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14
Rand Paul Decries Congressional 'Cowardice' As He Explains Vote To End Trump's Tariffs
That's not deflecting, that point out a Kentucky Senator, taking care of his constituents. Exactly what he should be doing, his job. Although, short sighted when it comes to the future and security of the USA, since dependent on other countries. As if covid supply chain issues didn't point that out. But great talking points come elections ... "I voted against tariffs, as it hurt our auto industry" Wake up to reality, politician care about one thing ... getting reelected. -
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Tourism Thailand Vows to End Dual Pricing Amid Growing Tourist Backlash
Is there a differential or dual pricing for foreigners. Most of the people I've seen landing in helicopters in national parks have been government officials - I didn't realise private flights were allowed. So how do the DNP manage this? -
113
McDonald's suffers worst U.S. sales decline since 2020
To the extent that the taxes represent the prorated cost of connecting a homesite to the power, water, roads and sewers, fair dinkum. But when they start adding fees for "environmental impacts" and others, that's when they prevent building. All that vacant land north of SF? It'll cost a big fortune to get water, sewer, roads and power up there, and that's if they even have spare water to allocate. Which California probably doesn't. I'm sitting on a vacant lot in East Texas that I bought on EBay for peanuts. But if I want to build, I have to pay a sewer connection fee, a water connection fee and a power pole connection fee. That's about 20x what I paid for the lot. Still cheap in the scheme of things, but I'll probably end up selling it to one of my "neighbors" who may want a bigger yard (and who, according to GIS satellites, have encroached on my lot). -
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Nationwide transfer
Send by Western Union . Put you Nationwide bank details in , put the Thai bank details in , put the amount in and press send and it immediately gets transferred . Last week I sent 230 Quid and they received 10298 Baht -
9
Wrist Surgery Specialist
Thank you, that's very useful information. It's a Thai insurance company, basic enough cover I think, provided with my work here. Much less than what an international cover would provide. -
14
Rand Paul Decries Congressional 'Cowardice' As He Explains Vote To End Trump's Tariffs
I've been speaking to a US supplier of hospital needles and syringes. They are an American company, but they are now pulling out of that segment of the US market. They make speciality needles and syringes in China. They supply hospitals on a Call Off basis. Contractural details mean they cannot cite tariffs as a force majeure, and will have to swallow the price increase. They cannot simply switch manufacture to the US, at least not in short order. The needles require specialist tooling, that typically they get from Germany. Moving production to the US would require them to notify the FDA of a change to the technical package. The FDA requires approvals of changes in manufacturing sites, changes to manufacturing processes. For Class II devices like these, it used to be that the FDA would make a decision in 6 months, but they feel now that recent changes in FDA headcount will extend this. They face either 6-12 months of losses, or losing market share entirely. They think the effect is going to ripple throughout healthcare. At the next round of contract negotiations, hospitals will see prices increase 100-150%. This is going to further increase because at the same time, the FDA has seen serious headcount reductions, which is already causing bottlenecks in medical device approvals. They expect the government's reaction will be to deregulate; to simplfy the approvals process and lower the bar. This won't necessarily lead to more medical injuries, but it will increase the pressure to move the cost of device assessment to the insurance industry. The Insurance industry look largely to the CMS to determine if they will pay for a device or therapy, and that will be based on expert assessment of technical documentation. If the insurance industry is now conducting those assessments, access to quality healthcare will be further restricted, and the increased costs will be passed on to the customer (the public). When physicians choose a medical device or a drug to treat their patient, its not done on the basis of where it is made. its done on the basis of what is best for their patient. Putin found this out. When his war started, he ordered his people to come up with Russian made medtech. The Doctors told him to do one. This is no surprise. It happened during COVID, with ventilators. All around the world, politicians went and got industry together to make ventilators. The UK pulled in the military and Formula 1. The US turned to General Motors and Ford. James Dyson thought he would go ahead and redesign the ventilator. Healthcare professionals were genuinely fearful that idiot politicians were going to tell them how to treat patients. Russia did that, telling hospitals to daisy chain systems. A resulting fire incinerated an entire ward. In America, the American President wanted hospitals to use Russian made equipment. These went quietly to the skip. In the UK, doctors did their level best to stop patients going to the Nightingale Hospitals to be looked after by British Airways stewardesses (a Boris idea).
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