Prerna Mankad's blog

Wind power mogul hits troubled times

Mon, 04/21/2008 - 4:30pm

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Tulsi Tanti, one India's most inspiring "green" entrepreneurs and now one of the world's richest people (worth $3 billion), is facing stiff challenges with his wind power company that could either lead to its massive failure, or its unbridled success. Tanti is hailed as one of India's most globally successful businessmen in the vein of Ratan Tata and Lakshmi Mittal -- but his company is one of the few that has given India the potential to be a worldwide leader in alternative energy.

But now Suzlon Energy, which Tanti founded and now serves as chairman and managing director for, confronts two main challenges, according to Friday's Wall Street Journal. First, the 144-foot-long windmill blades the company has sold to energy firms including California's Edison Mission Energy have begun to split in some locations, and Suzlon has had to recall 1,251 blades. That represents the majority of blades the company has sold in the United States, and a cost of at least $30 million to the company to repair the cracked blades and reinforce the rest.

The second major challenge for Suzlon is gaining access to the wind industry's most advanced technology. Suzlon is actually in a prime position to do so through its 33.6 percent ownership stake in the innovative German turbine manufacturer, REpower. The problem for Suzlon, however, is that under  German law, REpower can consider Suzlon a "competitor" since it does not own a majority of the company. It is therefore not obliged to transfer its blueprints to Suzlon; Suzlon would need to buy out the minority shareholders. And REpower is refusing to share the technology at present in order to protect the interests of those minority shareholders.

Nonetheless, it's unlikely that these setbacks spell major trouble for Suzlon. As of late last year, the firm had a $3.5 billion order backlog, and wind power demand in general has been growing significantly. With its green credentials and the fact that oil is continuing to hit record highs, wind power is set to remain popular. Moreover, Suzlon has withstood plenty of other challenges since its founding in 1995: the withdrawal of tax breaks in India, competition with major Western companies to acquire other foreign firms, and overseas expansion -- including cracking into the U.S. and Chinese energy markets. Suzlon's annual sales amount to $1.8 billion, and its profits are growing. The WSJ reports that it probably won't be able to make a tender offer for REpower until 2009. Even so, given Suzlon's history I'm expecting the deal to go through, and for Tanti to look back on these problems as minor glitches. And if you live in the United States, don't be surprised if part of your electricity payments soon end up in Suzlon's coffers.

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Why sovereign wealth funds can't save Africa

Tue, 04/15/2008 - 6:25pm

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They've been criticized for their lack of transparency. Many politicians and commentators have raised fears about their potential to "buy up" important assets outside their home countries. And now, sovereign wealth funds (SWFs) -- government-controlled funds that are investing in stocks, bonds, and commodities everywhere from Australia to the United States -- are being hailed as the next great hope for Africa.

Last week, World Bank President Robert Zoellick urged such funds to invest at least 1 percent of their proceeds in Africa -- a step that would immediately raise investment in Africa by $30 billion. The International Financial Corporation, the private-sector lending arm of the Bank, is considering creating a "fund of funds" designed to encourage SWFs to invest in African businesses.

Sounds great, right? Most people seem to think SWF investment in Africa is a positive idea and a smart move both financially and politically (in terms of bolstering the image of SWFs). But Zoellick's idea could end up doing more harm than good, for two main reasons.

First, SWFs are obligated to make the best investments for the citizens of their home countries. They are not in the business of aid or charity work; nor should they be. Norwegian or Kuwaiti pensioners would have every reason to rebel if their governments' surpluses went toward either speculative investments or aid projects. (This echoes Anders Åslund's argument that if anyone should fear SWFs, it's citizens of the countries that have them.) If African governments are not even willing to invest in their own continent, why should others do so?

Second, SWFs must pursue investments that deliver a strong bottom line, but many of the best opportunities in Africa are in the natural-resource sector. China has already invested heavily in Sudanese oil -- not exactly a great way to underwrite healthy development in the country.

More broadly, there are good reasons why many private companies are unwilling to invest and set up operations in Africa. Why else would Zoellick and others be pushing SWFs to fill the equity void in the first place? Corruption, lack of security, and failure to protect property rights are just a few of the reasons countries in Africa have failed to create a positive investment climate. If SWFs step in with billions of dollars, they may well undermine efforts to promote good governance. In the long run, it is those efforts -- not easy cash from Abu Dhabi or Beijing -- that will attract private investment and generate sustainable economic development. So, although an extra $30 billion for Africa should be welcomed, SWFs may not be the best way to deliver it.


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India's virtual path into Africa

Tue, 04/08/2008 - 11:30am

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Back in November, Passport noted that urban Indian hospitals were developing their telemedicine capabilities in order to cater to the country's rural citizens. Now, that expertise is set to benefit patients all across Africa. As the first India-Africa summit kicks off in Delhi, India's efforts build and expand its ties across the African continent are already underway.

Last July, the Indian government -- working with the African Union -- launched the 542 crore ($135.6 million) Pan-African E-network project. The initiative has been called Africa's largest infrastructure project in history, and is designed to develop Africa's information and satellite communications technologies. It aims to connect 53 African countries to a satellite and fiber-optic network. Telemedicine is just one component of this broader scheme, and African countries are already seeing the results. The Black Lion Hospital in Addis Ababa, Ethiopia, for instance, is connected to the Care Group of Hospitals (cardiac specialists) in Hyderabad, where Indian doctors can advise Ethiopian doctors on X-ray and laboratory test result interpretation via a high-speed internet connection. During its year-long pilot run, Black Lion doctors have used the link more than 50 times, and Indian officials estimate the E-network project has helped 100 patients. Telemedicine programs are set to expand across the continent.

The Indian government hopes to increase its sales in information and communication technologies to Africa, and gain a foothold in this sector before China can dominate. In addition to helping patients and developing African countries' ICT infrastructure, projects such as the telemedicine venture will also create goodwill between India and the continent -- a sentiment often lacking in China-Africa relations.

With India also hungry for resources that Africa can provide, developing these types of mutually-beneficial linkages could favor India in the long run. And through its relatively long history with Africa, India has been able to take advantage of existing cultural and commercial affinities to expand the relationship. As a result, trade between India and Africa has ballooned to $20 billion (2006/2007) from $967 million in 1991 (when India began its economic reforms). But whether these efforts, and India's attempts at creating goodwill, can compete with China's cash and favors remains to be seen.

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George Soros on the financial sword of Damocles

Fri, 04/04/2008 - 1:25pm

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George Soros, speaking in a conference call hosted by the New America Foundation today, had some interesting remarks about the state of the world economy. Given that the first sentence of his new book, The New Paradigm for Financial Markets: The Credit Crisis of 2008 and What It Means, reads: "We are in the midst of a financial crisis the likes of which has not been seen since the Great Depression of the 1930s," I was prepared to hear some dire predictions about the road ahead.

Instead, on a number of occasions throughout the call, Soros stated that he believes the "most acute phase of the crisis is now over," and that the markets are breathing a sigh of relief following the Bear Stearns bailout. Of course, that's not to say that the fallout is over just yet, or that the boom-bust cycle that has recurred consistently since markets began to become unregulated will cease.

Soros was keen to note that the "scariest unregulated market" now is the credit default swap market, with outstanding contracts amounting to $45 trillion today. (Credit default swaps are a form of contract insurance that has been widely sold by hedge funds.) Writing in the Financial Times yesterday and repeating the warning today, Soros says, "The [CDS] market is totally unregulated and those who hold the contracts do not know whether their counterparties have adequately protected themselves. If and when defaults occur, some of the counterparties are likely to prove unable to fulfil their obligations. This prospect hangs over the financial markets like a sword of Damocles that is bound to fall." It will cause what will essentially amount to banks running on banks. The solution, Soros argues, is to urgently set up a clearinghouse or exchange where the the deals can be registered and settled. Without this type of step, the "entire banking system [will remain] weighed down with bad assets" and stay paralyzed. Even then, there is still little hope that this fallout can play out without significant effects on the real economy.

Soros's concerns extend well beyond the current financial crisis -- although he did mention that it was this crisis that forced him out of retirement. His argument is philosophical and is explained thoroughly in his fascinating new book. But the crux of it is that the idea that markets fall into equilibrium like events in the natural world is a complete myth; humans can't know "truth" and thus expectations and human actions inevitably change how the system functions, which can -- and does (hence boom-bust cycles) -- lead to non-equilibrium outcomes. The solution is finding a balance between regulation and unfettered markets. Soros is highly critical of market fundamentalism, and condemned regulators for failing to do their jobs. They have the tools, he said, but didn't use them. He believes the two Democratic presidential hopefuls are on the right track with dealing with the financial mess and re-regulation, but was careful to highlight the dangers of going to extremes either way.

One of the most interesting points Soros made was his take on the the coming fuel for the global economy:

We've had the American consumer acting as the motor of the world economy and that is what is coming to an end... [We] need a new motor. And I believe we have a tremenous challenge with global warming, where you need to make tremendous investment to reduce carbon emissions... The investments necessary to avoid global warming could replace the excess consumption by the U.S. consumer as the motor of the world economy.

Although Soros certainly didn't try to downplay the seriousness of the current crisis, I'm still left feeling slightly hopeful that the economy will improve and things could get better soon(ish). And I'm now certainly keen to buy those stocks in renewable energy companies.

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India's 'post-colonial' moment has arrived

Wed, 03/19/2008 - 12:06pm

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India's Tata Motors has just recieved a $3 billion loan from Citigroup and JP Morgan that will likely to be used to purchase luxury British auto brands Jaguar and Landrover. Tata has been in acquisition talks with Ford about the two brands since at least the beginning of the year, and the deal is now expected to be finalized around the Mar. 26.

If Tata's bid succeeds, the company would become the producer of the world's cheapest car, the $2,500 Nano, and some of its most expensive. The paradox raises the question -- will Tata be able to cut costs for its new luxury brands, whose troubles are well-known? Tata's chairman has already ruled out shifting the production of Jaguar and Land Rover vehicles from Britain to cheaper locations, though Wharton's John Paul MacDuffie believes Tata could restore the brands to profitability through other means.

For an India that was ruled by Britain for nearly ninety years, Tata's purchase will starkly reinforce the arrival of the "post-colonial" moment. As MacDuffie explains, "there might be a certain sense of pride in acquiring the 'Jewel in the Crown'." Like Tata's previous acquisition of British steelmaker Corus and teamaker Tetley, and India's United Breweries Group's purchase of Scottish whisky distiller Whyte & Mackay, Tata's acquisition of Jaguar and Land Rover would symbolize yet another "post-colonial table turn."

Tata is well aware of the potential blow to British pride. "These brands will continue to belong to Britain," Chairman Ratan Tata has assured. Except that now, they will be owned by an Indian company.

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How China weakened the Australian Navy without firing a shot

Tue, 03/11/2008 - 2:53pm

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Australia is suffering from an acute shortage of manpower, according to Australian defense minister Joel Fitzgibbon. He says, "the service suffering most is the navy, where retention and recruitment has become a real crisis." So why is the Australian Navy in such dire straits? The Financial Times explains:

Chinese demand for commodities has triggered a crisis in the Australian navy, whose submarine fleet is suffering from a critical crew shortage as skilled technicians are lured into higher-paying jobs by the booming mining industry.

Western Australia, in particular, is attracting workers from the Navy to work in the mining industry. Fitzgibbon says that mining companies even "hover around" West Australian naval bases hoping to recruit technicians, whose skill sets are easily transferable to mining. Wage discrepancies favoring mining can be in the tens of thousands of dollars a year, leaving the Navy unable to compete for talented workers on financial grounds.

Australia has recently spent $10 billion dollars on bolstering the navy, upgrading its fleet of advanced destroyers and warships. Last year, the Australian Navy engaged in war games with the United States, Japan, and India in a "Quadrilateral Initiative" to improve their strategic partnership and bolster regional security. Many analysts believed that this initiative and Australia's naval investment were, ironically, targeted at containing a rising China. I guess the Chinese stumbled upon their own way of striking back.

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New Delhi criminalizes poverty

Tue, 03/04/2008 - 1:08pm

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Major international events often impose enormous burdens on poor and minority communities. Roughly 1.5 million people, for instance, will be displaced by the Beijing Olympics. For the 1988 Summer Games in Seoul, South Korea forcibly evicted 720,000 people while the homeless population was detained in the city's outskirts. The 1996 Atlanta Games uprooted about 30,000 poor residents, and Sydney, Athens, and other Olympic cities witnessed similar social dislocations. But New Delhi has taken its "preparations" for the 2010 Commonwealth Games, kind of a mini-Olympics involving current and former British colonies, a step further: by arresting and imprisoning beggars.

Delhi's Social Welfare Department is organizing "cleanup operations," the Christian Science Monitor reports:

Every morning, it dispatches nine vans from its Beggar Raid Team. Each carries three plainclothes men, who scan the crowded streets of bullock carts, cows, motorbikes, cycle rickshaws, newspaper hawkers, and stray dogs for ragged people pleading for money.

"Since the end of last year, we've been told to increase the numbers we arrest," says Anand Pandey, a civil servant known as a "raid officer" ...

Warrants are not necessary for arresting beggars. Once picked up, they are tried in the city's Beggars' Court. Those whom Mr. Pandey calls "first-time offenders" often go free with a warning. Others are incarcerated until friends or family scrape together the money to pay their bail of about 3,000 rupees (about $75). Many are locked up in "beggars' homes" – dedicated jails – for a minimum of one year and a maximum of 10, the latter being the same penalty given for violent robberies. If they are "blind, a cripple or otherwise incurably helpless," according to the law, beggars can be locked up for life.

The city is also creating a "beggar database" to hold the photographs and fingerprints of offending beggars, so that "habitual" panhandlers can be convicted more easily. Already, during the past year, 2,537 beggars have been arrested and 1,133 convicted. Many of the city's beggars are elderly, ill, or amputees, and have little chance of finding regular work.

Let's face it, the city is arresting and locking up these beggars for no reason other than that they are poor. "Many of these people have no option but to beg. To arrest them without even providing the infrastructure that guarantees them the most basic needs is appalling," Anand Kumar, a human rights lawyer in New Delhi, told the Monitor. With such cruel and regressive attitudes toward the poor, New Delhi's efforts to portray itself as a modern "world-class city" for the Commonwealth Games are doomed to fail -- at least in the eyes of human-rights campaigners around the world.

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Is the United States dragging the world toward recession?

Fri, 02/29/2008 - 11:30am

The Financial Times published three stories yesterday that represent more bad news about the U.S. economy: the dollar is reaching new lows against the euro and a trade-weighted basket of currencies; the Federal Reserve is so concerned about U.S. growth that Chairman Ben Bernanke signaled there would be yet another rate cut in March, in spite of inflation risks; and U.S. manufacturing data revealed that orders were the lowest in five months, and home sales reached a 13-year low. As Nouriel Roubini argues in the cover story of the latest issue of FP, this spells grave news -- not just for the United States, but for the rest of the world.

Roubini argues that the impending U.S. recession will cause global economic mayhem. He lays out five triggers that will form the roots of sharp economic downturn in countries around the world, if not a full-fledged global recession: a drop in trade, a weak dollar, the bursting of housing bubbles around the world, a fall in commodity prices, and a faltering of financial confidence.

From recent reports, Roubini's gloomy outlook looks increasingly prescient. It's too early to tell if trade is decreasing (the latest WTO figures are from 2006), but the factors that Roubini highlights will lead to that outcome are being realized. Output and demand is stagnant or falling, the dollar is sinking, and financial confidence is shaky. Housing markets in various countries continue to look precarious. Commodity prices are still rising, but this seems to be the effects of a weak dollar combined with a possible lag in demand signals.

Martin Wolf, the FT's chief economics commentator, recently urged readers to take Roubini's warnings seriously. He draws a more hopeful conclusion about the Fed's ability to come up with solutions than Roubini, but nonetheless, even the most optimistic analysts refuse to assert that the current financial crisis will not cause a great deal of pain. It will -- and has. The question is: How bad will it get? And will the United States' troubles infect the rest of the world?


Does Bush deserve a prize for his Africa achievements?

Mon, 02/25/2008 - 3:21pm

JIM WATSON/AFP/Getty Images

Although President Bush's achievements in fighting poverty and disease in Africa have been lauded by popstar and social activist Bob Geldof as well as many Africans during Bush's recent tour of the continent, Brookings senior fellow Homi Kharas offers a "reality check" on U.S. aid to Africa under Bush. Kharas points out:

  • U.S. economic aid to sub-Saharan Africa increased from $2.1 billion to $5.4 billion between 2000 and 2005. But EU countries gave $21.9 billion to Africa in 2006, and the United Kindgom alone gave $5.2 billion -- with an economy one-sixth of the size of the U.S. economy.
  • $1.3 billion in U.S. aid to Africa was in the form of food aid, which Kharas describes as "a form of assistance which is so questionable in terms of its impact on development that several large U.S. charities, including CARE, have stopped dealing with it."
  • The United States' economic assistance to Iraq and Afghanistan in 2006 (and this isn't even touching upon the enormous military expenditures on this region) was more than $6 billion, which is more than what was given to all 45 sub-Saharan African countries combined.

Kharas concludes:

So while we should celebrate the U.S. contributions to Africa, we should also keep in mind the fact that it is Europe, not the United States, that is leading the international fight against African poverty."


Turkmenistan's new ruler lashes out after cockroach incident

Fri, 02/22/2008 - 3:38pm

ANDRIY MOSIENKO/AFP/Getty Images

Nearly everybody hates cockroaches. But apparently none more so than Turkmenistan's post-Turkmenbashi (Saparmurat Niyazov) president, Kurbanguly Berdymukhamedov. The Guardian reports:

For the viewers of Turkmenistan's popular nightly news programme, Vatan, it was another routine bulletin. But as the newsreader began the 9pm broadcast, viewers across the central Asian country spotted something unusual crawling across the studio table: a large brown cockroach.

The cockroach managed to complete a whole lap of the desk, apparently undetected, before disappearing. The programme, complete with cockroach, was repeated at 11pm that night. ...

[T]he consequences of this particular cockroach's impromptu five minutes of fame were immediate and severe.

The country's president, Kurbanguly Berdymukhamedov, took news of the insect so badly that he responded by firing no fewer than 30 workers from the main state TV channel, the news website Kronika Turkmenistan reported yesterday.

Those fired included journalists, directors, camera operators, and technical staff.

President Berdymukhamedov has been praised for his efforts at ending Turkmenistan's isolation from the international community, and for reversing a number of Turkmenbashi's quirky laws, which include banning opera performances and disallowing foreign languages in school curriculum.

But cockroaches, it seems, warrant special measures. "Berdymukhamedov's apparent dislike of cockroaches may have something to do with his previous career as a dentist," the Guardian's Luke Harding speculates. Even so, Berdymukhamedov's extreme reaction suggests that Turkmenistan's days of mercurial leadership may not be over just yet.

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Why global warming will make your blue jeans more expensive

Thu, 02/21/2008 - 2:20pm

Increasing global demand for food along with biofuels production has meant that rising food prices have been hitting our paychecks hard. But the news will likely only get worse.

In a recently released National Bureau of Economic Research paper, Wolfram Schlenker of Columbia University and Michael J. Roberts of the U.S. Department of Agriculture reveal the effects of climate change on crop yields in the United States. The results are alarming: According to Schlenker and Roberts's model, which employs data on crop yields in the United States between 1950 and 2004 along with a matching weather/temperature data set, yields are likely to diminish significantly by the end of the century.

Although yields for corn and soybeans increase until temperatures reach about 29° Celcius and yields for cotton increase until about 33° Celcius, temperatures above these thresholds result in a rapid and steep decline thereafter. Global warming is expected to shift temperatures upward and produce more damaging heatwaves. As a result, Schlenker and Roberts predict that corn yields will decrease by 44 percent, soybean yields will drop by 33-34 percent, and cotton yields will decline by 26 to 31 percent -- and that's just under the "slow warming" scenario of the model. If the model assumes "quick warming," the news is even more dire. Corn, soybean, and cotton yields will plummet by 79-80 percent, 71 to 72 percent, and 60 to 78 percent respectively.

To make matters worse, "hotter southern [U.S.] states exhibit the same threshold as cooler states in the north, suggesting there is limited potential for adaptations." In other words, the prospect of crops evolving quickly to adapt to a warmer environment looks slim. Technology, too, appears unlikely to save the day just yet. The authors conclude, "[W]e find no evidence that technological progress increased heat tolerance over the last 55 years: while average yields have gone up almost threefold, the breakpoint where temperatures become harmful is the same in later periods as it is in earlier periods." As the Earth gets hotter, expect inflation to soar. Time to stock up on corn, soybean, and cotton products.


Shark nears extinction as China gets richer

Wed, 02/20/2008 - 12:01pm

With a 98 percent population decline between 1970 and 2005, the distinctive scalloped hammerhead shark is one of the latest species to make it to the International Union for the Conservation of Nature's (IUCN) endangered list. The cause? Overfishing due to a growing demand for shark fins in China.

Julia Baum of the Scripps Institution of Oceanography in La Jolla, California, told the Times of London, "[T]he oceans are being emptied of sharks, and the scale of the problem is global.... If we continue in the way we are going, we are looking at a really high risk of extinction for some of these species within the next few decades."

Another eight species of shark will be added to the IUCN's list in October. Baum and other shark researchers attribute this increasing threat of shark extinction to China's economic boom, and its attendant rise in demand for shark fin. Served at weddings and important business functions, the dish is considered a delicacy in China. Shark fins can sell for $300 a kilogram, and 26 million and 73 million shark fins are sold annually in the Hong Kong market -- more than three times the total declared to the U.N. Food and Agriculture Organisation.

But it's not just sharks that are coming under threat due to the burgeoning Chinese middle class. In this week's List of the World's Worst Poaching Markets, FP identifies four other creatures that are facing extinction through illegal poaching for reasons ranging from taste to treatment. Check it out here.

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The world's first carbon-neutral city

Wed, 01/23/2008 - 1:20pm

The United Arab Emirates (UAE) has just officially unveiled its plans to build the world's first carbon-neutral city. Situated on Abu Dhabi's desert outskirts, "Masdar City" is designed from the ground up to be the first completely environmentally sustainable city and a hub for renewable energy research. The UAE's rulers hope Masdar will eventually house at least 1,500 businesses and 50,000 people, powered by solar and other renewable energy sources.


KARIM SAHIB/AFP/Getty Images

Residents will be able to get by on foot, despite the region's blistering climate, thanks to architectural techniques that promote shading and help generate cooling breezes. Stops for the city's solar-powered "personalized rapid transport pods" will be no further than 200 meters apart. Lord Norman Foster, the founder and head of the architectural firm in charge of the Masdar development, said the project "promises to set new benchmarks for the sustainable city of the future." Is he right? Is the project even viable?

Ann Rappaport, an urban and environmental policy specialist at Tufts University, spoke with FP about the project a while back. She seems to share Foster's optimism:

[F]or almost everything, it's easier to do it right the first time. That's true of a new building versus renovating an old building, [so] why shouldn't it be true of [building] a new city, [rather] than transforming an old one? ...

[Y]ou can think about spatial patterns, you can think about their notion of creating walkable spaces... shading—all these things that we now understand to be very important to our carbon budget. We just weren't thinking about that hundreds of years ago when our major world capitals were developed. So that's exciting.... [Your first reaction may be that this is] a city in the middle of a place that others might define as a desert. On the other hand, I think that climate change is challenging us all to think about where the good locations are for human development.... When many of the world's foremost cities were developed, we were looking at transportation access by boat, and now that means that these cities are really vulnerable to sea level rise... [T]he prospect looks attractive, and perhaps the devil's in the details, but it’s not a ludicrous concept.

No country needs this type of innovative thinking about the environment more than the UAE, designated by the World Wildlife Fund as the country with the world's worst per capita ecological footprint. Obviously, one project is not enough to exonerate the country's wasteful and unsustainable practices. But at least it's a start.


North Korea too poor to fund embassy in Australia

Tue, 01/22/2008 - 1:15pm

PETER PARKS/AFP/Getty Images

If you took the FP Quiz in our November/December 2007 issue, you would know that 23 countries maintain embassies in North Korea. But in how many countries does the Hermit Kingdom maintain an embassy? According to the listings for North Korea on the Embassy Information Web site, the answer is currently 56. Ask that same question at end of this month, however, and the answer will drop to 55.

North Korea's embassy in Australia is slated to close at the end of January because the country can no longer afford it. North Korea's most senior diplomat in Australia, Pak Myong Guk, blamed the high cost of the recent flooding in North Korea for the closure, and said that "When our financial situation is... resolved, then I think our embassy will be re-established again here in Canberra."

It's a plausible reason, but as an Aussie, my instinct is to wonder: Why Australia? Why not, say, Austria, given the relative strength of the euro? In any case, I'm surprised that North Korea is in financial trouble. With all the business opportunities offered by the country, you would think the won would be rolling in.

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India outsources medical care... to its cities

Fri, 01/11/2008 - 9:25am

PLoS Medicine

How do you provide healthcare to citizens in a country where nearly 75 percent of the population lives in the country, and more than 75 percent of the country's doctors live in cities? India's answer: telemedicine.

The Indian government has been investing in the technology to make healthcare accessible and affordable for the country's rural population, according to The Lancet. Telemedicine works like a regular medical consultation—except the doctor is on a computer screen peering through a webcam, and the patient's vitals are monitored by traditional equipment such as stethoscopes hooked up to computers (a more precise explanation can be found here and here). Sometimes a general physician is present, but the specialist reading and interpreting the information is located remotely.

The country's first telemedicine center was established in the state of Andhra Pradesh in 2000, and since then many analysts have come to believe that telemedicine "could be the future for health care in India." Today, there are about 500 telemedicine centers across the country, linked to about 50 specialist hospitals. So far the centers have provided "teleconsultations" to an estimated 150,000 patients—a drop in the ocean in a country of more than 1 billion. According to anecdotal accounts, however, initial skepticism about "impersonal" health consultations is waning and patients who have been treated through telemedicine appear satisfied with the care. Meanwhile, public-private partnerships are continuing to expand the size and the scope of telemedicine facilities.

Telemedicine, like the use of cellphones for health, could be a revolutionary step in medical provision for the poor. Rural residents won't need to travel as great a distance in order to access sophisticated medical treatment, and doctors won't need to move to rural areas. As of now, telemedicine consultations cost around $22—still beyond the reach of most Indians. But the government is promising to provide the consultations free of charge for the poor, though it's not clear if this is entirely feasible since many clinics are operated privately.

But as revolutionary as it might be, the growth of long-distance medicine raises some questions about accountability. What happens if a patient is misdiagnosed, or sent away with a clean bill of health when there is actually an underlying problem? Can anyone fairly be held responsible? Nonetheless, it does seem like the benefits at the moment outweigh the risks. As one surgeon and hospital director argues:

In terms of disease management, there is [a] 99% possibility that the person who is unwell does not require [an] operation. If you don't operate you don't need to touch the patient. And if you don't need to touch the patient, you don't need to be there.

Come to think of it, there's no reason to think Indian specialists and doctors couldn't start treating patients in this manner who hail from anywhere in the world, including the United States. Indeed, Indian doctors are already providing diagnostic interpretation of radiological images, including X-rays, CTs and MRIs, for American patients from hospitals in places as far away as Bangalore.


Male prostitution spreading in India

Tue, 01/08/2008 - 11:24am

Last month, Christine noted the increase in "inverted sex tourism": wealthy foreign women heading to poor countries (for instance, Kenya) to purchase sex from younger and poorer men. But a BBC report on Kolkata in India reveals that it's not just rich foreign women who prey on male prostitutes. Indian women of means are also getting into the act:

[Male gigolos] offer some insight into the changing sexual mores of a growing number of Indian women who are ready to spend money on buying sex in a traditionally conservative society.

It is hardly a easy job to do - in the absence of male brothels, gigolos like Samrat cruise after dusk for prospective clients, mainly upper or middle-class and rich women who usually drive in their cars with dark tinted windows.

"It is not all fun and games as people think. Just as female sex workers face violence and get cheated, we face such situations from time to time too," says the son of a bank worker, who joined the sex trade after a short stint as an employee with a multi-national pharmaceutical firm in the capital, Delhi.

"I have often not been paid by clients, and when I have protested, they have threatened me with telling the police that I tried to rape them. And there are clients who love to stub out burning cigarettes on our bodies. These days I have begun to charge for a cigarette burn - 500 rupees ($11) per stub," he says.

As with female sex workers, technology such as mobile phones and the Internet has helped facilitate business. The men usually receive upwards of 1,000 rupees ($25) an hour from their clients, and when work from female clients slows, many of these workers sell sex to other men. Thankfully, the "gigolos," who constitute one of the highest risk groups for HIV/AIDS contraction, are beginning to bond together to speak out for HIV prevention. Whether that will be enough to curb the spread of the virus, of course, remains to be seen.

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Hollywood shouldn't give up on Bollywood

Fri, 01/04/2008 - 12:22pm

Back in August, Passport looked at Hollywood's growing obsession with Bollywood and decided that the U.S. film industry was betting on a safe horse in trying to join Bollywood rather than beat it. But with the early results from the first major Hollywood Hindi film co-produced by Sony Pictures out, it appears that it may not be so easy for Hollywood to crack the Indian film market.

The Financial Times declared that "Sony's first foray into Bollywood flops." Mumbai-based producer and director Mahesh Bhatt gave this take on what went wrong:

I hope it will function as a wake-up call to investors in Hollywood.... You may have your marketing network, you may have your inexhaustible financial resources, but you need to get a sense of the palate of the Bollywood consumer."

Analysts believe that Saawariya, the Sony film, primarily failed because it performed poorly against Om Shanti Om, a conventional Bollywood blockbuster starring the omnipresent Bollywood actor Shah Rukh Khan. Both movies were released in November during the Indian holiday of Diwali, and according to an Indian box office tracking site, Saawariya has grossed just Rs24,81,00,000 ($6.27 million) compared to Om Shanti Om's Rs83,63,00,000 ($21.15 million). Film buffs were also deeply disappointed with the entertainment value of Saawariya, as a number of Bollywood blogs and gossip websites revealed.

I think it's too early to sound the death knells for Hollywood in Bollywood, however, just because Sony took a risk that didn't pay off. Saawariya was an unconventional and dark Bollywood film, adapted from Fyodor Dostoevsky's novel White Nights. It didn't showcase an all-star cast in that it featured two debut actors, and was directed by acclaimed but alternative film director Sanjay Leela Bhansali. Plus, the film still made a decent profit, which will increase further through DVD sales and TV rights.

Upcoming Hollywood/Bollywood films such as Roadside Romeo and Made in China are also risky, non-traditional Bollywood films in their own right. But it's important to remember that these films are being produced in collaboration with Indian writers, producers, and film studios. Rather than "failing to get a sense of the palate of the Bollywood consumer," they are more likely just attempting to broaden it. And they may yet have more success than Saawariya. Investors around the world seem to agree that Indian films may still turn out to be a cash cow, with preparations for "an unprecedented onslaught on Bollywood this year" in full swing.

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White working women, want a pay raise? Lose weight

Fri, 12/28/2007 - 11:43am

SPENCER PLATT/Getty Images

The United States acknowledges and accepts that it has a weight problem. Obesity has become a serious national issue, with a quarter of the U.S. population considered obese. Health professionals have even spoken out against stigmatizing obese people. It's surprising, then, that obese people—white women specifically—are discriminated against where it arguably hurts the most: in their paychecks.

According to a recent study by David Lempert of the U.S. Bureau of Labor Statistics, there is a "statistically significant continual increase in the wage penalty for overweight and obese white women followed throughout two decades." And the trend has increased, even as more Americans have become obese. One way to look at it, the author of the study writes, is that "the increasing rarity of thinness has led to its rising premium."

Moreover, as overweight white women age, their wages suffer correspondingly more over time as they get passed over for promotions and raises. It's an alarming finding in a country that is supposedly all about non-discrimination in the workplace.

(Hat tip: New Economist

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Coming soon to Japan: Unskilled immigrants?

Thu, 12/27/2007 - 11:45am

ADEK BERRY/AFP/Getty Images

It's no secret that Japan has traditionally been averse to immigration. Many long-term immigrants wait eternally for Japanese citizenship. The Japanese parliament also recently approved a plan to fingerprint and photograph all adult foreigners entering Japan.

But is the tide against foreigners turning in Japan? Possibly. According to a recent Mainichi newspaper telephone survey, 63 percent of respondents favored allowing the immigration of unskilled foreign laborers, even though the Japanese government generally opposes such measures—opting instead for a "cautious" approach toward unskilled workers. Out of the 63 percent, 58 percent supported accepting unskilled foreign workers in fields facing worker shortages, and 5 percent believed that entry-level foreign workers should be accepted without conditions.

Hidenori Sakanaka, head of the Japan Immigration Policy Institute, believes the shift in favor of foreigners may be due to Japan's enormous demographic challenge associated with its rapidly aging society. He also suggests the Japanese may gradually be appreciating the work already done in Japan by entry-level foreign workers in fields from nursing to agriculture, forestry and fisheries. Necessity may be the mother of invention—or in this case, acceptance—but it remains to be seen whether this is really a cultural shift toward embracing immigration. If legislation follows, I may be convinced.


CEOs gone wild

Thu, 12/20/2007 - 12:55pm

'Tis the season for wacky business revelations—or rather, wacky revelations about business people. The Financial Times' John Gapper highlights a number of incidents likely to raise a few eyebrows. For instance, David Rubenstein, co-founder of the private equity firm the Carlyle Group, bought a copy of the Magna Carta for $23.1 million. He plans to display it at the National Archives in Washington, to "repay a debt I have to the country." Less charitably, the CEO of Sallie Mae, the student loan behemoth that is in trouble thanks to the subprime crisis, bailed on a conference call:

It started amiably but Al Lord, its chief executive, then got into a tussle with analysts about how much information he was divulging. The call ended with Mr Lord saying testily to his head of investor relations head: "Let's get the (expletive deleted) out of here" and Sallie Mae's shares dropping 21 per cent.

You might have thought that staying on a call long enough to answer questions and remaining polite would not be too much to ask of a chief executive trying to retain confidence in his company.

This week, Fortune Magazine also launched its 101 Dumbest Moments in Business for 2007, including the seven dumbest moments featuring "Bosses behaving badly." Some choice highlights:

Number 1:

HBO President Chris Albrecht allegedly punches and chokes his girlfriend while drunk at 3 A.M. in a Las Vegas parking lot.

Number 2:

I like Mackey's haircut. I think he looks cute." -- Whole Foods CEO John Mackey, posting under the screen name Rahodeb, on a Yahoo Finance stock forum. The Federal Trade Commission reveals that Mackey authored this and numerous other posts over an eight-year period, hyping his company and himself while trashing the competitor he hoped to acquire, Wild Oats.

Number 6:

In July, as Bear Stearns executives futilely attempt to prop up two hedge funds that ultimately collapse amid the subprime meltdown, CEO James Cayne spends ten of 21 workdays out of the office, playing golf and competing in a bridge tournament in Tennessee. According to The Wall Street Journal, his fellow bridge enthusiasts claim that Cayne sometimes smokes marijuana at the end of tournament sessions.

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