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March 29, 2017

Brexit: Britain between a rock and a hard place: First EU response to article 50 takes tough line on transitional deal - by Daniel Boffey

"Brexit and the Mouse that roare": sorry to see you go Britain
Britain will not be given a free trade deal by the EU in the next two years, and a transition arrangement to cushion the UK’s exit after 2019 can last no longer than three years, a European parliament resolution has vowed, in the first official response by the EU institutions to the triggering of article 50 by Theresa May.

A leaked copy of the resolution, on which the EU’s chief Brexit negotiator, Michel Barnier, has been a close conspirator, lays bare the tough path ahead for Britain as the historic process of withdrawing from the trade bloc begins.

Across 11 pages of clauses, May is warned that the EU will stridently protect its political, financial and social interests, and that the position for the UK even during the transition period will not be as positive as it is today.

A withdrawal agreement, covering financial liabilities, citizens’ rights and the border in Ireland, will need to be accepted by a qualified majority of 72% of the EU’s remaining 27 member states, representing 65% of the population. The agreement would then need to be approved by the European parliament, voting by a simple majority.

Barnier has said that any free trade deal, to be struck after the UK leaves, would be a “mixed agreement” requiring ratification by the national parliaments of the 27 states, plus consent by the European parliament.

Sir Tim Barrow, the UK’s permanent representative to the EU, delivered a letter to the European council president, Donald Tusk, at 12.30pm notifying the EU of Britain’s intention to leave, as May stood up in the House of Commons to make a statement to MPs.

Addressing a press conference half an hour later, Tusk said: “There is no need to pretend that this is a happy day, neither in Brussels or in London. After all most Europeans, including almost half the British voters, wish that we would stay together not drift apart.”

Tusk said that Brexit would bind the remaining 27 member states together, and that the council and the European commission had a strong mandate to protect the EU’s interests. But he added: “As for me I will not pretend I am happy…”

One positive development following Brexit. It brought the other 27 member states  of the EU with a population of close to half a billion people closer together with no one of its present leaders ready to call a referendum or announce they would be leaving the EU 

EU-Digest

March 28, 2017

US Economy:Renewable Energy Industry Creates Jobs 12 Times Faster Than Rest of US

The solar and wind industries are each creating jobs at a rate 12 times faster than that of the rest of the U.S. economy, according to a new report.

The study, published by the Environmental Defense Fund's (EDF) Climate Corps program, says that solar and wind jobs have grown at rates of about 20% annually in recent years, and sustainability now collectively represents four to four and a half million jobs in the U.S., up from 3.4 million in 2011.

The renewable energy sector has seen rapid growth over recent years, driven largely by significant reductions in manufacturing and installation costs. Building developers and owners have been fueled by state and local building efficiency policies and incentives, the report explains.

But, these gains are in contrast to Trump's support for fossil fuel production, his climate change denial and his belief that renewable energy is a "bad investment".

 "Trump's current approach is basically ignoring an entire industry that has grown up over the last 10 years or so and is quite robust," Liz Delaney, program director at EDF Climate Corps, told Business Insider.

Note EU-Digest President Trump, however, who does not believe in scientifically proven evidence that Carbon Dioxide Emissions caused by fossil fuels and a variety of other factors are the main cause for global warming, has today signed several sweeping executive orders taking aim at a number of his predecessor's climate policies,  Thereby turning back the clock of American advantages in the alternative energy sector for many years. It will also jeopardize America's current role in international efforts to confront climate change.

Renewable Energy Industry:  Creates Jobs 12 Times Faster Than Rest of US | Fortune.com

March 27, 2017

Voting starts in Europe for Turkish referendum - only a no vote can stop total Turkish dictatorship

Turkish citizens in six European countries have started to vote in a referendum, the campaign for which has caused an international dispute.
Voters are choosing whether to move Turkey from a parliamentary republic to a presidential one, boosting President Recep Tayyip Erdogan's powers.

Some three million people are eligible to vote outside of Turkey, almost half of them living in Germany.

But political rallies have been blocked in several countries.

This has caused a bitter row between Turkey and its European neighbours, with President Erdogan accusing the Dutch and German authorities of acting like Nazis.

In Switzerland, a rally in support of the "no" vote was held in Bern on Sunday, drawing thousands - including Kurdish demonstrators.

Read m,ore: Voting starts in Europe for Turkish referendum - BBC N

Health Care USA: The “Dis-location” of U.S. Medicine — The Implications of Medical Outsourcing — by Robert M. Wachter, M.D.

When a patient in Altoona, Pa., needs an emergency brain scan in the middle of the night, a doctor in Bangalore, India, is asked to interpret the results.

Spurred by a shortage of U.S. radiologists and an exploding demand for more sophisticated scans to diagnose scores of ailments, doctors at Altoona Hospital and dozens of other American hospitals are finding that offshore outsourcing works even in medicine. .

Most of the doctors are U.S.-trained and licensed — although there is at least one experiment using radiologists without U.S. training.

Until recently, the need to take a patient's history and perform a physical examination, apply complex techniques or procedures, and share information quickly has made medicine a local affair.

Competition, too, has played out between crosstown medical practices and hospitals. Although there have always been patients who chose to travel for care — making pilgrimages to academic meccas for sophisticated surgery, for example — they were exceptions.

This localization was largely a product of medicine's physicality. To examine the heart, the cardiologist could be no farther from the patient than his or her stethoscope allowed, and data gathering required face-to-face discussions with patients and sifting through paper files.

But as health care becomes digitized, many activities, ranging from diagnostic imaging to the manipulation of laparoscopic instruments, are rendered borderless. The offshore interpretation of radiologic studies is proof that technology and the political climate will now permit the outsourcing of medical care, a trend with profound implications for health care policy and practice.

Skyrocketing health care costs are increasingly seen as unsustainable drains on public coffers, corporate profits, and household savings. Concern about these costs has led to wide-ranging cost-cutting efforts, often accompanied by attempts to improve quality and safety.

In other areas of the economy, a similar search for cost savings and value has created a powerful impetus for outsourcing. Although corporate globalization has been controversial, when the forces of protectionism have butted up against the demand of consumers for decent products atlow prices and the desire of shareholders to maximize returns, outsourcing has usually triumphed.

Although outsourcing is often motivated by the desire for cost reduction, health care's version may offer substantial advantages for patients.

For example, many hospitals now purchase interpretation services from outside companies, whose interpreters often speak a range of languages that individual hospitals cannot match. Outsourcing could also provide patients with access to specialized care that would otherwise be unavailable. A group of mammography experts, for example, could read remotely transmitted mammograms obtained at community hospitals, replacing less specialized radiologists. Herzlinger praised the “focused factory” in the predigital era, using examples (such as the “hernia hospital”) that required the physical presence of patients. 

In a “dis-located” world, patients may benefit from some of the quality advantages of focused factories without the burdensome travel.

Outsourcing is often initially endorsed by local providers, since the off-site professionals begin by doing work the locals are happy to forgo, such as nighttime reading of radiographs. (Most of today's overseas teleradiology is designed to capitalize on time differences — Indian radiologists read films while U.S. radiologists are sleeping.) If the arrangement meets its goals (whether these are saving money, getting a late-night dictation into the chart by morning, or allowing a radiologist a full night's sleep), its scope is bound to grow, as administrators consider other candidates for outsourcing — analysis of pathology specimens or reading of echocardiograms and even colonoscopies. By severing the connection between the “assay” and its interpretation, digitization allows the assay to be performed by a lower-wage technician at the patient's bedside and the more cognitively complex interpretation to be performed by a physician who no longermneeds to be in the building — or the country.

For the completereport go to : The “Dis-location” of U.S. Medicine — The Implications of Medical Outsourcing — NEJM

Tourism: Travel trends for 2017: City - Sand - Sea

Dutch Beach: sometimes the beach is closer than you think
Where to go on holiday in 2017? To help potential customers decide, the travel companies have already got their catalogues out. And most agree that safety will again be a top priority among holiday-makers in 2017.

The facts and figures of the past months give the tourism industry cause for optimism: the demand for holiday offerings continues unabated - in spite of the lingering threat of terrorism. The UNWTO World Tourism barometer indicated an increase of 1.6 percent in overnight stays within Europe for the turbulent year 2016. So European tourism is still growing, even if no longer as rapidly as in previous years. And safety still ranks as the top selling point.

Spain and Portugal were last year’s most popular destinations and look set to top the list for 2017, as well. Travel companies are expanding their hotel capacities wherever they can.  Tui, the world’s largest tour operator, has acquired a good 20 percent more hotels on the Canary Islands alone. FTI has taken on 75 new hotels, and Alltours a full 100. But the beach capacity remains the same. Will vacationers find a spot to spread their towels on such overcrowded stretches of sand? In any case, they’ll have to splash out more cash for their summer vacation in Spain than in previous years. Prices are going up, as well.

Turkey registered 33-percent fewer tourists in 2016. Whether the sector has any real chance exists to recover from such a steep drop remains to be seen. The tour operators haven’t started cutting hotel capacity just yet, but they’ve slashed the prices: Tui by five percent, Thomas Cook and Neckermann by eight percent. The hotels offer the same high quality for less money. But will such a bargain be enough to counter holiday-makers’ fears in 2017? 
 
Read more: Travel trends for 2017: City - Sand - Sea | DW Travel | DW.COM | 06.01.2017

EU′s Juncker unveils post-Brexit vision for bloc


Presenting five options to the European Parliament recently Juncker said it was time for European Union members to once again become "pioneers" to carve out a new future for the EU at 27, referring to the bloc's 27 remaining members after the UK withdraws.

His speech comes just weeks before British Prime Minister Theresa May is due to trigger Article 50 of the Lisbon Treaty, to begin the country's official divorce proceedings from the EU.

The former Luxembourg prime minister insisted that "as painful as Brexit will be, it will not stop the EU as it moves to the future."

Juncker laid out five "pathways to unity" for EU leaders to consider at a special summit in Rome on March 25 to mark the 60th anniversary of the bloc's founding treaty.

Another option would see Brussels pull back from many areas, including regional development, health, employment and social policy. Alternatively, the bloc could maintain the status quo, Juncker said, with limited progress on strengthening the euro single currency and limited defense cooperation.

The fifth option would involve a more federalist approach, "sharing more power, resources and decision-making across the board."

During his speech, Juncker hit out at "permanent Brussels bashing" by populist politicians all over the bloc, insisting that the EU was not responsible for each country's problems.

But he conceded that Brussels had often been put on a pedestal, and had failed to keep many of its ambitious promises, for example, addressing the bloc's high unemployment rate.

Looking to the future, Juncker said: "Our task will be to say clearly what Europe can and cannot do."

He called for EU states to respond to his suggestions by the end of the year, and decide on a course of action by the European Parliament elections in June 2019.

Read more: EU′s Juncker unveils post-Brexit vision for bloc | News | DW.COM | 01.03.2017

March 26, 2017

EU: Rome summit tries to restart EU momentum - by Eszter Zalan

The EU 27 leaders recommitted their vows to European integration in Rome on Saturday (25 March) amid warnings that the bloc's unity remains fragile. 

The heads of state and government met in the same Renaissance-era palace where the six founding countries signed the Treaty of Rome on 25 March, 1957, to establish the European Economic Community and the European Atomic Energy Community (Euratom).