Outgoing Brazil prez to continue fight on poverty - Yahoo! Finance: "Brazilian President Luiz Inacio Lula da Silva says he will try to fight poverty in Africa and Latin America after leaving office at the end of the year.
Silva says he wants to use the knowledge acquired through his successful social programs in Brazil to help nations 'still fighting extreme poverty and hunger.'
He said Tuesday in a weekly column that 'it's all about sharing the good things we learned.'
The popular president says he will rest for a while after he is termed out in December after eight years in office. He also plans to help Brazil undergo a political reform.
During Silva's presidency, some 20 million people have been lifted from poverty in a country of 190 million."
Tuesday, August 31, 2010
Richly deserved Plaudits for President Lula
What Government ownership means...
GM spent $2.72M in 2Q to lobby US government - Yahoo! Finance: "DETROIT (AP) -- General Motors Co. spent $2.72 million in the second quarter lobbying the federal government on energy and defense spending, safety regulations and research funding for autos that run on alternative fuels, according to a disclosure report.
That's slightly less than the $2.76 million the automaker spent a year earlier but more than the double the $1.36 million it spent in the first quarter this year.
GM, now 60.8 percent owned by the U.S. government, also lobbied on driver distraction, event data recorders, compliance with recalls and safety regulations, health care reform, electric vehicle infrastructure, pensions, climate change, tariff and trade bills and highway funding, according to a report it filed July 20 covering April through June.
GM lobbied Congress, the National Highway Traffic Safety Administration, the Environmental Protection Agency, the International Trade Commission and the Departments of Defense, Energy and State, among others, according to the report it filed with the House clerk's office."
Monday, August 30, 2010
Job Seekers need to turn into Lobbyists
Plenty of money is being lobbed at the government and the legislature by firms of all sizes and industries. Time Warner, Disney, etc. lobby legislators, and legislators provide ad money (directly or indirectly) to TW, Disney, and others. Nice arrangement. Disney spent $780,000 lobbying in 2Q - Yahoo! Finance: "Disney spent $780,000 lobbying in 2nd quarter on retransmission fee rules, broadband plan" Time Warner Cable spent $1.44 mln lobbying in 2Q - Yahoo! Finance: "Time Warner Cable spent $1.44 million lobbying in 2nd qtr on targeted online ads, other issues" Honeywell spent $1.7 million on 2Q lobbying Lockheed Martin spent $3.2M on 2Q lobbying American Express spent $630,000 on lobbying in 2QDefense contractor Lockheed Martin spent $3.2 million on second-quarter government lobbying
American Express spends $630K in 2Q to lobby government on credit reform, financial overhaul
MasterCard spends $2.33 million lobbying government about card issues in financial overhaul
Sunday, August 29, 2010
We can certainly bank on Banks getting around the rules
Beware That New Credit-Card Offer - WSJ.com: "...Professional cards aren't covered under the Credit Card Accountability and Responsibility and Disclosure Act of 2009, or Card Act for short. Among other things, the law prohibits issuers from controversial billing practices such as hair-trigger interest rate increases, shortened payment cycles and inactivity fees—but it doesn't apply to professional cards (see table).
Until recently professional cards largely had been reserved for small-business owners or corporate executives. But since the Card Act was passed in March 2009, companies have been inundating ordinary consumers with applications. In the first quarter of 2010, issuers mailed out 47 million professional offers, a 256% increase from the same period last year, according to research firm Synovate..."
Saturday, August 28, 2010
Useful information - cancer signs
BBC News - Top eight cancer signs pinpointed: "The Keele University team also points to the age at which patients should be most concerned by the symptoms, which include blood in urine and anaemia.
The other symptoms are: rectal blood, coughing up blood, breast lump or mass, difficulty swallowing, post-menopausal bleeding and abnormal prostate tests."
Friday, August 27, 2010
The Printing Press of Mighty Ben
It can purchase more government debt and long-term securities. It can try to coax down long-term interest rates by announcing its intention to keep short-term rates extremely low for even longer than the markets currently expect. It can lower the interest rate it pays on the funds banks hold at the Fed. And it can raise its medium-term target for inflation, which would discourage banks from sitting on their cash."
Thursday, August 26, 2010
Shoddy work, Shoddy Explanation- by American
AIRLINE'S RESPONSE: American says passengers were never in danger and no penalty is warranted. It plans to appeal.
COSTLY DISPUTE: American has already paid dearly for the allegedly shoddy work of bundling electrical wires on its McDonnell-Douglas MD-80 series jets. The airline canceled more than 3,000 flights and inconvenienced 350,000 passengers to fix the work back in 2008. Now it faces a penalty that could top the record, which is $9.5 million. That penalty, in 1987, went mostly unpaid after Eastern Airlines went out of business."
Building a Nation of Know-Nothings - NYTimes.com
Building a Nation of Know-Nothings - Readers' Comments - NYTimes.com: "The mainstream media has no motivation to go after the truth, as it makes money through the status-quo. Spending by the political parties contributes significantly to the bottom line of the media companies, so greater the lies and TV ads the better. The Murdoch entities including Fox and the WSJ, along with the likes of Rush, make a lot of money exploiting public ignorance and spreading fear and hatred.
More than sheer ignorance, the lack of desire to learn and to discern the truth among a large percentage of the public is very troubling. Companies defer to investors, and major investors have not expressed any concern at the state of affairs. Bill Gates, Andy Grove, Warren Buffet, and others complain about the education system, but individually and collectively the wealthy and influential investors have not criticized the level of public ignorance and the role of their investments in this disastrous state of affairs."
Yelp, Please!!!!
The move comes as sites such as Groupon have gotten extremely popular by combining social media with the power of group buying, offering shoppers daily deals on products and services in their communities. With Groupon, however, the deals are only made active once a certain number of people in a city have agreed to participate...
Ichinose said Yelp is delving into the deals market because consumers are often already intending to make some sort of purchase when they go to Yelp to check out a business reviewed on the site. And businesses have asked how they can offer discounts to Yelp users.
Wednesday, August 25, 2010
Northbrook....where Brains went South
But that doesn’t quite fit Northbrook’s regulations for front yard use, according to director of community planning Thomas Poupard.
The 69-year old Russian immigrant doesn’t see herself as a revolutionary. She just wants to have fresh tomatoes available for the friends and relatives who frequently visit."
Tuesday, August 24, 2010
Price of Productivity Gains
Salmonella in eggs can be linked back to the 1970s and 1980s when industrial farmers started crowding chickens together to streamline their growth, said Pollan, a professor at the UC Berkeley Graduate School of Journalism. Nowadays, there can be 10 chickens to a cage, which can add up to 1 million chickens in each henhouse.
When President Obama took office, he tried to create a single agency to oversee all food safety issues, said Pollan. The food industry strenuously fought that attempt. “Our food industry has fought to keep power divided and power divided is never strong,” Pollan told CNN’s Dr. Sanjay Gupta."
Proudly Celebrating the Lack of Ethics
"Vanity" License Plate of a vehicle...
Companies such as Macerich Co., Vornado Realty Trust and Simon Property Group Inc. have recently stopped making mortgage payments to put pressure on lenders to restructure debts. In many cases they have walked away, sending keys to properties whose values had fallen far below the mortgage amounts, a process known as 'jingle mail.' These companies all have piles of cash to make the payments. They are simply opting to default because they believe it makes good business sense....
"We don't do this lightly," said Robert Taubman, chief executive of Taubman Centers Inc. The luxury-mall owner, with upscale properties such as the Beverly Center in Los Angeles, decided earlier this year to stop covering interest payments on its $135 million mortgage on the Pier Shops at Caesars in Atlantic City, N.J.
Taubman, which estimates the mall is now worth only $52 million, gave it back to its mortgage holder.
"Where it's fairly obvious that the gap is large, as it was with the Pier Shops, individual owners are making very tough decisions," he said...
Banking-industry officials and others have argued that homeowners have a moral obligation to pay their debts even when it seems to make good business sense to default. Individuals who walk away from their homes also face blemishes to their credit ratings and, in some states, creditors can sue them for the losses they suffer.
But in the business world, there is less of a stigma even though lenders, including individual investors, get stuck holding a depressed property in a down market. Indeed, investors are rewarding public companies for ditching profit-draining investments. Deutsche Bank AG's RREEF, which manages $56 billion in real-estate investments, now favors companies that jettison cash-draining properties with nonrecourse debt, loans that don't allow banks to hold landlords personally responsible if they default. The theory is that those companies fare better by diverting money to shareholders or more lucrative projects.
Monday, August 23, 2010
Older but Sunny
Solar System Older Than Once Thought : Discovery News: "The solar system may be almost 2 million years older than previously thought, a new study shows.
Data from a newly studied meteorite recovered from the Saharan Desert show that the solar system formed 4,568.2 million years ago, 0.3 million to 1.9 million years earlier than other estimates. The results were published online August 22 in Nature Geoscience.
'All the interesting things we want to understand about the chemistry of our solar system happened within the first five to 10 million years,' says study coauthor Meenakshi Wadhwa, a cosmochemist from Arizona State University in Tempe. 'When you push it back by 2 million years, that's a substantial proportion of that 5 to 10 million years.'"
Sunday, August 22, 2010
Easy Money...and Not Very Taxing Either
Government-run lotteries generated more than $70 billion in gross sales in North America during the fiscal year ended June, up $1 billion year on year, according to the association. By comparison, Hollywood.com Box Office reported that 2009 box office sales in the U.S. and Canada were about $10.6 billion, and IFPI estimates that global music sales were $17 billion last year.
'Hard work is useful when it's productive,' says Gary Fong, author of The Accidental Millionaire, a memoir about how he succeeded as a wedding photographer and inventor with the help of some unforeseen coincidences. His mantra is to relax and stop worrying about expectations—success comes when one least expects it. While most people will encourage you to pursue your goals through hard work, Fong says, 'I have a little saying: When the going gets tough, bail.'..."
As Adam’s graph (and the Tax Policy Center analysis upon which it is based) shows, the highest 0.1% of earners (average income $8 million) would still benefit, to the tune of more than $61,000, even if the top rate is increased from today’s 35 percent to 39.6 percent, as President Obama prefers. How would they get a $60,000+ tax cut, relative to current law, if their rates are increased?
There are two big reasons. First, remember that Obama would extend the Bush tax cuts for income of $200,000 or less ($250,000 for joint filers). Thus, high-earners would still enjoy the benefits of lower rates on their first few hundred thousand dollars of income. They would also benefit from Obama’s proposal to tax dividends at 20 percent since that levy would rise to 39.6 percent (the same as the top rate on ordinary income) if the Bush tax cuts are allowed to expire..."
Friday, August 20, 2010
A Sad Day...when a bank fails Depositors and Tribune fails "Chiacgo"
ShoreBank fails, South Side lender bought by big investors - chicagotribune.com: "Chiacgo's ShoreBank fails, is bought by investors
South Side institution billed itself as the leading lender to low- and moderate-income urban areas"
Chasing Growth....and Leaving Ethics Behind
'It is a never-ending pressure,' said Swain, who is involved in a movement to unionize Starbucks employees. 'I don't feel like a barista anymore. I feel like a salesman.'
Two business school students, who asked not to be named, told Reuters that a Manhattan barista this week gave them two free drinks in exchange for buying a package of Via."
A Cluttered Story of Wal-Mart-esque Proportion
Wal-Mart 2Q profit rises 3.6 pct on cost-cutting - Yahoo! Finance: "Wal-Mart benefited during the recession as affluent shoppers traded down to cheaper stores. But it acknowledged in May that it's losing some of those customers, who've started to trade back up. Meanwhile, stubbornly high unemployment and tight credit are still squeezing its main lower-income customers, who are having more trouble stretching their dollars to the next payday...
Thursday, August 19, 2010
The 15% Kudlow
Mr. Kudlow of CNBC seems to have developed a fatal attraction for 15% flat tax policy. Like any Fox(y) Republican he completely ignores the evidence from the Bush and Reagan tax cuts- ballooning budget deficits and a deteriorating economy. It can be argued, with good evidence, that Bush's tax cuts lit the match that caused the mortgage market to burst into a towering inferno. SOme guests on the show suggested that spending should be slashed. However a CNBC report also said that the main driver of joblessness is government, federal and local, that is laying off workers. Either these so-called economists have had a lousy education, or they are consciously trying to hoodwink the masses. Unfortunately neither is a crime.
Wednesday, August 18, 2010
No Wrongdoing by Any Corporation
In announcing the settlement, the Securities and Exchange Commission said New Jersey did not give municipal bond investors enough information to fully assess the state's financial picture.
New Jersey was the first state ever charged for violations of the securities laws. New Jersey neither admitted nor denied the allegations. It did agree to refrain from future violations of the securities laws."
The settlement prohibits Intel from the practice of paying customers to buy its computer chips exclusively or to refuse to buy chips from other manufacturers. It also prohibits Intel from redesigning its chips purely to harm a competitor. Intel also agreed not to retaliate against computer makers if they do business with non-Intel suppliers...This agreement provides a framework that will allow us to continue to compete and to provide our customers the best possible products at the best prices,' Mr. Melamed said. In agreeing to the settlement, Intel did not admit to any wrongdoing or that the accusations were true."
HP denied 'engaging in any illegal conduct.' It said the deal will lower its fiscal third-quarter profit by 2 cents per share. That's about $50 million given that it has 2.33 billion shares outstanding...."
GE will pay a $1 million penalty and return $22.5 million in profits plus interest that the subsidiaries are estimated to have earned on the transactions, GE said. The company agreed to pay the fines without admitting or denying guilt...."
The settlement came on the same day that the financial overhaul bill won final approval in the Senate, imposing the stiffest restrictions on banks and Wall Street since the Great Depression.
The deal calls for Goldman to pay the Securities and Exchange Commission fines of $300 million. The rest of the money will go to compensate those who lost money on their investments....
The fine was the largest against a financial company in SEC history. Goldman earned $3.3 billion in the first quarter of this year. It earned $13.4 billion in 2009.
The settlement also requires Goldman to review how it sells complex financial mortgage investments. Goldman acknowledged in a court filing that its marketing materials for the deal at the center of the charges omitted key information for buyers.
But Goldman did not admit any legal wrongdoing...."
The company and Michael Dell neither admitted nor denied wrongdoing."
Tuesday, August 17, 2010
Capitalism for Investors, Socialism for the Rest
For-profit institutions that fall below a 35% repayment rate could lose their right to collect money from federal student loan programs under rules proposed to begin in the 2012 school year. Schools with repayment rates below 45% may have restricted access to federal aid programs, which account for a large percentage of their revenue.
Among the hardest hit stocks: Strayer Education (STRA) and Capella Education, (CPLA) which fell 18% to $163.26 and 13% to $60.94, respectively, as investors thought their repayment rates would be 45% or higher, says Trace Urdan, analyst at Signal Hill."
Geithner's Online Course: Government should be the Borrower, and Government Should be the Lender
Geithner Affirms U.S. Role as Mortgage Backer - NYTimes.com: "He said continued government support was important “to make sure that Americans can borrow at reasonable interest rates to buy a house even in a downturn.” The absence of such support, Mr. Geithner said, would make future recessions more severe because private lenders would not provide enough money for loans.
His opening remarks underscored the limits on the possibilities that the Obama administration is pondering as it opens a public conversation on reworking the government’s role in housing finance — including the future of the housing finance companies Fannie Mae and Freddie Mac, now wards of the state..."
Monday, August 16, 2010
Driving Fear INTO the Workplace, the Hurd Way
“If you put up a slide with lower financial forecasts, he would spot it right away,” the executive said, requesting anonymity because he still deals with H.P. “Then, he would demand that you fix the situation.”
Stories abound of Mr. Hurd’s slicing into marketing costs and making employees fight for every dollar in the budget (although Mr. Hurd often found marketing money to sponsor tennis events, uniting his love of the sport with H.P.)."
Satellite pictures of parking lots keeping analysts busy
New Big Brother: Market-Moving Satellite Images - Yahoo! Finance: "As part of a growing trend among hedge funds and Wall Street firms, Cold War-style satellite surveillance is being used to gather market-moving information.
The surveillance pictures are often provided by private- sector companies like DigitalGlobe in Colorado and GeoEye in Virginia, which build and launch satellites and take pictures for US government intelligence agency clients and private-sector satellite analysis firms."
Sunday, August 15, 2010
Down by the Internet
The Hindu : Health / Medicine & Research : Depression in youths: "A large Chinese study suggests that otherwise healthy teenagers are much more vulnerable to depression if they spend too much time on the Internet. Researchers who followed more than 1,000 students at high schools in Guangzhou — all of them free of anxiety and depression at the start of the study — found that after nine months, rates of severe depression among “pathological” users were 2.5 times those of the others.
The study was published August 2 in Archives of Pediatrics & Adolescent Medicine. It used self-rating scales to assess anxiety and depression, along with an addiction test.
Saturday, August 14, 2010
The Fruits of a Good Education
Friday, August 13, 2010
Putting Gas in Cars - Compressed Natural Gas, that is.
The Hindu : Business News : Maruti Suzuki launches five CNG models: "Maruti Suzuki on Friday unveiled its flagship CNG engine technology — ‘intelligent-Gas Port Injection' or i-GPI — on five popular models. The models include SX4, Eeco, WagonR, Estilo and Alto and will be available in the entire National Capital Region, including Delhi, Mumbai and Gujarat.
While sedan SX4 Vxi is priced at Rs. 7.47 lakh, WagonR Lxi comes with a price tag of Rs. 4.11 lakh. Prices of other models are: Estilo Lxi Rs. 4.05 lakh, Eeco 5-seater AC Rs. 3.64 lakh and Alto Lxi Rs. 3.23 lakh.
Thursday, August 12, 2010
A Painful Subject
Women Feel More Pain Than Men : Discovery News: "Globally, women have more chronic pain than men, more recurrent pain, they are more likely to have multiple sources of pain, and they are definitely neglected as it relates to treatment,' said Jennifer Kelly, an independent psychologist in Atlanta.
Kelly presented a review of research on gender and pain today at a meeting of the American Psychological Association.
Along with findings that a combination of genes, hormones, emotions and even social roles influence the experience of pain, accumulating evidence suggests that doctors might some day personalize the management of pain, based on the genders of their patients. For now, scientists are still struggling to understand the nuances of chronic pain, which is notoriously hard to treat."
Wednesday, August 11, 2010
No Morality when Borrowing, No Morality when Defaulting
Lenders say they are trying to recover some of that money but their success has been limited, in part because so many borrowers threaten bankruptcy and because the value of the homes, the collateral backing the loans, has often disappeared.
The result is one of the paradoxes of the recession: the more money you borrowed, the less likely you will have to pay up."
Tuesday, August 10, 2010
Fed out of Focus
Instead, the Fed will now reinvest those principal payments in longer-term Treasury securities. (The central bank said it would continue to roll over its holdings of other Treasury securities as they mature.)
The money involved is unclear. In March, the Federal Reserve Bank of New York estimated that at least $200 billion of the mortgage-related securities and debt would mature or be prepaid by the end of 2011...."
Giving, the IIT way
Outgoing IIT-Bombay batch pledges 1% of salary for alma mater-Education-Services-News By Industry-News-The Economic Times: "MUMBAI: Charity begins on campus. The seed of the idea, that has now got 735 students of the current outgoing batch of IIT Bombay (IIT-B) to pledge 1% of their salaries to their alma mater, came from former student Bakul Desai, an Hyderabad-based entrepreneur.
Desai, a graduate of the 1982 batch, came up with the idea of a programme that is now being called ‘Give One for IIT-B’. At rough count — taking the starting salary of a fresh graduate to be Rs 7 lakh per annum — it is likely to add a robust Rs 50 lakh to IIT-B’s coffers in the first year alone. “In the second year, we hope to bring in Rs 1 crore; in the third, Rs 1.5 crore and so on,” says Desai. No pressure of course, but it appears that most of the 735 students — or approximately 70% of the graduating batch — is more than willing to pledge a fraction of their salaries."
Obama, like UPS, turns 'Right' and Avoids 'Left'
In an interview with the Hill newspaper, the president's chief spokesman voiced disdain for liberal critics who've likened Obama to former President George W. Bush.
'These people ought to be drug tested,' Gibbs said. 'They will be satisfied when we have Canadian healthcare and we've eliminated the Pentagon. That's not reality. They wouldn't be satisfied if Dennis Kucinich was president.'
Monday, August 09, 2010
Statistical Roadblocks
Govt may fund PG degree in statistics to meet staff crunch-Education-Services-News By Industry-News-The Economic Times: "NEW DELHI: The government could soon fund a postgraduate degree in statistics to fill up vacancies in the statistical service, as enough students do not seem to be interested in the profession making economic and social data collation difficult.
Those applying for the statistical service must have studied statistics or applied statistics as their main subject at both the graduate and post-graduate level.
But with not many students pursuing a bachelor’s degree in statistics, and even fewer studying it at the postgraduate level, the government is finding it difficult to attract enough candidates."
Market's Up, Services are Down
Meanwhile, a country that once amazed the world with its visionary investments in transportation, from the Erie Canal to the Interstate Highway System, is now in the process of unpaving itself: in a number of states, local governments are breaking up roads they can no longer afford to maintain, and returning them to gravel.
And a nation that once prized education — that was among the first to provide basic schooling to all its children — is now cutting back. Teachers are being laid off; programs are being canceled; in Hawaii, the school year itself is being drastically shortened. And all signs point to even more cuts ahead....
How did we get to this point? It’s the logical consequence of three decades of antigovernment rhetoric, rhetoric that has convinced many voters that a dollar collected in taxes is always a dollar wasted, that the public sector can’t do anything right...."
Sunday, August 08, 2010
Good article on Statins by LA Times...certain to get the Blood Pressure Up.
www.chicagotribune.com/health/la-he-statins-20100809,0,2194618.story
Effectiveness of statins is called into question
The drugs clearly help patients who have already had a heart attack. But their use has skyrocketed in patients hoping to prevent a first heart attack. In those cases, the benefits are dubious.
By Melissa Healy, Los Angeles Times
August 9, 2010
As the world's most-prescribed class of medications, statins indisputably qualify for the commercial distinction of "blockbuster." About 24 million Americans take the drugs — marketed under such commercial names as Pravachol, Mevacor, Lipitor, Zocor and Crestor — largely to stave off heart attacks and strokes.
At the zenith of their profitability, these medications raked in $26.2 billion a year for their manufacturers. The introduction in recent years of cheaper generic versions may have begun to cut into sales revenues for the brand-name drugs that came first to the market, but better prices have only fueled the medications' use: In 2009, U.S. patients filled 201.4 million prescriptions for statins, according to IMS Health, which tracks prescription drug trends. That's nearly double the number of prescriptions written for statins in 2001, four years after they arrived on the American pharmaceutical landscape.
But in recent months the drugs' touted medical reputation has come under tough scrutiny.
Statins were initially approved by the Food and Drug Administration for the prevention of repeat heart attacks and strokes in patients with high cholesterol who had already had a heart attack. And used for that purpose — called "secondary prevention" — the drugs are powerful and effective medications, driving down patients' risk of another heart attack or stroke by lowering their levels of LDL (or "bad") cholesterol.
Then physicians came to believe statins could also reduce the risk of a first heart attack in people who have high LDL cholesterol but are nonetheless healthy. This use of statins — called "primary prevention" — has driven the growth in the market for statins over the last decade.
Today, a majority of people who use statins are doing so for primary prevention of heart attacks and strokes. It is this use of statins that has come under recent attack.
"There's a conspiracy of false hope," says Harvard Medical School's Dr. John Abramson, who has cowritten several critiques of statins' rise, including one published in June in the Archives of Internal Medicine. "The public wants an easy way to prevent heart disease, doctors want to reduce their patients' risk of heart disease and drug companies want to maximize the number of people taking their pills to boost their sales and profits."
The stakes of many
Heart patients and their physicians are not the only ones to pin their hopes on statins. The drug companies that brought statins to the market have explored the medications' benefits in prevention or treatment of such conditions as Alzheimer's disease, rheumatoid arthritis, prostate and breast cancer, kidney disease, macular degeneration and diabetic neuropathy. Although clear proof that statins could forestall or treat any of these diseases might bring in millions of new, paying customers, results have largely been mixed, inconclusive or disappointing.
In an ideal world, debate over the clinical virtues or vices of a drug would be long settled by the time the medication saw a meteoric rise in use. But in a healthcare system that relies on commercial incentives to spur drug development, prescription medications are a product like any other.
The FDA assesses drugs' safety and effectiveness for specific use; but its judgments are based on preliminary data, most of it generated by a drug company seeking approval for its product. Once the agency approves a drug for marketing, the company that makes it will move quickly and aggressively to expand the universe of patients taking its product.
Sometimes, by the time the deliberate pace of medical research and debate suggests that a drug is not all it's been cracked up to be, it's already become a bestseller. Statins, say some who study the relationship between medicine and the drug industry, seem to fit that pattern.
Statins appear to drive down the risk of heart attack or stroke by lowering the levels of fatty deposits circulating in the bloodstream. Research suggests that the drugs dampen inflammatory processes that can prompt deposits of plaque to break away from blood vessel walls and cause sudden blockages of arteries leading to the heart or brain.
And yet, the relationship between cholesterol-lowering and heart disease is not perfectly understood, and the precise role of inflammation in heart disease is also uncertain.
Statins certainly decrease rates of heart attack in people who have clear signs of cardiovascular disease, but it's not so clear they work that way in people who are healthy. In spite of that uncertainty, statins' use for primary prevention has skyrocketed.
Behind the numbers
That's the issue in the latest round of debate, which spilled onto the pages of the Archives of Internal Medicine in late June: whether statins prevent, safely and at a reasonable cost, the development of cardiovascular disease in people who are still healthy but are considered to be at high risk of a heart attack or stroke.
In the first of three studies published in the Archives last month, medical researchers found that, contrary to widely held belief, statins do not drive down death rates among those who take them to prevent a first heart attack. A second article cast significant doubt on the influential findings of a 2006 study, called JUPITER, that has driven the expansion of statins' use by healthy people with elevated blood levels of C-reactive protein, a measure of inflammation. A third article suggested potential ethical, clinical and financial conflicts of interest at work in the execution of the JUPITER study and concluded the widely hailed trial was "flawed" and raises "troubling questions concerning the role of commercial sponsors."
"Tens of billions of dollars of revenue for the sponsor over the patent life of the drug were at stake in the JUPITER trial, as well as potentially millions of dollars in royalties for the principal investigator," wrote Dr. Lee Green of the University of Michigan Medical School in an editorial accompanying the trio of studies. "Doubtless, both sponsor and investigative team believe they made their design decisions for the right reasons," Green added. "But social psychology research provides abundant evidence that we human beings both respond strongly to self-interest incentives and firmly believe that we do not."
Statins still have ardent admirers, including cardiologist Steven Nissen of the Cleveland Clinic in Ohio. For many patients on a clear collision course with heart disease but not there yet, he said, statins make a difference. And even though recent studies question whether statins reduce heart attack deaths, Nissen added, many patients' lives are clearly improved by pushing a heart attack further into the future.
The stakes of this debate are big and continuing to grow (see related story, "Pinning down the side effects of statins"). As many as three-quarters of patients currently taking statins haven't yet had a stroke or heart attack; they have diabetes or high LDL cholesterol, conditions widely thought to put them at high risk of having one.
Those patients largely joined the ranks of statin consumers after 2001, when the National Heart, Blood and Lung Institute adopted guidelines on the treatment of patients with high cholesterol. The guidelines, updated again in 2004, suggested that as many as 36 million Americans should take statins — essentially tripling overnight the potential American market for the drugs. Of the nine experts involved in drafting the cholesterol treatment guidelines, the National Institutes of Health later acknowledged that eight had substantial financial ties to statin makers — links that may have predisposed them to view evidence of statins' benefit in its most positive light.
Said Abramson, the author of "Overdosed America: The Broken Promise of American Medicine": The best way to drive down the risk of developing cardiovascular disease in the first place is to exercise regularly, not smoke, drink in moderation and eat a healthy Mediterranean-style diet. But, he added, "this message gets drowned out by the commercial interests" of pharmaceutical companies who stand to benefit from increased sales.
melissa.healy@latimes.com
Copyright © 2010, Los Angeles Times
Saturday, August 07, 2010
Who is worth What?
In addition to the $787,637 salary of Chief Administrative Officer Robert Rizzo, Bell pays Police Chief Randy Adams $457,000 a year, about 50% more than Los Angeles Police Chief Charlie Beck or Los Angeles County Sheriff Lee Baca and more than double New York City's police commissioner. Assistant City Manager Angela Spaccia makes $376,288 annually, more than most city managers."
Friday, August 06, 2010
Blago not the only 'failure' story in Illinois
Falsifying Documents, and Getting $35 Million ...
Thursday, August 05, 2010
(Un)Healthy Definition of 'Improvement"
Meanwhile, the company's second-quarter consolidated benefit ratio -- the percentage of premiums paid to cover medical claims -- also improved from a year ago.
The company earned $340.1 million, or $2 per share, up from $281.8 million, or $1.67 per share, a year ago. Revenue rose 9.5 percent to $8.65 billion from $7.9 billion..."
Consolidated Benefit Ratio � 2Q10 � 1H10
GAAP � 81.9% � 82.6%
Higher-than-expected favorable prior-year medical claims reserve development (c) � 0.4% � 0.9%
Higher-than-expected favorable 1Q10 medical claims reserve development (c) � 1.0% � -0-
Non-GAAP (a) � 83.3% � 83.5%
� �
The 2Q10 consolidated benefit ratio of 81.9 percent compares to 83.3 percent in 2Q09. On a non-GAAP(a) basis the 2Q10 consolidated benefit ratio of 83.3 percent was unchanged versus the 2Q09 consolidated benefit ratio. The non-GAAP(a) consolidated benefit ratio for 2Q10 reflected the combined impact of a 120 basis point increase in the non-GAAP(a) benefit ratio for the Government Segment and a 520 basis point improvement in the non-GAAP(a) benefit ratio for the Commercial Segment. The drivers of these changes are detailed in the segment discussions below....Premiums and administrative services fees:
Medicare Advantage premiums and administrative service fees of $4.89 billion in 2Q10 increased 18 percent compared to $4.15 billion in 2Q09, primarily due to an 18 percent increase in average Medicare Advantage membership year over year.
Medicare stand-alone PDP premiums of $700.2 million in 2Q10 increased 10 percent compared to $638.8 million in 2Q09, reflecting an 18 percent increase in premiums per member per month, partially offset by a 7 percent decline in average membership year over year.
Wednesday, August 04, 2010
What drugs are the Tea Party-ers on?
Colorado Candidate Warns of Bicycle Plot - Green Blog - NYTimes.com: "The front-runner for the Republican nomination in the Colorado governor’s race is causing a stir with claims that his likely Democratic opponent, Mayor John Hickenlooper of Denver, is bringing the city under United Nations control by promoting bike riding and other sustainability measures."
Tuesday, August 03, 2010
Pension Tension
The states are taking aim at long-held and sometimes controversial pension plans. In Utah, new fire and public safety employees as of July 1, 2011, must work 25 years, up from 20, before getting a full pension. Most other state employees must now work 35 years instead of 30 before receiving their pension.
In Illinois, teachers can retire as early as age 55 with 35 years of service. But starting Jan. 1, 2011, new hires must reach age 67 with 10 years of service.
In June, California Gov. Arnold Schwarzenegger reached a tentative contract agreement with six public-employee unions to bump up the retirement age by five years for new hires. The governor's office and six other unions remain in negotiations, with one of the sticking points a proposed increase in the retirement age.
The changes could add momentum to raise the age at which Americans receive payments from Social Security, say industry experts."
Monday, August 02, 2010
Jobs gushing at Capgemini
Capgemini India hires 10,000 people in 2010, to recruit 7,000 more-Jobs-News By Industry-News-The Economic Times: "Bullish on strong growth prospects in India, global IT consultancy Capgemini has hired 10,000 people so far in 2010 and plans to recruit another 7,000 by the year-end.
'We have already hired more than 10,000 people as of July. We plan to recruit further 7,000 within this year,' Capgemini India Executive Chairman Salil Parekh said.
Placing emphasis on the importance of the Indian market in the group's growth strategy, Parekh said,'Capgemini India is an important resource centre to drive Capgemini's Rightshore model and is also the main innovation hub for the group.'"
New Equation in Education GS+C/P = E A/B
In the larger picture, it is hard to punish the plagiarism violations when society rewards the much bigger misdeeds of the leaders of Wall Street and other industries with big bailouts and bigger compensation. Before we come down too hard on the students, let's first point the finger at the adults in society. Teachers and professors are expected to demonstrate high ideals and set good models of behavior and conduct. When they succumb to parents' pressure or an administration's push for leniency we should not expect much better from our students. Unfortunately the widespread and increasing use of adjunct faculty and other non-tenure track faculty creates an economic incentive to let plagiarism and other misdeeds slide.