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Harvard Business School Professor Rebecca Henderson Outlines Ways Organizations are Changing in Response to the Coronavirus Pandemic and Climate Change in New Edition of "Environmental Insights"

Rebecca Henderson, the John and Natty McArthur University Professor at Harvard University, shared her perspectives on how large organizations are changing in response to the coronavirus pandemic and climate change in the newest episode of "Environmental Insights: Discussions on Policy and Practice from the Harvard Environmental Economics Program," a podcast produced by the Harvard Environmental Economics Program. Listen to the interview here. Listen to the interview here.




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No, the Coronavirus Will Not Change the Global Order

Joseph Nye advises skepticism toward claims that the pandemic changes everything. China won't benefit, and the United States will remain preeminent.




ot

Lebanon has formed a controversial new government in a polarised, charged atmosphere, and protesters are not going to be easily pacified by its promises, explains Rami Khoury.

The fourth consecutive month of Lebanon's unprecedented political and economic crisis kicked off this week with three dramatic developments that will interplay in the coming months to define the country's direction for years to come: Escalating protests on the streets, heightened security measures by an increasingly militarising state, and now, a new cabinet of controversial so-called "independent technocrats" led by Prime Minister-designate Hassan Diab.

Seeking to increase pressure on the political elite to act responsibly amid inaction vis-a-vis the slow collapse of the economy, the protesters had launched the fourth month of their protest movement, which had begun on 17 October last year, with a 'Week of Anger', stepping up their tactics and targeting banks and government institutions.




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The Past and Potential Role of Civil Society in Nuclear Security

Civil society has played a very important role in nuclear security over the years, and its role could be strengthened in the future. Some nuclear organizations react against the very idea of civil society involvement, thinking of only one societal role—protesting. In fact, however, civil society has played quite a number of critical roles in nuclear security over the years, including highlighting the dangers of nuclear terrorism; providing research and ideas; nudging governments to act; tracking progress and holding governments and operators accountable; educating the public and other stakeholders; promoting dialogue and partnerships; helping with nuclear security implementation; funding initial steps; and more. Funding organizations (both government and non-government) should consider ways to support civil society work and expertise focused on nuclear security in additional countries. Rather than simply protesting and opposing, civil society organizations can help build more effective nuclear security practices around the world.




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Red Sea geopolitics: Six plotlines to watch

The Red Sea has long represented a critical link in a network of global waterways stretching from the Mediterranean to the Indian Ocean to the Pacific—a strategic and economic thoroughfare one U.S. defense official dubbed the “Interstate-95 of the planet.” Prized by conquerors from Alexander to Napoleon, the Red Sea’s centrality to maritime trade and…

       




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New rear wing for Lotus in Brazil

Lotus will be bringing a new rear wing to the Brazilian Grand Prix which should see it close the gap to the midfield in qualifying




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Lotus pair encouraged by upgrade

Heikki Kovalainen and Jarno Trulli were both encouraged that the new rear wing was a step forward for Lotus at Interlagos




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Ricciardo admits to Lotus 'chance'

Daniel Ricciardo admits there is a chance he could drive for Lotus - to become Caterham - in 2012 as a replacement for Jarno Trulli




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Lotus appoints Iley from McLaren

Lotus has announced the appointment of John Iley as performance director, with him joining the team from McLaren




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A chance for citizens to shape the city’s future, let’s not waste it: A Bengalurean’s appeal

Civic issues
Citizens can now join ward committees to work with the BBMP and local Corporators to make sure your neighbourhood develops the right way.
Representational Image
By Srinivas Alavilli Bengalureans, did you notice that someone fixed that black spot on your way to work and it now looks nice with a little bench and simple art that makes the place walkable and pleasant on the eyes? Did you come across pictures on social media of people sweating it out and cleaning lakes on a Sunday morning? Do you know someone that teaches and helps out in the local government school? Did you notice there was a massive protest to save trees on Jayamahal Road and a thousand people got on the streets? Did you know local residents were filing RTIs, writing letters, and meeting officials behind the scenes before it became a protest? Did you notice that right now there is a group of concerned citizens trying to save trees in the compound of the Queens Road veterinary hospital? Have you met the senior citizen in your park who takes care of composting and upkeep of the park on a daily basis to keep it a happy place for local residents? Did you ever sit in a small meeting along with your neighbors to learn about waste segregation at source from fellow citizens that are working with BBMP to keep our city clean? Do you know, every day, in some place or the other in our city, a group of citizens are getting involved locally, in one way or another, and making a difference to their neighborhood that they can see and feel? Did you wonder how 8,000 people gathered in one place for the human chain in support of the ‘Steel Flyover Beda’ campaign? Did you know that much before the steel flyover, people got together and stopped wasteful projects in Koramangala and elsewhere? The people that do this are just like you and me – regular people with jobs and other responsibilities. They have come to the realisation that talk is cheap, and actions speak louder. These people – who partner with their local Corporator and the Health Inspector (to bring the truck when the cleanup is done) and work closely with various city agencies are indeed an asset to our city. Does it bother you that the system is so broken that people need to get involved in getting simple things done while there is an elected body that runs the city and has an annual budget of Rs 9,000 crores and all the resources in terms of personnel and equipment? Do you feel that the good work citizens do must be scaled up because our city is huge with 1.2 crore population? In my travels over a decade in this city I have come across hundreds of people that are committed and passionate and bring their professional expertise to learn about things like composting and rain water harvesting. I am often amazed at the level of understanding ordinary citizens have about mobility, road design, city planning and the laws that govern it. Does it not make sense for these every day unsung heroes to become part of the ward committees of BBMP? Do you find yourself asking, "What is this ward committee?". Here is the simple answer: a ward committee is a group of 10 residents of a ward that works with the Corporator and the corporation (BBMP) for the betterment of the ward. They have monthly meetings with the Corporator and officials and review projects and give feedback on behalf of people of that ward. Their presence in ward committees will go a long way in making the right decisions for the ward and in bridging the gap and building trust between the government and the citizen. We request you to think of all those people and nominate them to get on ward committees. Most of these people are reluctant warriors and shun the spotlight. But it is time we publicly acknowledge their work and ask them to be formally engaged when there is an opportunity that is built into our law but never gets implemented. We request you to spread the word so more people are aware that there is such a thing called the Ward Committee and now is open for active citizen participation. We have more than 850 nominations so far. But our city has 198 wards which means we need 1880 members! We invite you to do your bit in strengthening our local government which in fact is the government we see and experience every day. Nominate people here: http://bit.ly/cfbwcnominate Or submit applications before 5pm Friday, 16 June, at the BBMP Head Office. http://bit.ly/cfbwcjun16 (This blog was first published on the Facebook page Citizens for Bengaluru and has been republished with permission from the author.) 




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What growing up with a sports-obsessed mother taught me about life and learning

Blog
While Amma is passionate about sports, Appa just cannot understand what the hype is all about. But she has allies in my sister and me.
Amma looking at the Football World Cup schedule pasted on the door.
It was June 9, 1990. Cameroon had done the unthinkable. They had defeated World Cup champions Argentina, led by the great Diego Maradona. Two images remain engraved in my memory forever. One that was playing on the television - Claudio Caniggia brought down by Benjamin Massing, which also meant the end of my footballing hero Maradona’s career. Another was playing at home the tension between Amma and Appa. Appa believed that sports were another form of entertainment (now that I think of it he was so right!!). He ardently believed that it makes us unproductive. He simply could not understand the 'adrenaline rush' that is associated with sports. And, on the other hand, Amma loved sports and learned to appreciate games like cricket, football and tennis by observing and listening to the commentary. She loved Sunil Gavaskar, Maradona and Martina Navratilova. Appa, whose sleep was broken by the commotion, was surprised to see his son crying, but was aghast to see his otherwise stoic wife heartbroken for an alien sport and for a faraway country, Argentina. I will never forget his reaction all my life. Amma, Meenakshi, born in Coimbatore, was born in a middle-class Tamil family. She was a promising student; however, economic conditions and the general apathy towards girl children’s education means she did not study beyond Class 10. But that did not stop her from learning. Binaca Geetmala and Ameen Sayani were her windows to Bollywood. After her marriage, radio commentary became her medium to fall in love with cricket. The Football World Cup and Wimbledon television telecast helped her fall in love with more 'alien' sports like tennis and football. The fact that her husband was not attracted to sports meant that she learned about the game by meticulously watching the proceedings and listening to the commentary closely. She would follow it up by reading about it in the newspaper or a sports magazine. She often tells me how she struggled to understand the idea of a deuce and advantage in tennis as she was not aware of the existence of a word ‘deuce’. It took her a great bit of persistent observation to decipher this unique format in tennis to break a tie.   Amma at the Centre Court in Wimbledon. At times her battle was lonely as not many in the family had similar likings as her. It was not until my sister and I grew up that she found someone to share her passion for sports with. It is with extreme doggedness that she seeks to learn new things. Years later we went to see Wimbledon; we saw a game at the Centre Court. She was as excited as a child when we got tickets for the London Olympics. I had promised her a trip to Europe and asked her to select the places of her choice. She chose Switzerland (her love for Bollywood, I guess), Paris and then she asked me if we could watch a football match at Camp Nou. She wanted to see her favourite Lionel Messi play. Amma and the author at the London Olympics. This year, I am home in Coimbatore for the Football World Cup. Amma has meticulously updated her knowledge about the teams (Panama and Iceland playing their first World Cup) and had stuck the schedule of the tournament on the door.   I ask her who should win. Amma says, "I want Messi to win, a player of his calibre needs a cup to sign off. A bit like Tendulkar needed a cup before he retired." How could I argue with her? Nothing has changed - her spirit, her keenness to learn and her strong opinion. I remember she always made coffee for me during the late-night games. I told her to take a nap for I can wake her up and make coffee for her; after all, I can do this bit for the lady who taught me to observe, learn, and keep learning. She is still a child, and I am holding on to the one in me. SS Venkateswaran returned to India after an 8-year stint in the UK. Before moving to Bengaluru, he will watch the Football World Cup 2018 with his Amma in Coimbatore.




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Dealing with coronavirus: A not-so-serious take on surviving the lockdown

Coronavirus
Do all the things you always wished you had the time to do, like working on a script that will be picked up by Leonardo DiCaprio or perfecting the pincha mayurasana.
Pixabay
Corona or not, it sucks to be cooped up like chickens with our loved ones without the comfortable distance required to make the heart grow fonder. In a bid to do my part to save the world from this crippling pandemic without actually moving my backside for fear of stepping over the Lakshman Rekha, I decided to draw up a survival guide of Dos and Don’ts to weather the tsunami of trouble stirred up by this nasty critter. Trust me, preliminary studies conducted by the reputed folks at WhatsApp University have confirmed their efficacy beyond a shadow of doubt. The first step is to make soap and water your most intimate acquaintances. They have proven themselves good friends to humanity long before diamonds and dogs usurped their rightful spot and will continue to prove their worth long after corona has shrunk back into the bowels of hell from which it has erupted like a particularly foul effluent. It would also help if one were to make personal hygiene a priority and public hygiene an even bigger one if only as a preventive measure against the spread of communicable diseases and related hazards that could prove to have epic stakes in the survival game. Roughly translated, that means not ever dumping your trash outside the sparkling interiors of your home into the streets, using the great outdoors as a spittoon or latrine, defacing public property by scratching your lover’s name, throwing up pornographic sketches on every available surface or blowing your nose and allowing the discharge to fly every which way. Steer clear of social media if you value your sanity or at least use it in moderation especially if you lack the balancing power of a monkey on stilts to take the better while leaving out the bitter, barf – inducing garbage out there. Ever since some wiseacre got word out that democracy works best when your voice is heard out loud, people have been screaming themselves hoarse to make sure that their endless torrent of nonsense is amplified to the furthest reaches of the internet, bolstered by twitchy fingers compulsively hitting like and share in the desperate hope that they will be rewarded in kind. Therefore we have internet idiots and savants with interchangeable attributes raving and ranting fit to burst. The insufferably self-righteous and superior types tend to drip scorn for everyone and everything from the admitted showmanship of the supreme leader and inadequacy of the ruling party to the extreme foolishness of the folks who tentatively stepped out of their homes to find a bite to eat or medicine for an ailing grandmother only to be sneakily photographed or recorded so that they may be viciously trolled, endlessly abused and publicly shamed for putting millions at risk. Then there are the fanatical religious nuts who swear that India need not be subjected to a lockdown because Indians practise the downward facing dog regularly on their balconies with their rear ends strategically raised towards the benign sun which unleashes the Kundalini Shakti with all its serpentine strength which is more than sufficient to slay corona, sharona and whatever else have you or something equally ludicrous about the virus killing power of pots and pans banged in unison. Relatively innocuous Instagram must also be avoided at all costs too. According to the illustrious professors of WhatsApp University, those pretty pictures have great envy-inducing powers which can corrupt the best and brightest till they are reduced to gibbering, glass-eyed cyber stalkers who can spend years staring at pics and videos of Janhvi Kapoor sexily pretending to eat a slice of pizza, giving her puppy a bath or showing you the correct technique for applying lipstick to the exclusion of all things useful or worthy. Avoid fake news like the plague. Fear and panic cause a lot more damage than pandemics. Be sure to verify the credentials and reliability of all purveyors of information and check the facts. Even if you can’t be bothered, be sure to think thrice before you join hands with the mob to tear apart the hapless medical personnel getting off a gruelling nightshift because they are suspected to be carriers of COVID-16 (or is it COVID-17?). And believing self-proclaimed experts who have declared that the only country in the world that is currently corona free is Kailasa and you are considering applying for permanent citizenship under the benevolent rule of HDH Nithyananda even if you run a far higher risk of contracting HIV, do yourself a favour and check yourself into the nearest hospital for a lobotomy. While many endorse vegetating in front of Netflix, it is advisable to take time out to work out, read a book, cook a meal, take the dog for a walk, play with the kids or teach them something useful that does not involve staring at a screen, converse with the spouse about something other than whose turn it is to do the dishes or swab the floors and do whatever it takes to tough things out as long as it is legal and non-fattening. Do all the things you always wished you had the time to do, even if it is something impracticable like working on a script that will be picked up by Leonardo DiCaprio at an exorbitant price or perfecting the pincha mayurasana in the hopes that a video of you executing the same or at least the blooper version will go viral on the internet. If you are inclined to feel that this survival guide is lacking in scientific detail, didn’t once mention social distancing, testing, gaumutra, masks, sanitiser and is somewhat on the rambling side not unlike the supreme leader’s impassioned addresses to the nation, allow me to stress that if the buzz on WhatsApp is to be believed I am a shoo-in for the Noble Prize thanks to this priceless contribution towards the greater good, entirely free of cost. If that doesn’t convince you to take every word put down here as the gospel truth which deserves to be liked and shared till it has spread to the furthest corners of civilized society like a contagion, I don’t know what will.
Body 2: 




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Confronting COVID-19: A Conversation with Columbia University Professor Scott Barrett

Columbia University Professor Scott Barrett assessed the massive global efforts underway to address COVID-19 and the potential impacts of the pandemic on our lives in the future in a special episode of “Environmental Insights: Discussions on Policy and Practice from the Harvard Environmental Economics Program.




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Columbia University Professor Scott Barrett Compares Global Responses to COVID-19 and Climate Change in Special Edition of "Environmental Insights"

Columbia University Professor Scott Barrett assessed the massive global efforts underway to address COVID-19 and the potential impacts of the pandemic on our lives in the future in a special episode of “Environmental Insights: Discussions on Policy and Practice from the Harvard Environmental Economics Program,” a podcast produced by the Harvard Environmental Economics Program. Listen to the interview here.




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Harvard Business School Professor Rebecca Henderson Outlines Ways Organizations are Changing in Response to the Coronavirus Pandemic and Climate Change in New Edition of "Environmental Insights"

Rebecca Henderson, the John and Natty McArthur University Professor at Harvard University, shared her perspectives on how large organizations are changing in response to the coronavirus pandemic and climate change in the newest episode of "Environmental Insights: Discussions on Policy and Practice from the Harvard Environmental Economics Program," a podcast produced by the Harvard Environmental Economics Program. Listen to the interview here. Listen to the interview here.




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No, the Coronavirus Will Not Change the Global Order

Joseph Nye advises skepticism toward claims that the pandemic changes everything. China won't benefit, and the United States will remain preeminent.




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How to fix the Paycheck Protection Program: Make sure it actually protects paychecks

Amid the finger-pointing and blame-throwing about the mess that is the Paycheck Protection Program, the U.S. Treasury and Small Business Administration seem to have forgotten why Congress enacted it: so businesses would keep people on payroll instead of laying them off. The PPP idea is simple: rather than have businesses lay off tens of millions…

       




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Why not Janet?

       




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Lebanon has formed a controversial new government in a polarised, charged atmosphere, and protesters are not going to be easily pacified by its promises, explains Rami Khoury.

The fourth consecutive month of Lebanon's unprecedented political and economic crisis kicked off this week with three dramatic developments that will interplay in the coming months to define the country's direction for years to come: Escalating protests on the streets, heightened security measures by an increasingly militarising state, and now, a new cabinet of controversial so-called "independent technocrats" led by Prime Minister-designate Hassan Diab.

Seeking to increase pressure on the political elite to act responsibly amid inaction vis-a-vis the slow collapse of the economy, the protesters had launched the fourth month of their protest movement, which had begun on 17 October last year, with a 'Week of Anger', stepping up their tactics and targeting banks and government institutions.




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The Past and Potential Role of Civil Society in Nuclear Security

Civil society has played a very important role in nuclear security over the years, and its role could be strengthened in the future. Some nuclear organizations react against the very idea of civil society involvement, thinking of only one societal role—protesting. In fact, however, civil society has played quite a number of critical roles in nuclear security over the years, including highlighting the dangers of nuclear terrorism; providing research and ideas; nudging governments to act; tracking progress and holding governments and operators accountable; educating the public and other stakeholders; promoting dialogue and partnerships; helping with nuclear security implementation; funding initial steps; and more. Funding organizations (both government and non-government) should consider ways to support civil society work and expertise focused on nuclear security in additional countries. Rather than simply protesting and opposing, civil society organizations can help build more effective nuclear security practices around the world.




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Button: Nothing wrong with McLaren steering

Jenson Button is convinced there is nothing wrong with the McLaren MP4-30, despite team-mate Fernando Alonso's latest suggestion that a steering problem caused him to crash in pre-season testing




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The Past and Potential Role of Civil Society in Nuclear Security

Civil society has played a very important role in nuclear security over the years, and its role could be strengthened in the future. Some nuclear organizations react against the very idea of civil society involvement, thinking of only one societal role—protesting. In fact, however, civil society has played quite a number of critical roles in nuclear security over the years, including highlighting the dangers of nuclear terrorism; providing research and ideas; nudging governments to act; tracking progress and holding governments and operators accountable; educating the public and other stakeholders; promoting dialogue and partnerships; helping with nuclear security implementation; funding initial steps; and more. Funding organizations (both government and non-government) should consider ways to support civil society work and expertise focused on nuclear security in additional countries. Rather than simply protesting and opposing, civil society organizations can help build more effective nuclear security practices around the world.




ot

No, the Coronavirus Will Not Change the Global Order

Joseph Nye advises skepticism toward claims that the pandemic changes everything. China won't benefit, and the United States will remain preeminent.




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Schumacher accident 'just another challenge' - Hakkinen

Double world champion Mika Hakkinen has told Michael Schumacher his ski accident "is now just another challenge" he must overcome




ot

No, the Coronavirus Will Not Change the Global Order

Joseph Nye advises skepticism toward claims that the pandemic changes everything. China won't benefit, and the United States will remain preeminent.




ot

The United States Forgot Its Strategy for Winning Cold Wars

Stephen Walt writes that arguments against U.S. offshore balancing misunderstand history. The strategy that worked against the Soviet Union can work against China.




ot

Harvard Business School Professor Rebecca Henderson Outlines Ways Organizations are Changing in Response to the Coronavirus Pandemic and Climate Change in New Edition of "Environmental Insights"

Rebecca Henderson, the John and Natty McArthur University Professor at Harvard University, shared her perspectives on how large organizations are changing in response to the coronavirus pandemic and climate change in the newest episode of "Environmental Insights: Discussions on Policy and Practice from the Harvard Environmental Economics Program," a podcast produced by the Harvard Environmental Economics Program. Listen to the interview here. Listen to the interview here.




ot

No, the Coronavirus Will Not Change the Global Order

Joseph Nye advises skepticism toward claims that the pandemic changes everything. China won't benefit, and the United States will remain preeminent.




ot

Lebanon has formed a controversial new government in a polarised, charged atmosphere, and protesters are not going to be easily pacified by its promises, explains Rami Khoury.

The fourth consecutive month of Lebanon's unprecedented political and economic crisis kicked off this week with three dramatic developments that will interplay in the coming months to define the country's direction for years to come: Escalating protests on the streets, heightened security measures by an increasingly militarising state, and now, a new cabinet of controversial so-called "independent technocrats" led by Prime Minister-designate Hassan Diab.

Seeking to increase pressure on the political elite to act responsibly amid inaction vis-a-vis the slow collapse of the economy, the protesters had launched the fourth month of their protest movement, which had begun on 17 October last year, with a 'Week of Anger', stepping up their tactics and targeting banks and government institutions.




ot

Confronting COVID-19: A Conversation with Columbia University Professor Scott Barrett

Columbia University Professor Scott Barrett assessed the massive global efforts underway to address COVID-19 and the potential impacts of the pandemic on our lives in the future in a special episode of “Environmental Insights: Discussions on Policy and Practice from the Harvard Environmental Economics Program.




ot

Columbia University Professor Scott Barrett Compares Global Responses to COVID-19 and Climate Change in Special Edition of "Environmental Insights"

Columbia University Professor Scott Barrett assessed the massive global efforts underway to address COVID-19 and the potential impacts of the pandemic on our lives in the future in a special episode of “Environmental Insights: Discussions on Policy and Practice from the Harvard Environmental Economics Program,” a podcast produced by the Harvard Environmental Economics Program. Listen to the interview here.




ot

Harvard Business School Professor Rebecca Henderson Outlines Ways Organizations are Changing in Response to the Coronavirus Pandemic and Climate Change in New Edition of "Environmental Insights"

Rebecca Henderson, the John and Natty McArthur University Professor at Harvard University, shared her perspectives on how large organizations are changing in response to the coronavirus pandemic and climate change in the newest episode of "Environmental Insights: Discussions on Policy and Practice from the Harvard Environmental Economics Program," a podcast produced by the Harvard Environmental Economics Program. Listen to the interview here. Listen to the interview here.




ot

How to fix the Paycheck Protection Program: Make sure it actually protects paychecks

Amid the finger-pointing and blame-throwing about the mess that is the Paycheck Protection Program, the U.S. Treasury and Small Business Administration seem to have forgotten why Congress enacted it: so businesses would keep people on payroll instead of laying them off. The PPP idea is simple: rather than have businesses lay off tens of millions…

       




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Class Notes: Harvard Discrimination, California’s Shelter-in-Place Order, and More

This week in Class Notes: California's shelter-in-place order was effective at mitigating the spread of COVID-19. Asian Americans experience significant discrimination in the Harvard admissions process. The U.S. tax system is biased against labor in favor of capital, which has resulted in inefficiently high levels of automation. Our top chart shows that poor workers are much more likely to keep commuting in…

       




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No, the Coronavirus Will Not Change the Global Order

Joseph Nye advises skepticism toward claims that the pandemic changes everything. China won't benefit, and the United States will remain preeminent.




ot

The United States Forgot Its Strategy for Winning Cold Wars

Stephen Walt writes that arguments against U.S. offshore balancing misunderstand history. The strategy that worked against the Soviet Union can work against China.




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Africa in the news: Tunisia and Mozambique vote, Nigeria closes borders, and Kenya opens new railway

Tunisia and Mozambique vote: On Sunday, October 13, Tunisians participated in their run-off presidential elections between conservative former law professor Kais Saied and media magnate Nabil Karoui. Saied, known as “Robocop” for his serious presentation, won with 72.7 percent of the vote. Notably, Saied himself does not belong to a party, but is supported by…

       




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The Past and Potential Role of Civil Society in Nuclear Security

Civil society has played a very important role in nuclear security over the years, and its role could be strengthened in the future. Some nuclear organizations react against the very idea of civil society involvement, thinking of only one societal role—protesting. In fact, however, civil society has played quite a number of critical roles in nuclear security over the years, including highlighting the dangers of nuclear terrorism; providing research and ideas; nudging governments to act; tracking progress and holding governments and operators accountable; educating the public and other stakeholders; promoting dialogue and partnerships; helping with nuclear security implementation; funding initial steps; and more. Funding organizations (both government and non-government) should consider ways to support civil society work and expertise focused on nuclear security in additional countries. Rather than simply protesting and opposing, civil society organizations can help build more effective nuclear security practices around the world.




ot

No, the Coronavirus Will Not Change the Global Order

Joseph Nye advises skepticism toward claims that the pandemic changes everything. China won't benefit, and the United States will remain preeminent.




ot

The United States Forgot Its Strategy for Winning Cold Wars

Stephen Walt writes that arguments against U.S. offshore balancing misunderstand history. The strategy that worked against the Soviet Union can work against China.




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Assessing the Obstacles and Opportunities in a Future Israeli-Syrian-American Peace Negotiation

Introduction:

In the ebb and flow of Middle East diplomacy, the two interrelated issues of an Israeli-Syrian peace settlement and Washington’s bilateral relationship with Damascus have gone up and down on Washington’s scale of importance. The election of Barack Obama raised expectations that the United States would give the two issues the priority they had not received during the eight years of the George W. Bush administration. Candidate Obama promised to assign a high priority to the resuscitation of the Arab-Israeli peace process, and separately to “engage” with Iran and Syria (as recommended by the Iraq Study Group in 2006).

In May 2009, shortly after assuming office, President Obama sent the assistant secretary of state for Near Eastern affairs, Jeffrey Feltman, and the senior director for the Middle East in the National Security Council, Daniel Shapiro, to Damascus to open a dialogue with Bashar al-Asad’s regime. Several members of Congress also travelled to Syria early in Obama’s first year, including the chairman of the Senate Committee on Foreign Relations, John Kerry, and the chairman of the House Committee on Foreign Affairs, Howard Berman. In addition, when the president appointed George Mitchell as special envoy to the Middle East, Mitchell named as his deputy Fred Hof, a respected expert on Syria and the Israeli-Syrian dispute. Last summer, both Mitchell and Hof visited Damascus and began their give and take with Syria.

And yet, after this apparent auspicious beginning, neither the bilateral relationship between the United States and Syria, nor the effort to revive the Israeli-Syrian negotiation has gained much traction. Damascus must be chagrined by the fact that when the Arab-Israeli peace process is discussed now, it is practically equated with the Israeli-Palestinian track. This paper analyzes the difficulties confronting Washington’s and Jerusalem’s respective Syria policies and offers an approach for dealing with Syria. Many of the recommendations stem from lessons resulting from the past rounds of negotiations, so it is important to understand what occurred.

Downloads

Authors

  • Itamar Rabinovich
     
 
 




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The End of Sykes-Picot? Reflections on the Prospects of the Arab State System


During much of the past three years, the Syrian civil war has been the most prominent item on the Middle Eastern political agenda and has dominated the political-diplomatic discourse in the region and among policy makers, analysts and pundits interested in its affairs. 

Preoccupation with the Syrian crisis has derived from the sense, apparent since its early phases, that it was much more than a domestic issue. It has, indeed, become a conflict by-proxy between Iran and its regional rivals and the arena of American-Russian competition. It has also had a spillover effect on several neighboring countries and has been a bellwether for the state of the Arab Spring.

As the conflict festered it also prompted a broader discussion and debate over the future of the Arab State system. The collapse of Syria, the ongoing fighting in Iraq, and the general instability in the Middle East has led some observers to question whether the very geography of the region will be changed. Robin Wright, a journalist and scholar at the Woodrow Wilson International Center for Scholars, argues that “the map of the modern Middle East, a political and economic pivot in the international order, is in tatters.” Wright also warns that competing groups and ideologies are pulling the region apart: “A different map would be a strategic game changer for just about everybody, potentially reconfiguring alliances, security challenges, trade and energy flows for much of the world, too.”  Similarly, Parag Khanna, a senior fellow at the New America Foundation, argues, “Nowhere is a rethinking of “the state” more necessary than in the Middle East.” He contends that “The Arab world will not be resurrected to its old glory until its map is redrawn to resemble a collection of autonomous national oases linked by Silk Roads of commerce.” Lt. Colonel Joel Rayburn, writing from the Hoover Institution, points out that the alternative may not be new states but rather simply collapse. “If watching the fall or near-fall of half a dozen regimes in the Arab Spring has taught us anything, it should be that the Arab states that appeared serenely stable to outsiders for the past half century were more brittle than we have understood,” warning darkly, “This conflict could very well touch us all, perhaps becoming an engine of jihad that spews forth attackers bent on bombing western embassies and cities or disrupting Persian Gulf oil markets long before the fire burns out.” 

This discussion touches on a key question: Will the collapse of one or several other Arab states produce a new order in the region? 

The regional order has been threatened before, but today’s challenge is unique. Syria is what has prompted the latest reevaluation of the Skyes-Picot borders, but many of the problems predated the Syrian civil war. Ambitious monarchs in the 1930s and 1940s challenged the order after the colonial period. The doctrine of Pan-Arab Nationalism and Gamal Abd al-Nasir’s messianic leadership in the 1950s and by Saddam Hussein in 1990 again posed a threat. Now it is now challenged not by a powerful state or a sweeping ideology but by the weakness of several Arab states that seem to be on the verge of implosion or disintegration.

This paper assesses the situation in Syria, with an emphasis on what might lead to its de facto partition or lasting collapse. It then examines Syria’s neighbors and their prospects for stability. The paper concludes by exploring how the United States, Israel and Iran might affect this tenuous balance.

Downloads

Image Source: © Muzaffar Salman / Reuters
      
 
 




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Climate change in the Sahel: How can cash transfers help protect the poor?

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A controversial new demonstration in Medicare: Potential implications for physician-administered drugs


According to an August 2015 survey, 72 percent of Americans find drug costs unreasonable, with 83 percent believing that the federal government should be able to negotiate prices for Medicare. Recently, Acting Administrator of the Centers for Medicare and Medicaid Services (CMS) Andy Slavitt commented that spending on medicines increased 13 percent in 2014 while health care spending growth overall was only 5 percent, the highest rate of drug spending growth since 2001.

Some of the most expensive drugs are covered under Medicare’s medical benefit, Part B, because they are administered by a physician. They are often administered in hospital outpatient departments and physician offices, and most commonly used to treat conditions like cancer, rheumatoid arthritis, and macular degeneration. Between 2005 and 2014, spending on Part B drugs has increased annually by 7.7 percent, with the top 20 drugs by total amount of Medicare payments accounting for 57 percent of total Part B drug costs. While overall Part B drug spending is a small portion of Medicare drug spending, the high growth rate is a concern, especially as new expensive breakthrough cancer drugs enter the market and have a negative effect on consumers’ pockets.

Unlike Part D, the prescription drug benefit, there are fewer incentives built in to Part B for providers to consider lower cost treatments for patients even if the lower cost drug may be clinically equivalent to the more expensive drug, because prior to budget sequestration, providers received 6 percent on top of the Average Sales Price (ASP) of the drug. Larger providers and hospitals often receive discounts on these drugs as well, increasing the amount they receive directly on top of the out-of-pocket cost of the drug.

This leads to more out-of-pocket costs for the consumer, as patients usually pay 20 percent of Part B services. The Government Accountability Office (GAO) estimated that in 2013, among new drugs covered under Part B, nearly two-thirds had per beneficiary costs of over $9,000 per year, leading to out-of-pocket costs for consumers of amounts between $1,900 and $107,000 over the year. On top of these high costs, this can lead to problems with medication adherence, even for serious conditions such as cancer.

A New Payment Model

To help change these incentives and control costs, CMS has proposed a new demonstration program, which offers a few different reimbursement methods for Part B drugs. The program includes a geographically stratified design methodology to test and evaluate the different methods. One of the methods garnering a lot of attention is a proposal to lower the administration add-on payment to providers, from current 6 percent of ASP, to 2.5 percent plus a flat fee of $16.80 per administration day.

Policymakers, physician organizations, and patient advocacy organizations have voiced major concerns raising the alarm that this initiative will negatively affect patient access to vital drugs and therefore produce poorer patient outcomes. The sequester will also have a significant impact on the percentage add on, reducing it to closer to an estimated .86 percent plus the flat fee. But we believe the goals of the program and its potential to reduce costs represent an important step in the right direction. We hope the details can be further shaped by the important communities of providers and patients who will deliver and receive medical care.

Geographic Variation

Last year, we wrote a Health Affairs Blog that highlighted some of the uses and limitations of publicly available Part B physician payment data. One major use was to show the geographic variation in practice patterns and drug administration, and we particularly looked at the difference across states in Lucentis v. Avastin usage. As seen in Exhibit 1, variation in administration is wide among states, even though both are drugs used to treat the same condition, age-related macular degeneration, and were proven to have clinically similar outcomes, but the cost of Lucentis was $2,000 per dose, while Avastin was only $50 per dose.

Using the same price estimates from our previous research, which are from 2012, we found that physician reimbursement under the proposed demonstration would potentially change from $120 to $66.80 for Lucentis, and increase from $3 to $18.05 for Avastin. Under the first payment model, providers were receiving 40 times as much to administer Lucentis instead of Avastin, while under the new proposed payment model, they would only receive 3.7 times as much.

While still a formidable gap, this new policy would have decreased financial reimbursement for providers to administer Lucentis, a costly, clinically similar drug to the much cheaper Avastin. As seen in Exhibit 1, a majority of physicians prescribe Avastin, thus this policy will allow for increased reimbursement in those cases, but in states where Lucentis is prescribed in higher proportions, prescribing patterns might start to change as a result of the proposed demonstration.


Source: Author’s estimates using 2012 CMS Cost Data and Sequestration Estimates from DrugAbacus.org

The proposed demonstration program includes much more than the ASP modifications in its second phase, including:

  • discounting or eliminating beneficiary copays,
  • indication-based pricing that would vary payments based on the clinical effectiveness,
  • reference pricing for similar drugs,
  • risk-sharing agreements with drug manufacturers based on clinical outcomes of the drug, and
  • creating clinical decision tools for providers to help develop best practices.

This is all at the same time that a new model in oncology care (OCM) is being launched, which could help to draw attention to total cost of care. It is important that CMS try to address rising drug costs, but also be sure to consider all relevant considerations during the comment period to fine-tune the proposal to avoid negative effects on beneficiaries’ care.

We believe CMS should consider offering a waiver for organizations already participating in Center for Medicare & Medicaid Innovation (CMMI) models like the OCM, because financial benchmarks are based on past performance and any savings recognized in the future could be artificial, attributable to this demonstration rather than to better care coordination and some of the other practice requirements that are part of the proposed OCM. Furthermore, because this demonstration sets a new research precedent and because it is mandatory in the selected study areas rather than voluntary, CMS must try to anticipate and avoid unintended consequences related to geographic stratification.

For example, it is possible to imagine organizations with multiple locations directing patients to optimal sites for their business. Also, without a control group, some findings may be unreliable. The proposed rule currently lacks much detail, and there does not seem to be enough time for organizations to evaluate the impact of the proposed rule on their operations. Having said that, it will be important for stakeholders of all types to submit comments to the proposed rule in an effort to improve the final rule prior to implementation.

The critical question for the policymakers and stakeholders is whether this model can align with the multitude of other payment model reforms — unintended consequences could mitigate all the positive outcomes that a CMMI model offers to beneficiaries. Helping beneficiaries is and should be CMS’ ultimate obligation.

Authors