Trump Administration Proposes Health Care Benefit Changes

The Trump administration Friday proposed new health insurance regulations that could affect basic benefits required by the Affordable Care Act, but not for a couple of years.

Loosening “Obamacare” benefit requirements was a major sticking point for congressional Republicans in thus-far fruitless efforts to repeal the law.

The complex new plan from the administration would give states a potential path to easing some requirements.

Starting in 2019, states could select from coverage levels in another state, which could be less generous. Ten broad categories of services required by the health law would still have to be covered, but the fine print could change.

Plan issued late Friday

Issued late in the day, the 365-page plan also proposes other changes to the inner workings of the health insurance markets created under the Obama-era law. The marketplaces offer subsidized private plans to people who don’t have access to job-based coverage. The changes proposed by the Trump administration cover areas from consumers’ eligibility for subsidies to how insurers are reimbursed.

It could take days for consumer groups, insurers, benefits experts and others to assess the potential impact of the proposal. Among the biggest uncertainties is whether the proposed changes would appeal to state officials, who generally try to protect standards established on their home turf.

The basic benefits that could be affected include:

Outpatient, inpatient and emergency care
Prescription drugs and labs
Preventive care
Pregnancy, maternity and newborn care
Mental health and substance abuse
Rehabilitation
Children’s services, including vision and dental

While those categories are established by law and can’t be changed in a regulation, the fine print can make a big difference. For example, insurers can cover certain drugs, but not others, for a given medical condition. Expensive treatments for complicated chronic illnesses can be subject to limits on the number of visits the plan will cover.

The Trump administration’s proposal also called for changes to small-business health insurance markets created by the ACA.

Midwest Health Care Provider Cuts Opioid Prescriptions

A major health care system serving the upper Midwest said this week that the number of opioid pills it prescribes has fallen by almost a quarter as it works to respond to America’s opioid epidemic.

South Dakota-headquartered Sanford Health started analyzing its prescribing last year to direct its response to rising opioid and heroin overdose deaths, said Doug Griffin, who spearheaded the system’s data collection as vice president and medical officer for Sanford in Fargo, North Dakota.

Griffin said the health system learned that the numbers are “staggering”: The system reported prescribing 4.3 million opioid pills in the first quarter of 2016, a figure that doesn’t include cancer patients’ prescriptions. Sanford took steps as a result, including mandating opioid education for providers and using its electronic health record system to alert doctors about safe prescribing habits, Griffin said.

Sanford has since seen a significant reduction in both the number of pills prescribed and prescriptions written. Sanford providers wrote 18 percent fewer prescriptions for opioids in the third quarter of 2017 compared to the first quarter of 2016, amounting to 24 percent, or about 1.25 million, fewer pills prescribed, according to the health system.

The Sioux Falls, South Dakota, region saw a 19 percent reduction in pills prescribed, while the Fargo area experienced a 33 percent drop and the Bemidji, Minnesota, region saw a 37 percent decrease, according to Sanford.

​‘Knowledge has changed’

“The stance that we have taken is clearly opioid overdoses, both illicit and prescription overdoses, are a problem in this country, including in our footprint,” Griffin said. “Like many things in medicine, our knowledge has changed and our focus has shifted on this.”

Allison Suttle, chief medical officer at Sanford, said the system’s end goal is to ensure patients are safe and well-treated and that physicians are educated in how to treat patients’ pain while being “good stewards of the use of opioids.”

“Large health systems can serve as examples,” she said.

South Dakota Department of Health Secretary Kim Malsam-Rysdon said that South Dakota has a low opioid overdose death rate compared to other states, but noted that the state had 38 opioid overdose deaths last year. She said large health systems are on the front lines.

“I think they’re extremely committed to this, and I’m really confident that we’re going to see the changes that we need to see to stay ahead of this epidemic that we’re seeing in other states,” she said.

Avera Health, a Sioux Falls-based health system, sponsored a conference this month with the U.S. Attorney’s Office of South Dakota on the opioid epidemic. Deb Fischer-Clemens, Avera vice president of public policy, said the organization’s responsible prescribing program includes patient contracts, educating providers and patients on opioids and working with its electronic health record to create easy access to the state Prescription Drug Monitoring Program.

Fewer prescriptions, fewer pills

Jay Bhatt, senior vice president and chief medical office for the American Hospital Association, said in a statement that the nation’s hospitals and health systems are working to reduce the number of prescriptions written for opioids and the number of days that many patients take them.

Utah-based Intermountain Healthcare pledged in August to cut by 40 percent the average amount of opioids given per acute pain prescription by the end of next year.

Tech Companies Ready to Face Congress Over Foreign Interference in US Election

Since the 2016 U.S. presidential election nearly a year ago, there has been increasing scrutiny of how Russian-backed operatives used accounts on Facebook, Google and Twitter to try to influence its outcome.

Executives from those companies appear before at least three congressional hearings starting Tuesday, facing questions from lawmakers about what happened and how they plan to respond.

What happened on the internet companies’ services during the 2016 election “was the undermining of our political process,” said Ann Ravel, a lecturer at the University of California-Berkeley’s law school and a former chair at the Federal Election Commission, the federal agency that enforces campaign finance law.

The congressional spotlight on the internet marks a shift in how lawmakers and the public think of the global communications network, observers say. 

View of the internet

For years, the internet was viewed as “an egalitarian force, basically giving voice to the voiceless,” said Nate Persily, a Stanford University law professor.

The 2016 election, with Russian-backed operatives reportedly placing political ads on social networks or posing as Americans talking about hot-button issues, changed that utopian view of the internet.

“We realized that once you allow anyone to speak to as many people as they want no matter when they want, that enables certain types of speakers who hold undemocratic speech,” Persily said.

On the streets of San Francisco, people interviewed echoed frustrations heard around the country that little is known yet about how and why Russian-backed actors used internet firms.

But some say tech companies should take responsibility for what happens on their services and play more of a monitoring role than they have done.

“Social media is accessible to everyone,” peer counselor Moinnette Harris said. “People can engage in it or put whatever they want on there, whether it’s true or false.”

Lia McLoughlin, a stay-at-home parent, said, “I think Facebook has a responsibility. … If you know that there’s something that is affecting our democracy, and if you have any idea that it might be fake, there is a reason to stand in there. It’s our democracy.”

Facebook and other companies share responsibility if their services were used by foreign agents, said Christian Simonetti, an administrative assistant. But any new rules or penalties the internet companies face should be done “without infringing on people’s democratic rights to express themselves,” he said.

Proposed legislation

Law lecturer Ravel said that congressional leaders and regulators should require that internet companies be transparent about who is using their services for political ads, something that billboards, TV stations and newspapers have to do.

In recent weeks, some of the companies have vowed to make changes in reaction to the scrutiny. Twitter and Facebook have said they will do more to make political advertisements more transparent.

Twitter also banned RT and Sputnik, two Russian-backed media companies, from advertising on its site.

But almost everyone agrees it would be harder to regulate — for the government and internet firms — so-called “issue-based ads,” which are about hot topics such as gun rights and gay marriage. Those ads may not be tied to a specific candidate or ballot measure.

Even harder would be fake Facebook or Twitter accounts created overseas but purporting to have been created by people living in a targeted community.

“There is currently no clear industry definition for issue-based ads,” Twitter said in a blog post.

How the U.S. navigates these issues will matter to the rest of the world, Ravel said.

“It’s important for the United States to be a leader to balance innovation we want from the internet for people to speak openly on the internet,” Ravel said, “yet to do something to prevent the intervention in the election.”

Sessions: War on Opioids Is ‘Winnable’

U.S. Attorney General Jeff Sessions on Friday welcomed President Donald Trump’s declaration of the opioid epidemic as a public health emergency, saying he agreed with Trump that the war on addiction was “winnable.”

Trump on Thursday directed the U.S. Department of Health and Human Services to declare a 90-day public health emergency, but he stopped short of declaring the epidemic a national emergency or asking Congress for additional funds.

Trump’s declaration nonetheless gives states more flexibility to use federal funds, although it will not provide funds specifically for the opioid crisis.

The White House said the administration had allocated more than $1 billion for the opioid epidemic, including $800 million for prevention, treatment, first responders and prescription drug monitoring programs.

‘Make a difference’

Sessions, speaking to law enforcement officials at New York’s John F. Kennedy International Airport, called Trump’s announcement a “rare step” that “will make a difference by getting more help to those who need it.”

“In confronting the worst drug crisis in our history, we need to use every lawful tool we have,” Sessions said. “But if we do, there is hope. I agree with the president — I’m convinced that this is a winnable war.”

In August, the Department of Justice formed the Opioid Abuse and Detection Unit, a pilot program that places prosecutors in so-called opioid “hot spots” and uses data to investigate and prosecute opioid-related health care fraud.

Sessions said the program had begun to produce results.

On Thursday, he announced the first case brought by the program, a 14-count indictment of a Pennsylvania doctor for illegally prescribing and dispensing opioid pills and morphine — “often without an examination.”

On Wednesday, the Justice Department announced that the operator of a now-defunct pain management practice had pleaded guilty of opioid-related fraud in the amount of $750,000.

The doctor admitted prescribing a highly addictive version of the synthetic opioid drug fentanyl in exchange for $188,000 in kickbacks from drug company Insys Therapeutics Inc.

The company’s founder and majority owner, John Kapoor, was arrested Thursday and charged with conspiracy to commit bribery and fraud.

‘Overprescribing’ blamed

“Overprescribing is largely how we got into this crisis,” Sessions said. But he added that the proliferation of illegal fentanyl, which is 50 times as potent as heroin, had made the epidemic “much deadlier.”

Last year, more than 20,000 people died of overdoses involving fentanyl, according to the Centers for Disease Control and Prevention. Overall, deaths from drug overdoses topped 64,000 for the first time, making overdoses the leading cause of death for Americans under age 50.

Fentanyl is available as a Schedule II prescription drug in the United States. But drug seizure data suggest that a large number of the increase in opioid-related deaths is related to illicit fentanyl, often sold on the internet.

In recent years, China has emerged as the No. 1 source of illicit fentanyl in the United States. Earlier this month, federal prosecutors charged two Chinese nationals with illegally distributing large quantities of fentanyl in the United States.

In July, authorities shut down the largest illegal drug marketplace operating on the so-called dark web. The site, AlphaBay, had more than 200,000 drug listings, including fentanyl.

Law enforcement officials vowed to continue to go after illegal fentanyl suppliers.

“As a first step in response to the president’s announcement, the Cyber Crimes Center … will serve as ground zero in our efforts to attack the fentanyl issue where it originates — the dark web,” said Derek Benner, acting executive associate director of Homeland Security Investigations at U.S. Immigration and Customs Enforcement.

US Economy Expands at 3 Percent Rate in Third Quarter

The U.S. economy expanded at a three percent annual pace in July, August and September, about the same pace as the prior quarter.

Friday’s Commerce Department data surprised economists, who thought damage from two hurricanes would cut growth to a lower level. The data show the world’s largest economy is now about 2.3 percent larger than it was at this time last year.

Stuart Hoffman of PNC bank says the “solid” growth data is likely to help corporate profits and reinforce the U.S. central bank’s determination to raise interest rates in December. Josh Bivens of the Economic Policy Institute says the figures “overstate” growth, and he notes inflation is still below the Fed’s two percent target, making an interest rate hike unnecessary at this time.

Officials raise rates to fend off high inflation by cooling economic activity. Rates were slashed during the recession to bolster growth and employment. 

Federal Reserve leaders gather Tuesday and Wednesday in Washington to debate interest rate policy. Most economists predict they will not raise rates until their next meeting in mid-December.

Next Friday, government experts will publish unemployment data for October. September’s rate was a low 4.2 percent.

Patients Turning to Alternative Pain Treatments Amid America’s Opioid Crisis

In 2015, 92 million Americans used prescription opioids to alleviate or manage pain, with 11.5 million reporting they misused them. Now more than ever, patients are seeking alternative treatments to avoid using potentially addictive pain pills. VOA’s Elizabeth Cherneff introduces us to a Washington doctor who is helping people manage their pain and combat their addictions.

Drug Court a Lifeline in Battle Against Opioid, Heroin Addiction

Paul Coles’ journey to becoming one of the 2.5 million Americans addicted to prescription opioids began with painkillers prescribed for injuries suffered during an IED attack in Iraq. The physical scars healed, but emotionally Coles suffered. He had Post Traumatic Stress Disorder and couldn’t stop using drugs. 

“It got to the point I would take three times the lethal dose of heroin and cocaine, load it into a syringe and shoot it up, trying to shut my body down,” Coles said. “I would sit there and say, ‘God if you are out there, just kill me.’”

Time after time, he cheated death. But he couldn’t escape the law. Coles found himself handcuffed, arrested and jailed on charges of felony drug possession. Yet what seemed to be a new low would turn into a lifeline.

From the moment Judge Jeri Beth Cohen looked at Coles, she knew he needed help. 

“My feeling is that opioid addiction is a terminal illness: You’re either going to end up in prison or you’re going to end up dead,” Cohen said.

“I’m seeing more and more cases,” she said. “These are young men and women between the age of, I guess, 21-30. It’s a largely Caucasian population,” she added.

​One judge, two courts, one team

Coles’ case is one of hundreds Cohen has seen during the unfolding prescription opioid and heroin epidemic in South Florida. Inside her courtroom, with graphic photos of what drugs can do to the body, she surrounds herself with professional caseworkers on the frontlines of how America’s criminal justice system handles the boom in opioid abuse.

Miami-Dade County launched the nation’s first drug court in 1989. Today there are 3,000 U.S. drug courts serving 136,000 people. But a report by Physicians for Human Rights claims few communities have adequate treatment facilities and the criminal justice objectives of drug courts often overrule the medical need of the patient.

Cohen’s drug court gives people the chance to beat their addictions, stay out of prison while eventually getting their felony drug charge expunged from the record if they complete the year-long program. 

Like Paul Coles 75 percent of Drug Court graduates remain arrest-free at least two years after leaving the program. 

Miami-Dade County launched its first drug court when the community was facing a previous drug crisis. The approach then did not address people’s addictions, rather it was focused on jailing them for criminal conduct.

“There was a crack cocaine epidemic just like we’re looking at this opioid and heroin epidemic right now. People coming into criminal court in large numbers were taking a plea or going to jail, getting out and getting rearrested,” Cohen said.

Today there’s a stream of people in drug court struggling with addiction to a multitude of prescription pain pills and heroin. Cohen, regarded as one of the top drug court judges in the country, uses a holistic approach.

“What I find is if we can get them stabilized on a drug like Methadone or a Suboxone, which blocks a high, then they’re able to start engaging and they’re much more able to focus on getting well.” she said. The goal of the drug court is to get people treatment, steering them away from prison time and hopefully reducing recidivism rates.

“You have to take many variables into account: trauma, untreated mental illness, the chronicity or severity of the drug usage and also what’s going on in the family. If you’re not developing a treatment plan with your treatment team based on an individual’s particular risk and needs, you aren’t going to be successful with that individual,” Cohen said.

The judge bemoans the system’s lack of compassion.

“People are treated really, really poorly,” she said. “In the jails, in the courts, even in treatment they’re treated poorly. If you have money, it’s easier to access care [but] it’s still hard.”

​Zero tolerance

For all her understanding, Cohen shows little tolerance for those not following the rules. She sentences some to community service hours while others go back to jail.

There are frequent drug screenings to make sure people stick with their sobriety. Those who don’t meet the court’s year-long requirements may be returned to a traditional criminal court to face felony drug charges.

“I don’t think that sick people should be in jail. I do the best that I can to help people get well within our system, to divert them out of jail, but yet hold them accountable,” Cohen said “I feel like I do my job and I feel like I do it well.” 

“If you don’t go into the program, that’s fine with me,” Cohen tells a young, opioid-addicted mother, handcuffed and dressed in orange prison suit. “I am not going to keep you here and I am going to have the state dependency court file a termination of parental rights. I will order them to do it,” Cohen stressed.

Family reunions

“The children in my court have been removed from their parents because they have severe and chronic drug addiction and have failed to get into treatment,” the judge said. Her formula is to get parents who are struggling with opioid addiction intensive drug treatment so they can regain custody of their children.

She said 60 percent of the parents who go through the program get their children back.

“It’s getting into true recovery, improving your relationships with your family, your spouse, your children and starting that long life-long journey to recovery,” Cohen said.

Who Will Be the Next Fed Chief?

President Trump says he is “very close” to picking a person for the most important economic post in the country: the head of the US Federal Reserve. Current Chair Janet Yellen, whose term expires early next year, is one of at least five candidates under consideration. Regardless of the president’s choice, most analysts who spoke with VOA don’t expect big changes in US monetary policy. But as Mil Arcega reports, others say, sooner or later the next Fed Chief could face a slowing economy.

Advocates Welcome Trump’s Emergency Declaration on Opioid Crisis as Good First Step

U.S. public health advocates welcomed President Donald Trump’s decision to declare the U.S. opioid epidemic a national public health emergency, but say the crisis needs additional funds to be addressed. The 90-day order enables states to use federal emergency funds to fight the crisis, but, although it can be extended, it does not provide a long-term budget. Also, as VOA’s Zlatica Hoke reports, there are fears that emergency resources may be depleted by the cost of natural and other disasters.

Hawaii: No Screen Time While Crossing a Street

Police in Hawaii will ticket people who get caught looking at digital devices while crossing a street in the state capital, Honolulu.

The law, passed in July, came into effect this week, making Honolulu the first major city in the U.S. to pass such a law.

The only exemption to the Distracted Walking Law is to use a device to call 911 to report an emergency.

The fines for the offenses will range from $15 to up to $99 for repeat offenders.

Pedestrians are still allowed to talk on their phones while crossing the streets, as long as they look at their surroundings.

The National Safety Council added “distracted walking” to its annual list of injury risks in 2015.

According to a study in the Journal of Safety Studies in 2015, some 400 pedestrians distracted by a phone were injured in the United States each year between the years 2000 and 2007. But after the introduction of the smartphone, the numbers have risen. The study found an estimated 1,300 pedestrians were injured in 2012.

Greater Scrutiny Set for Nonimmigrant Work Visa Renewals

The United States has announced changes to its nonimmigrant work visa policies that are expected to make renewals more difficult.

In the past, U.S. Citizenship and Immigration Services would generally approve the renewals unless the visa holder had committed a crime. Now, renewals will face the same scrutiny as the original applications.

“USCIS officers are at the front lines of the administration’s efforts to enhance the integrity of the immigration system,” USCIS Director L. Francis Cissna said, according to the announcement posted on USCIS’ website this week. “This updated guidance provides clear direction to help advance policies that protect the interests of U.S. workers.”

The new regulations could affect more than 100,000 people holding at least eight different types of work visas who fill out the I-129 form for renewals.

Sam Adair, a partner at the Graham Adair business immigration law firm in California and Texas, said that for the most part, he expected visa holders would most likely face lengthier adjudication periods in their renewal processes, as opposed to increased numbers of denials.

“I don’t think it’s going to be a big shift for us,” Adair told VOA. “But I think what we’ll see is just an increase in the number of requests for evidence, an increase in the delays on the adjudication of these petitions, and really it’s going to just result in more costs for the employers who are filing these petitions.”

‘High-skilled’ workers

Of all visa holders affected by this policy, those in the United States on an H-1B, a visa for “high-skilled” workers, are the biggest group. Of 109,537 people who had to submit I-129 forms in fiscal 2017, 95,485 were H-1B holders, according to data sent to VOA by USCIS.

H-1B visas have been threatened in the past, most recently by a bill proposed this year that would have raised the minimum salary requirement for workers brought in on the visa. While advocates of the program argued that it would keep workers from being exploited, many H-1B holders feared that businesses would be less willing to hire them or keep them on board.

But some Americans support the new regulations, saying that nonimmigrant work visas hurt American workers.

“It’s prudent to make sure that the people that receive those visas are in complete compliance with all of the requirements,” Joe Guzzardi, national media director of Californians for Population Stabilization, told VOA.

“It just isn’t possible to think that there aren’t American workers that couldn’t fill these jobs,” he said, noting that while the regulations might hurt businesses, they would help Americans looking for work.

Trump Ponders New Head for Federal Reserve

President Donald Trump says he is “very close” to picking a person for the most important economic post in the United States, the head of the Federal Reserve. Current Chair Janet Yellen’s term expires early next year and she is one of at least five candidates for the job.

Besides Yellen, the candidates include Fed board member Jerome Powell, former Fed governor Kevin Warsh, Stanford University economist John Taylor and Trump economic adviser Gary Cohn.

 

WATCH: Who Will Be the Next Fed Chief?

Moody’s Analytics economist Ryan Sweet says a new Fed chief is likely to continue current policy at least for a while because “rocking the boat” could rattle financial markets.

The Fed’s job is to manage the world’s largest economy in ways that maximize employment and maintain stable prices. During recessions, the bank cuts interest rates in a bid to boost economic growth and create more jobs.To cope with the most recent recession, the U.S. central bank slashed interest rates nearly to zero.

The jobless rate fell from 10 percent to the current 4.2 percent, and the economy stopped shrinking and began growing slowly.

Critics of the record-low interest rates said keeping rates too low for too long could spark strong inflation and damage the economy. However, the inflation rate has been below the two percent level that many experts say is best for the economy.

As a member of the Fed’s board and later as Chair, Yellen supported low interest rates and a slow, cautious return to “normal” rates. Experts also say she improved communication between the Fed and financial markets, which reduced uncertainty and reassured investors.

Trump criticized Yellen during the campaign, but then as president, praised her work. Analysts Tom Buerkle of “Reuters Breaking Views” gives the Fed credit for taking effective action during a crisis when Congress was reluctant to act.

Another candidate is former investment banker Gary Cohn, who now heads the National Economic Council at the White House. He has reportedly been working on efforts to reform taxes and boost spending on U.S. infrastructure.

Fed Board member Jerome Powell is also a candidate. He is a Republican with a background in private equity who served in a top Treasury Department post. Powell supported Yellen’s approach of slashing interest rates during the crisis, and returning them to historic levels as the economy recovers.

When rates were cut to nearly zero, Fed officials took the further step of buying huge quantities of bonds in an effort to push down long-term interest rates to give additional economic stimulus. The complex procedure is called “quantitative easing.”

“Ryan Sweet of Moody’s Analytics says when the next recession appears, Powell will be more willing to use tools like quantitative easing than more conservative candidates like Kevin Warsh and John Taylor.

Warsh is a former member of the Fed’s board, a lawyer, and a former executive of a major financial firm with experience at the president’s National Economic Council.

John Taylor of Stanford University and the Hoover Institution is an eminent economist who has served on advisory councils for presidents and congress and written books on economic topics. Taylor came up with an equation, called the “Taylor Rule,” that considers inflation as well as slack in the economy as a way to set interest rates. Some conservatives say the Taylor Rule would improve policymaking.

Critics say the economy is too complex to be managed by a computer, and the Taylor Rule would make the Fed less independent and effective.

Tara Sinclair of Indeed.com says independence is a “key part” of having an effective monetary policy. She says the interest rate-setting process and other decisions need to be separate from Congress and the administration so interest rates and other policies are based on long-run economic needs.

The president is expected to announce his choice in early November.

N. Korean Debt to Sweden Remains Unpaid After Four Decades

More than four decades after selling 1,000 Volvos to North Korea, Sweden is still trying to get paid for the cars.

The vehicles were part of a $131 million trade package delivered to North Korea in 1974, during a period of openness. But Pyongyang never paid anything on the deal, leaving a debt that has now accumulated with interest to $328 million, according to the Swedish Foreign Ministry.

North Korea owes millions elsewhere in Europe from purchases made during the early 1970s, when Pyongyang was expanding economic relations with the West.

“Volvo Car Corporation sold approximately 1,000 of our 144 sedan(s) to North Korea in 1974,” said Per-Åke Fröberg of Volvo Heritage in the company’s press office in Sweden, who added that he did not know what else was included in the deal. The Swedish government was also unable to say what else was included.

Fröberg said the sale of the Volvos was insured through the Swedish Export Credit Agency, or EKN. “When North Korea failed to pay for the cars, EKN stepped in, meaning that Volvo Cars did not suffer financially,” he said. “The deal was closed from our point of view.”

But not for EKN, which twice a year reminds North Korea of its outstanding balance.

“For the most part, we get no response,” Carina Kemp, the EKN press manager, told VOA’s Korean service. However, “EKN’s position is that claims will be recovered.”

Many of the Volvos remain in service, as shown by an October 2016 tweet from the Swedish Embassy in Pyongyang describing “one of the Volvo’s from yr 1974 still unpaid for by DPRK.”

Sweden and North Korea have a long-standing relationship. It was the first Western European nation to establish diplomatic relations with Pyongyang; two years later, in 1975, it was the first to set up an embassy in Pyongyang.

Expanding relations

At the time, North Korea was expanding economic relations with the West. “In 1972-1973, before the global oil crisis, the prices of gold, silver, lead, zinc and other export items of North Korea were rising and Pyongyang must have been confident of its payment capabilities,” said Yang Moon-soo, professor of North Korean economy at the University of North Korea Studies, in the March 2012 issue of the KDI Review of the North Korea Economy, which is published by the Korea Development Institute, a think tank run by the South Korean government.

North Korea, after noting South Korea’s economic development through introduction of Western technologies, decided “to spur development with large-scale buildup of manufacturing plants with Western equipment and financing,” he said.

Of the 16 countries that owe a total of $729 billion to Sweden, North Korea’s share accounts for 45 percent, according to the EKN Annual Report 2016. Cuba, which is the next largest debtor, owes $225 billion as of December 2016 and began making payments that year, the EKN report shows.

Experts on sovereign debt told VOA there aren’t many ways for nations to recover what they are owed by cash-strapped North Korea.

“No payment has been made since 1989,” Katarina Byrenius Roslund, deputy director of the Swedish Foreign Ministry’s press office, told VOA in an email.

“This is the largest claim that Sweden has on a single country,” Roslund wrote. “Responsibility for the claim now lies with the Swedish Export Credits Guarantee Board, which sends a reminder to North Korea every six months.”

Roslund said the Volvos “are no longer a common sight on Pyongyang’s streets, but the odd Volvo 144 is still rolling down the country roads, often as a taxi.”

Paths to spare parts

Volvo’s Fröberg said he did not know whether the original deal included spare parts for the cars. But because the model purchased in bulk by North Korea, the 144, “was sold all over the world, they might have had their ways to get hold of parts through various channels.”

North Korea owes money elsewhere in Europe. The Swiss government reports it has claims for $241 million as of December 2016. North Korea owes Finland and private Finnish businesses more than $35 million, according to a YLE Uutiset report. Pyongyang “ordered paper machines and other assorted equipment” in the 1970s, according to YLE.

Isabel Herkommer, media spokeswoman at Switzerland’s State Secretariat for Economic Affairs (SECO), told VOA via email that “Swiss Export Risk Insurance (SERV) has an agreement with North Korea, which exempts the country from payment at the moment.”

According to the SERV Annual Report 2016, the agency signed a new restructuring agreement with North Korea in October 2011. Herkommer wrote that “there has not been a debt settlement with North Korea,” and when asked whether the Swiss government considered waiving all or part of the debt owed by North Korea as Russia recently did, she said, “No, this has not been considered.”

Outi Homanen of Finnvera, Finland’s export credit agency, said “that although the debts were not paid [on] original due dates, there are no defaulted receivables at the moment.”

However, experts on sovereign debt and the international monetary system say that there aren’t many ways for countries to recover their claims from North Korea. In 2014, Russia forgave 90 percent of the nearly $11 billion in debt that it and the Soviet Union before it was owed by North Korea.

“International debt is typically thought of as having two enforcing mechanisms. The first is that if a country wants to be able to borrow more, it has to be repaying or have repaid its previous debts,” said Dane Rowlands, a professor of international affairs at Carleton University’s Norman Paterson School of International Affairs in Ottawa, Ontario. “Since North Korea seems happy not to engage officially with the international community and capital market, cutting them off is not a useful enforcement tool.”

Asset seizure

He added that seizing exposed assets is another option for lenders but one that would not be effective against North Korea.

Hamid Zangeneh is an economics professor at Widener University in Chester, Pennsylvania. An expert in the debt of economically developing nations, he said that in North Korea’s case, “it really doesn’t matter because it is not part of the international monetary system.”

Rowlands speculated that Switzerland and North Korea might have made a deal when they signed the debt restructuring agreement in 2011.

“Given the relatively few channels of international finances that North Korea has access to, I could see them doing a deal with Switzerland saying we [North Korea] will pay back a portion of the debt. … What that would end up doing is Switzerland forgives the rest of the debt and they don’t have claim on seizing North Korean deposits for example,” he said.

According to the SERV 2016 report, the Swiss agency had claims of 179.1 million Swiss Francs ($210 million) with North Korea as of the end of 2016. However, the report says the claims have been reduced to 17.9 million Swiss Francs ($21 million), or about 10 percent of the original claim.

SECO’s Herkommer said, “There has not been any debt cancellation. We cannot make any further comment.”

Summer Internships Offer Real World Experiences

When kids go back to school, they usually talk about what they did during their summer vacation. The 15 and 16-year-olds who joined Summer RISE in Montgomery County, Maryland, have some unique stories about work in fire departments, non-profits, private businesses and many other workplaces. Faiza Elmasry tells us about one of the high schoolers who spent 3 weeks in the biology lab at a local college. Faith Lapidus narrates.

US House of Representatives Approves a $4T Fiscal 2018 Bill

The U.S. House of Representatives Thursday approved a $4 trillion fiscal 2018 budget blueprint, a major step forward toward the introduction of a Republican tax cut bill.

The measure narrowly passed (216-212) despite last-minute resistance from the ranks of Republicans.

House passage makes enactment of an eventual tax bill more likely in the Senate, although decisions on numerous thorny issues lie ahead.

Approval of the budget resolution was a victory for President Donald Trump and Republican congressional leaders, who have vowed to rewrite the tax code, a feat that has not been accomplished in more than four decades.

“President Trump has always made cutting taxes for hard-working American families, creating more jobs for American workers, and simplifying the rigged and burdensome tax code a priority, and he looks forward to further cooperation with Congress to advance the Administration’s pro-growth and pro-jobs agenda,” the White House said in a statement.

Democrats oppose plan

The Republican plan is opposed by Democrats, who contend it would benefit primarily the wealthy and corporations.

“The struggle Republicans had in passing the budget shows how uncomfortable many of them are with eliminating the state and local deduction. In the weeks ahead, Democrats will do everything we can to preserve it and work to defeat any tax proposal that favors the wealthy few over the middle class many,” Senate Minority leader Chuck Schumer said in a statement.

 

 

Twitter Surprises With Third Quarter Earnings

Twitter is reporting a loss of $21.1 million in its third quarter, but turned in a better-than-expected profit when one-time charges and benefits are removed.

 

Shares of Twitter Inc. soared almost 9 percent before the opening bell Thursday.

 

The San Francisco company had a loss of 3 cents, but a gain of 10 cents if those non-re-occurring events are removed.  That’s 2 cents better than industry analysts had predicted, according to a survey by Zacks Investment Research.

 

Revenue was $589.6 million in the period, in line with expectations.

Twitter Toughens Abuse Rules – and now has to Enforce Them

Twitter is enacting new policies around hate, abuse and ads, but creating new rules is only half the battle – the easy half.

The bigger problem is enforcement, and there the company has had some high-profile bungles recently. That includes its much-criticized suspension of actress Rose McGowan while she was speaking out against Harvey Weinstein, and the company’s ban, later reversed, of a controversial ad by a Republican Senate candidate.

 

The twists and turns suggest that Twitter doesn’t always communicate the intent of its rules to the people enforcing them. The company says it will be clearer about these policies and decisions in the future.

Ancient Origami Art Becomes Engineers’ Dream in Space

Robert Salazar has been playing with origami, the Japanese art of paper folding, since he was 8 years old. When he sees a sheet of paper, his imagination takes over and intricate animals take shape.

“Seeing the single uncut sheet, it has everything you need to create all of the origami that have ever been folded. It is all in the single sheet so there is endless potential,” Salazar said.

The endless potential of origami, folding a single sheet of paper into an intricate sculpture, reaches all the way to space.

Salazar’s 17-year experience with origami is appreciated at NASA’s Jet Propulsion Laboratory. As a contractor and intern, Salazar is helping create objects that may one day be used in space exploration.

“Origami offers the potential to take a very large structure, even a vast structure, and you can get it to fit within the rocket, go up, then deploy back out again. So it greatly magnifies what we are capable of building in space,” Salazar said.

Folding a large object into a relatively small space is not a simple task.

“A big challenge in origami design in general is that because all of these folds share a single resource, which is a single sheet … everything is highly interdependent, so if you change just one feature it has an impact on everything else,” Salazar said.

“One of our guide stars really is keep it as simple as can be,” said Manan Arya, a technologist at NASA’s Jet Propulsion Laboratory. “Don’t add unnecessary complexity because every piece of complexity, every piece of hardware you add, that ends up being another potential point of failure.”

Starshade

Folding an object the size of a baseball diamond so that it could fit into a rocket is the goal of a NASA project called Starshade.

Once it opens in space, Starshade would allow a space telescope to better see the planets around bright stars.

“Seeing an exoplanet next to its parent star is like trying to image a firefly next to a search light, the searchlight being the star,” said Arya, who is  working on the Starshade project. “Starshade seeks to block out that starlight so you can image a really faint exoplanet right next to it.”

Origami robot

Origami is also used in designing a robot called the Pop-Up Flat Folding Explorer Robot, or PUFFER. It has a body that can fold itself flat and roll under small spaces. PUFFER has been tested on desert terrains and snowy slopes. It may one day end up on a mission to another planet.

 

“It [PUFFER] is to explore environments otherwise inaccessible to a robot that could not fold itself to fit inside these cracks, [to] explore cave systems, could be other planets, even on our own,” Salazar said.

Origami antenna

Another application for space origami design is to pack an antenna into satellites the size of a briefcase, called CubeSats.

“The bigger the antenna you have, the more gain your antenna has, so it is useful to have a big antenna that gets packaged into this tiny space that unfolds out to be a large antenna. The biggest CubeSat antennas right now are about half a meter,” Arya said.

Unexplored territory

There are also largely unexplored surfaces that can utilize origami concepts in designing new technologies.

“So often, origami design has been tailored toward materials that are already lying flat,” Salazar said. “But there is actually a vastly, a much larger field of application for which the surfaces are not flat, so they could be parabolic. They could be spherical. They could be many combinations of doubly curved surfaces coming together. All of these things can also be folded.”

In the current origami-inspired technologies being developed at NASA’s Jet Propulsion Laboratory, there is a graceful beauty to the folding and unfolding of designs such as the Starshade, which unfurls into what looks like a sunflower. In origami, Salazar said, art, science and engineering are only superficially different.

“Really, when it comes down to it, you’re looking at the world,” he said. “You’re making observations. You’re finding patterns in these observations. [You’re] developing an understanding of what you see, then using that understanding to create. And when you’re creating, [it] can either be creating with the intention of solving a physical problem or it could be nonphysical. It could be aesthetic. You’re trying to find a particular impact on people when they see your work. So really, the practice is the same.”

In origami, Salazar said art, science and engineering are quite similar. They draw on making observations and creating something that produces an impact.