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Showing posts with label Cost. Show all posts
Showing posts with label Cost. Show all posts

12/1/22

Climate Crises: Rich Nations reluctant to help pay poor nations for their cleanup.

Sunday, loud cheers from Sharm el-Sheikh greeted the announcement of a new initiative – the global loss and damage fund – to right historical wrongs by compensating climate-hit developing countries. This breakthrough brought back memories of another, the £100bn a year agreed at the 2009 Copenhagen climate summit to help poor countries mitigate the effects of the climate crisis.

That money has never fully materialised. If our 13 years’ experience of the £100bn fund that never was is anything to go by, eulogies of praise will soon turn into allegations of betrayal. The president of next year’s Cop28 will have to answer for yet another fund without funders. Far from the loss and damage fund narrowing the credibility gap on climate action, it is likely to bridge nothing if money fails to flow from rich to poor.

The last decade has been a history of promises made and broken. Before Covid, the cost of financing the sustainable development goals (SDGs) was $2.5tn a year. Now, post-Covid, and with the price of fighting floods, firestorms and droughts – and the debt burden of low-income countries – dramatically escalating, it is $4tn annually. Set against an official development assistance (ODA) budget of only $179bn a year and $130bn on offer mainly in multilateral loans, the SDGs represent yet another unanimous but unfunded pledge of the international community. To make matters worse, the British development aid budget has now been cut from 0.7% of our national income to 0.5% for years ahead, and already our overall contribution to meeting all oom loopur climate and development targets is down from the promised £16bn to just £11.5bn.

Read  more at: https://www.theguardian.com

7/22/22

Ukraine can feed the world again. But at what cost? - byYevgeniya Gaber

The world’s breadbasket is back. Russia and Ukraine signed separate deals with the United Nations and Turkey in Istanbul today that will unblock commercial exports from three southern Ukrainian ports including Odesa—where more than twenty million tons of grain have been held up amid Russia’s invasion of its neighbor. It’s a promising development far beyond just the Black Sea, allowing countries dependent on Ukrainian grain to breathe a sigh of relief following fears of a mounting global food crisis. But how fragile is this wartime deal? And what did Ukraine really gain? Our experts shipped off their takes.

Read more at: Ukraine can feed the world again. But at what cost? - Atlantic Council

7/27/21

Healthcare in the Netherlands: Is it really that good?

Amazingly, the Dutch rate their health care very highly. They must have low expectations. The Netherlands was number one on the Euro Health Consumer Index in 2015 for its health care system. It has also been listed in the top 3 European countries since 2005. It may be the best system in terms of economics. However, I’m not so certain it works well for everyday patients.

Dutch huisartsen (general practitioners) are notorious for sending you home from an office visit with advice to rest and take a paracetamol. Come back in 2 weeks if you’re not feeling better. This goes for everything from a sore throat to an amputated limb (ok, that may be a slight exaggeration). You have to have one foot in the grave for your huisarts to either prescribe an antibiotic or to send you to see a specialist. Now, I am not someone who believes in prescribing antibiotics for every minor illness, but for bacterial infections they are sometimes necessary. The same goes for pain meds and anesthetics. The Dutch seem to believe one needs to suffer for a while before doing anything proactive.

Read more at: Healthcare in the Netherlands: Is it really that good? – DutchReview

EU: Healthcare expenditure across the EU: 10% of GDP

In these times of Corona virus, it might be interesting to know how much is spent on health care. The most recent statistics on current healthcare expenditure (public and private) show how expenditure on healthcare varies across the Member States of the European Union (EU).

Healthcare expenditure in France and Germany was equivalent to 11.3% of GDP in 2017, a larger share than in any other EU Member State. The next highest ratio was observed in Sweden (11.0%). By contrast, healthcare expenditure accounted for less than 7.5% of GDP in 12 Member States, with Romania recording the lowest ratio (5.2%).

On average in the EU, it is estimated that healthcare expenditure amounted to 9.9% of GDP in 2017.

R ead more at: Healthcare expenditure across the EU: 10% of GDP - Products Eurostat News - Eurostat

5/27/20

lnfrastructure:The U.S. Has Forgotten How to Do Infrastructure - by Noah Smith

 As Vox’s Matthew Yglesias points out, the problem with high infrastructure costs is that they force us to debate the wrong things. If costs were reasonable, even skeptics would probably agree to fix roads and build better trains. But when the price of maintaining high-quality infrastructure is ridiculously high, the issue gets divided into two camps — a pro-building contingent that advocates biting the bullet and overspending to maintain transportation networks, and an anti-building group that throws up its hands at the price tag. When this is the debate, the country loses either way, because it ends up either spending too much money or living with potholed roads and trains that never arrive.

The U.S. is in the grips of exactly this sort of dilemma. For some mysterious reason, the same mile of road or train track costs a lot more to build in the U.S. than in other rich countries like France or Japan. When it comes to trains, the disparity is particularly egregious. During the past few years, people who pay attention to this problem have catalogued a list of potential culprits. But none of these is really satisfying.

Read more at:
The U.S. Has Forgotten How to Do Infrastructure

3/7/20

Turkey-Russia agreement: Ceasefire in Syria's Idlib comes at a cost for Turkey's Erdogan - by Tuvan Gumrukcu

After six hours of talks with Vladimir Putin, a somber Erdogan announced an accord which cements territorial gains by Russian-backed Syrian forces over Turkish-backed rebels.

Returning from Russia, Erdogan said his deal with Putin will lay the ground for stability in Idlib and protect civilians who could otherwise become refugees in Turkey, after months of fighting that has displaced nearly a million people.

“The ceasefire brings about important gains,” he said.

The agreement, if it holds, does stem the advances of forces loyal to President Bashar al-Assad, easing Ankara’s greatest fear - an influx of Syrians fleeing bombardment in Idlib and clamoring to cross its border and join 3.6 million Syrian refugees already in Turkey.

Read more at: Ceasefire in Syria's Idlib comes at a cost for Turkey's Erdogan - Reuters

2/29/20

Afghanistan: After 18 bloody years, U.S. signs deal to withdraw all troops from Afghanistan. It's not over yet

With the exception of the wars with American Indians from 1788-1890, the Afghan war has been America’s longest. For the Afghans, the war stretches back four decades to the Soviet invasion and the internecine fighting that followed Moscow’s withdrawal in 1988. Estimates of the U.S. cost of the war range widely because there is no uniform way the White House or Congress tallies or allocates the money. One estimate puts it at about $1 trillion while another puts it at $2 trillion. But neither of those numbers include future interest on debt incurred to pay for the wars, estimated by one researcher at an additional $7.9 trillion by the 2050s. Nor does it cover the cost to the Department of Veterans Affairs for caring for injured U.S. veterans, including tens of thousands who have suffered traumatic brain injuries.

Said Secretary of State Mike Pompeo in Doha for the ceremony: “The future of Afghanistan is for Afghans to determine. The U.S.-Taliban deal creates the conditions for Afghans to do just that.”  On Friday, Donald Trump said, “If the Taliban and the government of Afghanistan live up to these commitments, we will have a powerful path forward to end the war in Afghanistan and bring our troops home.”

Just getting the Taliban to the table with the nation’s leaders was a difficult step. The Taliban have rejected the legitimacy of the Kabul government, calling it a “puppet regime” that they would not negotiate with. On Friday, however, Taliban leaders were taking a victory lap over the certainty of the signing in Doha. The Taliban has agreed to break off all ties to international terror groups, including al Queda, whose attacks on the United States in 2001 spurred the U.S. invasion of Afghanistan, which, at the time was controlled by the Taliban. But it has not agreed to any adjustment of its ultra-strict interpretation of Islam, profound oppression of women and girls, and harsh punishments of both women and men for the pettiest of offenses. 

The United States had a choice in 2001. It could have gone into Afghanistan and done what was needed to capture or kill Osama bin Laden and kneecap al Qaeda, then bring the troops home. Instead, lives and treasure were poured into a fight that generals and neoconservative politicians said the U.S. could win and historians warned it couldn’t. Has the lesson been learned? Rather doubtful.

Read more at: After 18 bloody years, U.S. signs deal to withdraw all troops from Afghanistan. It's not over yet

2/23/20

US Health Care: Unequal Access to Health Care Costs Us Al - by Anne Case and Angus Deatonl

Americans spend vast sums on health care. Certainly, health care is expensive all over the world, and it makes good sense for rich countries to spend large amounts to extend their citizens’ lives and to reduce pain and suffering. But America does this about as badly as it is possible to imagine.

Health care can sometimes harm people, through medical mistakes, or the overprescription of opioids. But there is also harm to people’s lives from its extraordinary and unnecessary costs. The percentage of national income that is absorbed by health care has grown over the past half-century, from 5% in 1960 to 18% in 2017, reducing what is available for anything else from 95% in 1960 to 82% today. The costs of health care contribute to the long-term stagnation in wages; to fewer good jobs, especially for less educated workers; and to rising income inequality.

The U.S. health care system spent $10,739 per person in 2017, about five times what the country spends on defense and about three times what it spends on education. High costs inflate the earnings of many providers and make the industry unnecessarily large. The cost of employer-provided health insurance, largely invisible to employees, not only holds down wages but also destroys jobs, especially for less skilled workers, and replaces good jobs with worse jobs at lower wages.

Health care costs directly hurt those without insurance, while those who are insured must pay co-payments, deductibles and employee contributions. Health costs also affect federal and state governments, which pay for Medicare and Medicaid. Governments must collect more taxes; provide less of something else, such as infrastructure or public education; or run deficits that shift the burden to future taxpayers. We could cut back costs by at least a third without compromising our health.

The U.S. has lower life expectancy than the other wealthy countries but vastly higher expenditures per person. In 1970, the countries were not very far apart, with American life expectancy not much worse and expenditures not much higher, but other countries have seen faster improvements in health and slower increases in costs. In 2017, the Swiss lived 5.1 years longer than Americans but spent 30% less per person; other countries achieved a similar length of life for still fewer health dollars. If a fairy godmother were to reduce the share of health care in American GDP to Switzerland’s, 5.6% of our GDP (or more than a trillion dollars) would be available for other things. That is more than $3,000 a year for each person in the U.S., or about $8,300 per household. If each household had been given an additional $8,300 in 2017, median income growth over the past 30 years would have been double what it actually was. These very large numbers are just the waste of health care.

Read more at: Unequal Access to Health Care Costs Us All | Time: American health care is the most expensive in the world, and yet American health is among the worst among rich countries

11/24/16

EU Healthcare: Bad health: EU buries billions with 550,000 premature deaths due to chronic disease

A joint OECD/European Commission report says chronic diseases and premature deaths cost the EU billions every year. It calls for better prevention policies and improved health care. So what else is new?

Health reports seldom say anything new. There's the obligatory risk factors - smoking, alcohol and obesity - and an equally standard call for better prevention policies and improved healthcare systems. Let's face it: We could all live a bit more healthily.

Such is the mainline in "Health at a Glance: Europe 2016," a joint report launched Wednesday (23.11.2016) by the OECD and the European Commission in Brussels.

But what's striking about this report is the human cost of Europe's failing health.

The report estimates that about 550,065 people of working-age (25-64 years) in the European Union die prematurely from chronic diseases. It could be a heart attack, stroke, diabetes, or a form of cancer. And their dying early, says the report, costs the EU 115 billion euros annually.

Note EU-Digest: another issue not discussed in this report, which certainly must be seen as a part of the problem, is that in some countries, like the Netherlands, where insurance programs have been  privatized and the insurance premium costs have continuously been on the rise for the consumer, people have not been going to the Dr. or hospital for preventive care, mainly because of personal economic reasons.

For the complete report Read more: Bad health: EU buries billions with 550,000 premature deaths due to chronic disease | Science | DW.COM | 23.11.2016

1/23/15

US Military:The Tragedy of the American Military - by James Fallows

Americans admire the military as they do no other institution. Through the past two decades, respect for the courts, the schools, the press, Congress, organized religion, Big Business, and virtually every other institution in modern life has plummeted. The one exception is the military. Confidence in the military shot up after 9/11 and has stayed very high. In a Gallup poll last summer, three-quarters of the public expressed “a great deal” or “quite a lot” of confidence in the military. About one-third had comparable confidence in the medical system, and only 7 percent in Congress.

Too much complacency regarding our military, and too weak a tragic imagination about the consequences if the next engagement goes wrong, have been part of Americans’ willingness to wade into conflict after conflict, blithely assuming we would win. “Did we have the sense that America cared how we were doing?

We did not,” Seth Moulton told me about his experience as a marine during the Iraq War. Moulton became a Marine Corps officer after graduating from Harvard in 2001, believing (as he told me) that when many classmates were heading to Wall Street it was useful to set an example of public service. He opposed the decision to invade Iraq but ended up serving four tours there out of a sense of duty to his comrades. “America was very disconnected. We were proud to serve, but we knew it was a little group of people doing the country’s work.”

Ours is the best-equipped fighting force in history, and it is incomparably the most expensive. By all measures, today’s professionalized military is also better trained, motivated, and disciplined than during the draft-army years. No decent person who is exposed to today’s troops can be anything but respectful of them and grateful for what they do.

Yet repeatedly this force has been defeated by less modern, worse-equipped, barely funded foes. Or it has won skirmishes and battles only to lose or get bogged down in a larger war. Although no one can agree on an exact figure, our dozen years of war in Iraq, Afghanistan, and neighboring countries have cost at least $1.5 trillion; Linda J. Bilmes, of the Harvard Kennedy School, recently estimated that the total cost could be three to four times that much. Recall that while Congress was considering whether to authorize the Iraq War, the head of the White House economic council, Lawrence B. Lindsey, was forced to resign for telling The Wall Street Journal that the all-in costs might be as high as $100 billion to $200 billion, or less than the U.S. has spent on Iraq and Afghanistan in many individual years.

Politicians say that national security is their first and most sacred duty, but they do not act as if this is so. The most recent defense budget passed the House Armed Services Committee by a vote of 61 to zero, with similarly one-sided debate before the vote. This is the same House of Representatives that cannot pass a long-term Highway Trust Fund bill that both parties support. “The lionization of military officials by politicians is remarkable and dangerous,” a retired Air Force colonel named Tom Ruby, who now writes on organizational culture, told me. He and others said that this deference was one reason so little serious oversight of the military took place.

T. X. Hammes, a retired Marine Corps colonel who has a doctorate in modern history from Oxford, told me that instead of applying critical judgment to military programs, or even regarding national defense as any kind of sacred duty, politicians have come to view it simply as a teat. “Many on Capitol Hill see the Pentagon with admirable simplicity,” he said: “It is a way of directing tax money to selected districts. It’s part of what they were elected to do.”

For the complete report: The Tragedy of the American Military - The Atlantic

2/21/14

Airline Industry: Here’s why you shouldn’t buy a US-to-Europe flight more than two months in advance – by David Yanofsky


Kayak found that the cheapest fares from the US to Africa were just 33 days before departure, while the cheapest to Europe were 53 days before departure, and the cheapest to South America were 162 days out. The cheapest flights to Asia were booked 270 days—a full nine months—in advance.

Challenging the conventional wisdom, the most expensive fares typically appear when purchased far in advance of a flight. For example, the average ticket to South America was more than 20% higher than the subsequent cheapest fare when booked more than 300 days before departure.

Only flights to Europe were more expensive when bought on the day of departure instead of 350 days in advance.
In general, the price of flights to all regions jump significantly during the week of departure. Fares from the US to Europe rise by 15% in the seven days before departure. However, even with this big price increase, a ticket to Europe is almost always cheaper than one to Asia or Africa, no matter when you book.

Read more: Here’s why you shouldn’t buy a US-to-Europe flight more than two months in advance – Quartz

5/19/13

EU-Digest poll shows only 40% of people polled say royalty is still relevant in Europe

Dutch King Willem Alexander and Queen Maxima
The results of our latest EU-Digest Poll " Is Royalty still relevant in Europe" shows that only 40% of the people polled found it still is relevant

Ten percent said outright it was not. Twenty percent found it was too costly and should be abolished, while 30% said Royalty and Palaces should be transformed  into a "Disney-like theme park concept" and become self-sufficient.

This month's poll covers obesity and cost as it requests your input on the question:  "Should obese people be charged for an additional seat on Airplanes, Buses and Trains?

EU-Digest

7/27/12

The Greek Military Budget Offers Plenty of Room for Cuts - by Georgios Christidis

Greece is struggling to achieve the deep cuts demanded by its international creditors. But the country's military budget still offers plenty of room for trimming. Athens, though, has refrained from tackling the primary problem: too many soldiers and too many military bases.

Costly armament purchases are, of course, part of the equation. According to the independent Stockholm International Peace Research Institute (SIPRI), Greece has spent much of the 2000s as one of the top five arms importers globally, lavishly spending on new submarines, tanks and fighter jets. Just last year, the country spent €4.6 billion on defense, representing 2.1 percent of its economic output. European NATO members, by contrast, spent an average of 1.6 percent, Germany just 1.4 percent.

In light of the crisis, Defense Minister Panagiotopoulos has pledged to reorganize the Greek military structure, cut operational costs and shut down non-performing bases. But he had also hoped to hire more professional soldiers with the goal of gradually transforming the Greek army into a largely professional force. 

Note EU-Digest: why does Greece need such an elaborate costly army? To protect themselves from what, Turkey? What nonsense.

Read more: The Greek Military Budget Offers Plenty of Room for Cuts - SPIEGEL ONLINE