priorities Ohio Revises Priorities For Expanded COVID-19 Testing By www.wcbe.org Published On :: Mon, 04 May 2020 23:17:49 +0000 Ohio is ramping up its ability to test for COVID-19, which means a big increase in testing by the end of May. Statehouse correspondent Andy Chow reports Gov. Mike DeWine is now announcing new protocols to follow since testing won't be as limited as it once was. Full Article
priorities Libby Coker, the new Labor MP for Corangamite, talks about her priorities By www.abc.net.au Published On :: Thu, 23 May 2019 16:14:00 +1000 Full Article ABC Central Victoria centralvic melbourne Event:Federal Election:All Government and Politics:Elections:All Government and Politics:Elections:Federal Elections Australia:VIC:Aireys Inlet 3231 Australia:VIC:Ocean Grove 3226 Australia:VIC:Torquay 3228
priorities JoT #2692: Pandemic priorities. By www.geekculture.com Published On :: Wed, 18 Mar 2020 20:34:05 -0800 Keep calm, and stay geeky people! Full Article Comics
priorities Priorities #41 By feedproxy.google.com Published On :: Fri, 09 Dec 2011 12:00:00 -0800 Full Article fire alarm laptop priorities taco
priorities Op-Ed: Good Friday challenges us to confront our epidemic of misery and misplaced priorities By www.latimes.com Published On :: Fri, 10 Apr 2020 06:00:53 -0400 May we find the grace to discern hope and meaning in this season of faith and crisis. Full Article
priorities Germany in 2020: European and Global Priorities By feedproxy.google.com Published On :: Wed, 12 Feb 2020 16:35:01 +0000 Invitation Only Research Event 28 February 2020 - 8:30am to 11:00am Chatham House | 10 St James's Square | London | SW1Y 4LE This roundtable brings together German experts to discuss the country’s role in Europe and the world. Over the course of two sessions, Germany’s EU and wider foreign policy will be examined, with speakers sharing their views on where the country finds itself at the beginning of 2020 and what drives its current priorities across a number of areas. Participants will also compare perspectives on what a post-Merkel Germany might look like, now that the future leadership of CDU, Germany’s largest political party, is under question.The event will comprise two separate sessions. Participants are welcome to attend either one or both.08.30 – 09.30Germany in the EU and the EurozoneSpeaker: Mark Schieritz, Economics Correspondent, Die ZeitChair: Quentin Peel, Associate Fellow, Europe Programme, Chatham HouseGermany’s voice remains possibly the most important in any debate within the EU, including in those around the future of the Eurozone. The country has long been seen as the stalwart of the European economy and its government has always played a key role in driving Eurozone policy. However, most recent EU-wide attempts at reform have fallen short of what many claim needs to be done to complete the monetary union. The recently announced Eurozone budgetary instrument, for instance, remains very small and only focused on investment instead of stabilisation. The German government has been reluctant to go along with French President Emmanuel Macron and his structural reform proposals, though some other member states remain sceptical of his ideas for further integration too.How can German attitudes towards the future of the Eurozone be explained? Is the government’s resistance to ambitious EU-wide economic reforms shared across the political spectrum in Germany? What stands in the way of further Eurozone reform when it comes to other EU member states? And will Germany’s reluctance to engage with reforms in this area, make it more difficult for the country to build coalitions when it comes to other EU policy areas?09.45 – 11.00German Foreign Policy in PerspectiveSpeakers: Joshua Webb, Programme Manager, Berlin Foreign Policy Forum and the Berlin Pulse, Koerber StiftungDr Nicolai von Ondarza, Deputy Head, EU/Europe Research Division, German Institute for International and Security Affairs (SWP)Chair: Dr Uta Staiger, Executive Director, UCL European InstituteHistorically, Germany has been reluctant to play too active a role on the global stage, relying on its place at the heart of Europe and the transatlantic alliance. However, the current uncertain global context appears to have led to some rethinking on how the country can ensure its voice is being heard internationally, especially where its values are being challenged and its interests are at stake.What drives German foreign policy in 2020? What are domestic priorities when it comes to trade, security and Germany’s place in the world? What shifts in public opinion may have been engendered by Brexit and Donald Trump’s presidency? What does the rise of China – and China’s growing interest in Europe – mean for Germany’s wider Asia policy? Finally, what role will Germany play in a post-Brexit Europe? And what are the country’s priorities in its future relationship with the UK?The speakers will discuss these and other questions, sharing the findings of a recent German public opinion survey and compare these with international expert perspectives. Event attributes Chatham House Rule Department/project Europe Programme, Britain and Europe: The Post-Referendum Agenda Alina Lyadova Europe Programme Coordinator Email Full Article
priorities Virtual Breakfast: Europe in the Age of COVID-19: Priorities and Debates By feedproxy.google.com Published On :: Tue, 21 Apr 2020 12:15:01 +0000 Invitation Only Research Event 6 May 2020 - 9:00am to 10:00am Event participants Duncan Robinson, Charlemagne Columnist; Brussels Bureau Chief, the EconomistChair: Pepijn Bergsen, Research Fellow, Europe Programme, Chatham House The new European Commission had a bold new agenda when it began its work in December 2019, with climate change, digital transformation and strengthening European democracy among its priorities. Less than six months later, the European continent is in the midst of the worst crisis since the second World War and business as usual has been taken over by crisis management.Has COVID-19 monopolized the agenda in Brussels? What priorities are still on the table and what debates have fallen victim to the coronavirus? Is the current crisis reigniting and exacerbating existing faultlines in the EU or creating new ones?Reflecting on his first four months as the Economist’s Charlemagne columnist, the speaker will share what decision-making in Brussels looks like during a pandemic and what debates are dominating conversations in the EU capital today. Event attributes Chatham House Rule Department/project Europe Programme, Britain and Europe: The Post-Referendum Agenda Alina Lyadova Europe Programme Coordinator Email Full Article
priorities Virtual Breakfast: Europe in the Age of COVID-19: Priorities and Debates By feedproxy.google.com Published On :: Tue, 21 Apr 2020 12:15:01 +0000 Invitation Only Research Event 6 May 2020 - 9:00am to 10:00am Event participants Duncan Robinson, Charlemagne Columnist; Brussels Bureau Chief, the EconomistChair: Pepijn Bergsen, Research Fellow, Europe Programme, Chatham House The new European Commission had a bold new agenda when it began its work in December 2019, with climate change, digital transformation and strengthening European democracy among its priorities. Less than six months later, the European continent is in the midst of the worst crisis since the second World War and business as usual has been taken over by crisis management.Has COVID-19 monopolized the agenda in Brussels? What priorities are still on the table and what debates have fallen victim to the coronavirus? Is the current crisis reigniting and exacerbating existing faultlines in the EU or creating new ones?Reflecting on his first four months as the Economist’s Charlemagne columnist, the speaker will share what decision-making in Brussels looks like during a pandemic and what debates are dominating conversations in the EU capital today. Event attributes Chatham House Rule Department/project Europe Programme, Britain and Europe: The Post-Referendum Agenda Alina Lyadova Europe Programme Coordinator Email Full Article
priorities Kazakhstan's Foreign Policy Priorities By feedproxy.google.com Published On :: Wed, 13 Nov 2013 16:44:02 +0000 Research Event 21 November 2013 - 2:00pm to 3:00pm Chatham House, London Event participants Erlan Idrissov, Minister of Foreign Affairs, Kazakhstan Kazakhstan has attracted international attention due to its energy resources, its relative openness to foreign investment and its proximity to Afghanistan, all of which influence its foreign policy. The withdrawal of ISAF forces from the region in 2014 and Kazakhstan's participation in a number of regional and international initiatives are also likely to play a role in shaping the country's foreign policy in the short to medium term.Mr Idrissov will outline the main items on Astana's foreign policy agenda for approximately 15 minutes, followed by 45 minutes for questions and discussion.Attendance is by invitation only. Department/project Russia and Eurasia Programme, Internal Dynamics and External Interests in Central Asia Full Article
priorities Lesotho’s Domestic Priorities and Global Interests: Small Country Levers for International Influence By feedproxy.google.com Published On :: Tue, 01 Apr 2014 14:57:42 +0000 Research Event 7 April 2014 - 3:00pm to 4:00pm Chatham House, London Meeting Summarypdf | 59.43 KB Event participants HE Dr Motsoahae Thomas Thabane, Prime Minister of LesothoChair: Ian Lucas MP, Shadow Minister for Africa and the Middle East The landlocked southern African nation of Lesotho faces a number of domestic challenges in 2014. Reducing reliance on the agricultural sector, containing the prevalence of HIV and improving service delivery are all important issues that must be addressed to ensure sustainable growth. However, social achievements including literacy rates and levels of gender parity among the highest in Africa, the country’s potential for electricity exports, and the booming relationship between its textile industry and the United States, could mean Lesotho is well-placed for future growth and development. HE Prime Minister Tom Thabane will discuss how his government seeks to address the Lesotho’s domestic issues and how the country seeks to exert its influence in the regional Southern African Development Community. Full Article
priorities Somaliland's Regional Priorities and Strategic Partnerships By feedproxy.google.com Published On :: Thu, 19 Apr 2018 00:00:00 +0100 Full Article
priorities Saudi Arabia's Foreign Policy Priorities By feedproxy.google.com Published On :: Mon, 21 Oct 2019 00:00:00 +0100 Full Article
priorities Human Rights Priorities: An Agenda for Equality and Social Justice By feedproxy.google.com Published On :: Tue, 19 Nov 2019 00:00:00 +0000 Full Article
priorities CBD News: Statement by Ms. Cristiana Pa?ca Palmer, Executive Secretary of the Convention on Biological Diversity, on the occasion of the African Ministerial Summit on Biodiversity: "Land and ecosystem degradation and restoration: Priorities for incre By www.cbd.int Published On :: Tue, 13 Nov 2018 00:00:00 GMT Full Article
priorities Human Rights Priorities: An Agenda for Equality and Social Justice By feedproxy.google.com Published On :: Wed, 23 Oct 2019 13:50:01 +0000 Members Event 19 November 2019 - 6:00pm to 7:00pm Chatham House | 10 St James's Square | London | SW1Y 4LE Event participants Michelle Bachelet, United Nations High Commissioner for Human RightsChair: Ruma Mandal, Head, International Law Programme, Chatham House Following just over one year in office, UN High Commissioner for Human Rights, Michelle Bachelet, outlines her ongoing priorities at a tumultuous time for fundamental rights protections worldwide.She discusses the rights implications of climate change, gender inequality including the advancement of sexual and reproductive rights, the protection of vulnerable groups and the need to work closely with states, civil society and business to protect and advance human rights. Department/project International Law Programme Members Events Team Email Full Article
priorities Human Rights Priorities: An Agenda for Equality and Social Justice By feedproxy.google.com Published On :: Wed, 23 Oct 2019 13:50:01 +0000 Members Event 19 November 2019 - 6:00pm to 7:00pm Chatham House | 10 St James's Square | London | SW1Y 4LE Event participants Michelle Bachelet, United Nations High Commissioner for Human RightsChair: Ruma Mandal, Head, International Law Programme, Chatham House Following just over one year in office, UN High Commissioner for Human Rights, Michelle Bachelet, outlines her ongoing priorities at a tumultuous time for fundamental rights protections worldwide.She discusses the rights implications of climate change, gender inequality including the advancement of sexual and reproductive rights, the protection of vulnerable groups and the need to work closely with states, civil society and business to protect and advance human rights. Department/project International Law Programme Members Events Team Email Full Article
priorities Germany in 2020: European and Global Priorities By feedproxy.google.com Published On :: Wed, 12 Feb 2020 16:35:01 +0000 Invitation Only Research Event 28 February 2020 - 8:30am to 11:00am Chatham House | 10 St James's Square | London | SW1Y 4LE This roundtable brings together German experts to discuss the country’s role in Europe and the world. Over the course of two sessions, Germany’s EU and wider foreign policy will be examined, with speakers sharing their views on where the country finds itself at the beginning of 2020 and what drives its current priorities across a number of areas. Participants will also compare perspectives on what a post-Merkel Germany might look like, now that the future leadership of CDU, Germany’s largest political party, is under question.The event will comprise two separate sessions. Participants are welcome to attend either one or both.08.30 – 09.30Germany in the EU and the EurozoneSpeaker: Mark Schieritz, Economics Correspondent, Die ZeitChair: Quentin Peel, Associate Fellow, Europe Programme, Chatham HouseGermany’s voice remains possibly the most important in any debate within the EU, including in those around the future of the Eurozone. The country has long been seen as the stalwart of the European economy and its government has always played a key role in driving Eurozone policy. However, most recent EU-wide attempts at reform have fallen short of what many claim needs to be done to complete the monetary union. The recently announced Eurozone budgetary instrument, for instance, remains very small and only focused on investment instead of stabilisation. The German government has been reluctant to go along with French President Emmanuel Macron and his structural reform proposals, though some other member states remain sceptical of his ideas for further integration too.How can German attitudes towards the future of the Eurozone be explained? Is the government’s resistance to ambitious EU-wide economic reforms shared across the political spectrum in Germany? What stands in the way of further Eurozone reform when it comes to other EU member states? And will Germany’s reluctance to engage with reforms in this area, make it more difficult for the country to build coalitions when it comes to other EU policy areas?09.45 – 11.00German Foreign Policy in PerspectiveSpeakers: Joshua Webb, Programme Manager, Berlin Foreign Policy Forum and the Berlin Pulse, Koerber StiftungDr Nicolai von Ondarza, Deputy Head, EU/Europe Research Division, German Institute for International and Security Affairs (SWP)Chair: Dr Uta Staiger, Executive Director, UCL European InstituteHistorically, Germany has been reluctant to play too active a role on the global stage, relying on its place at the heart of Europe and the transatlantic alliance. However, the current uncertain global context appears to have led to some rethinking on how the country can ensure its voice is being heard internationally, especially where its values are being challenged and its interests are at stake.What drives German foreign policy in 2020? What are domestic priorities when it comes to trade, security and Germany’s place in the world? What shifts in public opinion may have been engendered by Brexit and Donald Trump’s presidency? What does the rise of China – and China’s growing interest in Europe – mean for Germany’s wider Asia policy? Finally, what role will Germany play in a post-Brexit Europe? And what are the country’s priorities in its future relationship with the UK?The speakers will discuss these and other questions, sharing the findings of a recent German public opinion survey and compare these with international expert perspectives. Event attributes Chatham House Rule Department/project Europe Programme, Britain and Europe: The Post-Referendum Agenda Alina Lyadova Europe Programme Coordinator Email Full Article
priorities Virtual Breakfast: Europe in the Age of COVID-19: Priorities and Debates By feedproxy.google.com Published On :: Tue, 21 Apr 2020 12:15:01 +0000 Invitation Only Research Event 6 May 2020 - 9:00am to 10:00am Event participants Duncan Robinson, Charlemagne Columnist; Brussels Bureau Chief, the EconomistChair: Pepijn Bergsen, Research Fellow, Europe Programme, Chatham House The new European Commission had a bold new agenda when it began its work in December 2019, with climate change, digital transformation and strengthening European democracy among its priorities. Less than six months later, the European continent is in the midst of the worst crisis since the second World War and business as usual has been taken over by crisis management.Has COVID-19 monopolized the agenda in Brussels? What priorities are still on the table and what debates have fallen victim to the coronavirus? Is the current crisis reigniting and exacerbating existing faultlines in the EU or creating new ones?Reflecting on his first four months as the Economist’s Charlemagne columnist, the speaker will share what decision-making in Brussels looks like during a pandemic and what debates are dominating conversations in the EU capital today. Event attributes Chatham House Rule Department/project Europe Programme, Britain and Europe: The Post-Referendum Agenda Alina Lyadova Europe Programme Coordinator Email Full Article
priorities Campaign Contributions Change Priorities, Not Beliefs By www.washingtonpost.com Published On :: Mon, 16 Jul 2007 00:00:00 EDT There are two ways to think about the staggering amounts of money given by special interest groups to politicians -- the type of contributions that were detailed for the last quarter in reports filed yesterday by presidential candidates and members of Congress. Full Article Opinions Campaign Contributions Change Priorities Not Beliefs
priorities Independent Review of the APS : priorities for change / Independent Review of the APS. By www.catalog.slsa.sa.gov.au Published On :: Full Article
priorities Delivering government priorities : PM&C Corporate Plan 2019-2023 / Commonwealth of Australia, Department of the Prime Minister and Cabinet. By www.catalog.slsa.sa.gov.au Published On :: Full Article
priorities Identifying Priorities for Mental Health Interventions in War-Affected Youth: A Longitudinal Study By pediatrics.aappublications.org Published On :: 2015-07-06T00:06:48-07:00 War-affected youth often suffer from multiple co-occurring mental health problems. The relationship of these conditions to later mental health has yet to be thoroughly investigated. There is a need to explore potential targets for mental health interventions.After controlling for preexisting conditions and contemporary confounders, internalizing (depression and anxiety) remained the major predictor of future mental health symptoms (internalizing symptoms, prosocial attitudes/behaviors, and posttraumatic stress symptoms). Interventions targeting internalizing in war-affected youth hold promise. (Read the full article) Full Article
priorities Congo: Four Priorities for Sustainable Peace in Ituri By feedproxy.google.com Published On :: Mon, 12 May 2008 22:00:00 GMT Full Article
priorities Congo: Five Priorities for a Peacebuilding Strategy By feedproxy.google.com Published On :: Sun, 10 May 2009 22:00:00 GMT Full Article
priorities Central African Republic: Priorities of the Transition By feedproxy.google.com Published On :: Mon, 10 Jun 2013 22:00:00 GMT The collapse of the state and the disappearance of security forces from a large part of the territory may turn the Central African Republic (CAR) into a source of instability in the heart of Africa.Please note the full report is only available in French. Full Article
priorities Nova Scotia Draw Targets Social Workers in Labor Market Priorities Stream By www.visareporter.com Published On :: Sat, 07 Dec 2019 00:00:00 GMT On December 5th Nova Scotia conducted a new draw in its provincial Labor Market Priorities Stream with a link to Express Entry. It targets social and community service workers under the NOC 4212. This was the first NSNP draw that targeted NOC 4212.Candidates… Full Article
priorities Immigration Priorities in Canada Outlined in A Mandate Letter by Liberals By www.visareporter.com Published On :: Sat, 14 Dec 2019 00:00:00 GMT Prime Minister Justin Trudeau assigned the twin tasks to Marco Mendicino, the Immigration Minister. These are Management of a million new arrivals seeking permanent residents as well as creating a fresh Municipal Nominee Program.Well Defined ResponsibilitiesThe… Full Article
priorities Nova Scotia Holds A Labor Priorities Stream Draw and Invites 144 Candidates By www.visareporter.com Published On :: Mon, 23 Dec 2019 00:00:00 GMT Nova Scotia held a draw in the Labor Market Priorities stream on December 20 and invited 144 candidates belonging to the Express Entry having the required work experience related to public relations, advertising, or marketing sectors. The category of… Full Article
priorities Trials' Lessons: Right Priorities By feeds.gty.org Published On :: Thu, 07 May 2020 00:00:00 -0700 “‘For now I know that you fear God, since you have not withheld your son, your only son, from Me’” (Genesis 22:12). Trials from the Lord will reveal to believers what they love and appreciate the most. A big part of the reason for the Lord’s testing Abraham at Moriah was to show him what he valued most in life. The question God wanted Abraham to answer was, “Do you love Isaac more than Me, or do you love Me more than Isaac?” And the Lord was prepared for the drastic test of taking Abraham’s son’s life if that’s what was necessary for Abraham to give God first place in everything. God also tries the sincerity of those today who claim to love Him (see Deut. 13:3; Matt. 22:36-37). Jesus was so concerned that we have our priorities right that He made this radical statement: “If anyone comes to Me, and does not hate his own father and mother and wife and children and brothers and sisters, yes, and even his own life, he cannot be My disciple” (Luke 14:26). Christians must love Christ so much that by comparison they will seem to hate their families and themselves. In order to test this first love, God might in some dramatic fashion ask us to renounce the many tugs and appeals from family and place His will and affections first in our life. That kind of radical obedience, which is what Abraham had, always leads to God’s blessings. Jesus Himself was a perfect example of this principle. Because He was fully human as well as fully God, our Lord did not escape ordinary pain and hardship while on earth. As the Suffering Servant (Isa. 53), He learned completely what it means to obey through pain and adversity, all the way to His crucifixion (Heb. 5:7-9). As a result, the Son was exalted by the Father (Phil. 2:8-9). God sometimes makes our path of obedience go through the experiences of trials and sufferings. But if we are faithful to His Word and will, those difficulties will teach us to value and appreciate God’s many blessings. Suggestions for Prayer Pray that your priorities each day would stay in line with God’s. For Further Study Read Deuteronomy 6:1-9. What must be the top priority for all believers?From Strength for Today by John MacArthur Copyright © 1997. Used by permission of Crossway Books, a division of Good News Publishers, Wheaton, IL 60187, www.crossway.com.Additional ResourcesThe Study Bible (mobile app)Grace to You Sermons (mobile app)John MacArthur’s complete sermon archiveThe MacArthur Study BibleThe complete MacArthur New Testament Commentary series Full Article
priorities Federal funding for gun violence prevention research sparks hopes: Priorities, direction being explored By thenationshealth.aphapublications.org Published On :: 2020-05-01T05:00:17-07:00 After more than 20 years of minimal funding, the U.S. is opening its purse strings to research on gun violence prevention. Full Article
priorities Reconciling global priorities for conserving biodiversity habitat [Ecology] By www.pnas.org Published On :: 2020-05-05T10:31:24-07:00 Degradation and loss of natural habitat is the major driver of the current global biodiversity crisis. Most habitat conservation efforts to date have targeted small areas of highly threatened habitat, but emerging debate suggests that retaining large intact natural systems may be just as important. We reconcile these perspectives by... Full Article
priorities Trump uses coronavirus crisis to push other policy priorities By www.latimes.com Published On :: Thu, 23 Apr 2020 18:42:19 -0400 Trump is using the coronavirus crisis as an opportunity — or as political cover — to make sweeping changes to regulations and push controversial new policies. Full Article
priorities 5 strategic priorities for CIOs in 2020 By sandhill.com Published On :: Fri, 20 Dec 2019 00:00:00 +0000 As we close out 2019 and focus our attention to the forecasts of 2020, here is a sneak peek into what's IT leaders have on their roadmaps for 2020. Keep on reading: 5 strategic priorities for CIOs in 2020 Full Article
priorities Remarks as Prepared for Delivery by Assistant Attorney General Ignacia Moreno on 2011 Priorities for the Environment and Natural Resources Division By www.justice.gov Published On :: Fri, 14 Jan 2011 19:18:16 EST It is always a pleasure for me to see my long-time friends at the D.C. Bar. I have been a D.C. Bar member since 1991 – that is 20 years – and have served on various Bar committees and participated in pro bono activities sponsored by the Bar. Full Article Speech
priorities Attorney General Eric Holder Speaks About the Department of Justice’s Priorities and Mission By www.justice.gov Published On :: Mon, 25 Apr 2011 11:05:42 EDT "Boundless, too, are the opportunities now before us. So, today, as we look toward the future, we will take action in four key areas to fulfill one core mission: protecting the American people. These priorities will allow us to build on the record of success that we’ve established, and they will guide our future efforts." Full Article Speech
priorities Deputy Attorney General James M. Cole Speaks at the Administration Event to Highlight Priorities for Cybersecurity Policy By www.justice.gov Published On :: Wed, 13 Feb 2013 11:50:39 EST "One of the most important aspects of the Executive Order is its emphasis on improving government mechanisms for providing timely cyber threat information to the private sector," said Deputy Attorney General Cole. Full Article Speech
priorities Department of Justice Announces New Priorities to Address Surge of Migrants Crossing into the U.S. By www.justice.gov Published On :: Fri, 29 Aug 2014 11:49:10 EDT Deputy Attorney General James Cole announced today that the Justice Department will implement a series of steps to help address the influx of migrants crossing the southern border of the United States. These include refocusing immigration court resources to adjudicate the cases of recent migrants; providing support and training to help address violence in Central America; and redoubling efforts to work with other federal agencies and the Mexican government to investigate and prosecute those who smuggle migrants to the United States Full Article OPA Press Releases
priorities Policy Priorities to Address Opioid Use Disorder By feedproxy.google.com Published On :: Thu, 23 Apr 2020 07:00:00 -0400 Individuals with opioid use disorder (OUD) struggle to get effective care: Of 2 million Americans with the illness, only 26% receive treatment. Now, as the coronavirus pandemic presents an added strain on the U.S. health care system, it is creating greater hardships for those seeking OUD treatment. Full Article
priorities Author Correction: Management of IBD during the COVID-19 outbreak: resetting clinical priorities By feeds.nature.com Published On :: 2020-05-06 Full Article
priorities Priorities for India’s health policy By webfeeds.brookings.edu Published On :: Tue, 26 Jan 2016 15:50:00 -0500 India’s health care sector is poised at a crossroads, and the direction taken now will be critical in determining its trajectory for years to come. In a recent Brookings India paper on the Indian government’s health care policy, we argue that it should prioritize expanding and effectively delivering those aspects of health that fall under the definition of “public goods’” for example, vaccination, health education, sanitation, public health, primary care and screening, family planning through empowering women, and reproductive and child health. Reuters/Adnan Abidi - Doctors look at the ultrasound scan of a patient at Janakpuri Super Speciality Hospital in New Delhi, January 19, 2015 These are all aspects of health with significant externalities and thus cannot be efficiently provided by markets. Large gains in the nation’s health, and particularly the health of the poorest and most marginalized, can be made with this limited focus. As just one estimate, a 2010 World Bank study showed that India lost 53.8 billion USD annually in premature mortality, lost productivity, health care provision and other losses due to inadequate sanitation. Not about the money: Reforming India’s management systems Importantly, these gains can come very cost effectively, as demonstrated by India’s neighbors Bangladesh and Sri Lanka, which spend less as a percentage of GDP on health than India, but have better outcomes. It is not an expansion in spending that is critical for improving health outcomes. Instead, India needs to set appropriate goals and reform the public health care sector’s governance and management systems so that it is able to deliver on those goals. Evidence gathered globally and within India suggests that without good governance, additional spending would be worth little. One potential model to adopt is to set up publicly owned corporations at the state level that can take over the existing state health infrastructure and health delivery operations, thus permitting greater flexibility in management than the government’s notoriously inefficient and hidebound administrative systems. India needs to set appropriate goals and reform the public health care sector’s governance and management systems so that they are able to deliver against those goals. Where secondary and tertiary care are concerned, we believe that the government’s role should be to provide a different public good—sensible and responsive regulation that allows a health care market to develop. The government’s regulatory mechanism will need to address issues of information asymmetry between doctors and patients, for which we recommend government action to supplement market solutions for doctor discovery and quality appraisal that are already springing up. Hospital accreditation, increased importance for patient safety standards and guidelines, standardized, and, in time, mandated, Electronic Medical Records are all measures that will go toward ameliorating market failures that arise from information asymmetry in health care. Increased focus on patient safety in medical curriculums will help, but providing regulation that balances the twin objectives of improving monitoring, reporting and prevention of adverse events while disincentivizing the events themselves will be a key challenge for regulators. Addressing the shortage of qualified medical professionals Human resource expansion in health care is an area where transparent and responsive government regulation on the supply side is a public good of fundamental importance. The paucity of qualified health workers in India is well documented. The distribution, too, is skewed – the public health system, particularly in rural areas, is very short of qualified personnel. As many as 18 percent of government Primary Health Centers (PHCs) were entirely without doctors, and many others faced shortages. One promising way forward is offered by Indian state Chhattisgarh’s experience with a 3 year long medical training course. While the course was shut down in a few years after opposition from doctors, its graduates were hired as Rural Medical Assistants (RMAs) in PHCs. A Public Health Foundation of India (PHFI) study in 2010 evaluated PHCs across the state, focusing on diseases and conditions that PHCs most need to treat. They found that PHCs run by RMAs were just as good as those run by regular MBBS doctors in terms of provider competence, prescription practices and patient and community satisfaction. Practitioners with training in traditional medicine can also be potentially mainstreamed into such roles. Such avenues toward overcoming the shortage of medical personnel in rural areas must be explored. As many as 18 percent of government Primary Health Centers (PHCs) were entirely without doctors, and many others faced shortages. Health care financing is another area where government can play a large role. Medical insurance has proved to be a poor model for financing health care. It faces several theoretical pitfalls and has been one of the major factors behind the expensive and unsustainable healthcare system in the U.S. One approach that circumvents the adverse selection and moral hazard issues of medical insurance is that of introducing Medical Savings Accounts (MSAs). MSAs can be encouraged by tax deductions that would apply if the accounts were used to pay for medical expenses, and equity concerns can be alleviated by direct payments for those that cannot pay for themselves. Reuters/Babu - Pharmacists dispense free medication, provided by the government, to patients at Rajiv Gandhi Government General Hospital, July 12, 2012 These methods can help us accomplish the task of building a health care system that places its principal public spending focus on making and keeping large swathes of our population healthy, and its principal regulatory focus on creating an efficient market for health care. Authors Shamika RaviRahul Ahluwalia Image Source: © Babu Babu / Reuters Full Article
priorities U.S. priorities at the Seventh Summit of the Americas By webfeeds.brookings.edu Published On :: Wed, 08 Apr 2015 16:50:00 -0400 On Friday, April 3, the Brookings Latin America Initiative hosted Assistant Secretary of State for Western Hemisphere Affairs Roberta Jacobson to discuss the state of inter-American relations and expectations for the Seventh Summit of the Americas to be held on April 10 to 11 in Panama City, Panama. With Cuba in attendance for the first time, this summit will be a chance for the entire region to have a robust conversation on hemispheric challenges and opportunities. The event began with a keynote address by Assistant Secretary Jacobson, and was followed with a discussion moderated by Richard Feinberg—dubbed the “godfather” of the Summit process for his role in the first Miami Summit of the Americas in 1994—and Harold Trinkunas. This event also launched a new Brookings policy brief by Richard Feinberg, Emily Miller, and Harold Trinkunas, entitled "Better Than You Think: Reframing Inter-American Relations." Assistant Secretary Jacobson began her remarks by highlighting the areas where her own thinking coincides with the arguments in this new policy brief. Principally, she argued that developments in the hemisphere over the past few decades have largely been positive for U.S. interests. Although this does not mean Latin America and the United States will agree on everything, she noted that there are many areas of mutual interests on which the United States can work together with Latin America countries as equal partners. Jacobson explained that this desire to forge equal partnerships based on common values and interests was precisely the notion expressed by President Obama at the 2009 Summit in Trinidad. The upcoming Summit is a chance to showcase this updated architecture for cooperation and partnership, which includes the CEO Summit of the Americas (initiated in 2012) and the Civil Society and Social Actors Forum (new this year). Key issues for the U.S. at the Summit of the Americas Assistant Secretary Jacobson outlined the four priorities for the United States going into the Summit: Democracy and human rights: Jacobson stated that the United States “applauds governments around the hemisphere that have supported a more robust civil society role.” The civil society side event provides a critical feedback loop that is one way for leaders to be held accountable by their citizens. Jacobson noted, however, that there remain very real challenges to democracy in Venezuela. While this is something that should concern the entire hemisphere, it is ultimately up to the Venezuelans to resolve. Global competitiveness: The focus of the United States will be on small businesses, which are important job creators but do not always receive the support they need in terms of access to credit or support in job training. The Small Business Network of the Americas has fostered over 4,000 small business development centers, and in Colombia alone has created nearly 6,000 jobs. Social development: Latin America remains the most unequal region of the world. There have been important reductions in poverty and growth of the middle class, but sustained improvements will require economic diversification and targeted efforts to reach vulnerable populations. To address the education deficit in the region, Jacobson highlighted the 100,000 Strong in the Americas program which connects institutions to institutions and seeks to provide students with actionable and employable skills. Energy and climate change: The high cost of energy prevents some countries from realizing their full potential and feeds migration, poverty, and violence. Sharing in the enormous energy wealth of other nations must be done responsibly and sustainably, noted Jacobson. The Energy and Climate Partnership of the Americas and Connecting the Americas 2022 aim to “promote renewable energy efficiency, cleaner fossil fuels, resilient infrastructure, and interconnection.” U.S. rationale behind targeted sanctions on Venezuela When asked about flashpoints or problems areas for the United States in the upcoming summit, Jacobson pointed to the sanctions on seven Venezuelan officials and the concern they have generated. However, she was careful to clarify that the executive order used standard language and was in no way a prelude to invasion or a forced regime change. Moreover, she noted that the legislation had been pending in Congress for two years, during which a dialogue between the opposition and government facilitated by the Union of South American Nations (UNASUR) was attempted but stalled. Jacobson explained that it is important to remember that these sanctions are very targeted and do not intend to harm the Venezuelan people or even the Venezuelan government as a whole. Engagement with Cuba and Brazil In Jacobson’s view, there are no large systemic issues that stand to block progress at the Summit. She explained that the Obama administration’s greater flexibility on counter-narcotics policies, reestablishment of diplomatic ties with Cuba, and focus on the Trans-Pacific Partnership have removed many historic obstacles. There remains work to be done, however. Jacobson stated that while interaction at the Summit between President Obama and Raúl Castro will serve to further the relationship and continue momentum for the normalization process, the engagement with Cuba will not deter the United States from speaking out on human rights violations. The administration’s view is that the human rights situation in Cuba is inadequate. Jacobson reiterated the need to respect international norms of human rights and that the United States will continue to support those who peacefully fight for that space to be open. Finally, she recognized the importance of U.S. engagement with Brazil. According to Jacobson, the United States sees Brazil as a leader on social inclusion, and even on economic competitiveness as it openly debates how to restart economic growth. Though the United States and Brazil do not see eye-to-eye on issues of climate change, she recognized that working with Brazil will be crucial in this area as well. A desire for cooperation With a desire to focus on pragmatic approaches rather than ideology, Jacobson expressed an openness to cooperation: “We’re willing to engage with every country in the hemisphere, every country in the hemisphere, any country that wants to partner with us. Because they’re in all of our interests. And that’s the way partnerships should be based, on mutual interests…that’s what makes them durable.” For more information, check out Latin America Initiative Director and Senior Fellow Harold Trinkunas's blog on the lessons in global governance the hemisphere has to offer. Authors Emily Miller Full Article
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