Spending a cold winter day at the beach is not something most people would choose to do … unless it is The Beach Chicago, where visitors can laugh at the weather. The peculiar art installation allows locals and tourists to stay warm during the abnormally cold temperatures. Reporter Yekaterina Yalovetskaya joined the beach-goers, and Anna Rice narrates her story.
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Month: February 2019
Robots Dance, Tell Jokes, Serve Dinner, Give Us a Glimpse of the Future
Owners of a new café in the Hungarian capital Budapest are using robotics as a way of giving their customers a new experience. VOA’s Mariama Diallo reports.
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Start a Start-up: University in Texas Helps Students Become Entrepreneurs
In December 2018, Apple announced its plans to build a new campus in Austin. Texas is rapidly becoming more and more attractive for tech companies and is often called a second Silicon Valley, thanks to affordable housing, highly qualified workers and the abundance of universities that train IT professionals. Mariia Prus traveled to Dallas to see how universities help their students become entrepreneurs. Joy Wagner has her report.
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Scientists Enlist Incredibly Tiny Allies in Cancer Fight
Researchers and doctors are using incredibly tiny particles — fluorescent nanoparticles — in a quest for new ways to fight cancer. Some nanoparticles, just billionths of a meter across, are engineered to carry special dye that glows when it hits cancer cells. Oregon State University scientists say this makes it easier for surgeons to find and remove tumors. Iryna Matviichuk visited Portland and learned the new procedure is closer to testing in human patients. Anna Rice narrates her report.
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Egypt Unveils Ancient Burial Site, Home to 50 Mummies
Egyptian archaeologists uncovered a tomb containing 50 mummies dating to the Ptolemaic era, in Minya, south of Cairo, the Ministry of Antiquities said Saturday.
The mummies, 12 of which were of children, were discovered inside four, 9-meter-deep burial chambers in the Tuna el-Gebel archaeological site.
The identities of the mummies aren’t known, said Mostafa Waziri, secretary-general of the Supreme Council of Antiquities.
“We have not found names written in hieroglyphics,” he said, adding it was obvious from the mummification method that the individuals whose remains were found had to some extent held important or prestigious positions.
Visitors, including ambassadors from several countries, gathered at the discovery site, where 40 of the mummies were exhibited during the announcement ceremony.
Some of the mummies were found wrapped in linen while others had been placed in stone coffins or wooden sarcophagi.
The archaeological finding was the first of 2019 and was unearthed through a joint mission with the Research Center for Archaeological Studies of Minya University.
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Egypt Unveils Ancient Burial Site, Home to 50 Mummies
Egyptian archaeologists uncovered a tomb containing 50 mummies dating to the Ptolemaic era, in Minya, south of Cairo, the Ministry of Antiquities said Saturday.
The mummies, 12 of which were of children, were discovered inside four, 9-meter-deep burial chambers in the Tuna el-Gebel archaeological site.
The identities of the mummies aren’t known, said Mostafa Waziri, secretary-general of the Supreme Council of Antiquities.
“We have not found names written in hieroglyphics,” he said, adding it was obvious from the mummification method that the individuals whose remains were found had to some extent held important or prestigious positions.
Visitors, including ambassadors from several countries, gathered at the discovery site, where 40 of the mummies were exhibited during the announcement ceremony.
Some of the mummies were found wrapped in linen while others had been placed in stone coffins or wooden sarcophagi.
The archaeological finding was the first of 2019 and was unearthed through a joint mission with the Research Center for Archaeological Studies of Minya University.
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Gates Hopes to Enlighten Americans About Reconstruction
Historian Henry Louis Gates Jr. can trace the roots of his upcoming PBS documentary about the Reconstruction to his days in school, when he’d hear about the end of slavery during the Civil War, then virtually nothing about race relations until the civil rights movement in the middle of the 20th century.
“It led me to think: If Lincoln freed the slaves, why did we need a civil rights movement?” the Harvard University historian said at a news conference Saturday.
The answer arrives April 9 with the Gates-produced, four-hour Reconstruction: America After the Civil War, which he hopes enlightens people about what he believes is one of the least understood periods of the nation’s history.
Freeing blacks in the South had a brief and dramatic impact on society. Within two years, about 80 percent of freed blacks in the former Confederacy were registered to vote — a greater participation level by percentage than blacks have today, Gates said.
That scared whites in the South, and in the North, too, and led to a rollback in rights that lasted longer than the initial freedoms, he said. In 1898, more than 100,000 blacks voted in Louisiana. But because the state then restricted voting rights, 1,342 blacks voted six years later.
Control of the message
Racist depictions of blacks took hold in the public imagination in large part because whites controlled the messaging, he said. The 1915 film Birth of a Nation, which glorified slavery and demonized freed blacks, has been seen by 240 million people, Gates said.
A fellow historian, Kimberle Crenshaw of the University of California-Los Angeles and Columbia University, said the U.S. Supreme Court was restrictive as well, changing the image of anti-discrimination laws into measures that gave blacks special treatment.
“The North won the Civil War, but the South won the narrative war,” Gates said, “and what we are trying to do is change that narrative.”
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Groundhog Doesn’t See His Shadow, Predicting Early Spring
It may be hard to believe as a large swath of the U.S. thaws out from a bitter polar vortex, but spring is coming early, according to handlers for some of the country’s most famous prognosticating groundhogs.
Just before 7:30 a.m. Saturday, Punxsutawney Phil emerged from his burrow in Pennsylvania at sunrise and didn’t see his shadow. Nearly the same series of events unfolded about 300 miles (483 kilometers) to the east, where Staten Island Chuck’s handlers also revealed the same prediction.
The festivities have their origin in a German legend that says if a furry rodent casts a shadow on Feb. 2, winter continues. If not, spring comes early.
In reality, Phil’s prediction is decided ahead of time by the group on Gobbler’s Knob, a tiny hill just outside Punxsutawney. That’s about 65 miles (105 kilometers) northeast of Pittsburgh.
New York Mayor Bill de Blasio stopped attending Staten Island’s Groundhog Day ceremony in 2015, a year after he accidentally dropped the furry critter that died a week later.
And he wasn’t the only New York City mayor who struggled with the holiday. Former Mayor Michael Bloomberg was bitten at a Groundhog Day ceremony in 2009.
your ads here!Groundhog Doesn’t See His Shadow, Predicting Early Spring
It may be hard to believe as a large swath of the U.S. thaws out from a bitter polar vortex, but spring is coming early, according to handlers for some of the country’s most famous prognosticating groundhogs.
Just before 7:30 a.m. Saturday, Punxsutawney Phil emerged from his burrow in Pennsylvania at sunrise and didn’t see his shadow. Nearly the same series of events unfolded about 300 miles (483 kilometers) to the east, where Staten Island Chuck’s handlers also revealed the same prediction.
The festivities have their origin in a German legend that says if a furry rodent casts a shadow on Feb. 2, winter continues. If not, spring comes early.
In reality, Phil’s prediction is decided ahead of time by the group on Gobbler’s Knob, a tiny hill just outside Punxsutawney. That’s about 65 miles (105 kilometers) northeast of Pittsburgh.
New York Mayor Bill de Blasio stopped attending Staten Island’s Groundhog Day ceremony in 2015, a year after he accidentally dropped the furry critter that died a week later.
And he wasn’t the only New York City mayor who struggled with the holiday. Former Mayor Michael Bloomberg was bitten at a Groundhog Day ceremony in 2009.
your ads here!Millions of Cancer Patients Suffer Needlessly From Pain
In advance of World Cancer Day (February 4), the World Health Organization is issuing new cancer pain control guidelines aimed at ending the needless suffering experienced by millions of people afflicted with this illness.
Cancer is a leading cause of death globally. The World Health Organization reports there are more than 18 million new cases every year and 9.6 million deaths, most in low-or middle-income countries.
Great advances have been made in the treatment of cancer, but measures to relieve the horrific pain experienced by patients lag woefully behind. WHO hopes to remedy this with its new guidance on pain management.
Director of WHO’s Department for the Management of Noncommunicable Diseases, Etienne Krug, says controlling pain should be an essential part of cancer treatment. Yet, he says pain is very often neglected as part of that treatment, a situation he considers unacceptable.
“Nobody, cancer patients or not cancer patients should live or die in pain in the 21st century. We have the knowledge of how to treat pain,” said Krug. “We have the medicines of how to address it. It is a question of making sure everybody has that knowledge and everybody has access to the necessary treatment.”
Krug says the situation is most acute in the poorer countries because pain management systems tend not to be in place. But he notes even in the rich countries people are still living and dying in pain.
WHO says opioid painkillers like oral morphine are an essential treatment for moderate to severe cancer pain. But WHO Noncommunicable Coordinator, Cheriana Varghese says some governments have enacted regulatory and legal barriers against their use in reaction to the global scare of opioid and morphine addiction.
“When a government of a country wants to introduce opioids, there is always this looming danger that this is going to get out of hand,” Varghese said. “And, so the governments are more conservative because of this.”
Varghese says there are sufficient safeguards against the abuse of opioids and morphine. He says these painkillers should be given only by trained health care providers, doctors and nurses. He adds oral preparation should be given whenever possible to prevent addiction.
your ads here!Business Space for Women Fosters Creativity, Cooperation
Finding a comfortable working environment can sometimes be difficult, especially for women working in male-dominated fields like science and technology. But some new startups are all about creating spaces that cater to and are dominated by women. VOA’s Kevin Enochs reports.
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Optimism, But No Concrete Progress at US-China Trade Talks
The most recent round of trade talks between the United States and China concluded in Washington this week with no firm deal other than a commitment to keep talking. Nike Ching reports on the status of the talks between the world’s leading economies, as they try to find common ground before more America tariffs come online in early March.
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End of an Era: China-Silicon Valley Relationship Chills
The trade dispute between the U.S. and China is disrupting Silicon Valley.
What had been a steady flow of Chinese money into tech firms appears to be slowing. Investors are concerned about the “headline risk” of doing business with Chinese investors.
And in some cases, U.S. startups are shunning Chinese investment.
These changes come after years of investment and collaboration between China and Silicon Valley. But the trade dispute, coupled with U.S. policymakers’ concerns about Chinese investments in sensitive technologies, such as artificial intelligence, have increased scrutiny of cross border deals on all sides.
A drop in investment
In 2018, Chinese firms invested more than $2 billion in U.S. technology firms, but that was a drop of nearly 80 percent from the year before, according to a Forbes report citing S&P Global Market Intelligence.
While Chinese investors took stakes in roughly the same number of U.S. tech deals — 80 compared to 89 in 2017 — that was off from the peak in 2016 when Chinese investors were part of 107 deals. Among the biggest recipients of Chinese investment in 2018 were Farasis Energy, a battery maker, and Epic Games, a gaming company, according to the Rhodium Group.
While deals continue to come together in 2019, the recent indictment of a Huawei executive has added to a new chill between the two regions, according to observers in Silicon Valley.
A technology war
In China, the battle is seen as less about Huawei and its alleged wrongdoing and more as a proxy for a “technology war” between countries over technological supremacy.
“The Huawei incident seems like an action against an individual corporation, but it is actually bigger than this,” said Hu Xingdou, a Beijing-based scholar. “This is about one state’s technology war against another state, about which one will occupy the technology high ground in the future.”
One recent change in the U.S. has been the expansion of a government program that reviews foreign investment in areas deemed sensitive.
Despite the expanded U.S. regulatory reviews, Chinese investments in U.S. tech firms are mostly getting through, said Chuck Comey, a partner at Morrison Foerster, a law firm.
As for Chinese companies buying or merging with U.S. tech ones?
“It ain’t happening,” he said.
Saying ‘no’ to Chinese investment
The increased tensions have given investors — and even some potential recipients of investment — some pause. One U.S. company, which had accepted Chinese investment in the past, told Reuters that it declined investment from Chinese investors in its most recent round.
“We decided for optical reasons it just wouldn’t make sense to expose ourselves further to investors coming from a country where there is now so much by way of trade tensions and IP tensions,” said Carson Kahn, CEO of Volley, an artificial intelligence training firm.
At a recent event in Silicon Valley about China and U.S. investments, speakers on a panel discussed how the geopolitical tensions affected their business. While several predicted that in the long run, the current friction between the two countries will have a minimal effect on cross-border business between China and Silicon Valley, there was a sense that an era has ended.
“We’ve kind of taken for granted,” said Kyle Lui, a partner at DCM, a global venture capital firm, “that the prior decade plus there’s been lots of strong collaboration between the U.S. and China.”
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End of an Era: China-Silicon Valley Relationship Chills
The trade dispute between the U.S. and China is disrupting Silicon Valley.
What had been a steady flow of Chinese money into tech firms appears to be slowing. Investors are concerned about the “headline risk” of doing business with Chinese investors.
And in some cases, U.S. startups are shunning Chinese investment.
These changes come after years of investment and collaboration between China and Silicon Valley. But the trade dispute, coupled with U.S. policymakers’ concerns about Chinese investments in sensitive technologies, such as artificial intelligence, have increased scrutiny of cross border deals on all sides.
A drop in investment
In 2018, Chinese firms invested more than $2 billion in U.S. technology firms, but that was a drop of nearly 80 percent from the year before, according to a Forbes report citing S&P Global Market Intelligence.
While Chinese investors took stakes in roughly the same number of U.S. tech deals — 80 compared to 89 in 2017 — that was off from the peak in 2016 when Chinese investors were part of 107 deals. Among the biggest recipients of Chinese investment in 2018 were Farasis Energy, a battery maker, and Epic Games, a gaming company, according to the Rhodium Group.
While deals continue to come together in 2019, the recent indictment of a Huawei executive has added to a new chill between the two regions, according to observers in Silicon Valley.
A technology war
In China, the battle is seen as less about Huawei and its alleged wrongdoing and more as a proxy for a “technology war” between countries over technological supremacy.
“The Huawei incident seems like an action against an individual corporation, but it is actually bigger than this,” said Hu Xingdou, a Beijing-based scholar. “This is about one state’s technology war against another state, about which one will occupy the technology high ground in the future.”
One recent change in the U.S. has been the expansion of a government program that reviews foreign investment in areas deemed sensitive.
Despite the expanded U.S. regulatory reviews, Chinese investments in U.S. tech firms are mostly getting through, said Chuck Comey, a partner at Morrison Foerster, a law firm.
As for Chinese companies buying or merging with U.S. tech ones?
“It ain’t happening,” he said.
Saying ‘no’ to Chinese investment
The increased tensions have given investors — and even some potential recipients of investment — some pause. One U.S. company, which had accepted Chinese investment in the past, told Reuters that it declined investment from Chinese investors in its most recent round.
“We decided for optical reasons it just wouldn’t make sense to expose ourselves further to investors coming from a country where there is now so much by way of trade tensions and IP tensions,” said Carson Kahn, CEO of Volley, an artificial intelligence training firm.
At a recent event in Silicon Valley about China and U.S. investments, speakers on a panel discussed how the geopolitical tensions affected their business. While several predicted that in the long run, the current friction between the two countries will have a minimal effect on cross-border business between China and Silicon Valley, there was a sense that an era has ended.
“We’ve kind of taken for granted,” said Kyle Lui, a partner at DCM, a global venture capital firm, “that the prior decade plus there’s been lots of strong collaboration between the U.S. and China.”
…
Unpublished Salinger Work to Be Released
One of the book world’s greatest mysteries is finally ending: J.D. Salinger’s son says previously unpublished work by his late father will be coming out.
In comments that appeared Friday in The Guardian, Matt Salinger confirmed long-standing reports that the author of The Catcher in the Rye continued to write decades after he stopped publishing books. He said that he and Salinger’s widow, Colleen, were “going as fast as we freaking can” to prepare the material for release.
“He wanted me to pull it together, and because of the scope of the job, he knew it would take a long time,” Salinger said of his father, who died in 2010 and had not published work since the mid-1960s.
“This was somebody who was writing for 50 years without publishing, so that’s a lot of material. So there’s not a reluctance or a protectiveness — when it’s ready, we’re going to share it,” he said.
Might take years
Salinger, who helps oversee his father’s literary estate, says any new work might be years away and did not cite any specific titles or plots. He did indicate that the Glass family made famous in such fiction as Franny and Zooey would be seen again.
“I feel the pressure to get this done, more than he did,” he said, adding that the unseen work “will definitely disappoint people that he wouldn’t care about, but for real readers, I think it will be tremendously well-received by those people and they will be affected in the way every reader hopes to be affected when they open a book. Not changed, necessarily, but something rubs off that can lead to change.”
Longtime Salinger publisher Little, Brown and Co. had no comment Friday.
J.D. Salinger published just four books in his lifetime: Nine Stories, The Catcher in the Rye, Franny and Zooey and a volume with the two novellas Raise High the Roof Beam, Carpenters and Seymour: An Introduction. The last work to come out in his lifetime was the story Hapworth 16, 1924, which appeared in The New Yorker in 1965.
Salinger rarely spoke to the media and not only stopped releasing new work but rejected any reissues or e-book editions of his published material. This year marks the centennial of his birth and signs of a new openness emerged in 2018 when his estate permitted new covers and a boxed edition of his old fiction to come out for the 100th anniversary. A Salinger exhibit is planned later this year at the New York Public Library, and other promotional events are in the works.
Over the past half-century, rumors and speculation intensified about whether any new books existed and whether they were of publishable quality. A former lover, Joyce Maynard, and Salinger’s daughter, Margaret, have both contended that the author continued to write books, allegedly stored in a vault in the author’s home in Cornish, N.H.
5 works predicted
A 2013 documentary and book by Shane Salerno and David Shields cited two “independent and separate sources” in predicting five new works. One of the Salinger books would center on Catcher protagonist Holden Caulfield and his family. Others would draw on Salinger’s World War II years and his immersion in Eastern religion.
Matt Salinger has dismissed the contents of the Salerno-Shields project, but never definitively said that no new work would appear.
Salerno wrote in an email Friday to The Associated Press that “it was always his [J.D. Salinger’s] intention — and specific direction — to have his work published after his death.”
“I’m thrilled that Salinger fans around the world will finally get to see this important work from one of America’s finest writers,” Salerno added. “As the stories roll out over the years, I think you will find that all of our reporting was correct.”
…
Unpublished Salinger Work to Be Released
One of the book world’s greatest mysteries is finally ending: J.D. Salinger’s son says previously unpublished work by his late father will be coming out.
In comments that appeared Friday in The Guardian, Matt Salinger confirmed long-standing reports that the author of The Catcher in the Rye continued to write decades after he stopped publishing books. He said that he and Salinger’s widow, Colleen, were “going as fast as we freaking can” to prepare the material for release.
“He wanted me to pull it together, and because of the scope of the job, he knew it would take a long time,” Salinger said of his father, who died in 2010 and had not published work since the mid-1960s.
“This was somebody who was writing for 50 years without publishing, so that’s a lot of material. So there’s not a reluctance or a protectiveness — when it’s ready, we’re going to share it,” he said.
Might take years
Salinger, who helps oversee his father’s literary estate, says any new work might be years away and did not cite any specific titles or plots. He did indicate that the Glass family made famous in such fiction as Franny and Zooey would be seen again.
“I feel the pressure to get this done, more than he did,” he said, adding that the unseen work “will definitely disappoint people that he wouldn’t care about, but for real readers, I think it will be tremendously well-received by those people and they will be affected in the way every reader hopes to be affected when they open a book. Not changed, necessarily, but something rubs off that can lead to change.”
Longtime Salinger publisher Little, Brown and Co. had no comment Friday.
J.D. Salinger published just four books in his lifetime: Nine Stories, The Catcher in the Rye, Franny and Zooey and a volume with the two novellas Raise High the Roof Beam, Carpenters and Seymour: An Introduction. The last work to come out in his lifetime was the story Hapworth 16, 1924, which appeared in The New Yorker in 1965.
Salinger rarely spoke to the media and not only stopped releasing new work but rejected any reissues or e-book editions of his published material. This year marks the centennial of his birth and signs of a new openness emerged in 2018 when his estate permitted new covers and a boxed edition of his old fiction to come out for the 100th anniversary. A Salinger exhibit is planned later this year at the New York Public Library, and other promotional events are in the works.
Over the past half-century, rumors and speculation intensified about whether any new books existed and whether they were of publishable quality. A former lover, Joyce Maynard, and Salinger’s daughter, Margaret, have both contended that the author continued to write books, allegedly stored in a vault in the author’s home in Cornish, N.H.
5 works predicted
A 2013 documentary and book by Shane Salerno and David Shields cited two “independent and separate sources” in predicting five new works. One of the Salinger books would center on Catcher protagonist Holden Caulfield and his family. Others would draw on Salinger’s World War II years and his immersion in Eastern religion.
Matt Salinger has dismissed the contents of the Salerno-Shields project, but never definitively said that no new work would appear.
Salerno wrote in an email Friday to The Associated Press that “it was always his [J.D. Salinger’s] intention — and specific direction — to have his work published after his death.”
“I’m thrilled that Salinger fans around the world will finally get to see this important work from one of America’s finest writers,” Salerno added. “As the stories roll out over the years, I think you will find that all of our reporting was correct.”
…
Tech Firms, States Spar With US Government Over Net Neutrality
Tech companies and nearly two dozen U.S. states clashed with the government in federal court Friday over the repeal of net neutrality, a set of Obama-era rules aimed at preventing big internet providers from discriminating against certain technology and services.
Judges challenged arguments made by both sides in the face-off in an appeals court in Washington.
Lawyers for the states and the companies tried to persuade the three-judge panel to restore the net neutrality regime, set in 2015 but repealed in December 2017 at the direction of a regulator appointed by President Donald Trump. The companies challenging the FCC action include Mozilla, developer of the Firefox web browser, and Vimeo, a video-sharing site.
The net neutrality rules had banned cable, wireless and other broadband providers from blocking or slowing down websites and apps of their choosing, or charging Netflix and other video services extra to reach viewers faster.
The practice of slowing down transmission is known as “throttling.”
The action by the Federal Communications Commission rolling back the neutrality rules “is a stab in the heart of the Communications Act,” said attorney Pantelis Michalopoulos, referring to the Depression-era law that established the FCC.
Information vs. telecom service
The FCC wrongly classified the internet as an information service rather than a telecom service, using that as a rationale for not cracking down on misconduct by big internet providers, Michalopoulos said, who represents Mozilla and the other companies in the case.
Government lawyers, as well as big internet providers such as AT&T, Verizon and Comcast, argued to keep net neutrality repealed.
Thomas Johnson, the FCC’s general counsel, said the agency’s “light-touch” regulatory scheme, requiring the internet providers to disclose their practices and operations, provides adequate safeguards. The internet — used more extensively to transmit information — is different both in nature and function from phone service, Johnson maintained. It therefore should be regulated as an information service and not subject to the utility-style oversight of phone companies, he said.
The politically charged issue has emerged from its origins as an engineering challenge to become an anti-monopoly rallying point and even a focus for “resistance” to the Trump administration.
Once Trump took office, net neutrality became one of his first targets as part of broader government deregulation. The FCC chairman he appointed, Ajit Pai, made rolling back net neutrality a top priority.
On the other side, support for net neutrality comes from many of the same people who also are critical of the data-vacuuming tech giants that benefit from it. Politicians have glommed on to the cause to appear consumer-friendly.
The Democratic takeover of the House in November’s midterm elections could revive efforts to enshrine net neutrality in federal law, though Trump likely would veto any such attempts.
At the hearing in the U.S. Appeals Court for the District of Columbia, Judge Stephen Williams questioned Michalopoulos’s assertions that the FCC had wrongly classified the internet as an information service. Telephone services, too, offer an array of customer products, he said. On the question of broadband providers charging premiums for faster service, Williams said a large majority of consumers prefer cheaper, lower-speed options, citing polls.
Judges’ views
The judges are weighing whether the FCC had the authority to nix the 2015 rules and get out of the business of enforcing net neutrality. It appeared that Williams was sympathetic to the FCC’s arguments, while Judge Patricia Millett raised possible legal avenues for the companies and states suing the agency, and Judge Robert Wilkins was the swing vote, said Doug Brake, director of broadband and spectrum policy for the Information Technology and Innovation Foundation, a Washington think tank.
The judges could decide to can the repeal or send it back to the FCC for a redo if they have specific objections.
“Today we fought for an open and free internet that puts consumers first,” Mozilla Chief Operating Officer Denelle Dixon said after the hearing. “We believe the FCC needs to follow the rules like everyone else.”
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Trump Health Chief Asks Congress to Pass Drug Discount Plan
The Trump administration’s top health official asked Congress on Friday to pass its new prescription drug discount plan and provide it to all patients, not just those covered by government programs like Medicare.
The plan would take now-hidden rebates among industry players like drug companies and insurers and channel them directly to consumers when they go to pay for their medications.
Patients with high drug copays stand to benefit from the proposal, while people who take no prescription drugs, or who rely on generics mainly, would probably pay somewhat more, since premiums are expected to rise.
A day after unveiling the plan as a proposed regulation, Health and Human Services Secretary Alex Azar raised the stakes by calling on Congress to make it law and broaden it to include people covered by employer health insurance, not just Medicare and Medicaid beneficiaries.
“Congress has an opportunity to follow through on their calls for transparency … by passing our proposal into law immediately and extending it into the commercial drug market,” Azar said in a speech at the Bipartisan Policy Center think tank.
Trump under pressure
Ahead of next week’s State of the Union speech, President Donald Trump is under political pressure to show results for his promise to slash prescription drug costs. Data show that prices for brand-name drugs have continued to rise, though at a somewhat slower pace. Polls show consumers across the political spectrum want government action.
Democrats say the administration’s plan doesn’t go far enough because it still leaves drug companies free to set high list prices. They say drug pricing is like a black box, and it’s impossible to tell if prices reflect actual costs or if companies are charging what they think the market will bear.
House Speaker Nancy Pelosi, D-Calif., says she’s also worried that the plan would raise premiums. HHS acknowledges Medicare prescription premiums would go up $3 to $5 a month.
Proposal draws interest
Nonetheless, the administration’s proposal appears to be in the mix as Congress gears up to craft legislation addressing prescription drug costs. Friday evening, the Republican chairman of the Senate Health, Education, Labor and Pensions Committee, expressed his support. Rebates “ought to lower costs to patients, and this is a good first step towards that goal,” Sen. Lamar Alexander, R-Tenn., said in a statement.
The complex plan would work by doing away with an exemption from federal anti-kickback rules that currently allows drugmakers, insurers and middlemen called pharmacy benefit managers to negotiate rebates among themselves.
Drug companies pay rebates to make sure their medications are covered by insurance plans that are the intermediaries between them and patients. HHS says hidden rebates can amount to up to 30 percent of a drug’s list price. Insurers say they use the money from rebates to hold down premiums for all consumers.
Under the plan, the current anti-kickback exemption for industry rebates would be replaced with a new one for discounts offered directly to consumers.
Azar said the idea would reshape the drug pricing system, shifting it away from hidden rebates to upfront discounts, creating pressure on drugmakers to keep prices down. The proposal was co-authored with the HHS inspector general’s office.
Potential consequences
Experts say it will take time to sort out all the potential consequences.
Peter Bach, director of the Center for Health Policy and Outcomes at New York’s Memorial Sloan Kettering Cancer Center, said the current system of rebates harms patients who take costly drugs with high copays.
Think people with cancer, patients with intractable illnesses such as multiple sclerosis or rheumatoid arthritis, and those who take brand-name medicines with no generic competition. Patients’ cost sharing is often based on list prices, not the cost of the drug after rebates.
“Simply put, those on no medications at all will just see their premiums go up and see no savings because they don’t take any medicine,” said Bach. “Those on generics only may be essentially in this category (as well).
“But those on expensive medications … they will see savings in total,” he added. More than half a million people filled at least $50,000 in prescriptions in 2014, according to an Express Scripts report.
Insurers and pharmacy benefit managers like Express Scripts and CVS oppose the administration plan, saying it will undercut their ability to bargain with drugmakers for lower prices.
Companies please with plan
Drugmakers have applauded the administration’s action.
Consumers are worried about prices for brand-name drugs, particularly new medications that promise breakthrough results. Generics account for nearly 90 percent of prescriptions filled, but brand-name drugs account for more than 70 percent of the spending.
Azar contends that under the current system everybody but the patient benefits from high prices. A high list price makes room for bigger negotiated rebates for insurers and middlemen. And drugmakers then merely build that expectation into their prices.
Before joining the Trump administration, Azar was a top executive for drugmaker Eli Lilly. That led to criticism that he would be an industry pawn. But the drugmakers vehemently disagree with some of his other ideas, including an experiment using lower international drug prices to cut some Medicare costs.
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Why Wealthy Americans Are Renting Instead of Buying
Although they can afford to purchase a home, more well-to-do Americans are choosing to rent instead.
The number of U.S. households earning at least $150,000 annually that chose to rent rather than buy skyrocketed 175 percent between 2007 and 2017, according to an analysis by apartment search website RentCafe, which used data from the Census Bureau to reach its conclusions.
This new breed of renters challenges long-held assumptions that Americans rent a place to live primarily because they can’t afford to buy a home.
“Lifestyle plays an important part in their decision to rent,” study author Alexandra Ciuntu told VOA via email. “Renting in multiple cities at once has its perks, and so does changing one trendy location after another.”
Business and technology hubs like San Francisco and Seattle have the highest numbers of wealthy renters.
“Given the escalating house prices, it seems like a verifiable better decision to go with renting for longer,” Ciuntu said. “Given that in San Francisco, for example, $200,000 buys you just 260 square feet, it’s understandable why top-earners give renting a serious try before deciding whether to invest in a property or not.”
In fact, in both San Francisco and New York, wealthy renters outnumber well-to-do buyers. There are more high-earning renters — 250,000 — in New York City that anywhere else in the country.
“Ten years ago we would have associated real estate equity with life stability, whereas the two are not necessarily interrelated nowadays,” Ciuntu said. “Renting proves to be a more flexible option for those enjoying a dynamic and rich lifestyle. From a more millennial standpoint, this is no longer a brief solution before settling down, but rather an attractive world of possibilities.”
However, this rental enthusiasm doesn’t mean folks in the wealthiest brackets are rejecting homeownership, according to Ciuntu. Between 2007 and 2017, Chicago added 9,800 more wealthy owners than high-income renters, Seattle gained 13,400, and Denver added almost 18,000 more well-to do earners than wealthy renters.
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WHO Reports Progress in Controlling Ebola in Congo
Six months after the outbreak of Ebola was declared in the Democratic Republic of Congo’s North Kivu province, the World Health Organization is expressing cautious optimism that it is making headway in controlling the spread of the deadly virus.
Latest figures reported by the WHO show 752 cases of Ebola, including 465 deaths.
WHO Regional Director for Africa, Matshidiso Moeti, says progress in containing the spread of the virus is due to a number of public health measures, including the training of health workers on infection prevention and control, closer engagement with communities, case investigation and contact tracing.
She says the use of a vaccine and promising new drugs have been a boon to these efforts.
“I feel optimistic,” Moeti said. “I am very clear that we need to continue this work. We need to make sure that in the places where we have made progress, we build on this progress and we do not go back. And, we are being very, very conscious of the fact that we need to invest to improve the preparedness both in the DRC areas that are highest at risk and, most importantly, in the surrounding countries that are at risk.”
The risk of the virus spreading to countries like Uganda, Rwanda and South Sudan is very high because of the heavy cross-border traffic among the countries, Moeti said. However, she added, surveillance and preparedness activities have been enhanced on both sides of the border.
She says there is extensive monitoring at border crossings and improvements have been made in screening people for the virus. In addition, 2,600 health care workers in Uganda have been vaccinated. Moeti said a similar vaccination campaign began two days ago in South Sudan.
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WHO Reports Progress in Controlling Ebola in Congo
Six months after the outbreak of Ebola was declared in the Democratic Republic of Congo’s North Kivu province, the World Health Organization is expressing cautious optimism that it is making headway in controlling the spread of the deadly virus.
Latest figures reported by the WHO show 752 cases of Ebola, including 465 deaths.
WHO Regional Director for Africa, Matshidiso Moeti, says progress in containing the spread of the virus is due to a number of public health measures, including the training of health workers on infection prevention and control, closer engagement with communities, case investigation and contact tracing.
She says the use of a vaccine and promising new drugs have been a boon to these efforts.
“I feel optimistic,” Moeti said. “I am very clear that we need to continue this work. We need to make sure that in the places where we have made progress, we build on this progress and we do not go back. And, we are being very, very conscious of the fact that we need to invest to improve the preparedness both in the DRC areas that are highest at risk and, most importantly, in the surrounding countries that are at risk.”
The risk of the virus spreading to countries like Uganda, Rwanda and South Sudan is very high because of the heavy cross-border traffic among the countries, Moeti said. However, she added, surveillance and preparedness activities have been enhanced on both sides of the border.
She says there is extensive monitoring at border crossings and improvements have been made in screening people for the virus. In addition, 2,600 health care workers in Uganda have been vaccinated. Moeti said a similar vaccination campaign began two days ago in South Sudan.
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US Researchers Look for Long-Lasting Ebola Vaccine
South Sudan is vaccinating health workers against Ebola in case the virus crosses the border from the Democratic Republic of Congo. Ebola has stricken more than 700 people in the DRC and killed more than 400. The World Health Organization said the death rate is 59 percent.
Half a world away in Ohio, U.S. researchers are racing to develop a new, long-lasting vaccine against Ebola. At Cincinnati Children’s Hospital Medical Center, Dr. Paul Spearman is leading a clinical trial that tests two experimental Ebola vaccines.
“Researchers are looking for new ways to stop these outbreaks and to treat people who become infected and develop Ebola virus disease. The development of preventive vaccines for Ebola is a top global public health priority,” said Spearman, director of the Division of Infectious Diseases at Cincinnati Children’s and the lead investigator in the trial.
Volunteers first receive one of the vaccines. A week later, they get the other one. Spearman said this one-two shot is promising and could provide rapid protection against Ebola.
These are weakened live-vector vaccines that cannot grow in human cells, but they produce strong immune responses to Ebola virus proteins.
Karnail Singh, Ph.D., also at Cincinnati Children’s, heads the program that tests volunteers’ blood samples. The researchers test the samples collected before the volunteers are injected with the experimental vaccines and again afterward.
Singh said that way, researchers can compare the samples and see if the vaccines provide immunity. The researchers also plan to take blood samples six months after the first two injections. If the vaccine is still effective, they hope to repeat the process six months later. These intensive lab studies and the rapid prime-boost schedule have not been done before in developing a vaccine against Ebola.
In Congo, health workers are using a vaccine developed during the Ebola outbreak in West Africa that raged from 2013 until 2016. It protects the Zaire strain of Ebola circulating in Congo. But there are two other deadly strains of Ebola. Health officials want vaccines that protect against all of them.
The vaccine being tested at Cincinnati Children’s has not yet been compared to the one being used in Congo, but it may protect against at least one other strain of Ebola. The goal is to produce a vaccine that is safe, effective and long-lasting.
The researchers in Cincinnati hope their work will improve the understanding of how to build immunity to other viruses or bacteria that can cause disease.
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