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Rwanda's Historic Health Recovery: What the U.S. Might Learn

  • By Neal Emery
  • February 20, 2013
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Amidst the barrage of stories about failing states and civil wars that characterize the dour American media coverage of the developing world, the reinvention of Rwanda offers hope. Since the genocide with which its name is still synonymous in the United States, Rwanda has doubled its life expectancy and now offers a replicable model for delivery of high quality health care with limited resources.

Dr. Paul Farmer, Chair of the Department of Global Health and Social Medicine at Harvard Medical School and co-founder of Partners In Health, says that, "Rwanda has shown on a national level that you can break the cycle of poverty and disease."

In the wake of the genocide that killed nearly one million people in 1994, such a turnaround seemed nearly impossible. Rwanda was a failed state mired in poverty and chaos. The genocide decimated Rwanda's health facilities and workforce, allowing infectious diseases to run rampant and more than one in four children to die before their fifth birthday. Normally in such situations, economic development stagnates because disease cripples workers and the national economy, leaving the country too poor to effectively reduce the burden of disease. With a life expectancy of only 30 the year ...

GSA Chief: Streamlining Offices Key to Improving Agency

  • By Tom Shoop
  • February 19, 2013
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The ongoing process of consolidating functional offices at the General Services Administration is critical to cutting costs and delivering better service to other federal agencies, GSA's administrator said Tuesday

In a blog post, Dan Tangherlini said an ongoing "top to bottom" review of agency operations has led to decisions to consolidate several functions. He highlighted three key areas of streamlining:

  • "In the days and weeks ahead," Tangherlini wrote, the agency will create a new technology office, bringing all information technology personnel, budgets and systems under GSA's chief information officer.
  • The agency is consolidating all human capital management employees and functions together under its chief people officer.
  • The Office of Administrative Services will bring together an array of functions, including executive correspondence, records management and audit response tracking.

Tangherlini noted that he had already ordered a consolidation in the area of financial management, directing the Public Building Service’s chief financial officer to report to GSA’s CFO.

"Our hope is that the better coordinated and more streamlined GSA will make us a model of how to provide the kind of efficient, effective, and transparent service that the American people expect from their government," he wrote in his blog ...

Why the U.S. Government Never, Ever Has to Pay Back All Its Debt

  • By Matthew O'Brien
  • February 4, 2013
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How will our children, grandchildren, and sundry other friends and relatives too young to see an R-rated movie unaccompanied ever pay back the entire debt the government is piling up now? Easy. They won't. The U.S. government is never completely debt-free (except for that one time it sold land seized from Native Americans).

There's only one thing you need to know about the government. It's not a household. The government, unlike us, doesn't need to pay back its debts before it dies, because it doesn't die (barring secession or a sneak attack from across the world's longest unprotected border -- a most unworthwhile initiative). In other words, the government can just roll over its debts in perpetuity. That's the point Michael Kinsley misses when he says we "can't borrow forever," in an otherwise fine column trying to convince unemployment and deficit hawks that they actually agree on a "barbell" approach -- stimulus now, austerity later -- to fiscal policy. We can, and in fact have, borrowed forever. And that doesn't mean our debt burden will go up forever either. As you can see in the chart below, the government dramatically decreased its debt-to-GDP ...

How the GDP's Big Shrink Might Impact Sequestration

  • By David Wagner
  • January 30, 2013
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U.S. gross domestic product fell by 0.1 percent in 2012's fourth quarter, according to advance estimatesreleased by the Bureau of Economic Analysis this morning. Economic analysts are chalking up the losses to reduced government spending—especially on defense, which saw a 22.2 percent decrease in government consumption expenditures. Conservatives are predictably upset at the lackluster report, blaming President Obama's economic policies for the lack of growth. How could they pass up this opportunity, seeing how it's the first time the country's economy shrunk since Q1 in 2009? But liberals are saying that deficit-hawk austerity is to blame for GDP decline. Will evidence about downsized federal budgets shrinking GDP change how lawmakers approach the budget fight?

This all makes the spectre of sequestration—the fiscal cliff holdover cuts scheduled to take effect in March unless lawmakers reach a deal to avert them—loom larger in Washington. The Chairman of the Council of Economic Advisers Alan Krueger even argued today on the White House blog that these federal defense spending cuts were "likely due to uncertainty stemming from the sequester." If a 22 percent cut in military spending (a product of American wars winding ...

Where Does Sandy Aid Go from Here?

  • By Adam Clark Estes
  • January 29, 2013
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As expected, the Senate passed a $50.5 billion aid package on Monday evening to help rebuild areas affected by Hurricane Sandy. With the $9.7 billion increase in national flood insurance that was passed earlier this month, Sandy victims now have $60.2 billion coming to their rescue. But who exactly gets all that money? And when?

Well, the next stop for the Sandy relief bill itself is obviously the president's desk. Obama is expected to sign it and will probably do so with a coy grin, since he literally got over 99 percent of what he asked for. (Obama's original budget request called for $60.4 billion in aid, which is only slightly more than the $60.2 billion in aid that Congress ended up passing.) But after the ink dries, things get a little complicated.

The Sandy Aid package must be divvied up between the completely devastated communities in coastal areas of New Jersey and New York, not to mention the less devastated parts of states like Maryland, Delaware and Connecticut. From a big picture perspective, some $50 billion will go towards disaster relief, while the remainder of the money will go towards mitigation -- that ...