removes the complexities of financial and legal compliance to PCI and HIPAA regulations to ensure that health and dental practices are educated about what HIPAA laws require and how to remain in full compliance. Learn more at OfficeSafe.com and PCIHIPAA.com. Reported by PRWeb 5 hours ago.

With millions covered, 'repeal and replace' gets riskier

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Uncompromising opposition to President Barack Obama's health care overhaul has been a winning issue for Republicans, helping them gain control of Congress. Reviled as it may be, the law means people don't have to worry about being denied coverage due to medical problems, or fear policies that max out while a patient is undergoing chemotherapy. Ripping apart the social safety net in the name of rolling back the government's power would be politically self-defeating, a dilemma for Republicans. Possible outcomes could shift from full repeal to rescinding parts of the law that Democrats don't much like either, such as its tax on high-value insurance plans, the employer coverage requirement, and a Medicare cost-control board. A GOP replacement — while scrapping Obama's unpopular individual requirement to carry health insurance — would likely have other features similar to the president's approach. Among them are tax credits to help people afford insurance and a provision for people with medical problems to get coverage. "Don't get me wrong, there would be a lot of turbulence," said Jim Capretta, a health care policy expert at the business-oriented American Enterprise Institute. The Ryan plan provides a pathway for people who maintain "continuous coverage" to avoid insurance limitations based on their medical histories. Reported by SeattlePI.com 4 hours ago.

As Maine Goes

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Anthony Marple, director of Maine’s $2.6 billion Medicaid program, was called into an abrupt meeting just a week after Governor Paul LePage took office in January 2011. There, Marple was fired and ordered to leave immediately. He asked to send out a few emails cancelling some speaking engagements. Sorry, he was told, his state email account had already been closed.

Marple was a widely respected public official. His sin? The day before his firing, he had testified before the Legislature’s Appropriations Committee that Medicaid spending from the state’s general fund had been virtually flat or decreasing in each of the years since 2006, despite increasing enrollments due to the recession. This contradicted LePage’s campaign narrative of runaway state spending by the “bloated establishment in Augusta." So Marple had to go.

Marple’s ouster was doubly surprising, because he had been working with legislators of both parties to create a Medicaid managed care program that stood to save the state millions of dollars—very much in line with LePage’s own fiscal goals. But some health-industry lobbyists opposed the idea, which was likely to squeeze their profits. To succeed Marple, LePage promoted a MaineCare program management director whose new boss, Mary Mayhew, the head of the Department of Health and Human Services, was a lobbyist, and former Maine Hospital Association vice president for state and federal government relations, policy development, and advocacy.

Other Republican governors have cut budgets and services, demonized holdover public officials, and given tax breaks to the rich. What makes LePage an outlier, even among current GOP governors, is the combination of his personal slash-and-burn style, off-with-their-heads retribution against perceived enemies, and policy incoherence that often undermines the goals he professes and harms the constituents he purports to serve. In this respect, LePage is a state-level preview of Donald Trump.

“Just think of Paul LePage on steroids with a big bank account and then you’ve got Donald Trump,” Maine Attorney General Janet Mills said to cheers at the 2016 Maine Democratic Convention in Portland in May. “I shudder for my country. The Trump-LePage method of government is intentional stalemate, paralysis, and oligarchy.”

Maine is a microcosm of the havoc that a right-wing populist can wreak on a state. For the past six years, to the delight of Tea Party activists who helped put him in office, he has tacked hard right, dramatically slashing income taxes and aid to cities and towns, removing thousands of people from public assistance, and picking fights with state lawmakers in both parties.

Where moderate conservatives used coded language to castigate minorities, immigrants, and others, LePage’s rants about everyone from President Barack Obama to Maine icons like writer Stephen King get ugly fast. Many Mainers are tired of LePage. But big, enthusiastic crowds still cheer on the governor as they did when LePage attended a June rally for the presumptive Republican nominee Donald Trump.

LePage’s personal vindictiveness is legendary—more Trump. Over the next several months following Marple’s abrupt dismissal, MaineCare’s medical director got fired by phone while on vacation. The heads of the child and family services, adult mental health services, adult cognitive and physical disabilities, and elder service departments, as well as several other senior officials, all lost their jobs. A similar purge took place at the Department of Environmental Protection, where an industry lobbyist moved into the top slot.

LePage has not stopped at firing government officials. He’s even used his clout to prevent political adversaries from getting private employment. In March 2015, Democratic House Speaker Mark Eves, who was term-limited, applied for a full-time, $120,000 position as the president of Good Will-Hinckley, an educational private nonprofit for nontraditional Maine students. The 126-year-old organization runs Maine Academy of Natural Sciences, a public charter high school, and other programs in the town of Fairfield in south-central Maine. Eves’s chief of staff headed the charter high school’s board, which raised some eyebrows. But the board unanimously agreed to hire Eves, who is a human services professional.

LePage resolved to block the appointment. “Although he is employed as a family therapist, I have seen first hand that his skills in conflict resolution leadership negotiation and reconciliation are sadly deficient,” he wrote in a letter to the nonprofit board. LePage, a charter school supporter, was also upset that Eves, a charter school opponent, was in the mix at all.

Shortly afterward, the governor delivered the coup de grace: a threat to withhold $530,000 in state funding, which would have jeopardized another $2 million in foundation monies, unless Good-Will Hinckley withdrew their job offer. The board capitulated. Eves filed a civil suit in U.S. District Court in Portland, arguing that his constitutional rights had been violated. A federal judge ruled that LePage had immunity. The case is on appeal.

(Photo: Robert F. Bukaty)

Then-Maine Senate President Justin Alfond and House Speaker Mark Eves speak to reporters after a June 2013 vote to override Governor LePage's veto of the state budget.

In 2013, LePage barred former State Senator Troy Jackson from press conferences and ceremonial events at the state house. After Jackson gave the Democratic response to his budget proposal, LePage told reporters, “Senator Jackson claims to be for the people, but he’s the first one to give it to the people without providing Vaseline.” LePage added, “People like Troy Jackson, they ought to go back in the woods and cut trees and let somebody with a brain come down here and do some work.”

“I have had better men than the governor say worse things about me,” Jackson says. “That’s the way it is when you’re a working-class person: You’ve always got these people in power saying shit.”

 

*ASKING LEPAGE TO EXPLAIN HIS* decision not to expand Medicaid under the Affordable Care Act is like listening to a student serve up a dizzying array of figures, assertions, and corrections, to bolster an untenable position. In a telephone interview, he says that because Maine expanded its Medicaid rolls in the early 2000s, the state is not currently eligible for the 90 percent to 100 percent of matching federal funds that other states receive. The federal government would only pay 60 percent of the Medicaid costs, and the state 40 percent, if Maine opted into expansion, he insists.

What LePage does not say is that while Maine would also receive a reduced federal match for some Medicaid recipients, the state would receive a 100 percent match (90 percent in later years) for other new enrollees. An April 2015 Maine Health Access Foundation report found that Maine would see total net estimated savings of $26.7 million if the state opted into the program.

LePage’s decision to opt out has sparked almost universal criticism, but he brushes it off. “There are givers and there are takers …” the governor begins. The reporter interrupts, suggesting that Medicaid is not a spa treatment but a roster of basic health options for people who don’t have any others*. *

Maine is the only state in the country that failed to increase the percentage of people that have health insurance since Obamacare passed in 2010, according to a 2015 Maine Center for Economic Policy report: About 134,000 people did not have access to health insurance. The state also lost out on thousands of health care–sector jobs.

According a 2014 HealthAffairs Blog report, more than 34,000 additional people could have been insured if Maine had expanded Medicaid coverage. The study estimated that since 2014 between 31 and 157 deaths could be linked to the failure to expand Medicaid.

LePage continues to slash other benefits. In June, the governor threatened to end Maine’s administration of the federal Supplemental Nutrition Assistance Program (commonly known as food stamps), since the federal government would not allow Maine to prohibit recipients from buying sugar-sweetened beverages and candy. “The Obama administration goes to great lengths to police the menus of K-12 cafeterias, but looks the other way as billions of dollars finance a steady diet of Mars bars and Mountain Dew,” LePage wrote in a letter to U.S. Secretary of Agriculture Tom Vilsack.

If LePage carries out his threat, more than 195,000 people would lose food stamps. Last year, federal officials complained that Maine had the country’s worst processing times for food stamps and had to speed things up or lose some federal dollars. Moreover, LePage officials had also implemented new rules that denied food stamps to nearly 9,000 childless adults who have $5,000 or more in cash and other assets, like boats or motorcycles.

The Bangor Daily News recently reported that Maine had accumulated $110 million in federal Temporary Assistance to Needy Families (TANF): State officials did not spend the money on children and families as specified under federal law. Instead, they shifted some of the funding to programs for the elderly and disabled. The number of families receiving these dollars also declined as new state eligibility changes forced thousands of people off the program Meanwhile, one in four Maine children goes hungry.

LePage prides himself on getting “able-bodied” people off welfare and pursuing other strategies to root out waste, fraud, and abuse in state and federal programs. However, a federal study found that of 3,600 cases of possible Medicaid fraud examined by state investigators over the past three years, only 16 cases have been turned over to the state attorney general for further action.

Jill Duson, a Portland city councilor and the city’s first African American mayor, headed the Maine Bureau for Rehabilitation Services for six years until she lost her job in 2011 when the governor decided not to reappoint certain categories of bureaucrats. “Government maintains the safety net for people who are down on their luck,” says Duson whose family was on welfare when she was a child. “I reject this need to paint people with this broad brush as though they are all ne’er-do-wells who don’t want to work and are lying around eating bonbons and watching soap operas.”

According to Duson, the LePage administration began to push for more cuts that state lawmakers started resisting. So administration officials turned to rule changes that did not require legislative approval, such as revamping eligibility requirements for certain services like home day care for disabled people. Legislators responded by crafting new rules to prevent LePage’s changes from taking effect.

(Photo: AP/David Leaming/The Central Maine Morning Sentinel)

University of Maine in Farmington students Allyson Hammond and Nickolas Bray hold up anti-LePage signs during the dedication of the Theodora Kalikow Education Center in Farmington, Maine, for which Governor LePage was a featured speaker. The governor cut short an address at the university after being confronted by the two students holding signs critical of him, and called the students "idiots."

Lewiston pharmacist Abdifatah Ahmed, a Somali immigrant, says that LePage “selectively targeted” immigrants by removing people from the state health insurance system without notice. Some individuals did not know that they had lost health-care coverage until they tried to fill a prescription or visit a doctor, according to Ahmed.

LePage denies targeting immigrants. He claims that the problem is asylum seekers who tap into services that they are not eligible for. “You’ve got to do the homework,” he says. “People come up from Texas, from Alabama … Georgia … New Jersey, New York. They are just on the verge of being deported and come in [and] claim political asylum because our safety net is very, very liberal.”

The governor’s poor health and human-services record extends to public health crises like the opioid epidemic. Maine has had one of the highest increases in the rate of drug overdose deaths in the U.S., nearly 30 percent from 2013 to 2014, according to Centers for Disease Control data.

W.C. Fields is credited with the observation that if you can’t dazzle them with brilliance, baffle them with bullshit. In the midst a serious public health crisis, LePage has urged Mainers to shoot drug dealers, suggested guillotining convicted traffickers, and complained that drug dealers from New York and Connecticut with racially suggestive names like “D-Money, Smoothie, and Shifty” come to Maine to sell heroin and get white girls pregnant before they head home. He has claimed that remarks like these are designed to force lawmakers and federal officials to act.

Yet LePage’s most irresponsible public remarks on the public health crisis came at a Lewiston town hall forum in May. He announced that a student at Portland’s Deering High School had overdosed on opioids, been revived with overdose antidote naloxone, and sent back to class—three times in one week. 

His comments, which sent Portland residents and state lawmakers into an uproar, occurred shortly after state lawmakers had overturned the governor’s veto of a bill designed to increase the availability of the overdose antidote naloxone. “Naloxone does not truly save lives; it merely extends them until the next overdose,” LePage wrote is his veto message. The controversy festered until the Portland police chief found out that the incident did not involve a student and happened at another location with “Deering” in the name.  

LePage says that he had “misunderstood” and apologized. “The point is I have corrected that,” he says. When he is so inclined, apologizing is something that LePage does regularly.

 

*THE ELDEST OF 18 CHILDREN* of French Canadian parents, LePage fled an abusive father at age 11 and ended up homeless on the streets of Lewiston, a south-central Maine city. He overcame his stark childhood, thanks to a succession of mentors who took him in and steered him through high school and college.

LePage, 67, and his wife, Ann, have five grown children. In a rarity for a state first lady, she recently took up a serving job in Boothbay Harbor, where they own a home, to save money to buy a car. Her husband earns $70,000 annually, the lowest salary of any governor in the country.

Portland Press Herald columnist Alan Caron, a Franco-American who was also raised in poverty, wrote in February, that even if they become successful, some people who grow up in dire straits never get over it. “In a few rare instances, the two qualities of success and rage combine in one person who should never have access to power. That, to me, is the Paul LePage story.”

LePage first got elected in a classic Maine five-way race in 2010, the year of Obama’s first midterm election and a generally terrible year for Democrats. Mostly, however, LePage benefited from a quirk of Maine politics. A high proportion of Maine voters, 36.7 percent, are unenrolled. Unlike in most states, independent candidates have a real shot at winning in Maine. Multi-candidate races are a regular feature of Maine gubernatorial elections, which do not have runoffs, so a plurality of the vote is all it takes to win.

(Photo: AP/Robert F. Bukaty)

Maine voter Michael Hein holds a sign at a March 5, 2016, Republican caucus, showing his desire to see Governor LePage chosen to be Donald Trump's running mate.

In 2010, LePage won nearly 38 percent of the vote in a five-way race that featured one Democrat and three independents. (No Maine governor has been elected to his first term by a majority of votes in the last 40 years, according to the Committee for Ranked Choice Voting, which aims to institute a runoff system for state and federal officeholders. That question goes before voters in November.)

In 2014, Michael Michaud, a Democratic U.S. representative and former paper mill worker who represented the rural Second Congressional District (northern Maine), and independent Elliot Cutler, an attorney and businessman who came in second to LePage in 2010, ran against LePage. Cutler resisted calls to exit a second race he couldn’t win. 

In another echo of Trump, even though LePage was well to the right of many Maine Republicans, GOP elites got in line. In 2010 and 2014, the moderate “ladies of Maine,” U.S. Senators Susan Collins and Olympia Snowe (who retired in 2013), endorsed LePage and raised money for him. Despite many unpopular policies, LePage also managed to keep the loyalty of most GOP state legislators.

The Democrats miscalculated LePage’s electoral strength, believing that he had an electoral ceiling of 40 percent, roughly matching his 2010 numbers. The party also came up short on understanding voters’ economic insecurities and in getting out the vote. In 2014, LePage got more than 295,000 votes, 48 percent of all ballots cast, the most for any Maine gubernatorial candidate in history.

To appreciate LePage’s appeal, it helps to understand Maine’s economy and political geography. To oversimplify, Maine divides very roughly into two zones. Portland, plus a coastal and a few university towns, forms the core of liberal Maine. Sparsely populated northern Maine, comprising the vast majority of the state’s land mass, tends to be culturally conservative but sometimes economically populist. Progressives can get elected statewide, but so can conservatives.

LePage scratched the veneer off Maine pragmatism by tapping into regional and socioeconomic resentments. The everywhere-else-versus-the-south divide is real: Portland and the south may be the economic engines of Maine, but rural interests drive state politics.

Social issues like marriage equality, integrating immigrants, and improving public assistance services that have energized many southern Mainers have less resonance in rural areas. LePage took Maine class warfare to new heights, dialing up the tensions between the conservative, poorer rural regions, especially in the north, that have been hardest hit by the decline of manufacturing and the wealthier, southern and coastal areas, including greater Portland. 

LePage knocks Portland and southern Maine as “northern Massachusetts”—that is, a region full of rich people, socialists, immigrants, welfare recipients, and other unappealing types found in or near urban areas. (The moniker is no compliment, given New England’s love-hate relationship with the Bay State.)

The resentment that gets stoked against immigrants, asylum seekers, and welfare recipients, is fueled in part by the belief that these groups are mostly people of color, even though 95 percent of Maine’s 1.3 million people (and nearly 80 percent of Portland’s 67,000 people) are white. African Americans are a scant 1.2 percent of the population; foreign-born people make up another 3.5 percent.

LePage won the northern Maine counties big, ranging from nearly 11 percentage points over Michaud in Penobscot County to 23 percentage points in Piscataquis County, the state’s least populous place.

But the governor also improved significantly on his numbers in southern Maine. Well-to-do Portland suburban towns went strongly for LePage. An analysis of the 2010 and 2014 gubernatorial races by the Maine People’s Alliance found that LePage’s vote totals increased by nearly 50 percent from 2010 to 2014 in Portland suburbs like Scarborough (median household income: $78,359). In Gorham (median income household income: $74,563), another Portland suburb, LePage’s vote totals increased by an astounding 84 percent. LePage also improved his vote totals by nearly 50 percent in Lewiston (median household income: $36,969).

Trump’s primary victories gave him de facto control of the Republican Party—as LePage’s did with the Maine GOP. Both LePage and Trump have flummoxed the American intelligentsia with nonsensical solutions to major policy challenges; they have demonized swaths of people by stoking their supporters’ fears and prejudices. They are impervious to the fallout because neither man sees a serious downside to having the news media distribute their talking points for free. If anything, Mainers understand better than anyone else that LePage’s success in Maine means that it is possible for Donald Trump to be elected president of the United States.

 

*MAINE'S DEPRESSED ECONOMY WOULD* be a challenge for any governor, and LePage is widely criticized for both unrealistic schemes and bungled opportunities. Most of the state is far from the major transportation routes into Boston, the region’s economic hub. Maine has the highest median age in the United States (43.5 years) and the highest percentage of residents 65 and older (nearly 20 percent). Jobs are scarce, so many young people leave.

In 2011, LePage signed the largest tax cut in Maine history, most of which went to the well-off. The cut deprived localities of funds they needed for development, and failed to attract new investment. The much-touted benefits for moderate-income taxpayers proved illusory. With no viable plan to replace the lost tax revenues, the governor moved in 2013 to eliminate state aid to cities and towns, known in Maine as revenue-sharing.

Under Maine law, 5 percent of sales and income tax revenues go to municipalities. Since the recession, aid to cities and towns had taken hits as governors steered that money to the state’s general fund to make up losses from his tax cut. The Legislature acquiesced on some cuts, but staved off LePage’s harsh proposal.

The result was both cuts in services and other increased taxes. Several Republican mayors, including one of his staunchest allies, Robert Macdonald of Lewiston, called him out on the decision. Localities sought to make up the losses with municipal property tax hikes, hitting the very people the income tax cuts were supposed to help—moderate-income taxpayers. “For most people like myself making who are making $10,000, $20,000 to $30,000 a year, the $15 to $16 I got back didn’t help me when I paid my [property tax increase] bill of $100 to $200,” says Jackson, the former Democratic state senator, a logger who lives in Allagash, near the Canadian border.

(Photo: AP/Robert F. Bukaty)

Governor LePage delivers his inauguration address in Augusta, Maine, on January 7, 2015.

The Pine Tree State is 90 percent forest, the highest percentage in the United States. “If we can’t make a living off the land, our forests will struggle,” LePage says. “We are not Microsoft and Facebook; we don’t attract those people—they go to Massachusetts.”

But in the past several years, five of the state’s eleven major paper mills have closed, with the loss of more than 1,500 jobs. “In rural Maine, it is still the Great Recession, if not a little worse, because of the mill closures,” says Ben Chin, political engagement director for the Maine People’s Alliance, a progressive advocacy group based in Lewiston.

With consumption down and manufacturing going elsewhere, the paper industry is in freefall. But not according to LePage. “These are all industries that are growing,” he says. “Tissues have not gone away, napkins have not gone away,” LePage says. “Nobody wants plastic, so they are going back to the old days of wax paper.” 

Major controversy surrounds a proposal for a “North Woods” national park which could inject some new tourist dollars into the state. (Tourism, one of Maine’s largest industries, had a record-setting year in 2015, with $5.6 billion in spending.) But LePage and other opponents believe that federal regulations that come with the national park designation would intrude on residents’ lives, bringing traffic and other impacts the region could not handle.

Neighboring states like Massachusetts that have lost manufacturing jobs have established programs to provide grants, tax incentives, and other assistance to former mill cities and other distressed areas. Maine has no comparable framework. There have been no moves in that direction under LePage, leaving the Maine congressional delegation to plead for and get what amounts to a multi-agency, U.S. Department of Commerce–led economic-development SWAT team to parachute in and come up with a viable way forward for the state forest-products sector. 

Lewiston, the second-largest city in Maine, about 45 minutes north of Portland, has been doing better than many places. The former textile mill city of about 36,500 people has assets in health care (two major hospitals), higher education (Bates College), and back-office operations (L.L. Bean and TD Bank). But where Lewiston was once able to fund future improvements through its slice of revenue-sharing, its current borrowing strategies focus on basic maintenance needs like roads and new fire and police vehicles. In fiscal 2016, Lewiston should have received $6.3 million in statutory state aid; the city actually received $2.6 million, a roughly 40 percent cut.

A good chunk of the city’s million and a half square feet of mill space is underutilized. Lisbon Street, in the city center, is mostly deserted on weekday afternoons, with an adult bookstore and a few shops that meet the needs of central and east African immigrants on one end, and a yoga studio and cafes at the other, with a few dusty, vacant storefronts in between. Rental housing in the city center and the adjoining neighborhoods is dilapidated, and the city has yet to capitalize on attracting Portlanders, especially those residents facing rising rents in a booming city. “People don’t want to live here,” says Chin of the Maine People’s Alliance.

LePage has also made questionable decisions in the renewable-energy sector. Statoil, a Norwegian oil and gas company, left Maine in 2013 and took its proposed $120 million floating offshore wind turbine pilot project to Scotland after LePage persuaded the legislature to set aside a go-ahead from the Maine Public Utilities Commission in favor of a University of Maine–led consortium. The episode saddled Maine with a reputation for regulatory instability presided over by an unpredictable chief executive. Statoil was “a real big black eye" for the Maine economy, says Senate Minority Leader Justin Alfond.

An unusual bipartisan coalition of clean energy organizations, environmental groups, and utility companies supported a proposal that would have required power companies to purchase electricity from small and commercial-sized solar-energy systems, a move that would have integrated smaller systems into the electricity grid; expanded residential, community, and commercial solar-power usage; and created more jobs. LePage vetoed the bill, arguing that it would raise electric rates. An override fell short.

The solar sector is booming in New England, but Maine is currently last in solar job creation. “[LePage] is not willing to look at renewables as part of the growth portfolio in the state, or transition workers into these jobs,” says Mark Eves, the speaker of the Maine House of Representatives.

Maine is the only New England state, and one of just nine others nationwide, that has yet to recover the jobs it lost during the recession. There are 23,000 fewer people working today than in December 2007. LePage likes to trumpet the state’s low unemployment rate—3.5 percent in May 2016, dropping from 4.5 percent the previous May—but the low rate has been attributed to decline in the number of people in the labor force.

 

*“I DO NOT WANT TO SEE* the Republican Party ride to political victory on the four horsemen of calumny—fear, ignorance, bigotry, and smear. … Surely we Republicans aren’t that desperate for victory,” said Senator Margaret Chase Smith of Maine in her Declaration of Conscience speech on the U.S. Senate floor in 1950. The first woman to serve in both the U.S. House of Representatives and the Senate was one of the few Republicans to stand up to Wisconsin Senator Joseph McCarthy during the communist witch hunts of the 1950s.

For many, Smith is a heroine of traditional Maine political culture. The state had largely been immune to the bitter partisanship that has divided states like Wisconsin and Kansas and has brought Washington to a standstill. With LePage, the antithesis of Smith, Maine has been sucked into the maelstrom of contemporary American politics.

LePage distracted fearful, white middle- and working-class voters by giving them minorities, immigrants, asylum-seekers, drug dealers, and welfare recipients to blame for the state’s, and their own, economic misfortunes. Meanwhile, upper-middle-class and business conservatives preoccupied with improving their own lot took comfort in his promises to lower income tax rates and chip away at state regulations.

(Photo: U.S. Senate Historical Office via Wikimedia Commons)

Former Senator Margaret Chase Smith of Maine

Today, Paul LePage is happy to hitch his star to Donald Trump’s. The symbiosis between the two men was on full display in late June when Trump held a rally in Bangor. “You know, many people say we're a lot alike,” LePage told the crowd. (But LePage, a Trump delegate, plans to skip the 2016 Republican Convention and will only attend if Trump wants him there. He took a pass in 2012, too.)

What distinguishes both LePage and Trump from moderate Republican conservatives is a coarse, hard-driving business mindset that is a temperamental mismatch with state government, and a white-hot loathing of the public sector and the people who work there. The two men share a disrespect for the separation of powers, civil rights and liberties, and other basic precepts of American government. The combination of those traits with a willingness to use gross stereotypes and jaw-dropping inanities that pit groups of Americans against each other is the surest sign yet that the Republican Party has unleashed the four horsemen that Margaret Chase Smith feared.

LePage and Trump are ready to dismantle as much of the traditional framework of government as they can get away with. LePage already has driven out many of the best and the brightest from state government and has decimated programs. There is little in LePage’s tenure as governor to suggest that he takes the long view on improving socioeconomic conditions for low- and middle-income Mainers. Trump, like LePage, floats getting rid of the government agencies like U.S. Department of Education and the Environmental Protection Agency among others; trots out the shibboleths of waste, fraud, and abuse in government; and sprouts nostalgia about past American greatness. But Trump, like his friend in Maine, fails to demonstrate that he knows how government is designed to work (as opposed to the private sector) or how his proposals would affect the lives of the working men and women he professes to care so much about.

LePage has waged a campaign of harassment and intimidation in the Maine legislature that has little to do with consensus-building and everything to do with LePage’s belief that Maine should be run like a business, and a cutthroat one at that, a goal that succeeded in uniting Democrats and Republicans, at least to pass budgets to keep the state running and to find common cause on some other issues. Whether Trump would work similar magic on Congress is an open question. “[LePage] gets attention, but he doesn’t get a lot of results,” says Eves. “That is the real story here of what a Trump legacy would look like.”

Both LePage and Trump toy with stereotypes that most people keep to themselves. That’s a plus for those who see politicians saying what an ordinary person won’t as being leadership. Dismissing this reporter’s suggestion that singling out certain groups of Americans is not a hallmark of leadership, LePage points to Syria, Egypt, Iraq, and Iran. “There are countries that have presidents that don’t insult them, they just kill them,” he says. “[Trump] hasn’t done that.”

LePage does not appear to believe that a president should represent all Americans anyway. “I will tell you that your president is not in tune with my culture,” LePage says, referring to President Obama. “Donald Trump is in tune with my culture; maybe not your culture.”

Embedded in the demonization campaign is a savvy media and public-relations “look-here-not-there” strategy. “When nicer doesn’t work, you have to get attention,” LePage says. “[Trump] got hundreds of millions of dollars of free press through the primaries and he is the presumptive candidate now.” A recent Harvard Shorenstein Center on Media, Politics and Public Policy study bears LePage out: The intense pre-primary news media coverage of Trump in the country’s eight leading news outlets alone was worth an estimated $55 million, according to the report.

Just as Trump’s daily barrages of free-form observations on the world divert attention from his inconsistent and dangerous policies, LePage’s nonstop dramas have diverted attention from Maine’s deep-seated problems. But that is not the same as being out of control. “The fact that LePage is perceived as not having skills shows how good his skills are,” says Mike Tipping, the communications director for the Maine People’s Alliance and a Bangor Daily News political columnist. “The number of issues he has flip-flopped on, the number of lies he tells on any given day, shows the political management that he has been able to do. The kind of things that blow up as issues [are ones] that rebound to his favor.” One might say the same about Trump.

 

*“I FEEL I AM LIKE A PICASSO,”* LePage tells this reporter. “The people will never appreciate me until I am dead.” (It is hard to resist thinking of a cubist Picasso painting, with its disjointed legs and arms.)

LePage ticks off several accomplishments, including the welfare-to-work strategies; paying off state Medicaid debts to hospitals; a new drug-addiction treatment facility, part of multimillion-dollar drug treatment and enforcement legislation; and interest-free and low- interest loans for students (that he worked on with one of his longtime critics, Senate Minority Leader Alfond.)

In his book, As Maine Went: Governor Paul LePage and the Tea Party Takeover of Maine, Tipping described a series of 2013 meetings that LePage held with members of a “sovereign citizens” anti-government group. The men who met with LePage wanted then–House Speaker Eves and Alfond (then the Senate president) arrested and charged with high treason. The subject of “hanging” the two men came up. (Tipping says that LePage later backtracked from a threat to sue him over the book.)

“I was blown away by the amount of time that the governor had been spending with these people,” says Alfond. “The idea that there were people out there who wanted me [hanged] and [to] essentially kill me, what do you tell your wife and your children when they are asking you about it?”

Since 2014, LePage’s popularity has plummeted. A recent Morning Consult poll ranked him as one of the least-popular governors in the country. Most Mainers today consider LePage an embarrassment. During the legislative session that ended in April, state lawmakers overrode nearly 70 percent of LePage vetoes. LePage enjoys vetoing bills so much that he named his new dog Veto.

LePage is term-limited and leaves office in 2018. His next goal is the U.S. Senate, which means he has to dislodge U.S. Senator Angus King, a well-liked independent former governor who caucuses with the Democrats. King plans to run for re-election. Imagining LePage defeating King is improbable. If Trump should be elected president, LePage would fit nicely in a Trump cabinet.

“Welcome to Maine: The Way Life Should Be*,*” says the blue and white highway sign on Interstate 95 just past the Piscataqua River Bridge connecting New Hampshire to Maine. It takes on new meaning in the LePage era. A state that took pride in its pragmatic politics is now helmed by a master of right-wing populism.

“What has struck me is how widespread the embarrassment is,” says Caron, the Maine Sunday Telegram columnist. “There is almost a sense of resignation, like, OK, we have to put up with him for a couple of more years, and then we’ll go back to being Maine.” Reported by The American Prospect 4 hours ago.

Frost & Sullivan Announces the Launch of 2016 India Healthcare Excellence Awards to Recognize Enterprises for their Commitment to Healthcare in India

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*Business Wire India*Frost & Sullivan is proud to announce the launch of its 8^th Annual India Healthcare Excellence Awards 2016. The yearly event, converging the frontrunners of the country’s healthcare industry, will be held on 21^st October, 2016 at The Westin, Gurgaon. The program, showcasing the best practices and implementation of innovative strategies, will recognize companies that are transforming the Indian healthcare system while striving towards excellence in practices and operations.
 
*Nominations are open for the 8^th Annual India Healthcare Excellence Awards and will close by 29^th July, 2016.* Companies looking to apply for nominations or interested in knowing more about the award categories and titles can contact Shruti Jadhav, Manager, Best Practice Research, Frost & Sullivan – Middle East, North Africa and South Asia at shruthij@frost.com or +91 20 40778885.
 
For regular updates on the awards banquet, follow our official Twitter hashtag: #FSHCawards or visit www.frost.com/hcawards2016
 
The Indian healthcare ecosystem is on the verge of a significant transformational shift. With major players as well as innovative start-ups incorporating new strategies, the space is more competitive than ever, necessitating recognition of deserving companies. This awards program is an exceptional platform recognizing enterprises and individuals who have achieved excellence in healthcare practices and their extraordinary efforts which have set new benchmarks for their peer groups and the industry.
 
This year, a new award category has been introduced – Health Insurance. Talking about the same, Mr. Jayant Singh, Director, Transformational Health Practice, Frost & Sullivan – Middle East, North Africa and South Asia, said, “With the introduction of Health Insurance in our awards program, we will cover an important aspect of healthcare industry in India. Health Insurance is one of the fastest growing and robust segments in the non-life insurance industry in India, and we are glad to recognize and felicitate deserving companies in this segment.”
 
With this new introduction, the award titles will be clustered under five major categories –* Special Awards, Pharmaceuticals and Biotechnology, Healthcare Delivery Services, Medical Technologies, *and* Health Insurance*.  
 
The Frost & Sullivan awards system encompasses a meticulous and rigorous analysis of market performance indicators and other criteria of shortlisted companies conducted by senior industry analysts. Their study is subjected to a 10-step process supported by a Decision Support Matrix (DSM). The detailed analysis is also reviewed by a panel of eminent industry experts and top decision makers who finally select the most deserving recipient under each category.
 
*About Frost & Sullivan*

Frost & Sullivan, the Growth Partnership Company, works in collaboration with clients to leverage visionary innovation that addresses the global challenges and related growth opportunities that will make or break today's market participants. For more than 50 years, we have been developing growth strategies for the Global 1000, emerging businesses, the public sector and the investment community. Is your organization prepared for the next profound wave of industry convergence, disruptive technologies, increasing competitive intensity, Mega Trends, breakthrough best practices, changing customer dynamics and emerging economies?

Contact us: Start the discussion
 
http://ww2.frost.com
 
Twitter: @Frost_MENASA
 
#FSHCawards Reported by Business Wire India 3 hours ago.

Can Overuse of Health Care Be Managed By Giving Consumers More Choice And Responsibility?

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This has been the mantra of market advocates for many years under the theory of consumer-directed health care (CDHC), which posits that patients will be more judicious in their use of health care if they have "more skin in the game" (ie. through more cost-sharing). It has been repeated so often and for so long as to become a meme: a self-replicating myth or slogan that by constant repetition becomes part of everyday language, without regard to its merit.

Here is a classic quote in 2006 by senior fellows at the Hoover Institution, a conservative think tank, putting the blame and responsibility on patients for the control of health care costs:
Greater reliance on individual choice and free markets are the solutions to what ails our health care system . . . A handful of policy changes that harness the power of markets for health services have the potential to give patients and their physicians more control over health-care choices, create more health insurance options, lower health care costs, reduce the number of uninsured persons--and give workers a pay increase to boot. (1)
*A Rebuttal of This Meme*
The last three decades have demonstrated how false this claim is in terms of cost containment. Over utilization by patients is not the root cause of health care inflation, as these findings show:
· Increased cost-sharing through deductibles, co-payments, coinsurance and out-of-pocket costs when patients seek health care not only don't adequately control costs but add financial barriers that lead many patients to delay or forgo care altogether. The 2003 Commonwealth Fund Biennial Health Insurance Survey led Commonwealth Fund President Karen Davis to draw this conclusion: "the evidence is that increased patient cost-sharing leads to under use of appropriate care." (2) A 2007 systemic review by investigators at RAND and the National Bureau of Economic Research found that studies published between 1985 and 2006 showed that increased cost-sharing for prescription drugs is associated with increased use of ER visits and hospitalizations as well as worse clinical outcomes. (3)· Even with health insurance, many millions of people find necessary care unaffordable. The cost of health insurance and care in 2016 now exceeds25,000 a year for a typical family of four with an average employer-sponsored PPO plan, triple that in 2001 (4); this is an impossible burden compared to today's median household income of about53,000. According to a report from the Commonwealth Fund in late 2015, health care costs are unaffordable for one in four privately insured working-age people and more than one-half of those with incomes below 200 percent of the federal poverty level (23,340 for individuals and47,700 for families of four). (5)· Almost all health care services are ordered by physicians, up to one-third of which are unnecessary, inappropriate, or even harmful. (6)· Physician-induced demand is much more important than patient-induced demand. Demand by patients for health care is not very sensitive to prices. The major factors that drive up health care costs include higher prices, technological advances, changing thresholds for defining existing "disease" (e.g. osteoporosis and hyperlipidemia), wasteful administrative costs in a mostly for-profit inefficient system, vigorous marketing by providers and suppliers, including direct-to- consumer advertising of drugs and medical devices, and corporate profiteering throughout our medical-industrial complex.· Almost two-thirds of U. S. physicians are now employed, especially by expanding hospital systems, with pressure on them to become more "productive", including by upcoding services to drive their employers' revenues up.· Underutilization by patients is a much bigger problem than overutilization, since many patients cannot afford care, even if insured, because of high deductibles, copayments, co-insurance, and out-of-pocket costs. Deductibles for bronze plans purchased on the ACA's exchanges in 2014 averaged more than5,000 for individuals and10,000 for families. (7)· According to a 2014 report from the Commonwealth Fund, almost one-third of privately insured, working age Americans with a medical problem did not go to a doctor because of cost (8); a 2015 Gallup poll found that as many as 16 million Americans with chronic conditions avoided seeing a doctor because of out-of-pocket costs. (9)· If patients shop, as they are advised to do on the ACA's health exchanges, prices are not transparent for either hospital or physician services, and directories of networks are often inaccurate. For many patients with urgent needs, shopping is not realistic, and if insured, they are frequently restricted in their choices by their coverage.
*Conclusion*
Despite some 30 years' failed expectations that more cost-sharing by patients will contain costs of health care, why do we continue with this policy that increasingly makes health care inaccessible and unaffordable to a growing part of our population? The big reason, of course, is the economic and political power of the corporate stakeholders in our present multi-payer financing system, such as the insurance, drug, and medical device industries. Their power in the political process supports the status quo and resists real health care reform. After six years, the Affordable Care Act (ACA) has failed to adequately rein in costs or prices. Cost-sharing is a central part of the ACA, supported by Hillary Clinton, and will be in whatever "plan" the Republicans will come up with if they gain enough political control to repeal and replace the ACA. We must abandon the meme that patients can contain health care costs and move to a single-payer, not-for-profit financing system, or the health care crisis will get steadily worse until the system implodes.

John Geyman, M.D. is the author of The Human Face of ObamaCare: Promises vs. Reality and What Comes Next and How Obamacare is Unsustainable: Why We Need a Single-Payer Solution For All Americans

*References:*

1. Cogan, JF, Hubbard, RG, Kessler, DP. Keep government out. Wall Street Journal, January 13, 2006: A12.

2. Davis, K. Half of Insured Adults with High-Deductible Health Plans Experience Medical Bill or Debt Problems. New York. Commonwealth Fund, January 27, 2005.

3. Goldman, DP, Joyce, GF, Zheng, Y. Prescription drug cost sharing: Associations with medication and medical utilization and spending and health. JAMA 298 (11): 61-88, 2007.4. Milliman Medical Index. Healthcare costs for a typical American family will exceed $25,000 in 2016 and have tripled since 2001. Milliman, May 24, 2016.5. How high is America's health care cost burden? Findings from the Commonwealth Fund Health Care Affordability Tracking Survey, July-August 2015. Issue Brief. The Commonwealth Fund, November 20, 2015.6. Wenner, JB, Fisher, ES, Skinner, JS. Geography and the debate over Medicare reform. Health Affairs Web Exclusive W-103, February 13, 2002.7. Goodenough, A, Pear, R. Unable to meet the deductible. New York Times, October 17, 2014.8. Ungar, L, O'Donnell, J. Dilemma over deductibles: costs crippling middle class. USA Today, January 1, 2015.9. The editors. Out of Pocket, out of control. Bloomberg View, February 16, 2015.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 51 minutes ago.

7 Things Trump Must Do

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7 Things Trump Must Do Via The Mises Institute,

An Open Letter to Donald Trump 

We the undersigned urge you, the presumptive Republican nominee for President, to *support a rebirth of free-market capitalism in the U.S.* You have said repeatedly that you want to make American great again. We agree with you. And we assert that the most effective way to start that process would be to affirm your principled support for economic liberty, for open and competitive markets, and for a foreign policy that rejects both protectionism at home and interventionism abroad.

*Over the last two decades especially, the U.S. economy has been saddled increasingly with burdensome government rules and regulations that stifle innovation and retard economic growth.* Some of the more obvious examples are the massive command and control system put in place under the Affordable Care Act (ACA); the enactment of purposely mislabeled “free trade” agreements (such as NAFTA) that actually have harmed some U.S. businesses and destroyed jobs while subsidizing other politically connected firms; the failed so-called “War on Drugs” which wastes private and public resources and contributes to rising violent crime rates; and the expansion of inefficient and rights-violating environmental regulations that have hampered productivity and increased the overall cost of doing business; and, finally, the pursuit by the Federal Reserve of a pernicious decade-long low-interest rate monetary policy which has (again) created a massive speculative bubble in housing and on Wall Street … that is sure to end badly.

*As a successful businessman, you must understand that these harmful economic policies of the past must be changed by the next president and Congress if the U.S. is to continue to remain efficient and prosperous. *And you also must understand that the key to any economic rebirth in the U.S. is not old-fashioned Keynesian deficit spending, quantitative easing by the Fed, or the enactment of higher minimum wage laws. The key to any sustained economic recovery is the legal protection of private property rights and the adoption of free markets where entrepreneurs, alert to price and profit signals, guide scarce resources into their most productive use. Below we suggest a concise list of first-order public policy changes that could set the early agenda for your new administration:



*First, the Affordable Care Act should be repealed in its entirety* and, as you have already pointed out, any prohibition on interstate competition in health insurance also should be repealed. Health care and health care insurance should be left to the market.

 

*Second, all recent thousand-page international trade agreements should be replaced* with a single, clearly worded paragraph that allows any U.S. business (or consumer) to trade with any other business (or consumer) anywhere else in the world on terms that are mutually satisfactory. Period.

 

*Third, you or the Congress should immediately remove cannabis (marijuana) from its current Schedule One prohibition status under Federal law*; cannabis and drug policy generally should be left entirely to the states. (Ideally the entire Drug War should be scrapped and the production and consumption by adults of any “drug” should be legalized.)

 

*Fourth, the federal minimum wage should either be permanently fixed at its current rate or reduced; legally minimum wages should be left entirely to the states*. (Ideally, all minimum wage laws should be repealed since they cause job destruction.)

*Fifth, the U.S. corporate tax rate should be reduced* so that it is the lowest (not the highest) in the industrial world; ideally, it should be repealed entirely because it constitutes double taxation on shareholders of corporations who also pay income tax on their dividends.

 

*Sixth, the Federal Reserve should be required by law to end all forms of quantitative easing and interest rate regulation* now accomplished primarily through open market operations; interest rates for savers and investors should be market determined. In addition, the Federal Reserve’s budget should be determined by Congressional appropriations like that of any other federal department or agency.

 

*And finally,* as a long-run solution for our recurring financial problems and economic recessions, replacing the current inflationary paper dollar with alternative monetary arrangements that provide for a sound, market-based commodity money, such as *the gold standard, should be seriously considered*.



There will be Democratic as well as (some) Republican opposition to these changes. Count on it. But your job will be to hold fast to basic principles and persuade the opposition that long lines at airport security and rising health care costs are based on economic ideas that are totally misguided. Socialism and progressivism and crony capitalism have failed miserably.

*We need common sense capitalism and you now have a clear mandate to initiate its rebirth.*

*Sincerely,*

Joseph T. Salerno, Pace University

Mark Thornton, Auburn University

Henry Thompson, Auburn University

Jo Ann Cavallo, Columbia University

Dominick T. Armentano, University of Hartford

Christopher Westley, Florida Gulf Coast University

Murray Sabrin, Ramapo College of New Jersey

Thomas Tacker, Embry-Riddle Aeronautical University

Peter M. Kerr, Southeast Missouri State University

Thomas DiLorenzo, Loyola University Maryland

Marshall DeRosa, Florida Atlantic University

Walter Block, Loyola University New Orleans

Robert Batemarco, Fordham University

Samuel Bostaph, University of Dallas

Paul A. Cleveland, Birmingham-Southern College

Peter G. Klein, Baylor University

Thomas L. Wenck, Michigan State University

John B. Egger, Towson University

Douglas Butler, Texas Christian University

William N. Butos, Trinity College

Paul Prentice, Colorado Technical University

Butler Shaffer, Southwestern University Law School

Judd Patton, Bellevue University

Paul Gottfried, Elizabethtown College

Jim Cox, Georgia Perimeter College

Roger Clites, Tusculum College

Bruce Koerber, Divine Economy Consulting Reported by Zero Hedge 1 day ago.

A Response To Seth Godin's The Freelancer And The Entrepreneur

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By Rishon Blumberg & Michael Solomon
co-founders of 10x Management & Brick Wall Management

Seth Godin recently re-published a blog post about the fundamental difference between a freelancer and an entrepreneur. His core thesis is that entrepreneurs create scalable organizations that print money, while freelancers simply exchange their time for money. While we agree with many of the differences he's highlighted, we also think the analysis is much too simplistic.

In tech, freelancers and entrepreneurs are interwoven groups -- they each rely on the other and often are the same people shifting from one role to the other and back again. The massive proliferation of startups (which is really just entrepreneurship with a different name) has provided a fertile ground for freelancers to find work. In fact, many freelancers are former entrepreneurs or are budding entrepreneurs working to bootstrap their own startups. It's no wonder that the burgeoning freelance economy has grown in tandem with the growth of funding to startups.

Over the last few decades, as investment into startups has exploded, the size and scope of the Freelance Economy has grown at the same pace. The environment for both worlds has matured and changed in several ways over that same time frame as well. For startups, 2015 was a pivotal year with equity crowdfunding's passage in the JOBS act which allowed, for the first time, millions of individuals to invest in the funding of a startup - which was once the domain of VCs and other institutional investors. In the freelance world, the passage of the Affordable Care Act has made it substantially easier to obtain health insurance if you're an individual which once was an impediment to leaving a job; and coupled with the massive proliferation of technology within every company and government, the demand for tech talent has been pushed to ever growing heights. It is widely predicted that 50% of the workforce will be freelancing by 2025. Along with this growth has come a range of companies that help freelancers find engagements. But the growth in both of these sectors has helped to blur the lines a little between entrepreneur and freelancer as well as fusing each together in order to survive - freelancers need startups to provide engagement opportunities and startups need freelancers to build mvp's and find product market fit.

Our own experience offers a perfect example of how entrepreneurs and freelancers are interwoven. We have often been called serial entrepreneurs as we have two for profit and two not-for-profit companies with which we have been deeply involved or founded. There are many other ventures in which we've had a hand in creating and operating. Part of what has always enabled us to build these entities is the abundance of capable freelancers bringing a broad range of skills to meet our ever-changing needs.

In our most recent, and most exciting venture, 10x Management, we've applied our past experience working with freelancers along with our past experience managing talent, in a new talent agency model for the technology industry (yes, we believe developers to be "talent"). At 10x we have a unique vantage point into both the freelancer economy and the world of startups. We deal with both worlds on a daily basis. We see that some of the people we deal with fit neatly into the category that Mr. Godin described as freelancers and some of them fit much more into the category of entrepreneurs.

We represent several former startup founders who have either sold their ventures or handed over daily operations to simplify their lives. Many others are freelancing to build up a war chest with which to bootstrap their next venture. In the span of a career an individual may shift from entrepreneur to freelancer and back again several times. Successfully wearing both hats either separately or concurrently.

This is, perhaps, a long-winded way to say that while some of Mr. Godin's distinctions are accurate, there are many who cross the dividing line in both directions frequently as it suits their needs and desires. In much the same way that the on-demand economy provides access to goods and services where and when we want them, the Freelance Economy is giving freelancers the tools to scale up to be entrepreneurs when it suits them and then just as easily scale back down when they prefer.

That's why we believe it is possible to be both an entrepreneur and a freelancer, and why we are so excited to continue to play a pivotal role in helping those who wish to wear both hats to do so.

Do you agree or disagree? We'd like to hear from you. If you liked this article you might also enjoy reading, The Best Freelancers Use 4 Strategies To Protect Themselves.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 18 hours ago.

Ask Larry: Can I File Online Just For A Spousal Benefit?

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Social Security may be one of your largest assets. What and when you collect will make a huge difference to your lifetime benefits.

Today's Ask Larry column examines filing online, the availability of disability benefits and the effects of the new law among other topics.

You can submit a question by clicking on the link on our homepage at Maximize My Social Security.

*Can I File Online Just For a Spousal Benefit?*
Larry, I am about reach age 66 and have filled out the application online to file online for spousal benefits, delaying my own until age 70. I have read Get What's Yours so I'm nervous about signing and completing the application for fear they will use some retroactive date. Should I say something in the remarks section about the date I want to start my benefits? Thanks, JR
Dear JR, as far as I know, you cannot file online just for a spousal benefit. You will, I believe, need to go into your local office and file there. And yes, you need to state in the Remarks section of the form you file that you are restricting your application solely to your spousal benefit and you will not be collecting your own retirement benefit until age 70. I presume that a) you are divorced after having been married for 10 years and that your ex is at least 62 and that you have been divorced for at least two years or your ex has filed for his/her retirement benefit or b) you are married and your spouse is currently collecting a spousal benefit or suspended his/her retirement benefit before or on the April 29, 2016 deadline. Otherwise, you can't file just for a spousal benefit.

If the person filling out the paper work won't let you fill out the Remarks section yourself, demand to see what she/he writes in that section and make sure it's what I just said needs to be there.

Please tape record all you conversations with Social Security whether on the phone or in person. This way you will have proof of what you requested if they make a mistake, which is occurring on a routine basis these days. Best, Larry

*I Need Help Filing For Disability Benefits*
Dear Larry, I am currently 58 and will be 59 in 2 months in 2016. I have worked as a RN FT for 15 years and then only sporadically for a few years (I was in graduate school) then I had a child with some severe medical problems (landing him in the ICU twice and he later became lead poisoned and has ADHD so his problems throughout his childhood had limited me to PT work). I became disabled and unable to work in 2010; had terrible symptoms of severe spinal stenosis (cervical and lumbar) as well as SI joint dysfunction but wasn't officially diagnosed (my doctors had only used the diagnosis of "lumbago) for 3 years (when I was finally approved for medical assistance and got an MRI) when I was told to get to surgery immediately.

I filed for SSDI with an attorney and was denied. I was to go before an administrative judge but was running late (by about 10 minutes) due to traffic and so called the attorney (whom I'd never met- the office switched around attorneys and assistants so often that it was difficult to know who was actually representing me). He told me not to bother parking as the judge dismissed the case because I was late. I later learned that the judge wouldn't see the attorney (apparently to even tell him that I was parking) as he was not the attorney of record and so then dismissed the case. The law office filed an appeal but the original decision of the judge was upheld but I don't know why. A legal assistant just called me and said they did all that could be done and I never heard from them again.

I re-applied within a year and have a different law office representing me but they have not mentioned re-opening the former case (I didn't know that could be done until this evening). They have also said that because I haven't worked since 2010- (and that I worked PT prior to that for some years because of my son's difficulties) that they (Soc Sec) were only looking at a limited amount of time on which to base my benefit should I be granted SSDI at this juncture. I was denied this time as well because Soc Sec said that I can do sedentary work. I have a date to go before an administrative judge once again just after I turn 59.

It doesn't appear to me that I qualify because I am not using a walker. I use a cane frequently but I just limit where I go- avoiding anywhere that I may not be able to sit down- due to severe pain in my legs and weakness. The very nature of the disease process indicates a poor prognosis as it worsens with time (and age). My pain level (and I've been denied pain medication beyond gabapentin and ibuprofen because of practitioners' fear of the DEA with our "war on drugs") is severe and has been for 6 years. It prevents me from leaving my home frequently or completing simple tasks such as even making dinner quite often. My son and I have been surviving on child support alone for the last 6 years but he will turn 18 in March and will no longer receive it.

I am panicking a bit because if I don't receive SSDI- I have no idea what I'm going to do. My savings have been completely depleted as it was necessary to supplement the child support. My attorney has told me not to pursue any work while I'm waiting to hear about the outcome of this filing. I have said that I could manage probably 2 hours a day on some days but no more than that because sitting for longer limits me. I would be most grateful for your advice on how to proceed. I am also wondering why my previous filing wasn't re-opened. Wouldn't that help me with a higher benefit rate (if I am approved this time)?
Thank you ever so much! Tamara

Dear Tamara, I feel terrible about your situation. I would seek to collect food stamps and welfare benefits and SSI, for yourself, if you are eligible. I would also contact all my members of Congress and explain the situation. They may be able to help. Best of luck. Our country should not be treating people in your situation this way. My best, Larry

*I Missed The File and Suspend Deadline. What Do We Do Now?*
Hello Larry, I have purchased and read the new edition of your book. It may be my question is so simple it never gets explicitly highlighted or clearly addressed. Regardless, I need to know for sure. There has been so much made over file & suspend and the new laws that what I think is (and was) best for us never really gets emphasized, either before or after the new law took place.

I am 67 and the larger wage earner. My wife just turned 66. It seems to be what makes most sense for us is for her to now file for her FRA benefit and for me to file a restricted application (with written comments as you recommend on p. 73) so I get free spousal benefits from her filing. Then, at age 70, I file for myself and she takes the spousal benefit from me which will be higher than her own FRA benefit. Is there any reason we would want to do something other than this? And, if so, what would be the preferable alternative(s)?
Thanks! Arthur
Dear Arthur, you should have filed and suspended before April 30, 2016. In that case your wife could be collecting a full spousal benefit starting now (equal to half of your full retirement benefit) and then you both could have waited till 70 to take your retirement benefits. If you, like so many other people, were misled about the deadline by Social Security, I recommend you contact your members of Congress and ask them to ask Social Security to let you file and suspend retroactive to April 29, 2016. Someone I know was misled by Social Security about the deadline and was able to suspend retroactively. He had help from his Congressman. But it's still remarkable since it was his word against Social Security's.

What you should do now is to run expert software. It's not clear if you should file early or your wife. In the former case, she'll be able to collect larger spousal benefits for more years, but it will come at the cost of permanently lower retirement benefits for you and, therefore, permanently lower widow benefits if you pass away. If she files early, you'll collect lower spousal benefits for only 3 years and her retirement benefit will be permanently reduced. Neither of these options may beat your both waiting till 70 to collect you maximum retirement benefits. So please see what the program suggests. It's far smarter than me. My best, Larry

*Is Social Security Mis-Estimating My Future Benefit?*
Dear Larry, I was estimating my benefit at 66 & 2 months through age 70, by increasing the estimated benefit by 8% each year. However, at 70, the amount is $55 less than the figure provided by the SSA. Is this simply due to rounding? Thank you, Paul
Dear Paul, that's far too big for a rounding error. Social Security benefit estimator may be incorporating what's called the Re-computation of Benefits if you've told it you will still be working and if your future earnings raises your level of AIME (Average Indexed Monthly Earnings). Social Security's benefit estimators assume no future economy-wide average wage growth, no future inflation, and that you will retire at full retirement age. I recommend you run expert software that makes none of these assumptions to understand precisely what you will get. Best, Larry

*Foreign Worker -- Can I Collect?*
Hi Larry, I am from and live in Honduras, from April 1 2000 to April 30 2009 I worked with Work Permit for a company in New York. Due to the company not being able to continue in business due to the bad economy I was laid off. During that period of time I accumulated 40 credits of Social Security. After several months being unemployed and also beginning to feel sick having no health insurance, I came back to Honduras where I got really sick. In October I will turn 62. Am I entitled to any type of benefit from the Social Security? I appreciate your attention to this question. Than You Very Much, Marco
Dear Marco, I see no reason why you can't collect. In addition, your wife and young or disabled children should be able to collect on your work record as well. I would contact the U.S. Embassy in Honduras. You may, by the way, want to wait till 70 to collect a much higher annual payment. This will also maximize the widow benefit for your wife. My best, Lary

*Can I Collect a Full Divorced Spousal Benefit and Then Go For My Retirement Benefit?*
Dear Larry, I am 63 in August. My divorce was final March 22,2016. I am able to collect off my ex after March 22, 2018. I will be 64 1/2. That would be about $1300.00 per month. Then when I turn 66 I plan to collect my own, that would be $1558.00 per month. I receive $2000.00 per month in alimony. What are the social security tax ramifications and or percentage of SSI that would be taxed? Thank you, Lisa
Dear Lisa, if you ex has filed for his retirement benefit, you can collect a reduced divorced spousal benefit starting immediately, i.e., you don't have to be divorced for two years. (Your ex has to be at least 62 in either case.) But if you file for your divorced spousal benefit before full retirement age (66 in your case), you will be deemed to be filing for your own retirement benefit as well. In this case, you'll receive a reduced retirement benefit and a reduced excess divorced spousal benefit, which may be zero.

In short, you cannot do what you plan to do. Your best strategy is probably to wait till 66 to take just for divorced spousal benefit and then wait till 70 to take your own retirement benefit. Please run expert software as what's best will depend on your maximum age of life.

Re taxes, if your alimony is taxable, which I presume it is, you will likely have to pay taxes on 50 percent of your Social Security benefits. Best, Larry

To learn more about your Social Security options, visit Maximize My Social Security.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 18 hours ago.

Viewpoint: Here's one thing NM organizations can do to help attract and keep employees

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A recent WalletHub report ranked New Mexico 26th in the country for business startup activity. This is in stark contrast to the news New Mexicans are familiar with about the weak economy, education and poverty issues. With startup activity underway and so many New Mexico businesses that already exist, there are effective changes that business leaders can make to better our state’s residents’ quality of life – starting with offering health insurance. Although individual health insurance enrollment… Reported by bizjournals 16 hours ago.

Health offer withdrawn as Trump Taj Mahal strike continues

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ATLANTIC CITY, N.J. (AP) — An Atlantic City casino owned by billionaire Carl Icahn says it has withdrawn an offer to restore health insurance for its striking workers. The Trump Taj Mahal had given striking Local 54 of Unite-HERE workers until 5 p.m. Monday to vote on its offer. Tony Rodio, head of Tropicana Entertainment […] Reported by Seattle Times 14 hours ago.

Health Care Offer Withdrawn as Taj Mahal Strike Continues

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Health Care Offer Withdrawn as Taj Mahal Strike Continues ATLANTIC CITY, N.J.—An Atlantic City casino owned by billionaire Carl Icahn withdrew an offer to restore health insurance for its striking workers Monday after the union refused to put the measure up for a vote 18 days into a walkout.… Reported by Epoch Times 15 hours ago.

Starbucks Widens Workers' Health-Insurance Options

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Starbucks said it would be offering employees new health-insurance choices as part of an effort to make the coffee chain a more attractive employer. Reported by Wall Street Journal 11 hours ago.

Cigna Launches Brand Campaign for International Markets Based on Real Stories of Ensuring Customer Health, Well-Being and Security

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Cigna Launches Brand Campaign for International Markets Based on Real Stories of Ensuring Customer Health, Well-Being and Security *Business Wire India*Cigna has unveiled its first ever regional brand campaign for key international markets, designed to showcase the company’s capabilities and the solutions it delivers for customers. The campaign, themed “All The Way, Means All The Way,” builds on Cigna’s global wellness mission to improve customers’ health, well-being and sense of security and is being rolled out in an integrated digital marketing format across multiple markets internationally.   The series of advertisements, which are inspired by real customer stories, feature Cigna’s Global Individual Private Medical Insurance (GIPMI) solutions and are aimed at globally mobile individuals. Additional advertisements which will run in Hong Kong, Indonesia, Thailand and Spain, also emphasize Cigna’s goal to seamlessly serve its customers throughout their wellness journey.   “We are breaking new ground with our digitally-led approach, which we believe is unique in the insurance industry,” said DJ Choi, Marketing Officer, International Markets. “Our innovative approach reflects the changing needs of our customers who increasingly expect to receive information in a mobile-friendly way. It’s also exciting to be launching a campaign in multiple countries that leverages our global platform. This campaign encapsulates what our business stands for – that we are here for our customers and that we will always go a step further for their well-being.”   The regional theme “All The Way, Means All The Way”, follows Cigna’s global positioning, “Together, All The Way”, and reinforces the fact that Cigna goes beyond being a health services and insurance company – it is also a trusted partner which supports its customers, helping them to live well and stay well – physically, financially and emotionally.   “We’re excited to launch a campaign that speaks directly to our customers in these international markets,” said Stephen Cassell, Cigna's Global Branding Officer. “We know that dealing with a health emergency can be one of the most stressful times in someone’s life. As a global health insurance partner in more than 30 countries, it’s Cigna’s goal to seamlessly serve our customers throughout their wellness journey.”   Jason Sadler, President, International Markets, Cigna said, “To support our growth and continue on our current trajectory, we are actively strengthening brand awareness across our key international markets. We remain focused on serving our customers and building on recent efforts to fuel business innovation and make the best use of new digital technologies. This campaign attests to our considerable strengths in these areas.”   The 60- and 30-second videos, tailored for each market, amplify the importance of having a trusted health insurance partner who goes above and beyond to help customers navigate the health system in times of need.   To watch the videos on Cigna’s YouTube page, click here: https://www.youtube.com/user/cigna   *About Cigna*   Cigna Corporation (NYSE:CI) is a global health service company dedicated to helping people improve their health, well-being and sense of security. All products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, Life Insurance Company of North America and Cigna Life Insurance Company of New York. Such products and services include an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products including group life, accident and disability insurance. Cigna maintains sales capability in 30 countries and jurisdictions, and has more than 90 million customer relationships throughout the world. To learn more about Cigna®, including links to follow us on Facebook or Twitter, visit www.cigna.com.              
  View source version on businesswire.com: http://www.businesswire.com/news/home/20160718006392/en/ Reported by Business Wire India 8 hours ago.

BeniComp Recognized for Second Year as American Heart Association Fit-Friendly Worksite

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Worksite takes steps to decrease healthcare expenses, increase productivity

Fort Wayne, IN (PRWEB) July 19, 2016

BeniComp Insurance Company has been recognized as a Platinum-Level Fit-Friendly Worksite by the American Heart Association for the second year in a row by helping employees eat better and move more.

"Physical activity and employee wellness are important priorities at BeniComp. We are honored and excited to be recognized for two years in a row by the American Heart Association as a Platinum-Level Fit-Friendly Worksite," said Doug Short, President and CEO of BeniComp Insurance Company. "We're committed to providing the best workplace environment possible. This will benefit our employees' health and produce even more positive results for our worksite overall."

Platinum-level employers:· Offer employees physical activity options in the workplace.
· Increase healthy eating options at the worksite.
· Promote a wellness culture in the workplace.
· Implement at least nine criteria outlined by the American Heart Association in the areas of physical activity, nutrition, and culture.
· Demonstrate measurable outcomes related to workplace wellness.

BeniComp's primary achievement in securing their second Platinum-Level Fit-Friendly Worksite award was due to increased employee participation of 95% in their employer-sponsored wellness program, which measures BMI, blood pressure, cholesterol, glucose levels, and nicotine use. BeniComp also encourages healthy living in the workplace by offering each employee the ability to speak with a trained Health Coach, free of charge, where he or she will receive education and guidance for customized approaches to a healthy life.

The Fit-Friendly Worksites program is a catalyst for positive change in the American workforce by helping worksites make their employees' health and well-being a priority.

American employers are losing an estimated $225.8 billion a year because of health care expenses and health-related losses in productivity, and those numbers are rising. Many American adults spend most of their waking hours at sedentary jobs. Their lack of regular physical activity raises their risk for a host of medical problems, such as obesity, high blood pressure and diabetes. Employers face $12.7 billion in annual medical expenses due to obesity alone. The American Heart Association is working to change corporate cultures by motivating employees to start walking, which has the lowest dropout rate of any physical activity.

Recognition is a critical component of the Fit-Friendly Worksites program. Employers that join this program qualify for official recognition by the American Heart Association. Qualifying worksites also have the right to use the program’s annual recognition seal for internal communications and with external, recruitment-related communications.

“The Fit-Friendly Worksites Program offers easy-to-implement ways for organizations to help employees eat better and move more, which will help improve their health – and their employer’s bottom line,” said Teresa Royer, Indiana representative for the American Heart Association. “Even people who haven’t exercised regularly until middle age can reap significant benefits by starting a walking program. A study published in 1986 in the New England Journal of Medicine found that some adults may gain two hours of life expectancy for every hour of regular, vigorous exercise they performed.”

For more information about the Fit-Friendly Worksites program and how it’s helping to improve the health of Americans by focusing on the workplace, call 260-413-3500 or visit heart.org/worksitewellness.

About BeniComp Insurance Company
Founded in 1962, BeniComp later expanded its services to include BeniComp Advantage, a supplemental group health insurance product that identifies health risks early and aims to proactively improve health in America. Offering employee wellness solutions nationwide, BeniComp's patent-pending policy has received numerous awards for innovation and best practices. BeniComp has been featured in Forbes Magazine, Employee Benefit News, The Wall Street Journal, USA Today, Medscape, and other publications for its innovative approach to providing solutions. For more information about BeniComp, visit benicomp.com.

About the American Heart Association
The American Heart Association is devoted to building healthier lives, free of cardiovascular diseases and stroke. Our mission drives everything we do. To improve the lives of all Americans, we provide public health education in a variety of ways. We team with millions of volunteers to fund innovative research, fight for stronger public health policies, and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. To learn more or join us, call 1-800-AHA-USA1 or any of our offices around the country, or visit heart.org. Reported by PRWeb 6 hours ago.
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