National / International News
JPMorgan Chase has joined the 21st Century.
A bank executive said at a conference today that the company's going to start phasing out voicemail for some of its employees. Which I get — cell phones and email and texting and all that.
Here's the kicker though, and maybe this was just me — JPMorgan is still paying $10 a month per employee for corporate voicemail.
Seems kinda steep.
Jesse Harrison’s parents used to have to call the police to get him to come out of his bedroom, so it’s something of a triumph he took visitors up there himself.
His psychiatrist, Rob Weisman, follows him up a narrow carpeted staircase into the attic room. The light was broken, so it was very dark. An unmade bed is on one side of the room, and an asthma nebulizer sits amid Styrofoam cups and other trash on the floor in front of the TV.
“We’ve got to get you cleaned up in here,” Weisman says.
Harrison is schizophrenic and smokes a lot of marijuana.
Weisman visits Harrison at least once a week to check up on him. Weisman is part of a Forensic Assertive Community Treatment team out of the University of Rochester, a special program that aims to keep people with mental illness out of the hospital and out of the criminal justice system.
“I wanted to talk about the medicine we give you. We give you that long-acting injection. Is it working?” Weisman asks.
“Yeah,” Harrison replies.
“How does it help you, if at all?” Weisman wants to know.
“I’m really doing well since then,” Harrison responds in a quiet voice.
“Does it make you feel less anxious?”
“Yeah,” Harrison replies, still mumbling. “I haven’t wanted to harm myself or anything like that.”
Assertive Community Treatment teams were first developed in the 1970s as a way to help people with severe mental illness live on their own, outside of institutions. The teams are made up of experts, such as psychiatrists, psychologists, social workers and employment specialists, who are on call 24 hours a day, seven days a week. ACT teams are expensive. But early studies showed they saved money by keeping people out of the hospital. The Rochester FACT team is a new spin on the approach — trying to keep people like Harrison not just out of the hospital, but also out of jail.
It sounds unlikely that a man who spends months at a time hiding in his room needs a whole support team to keep him out of jail.
“He’s not a hardened criminal or gang banger. He happens to live in a very bad area,” Weisman says. “[He] is at risk because of his drug use. And when he does go out, he’s involved in some card games, and a little bit of gambling and trouble can find him.”
This team of specialists meets clients where they are, literally: at home, on street corners, or, even under bridges. Dr. Steve Lamberti, another psychiatrist on the Rochester team, says the trick is to figure out how to treat the clients medically and understand why they keep getting in trouble with the law.
“Is it driven by their addiction? And if so, how so, are they selling drugs?” he says. “Are they appearing drunk in public? Is this somebody with DWIs, and that’s their channel into the criminal justice system?”
Lamberti’s team has just finished collecting data for a study to see how well their program works. Early results suggest their clients spent less time in jail, less time in the hospital and were more engaged in their outpatient treatment. The more complicated question is whether the program saves money.
In the short-term, FACT teams are expensive.
“If you’re running a clinic and you hire a psychiatrist, you could either get that psychiatrist to run a FACT team, which has on average about 50 patients,” Lamberti says. “Or you could get the psychiatrist to see outpatients … it would be more like 1,000.”
It seems that in the longer term, though, the money you save on hospitalization and incarceration should add up. And earlier studies suggested the traditional ACT teams did save money by keeping people out of the hospital.
But in the early days of ACT teams, psychiatric patients were often hospitalized for years, which was very expensive. Nowadays, it’s rare for people to stay in the hospital for more than a few days, or at the most, a few months.
“The cost savings aspects of Assertive Community Treatment programs may have changed,” says Eric Slade, a health economist at the Veterans Affairs who has studied ACT teams. “To the extent that public agencies are expecting savings from Assertive Community Treatment, that assessment may need re-evaluation.”
There’s also the question of how long somebody like Jesse Harrison will need his intensive support team.
“A success for Jesse is getting him mobile, moving him out of his attic room," Weisman, his psychiatrist, says. "Getting him to get medical care as well as accept mental health care. And get him to minimize, what we call harm reduction related to his substance use."
All of those interventions will probably keep him out of the hospital and out of jail, but what remains to be seen is whether it will save any money.
Roth's reporting on mental illness and the criminal justice system was supported by a Soros Justice Fellowship.
The next time you find yourself balking at the cost of air travel, think of this: horse owners have it worse. Every year, thousands of horses travel by air domestically and internationally. And the price tag for these flights can be extravagant.
Triple Crown contender American Pharoah was expected to touch down today at Long Island's MacArthur Airport before making the 40-mile trek over to Belmont Park.
When it came time for Mersad Metanovic to send his racehorse, Metaboss, from Los Angeles to Kentucky for a Derby prep race, he had a decision to make. Send him on a 72-hour road trip, or put him on a plane. For Metanovic, the choice was simple.
“We don’t want to put the horse on a van and go clear across country," he says. "Especially that caliber of a horse. No way.”
Instead, Metaboss flew the horse equivalent of business class — two slots in a stall that holds three horses. Lots of leg room. Well worth the $8,500 price tag, Metanovic says.
“Those are better seats than sitting in between two people going clear across country,” he said.
Metanovic used Equi Air Shipping, which ships 500 to 800 horses a year. Co-owner Rachel DeBerdt says they’ve sent horses to Singapore, Malaysia, all over Europe and Saudi Arabia. Most expensive these days is Australia, DeBerdt says, because there’s a lot of quarantine involved.
"So for that, you’re probably looking at about $20,000 a horse," she says.
Shipping to Europe from the U.S. bare bones is about $5,000. And what does a horse get for that kind of money? Alfalfa, on demand, according to Katie Schroeder, owner of Equiflight, another air transport company. “And then they get complimentary water,” she says. Horses get jet lag too, so just like with people, water is key.
KLM also transports horses, often with people.
“So it looks like it's the back of the plane,” Schroeder says, “but then when you open the door thinking you’re going to the restroom or something, there’s actually a whole row of horses back there.”
The subways of New York echo with lots of different sounds — the footsteps of commuters, the rumble of trains, announcements about arrivals and departures — but occasionally, through the din of the daily commute, there breaks through the sound of a musician performing on the subway platform.
And for those musicians who make some or all of their living underground, it can be a hustle trying to eke out a living based on tips from commuters. There's another challenge, too. Choice times at some of the busiest subway stops in New York are available to performers only after they pass an audition.
Run by the Metropolitan Transportation Authority, Music Under New York is a program that schedules performers for events throughout the city, including regular time slots at some of the prime subway stations like Times Square or Grand Central. Every year, hundreds of musicians submit CDs for the chance to score a live audition. Come audition day, 70 were given the opportunity to perform live, with just 20 to 25 spots available on the roster.
For those who make the cut, there are perks. MUNY groups receive an official banner and can reserve performance space at some of the most popular subway stations during high-traffic hours. And that means dollars.
A video posted by Marketplace (@marketplaceapm) on Jun 2, 2015 at 1:16pm PDT
Alex Steyermark, a film and music producer, has hired some of the performers out of the program. He has also seen first hand just how lucrative a couple hours in the subway can be. He remembers a particular recording session when two musicians used their break to perform in the subway. “They came back two hours later with $1,000. And I was like, ‘Wow, that’s like how to earn a living as a musician,’ ” Steyermark says.
MUNY musicians also avoid any run-ins with the police. Legally, musicians can perform anywhere in the subway without a formal permit. But there are rules about amplification and volume that can get tricky, and sometimes that leads to performers being ejected from the subway or arrested (though law enforcement understands that groups performing under MUNY banners have been pre-approved to perform).
It’s why Daniel Duke’s jazz ensemble decided to audition this year, even though they’ve already been performing in the subway for years. “We don’t like to deal with cops that come and kick us out or give us tickets or stuff like that. It really messes up our day and our vibe,” Duke says.
But aside from the day-to-day perks, many of the musicians are thinking about the larger value of being part of the program: exposure. “We would love for this to lead to … just a passerby to be like ‘Wow, I’m really interested in that.’ And then allowing that to give us bigger and better shows,” says a singer who performs as Lachi in an all-female a capella group, Femme Rhythm. They're hoping that a spot on the MUNY roster will mean reaching a much larger audience.
And ultimately, that’s what a lot of the groups want out of passing the audition. The hope is that maybe the next big gig will come from one of those subway commuters.
On Wednesday, Marketplace host Kai Ryssdal will sit down with President Obama to discuss the future of international trade. Here's a look at what's on the table:
Among the top issues facing the House of Representatives this summer is whether to give President Obama enhanced power to negotiate trade deals. It's known as "trade promotion authority," and passing it means Congress agrees to give completed trade packages a straight yes-or-no vote without amendments or filibusters.
The Senate passed TPA after vigorous debate in May.
If TPA passes, it would clear the way to move forward with a giant Pacific free-trade agreement among the U.S., Australia, Brunei, Canada, Chile, Japan, Malaysia, Mexico, New Zealand, Peru, Singapore and Vietnam. Together, the dozen nations make up 11 percent of the world’s population and 37 percent of the world’s GDP. Here’s a summary of U.S. objectives for the agreement, known as the Trans-Pacific Partnership or TPP, from the U.S Trade Representative.
Some of the major sticking points in the current trade debates include:
1. Whether free trade is good for the U.S. – and who benefits
In part because we haven’t had a big new trade deal in quite a while, much of the debate about upcoming trade deals circles back to the pros and cons of past free trade deals, whether free trade is, in practice, good for the U.S. and who benefits most from new agreements. While many economists argue there is consensus on the benefits of free trade, others counter trade in the real world is complicated and only as good as the rules that govern it.
Drafts of the TPP are classified, which means members of Congress and their staff who meet a required security clearance are able to view the text. Members of trade-advisory committees – which include labor, environmental and business groups, among others – can view negotiating proposals, but not the full document. The agreement won’t be publicly available until the deal is finalized, at which point there is a mandatory review period before Congress votes on it. But some members of Congress and advocacy groups worry the process is not open enough and that by giving the president TPA, they’ll essentially be green lighting the Pacific trade deal without knowing what’s in it.
3. Currency Manipulation
If countries devalue their currencies, it makes their exports cheaper relative to other countries, which gives their exporters a competitive advantage. Therefore, the American Automotive Policy Council, among others, would like to see the TPP include rules against this type of behavior. However, the Obama administration is opposed to including rules about currency manipulation in the deal, arguing that it would limit U.S. monetary policy options and threatened to veto a bill that includes such controls.
Opponents of strong currency control measures also argue that trying to stimulate your domestic economy can devalue your currency even if that’s not the stated goal, and that it becomes a question of a government’s intent and that gets murky very fast. Others say currency manipulation can be narrowly and clearly defined in a way that doesn’t limit U.S. activities.
4. How to resolve disputes
The heart of this issue is whether an independent international tribunal should hear complaints by companies that believe they’ve been harmed by government actions. The argument for such a system is that domestic courts can be biased in favor of their home countries and having independent arbitration protects international investors. The Office of the U.S. Trade Representative points out the U.S. has versions of this in 50 other agreements already, that cases are rarely brought against the U.S. and that the U.S. has never lost one. Opponents say this process could limit democracy by giving companies a vehicle to challenge U.S. regulations, often pointing to an example of how a tobacco company sued the governments of Uruguay and Australia for restrictions they’ve passed on the design of cigarette packaging.
Environmental groups, like the Sierra Club, World Wildlife Fund, and that Natural Resources Defense Council, worry that the TPP could lead to increased fracking and put stress on natural resources. After analyzing a draft chapter of the Pacific trade agreement released by Wikileaks, the environmental groups warned that environmental provisions aren’t as strong as previous agreements.
6. Intellectual Property
Intellectual property provisions of the TPP are especially controversial as they relate to pharmaceutical patents. But Doctors Without Borders and Oxfam are concerned the deal could lengthen the duration of pharmaceutical companies’ patents and therefore restrict access to more affordable generics.
The Pacific trade negotiations do not involve China, and the Senate failed when it tried to pass an amendment requiring Congressional approval for new countries to join the deal. Sen. Sherrod Brown (D-Ohio), who sponsored the amendment, said China had already expressed interest in joining the TPP and that because of its size, “a deal of that scale demands that the American public weigh in.”
President Obama has frequently evoked China while calling for the passage of TPP, saying that if the U.S. doesn’t write the rules on global trade, China will.
8. Human Rights
The Senate passed a human rights measure seeking to bar countries complicit in human trafficking from receiving the benefits of a trade deal passed under TPA. The White House opposes such a provision, as it says it would exclude Malaysia from the TPP.
9. Trade Adjustment Assistance
Trade has winners and losers – that’s often repeated regarding these deals. The idea behind Trade Adjustment Assistance is to provide assistance to workers displaced by trade deals. It is favored by labor unions, like the AFL-CIO, but whether this assistance is renewed and how much funding it receives have been sticking points.
State lawmakers passed dozens of bills to restrict abortion this session. One trend: making women wait ever longer, up to 72 hours in some states, before having the procedure.
The spread of the Middle East respiratory syndrome, or MERS, virus has sent sales of surgical masks soaring. Do they really help?
Scott County's needle exchange program is part of a response to the largest HIV outbreak in Indiana history. After a slow start in April, the needle exchange is drawing users and community support.
From recipes for apple pie without apples to advice on how to treat servants, the era's cookbooks hint at the turbulence outside the kitchen window. Indeed, food helped decide the war's outcome.
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The Senate has approved the USA Freedom Act, which will alter the way U.S. agencies conduct surveillance and gather data. A final vote on the bill came late Tuesday afternoon.
It's been nearly 30 years since Congress established a special court to help keep good vaccines on the market and fairly compensate the rare person who has a severe reaction. Who wins these cases?