2018
January
31
Wednesday

Monitor Daily Podcast

January 31, 2018
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Americans haven’t associated Europe with dynamism in the past decade. That’s all the more reason they should take note of a bit of news from the continent: the European Union said Tuesday that the gross domestic product of both the EU and the eurozone jumped 2.5 percent in 2017, outpacing that of the United States. That’s its fastest growth rate in a decade. And helping to drive it was France, which just a year ago was in the throes of what looked like a populist revolt that would deliver the presidency to right-wing euroskeptic Marine Le Pen. 

Instead, we now have President Emmanuel Macron and a country experiencing a distinct shift in its view of itself.

Sara Miller Llana, our Europe bureau chief, is tracking this new buoyancy. One analyst told her Mr. Macron is “the most proud European we’ve ever had in the Fifth Republic.” And an entrepreneur characterized his country, long known for workplace constraints, as full of "hustle."

This march didn’t start with Macron. And it's happening in the context of a global “synchronized recovery,” with unemployment falling and investment rising in all major economies. But his confidence in France’s ability to innovate and reform, combined with firm support for the “European project,” is catching on. Now, businesses are talking about shedding fear – and believing in the future.

Now, here are our five stories, which get us to think twice about accepted perspectives on everything from infrastructure to planet Earth.


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Today’s stories

And why we wrote them

Discussion of America's deteriorating bridges and roads quickly surfaces two things: sharp philosophical differences over how to fund fixes, and agreement on the urgency of the problem. Perhaps there's more common ground than appears on the surface.

Christophe Ena/AP
French policemen checked papers in Chamant, north of Paris, in December 2017. Such checks are part of wider efforts by President Emmanuel Macron's government to control illegal migration.

When it comes to migrants and refugees, the old patterns and assumptions don't hold anymore. Recognizing that is central to addressing record movements around the globe.

Reaching for equity

A global series on gender and power
Scott Peterson/Getty Images/The Christian Science Monitor
Khatera Ahmadi presents the news Jan. 13 in the studios of Afghanistan's first women's-only television channel, Zan TV, in Kabul. Created in 2017, the channel aims to portray a positive image of what women in Afghanistan can do to confront problems in a male-dominated society.

It's easy to make assumptions that exacerbate already significant divides between those of different cultures. But there can be common ground from which to drive progress, if you're willing to look, as Scott Peterson explores in the fourth story of our series.

How do you make room for a new industry in a state's corporate incentives? In cash-strapped Oklahoma, some are saying what's needed is to move away from a sense of limitation that drives zero-sum thinking. 

It's age-old advice for dealing with a tough problem: "Step back" in order to see what matters most. Today, we're recognizing technological advances that have allowed us to do that with our own planet, yielding a similar breakthrough in perspective.


The Monitor's View

AP Photo
Warren Buffett (l), chairman and CEO of Berkshire Hathaway, Jeff Bezos (m), CEO of Amazon.com, and Jamie Dimon, chairman and CEO of JP Morgan Chase are teaming up to create a health care company that is "free from profit-making incentives and constraints."

One of Amazon’s “leadership principles” for its employees calls on them to keep “looking around corners for ways to serve customers.” Another one is to “not compromise for the sake of cohesion.”

Such creative approaches may help explain why the Seattle-based e-commerce giant has decided to join forces with two other big companies and disrupt an industry that commands a fifth of the American economy: health care.

The health-care industry has long been considered “too big to disrupt” with the kind of innovation that, say, has transformed retail (Amazon), urban travel (Uber) or commercial flying (Southwest). The federal government, too, finds it difficult to rein in costs with efficiencies or promote innovative management. Yet Amazon, along with investor giant Berkshire Hathaway and JPMorgan Chase bank, announced Jan. 30 that they plan to provide “simplified, high-quality and transparent healthcare at a reasonable cost.”

These three corporate titans will first focus on their own employees, which number close to 1 million. But their ultimate goal is to show other companies how to bring higher productivity in health-care plans for their employees.

“Our group does not come to this problem [of ballooning costs] with answers,” said Berkshire chairman Warren Buffett. “But we also do not accept it as inevitable.”

Humility and hope are good starting points. Better technology and clever ideas may bring efficiencies to providers, such as hospitals and insurers. And employees can be better nudged to use the least-expensive health care or be given incentives to be healthy. But one big issue lies in defining the quality of care. Americans expect the best in treatments. And they have grown accustomed to letting others, for the most part, pay for it.

Rather than focus primarily on productivity, Amazon and its partners may want to take a cue about quality of care from Florence Nightingale, one of the biggest disrupters in the health-care industry. The 19th-century nursing pioneer raised the standards of health care by introducing many techniques. She helped launch a long tradition of innovation in medicine. Yet she also warned against those who would treat patients with the same efficiency that they would “take care of furniture, porcelain or even an animal.”

Nightingale’s greatest contribution may be in promoting the idea that health is not merely the absence of disease or infirmity. She focused more on the total well-being of a patient than the sickness. Attending to people’s biological needs should include attention to their mental, moral, social, and spiritual aspects with evidence-based practices. Over the past 150 years, that idea has steadily taken root, all the way up to the World Health Organization.

The best health-care providers, she advised, help patients rid themselves of apprehension and uncertainty. “How very little can be done under the spirit of fear,” she stated.

These nonmedical aspects of health care are as worthy of attention from today’s innovators as other aspects of the industry. Healing is more than fixing the body. It also entails a wider view about quality of health.

The task of reducing health-care costs will be easier with a renewed focus on the overall well-being of patients. That’s the greatest lesson from one of the industry’s greatest disrupters.


A Christian Science Perspective

About this feature

Each weekday, the Monitor includes one clearly labeled religious article offering spiritual insight on contemporary issues, including the news. The publication – in its various forms – is produced for anyone who cares about the progress of the human endeavor around the world and seeks news reported with compassion, intelligence, and an essentially constructive lens. For many, that caring has religious roots. For many, it does not. The Monitor has always embraced both audiences. The Monitor is owned by a church – The First Church of Christ, Scientist, in Boston – whose founder was concerned with both the state of the world and the quality of available news.

Today’s column explores how one man’s desire to express Godlike qualities such as love, peace, and joy brought him a deeper, truer sense of home that can never be lost.


A message of love

Athit Perawongmetha/Reuters
A super blood blue moon rises behind a temple in Bangkok, Thailand, Jan. 31. A NASA briefing describes the confluence of factors behind the phenomenon: 'It is the third in a series of "supermoons," when the Moon is closer to Earth in its orbit – known as perigee – and about 14 percent brighter than usual. It’s also the second full moon of the month, commonly known as a "blue moon." The super blue moon will pass through Earth’s shadow to give viewers in the right location a total lunar eclipse. While the Moon is in the Earth’s shadow it will take on a reddish tint, known as a "blood moon." '
( The illustrations in today’s Monitor Daily are by Jacob Turcotte and Karen Norris. )

A look ahead

Thanks for spending time with us today. Tomorrow, we'll visit some bookstores around the country that are reporting an increase in titles which take on the political zeitgeist through a variety of voices. And as they long have done, they're providing a place for people to come together, connect with their children, and adjust the dial on daily life for a bit.

More issues

2018
January
31
Wednesday

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