World War 2.5

UPDATE: I don’t seem to be the only one worried about a 1914 situation.

China’s current coercion of Japan over the islands is but a symptom of a larger illness in the international system. China has been leveraging its naval modernization to increase its movements through the seas and choke points surrounding Japan to break out into the Pacific. Last November, for example, flotillas of People’s Liberation Army (PLA) Navy destroyers and submarines backed by air power encircled Japan for the first time, as PLA officers bragged about splitting and demolishing the first island chain. China is changing the regional balance with little resistance from the United States. Counter to Chinese public claims of surprise at a U.S. “overreaction,” recent discussions with Chinese officials over Beijing’s December air defense identification zone announcement suggests that the United States’ response was much weaker than the response the Chinese leadership had expected.

This is worrisome.

Last month I posted an observation that another world war may be coming. I noted that this summer is the 100th anniversary of the First World War and that the present situation is similar to that which preceded the 1914 war. I may not be the only one.

I concluded last month’s post as follows: The “two Ps” are Pakistan and the Palestinians. We live in an incredibly dangerous era and we are seeing an American president who does not understand geopolitics. God help us.

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A recent column provided from someone attending the Davos Economic Forum discusses yet another potential fuse that is sputtering.

During the dinner, the hosts passed a microphone around the table and asked guests to speak briefly about something that they thought would interest the group.

One of the guests, an influential Chinese professional, talked about the simmering conflict between China and Japan over a group of tiny islands in the Pacific.

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Could Amnesty save the Democrats this fall ?

The catastrophic launch of Obamacare and its continuing problems has been decried as “Stalingrad for the Democrats.” I tend to agree but there is another issue coming soon that is “a cloud no bigger than a man’s hand.” It is Amnesty for illegal aliens and it is coming to a Republican Party near you.

Mickey Krause, one of the last blue dog Democrats thinks it will be a sellout.

The coming weeks will see the formal start of the GOP House leadership’s attempt to sneak an immigration amnesty through the Republican caucus and into law. We don’t know the exact details of the proposals, but we know enough:

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More Obamacare News

The CMS has a new contractor for Obamacare, not just the web site. The previous contractor, CGI Federal, has been replaced rather suddenly.

“Accenture, one of the world’s largest consulting firms, has extensive experience with computer systems on the state level and built California’s large new health-insurance exchange. But it has not done substantial work on any Health and Human Services Department program.
“The administration’s decision to end the contract with CGI reflects lingering unease over the performance of HealthCare.gov even as officials have touted recent improvements and the rising numbers of Americans who have used the marketplace to sign up for health coverage that took effect Jan. 1.”

CGI Federal is the company connected with Michelle Obama through her classmate, a fellow Princeton alumna.

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The Hillary Campaign, step two.

The New Yorker has an interesting short piece about al Qeada, this week by Lawrence Wright. It concerns the recent court rulings about NSA metadata collection.

Judge Pauley invoked the example of Khalid al-Mihdhar, a Saudi jihadist who worked for Al Qaeda. On 9/11, he was one of the five hijackers of American Airlines Flight 77, which crashed into the Pentagon. In early 2000, Mihdhar made seven calls from San Diego to an Al Qaeda safe house in Yemen. According to Pauley, the N.S.A. intercepted the calls, but couldn’t identify where Mihdhar was calling from. Relying on testimony by Robert Mueller, the former director of the F.B.I., Pauley concluded that metadata collection could have allowed the bureau to discover that the calls were being made from the U.S., in which case the bureau could have stopped 9/11.

Fair enough but Wright has another point.

But the Mihdhar calls tell a different story about why the bureau failed to prevent the catastrophe. The C.I.A. withheld crucial intelligence from the F.B.I., which has the ultimate authority to investigate terrorism in the U.S. and attacks on Americans abroad.

In August, 1998, truck bombs destroyed two American Embassies, in Kenya and Tanzania, killing two hundred and twenty-four people. Three days later, F.B.I. investigators captured a young Saudi named Mohammad al-‘Owhali at a hotel outside Nairobi. He had fresh stitches in his forehead and bloody bandages on his hands. In his pocket were eight brand-new hundred-dollar bills. Two skilled interrogators, Steve Gaudin and John Anticev, persuaded ‘Owhali to write down the number he called after the bombing. It belonged to Khalid al-Mihdhar’s father-in-law, Ahmed al-Hada, and was one of the most important pieces of information ever obtained in the effort to prevent terrorist acts in the U.S. It became known as the Al Qaeda switchboard.

The title of Wright’s piece is “The al Qeada Switchboard.”

The N.S.A.’s tracking of calls to and from the Hada household allowed the F.B.I. to map the global network of Al Qaeda. But not all the information was shared. In 1999, Mihdhar’s name surfaced in one of the recorded calls, linking him to Al Qaeda. “Something nefarious might be afoot,” an N.S.A. analyst wrote, but Mihdhar’s name was not passed on to the F.B.I.

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My health care posts from 2013

David has a good idea. I often read the archives of my personal blog to see how I did in forecasting the future or understanding the present. A major concern of mine is, of course, health care and what is happening. When I retired from surgery after my own back surgery, I spent a year at Dartmouth Medical School’s center for study of health care. My purpose was to indulge an old hobby. How do we measure quality in health care ? I had served for years on the board of a company called California Medical Review, Inc. It was the official Medicare review organization for California. For a while I was the chair of the Data Committee. It seems to have gone downhill since I was there. First, it changed its name in an attempt to get more business from private sources. Then it lost the Medicare contract.

Lumetra, which lost a huge Medicare contract last November, is changing its name and its business model as it seeks to replace more than $20 million in lost revenue.
The San Francisco-based nonprofit’s revenue will shrink this year from $28 million last fiscal year, ending in March 2009, to a projected $4.5 million, CEO Linda Sawyer told the Business Times early this week.
That’s in large part because it’s no longer a Medicare quality improvement contractor, formerly its main line of work. And in fact, the 25-year-old company’s revenue has been plummeting since fiscal 2007, when it hit $47 million.

I see no sign that it is involved with Obamacare which is being run from Washington with a state organization that seems no better run than the parent organization.

Beginning Jan. 1, 2015, the Affordable Care Act no longer will provide federal grants to fund state health exchanges. In addition, California law prohibits using the state’s general fund to pay for the exchange.

Anyway, for what it is worth, here are the links to the 2013 health posts.

The Lost Boys

Alternatives to Obamacare.

Why the Obamacare Site Isn’t Working.

Where Healthcare May be Going.

Conservatives Invented the Mandate; say the Democrats.

A Critical Insight.

A Rolling Catastrophe.

Why Health Care is in Trouble.

Where Do We Go Now ?

Building the Airplane During Takeoff.