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DTSTART;TZID=America/New_York:20120608T000000
DTEND;TZID=America/New_York:20120608T000000
DTSTAMP:20120608T040000Z
CREATED:20120608T040000Z
LAST-MODIFIED:20120608T040000Z
UID:4516-1339113600-1339113600@limba.net
SUMMARY:LIMBA - Bob McMillan- Healthcare Supreme Court Decision
DESCRIPTION:Bob McMillan has had an interesting and diverse career. His profession is law but he has served in many high profile executive positions including being a corporate officer at Avon\, CEO of the Panama Canal Commission\, a board member of Empire Blue Cross\, and board member of the American Medical Association. \nThis morning he took on the task of explaining the national healthcare plan that many people refer to as Obama Care. The discussion was centered on the possible outcomes of the Supreme Court as they test the constitutionality of the legislation. \nMcMillan pointed out that Teddy Roosevelt promised to enact a healthcare program if he had been re-elected in the early part of the 20th century. President Nixon proposed a healthcare plan that was more encompassing than this one. Mr. Nixon unfortunately had another bag of alligators he had to attend to\, namely Watergate and impeachment. Hillary Clinton guided the Bill Clinton administration efforts toward a healthcare plan. Well that went nowhere as we all remember \nNow that a healthcare plan is in place and has been challenged by lower courts\, and the results of those challenges are mixed. So here come the Supremes. What will they do? \nBob drew for us a very pessimistic picture of the present cost of Medicare stating that the system would be kaput by 2024. He cited the cost of drugs\, the duplication of testing\, the cost of creating and maintaining paper files\, malpractice insurance costs\, end of life heroic measures and the associated costs \nAll of the negatives in the plan revolve on the items in the above paragraph. All of which can and should be addressed. \nHe went into some positive points in the legislation\, such as; keeping children on the parents policy until age 26\, no lifetime caps\, insurance exchanges which should bring the cost down but 30 states do not have them. \nThe possible Supreme Court decisions run the gamut from; \n1)      Totally upheld – nothing changes \n2)      Individual mandate rejected \n3)      Employer mandate rejected \n4)      Challenge is premature- this essentially says that no harm has been done to any entity as of yet\, and can only be challenged when a party can show harm. \nThe most interesting points were made by the speaker and by the audience after the formal presentation. The out of control elements cited above already exist. It is the reason US healthcare costs are twice as much as the next most costly system. While that is bad the cost is not justified by better outcomes. There are numerous countries that have better health outcomes. \nIt was pointed out by the speaker that some states have severely limited malpractice and their malpractice insurance is commensurately less. As much as 70% less. \nI asked why the medical profession does not do what industry has done with workers compensation. There was a time when employers could be sued. Workers compensation has removed that sword of Damocles from employers and created an orderly no fault process that compensates every injured worker. In medicine there are outsized awards in some cases and absolutely no compensation in others. Why not create medical compensation boards with the same no-fault mentality guiding the system. \nI think most of us came away thinking that this is not real good legislation\, but there is nothing here that cannot be fixed if congress wanted it fixed. Let’s see!
URL:https://limba.net/calendar/limba-bob-mcmillan-healthcare-supreme-court-decision/
LOCATION:NY
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DTSTART;TZID=America/New_York:20120615T000000
DTEND;TZID=America/New_York:20120615T000000
DTSTAMP:20120615T040000Z
CREATED:20120615T040000Z
LAST-MODIFIED:20120615T040000Z
UID:4514-1339718400-1339718400@limba.net
SUMMARY:LIMBA Doing business with India -Pradeep Gupta
DESCRIPTION:Our speaker this morning\, Pradeep Gupta\, gave us an overview of the nature intricacies of doing business in India. Mr. Gupta is an accountant by profession but has built an expertise in American / Indian Trade. \nIndia has been on an unprecdentent growth pattern\, as have the other BRIC (Brazil\, Russia\, India\, China) countries. Each of these countries have various strengths and weaknesses. Mr. Gupta’s objectives included showing us the areas that are open to partnerships. India is the 4th largest economy in the world\, of the $450 billion in imports 5.7% come from the United States. The implication here is that\, that number could be considerably higher. On the other hand 12.6% of India’s exports are destined to the USA.   \nIndia is an attractive place to invest for several reasons. India has numerous dialects\, but English is almost universal (less so in the rural areas).  American brands are respected because we are considered innovators and that desirable trait is valued. The MADE IN AMERICA is a big plus. In the minds of the Indians\, American made implies quality. Intellectual property is generally respected. Architectural and engineering are among the desirable services that are used by the Indians.  \nHere are the key sectors in the Indian economy; \n\nAutomotive-      American brands are being built in country- they are also creating      replacement parts.\nClean      Technology- That would include wind and solar technology as well as      alternate fuels among others.\nDefense-      This sector is protected and there may be limited opportunity\nEducation\nFinancial      Services\nPharmaceuticals\nMedia      and Entertainment- Including a big movie industry “Bollywood”\nRetail      & Services\nTransport      and Infrastructure – This sector includes India’s extensive rail system\,      probably the world’s largest system.\n\nAmericans should pay attention to the fact that the population is growing wealthier\, and as wealth grows this large populace (1.2 billion people) will demand more and more consumer goods as this youthful nation develops.  We could benefit from that upward shift. \nNavigating- Local relationships and cultural knowledge is essential \n\nFind      local partners\nAttend      Trade Fairs or Road Shows\nSet up      Liaison Office or Branch Office\n\nAs resource information Mr. Gupta offered the following; \n\nUSA /      India Chamber of Commerce http://www.usaindiachamber.org\nUS      Embassy in India. US Commercial Service\, Minister Counselor for Commercial      Affairs\nIndian      Consulate Office\, NYC http://www.indiacgny.org\nFederation      of Indian Chambers of Commerce & Industry (FICCI) http://www.ficci.com\nExport      Import Bank of the United States http://www.exim.gov      and http://export.gov/india\nStory      of India documentary www.pbs.org/thestoryofindia\n\nWe are pleased to present this interesting topic and will create more programs in this vein in the future \nErnie Fazio
URL:https://limba.net/calendar/limba-doing-business-with-india-pradeep-gupta/
LOCATION:NY
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DTSTART;TZID=America/New_York:20120622T000000
DTEND;TZID=America/New_York:20120622T000000
DTSTAMP:20120622T040000Z
CREATED:20120622T040000Z
LAST-MODIFIED:20120622T040000Z
UID:4520-1340323200-1340323200@limba.net
SUMMARY:Theresa Regnante- United Way
DESCRIPTION:Theresa  Regnante is the Executive Director of the United Way of Long Island.  Theresa was our speaker this morning. The United Way has a 48-year  history on Long Island and while the mission remains the same the  elements that need attention do vary. However the range of services has  always been quite extensive. \n  \nThe  mission pays a lot of attention to programs that foster access to  healthcare\, providing financial information\, family counseling\, and  education for children. \n  \nOne  of the items that concern the United Way in addition to providing  immediate services is the preparation of younger people to avoid the  trap of need in the first place. That means vocational training to  obtain skills that are in demand and are fairly compensated for. While  pondering this need the United Way decided that instead of creating  their own training unit\, why not partner with BOCES. BOCES has programs  that have been developed over the years and the partnership works well. \n  \nUnited  Way investments in the community are prioritized. Having limited  resources means care must be taken in selecting programs. The entire  budget for Long Island United Way is $18 million. Really not a lot of  money when you consider the breadth and scope of the units demands.  There are 38 people on staff and the net flowing to the programs is 88  cents of every dollar after paying staff\, insurance\, utilities\, and all  ancillary costs. \n  \nThe  agency has created other partnerships to deal with various problems.  Project Warmth gets the support of National Grid and LIPA. National Grid  will provide direct help as well advertising for the program in the  bills. LIPA bills contain envelopes for contributions by the public to  help support that program \n  \nWe  were reminded of the corporate sign-ups that in the past were directed  at the regions largest employers. Grumman\, NY Telephone LILCO were all  big contributors through their very broad based employee enrollment  plans. That still exists in many companies today\, but some very large  companies have shrunk or disappeared. Republic Aviation\, and Fairchild\,  gone. Grumman is a shadow of its old size and these dramatic business  changes has made funding needed for programs that much more difficult. \n  \nThere  is federal money that is dispersed through the United Way but the  formulas for distributing those funds are convoluted and usually bear no  semblance to need and logic. Areas that can certainly use the funds may  not be getting it\, while on the other hand an equally deserving group  is. This is one of the problems that the United Way is hoping to make  some progress on. This inequity is governed by the way an area is  structured. Incorporated villages will do better than unincorporated  areas.
URL:https://limba.net/calendar/theresa-regnante-united-way/
LOCATION:NY
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DTSTART;TZID=America/New_York:20120629T000000
DTEND;TZID=America/New_York:20120629T000000
DTSTAMP:20120629T040000Z
CREATED:20120629T040000Z
LAST-MODIFIED:20120629T040000Z
UID:4522-1340928000-1340928000@limba.net
SUMMARY:JUly 4th Recess No Meeting
DESCRIPTION:
URL:https://limba.net/calendar/july-4th-recess-no-meeting-2/
LOCATION:NY
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