scholarly journals The Coming Revolution: The Healthcare Challenge

Author(s):  
John Halamka

The United States spends nearly 17% of its gross domestic product on healthcare,1 almost double that of any other industrialized country,2 and achieves worse outcomes by many measures.3 The U.S. may have the most healthcare in the world, but we do not have the best healthcare. Today, Healthcare in the U.S. is a poor value. If we are going to remain competitive in the world economy, we must deliver the right care in the right setting at the right time at the right cost.

2009 ◽  
Vol 3 (4) ◽  
pp. 301-303
Author(s):  
Fernando Garcia-Hernandez ◽  
◽  
Adrian H. Oskam ◽  
Victor M. Castano ◽  
◽  
...  

Corrosion is the deterioration of a substance (usually a metal) or its properties because of the reaction with its environment. There are many forms of corrosion, some of which are encountered in everyday life. Direct losses due to corrosion are more than $276 billion dollars annually = 3.1% of Gross Domestic Product only in the United States. If we consider the rest of the world this figure would be many times higher. However, corrosion and its control besides of its importance, is often a neglected element in the practice of engineering. This work presents the design of an innovative low cost device to carry out corrosion testing of materials in different environments. High costs that result from the fabrication of special probes or devices for testing, make it an interesting challenge for the engineer or designer. This original and innovative device has been designed accordingly to both the laboratory equipment which will do the characterization and assessment of the corrosion testing, as well as the “Loop reactor” where testing will be carried out in different environments.


2021 ◽  
Vol 14 (4) ◽  
pp. 396-409
Author(s):  
T. G. Filosofova

It is shown that active processes of digitalization and development of creative industries form new trends of the world economy development. Possession of the right to use IP, in particular the results of the latest scientific research and technological developments (especially in the field of artificial intelligence, the Internet of things, blockchain, processing large databases, quantum computing systems, cloud technologies, etc.) significantly expands the capabilities of the owner of IP rights in world economy, its participation in global value chains. Intellectual property is becoming not only the main instrument of socio-economic development, but also the center of global technological confrontation and a fierce struggle for the right to own it, a significant factor of success in geoeconomic competition. The main long-term trend in the development of world IP markets is the dynamic growth of the volume of commercial transactions with goods and services containing IP objects with a significant expansion of the range of the latter. The IP market is growing at a rate exceeding the rate of growth of “material” markets. The countryleader in the number of valid patents for a long period is the United States. The main competitor for the United States is China. Among the main technological trends, the development of the IP market in terms of assistive technologies should be highlighted, which allow producing products according to digital description anywhere in the world. A large share of the IP markets is occupied by trade in licenses. It is shown that for the further successful and effective development of IP markets, it is necessary to take into account the prospects for the functioning of IP markets and the movement of goods containing IP objects in a new technological order.


2021 ◽  
Vol 5 (520) ◽  
pp. 42-48
Author(s):  
O. V. Chernova ◽  
◽  
D. H. Zaiats ◽  

The article is aimed at analyzing the impact of American transnational corporations (TNCs) on the economic strategy of the United States of America. During the research, the essence of the category of «transnational corporation» is considered and the peculiarities of functioning of the leading TNCs are defined. The key vectors of U. S. economic strategy at the present stage are specified. The activities of transnational (multinational) corporations in the United States of America is analyzed. The article carries out a comprehensive analysis of the existing ratings of American transnational corporations. The key indicators of their activity in various spheres of public production and sectors of economy are analyzed. The impact of transnational corporations on the U.S. economy is evaluated by analyzing the dynamics of exports, imports, indices of gross domestic product (GDP) and gross domestic product per capita. The activities of American TNCs in the territories of foreign countries is studied. The analysis of the dynamics of direct foreign investment of the United States of America abroad and the scale of investment in the national economy of the country from abroad is carried out. The geographical structure of foreign direct investment from the United States of America is considered. Existing threats to the U.S. economy caused by transnational corporations are identified, and their consequences are estimated. Conclusions have been drawn on the future prospects of transnationalization of the US economy and the impact of global companies on the economic strategy of the United States of America.


1961 ◽  
Vol 18 ◽  
pp. 4-18 ◽  

The July measures were followed by a halt to the increase in the gross domestic product and almost certainly by a slight down-turn. So far there is no indication of significant change in the balance of payments situation since the second quarter, although the measures halted speculation against sterling and have been followed by a renewed inflow of foreign funds. The world economic environment now seems somewhat less favourable to an improvement in the United Kingdom's payments situation than it did in September, in spite of the recovery in the United States. The main reasons for a more cautious prognostication now lie in a pause in the economic expansion of western Europe; this has contributed to the weakness of commodity prices and is therefore limiting the prospects for expanding exports to primary producing countries.


Author(s):  
Kamran Jafarpour Ghaleh Teimouri ◽  
Seyed Mohammad Taghi Raeissadat

For more than a century, American had the biggest economy and the highest Gross Domestic Product (GDP) about 24.1%. On the other side of the world. Recently, China with 15.1% Gross Domestic Product (GDP) placed as the second biggest and the most influential economy in the world in 2017 (World Bank, 2019). Therefore, China and United States together have over 40% of the world GDP with the huge spatial economic influence in the world. The impact of a trade war between the United States and China has a negative influence in other countries and regions in particular in the ASEAN countries. The ASEAN countries are very exposed to China and United States they are more vulnerable to trade war between the United States and China. This study first evaluates the degree of negative impact of China and United States trade war on ASEAN countries. After that, show how an effective regional economic integration can minimize such problems in future. This research is based on available secondary data in United States government reports (e.g., United States Department of State, Office of United States trade) and (e.g. OCBC Bank and ASEAN). Based on data and research the descriptive-analytical method is used in this paper.


2008 ◽  
Vol 22 (3) ◽  
pp. 93-112 ◽  
Author(s):  
Richard N Cooper

The current account deficit of the United States has been large in recent years, both in absolute size and relative to GDP. In 2006, it reached $811 billion, 6.1 percent of GDP. It has become a dominant feature of the world economy; if you sum up the current account deficits of all nations that are running deficits in the world economy, the U.S. deficit accounts for about 70 percent of the total. This paper looks beyond the national income accounting relationships to offer a more complex view of the U.S. imbalance. I argue that the generally rising U.S. trade deficit over the last 10–15 years is a natural outcome of two important forces in the world economy—globalization of financial markets and demographic change—and therefore that the U.S. current account deficit is likely to remain large for at least a decade. In a globalized market, the United States has a comparative advantage in producing marketable securities and in exchanging low-risk debt for higher-risk equity. It is not surprising that savers around the world want to put a growing portion of their savings into the U.S. economy. I argue that serious efforts to reduce the U.S. deficit, even collaborative efforts with other countries, may well precipitate a financial crisis and an economic downturn every bit as severe as the one that many fear could result from a disorderly market adjustment to the trade deficit.


2009 ◽  
Vol 2 (2) ◽  
Author(s):  
Sarah Eversman

This ongoing dispute clearly concerns the United States, the long-term third party in peace negotiations, and a close ally of Israel. However, now more than ever European and Middle Eastern states are invested in the resolution of this conflict. The stability of Israel and the humanitarian status of the Palestinians depend upon the resolution of this conflict. So, what should President Barack Obama hope to accomplish in the coming months, in light of the overwhelming array of issues already on his agenda? And what should the rest of the world expect from U.S. foreign policy regarding the Israeli-Palestinian conflict under Mr. Obama’s administration? Political maneuvering is already underway and the recent elections in Israel have shifted the power structure of Israeli politics significantly to the right with Benjamin Netanyahu, leader of the right-wing Likud Party, elected as Prime Minister and sworn in at the end of March 2009. Furthermore, Egyptian negotiators are attempting to bridge the deep divide between Fatah and Hamas in order to strengthen the unity of Palestinian politics, but the outcome of this endeavor remains to be seen. As the global economic crisis continues to worsen, the attention of the world shifted from the Israeli- Palestinian conflict to the G-20 Summit and NATO meetings. Therefore, it is the role of world leaders, particularly the United States, to maintain focus on rebuilding Gaza and acting as intermediaries in any Israeli and Palestinian negotiations. Secretary of State Hillary Clinton must ensure the State Department keeps its finger firmly on the pulse of political and social activities in the region in order to prevent renewed fighting. The United States and Europe should have anticipated more aware of this impending crisis and in the aftermath of the conflict, neither can afford to watch from the sidelines. Dialogue and diplomacy are the way out of this mess, and it is in the interests of both Europe and the U.S. to engage both sides in this dispute if further violence is to be prevented. If Mr. Obama wants to have peace in the Middle East in our time, he will have to persuade all of the actors to sit around a table and to talk about the conflict. The Bush administration’s strategy of strengthening Fatah and isolating Hamas has not worked. Secret negotiations are just as ineffectual as the exclusion of certain actors. Only a common platform for dialogue will enable the U.S. and the European Union to fulfill their peacemaking mission.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (1) ◽  
pp. 134-134
Author(s):  
Arthur J. Shepard ◽  
Mia W. Doron

We read with interest William A. Silverman's commentary regarding the ratio of neonatologists per 10 000 live births in the United States compared with other similarly developed nations of the world.1 The tone and title of the commentary imply that the United States unwisely spends a disproportionate amount of gross domestic product on physician care of the sick neonate. Silverman postulates rhetorically that perhaps other similarly developed nations have set realistic limits on the number and compensation of neonatologists, or that perhaps America's "laissez-faire" capitalism allows market-driven expansion of the specialty.


2019 ◽  
Vol 5 (3) ◽  
Author(s):  
D. R. Koukal

In this essay I endeavor to provide such an account, and describe at a pretheoretical level an embodied subjectivity at odds with its own state of embodiment, and on the other hand, to explore the limited agency induced by constraints that fall upon an embodied subject who is compelled to live a body which is free to engage the various possibilities of the world in every respect except one, within the context of an intercorporeal social reality.  This description will provide a sound ontological foundation where the central place of embodiment in the abortion debate can be re-asserted and properly taken into account.  What this description will reveal is the ontological drama of such “aversely pregnant subjectivities” at a time when ever more legislation is being passed that poses ever more restrictions on reproductive rights of women in the United States (Guttmacher Institute 2018).  This investigation is all the more pertinent in light of Justice Anthony Kennedy’s recent announcement that he is retiring from the U.S. Supreme Court, which may well put the right to legal abortions in jeopardy (Davis 2018).  My highest ambition, however, is to convey the significance of these restrictions to those who have never been and never can become pregnant, but who by and large determine the polices that play a substantial role in shaping such subjectivities. 


1997 ◽  
Vol 24 (1) ◽  
pp. 117-141 ◽  
Author(s):  
T. A. LEE

This study represents part of a long-term research program to investigate the influence of U.K. accountants on the development of professional accountancy in other parts of the world. It examines the impact of a small group of Scottish chartered accountants who emigrated to the U.S. in the late 1800s and early 1900s. Set against a general theory of emigration, the study's main results reveal the significant involvement of this group in the founding and development of U.S. accountancy. The influence is predominantly with respect to public accountancy and its main institutional organizations. Several of the individuals achieved considerable eminence in U.S. public accountancy.


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