Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Sunday, February 18, 2018

AusHealthIT Poll Number 410 – Results – 18th February, 2018.

Here are the results of the poll.

How Would You Rate The Value For Money Being Delivered By The ADHA To The Australian Community?

Excellent 0% (0)
OK 1% (1)

Neutral 1% (2)

Not Much 52% (78)

Non-Existent 45% (67)

I Have No Idea 1% (2)

Total Votes 150

This is a definitive poll with readers seeing the ADHA as adding very little to no value so far. I wonder what the Board would make of this result?

Any insights welcome as a comment, as usual. For those who are counting there have now been 14,800 comments on the blog . (There a total of 5100 posts).

A really, great turnout of votes!

It must have been an easy question with just 2 not sure what the appropriate answer was.

Again, many, many thanks to all those that voted!

David.

Saturday, February 17, 2018

Weekly Overseas Health IT Links – 17th February, 2018

Here are a few I came across last week.
Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.
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Tips to tackle the biggest cyber challenge hospitals face: medical device security

Experts from a leading nonprofit ranked device cybersecurity as the single biggest challenge hospital face today.
February 08, 2018 11:40 AM

The ECRI Institute put managing medical device cybersecurity threats at numero uno on its 2018 list of top 10 challenges facing healthcare. 
When dealing with medical device cybersecurity, ECRI’s focus has been largely making sure it provides practical guidance for its member hospitals, Leinonen said.
“We really need to make sure that there are appropriate resources for the healthcare facility to tackle medical device cybersecurity,” ECRI project engineer Juuso Leinonen said. As he sees it, a practical path to reach organizations’ security goals to improve their “security posture” is critical.
When asked what actions health systems could take now to boost medical device security, he didn’t have to think about it.
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NHS to offer Skype consultations for new mums affected by mental ill health

8 February 2018
New mums who experience mental ill health are to be given access to consultations through Skype as part of further new investment in perinatal mental healthcare.
NHS England has already committed to investing £365m to improving mental health services for new mothers. But on Monday (5 February), the national body announced a further £23m of funding, with a particular focus on developing community services.
The overall aim is to increase access to perinatal mental healthcare. Plans include four new mother and baby units and the recruitment of over 200 specialist staff, including 21 consultant psychiatrists and more than 100 nurses and therapists.
Claire Murdoch, director of mental health for NHS England, said: “With so many new mums having the joy of motherhood interrupted by mental ill health, improving care, investment and focus on this issue, is crucial.
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WhatsApp doc: Legal and practical perspectives of using mobile messaging

DHI Admin
9 February, 2018
With General Data Protection Regulation (GDPR) coming into force in Spring 2018, our guest columnists explore the legal and practical implications of using mobile messengers in the healthcare sector and finding a balance between convenience and compliance.
Research published in BMJ Innovations found a widespread use of WhatsApp for communication between healthcare professionals. According to the study, 97% of surveyed doctors routinely send patient information on instant messenger without consent, despite the fact 68% were concerned about sharing information in this way.
Having reviewed over 100 clinician-led studies, there are clear advantages to using a mobile messenger service like WhatsApp in a clinical setting, such as more efficient spreading of medical knowledge and overcoming inefficient hierarchical barriers within clinical teams.
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Trump signs spending bill into law: Here are health IT's biggest wins

HIMSS Senior Director of Congressional Affairs broke down how the massive spending bill will boost telehealth, Medicaid and other crucial health IT needs.
February 09, 2018 12:39 PM

Congressional leaders passed the spending bill last night, after a 5-hour government shutdown. Senate passed the spending bill around 1:45 a.m. with a 71-28 vote, while the House pushed through the legislation at about 5:30 this morning with a 240-186 vote.
The President tweeted that he signed the bill into law at 8:40 this morning.
The shutdown was caused by a one-man protest by Sen. Rand Paul, R-Kentucky, who opposed adding another $320 billion to the federal budget deficit. Indeed the massive spending bill adds hundreds of billions of dollars for the military, disaster relief and domestic programs.
While budget appropriators will have until Mar. 23 to determine how to specifically dole out the funding, there are a lot of wins for healthcare, according to Samantha Burch, senior director of congressional affairs for HIMSS.
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Bill gives providers relief in Meaningful Use, MIPS programs

Published February 09 2018, 5:17pm EST
The budget bill passed by Congress on Friday morning includes several health information technology provisions for which provider organizations generally voiced support.
In particular, it includes changes to the Electronic Health Record Meaningful Use Program designed to reduce burdens on providers and keep more of them in the program. The bill also makes beneficial changes to the MIPS payment program that rewards doctors for quality care and improved outcomes.
Provider trade associations were pleased with much of what they saw in the bill.
“The Bipartisan Budget Act of 2018 is largely a win for physician practices,” according to the Medical Group Management Association representing larger provider practices. “Reducing burden in the MIPS program, eliminating the unelected Medicare cost-cutting board known as the IPAB and averting a flawed mis-valued code policy that would have resulted in drastic across-the-board payment cuts in 2019 and 2020 are all top MGMA priorities.”
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AMIA wants more specificity from FDA decision support guidance

The informatics group says that with big innovation on the horizon it still sees ongoing confusion among developers and clinicians over which CDS and PDS software is considered a "device" and which isn't.
February 07, 201801:27 PM
The American Medical Informatics Association said recent guidance from the U.S. Food and Drug Administration for clinical and patient decision support tools is "well-timed to initiate a broad discussion" about the future of CDS and PDS. But AMIA also says there's still a lot to discuss.
Section 3060 of the 21st Century Cures Act calls on FDA to exclude specific functionalities from its definition of medical device – legalese that essentially bars FDA from regulating that software as a device (which would require pre-market review, clinical trials and/or other agency clearances).
Certain of those excluded functionalities describe what is normally understood as clinical decision support and its consumer-facing cousin, patient decision support. But not all CDS/PDS was excluded from the definition of the device by the Cures Act.
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24% of physicians can't identify phishing emails: 5 things to know

Written by Julie Spitzer | February 07, 2018 | Print  |
At least 24 percent of physicians couldn't differentiate phishing emails from legitimate ones, according to Media Pro's 2017 State of Privacy and Security Awareness Report.
Media Pro asked 1,009 U.S. healthcare employees about their privacy and security awareness.
Here are five survey insights.
1. About 18 percent of respondents identified phishing emails as legitimate ones —  physicians were three times worse at identifying phishing emails than their non-physician counterparts. The most misidentified email of the four examples presented was an email from a suspicious "from" address containing an image attachment.
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HIT Think How University of Utah Health uses IT to treat sepsis faster

Published February 08 2018, 5:50pm EST
A recent success story illustrates the power of IT and a coordinated plan to deal with sepsis at University of Utah Health.
The patient was admitted for hypoxia and fatigue, and by the next day, he had his first fever and registered a modified early warning system (MEWS) score of 8. Sepsis protocol was initiated to alert the rapid response team, and the provider was at the bedside within just seven minutes after the alert. Within 20 minutes, lactate and blood cultures were collected, and fluids and antibiotics were infused in less than an hour. The patient improved over the next few days and was eventually discharged.
This sepsis management success story is just one of many examples of University of Utah Health’s work to improve outcomes and reduce costs. Part of that work has centered on combating sepsis, a leading cause of death in the U.S.—and the most common cause of death among critically ill patients in noncoronary intensive care units. Additionally, sepsis is incredibly expensive for hospitals: The Agency for Healthcare Research and Quality lists sepsis as the most expensive condition treated in U.S. hospitals, costing nearly $24 billion to treat in 2013.
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Electronic Health Records: a “Quadruple Win,” a “Quadruple Failure,” or Simply Time for a Reboot?

Editorial
First Online: 05 February 2018
Michael  Hochman
Download article PDF
Just a decade ago, when paper charts were commonplace in the USA, it seemed that electronic health records (EHRs) were destined to transform the quality and efficiency of healthcare delivery, as well as the care experience for patients and clinicians. Few would deny that old fashion paper charts can be awkward to navigate, burdensome to read, poorly amenable for health information exchange, and inadequate for supporting systematic quality improvement. The sentiment that EHRs could solve these problems was pervasive, and many experts predicted that widespread EHR implementation would save billions.1
The reality over the ensuring years has, to put it mildly, not met expectations. According to a 2014 analysis led by the Office of the National Coordinator for Health Information,2 over 80% of US doctors now use EHRs. Yet, many of the predictions about the benefits of EHRs have yet to materialize to the extent predicted. Though EHRs have facilitated some substantial improvements—the ability for clinicians to access charts from any wired location, electronic transmission of prescriptions, and enhanced tracking of population health measures, to name just a few—they have also resulted in numerous unintended consequences. Noteworthy concerns include egregious medical errors resulting from design glitches3, charting templates filled extensively with meaningless boilerplate, the common practice of pasting old notes4 that makes it difficult to know which documentation is “real,” “alert fatigue”5 due to excessive EHR warnings, and even reduced communication among clinical team members.6
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Changes to telehealth reimbursement, Meaningful Use included in House short-term funding proposal  

by Evan Sweeney 

Feb 6, 2018 12:18pm
A short-term funding bill unveiled by the House of Representatives on Monday evening includes legislation that would expand telehealth for Medicare Advantage members and ease Meaningful Use requirements moving forward.
The continuing resolution comes just days before government funding is set to expire, which would trigger another partial shutdown. The bill (PDF) includes the popular CHRONIC Care Act, which expands telehealth benefits for Medicare Advantage members in 2020 and allows accountable care organizations to expand the use of telemedicine.
The joint resolution would also expand access to stroke telemedicine services, allowing providers to be reimbursed for a neurological consult via telehealth. Both bills have received broad bipartisan support from lawmakers pushing to expand access to virtual services.
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CHIME Opioid Task Force Launches to Discuss Community Health

The CHIME Opioid Task Force seeks to prevent and treat opioid addiction by harnessing the data and knowledge of healthcare CIOs.

February 02, 2018 - On January 24 and 25, over two dozen healthcare IT leaders gathered in Washington, DC for the first meeting of the CHIME Opioid Task Force. Attendees sought to determine how to best use CHIME members’ expertise and access to critical data to help fight the opioid crisis and improve community health.
The meeting was overseen by Ed Kopetsky, CIO of Lucile Packard Children’s Hospital Stanford in Palo Alto, and Jim Turnbull, CIO of University of Utah Health in Salt Lake City. Turnbull first introduced the concept in November at the 2017 Fall CIO Forum in San Antonio.
"We need to empower and assist the healthcare community and help them see that there are pathways to success, whether that is eliminating overprescribing of opioids, finding interventions in clinical care or following best treatment practices," Turnbull said. "CHIME members have the data and skills to illuminate what has worked and what hasn't."
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Health IT adoption has positive effect on medical outcomes

Published February 07 2018, 7:29am EST
There is a positive association between the adoption of health information technology and its effect on medical outcomes in terms of efficiency or effectiveness.
That’s the conclusion of a new study published this week in the Journal of Medical Internet Research that analyzed the current literature on the subject over the last five years.
Researchers queried the Cumulative Index of Nursing and Allied Health Literature and Medical Literature Analysis and Retrieval System Online by PubMed databases for peer-reviewed publications. Studies from CINAHL and PubMed that defined an HIT intervention and a corresponding effect on medical outcomes stated in terms of efficiency or effectiveness were eligible for selection. Ultimately, 37 studies were chosen out of 3,636 papers for the review.
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Texas HIE to Link Social Determinants of Health to Patient EHRs

The pilot project will allow for more holistic patient care by incorporating data on social determinants of health into patient EHRs.

February 05, 2018 - Methodist Healthcare Ministries of South Texas and the state’s health information exchange (HIE) HASA are partnering to launch a pilot project for linking social determinants of health data to patient EHRs.
The two San Antonio-based organizations will enable providers to use a more comprehensive picture of a patient’s health for complete care delivery.
As part of the partnership, Methodist Healthcare Ministries award HASA a $175,000 grant to expand its services to include social determinants of health data that may influence patient health. Using the grant, HASA will integrate social determinant data into its clinical data repository through a cloud-based app.
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ACR project to test use of algorithms in cancer screening

Published February 06 2018, 2:51pm EST
A program funded by the Food and Drug Administration has selected an American College of Radiology-supported project in lung cancer screening as one of 11 projects assessing the benefits of real-world evidence to healthcare.
The National Evaluation System for Health Technology Coordinating Center (NESTcc) has picked the ACR’s Lung CT Screening Reporting and Data System, which is intended to standardize lung cancer screening and provide recommendations to manage use of the technology.
Participating with the ACR are Brigham & Women’s Hospital and Massachusetts General Hospital as implementation sites; GE Healthcare and Nuance as radiology workflow companies; and Aidence, Enlitic, Infervision and Mindshare Medical as algorithm vendors.
The ACR program intends to use a lung cancer screening registry that will enable data to be captured for quality reporting, a requirement providers will face from the Centers for Medicare and Medicaid Services in receiving payment for lung cancer screenings.
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KLAS research shows age of users affects perceptions of EHRs

Published February 05 2018, 7:29am EST
Physician dissatisfaction with the performance of their electronic health records systems is not a new phenomenon, but it continues to be a factor in many healthcare organizations and a contributor to physician burnout.
The age of the physician using a records system provides some of the most striking differences in how doctors interact with and like EHRs, according to research by KLAS Enterprises.
A HIT vendor research firm, KLAS in November started studying ways to create a better EHR, inviting 10 organizations to complete a survey and getting results from five. KLAS received responses from physicians within the five organizations.
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New venture with Amazon, Berkshire Hathaway worried JPMorgan's healthcare clients, report says

Feb 5, 2018 11:44am
Though there are still few details about the new healthcare venture between Amazon, Berkshire Hathaway and JPMorgan, the announcement apparently spooked some healthcare executives enough to call the bank about their concerns.
That includes at least two of the country’s five largest health insurers, according to The Wall Street Journal, which cited anonymous sources familiar with the matter. In response, JP Morgan CEO James Dimon personally spoke to some healthcare leaders to assure them that the venture will only serve the three companies’ employees and therefore not compete with them. 
Still, the initial announcement does seem to suggest that venture could eventually expand to reach beyond just the people who work at Amazon, Berkshire Hathaway and JPMorgan. The firms said want to “to create solutions that benefit our U.S. employees, their families and, potentially, all Americans."
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When it comes to medical records, experts see the potential for Apple to succeed where others have failed

Feb 5, 2018 11:46am
Company’s like Microsoft and Google have tried and failed to improve patient access to health data, but experts say Apple’s attempt could finally do what other consumer tech giants could not.
One big reason Apple could succeed in its medical records venture is because it is tapping into an open interface and using standardized frameworks for data exchange, Ken Mandl, M.D., who directs the Computational Health Informatics Program at Boston Children's Hospital wrote in an op-ed for CNBC.
At the same, far more providers have adopted EHRs compared to a decade ago when GoogleHealth and Microsoft Health Vault came onto the scene. With a nudge from federal policy and EHR certification standards that emphasize APIs, EHR vendors have begun using standardized interfaces to improve mobile access to medical records 
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Yale professors say AI will be a ‘powerful tool’ for pathology in a value-based world

Feb 5, 2018 10:15am
A growing body of research shows computer algorithms may soon outperform human pathologists in both accuracy and speed.
But rather than hand their diagnostic keys to machines, two pathology professors from Yale argue that artificial intelligence will emerge as a “powerful tool” that can accurately identify the drug or therapy that will be most beneficial to an individual patient’s disease.
“Should we human pathologists fold our tents and pledge supplication to our computer overlords?” Balazs Acs, M.D., and David Rimm, M.D., Ph.D., wrote in JAMA Oncology. “No, just the opposite; intelligent digital pathology will make us more valuable to patients, providers, and payers."
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Healthcare made up 26% of January's data breaches

Written by Julie Spitzer | February 02, 2018 | Print  | Email
Of January's 116 total data breaches, healthcare accounted for 31 of them, or about 26.7 percent, according to the Identity Theft Resource Center's January data breach report.
The ITRC breach list aggregates all data breaches that could result in identity theft reported to media sources or confirmed on notification lists from state governmental agencies.
The single largest incident involved a Jason's Deli restaurant in Texas, where a RAM-scraping malware attack was launched on its point-of-sale terminals at various corporate-owned locations. Nearly 2 million records were compromised in the attack, which began June 8, 2017.
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Digital command center for EHR implementation gains efficiencies and saves $100,000

A digital command center can add value and efficiency to an organization’s go-live operations, says a Thomas Jefferson University executive.
February 01, 2018 01:51 PM
There is tremendous irony in the fact that so much of the go-live operations management process is often done on paper. One such example of this is how go-live command centers are managed.
These command centers often are manned by staff who are constantly updating whiteboards, transcribing issues into electronic issue management systems, and manually generating status reports for overall progress. These procedures are cumbersome and add delays into the process of identifying support issues that may be pervasive.
Leveraging technology to record support issues at the point of incident allows an easier input method and an issue to be triaged more quickly. Simple mobile apps and other technology can be used to record these incidents and electronic dashboards can be used to highlight pervasive issues and generate automated status reports of overall system health.
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Factors Identified That Impact Physicians IT Adoption
Key facilitators of digital health adoption include resources and training, access to accurate data
FRIDAY, Feb. 2, 2018 (HealthDay News) -- Physicians have considerable concerns about the efficacy and evidence base of health information technology (IT), according to a report published by the American Medical Association (AMA).
Noting that one of the main questions physicians have about digital health is whether it will actually work in practice, researchers from Partners HealthCare Center for Connected Health and the AMA conducted a review to examine the facilitators and barriers to physician adoption of digital health solutions.
According to the report, few papers talked about provider adoption, with only 57 studies out of more than 3,000 papers mentioning provider adoption. Interim results showed that key facilitators of adoption include availability of additional resources and training, access to accurate data, positive impact on quality of care, and evidence base for the digital health solution. Physicians encounter many frustrations every day, and they are unlikely use a digital health solution that is frustrating or logistically challenging. Physicians also highlight concerns about the accuracy and reliability of data in digital health systems. Another concern was how digital health solutions would affect face time with patients.
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NLP enables Atrius Health to gain insights from unstructured data

Published February 05 2018, 7:37am EST
Atrius Health, a large multi-specialty ambulatory group practice serving eastern and central Massachusetts, is leveraging natural language processing to tap into a treasure trove of unstructured patient data used to support its value-based care initiatives.
By implementing an NLP platform from Linguamatics, Atrius is able to mine critical clinical information hidden within unstructured text to improve Medicare Advantage reimbursement, streamline accountable care organization reporting and close gaps in care delivery.
“The majority of clinically useful information is unstructured text that includes physician notes and radiology reports, which impacts our patients and our practice,” says Craig Monsen, MD, Atrius Health’s medical director of analytics. “I’d estimate that probably 50 percent to 80 percent is unstructured data.”
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Enjoy!
David.

Friday, February 16, 2018

South Australia Again - It Really Seems It Is Getting Political And Messier All At The Same Time.

First we have had the overt political threat to the EPAS.

SA-Best wants EPAS investigated as Xenophon releases health policies

Nick Xenophon is calling for an immediate pause and investigation into the controversial electronic health records system EPAS, among a series of brief SA-Best health policy proposals released this morning.
Bension Siebert @Bension1
The Enterprise Patient Administration System was designed to replace paper with electronic records in public hospitals and health care settings across South Australia, and has been credited with reducing the frequency of medication errors.
However, doctors have repeatedly warned that the system slows down emergency carethreatens patient safety and blows out waiting lists.
Xenophon says he believes e-health records system had caused “too many near-misses” and needed to be investigated.
 “Very serious concerns have been expressed about major operational flaws that risk lives,” Xenophon said in a statement.
“Medical and IT professionals alike have questioned whether the EPAS is fit-for-purpose – or indeed, workable at all.
“SA-Best has serious concerns that the EPAS is failing, and if so, it is failing sick South Australians that so vitally need it to function properly.”
He said the party wanted proof the system was safe and functional.
“From what we are hearing, there have been too many near-misses with EPAS,” said Xenophon.
“Until we have definitive proof the system is operating at 100 per cent functionality, it should be paused and reviewed pending a thorough investigation.”
InDaily last year revealed the cost of the program had blown out from its latest budget by almost $50 million, to $471 million.
“The other concern we have with EPAS is that South Australian taxpayers have already spent over $470 million on EPAS – we need to make sure we are not continuing to throw good money after bad.”
Lots more here:
There is further coverage here:

Xenophon calls for SA’s EPAS to be paused and investigated after complaints from doctors and “near misses”

Lynne Minion | 09 Feb 2018
Former senator turned state party leader Nick Xenophon has called for use of SA Health’s beleaguered Enterprise Patient Administration System to be paused, claiming an investigation into the electronic health record used throughout public hospitals and health care providers was required.

Releasing his SA-Best party’s health policies today, Xenophon said concerns had been raised by clinicians about the safety and functionality of the platform.

“Very serious concerns have been expressed about major operational flaws that risk lives,” Xenophon said in a statement, according to InDaily.

“Medical and IT professionals alike have questioned whether the EPAS is fit-for-purpose – or indeed, workable at all.”
Heaps more here:
And to top it off – with an election looming we have this getting national coverage:

Two separate glitches blacked out Royal Adelaide hospital

  • The Australian
  • 10:08PM February 8, 2018

Andrew Burrell

Parts of the Royal Adelaide Hospital lost power for almost 20 minutes because of two separate software glitches, it has been revealed, as the body that runs the facility admitted it gave inaccurate advice to the state government.
It also emerged today that a technician testing the back-up generators at the $2.4 billion hospital failed to stop the test despite an alarm showing insufficient ­levels in a fuel tank — and this mistake may have contributed to Wednesday’s’s blackout.
South Australian Health Minister Peter Malinauskas said he was “incredibly disappointed” that Celsus, the body responsible for the RAH, had initially given him inaccurate information about the causes of the blackout.
“I have no reason to believe they deliberately provided us with misleading information,” he said, adding the government had sent in its own engineers to work with Celsus to investigate the outage. In his original explanation, Mr Malinauskas said a generator had been working for four hours before it was switched off, which is when a software glitch caused the blackout. But late on Thursday he said the generator stopped working after just 2 ½ into the four-hour test due to low fuel levels.
“Someone should have been aware of the low fuel levels and cancelled the test,” Mr Malinauskas said. Celsus chairman James Bramley said in a statement that the consortium had provided “inaccurate and incomplete” advice to SA Health on the outage.
 “We advised that following regular maintenance of a generator, the software that controls which electricity source is used did not transfer power from the generator back to mains power, leading to an outage,” he said.
Mr Bramley said further investigations revealed there were, in fact, two software faults. “We believe the pump that feeds fuel from the main tank into the smaller day tank that powers the generator did not function as it should have. Because of this, the day tank had insufficient fuel to complete the four-hour maintenance test and automatically switched to return to mains power after 2.52 hours of testing. The second software fault occurred at this point, with the generator unable to return to mains power, resulting in the outage.”
More here:
All one can say it that health – and health IT – will be front and centre at the upcoming election.
Certainly there seems to be more than one contingency plan that needs a close look!
David.

Thursday, February 15, 2018

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.

February 15, 2018 Edition.
The big news globally has been the wobbles that have assailed global equity markets. Losses have been between 5 and 10% with Asian markets suffering a lot, developed a little less and ours holding up fairly well as it had not gone up all that far.
In related news the US has just added $350B or so to the national debt and must be at some risk of simply going broke in the next decade or two.
Trump has not skited about how high the Dow Jones is for a week now! – mostly since it has been falling!
In Oz there has been handwringing about Barnaby’s pregnant girlfriend and the inability of the Government to pass its Company Tax Cuts. In case you are wondering I reckon Scott Morrison is a very poor Treasurer who is largely an economic illiterate. He is all political spin and point scoring and has no real evidence, as best I can tell, for most of what he wants to do.
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Here are a few other things I have noticed.
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Major Issues.

  • Feb 4 2018 at 1:01 PM

Markets are at a treacherous junction as bond yields rise

by John Authers
Markets have swerved away from some deep-seated patterns this week: the 10-year Treasury yield, which sets the cost of money for the world has risen its most since election week; stocks have had their worst week in two years; and in the alternate universe where cryptocurrencies trade, bitcoin has fallen 60 per cent from its pre-Christmas peak.
None of these developments can yet be called a car crash or a train wreck. (Not even bitcoin, which has logged 90 per cent falls and rebounded in the past.) But there is something to the driving analogy. We are at a treacherous junction. If any of a number of different actors misjudges, or tries to do things too fast, then there certainly is a risk of a crash. To navigate it, we need to understand where we started.
The world has had very low interest rates ever since the 2008 financial crisis. Financial conditions remain historically loose. But those rates look ever harder to justify. After all, the stock market has been rallying in response to impressive numbers suggesting that economic growth is back; both retail and institutional investors have their animal spirits back, as money flowed into stock funds last month in a way not yet seen this century; and corporate earnings are good.
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Bitcoin whipsaws investors as 'mother of all bubbles' shows signs of bursting

Eric Lam, Dani Burger and Joanna Ossinger
Published: February 3 2018 - 5:57PM
Bitcoin whipsawed investors, falling below $US8,000 for the first time since November before recovering most of Friday's losses, as a miserable 2018 continued for cryptocurrencies, with investors confronting a mounting list of concerns about the future of the industry.
Since reaching a record high of $US19,511 on December 18 shortly after the introduction of regulated futures contracts in the US, Bitcoin has wiped out more than half its value amid waves of negative news.
Setbacks included escalating regulatory threats from authorities around the world including India, South Korea, China and the US, a record $US500 million heist at Japanese exchange Coincheck, fears of price manipulation and Facebook's ban on cryptocurrency ads.
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The ten things to watch in 2018

Saul Eslake, Advisory Board Member, Jamieson Coote Bonds - JCB
19th January 2018.
Here are ten things that I think will shape the global and Australian economies in 2018, and that expect I’ll be talking about at conferences and events over the course of the coming year.

1: Central banks

The era of ultra-cheap money, which began during the global financial crisis, is drawing to a close. Already, the US Federal Reserve has raised its key policy interest rate target four times since the end of 2015, and has begun to wind back its bloated balance sheet (something which will take a very long time to complete).
The Bank of Canada has raised its policy rate three times, and the Bank of England once, since the middle of last year. The European Central Bank and the Bank of Japan are maintaining their negative overnight interest rates for the time being, but both of them have recently foreshadowed an eventual end to their bond-buying programs.
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What if bond prices take a dive?

by Dr Shane Oliver, AMP Capital Head of Investment Strategy and Chief Economist
on 02 Feb 2018 in Fixed Income
There are a lot of reasons why investors could, or perhaps should, be worried we’re headed for a bond market correction. Chief Economist Dr Shane Oliver shares his predictions for bonds and the implications for investors across other asset classes.
There are a lot of reasons why investors could, or perhaps should, be worried we’re headed for a bond market crash, or even a mini bond-market correction, a-la 1994.
I’ll outline the reasons why it’s easy to imagine a perfect storm brewing which could lead to an abrupt sell off in the global bond market in the near term.
But first, I’m going to cut to the chase and point out that I think a dramatic crash in bond prices is most likely going to be avoided. The main reason I say this is because high debt levels mean interest rate rises are more potent than they may otherwise have been, meaning it’s unlikely Central Banks will need to raise interest rates quickly to curb rising inflation. Add to that, Central Banks in Europe, Japan, and Australia remain a fair way off tightening rates, so global monetary policy will remain easy for a while yet. And ongoing technological innovation should constrain how far inflation will go up when it does.
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  • Updated Feb 4 2018 at 11:00 PM

Care needed as markets take on pre-GFC look

Are we in the midst of a healthy market correction or experiencing the first tremors of a seismic shift in global financial markets?
That's the question investors are grappling with after Friday's slump in shares and bond markets, an abrupt wake-up call after the placidity that has characterised most of the nearly nine-year bull market run.
Some fear that we could be on the precipice of a major market realignment amid signs that the tightening US jobs market is finally starting to produce faster wage growth – a prelude to rising US inflation.
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Corruption will never die, but we can do more to stamp it out: here's how

Jessica Irvine
Published: February 4 2018 - 11:30PM
Corruption is not always an easy thing to pin down.
Sure, brown paper bags stuffed with wads of cash are easy enough to figure out.
But outright bribery is only one of the myriad ways individuals or businesses may seek to pervert government decisions to their advantage.
The problem stems from the fundamental nature of our economy.
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Why the market cracked

  • The Australian
  • 6:48AM February 5, 2018

Alan Kohler

US interest rates have been rising for two years now. The Fed funds rate (their equivalent of our RBA cash rate) has been raised five times since December 2015 and the 10-year bond yield — the key interest rate that’s set by the market — bottomed in July 2016 at 1.36 per cent and has been rising ever since.
After that first Fed rate hike, the S&P 500 corrected 10 per cent, but since then the sharemarket has been completely unconcerned about interest rates. The S&P 500 has put on 55 per cent since January 2016, with only a brief pause when the bond rate got up off the floor 18 months ago.
So, why the worry among share traders on Friday when the bond rate popped up from 2.72 per cent to 2.84 per cent in response to a better than expected employment report for January?
After all, jobs growth has been averaging around 200,000 a month — Friday’s number — for five years, so hardly a surprise.
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Next election will offer voters more genuine, wider choice

Ross Gittins
Published: February 5 2018 - 1:37AM
Even if we don't end up having a federal election this year, rest assured, it will feel like a year-long campaign. But whenever it occurs, it's likely to determine the fate of neo-liberalism, aka "bizonomics".
Though the two sides like to paint every election as a clear choice between good (us) and evil (them), many voters have concluded all politicians are the same – liars and cheats.
But that's truer of the way they behave than of the policies they espouse on some key issues.
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There’s a good reason why market valuations are high

  • Doug Turek
  • The Australian
  • 12:00AM February 6, 2018
Bond experts PIMCO coined the phrase “the new normal” to refer to the likelihood of extended post-GFC low interest rates. Given their input into pricing shares, it follows that the current high sharemarket valuations might persist and we might need to get used to a higher “new normal’’ price/earnings ratio and higher share prices.
This may calm current anxieties about elevated share prices and suggest an inevitable correction could be short-lived, cushioned and a buying opportunity.
At the end of last year the Australian sharemarket was trading on a forward P/E ratio of 16.2 about 15 per cent above its 20-year average.
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Nation needs to take stock

  • The Australian
  • 12:00AM February 7, 2018

Adam Creighton

When interest rates are the rising tide, boats sink, especially those heavily laden with debt.
Indeed, few countries should be as worried about the prospect of sharply higher global interest rates as Australia, whose households and government have binged on debt since the financial crisis a decade ago. Not many nations have accumulated $990 billion in net foreign debt like we have, equivalent to about 56 per cent of GDP, up from 8 per cent in 1995.
While many other countries’ national debt levels are far higher, few have sourced so much of theirs from foreigners. The Japanese government, the world’s most indebted, is the classic case, having borrowed almost entirely from its own citizens. Unlike Japan, Australia’s governments can’t tax foreigners more if they refuse to roll over the loans.
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  • Updated Feb 7 2018 at 12:15 AM

APRA delivers banks $1b windfall: Productivity Commission

The regulatory crackdown on investor lending that was designed to curb a housing bubble ended up delivering a $1 billion a year windfall to bank profits, the Productivity Commission has found in a withering assessment of the state of competition in financial services.
The draft report from the government's policy adviser, to be released Wednesday, found that regulators' focus on stability was killing competition, at the expense of customers and small businesses.
The Australian Prudential Regulation Authority's intervention to slow growth in interest-only home loans, which Treasurer Scott Morrison recently hailed as "malleable" and effective, had cost taxpayers up to $500 million a year in extra income tax deductions.
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Landmark inquiry finds Australia's banks are exploiting their most loyal customers

Eryk Bagshaw
Published: February 7 2018 - 12:15AM
Australia's banks are exploiting their most loyal customers and the Turnbull government's $6.2 billion bank levy will end in higher fees for consumers, according to the findings of a landmark Productivity Commission inquiry.
The highly-critical 600 page report to be released Wednesday will bring the behaviour of major financial services firms back into the spotlight just one week before the royal commission into the sector begins on Monday.
The inquiry, commissioned by Treasurer Scott Morrison amid a torrid political debate last year, also found the government's efforts to cool overheating housing markets in Sydney and Melbourne had inadvertently provided a half-a-billion dollar windfall to the banking sector.
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Rates to stay low for some time yet, says Reserve Bank

Peter Martin
Published: February 6 2018 - 6:53PM
The Reserve Bank has signalled that the next increase in interest rates is some time off, opening the year with an economic statement in which the key word is “gradual”.
“Further progress in reducing unemployment and having inflation return to target is expected,” the statement from Reserve Bank Governor Philip Lowe read, “Although this progress is likely to be gradual.”
The sentence was placed at the end of the announcement that the bank would keep interest rates on hold for another month, the spot that is usually used to sum up the bank’s feelings about the future of the economy and interest rates.
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Labor devising Queensland 'rescue' package ahead of likely decision to reject Adani

Nicole Hasham
Published: February 6 2018 - 7:30PM
An impending decision by Labor to formally oppose the controversial Adani coalmine would come with a jobs package for Queensland to head off claims the party is selling out struggling towns.
Labor has strongly signalled it will oppose the proposed Adani mega-mine in Queensland’s Galilee Basin as it defends the Melbourne seat of Batman from a stiff Greens challenge in an upcoming byelection.
The shifting rhetoric prompted government accusations that Labor was trading mining jobs in Queensland for inner-city votes.
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The smartest way to spend taxpayer dollars

Ross Gittins
Published: February 6 2018 - 7:06PM
Did I tell you that my grandson, fast approaching his second birthday and not many months away from losing his status as our one and only grandchild, is a budding genius? His educational development is supervised by his father, who, being a doctor, started with identifying parts of the body. My grandson's always being quizzed, and loves showing off how much he knows.
Already he can count – provided you don't test him too closely above two or three – and, courtesy of Play School, can sing the alphabet song, whether or not he's invited to. He misses no more than a few of the letters, and is always careful to sing zed rather than zee.
Do I worry about how he'll manage to scratch out a living in the looming, frightening world of robots and artificial intelligence? No I don't. Not with the parents he's got.
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A few future frigates or a real defence industry?

Nicholas Stuart
Published: February 7 2018 - 12:15AM
It's definitely more exciting to begin a column discussing "the rhythmic clang of halyards ringing out across Genoa harbour", or perhaps the stonework of the house, just outside the walls of the old city, where Christopher Columbus lived as a child, than it is to discuss shipbuilding industry policy. So let's do exactly that.
Even in winter, the temperature here in Genoa is balmy. The old city was built on the water where, by the early 1400s, it hosted the world's first banks and had become a thriving centre of medieval commerce. Craggy hills protected the port and it is still possible, today, for a single glance to encompass both the snow-capped hills and, a short drive away, the beaches of the Italian Riviera.
This is the money shot. It's also the giveaway, explaining why a small group of Australian journalists has been invited to tour the dockyards that still churn out everything from huge cruise ships (almost all the vessels servicing our industry were built here) through to the pleasure yachts of Russian tycoons and oil rigs for the sputtering industry of the North Sea, devastated by the collapsed fuel price.
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Share dump is opportunity to make money, say investment gurus

John Collett
Published: February 6 2018 - 5:30PM
Australia's benchmark share index has fallen by about 5 per cent this week, wiping about $84 billion from the market's value, but fund managers insist shareholders should remain calm.
At the market close on Tuesday, the local S&P/ASX 200 index sat at 5833 points, having fallen from more than 6100 points on Friday. 
Blue chips were amongst the stocks belted on Tuesday as Australia joined markets around the world in echoing sharp declines on Wall Street. The Dow Jones Industrial Average fell 4.6 per cent on Monday night Australian time, posting the biggest point slump in its history.
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Elon Musk’s SpaceX launches world’s biggest rocket

SpaceX Successfully Tests Powerful Falcon Heavy Rocket

The SpaceX Falcon Heavy takes off from Pad 39A at the Kennedy Space Centre. Picture: AFP.
  • Andy Pasztor
  • The Wall Street Journal
  • 9:05AM February 7, 2018
Space Exploration Technologies Corp. successfully launched the Falcon Heavy rocket today (AEDT) on its initial test flight, marking another coup for founder Elon Musk.
The blast-off from Florida’s Kennedy Space Center attracted throngs of spectators and was closely followed by the global aerospace industry. It capped multiple design changes, years of delays and a roughly $1 billion investment by SpaceX, as the company is commonly called.
The closely held Southern California company defied industry critics by flying the world’s most powerful rocket since US astronauts landed on the moon almost five decades ago.
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Feb 7 2018 at 9:54 AM

The role of volatility shorts in this week's market sell-off

by Robin Wigglesworth
When excitable beliefs in new paradigms in markets are shattered it can be spectacular. The conviction that stock markets had entered a new era of tranquility has become the latest example.
After a record breaking stretch of more than 400 days for US equities without a drop of more than 5 per cent, volatility has returned.
The S&P 500's two-day drop of more than 6 per cent was initially triggered by rising bond yields, but analysts and investors say the unravelling of popular volatility-linked trading strategies that have proved lucrative in recent years played a key role.
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Financial stress on the rise

John Collett
Published: February 6 2018 - 4:30PM
Slow wage growth and big hikes in the costs of some essential services are putting families under ever more financial strain.
Throw into the mix a new baby and reversion to a single wage and the finances are stretched even more.  
That's the situation facing Dean and Bridie, who have just become parents for the first time. The couple rent in Melbourne's St Kilda and they do not have credit cards.
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Stoking a fire with gasoline: why the US share market shuddered

Peter Martin

Published: February 7 2018 - 11:45PM
Why did the US sharemarket suddenly tank?
For the same reason that ours might, one day, although there are no signs of it yet.
The US jobs market is on fire. In the past year the United States has hired an extra 2.1 million workers, and not just because of Trump. In the previous year, under Obama, it hired an extra 2.5 million. All up, since the low point in 2009 the US has taken on an extraordinary 18 million additional workers, an extra 14 per cent.
It has pushed the US unemployment rate down from 10 per cent to 4.1 per cent, where it has stayed for four consecutive months. So low is 4.1 per cent that, with the exception of a few months under President Clinton at the height of tech stock mania at the start of this century, you need to go back to 1969, when astronauts first walked on the moon, to find it bettered.
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http://www.news.com.au/finance/economy/australian-economy/ten-signs-were-heading-for-economic-armageddon/news-tory/1b307a7dd620376d0bd8628e015cbf56

Ten signs we’re heading for ‘economic armageddon’

THE $4 trillion bloodbath was the opening act of “economic armageddon” — and Aussies under the age of 44 should be worried
Frank Chung @franks_chung news.com.au February 8, 20183:14pm
THIS week’s global share market bloodbath was “a small tremor before the big earthquake” as Australia moves “ever closer to economic armageddon”, a former government economist has warned.
John Adams, a former Coalition policy adviser who last year identified seven signs that the global economy was heading for a crash — later warning the window for action had closed — believes the $4 trillion wipe-out was just the opening act of his apocalyptic prophecy playing out.
“When the economic earthquake hits, don’t be surprised to see soaring interest rates, massive falls in asset prices [like] shares, real estate and bonds, higher unemployment and widespread bankruptcies,” he said.
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'Softens hardness': TGA under fire for health claim list that critics say endorses pseudoscience

Esther Han
Published: February 9 2018 - 12:15AM
Hundreds of bizarre health claims such as "tonifies kidney essence" and "opens body orifices" will be approved by the Therapeutic Goods Administration and appear on complementary medicine labels under new laws being pushed by the federal government, horrifying doctors.
In July last year, the TGA began developing a list of "permitted indications" that would restrict vitamin and herbal medicine companies to make only government-approved health claims on their products once the Therapeutic Goods Amendment bill passes.
Health groups were expecting a list of about 100 clinical indications, each backed with scientific evidence. Instead, it has ballooned to more than 1000 claims, most of which they say are misleading, potentially harmful and based on pseudoscience.
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Scrap super guarantee increase to boost wages, save $2b: Grattan Institute

Jessica Irvine
Published: February 8 2018 - 9:00PM
Workers should not be forced to lock away a rising portion of their wage in superannuation, according to a new report.
Axing the planned increase to 12 per cent in the rate of compulsory super would save federal coffers almost $2 billion a year – money that would be better spent boosting rent assistance for vulnerable retirees, mainly single women, the Grattan Institute report says.
Amid persistent low wages growth, the report argues the current 9.5 per cent rate is adequate to fund a decent retirement income for the typical worker.
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I won't be pushed to push up rates, says RBA governor Philip Lowe

Peter Martin
Published: February 8 2018 - 8:20PM
Reserve Bank of Australia governor Philip Lowe has hit out at calls for a rise in interest rates, saying he won’t adjust the bank’s record low cash rate of 1.5 per cent any time soon and he won’t be swayed by increases overseas.
Opening the A50 forum of leading international fund managers in Sydney, Dr Lowe said he was often asked whether increases by other central banks meant he had to push up Australia’s rates.
His answer was that while there was a common element in worldwide interest rate moves, rates did not need to move in lock-step.
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  • Updated Feb 8 2018 at 11:00 PM

Scott Morrison says data sharing regime will 'revolutionise' banking

Treasurer Scott Morrison said new rules to give bank customers control over their data will disrupt the major banks' "stronghold" on information and encourage a new wave of fintech innovation.
He said stringent security and governance rules along with safeguards to protect customer privacy would be be at the core of the federal government's regime, due to start on July 1, 2019.
Mr Morrison will release a report by King & Wood Mallesons partner Scott Farrell on Friday that will guide the Turnbull government's approach "to giving consumers greater access to, and control over, their data".
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No one is buying the Minerals Council's coal 'slime'

Simon Holmes à Court
Published: February 9 2018 - 12:15AM
Thursday marked the first anniversary of Scott Morrison's extraordinary coal stunt. The Treasurer held up a lump of lacquered coal in Federal Parliament in a testosterone-fuelled frenzy and berated us all: "This is coal. Don't be afraid, don't be scared."
Morrison later capitulated, admitting that adding new coal power would cost too much and take too long to build.
Not so the Minerals Council of Australia. Only weeks after BHP Billiton, the council's largest funder, directed it to pull its head in, the mining industry's peak body appears emboldened in its hardline coal advocacy.
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Veteran investor Jim Rogers says next bear market will be 'the worst in our lifetime'

Heejin Kim
Published: February 9 2018 - 3:24PM
Jim Rogers, 75, says the next bear market in stocks will be more catastrophic than any other market downturn that he's lived through.
The veteran investor says that's because even more debt has accumulated in the global economy since the financial crisis, especially in the US.
While Rogers isn't saying that stocks are poised to enter bear territory now - or making any claim to know when they will - he says he's not surprised that US equities resumed their sell-off on Thursday and he expects the rout to continue.
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10 things to know about the market sell-off: Mohamed A. El-Erian

Mohamed A. El-Erian
Published: February 10 2018 - 10:19AM
US stock markets have concluded one of the wildest and worst weeks since the global financial crisis.
Here are 10 things to know about the sell-off:
  It is driven by technicals, not fundamentals. The ongoing market correction doesn't reflect a worsening of economic and corporate fundamentals. Rather, it is being driven by technical factors, including the unwinding of "short-volatility" trades (more on these below), the testing of relatively new products and a shift in investor conditioning away from the "buy-the-dip" paradigm.
  It is inherently unsettling. One of the reasons why this sell-off is so unsettling is the difficulty of pointing to familiar culprits, be they economic, geopolitical or corporate-related. This makes investors and traders more jittery, more suspicious and less confident about what will happen next.
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  • Updated Feb 9 2018 at 3:42 PM

'This year feels different': Gerard Minack on market mayhem

What do you do when a mini-meltdown hits the markets and threatens to end a multi-year bull market? You call a famed bear, of course.
Gerard Minack is a former global head of strategy for Morgan Stanley. Well-known for calling the global financial crisis (GFC), he now plies his insights on an independent basis to a bevy of hedge funds and asset managers around the world.
Before we hear from Minack, a quick recap. This week, and after a unusually lengthy period of calm, markets went a bit haywire. On Monday night the S&P 500 fell by more than 4 per cent – its worst decline since August 2011 – on its way to a 10 per cent fall in under two weeks.
The ASX on Tuesday had its biggest drop in two and a half years. Bourses around the world have followed a similar trajectory. Volatility looks to be back, and in a big way. Some large Wall Street funds that bet on low volatility blew up in a single night, erasing $US3 billion of capital along the way.
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It may not feel like it, but markets have had a great escape

Tracey McNaughton
Published: February 9 2018 - 4:10PM
It has certainly been a stomach-churning ride in financial markets recently.
Equity prices down, bond yields up. Volatility has returned with a bang. Welcome to “The Great Escape”.
For much of the past decade, financial markets have been hostage to unconventional monetary policy - a situation where market liquidity has been supported by the bond-buying behaviour of the biggest central banks in the world.
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Chief scientist Alan Finkel hits back at electric car doubters

Nicole Hasham
Published: February 9 2018 - 9:25PM
Affordable electric vehicles that can drive up to 600 kilometres on a single charge will help bring a motoring revolution to Australia, predicts Chief Scientist Alan Finkel, in an intervention that defies naysayers of the technology.
In an interview with Fairfax Media, Dr Finkel said the onus was on the federal government to cut greenhouse gas emissions from the transport sector, but predicted electric cars “will be a significant element” of policies considered.
Dr Finkel – who owns two electric cars – would not comment on government policy. But he pointed to his review of the national electricity market that called for the development of a whole-of-economy emissions reduction strategy by 2020.
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That sinking feeling: trust in politicians lower in Australia than in most other countries

Peter Hartcher
Published: February 10 2018 - 7:34AM
Australia's political class has excelled itself. Truly. The people aren't very impressed with institutions of any type. Indeed, Australians are feeling more let down than most around the world, even though our objective conditions are much better.
Of the 28 countries surveyed for the annual Edelman​ "trust barometer" published this week, Australia ranks 21st for the people's overall level of trust in institutions of all kinds, including government, business, the media and NGOs.
And Australia has the distinction of being only one of two countries where trust across all categories of institution fell for a second consecutive year. Singapore was the other.
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Finally, an Indigenous middle class emerges

Ross Gittins
Published: February 10 2018 - 12:15AM
It's easy for prime ministers to make big promises at some emotion-charge moment of national attention, but a lot harder to keep those promises when the media spotlight (and that prime minister) are long gone.
I could be alluding to the promise Kevin Rudd made that the federal government would never forget the needs of the victims of Victoria's Black Saturday bushfires in 2009, but I'm referring to the promise he made a year earlier, at the time of his apology to the stolen generations, to Close the Gap between Indigenous and non-Indigenous Australians.
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Housing investor loans slumped by 10 per cent in 2017

Clancy Yeates
Published: February 9 2018 - 4:43PM
New lending to property investors slumped by a tenth last year as tougher bank credit standards started to bite, but the prudential regulator is "not declaring victory just yet."
Figures on Friday showed the mortgage market finished last year with a whimper, with new loan approvals for both owner-occupiers and property investors falling, as the nation's biggest property markets also slowed.
The Australian Bureau of Statistics said the number of loans to people buying a home to live in fell by 2.3 per cent in the month, while the value of approvals to would-be landlords dipped by 2.6 per cent.
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'Some time' before inflation, jobs reach their targets: RBA

Published: February 9 2018 - 1:03PM
The Reserve Bank of Australia said the economy was some way off full employment and inflation returning to the midpoint of its target, signalling policy will stay on hold.
Main takeaways
  • Reserve Bank of Australia leaves inflation and economic growth forecasts unchanged from three months earlier in quarterly Statement on Monetary Policy released on Friday
  • Forecast unemployment cut to 5.25 per cent for year ending June 2018 through to year ending June 2019, from 5.5 per cent seen three months earlier
  • Near-term growth outlook for major trading partners "is a little stronger" than seen in November; growth in China expected to "moderate a little" over coming year
  • Most of decline in mining investment has now passed, meaning resource sector should make positive contribution to GDP over next few years
  • Large pipeline of public infrastructure work to be done is supporting GDP growth as well as conditions in some parts of the private sector
  • Australian dollar bought 77.72 US cents at 11.40am in Sydney, from 77.85 US cents before the report's release.
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Politicians deaf to the silence of no one listening

Harold Mitchell
Published: February 9 2018 - 12:45AM
I really miss my dear old dad. Regular readers will recall we lost him about a year ago on the morning of his 96th birthday. It was a good innings.
But he did tell me he would live to 100 so his passing took me by surprise because he’d never let me down before. And what I have missed most over the last 12 months is the great wisdom that comes with great age. He was born two years after the end of World War I and battled on with a single mum through the recession. He married very young, worked hard all his life in saw mills and brought up a family mostly as a single parent.
Ninety years of living counts for a lot and creates insights that can really cut through.
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Franken-products create a nightmare on Wall Street

  • The Australian
  • 12:00AM February 10, 2018

Andrew White

David Rogers

Had any XIV in your portfolio? Perhaps some SVXY?
No? Lucky you. You’ve probably rested a little easier this week, not being exposed to these so-called Franken-products that, like the monster in the Mary Shelley sci-fi classic, rose to wreak havoc.
Jolted by a shock of inflation fear, the VelocityShares Daily Inverse VIX Short-Term ETN,(XIV) and the ProShares Short VIX Short-Term Futures ETF (SVXY) were part of an estimated $2 trillion of investments in the US stockmarket banking on a one-way bet: that the historically low volatility that has ruled for much of the past decade would continue forever.
The benign conditions allowed for ever steepening rises in the US sharemarket, which started going parabolic in the December quarter and had its best January since 1987 as improving economic data was supercharged by big cuts to US tax rates.
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The evils of indexes we could do without

  • The Australian
  • 12:00AM February 10, 2018

Alan Kohler

Charles Dow and Edward Jones have a lot to answer for. Without them we might not have share indexes and that would be a very good thing indeed: indexes have been, and still are, a blight on humanity.
I’m only half-joking, not even half really, and anyway it’s way too late, of course. That genie is well and truly out of the bottle and has been causing havoc for more than a century.
What happened this week, and seems to be still happening, was an overdue and oversized (already) adjustment to share prices, in the expectation of a faster lift in interest rates than was previously expected. Forecasts of economic growth and profits haven’t changed; if anything they have grown, but the discount rate for figuring out the present value of future cash flows has had to be tuned.
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National Budget Issues.

Gas giant bills threat: price hikes of up to $430 predicted

Adam Gartrell
Published: February 5 2018 - 12:09AM
Australian households could be paying as much as $430 more for electricity by the end of next year unless wholesale gas prices are brought under control, according to a new report that warns the Turnbull government's energy policies are falling short.
Policy analysts at the McKell Institute have for the first time modelled the impact of wholesale gas prices on household power bills in New South Wales, Victoria and Queensland - finding consumers are already paying between $100 and $200 more than what the Australian Competition and Consumer Commission considers reasonable.
Using the ACCC's figures - and taking into account the government's current gas policy settings - McKell's modelling finds households in NSW could be paying $434.08 more for electricity on average by the end of 2019. Households in Queensland are heading for a $312.92 price rise and Victorians could be paying $254.09 more.
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Treasurer upbeat on outlook after US trip

Treasurer Scott Morrison has returned from a trip to the US optimistic about the outlook for both the global and Australian economies.
New figures have backed Treasurer Scott Morrison's optimistic economic outlook for the year, with a jump in job advertising pointing to further strong employment gains.
Mr Morrison, who has just returned from a trip to the US, says the Trump administration's tax cuts are already having a psychological impact on US businesses and points to a year of "great economic opportunity" around the world.
The treasurer met with key US business leaders and tax reform was high on the agenda.
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Malcolm Turnbull commits to keeping company tax cuts in the budget until next election

Eryk Bagshaw, James Massola, Peter Martin
Published: February 9 2018 - 6:00PM
Reserve Bank governor Philip Lowe says a cut to the company tax rate could be seen by some as "regrettable" but would not threaten Australia's return to surplus, as the Turnbull government moves to recast debate about the policy through a direct pitch to workers who deserve a pay rise.
In a shift in language, Treasurer Scott Morrison on Friday made a case for workers to back the package by arguing an uncompetitive global tax rate "holds back the pay rise that Australians have been looking for".
Prime Minister Malcolm Turnbull also hosed down speculation the government might shelve the policy, committing to keep its $35.6 billion cost in the budget all the way to the next election even if, as expected, it is blocked by the Senate.
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Health Budget Issues.

Health insurers savage Bill Shorten's 'disastrous' premium price plan

Adam Gartrell
Published: February 4 2018 - 11:33AM
Health insurers have reacted furiously to Opposition Leader Bill Shorten's plan to cap premium price rises, warning of "disastrous" consequences for the entire heath industry and massive cost increases once the freeze ends.
Mr Shorten has announced a Labor government will cap price rises at two per cent for two years, saving an average family $340.
The promise comes after the Turnbull government confirmed last month that premiums would rise another 3.95 per cent this year - the lowest price rise in 17 years but still almost double the general inflation rate. The constant price rises have many people ditching their cover, threatening the industry's viability.
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Labor promises to cap health insurance premium rises at 2% for two years

Opposition says it would ask Productivity Commission to review private healthcare value, quality and affordability
Labor plans to cap private health insurance rate increases to 2% for two years, which could save a families an average of $340.
In a statement on Sunday Bill Shorten and the shadow health minister, Catherine King, said Australians were being “ripped off” by premium rises that had averaged 5.5% over the past 10 years.
In addition to the two-year cap Labor, if elected, will ask the Productivity Commission to review private healthcare focusing on its value, quality and affordability.
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  • Updated Feb 4 2018 at 11:00 PM

Private hospitals told to release data on mistakes to help cut costs: Grattan Institute

by Geoff Winestock
Private hospitals and health funds should be forced to lift a veil of secrecy that hangs over which hospitals and clinicians are responsible for the 900,000 complications that affect patients in hospitals each year.
A new report by Stephen Duckett, health program director of the Grattan Institute, says that one in four overnight patients suffer a complication while in hospital and the figure is one in nine if day-patients are included.
The rate of complications, about 12 percent of all hospital patients, has been stuck at the same level for some time, partly because hospitals and doctors don't publish the data needed to help develop prevention strategies.
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Hospital complication rates 'veiled in secrecy' and marred by flawed definition of 'preventable': Grattan report

Kate Aubusson
Published: February 4 2018 - 11:56PM
There's a hospital in Australia where one in every six patients suffers a complication, but we don't know what hospital it is. Neither do its patients or the doctors who work there.
"A veil of secrecy" hangs over the hospitals and clinicians that have the highest complication rates and which hospitals are the safest, according to a new report by the Grattan Institute.
Published on Sunday night, the report also argues that the federal government's narrow definition of 'preventable' adverse events ignores the vast majority of complication rates, distorts the data and lulls some hospitals into a damaging sense of complacency.
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Shorten health premium cap a thought bubble: insurers

  • The Australian
  • 12:00AM February 5, 2018

Sarah-Jane Tasker

Australia’s health insurers have labelled Bill Shorten’s pitch to cap premium increases a political thought bubble that lacks economic sense amid calls for his policy on “real” reform to tackle rising healthcare costs.
Mr Shorten yesterday proposed fixing annual health insurance premiums at 2 per cent for the first two years of a Labor government, potentially saving a family $344. This year’s premium increase was an average of 3.9 per cent, the lowest in 17 years.
Medibank chief executive Craig Drummond said placing a cap on premiums would not change the issues that exist in the health system.
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Health insurance inquiry far from being a new idea

  • The Australian
  • 12:00AM February 6, 2018

Sean Parnell

Labor’s bid for a Productivity Commission inquiry into the health insurance sector comes less than three years after the commission suggested the Health Minister initiate such a review, which led the Coalition government to embark on a reform process it would continue next term if re-elected.
The opposition policy an­nounce­ment also stops short of the broad review of the health system the commission has long called for, instead seeing the Coalition’s insurance work revisited during Labor’s first term and any other health initiatives dealt with separately.
At the weekend, Labor leader Bill Shorten and health spokeswoman Catherine King promised an insurance inquiry and premium rises to be capped at 2 per cent for two years. It came only days after Mr Shorten struggled to articulate Labor’s position on the insurance rebate and respond to long-time low premium increases announced by Mr Hunt.
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Knee and hip replacements ‘not needed by thousands of Aussies’

  • The Australian
  • 12:00AM February 7, 2018

Sarah-Jane Tasker

Thousands of Australians are undergoing unnecessary knee and hip replacements, a ­report warns, with medical professionals calling for a new model of care for osteoarthritis.
The report, published by Move — the national consumer-based organisation for muscle, bone and joint health — has estimated that as many as one in four knee or hip replacements are not required for people with osteoarthritis.
In 2016, almost 100,000 Australians received joint replacements to treat osteoarthritis of the hip or knee at an estimated cost of more than $2 billion.
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Labor ignores real reasons for rising health costs

  • Dwayne Crombie
  • The Australian
  • 12:00AM February 7, 2018
A new Labor policy for health funds proposes a 2 per cent cap for the first two years on annual price rises and a Productivity Commission review of private health insurance. Everyone acknowledges and accepts affordability is a big concern for consumers of health insurance. If private healthcare is going to be sustainable and an effective choice for Australians, then collectively we need to solve the complex challenges that surround it.
Australia faces a challenge almost all countries in similar circumstances struggle with, and very few manage health system cost growth below 5 per cent (public or private). Total federal health spending has historically tracked between 5 and 7 per cent a year.
In the past few days Labor has chosen to demonise the industry and pretend health funds are somehow separated from the broader healthcare demand.
If adopted, health funds may be forced to increasingly exclude more expensive procedures regardless of their value and leave in less expensive procedures to survive. Typically this will affect those who are older or sicker and may push more people back into the public system.
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Health insurance regulators raise alarm over rising costs

The Australian
12:00AM February 8, 2018
Sean Parnell
Health insurance regulators have sounded the alarm over rising medical costs and declared the current reform process must continue, only days after Labor leader Bill Shorten accused insurers of “a con” and vowed to cap premium increases at roughly half the current rate.
In a rare commentary on the state of the industry, Australian Prudential Regulation Authority official Geoff Summerhayes warned insurance companies were “under duress” as costs forced up premiums, leading members to drop their cover.
“The underlying cost of Australia’s health system is the ailment; rising insurance premiums are just a symptom,” Mr Summerhayes said. “Specifically, the ­fundamental forces pushing premiums up are higher claims costs experienced by insurers, through such factors as a greater uptake of medical services among policyholders and the rising cost of treatments and procedures.
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Greg Hunt flags $30 billion in new hospital cash but fight still looms

James Massola
Published: February 8 2018 - 6:08PM
Health Minister Greg Hunt will promise an extra $30 billion for hospitals from 2020 but the offer may not be enough to stave off a messy health funding fight.
The Labor-held states of Victoria, Queensland and South Australia are expected to argue the money will leave them short-changed, and the NSW Liberal government has also signalled it could demand more from the federal government.
The offer will be put on the table by Canberra during a Council of Australian Governments meeting on Friday.
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'Dudded' Victorian hospitals to lose $2 billion, says Labor

Noel Towell, James Massola
Published: February 8 2018 - 12:01AM
The Turnbull government wants to ''dud" Victorian hospitals and patients by more than $2 billion, according to Victorian Labor.
The state will miss out on enough money to hire 7000 doctors, 14,000 nurses or to pay for more than 330,000 surgical procedures, if the Commonwealth gets its way on a new funding package for the nation's hospitals, Labor's Health Minister Jill Hennessy says.   
A leaked document obtained by Fairfax Media reveals Prime Minister Malcolm Turnbull and Health Minister Greg Hunt want Canberra to continue to pay 45 per cent of the cost of hospital funding, with spending growth to be capped at an annual 6.5 per cent for the five years from 2020.
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Claims crackdown ‘offers $1bn in health savings’

  • The Australian
  • 12:00AM February 9, 2018

Sean Parnell

More than $1 billion a year would be saved if the federal government worked with health insurers to crack down on inappropriate claims by patients and medical practitioners, lobby group Private Healthcare Australia says.
Labor’s weekend pledge of a Productivity Commission ­inquiry into health insurance, and an unprecedented two-year, 2 per cent cap on premium ­increases, has again drawn ­attention to the underlying contributors to rising costs.
There are fears a Labor government would unnecessarily delay the reform process and any cap on premium increases might prompt insurers to reduce their coverage levels or increase gaps, putting patients at a disadvantage in the short term.
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Malcolm Turnbull heads off brawl with states over hospital funding

James Massola
Published: February 9 2018 - 5:02PM
Prime Minister Malcolm Turnbull has won over two states, NSW and Western Australia, and is close to securing Queensland's signature on a new five-year hospital funding agreement that includes $30 billion in new money.
Two more Labor state governments - Victoria and the ACT - also made encouraging signals about signing on following a health-focused Council of Australian Governments meeting that had threatened to descend into an all-out brawl over hospital funding.
South Australia and the NT, however, were sharply critical of the federal offer - which would see the Commonwealth continue to pay 45 per cent of hospital costs and cap spending growth at an annual 6.5 per cent for the five years from 2020.
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Labor premiers Andrews and Weatherill spurn Turnbull’s $30bn hospital fund boost

  • The Australian
  • 12:00AM February 10, 2018

Joe Kelly

Labor premiers Daniel Andrews and Jay Weatherill have rejected Malcolm Turnbull’s $30 billion hospitals funding boost, prompting federal Health Minister Greg Hunt to accuse them of “short-changing patients”.
The Council of Australian Governments meeting in Canberra yesterday was dominated by the Prime Minister’s proposed $30bn increase in public hospital funding over five years from 2020.
Mr Turnbull won support for the hospital funding deal from West Australian Labor Premier Mark McGowan and Liberal NSW Premier Gladys Berejiklian.
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‘Debatable’ surgery lifts health premiums

  • The Australian
  • 12:00AM February 10, 2018

Sarah-Jane Tasker

Sean Parnell

Private health insurers are spending almost $700 million a year on common hospital procedures and treatments that could be performed as day surgery, in doctors’ rooms or in the home at a fraction of the cost.
Analysis of data covering five routine hospital procedures — knee arthroscopy, spinal fusion, some types of hernia surgery, eye injections and overnight rehabilitation after joint replacements — reveals large savings could be made if the number of procedures performed was reduced in line with recommendations in clinical ­research.
Insurers have argued those savings could be passed back to customers through lower health insurance premiums, which has become a key political issue.
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International Issues.

An arrest in Moscow leads to a Norwegian espionage mystery

Anton Troianovski
Published: February 4 2018 - 7:42PM
Kirkenes, Norway: Frode Berg volunteered in a soup kitchen in rural Russia. He helped organise an annual cross-border festival and ski race. His congregation supported a new church in a Russian town just over the boundary line that divides East from West.
Then the Russians arrested him and accused him of being a spy.
That an espionage mystery is unfolding here on the Arctic frontier confounds residents who didn't expect to be swept up in the confrontation between Russia and the West. On the snowbound shore of an icy fjord, a three-decade experiment in building cross-border ties independent of geopolitics now hangs in the balance.
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Rising risk of conflict in northern Syria between US and Turkey

Selcan Hacaoglu
Published: February 5 2018 - 7:08AM
 Ankara: Turkey says it's talking to the Americans. The US says it's talking to the Turks. Politicians and generals in the two countries are in almost constant communication, judging by their public comments.
There's no indication that any of this talk has resolved the fundamental argument that's threatening to bring NATO's two biggest armies into direct conflict in northern Syria.
When Turkish President Recep Tayyip Erdogan launched an offensive there last month against US-backed Kurdish fighters, he started in an area where American troops aren't embedded with their allies.
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Iranian women's veil protest wins support from the president

Thomas Erdbrink
Published: February 5 2018 - 1:06PM
Tehran: The office of Iran's president Sunday charged into the middle of one of the most contentious debates over the character of the Islamic Republic, suddenly releasing a three-year-old report showing that nearly half of Iranians wanted an end to the requirement that women cover their heads in public.
The report's release comes as dozens of women in recent weeks have protested in public against being forced to wear the veil, a symbol of Iran's revolution as much as it is deemed a religious requirement.
The decision to release the report — which found that 49.8 per cent of Iranians, both women and men, consider the Islamic veil a private matter and think the government should have no say in it — appears to pit President Hassan Rouhani directly against Iran's hard-line judiciary, which on Friday said that 29 people had been detained in connection with the protests. They have called the demonstrations "childish", insist that the large majority of Iranians support Islamic veiling and have called for harsher measures against those protesting the veil.
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Emmanuel Macron heads to Corsica to avert french repeat of Catalonia

Published: February 6 2018 - 7:03AM
Paris: Emmanuel Macron doesn't want Corsica to turn into France's Catalonia.
The French president on Tuesday begins a two-day visit to the Mediterranean island where a recently elected local administration is making demands for greater autonomy that the national government so far has indicated it can't accept.
French governments have long struggled in their dealings with Corsica, an island of 330,000 that lies closer to Italy's coast than France's with an independence movement that's resorted to violence in the past. While the island's current leaders have renounced pushing for statehood, they say they could change their minds if the national government doesn't meet demands for a special status for Corsican residents and an official role for the island's distinct language. Both moves could violate the French constitution.
"Macron is a serious man and a believer in the state, and I don't see how he can or will satisfy their demands," said Camille de Rocca Serra, a 63-year-old former president of Corsican assembly. "It's not possible and it wouldn't be beneficial. France is a unitary state, not a federation."
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As shares fall off cliff, Trump goes silent on his role in markets

Steve Holland and Trevor Hunnicutt
Published: February 6 2018 - 9:35AM
Washington/New York: As US stocks plunged on Monday, President Donald Trump was speaking at an event in Ohio but noticeably not taking credit for the market despite doing so repeatedly when stocks were rising.
The stark contrast was a sign that Trump may be absorbing a tough message, underscored by former White House advisers, that American presidents traditionally have avoided commenting directly on Wall Street's fickle trends.
Gene Sperling, a top economic adviser to Democratic former presidents Bill Clinton and Barack Obama, said Trump erred in recent months by focusing so heavily on the stock market.
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US Supreme Court allows revamp of gerrymandered Pennsylvania map

Joseph Ax
Published: February 6 2018 - 6:00AM
Washington: The US Supreme Court on Monday refused to block a lower court ruling requiring Republican-drawn congressional districts in Pennsylvania to be reworked immediately, boosting Democratic hopes of winning control this year of the US House of Representatives.
Justice Samuel Alito denied an emergency application filed by Republicans to stop the immediate reworking of the electoral district boundaries, preserving a ruling by the state's top court that they had unlawfully sought partisan advantage over the Democrats in drawing the maps.
The January 22 Pennsylvania Supreme Court ruling gives Republican legislators until this Friday to submit a revised map to Democratic Governor Tom Wolf, who would have until February 15 to sign off on the changes. If those deadlines pass without an agreement, the state court said it would rewrite the map itself.
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The Republican Party's scorched-earth policy

Nicole Hemmer
Published: February 6 2018 - 12:00AM
The Republican war against US intelligence agencies, which started when those agencies announced their consensus on Russian interference in the 2016 presidential election, hit an odd juncture last week with the release of a House intelligence committee memo that the GOP had trumpeted as revealing crimes "worse than Watergate".
But when the memo – actually a series of Republican talking points about the Russia investigation – was finally made public, there wasn't much there. If the four-page document was the extent of the committee's evidence of FBI misconduct, then it was a great day for the intelligence community.
Which makes the memo a baffling own-goal for a party that currently controls the presidency and both houses of Congress. Over the past several weeks, an army of Russian bots, conservative media personalities, GOP members of Congress, and earnest Trump supporters sent the hashtag #releasethememo trending, creating a crisis that could only be resolved with the memo's release. The members of the House intelligence committee who created the memo, however, knew that it contained no bombshells. The best they could hope for was to muddy the waters, to create an air of misconduct where no evidence of it existed.
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Wall Street plunge a 'big mistake', says Trump

Published: February 8 2018 - 8:01AM
President Donald Trump has broken his silence on the stock market.
Trump has commented frequently on market gains during his tenure, but stayed silent on Monday as the Dow Jones industrial average suffered its biggest one- day drop ever. He remained quiet as markets around the world swung wildly over ensuing days but elected to air his thoughts on Wednesday.
In a tweet, Trump said "In the 'old days,' when good news was reported, the Stock Market would go up. Today, when good news is reported, the Stock Market goes down. Big mistake, and we have so much good (great) news about the economy!"
The government reported last Friday that the economy created 200,000 jobs in January and that wages grew at the fastest pace in eight years.
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Russia already meddling in US midterm elections, Tillerson says

Published: February 8 2018 - 5:27AM
Washington: Secretary of State Rex Tillerson is warning that Russia is already beginning to interfere in the 2018 midterm elections and the US is ill-prepared to combat it.
Tillerson's warning comes as a top House Democratic described a pattern of Republican stalling on investigations into US President Donald Trump's alleged links to Russia.
Without elaborating, Tillerson raised the alarm about new Russian meddling in an interview with Fox News on Tuesday in Bogota. In an earlier stop in Mexico, he advised Mexican officials to be on guard for Russian interference in their elections scheduled for July.
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Russia meddled in US election, former president George W. Bush says

Stanley Carvalho
Published: February 9 2018 - 7:15AM
Abu Dhabi: George W. Bush has accused Russia of meddling in the 2016 US presidential election, calling Russian President Vladimir Putin a "brilliant tactician".
Bush, interviewed on stage at a business conference in the capital of the United Arab Emirates on Thursday, said there was clear evidence that the Russians had meddled but whether that affected the outcome of the election was another question.
"But they meddled and that is dangerous for democracy," he said, adding that Russia had done the same thing during the Cold War and was adept at trying to manipulate opinion in the United States and Europe.
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US Congress votes to end brief government shutdown

David Morgan
Published: February 9 2018 - 10:44PM
Washington: The US House of Representatives joined the Senate early on Friday morning in approving a bill to end an overnight federal shutdown, sparing Republicans further embarrassment and averting serious interruption of the government's business.
The stopgap funding and budget measure, approved by a 240-186 House vote, will go next to President Donald Trump. The White House said in a statement that he will sign it into law, which would extend government funding through March 23.
The shutdown, which started at midnight, was the second this year under the Republican-controlled Congress and Trump, who played little role in attempts by party leaders earlier this week to head it off and end months of fiscal squabbling.
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Tone deaf? Trump warns 'mere' abuse allegation can shatter lives

Doug Stanglin
Published: February 11 2018 - 4:56AM
Trump, in a pointed response to the uproar over charges of domestic violence by two top aides, cautioned on Saturday that lives can be shattered by a "mere allegation" and asked whatever happened to "due process?"
It was his first tweet on the topic since he lauded his ousted staff secretary, Rob Porter, in brief remarks to reporters in the Oval Office on Friday. He emphasised that Porter, who was forced to resign, had said "very strongly" that he was innocent.
Hour laters, White House speechwriter David Sorensen also resigned over domestic abuse allegations. Sorensen has denied his wife's claims.
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Israeli jet shot down in Syria after Iranian drone intercepted

Maayan Lubell & Lisa Barrington
Published: February 10 2018 - 7:42PM
Jerusalem: Israel launched its most intensive air strikes yet against Iranian forces in Syria on Saturday after intercepting what it said was an Iranian drone and the rare downing of an Israeli F-16 warplane.
The incidents marked the most serious confrontations in Syria between Israel and Iranian-backed forces that have established a major foothold in the country while fighting in support of President Bashar al-Assad in a nearly seven-year-old civil war.
Iran's expanding clout during the Syrian civil war, including deployments of Iran-backed forces near the Israeli-occupied Golan Heights, has raised alarm in Israel, which has said it would act against any threat from its regional arch-enemy Tehran.
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I look forward to comments on all this!
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David.