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	<title>kurtschemers &#187; health care</title>
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		<title>Forget U.S. Sovereignty? U.N.&#8217;s World Health Organization Eyeing Global Tax on Banking, Internet Activity</title>
		<link>http://www.kurtschemers.com/forget-u-s-sovereignty-u-n-s-world-health-organization-eying-global-tax</link>
		<comments>http://www.kurtschemers.com/forget-u-s-sovereignty-u-n-s-world-health-organization-eying-global-tax#comments</comments>
		<pubDate>Sat, 16 Jan 2010 20:16:12 +0000</pubDate>
		<dc:creator>Alex Rivers</dc:creator>
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		<guid isPermaLink="false">http://www.kurtschemers.com/?p=979</guid>
		<description><![CDATA[By George Russell The World Health Organization (WHO) is considering a plan to ask governments to impose a global consumer tax on such things as Internet activity or everyday financial transactions like paying bills online. Such a scheme could raise &#8220;tens of billions of dollars&#8221; on behalf of the United Nations&#8217; public health arm from [...]]]></description>
			<content:encoded><![CDATA[<p>By George Russell</p>
<p><img class="alignleft size-medium wp-image-982" style="margin-left: 5px; margin-right: 5px;" title="who-logo" src="http://www.kurtschemers.com/wp-content/uploads/who-logo-300x255.jpg" alt="who-logo" width="240" height="204" />The World Health Organization (WHO) is considering a plan to ask governments to impose a global consumer tax on such things as Internet activity or everyday financial transactions like paying bills online.</p>
<p>Such a scheme could raise &#8220;tens of billions of dollars&#8221; on behalf of the United Nations&#8217; public health arm from a broad base of consumers, which would then be used to transfer drug-making research, development and manufacturing capabilities, among other things, to the developing world.</p>
<p>The multibillion-dollar &#8220;indirect consumer tax&#8221; is only one of a &#8220;suite of proposals&#8221; for financing the rapid transformation of the global medical industry that will go before WHO&#8217;s 34-member supervisory Executive Board at its biannual meeting in Geneva.</p>
<p>The idea is the most lucrative — and probably the most controversial — of a number of schemes proposed by a 25-member panel of medical experts, academics and health care bureaucrats who have been working for the past 14 months at WHO&#8217;s behest on &#8220;new and innovative sources of funding&#8221; to accomplish major shifts in the production of medical R&amp;D.</p>
<p>WHO&#8217;s so-called Expert Working Group has also suggested asking rich countries to set aside fixed portions of their gross domestic product to finance the shift in worldwide research and development, as well as asking cash-rich developing nations like China, India or Venezuela to pony up more of the money.</p>
<p>These would also add billions in additional funds to international health care for the future — as much as $7.4 billion yearly from rich countries, and as much as $12.1 billion from low- and middle-income nations.</p>
<p>But the taxation ideas draw the most interest. The expert panel cites a number of possible examples. Among them:</p>
<p>—a 10 per cent tax on the international arms trade, &#8220;which might net about $5 billion per annum&#8221;;</p>
<p>—a &#8220;digital tax or &#8216;hit&#8217; tax.&#8221; The report says the levy &#8220;could yield tens of billions of U.S. dollars from a broad base of users&#8221;;</p>
<p>—a financial transaction tax. The report approvingly cites a levy in Brazil that charged 0.38 percent on bills paid online and on unspecified &#8220;major withdrawals.&#8221; The report says the Brazilian tax was raising an estimated $20 billion per year until it was cancelled for unspecified reasons.</p>
<p>The panel concludes that &#8220;taxes would provide greater certainty once in place than voluntary contributions,&#8221; even as the report urges WHO&#8217;s executive board to promote all of the alternatives, and more, to support creation of a &#8220;global health research and innovation coordination and funding mechanism&#8221; for the planned revolution in medical research, development and distribution.</p>
<p>Click here to read the executive summary of the report.</p>
<p>The WHO scheme to transfer impressive amounts of money, technology, patents and manufacturing ability to the developing world in a global battle to conquer disease looks similar in many respects to the calls for huge transfers of wealth and technology that were at the heart of the just-failed U.N.-sponsored conference on lowering greenhouse gas emissions at Copenhagen.</p>
<p>Indeed, the volume of revenues that the experts foresee from their global indirect tax — if it should ever be approved by enough national governments — might well come close to the $30 billion annual wealth transfer that rich nations approved at Copenhagen to hand over to poor countries until 2012.</p>
<p>But a global health tax would go one big step further. And, as the experts point out, one trail-blazing version of their global consumer tax for medical research already exists: a germinating program known as UNITAID, which aims to battle against HIV/AIDS, malaria and tuberculosis.</p>
<p>UNITAID, which began in 2006 and is also hosted by WHO, is financed in part by a &#8220;solidarity contribution&#8221; levy of anywhere from $1.20 to $58 on airline tickets among a group of nations led by France, Brazil, Chile, Norway and Britain. According to the WHO experts report, it has raised around $1 billion since its inception, with 13 countries having already passed the airline tax legislation and &#8220;several&#8221; others in the process of doing so.</p>
<p>The idea, as with the &#8220;indirect&#8221; taxes that WHO is about to consider, is that a relatively small consumer levy, once implemented, is a low-profile and relatively painless way to create a global health-care tax system.</p>
<p>UNITAID&#8217;s board chairman, Philippe Douste-Blazy, a former French Cabinet Minister and currently special advisor to U.N. Secretary General Ban Ki-moon on &#8220;innovative financing for development,&#8221; is also a member of the WHO expert working group.</p>
<p>The global financial mechanism that the experts have been exploring is the keystone to WHO&#8217;s entire program for the transformation of the world&#8217;s health industry, which was endorsed as a &#8220;global strategy and plan of action&#8221; by the health organization&#8217;s World Assembly in May 2008.</p>
<p>The plan includes more than 100 specific actions across the areas of research and development, technology transfer and intellectual property rights, among others, according to an update that will also be presented to the executive board next week.</p>
<p>New regional and national networks for medical innovation and development are being planned in Asia, Latin America and Africa — where, for example, there will be &#8220;African-led product research and development innovation,&#8221; including delivery of drugs based on traditional medicines.</p>
<p>Another major effort is the transfer of technology to poorer countries to produce vaccines. One example: H1N1 flu vaccine, which is being manufactured in China, India and Thailand under licensing arrangements created under WHO auspices.</p>
<p>After WHO issued repeated warnings of a serious H1N1 influenza pandemic over the past two years, countries such as Britain and France ordered hundreds of millions of dollars worth of vaccine, only to decide that they were unnecessary, leading to mass cancellations of orders. WHO is reviewing how it handled the crisis.</p>
<p>According to the WHO update, the U.N. organization is already promoting transfers of new medical products for vaccines against rabies, even though that disease is now something of a rarity in the West.</p>
<p>A significant aim of the WHO effort is expanding production and distribution of remedies for what it calls &#8220;neglected diseases,&#8221; mainly meaning those that are more common in poor, underdeveloped countries than in richer ones. These include a variety of parasitic ailments, including trypanosomiasis, or sleeping sickness.</p>
<p>Behind all of the effort is the &#8220;persistent and growing concern,&#8221; as the expert&#8217;s paper puts it, that &#8220;the benefits of the advances in health technology are not reaching the poor,&#8221; which the paper calls &#8220;one of the more egregious manifestations of inequity.&#8221;</p>
<p>As with &#8220;climate change&#8221; at Copenhagen, the WHO&#8217;s experts see that health inequity as a malady that innovative and permanent forms of global taxation are just the right thing to help cure.</p>
<p><em>George Russell is executive editor of Fox News.</em></p>
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		<title>Democrats&#8217; Unity on Healthcare Collapsing</title>
		<link>http://www.kurtschemers.com/democrats-unity-on-healthcare-collapsing</link>
		<comments>http://www.kurtschemers.com/democrats-unity-on-healthcare-collapsing#comments</comments>
		<pubDate>Sun, 29 Nov 2009 20:14:30 +0000</pubDate>
		<dc:creator>Alex Rivers</dc:creator>
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		<guid isPermaLink="false">http://www.kurtschemers.com/?p=618</guid>
		<description><![CDATA[Sunday, November 29, 2009 5:21 AM WASHINGTON – The 60 votes aren&#8217;t there any longer. With the Senate set to begin debate Monday on healthcare overhaul, the all-hands-on-deck Democratic coalition that allowed the bill to advance is fracturing already. Yet majority Democrats will need 60 votes again to finish. Some Democratic senators say they&#8217;ll jump [...]]]></description>
			<content:encoded><![CDATA[<p>Sunday,  November 29, 2009 5:21 AM</p>
<div id="mainContent">
<p>WASHINGTON – The 60 votes aren&#8217;t there any longer.</p>
<p>With the Senate set to begin debate Monday on healthcare overhaul, the all-hands-on-deck Democratic coalition that allowed the bill to advance is fracturing already. Yet majority Democrats will need 60 votes again to finish.</p>
<p>Some Democratic senators say they&#8217;ll jump ship from the bill without tighter restrictions on abortion coverage. Others say they&#8217;ll go unless a government plan to compete with private insurance companies gets tossed overboard. Such concessions would enrage liberals, the heart and soul of the party.</p>
<div id="attachment_621" class="wp-caption alignleft" style="width: 250px"><img class="size-full wp-image-621 " style="margin-left: 5px; margin-right: 5px;" title="Harry Reid (D-NV)" src="http://www.kurtschemers.com/wp-content/uploads/reid.jpg" alt="Senate Majority Leader Harry Reid (D-NV) speaks at a news conference on Capitol Hill on November 3, 2009 in Washington, DC." width="240" height="160" /><p class="wp-caption-text">Senate Majority Leader Harry Reid (D-NV) speaks at a news conference on Capitol Hill on November 3, 2009 in Washington, DC.</p></div>
<p>There&#8217;s no clear course for Senate Majority Leader Harry Reid, D-Nev., to steer legislation through Congress to President Barack Obama. You can&#8217;t make history unless you reach 60 votes, and don&#8217;t count on Republicans helping him.</p>
<p>But Reid is determined to avoid being remembered as another Democrat who tried and failed to make healthcare access for the middle class a part of America&#8217;s social safety net.</p>
<p>&#8220;Generation after generation has called on us to fix this broken system,&#8221; he said at a recent Capitol Hill rally. &#8220;We&#8217;re now closer than ever to getting it done.&#8221;</p>
<p>His bill includes $848 billion over 10 years to gradually expand coverage to most of those now uninsured. It would ban onerous insurance industry practices such as denying coverage or charging higher premiums because of someone&#8217;s poor health. Those who now have the hardest time getting coverage — the self-employed and small businesses — could buy a policy in a new insurance market, with government subsidies for many. Older people would get better prescription coverage.</p>
<p>Most people covered by big employers would gain more protections without major changes. One exception would be those with high-cost insurance plans, whose premiums could rise as a result of a tax on insurers issue the coverage.</p>
<p>The public is ambivalent about the Democrats&#8217; legislation. While 58 percent want elected officials to tackle healthcare now, about half of those supporters say they don&#8217;t like what they&#8217;re hearing about the plans, according to a new Kaiser Family Foundation poll.</p>
<p>The Senate debate risks alienating more people because much of the discussion probably will revolve around divisive issues that preoccupy lawmakers.</p>
<p>&#8220;A large portion of the debate will be spent on issues that aren&#8217;t important to the workability of health reform,&#8221; said Paul Ginsburg, president of the Center for Studying Health System Change.</p>
<p>The debate should start off modestly, with each side offering one amendment. No votes are scheduled Monday.</p>
<p>But with more than 40 senators on the two committees that originated the bill, many more amendments are expected. Some likely subjects are limits on malpractice lawsuits, consumer choice, affordability, minority health and drug prices.</p>
<p>Reid wants to finish by Christmas; he may not get to.</p>
<p>He&#8217;s hoping that Democrats will stick together on procedural matters, where Senate rules require 60 votes to advance. That would allow for different views to be heard on the underlying questions. But such an accommodation might not always be possible.</p>
<p>For example, the National Right to Life to Committee says unless there are big changes, it will count the procedural motion to allow a final up-or-down vote on the legislation as tantamount to a vote on abortion.</p>
<p>Of the many issues senators have to weigh, abortion funding and the option of a government insurance plan promise to be the most difficult.</p>
<p>On abortion, no compromise seems possible. On the public plan, a deal may yet be had.</p>
<p>The House adopted strict limits on abortion funding as the price for the support of anti-abortion Democrats. Abortion rights supporters are now backing Reid&#8217;s approach, which tries to preserve coverage for abortion while stipulating that federal dollars may not be used except in cases of rape, incest or to save the life of the mother. Catholic bishops say they can&#8217;t accept that because it would let federally subsidized plans cover abortion.</p>
<p>It might be easier to find a middle ground on the issue of a public health plan to compete against private insurers, though Sen. Bernie Sanders, a Vermont independent, said Sunday he would be &#8220;very reluctant&#8221; to support legislation without &#8220;a strong public option.&#8221;</p>
<p>Reid&#8217;s bill would create a national plan, but give states the choice of opting out. In any event, the Congressional Budget Office now estimates that the government would not be the bare-knuckles competitor insurers had feared, but a relatively minor player in the market.</p>
<p>Several moderate Democrats have served notice they can&#8217;t support Reid&#8217;s approach. The lone Republican to vote for the Senate bill in committee, Olympia Snowe of Maine, has said she could accept a public plan if insurers are given one last chance to deliver lower premiums in a competitive market. Combining Snowe&#8217;s &#8220;trigger&#8221; with Reid&#8217;s &#8220;opt-out&#8221; might be the answer.</p>
<p>If that&#8217;s the case, it still would have to pass a final test: 60 votes.</p>
<p>© 2009 Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten or redistributed.</p></div>
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		<title>Next Year&#8217;s Hottest Sector?</title>
		<link>http://www.kurtschemers.com/next-years-hottest-sector</link>
		<comments>http://www.kurtschemers.com/next-years-hottest-sector#comments</comments>
		<pubDate>Thu, 26 Nov 2009 17:35:28 +0000</pubDate>
		<dc:creator>Alex Rivers</dc:creator>
				<category><![CDATA[Opinions & Blogs]]></category>
		<category><![CDATA[consumers]]></category>
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		<guid isPermaLink="false">http://www.kurtschemers.com/?p=508</guid>
		<description><![CDATA[By Shannon Zimmerman November 25, 2009 I&#8217;ve been surveying the Fool&#8217;s premium service scorecards, analyzing a universe of stock recommendations that ranges from go-go growth companies to the comparatively buttoned-down dividend payers that the team at Income Investor selects for its members each month. And Income Investor is one service that I think deserves especially close scrutiny [...]]]></description>
			<content:encoded><![CDATA[<p><span>By 				Shannon Zimmerman </span><br />
<span>November 25, 2009</span><span><a href="http://www.fool.com/investing/dividends-income/2009/11/25/next-years-hottest sector.aspx?source=ihpsitota0000001#commentsBoxAnchor"></a></span></p>
<p><img class="alignleft size-medium wp-image-515" style="margin-left: 5px; margin-right: 5px;" title="Financial Report" src="http://www.kurtschemers.com/wp-content/uploads/stock-analize-300x199.jpg" alt="Financial Report" width="240" height="159" />I&#8217;ve been surveying the Fool&#8217;s premium service scorecards, analyzing a universe of stock recommendations that ranges from go-go growth companies to the comparatively buttoned-down dividend payers that the team at <em>Income Investor</em> selects for its members each month. And <em>Income Investor</em> is one service that I think deserves especially close scrutiny over the next 12 months.</p>
<p>Amid a flattish market that may well have fully priced in the coming economic recovery (and then some!), dividends are likely to be an even larger component of our total returns than they currently are. I also think that consumer staples, like Green Acres, is the place to be as economic reality (rather than anticipation) finally takes hold.</p>
<p>Interestingly, the Fool&#8217;s premium universe isn&#8217;t exactly overflowing with consumer staples concerns. My survey finds just 30 such companies &#8212; yet these factoids also caught my eye:</p>
<ul type="disc">
<li>More than half of our consumer staples stocks were recommended during the past 12 months.</li>
<li>About one-quarter are currently favorite buys.</li>
<li>Twenty-six sport four- or five-star CAPS ratings (out of a possible five).</li>
</ul>
<p><strong>Something&#8217;s happening here </strong><br />
That our advisors have dialed up their exposure to consumer staples makes perfect sense. Economic conditions remain rickety, after all, and the sector is home to big names, like <strong>Walgreen</strong> <span>(NYSE: WAG)</span>, <strong>Sysco</strong> <span>(NYSE: SYY)</span>, and <strong>Wal-Mart</strong> <span>(NYSE: WMT)</span>, that serve up the goods that consumers don&#8217;t just want but actually need. Amid a flight to safety, necessity has been a virtue indeed. (Not coincidentally, all are dividend payers, too, though only Sysco&#8217;s payout surpasses the broader market&#8217;s.)</p>
<p>The sector is attractive in terms of valuations, as well. Indeed, of the nine S&amp;P sectors tracked by a Sector Select ETF, consumer staples ranks third cheapest in terms of its aggregate price to forward earnings estimates. The likes of <strong>General Mills</strong> <span>(NYSE: GIS)</span> and <strong>ConAgra Foods</strong> <span>(NYSE: CAG)</span>, for example, currently trade at P/E discounts to their historical five-year averages, their industry rivals, and the broader market.</p>
<p><strong>Cheap &#8212; for now</strong><br />
Sector-wise, only health care and utilities are cheaper than staples. The former is marked down no doubt in part because of regulatory risk, while utilities may owe its discount to a highly leveraged profile. When &#8212; not if &#8212; inflation and interest rates finally tick back up, that dynamic could throttle returns.</p>
<p>The upshot: Though the market is still on its bender, unemployment remains mired above 10%. And absent the impact of economic stimulants like &#8220;Cash for Clunkers,&#8221; personal spending is moribund while the savings rate remains above average.</p>
<p>When consumption is restrained, folks tend to buy what they need. That&#8217;s precisely what a staple good is, of course &#8212; and precisely why this otherwise buttoned-down area of the stock market is poised to outpace the competition.</p>
<p><strong>How to proceed</strong><br />
Across the Fool&#8217;s premium services universe, you&#8217;ll find the best-in-breed players within the sector &#8212; attractively valued businesses with years-long track records of cranking out loads of free cash flow and enriching shareholders with market-surpassing returns.</p>
<p>Consumer staples is also home to generous dividend payers. While the sector&#8217;s aggregate yield clocks in a bit below that of the broader market just now, it includes names like <strong>Kimberly-Clark</strong> <span>(NYSE: KMB)</span> and <strong>Kraft</strong> <span>(NYSE: KFT)</span>, for example, both of which yield more than 3.5%.</p>
<p>That said, when it comes to payouts, we need to watch that falling stock prices don&#8217;t take back what the dividend gives (and perhaps even more). Luckily, consumer staples look cheap today, trading at a price-to-earnings (P/E) discount relative to the S&amp;P 500 and poised to rise along with &#8212; and higher than, I think &#8212; the broader market.</p>
<p>Now, P/E is hardly the end-all and be-all of valuation. And in terms of price-to-book (P/B) value, you could argue that the sector looks pricey. But you shouldn&#8217;t: That P/B premium underscores strong investor preference just now for companies with tangible assets that, if the firms had to unload them, would actually attract buyers willing to pay for the privilege of owning them &#8212; unlike, say, the garbage floating on the financial industry&#8217;s balance sheets.</p>
<p><strong>The Foolish bottom line</strong><br />
Consumer staples bargains abound, and now is a fine time to ferret them out. The industry has cooled this year relative to the market&#8217;s racier sectors, it&#8217;s true &#8212; a reflection of a market mentality and a rally that, in my view, may have gotten ahead of itself.</p>
<p>Which means that right now remains a prime time for investors &#8212; outfitted with information, insight, and a list of worthy consumer staples contenders &#8212; to spring into action. Sound like anyone you know? If so, I encourage you to snag a completely risk-free guest pass to a Fool service that boasts four smart consumer staples stocks among its Buy First recommendations: <a href="http://www.fool.com/shop/newsletters/08/index.htm?source=iiiedilnk9252082"><em>Income Investor</em></a><em>.</em></p>
<p>With market-surpassing performance and a steady stream of superior dividend payers, <em>II</em> offers clear price targets and a scorecard of picks you can sort based on the upside potential the team currently perceives. It&#8217;s a great way to find great stocks trading on the cheap, stocks whose steady dividends mean you get paid to own them. Simply <a href="http://www.fool.com/shop/newsletters/08/index.htm?source=iiiedilnk9252082">click here</a> to give <em>Income Investor</em> a whirl.</p>
<p><a href="mailto:shannonz@fool.com"> <em>Shannon Zimmerman</em> </a> <em>runs point on the Fool&#8217;s</em> Duke Street <em>and</em> Ready Made Millionaire <em>services, and he runs off at the mouth each week on</em> Motley Fool Money<em>, the Fool&#8217;s fast &#8216;n&#8217; furious podcast. Shannon doesn&#8217;t own any of the companies mentioned. You can check out the Fool&#8217;s strict disclosure policy right</em> <a href="http://www.fool.com/help/index.htm?display=about02"><em>here</em></a><em>.</em></p>
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