CBI chief fires parting shot over slow pace of Brexit negotiations – The Guardian

The head of the UKs leading employers organisation has stepped up pressure on the government to conclude trade talks with the EU so that the country can move on from the suspended animation of the past four years.

Reflecting on her five years as director general of the CBI, Dame Carolyn Fairbairn said her biggest regret was that the issue had not been resolved earlier and warned ministers that businesses grappling with Covid-19 were unprepared for a hard Brexit.

Talks between London and Brussels have intensified in recent days as negotiators grapple with issues such as fishing and state aid.

Fairbairn, who steps down next week, said The thing thats painful is that it has taken so long to get to a resolution. I think we will get a deal. The remaining issues look soluble.

The first female CBI director general said she had barely started in the job when David Cameron announced in February 2016 that a referendum would be held in June that year.

That was the moment everything changed, Fairbairn said. I realised there was an extraordinary debate to be held, not just about the EU but about the type of economy we had created and the kind of country we had become.

Fairbairn said issues that had surfaced as a result of the financial crash of 2008-09 such as fairness and inequality became bound up with the debate about the UKs relationship with the EU.

The CBI campaigned for a yes vote in the referendum but Fairbairn says the employers organisation has always accepted the result.

At our first presidential committee meeting after the referendum the debate wasnt about trade or tariffs but about what the result said about business and its relationship with the British public, and what do we do about it.

Our position has not really changed since 24 June 2016. We completely accepted the result of the referendum and never supported a second referendum. We have campaigned for a good deal that protects jobs from day one.

It [departure from the EU] has had a momentum of its own. It has been almost a perfect storm. The economy has gone into suspended animation while we resolve this seismic issue. I hope we can have a resolution so we can move on.

Despite her optimism that a deal would be done, Fairbairn did not rule out the talks collapsing, an outcome she described as very challenging for CBI member companies.

With much of the country facing new Covid-19 restrictions, the CBI said many companies were going backwards in their Brexit preparations. She urged the government to set up a task force to speed up preparations as soon as an agreement had been reached.

A deal would still mean radical changes for business but would be hugely better than no deal, she said.

Tariff-free trade would be the difference between companies in the automotive sector staying in the UK or going. The automotive sector is 40 times larger than fishing, she added.

A deal would also make customs procedures easier, and would give the UK a base from which to build future agreements that would boost key sectors such as financial services, which Fairbairn said had been almost absent from the current negotiations. A deal is enormously better than no deal.

Despite the short-term challenges, Fairbairn said the UK would make a success of Brexit. Business will do everything possible to make the best of it. There will be areas to explore. There will be areas where it will be good to align with the EU but when it comes to AI and the industries of the future we could find new ways to shape the regulatory environment.

Brexit aside, she said business was also having to cope with a second wave of Covid-19 infections. Fairbairn said the UK had a glimpse of what recovery could look like in the summer but things now looked gloomier and there was a mountain to climb.

The CBI head said she was especially worried about young people, who had been hit hardest by the Covid-19 recession and needed better training, more job opportunities and a wider range of further and higher-education courses to give them a better chance of finding work.

She added: We are not epidemiologists, we put health first. But we need a plan for the short run to keep as much of the economy open as possible. It has to be evidence based and rely on really clear tiering.

Changes last week by the chancellor to the job support scheme to make it more generous had led some companies to rethink lay-offs, but there were sectors of the UK including live events and aviation that faced acute problems.

Fairbairn said: We are going to see significant redundancies. It is going to be tough.

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CBI chief fires parting shot over slow pace of Brexit negotiations - The Guardian

Support is waning for Johnsons plague-year Brexit – The Guardian

Denials predictably emerged from 10 Downing Street last week over the suggestion in the Observer that Boris Johnson was waiting for the result of the US election before possibly opting for a no-deal Brexit.

However I, for one, place a lot more credence on the judgment and reliability of Sir Ivan Rogers, our former ambassador to the European Union, than I do on anything coming from a Downing Street where Eyetest Cummings continues to rule the roost.

The Observer was reporting on the result of Rogerss soundings among our former EU partners, which showed their common view that Johnson was more likely to propel this benighted nation over the no-deal cliff if, in the end, the US electorate decided not to dump Trump. Hence the wait.

Johnson is all over the place on most things, a reality that is finally beginning to dawn on many of his erstwhile supporters. But Cummings is an even bigger gambler than his dodgy employer: a revolutionary who would have been perfectly at home in early 20th century Russia. I have no idea how he deals at poker, but people who know him I am delighted to say that, though a fellow Islingtonian, I have never, to my knowledge, encountered him say he is definitely a no-dealer on the big issue of the day.

Sorry, there are of course two big issues of the day: Covid and Brexit. And Cummings is so brazen that the man who broke his own lockdown rules on his infamous trip to Barnard Castle has been one of the most hawkish in urging strict tier terms as the plague threatens once again to get out of control.

Now, I did not get where I am today by forecasting election results, but God help us if Trump wins and Johnson and Cummings go for no-deal with the EU and a deal with Trump that takes us in the direction of becoming the 51st state. A Biden victory would restore some sense of decency and normality to international relations, although No 10 must be all too well aware that Biden, who is of Irish extraction, is none too happy with what they have been up to, threatening previous deals on the border and the Good Friday agreement.

As the horror stories about the reality of Brexit begin to sink in, even commentators in the Daily Telegraph have begun to get worried. A line from A Midsummer Nights Dream keeps recurring to me spoken by the late Alan Howard as Theseus/Oberon in Peter Brooks great production, to Puck: What hast thou done?

Polls now suggest that most of the British people disapprove of Brexit according to YouGov, by 50% to 38%. So why on earth do we go charging on, like Tennysons light brigade? While not wishing to overdo the parallels, one cannot help thinking of the way Lloyd George was needed to replace Asquith during the first world war, and Churchill to take over from Chamberlain in the second world war. Alas, the egregious Johnson already thinks he is Churchill. Seldom has a British prime minister been so misguided.

I have pointed out before that, even with a deal, leaving the single market at the end of the year will be extremely disruptive not only from 2 January (1 January being a bank holiday) but for years to come. But leaving without a deal? As Nick Bosanquet, professor of health policy at Imperial College, London, recently pointed out in the Financial Times, the conjuncture of port delays with the virus and long waits in laybys for thousands of lorry drivers, probably in bad weather, would be a classic situation for super-spreading of the virus, and that drivers would have to present recent test results in order to cross.

Bosanquet says the looming national emergency could be avoided only by seeking an agreement with the EU, preferably with a six-month extension of the transition period. I am all in favour of such an extension, preferably leading to an entire rethink of the wisdom of Brexit, and a tail-between-the-legs application to rejoin the EU.

One cannot help but note the understandable calls for the government to have a recovery plan from the economic horrors of the lockdown and its awful impact on employment. However, what people should realise is that, in going ahead with Brexit, the government has already decided on a plan. Unfortunately, it is to make the economic crisis even worse.

Going ahead with Brexit in a time of plague is the height of irresponsibility. It must never be forgotten that the infamous 2016 referendum was advisory, not binding, and fought on a false prospectus.

I know the argument that the people have spoken. But the people speak at every general election, and often change their minds. Moreover, it was only ever some of the people. As Abraham Lincoln reportedly said: You can fool all the people some of the time, and some of the people all the time, but you cannot fool all the people all the time.

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Support is waning for Johnsons plague-year Brexit - The Guardian

UK industry chief says business needs more from ‘thin’ Brexit deal – The Guardian

A business-led campaign to widen a thin Brexit deal struck between Britain and the European Union will begin immediately in the new year, it has emerged, amid concerns about the long-term effects on the UKs economy.

In an interview with the Observer, Carolyn Fairbairn, the outgoing director general of the CBI, said that securing a basic deal with the EU should be seen as a starting point for a deeper relationship. She warned of a serious effect on Britains large services sector, including financial and legal services, as well as engineering.

UK government officials remain locked in talks with their Brussels counterparts this weekend, just a fortnight before the deadline identified as the last point at which a deal can be agreed. The main stumbling blocks remain fishing rights and level playing field conditions related to state aid. However, even if a deal is signed off, there are grave concerns among British business bodies over the barriers to trade that it will erect.

Fairbairn said that any deal would be a significant improvement on a no-deal outcome, while the removal of tariffs would be existential for the car industry. However, she said her really big disappointment was the lack of help for British services in the potential deal, adding that the CBI would immediately fight to broaden the agreement.

Any deal we get now is likely to be focused on goods, and it should be treated as a starting point for a more comprehensive deal in the future, she said. At the CBI, we would be doing two things. First of all, we would be looking to help businesses make the most of where we are, to look for the opportunities and to manage that transition. And second, we will be working with the government and supporting the negotiations around building further chapters. [We would like] a services chapter. Well need more on aviation. Well need more on haulage. Data will be crucial. We hope that there will be a data agreement, but there will be more to do on the back of that. That will be the challenge of the next one to two years. And we will be on that case pretty well immediately. But we need that base case of a foundation deal first.

Some groups have raised serious concerns about the extent of new barriers to trade that will be erected even in the event of a deal. While tariffs will be removed, bureaucracy will increase and both government and industry are braced for issues at the border. A business taskforce to manage the transition has been forged between government and industry in an attempt to smooth the Brexit process in the new year.

Looking back on a tumultuous five years in the job, Fairbairn said it had been a mistake, and a lost opportunity for our country for businesses not to have had greater involvement in the shape of the deal.

Cash reserves and stockpiling have been run down as a result of the virus, with many businesses assuming the Brexit transition period would simply be extended. There is some wishful thinking, Fairbairn said. The single thing that would be getting businesses preparing best is a deal. Disruption of some sort is likely.

It comes as Boris Johnson is being warned that securing a deal with the EU is the best and easiest way to improve relations with a Joe Biden White House, should the Democratic candidate win this week. Biden has voiced concern that Johnsons Brexit tactics could affect Northern Irelands Good Friday Agreement.

Sir Nigel Sheinwald, Britains former ambassador to the US who served in Washington between 2007 and 2012, said that a deal was the route through which Johnson could build relations with Biden. I do think that they need to calculate what the impact of no deal would be, not just on the future relationship over free trade agreements, but more generally, on Britains standing with a new Biden administration, he said. No deal looks a very lonely position if youve got a Biden administration in Washington.

The very strong view among Bidens team is that Brexit was a strategic mistake of some magnitude. Theyll be wondering how we fill that gap and will have concluded over the past four years that we havent really been able to identify a new British role in the world.

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UK industry chief says business needs more from 'thin' Brexit deal - The Guardian

Brexit outrage: Joe Biden US election win may FORCE UK to agree EU’s trade deal terms – Daily Express

Former foreign secretary David Miliband explained how the special relationship between the UK and US post-Brexit could change if Joe Biden becomes President. While speaking to Sophy Ridge on Sky News, he said Mr Biden and his team will want the UK to make significant progress with the EU on key issues before agreeing our own future relationship with the US. Due to the quickly approaching end of the transition period, this could ultimately pressure the UK into rushing through a trade deal with the EU to maintain a good working relationship with the US.

Ms Ridge said: "If Joe Biden does win the US election, as the polls suggest, would that actually be good news for the United Kingdom?

"Do you think Joe Biden values the special relationship?"

Mr Miliband replied: "I think Joe Biden values the UK but he is a serious person who will follow the power.

"What Joe Biden knows, when it comes to the coronavirus crisis, the climate change challenge and some of the major global issues he can see that in Paris, Berlin and Brussels you have got 27 countries working together.

DON'T MISS:Brexiteer rages at Brexit deal disaster creating 'challenging 2021'

"There is no question in my mind that in the Biden camp, Brexit has reduced the influence of the UK.

Mr Miliband noted that despite the feelings towards Brexit among Biden and his office, they would still seek to trade with the UK.

He said they would want a deal to be resolved between the UK and EU quickly in the meantime, however.

He continued: "Joe Biden will also be very realistic about the kind of issues we are still struggling with and his urgency for getting things done.

"I think that puts a special premium on the British Government to get the trade deal with the European Union.

"Not only this but to also sort out the ways in which we are going to cooperate on security terms, intelligence terms and foreign policy terms with the EU.

"This is something that has made such little progress and that really leaves us in a weaker position."

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Mr Miliband has also warned of the tentativeness of the relationship between the UK and US.

While speaking to Channel 4 he said: "The special relationship all depends on what the British Government does.

"If the British Government comes to the table with ideas, resources and alliances then we have got an important role to play.

"But if we come with none of those things, I am afraid Washington will look to places where they see real power being exercised."

Read this article:

Brexit outrage: Joe Biden US election win may FORCE UK to agree EU's trade deal terms - Daily Express

The Issue That Might Sink the Brexit Trade Talks: Fishing – The New York Times

LONDON In the greater scheme of things, fishing is a tiny industry. Just 12,000 people in Britain fish from 6,000 vessels, contributing less than half of one percent of gross domestic product less than the upmarket London department store Harrods, according to one analysis. The same holds true for most continental European nations.

Yet, as negotiations between Britain and the European Union on a long-term trade deal grind along toward the Dec. 31 deadline, fisheries are proving to be one of the most politically treacherous sticking points. Heres why the issue is giving negotiators such fits.

Boats from continental Europe have fished off the British coast for centuries, and those communities say they face ruin if they were to be locked out of those waters.

But in Britain, European Union membership has meant sharing British waters with fleets from France or other nations and sometimes seeing bigger, more modern ships catching a larger proportion of the fish. In one zone off the English coast, 84 percent of the cod is allocated to France and just 9 percent to Britain, according to Barrie Deas, chief executive of the National Federation of Fishermens Organizations.

The British fishing industry contends that its interests were sacrificed for more profitable sectors when the country joined the European Economic Community, a forerunner to the European Union, in 1973. Now that Britain has left the bloc, they want their fish back.

Fishing has a hold on the public imagination in a way that more lucrative sectors say, insurance never will. It can become front page news as it was, periodically, when tensions escalated between Britain and Iceland in the cod wars that simmered from the late 1950s to the mid-1970s. At the time, boats were sometimes rammed, and British warships were even deployed to protect trawlers.

Recent weeks have brought a reminder of those days. A confrontation between British and French boats (in what one newspaper called the scallop wars) was a harbinger, perhaps, of what could happen next year should the trade talks fail. Frances famously assertive fishing crews also have the capacity to blockade Calais the main port linking Britain to continental Europe. That could cause a big disruption to trade.

The politics of navigating this are difficult, as well. The British prime minister, Boris Johnson, promised great things to the fishing fleet during the campaign leading up to the 2016 Brexit referendum. Now, he needs to deliver or risk accusations of betrayal. But the French president, Emmanuel Macron, faces an election in 2022, and giving in to the British is not the best way to win votes in France.

Quite a lot. The European Union argues that the current arrangements should continue, with more or less the existing quotas, and with continental trawlers allowed automatic access to most British waters. Britain says this is anathema for an independent coastal state and that the Europeans need to accept that Britain has left their club.

France, whose fishing fleet is particularly affected, has taken the hardest line on the European Union side, with other nations more willing to compromise to reach a wider trade deal.

Another contentious point is how future quotas will be decided. Britain wants annual negotiations of the type that the European Union undertakes with Norway over fish. The European Union argues that, because there more than 100 species to be haggled over (the main negotiations with Norway focus on half a dozen types of fish), such a system is impractical.

The fishing industry is one of the areas where Britain has the advantage in the Brexit trade negotiations, on paper at least. Without an agreement, Britain would regain control of its waters and could ban continental fleets from them.

But there is a downside. Britain exports much of what it catches and imports much of the fish it eats (mainly the cod and haddock that are staples of neighborhood fish and chips shops). Almost half of whats caught by Britains fleet is pelagic, meaning fish that live and feed in open water, rather than on the bottom of the ocean. These are species like mackerel or herring that few Britons touch, and that fetch a better price abroad (as does shellfish).

Although Britain is a net importer of fish, around four-fifths of what is landed by British vessels is exported, mainly to other European countries. Without an agreement, British fish exporters could face tariffs and find their products waiting and perhaps rotting at continental ports while inspectors carry out lengthy checks.

Whatever the rhetoric from Paris, the European Union knows that, without an agreement, continental fishing fleets could be locked out of British waters, so there is an incentive for the European Union to settle. Germany, the blocs biggest economy, is thought to be encouraging the French to compromise. The British seafood industry (including producers of farmed salmon) badly wants access to continental European markets.

The British government has hinted at a potential solution: a transition or glide path under which British fishing quotas would gradually expand at the expense of those of continental nations. That would give the European fleet time to adjust and the British time to expand fishing fleets and revitalize coastal communities to take advantage of new opportunities.

Both sides have an interest in striking a deal, but finding one means navigating choppy political waters.

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The Issue That Might Sink the Brexit Trade Talks: Fishing - The New York Times

Brexit fury: Leaver rages at Brexit deal disaster and Covid creating ‘challenging 2021’ – Daily Express

Former Brexit Party MEP Ben Habib argued the UK has a challenging 2021 ahead. During an interview with Express.co.uk, Mr Habib argued Boris Johnson will likely agree a bad Brexit deal that aligns the UK with the EU. He added that this combined with the consequences of coronavirus would make the next year a challenging one for many.

Mr Habib said: "I think 2021 is looking very very challenging.

"This is because the Government has spent a massive amount of money on this pandemic.

"They have done this through keeping businesses closed, furlough schemes, bounce back loans and coronavirus support schemes."

Mr Habib noted that these moves made by the Government, however necessary, would be a key part of the challenge facing the UK in 2021.

DON'T MISS:Brexit betrayal: Boris Johnson accused of caving to EU bullying

He continued: "We are going to go into 2021 with Government finances stretched.

"If we sign ourselves into a close deal with the EU, fettering our ability to deregulate and therefore take the burdens off of businesses in a non-monetary manner, we will have a constrained economy.

"This will be a result of regulation and by the amount of debt we have taken on.

"I don't see the prospects of 2021 being bright for the UK.

"I suspect the people like me, people who saw the opportunities that a no deal Brexit would have afforded the UK, will now spend quite a significant proportion of the rest of their lives campaigning and promoting the unpicking of the deal that Boris Johnson is about to sign.

"This is so we can get Britain moving again properly."

Mr Habib also went into details of what areas he believed Boris Johnson disappoint Brexiteers with in his trade deal.

He highlighted the areas Boris Johnson would compromise would be in areas Leavers were most concerned about.

This included fishing rights for the EU, the influence of the European Court of Justice and the level playing field.

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He said: "I think what we are going to get by the time we get to January 1 is a deal.

"But it will be a deal that mirrors, to a very significant extent, the political declaration that the Prime Minister signed as part of the Withdrawal Agreement.

"In that political declaration, he did sign up to a level playing field, to fix fishing quotas, signed up to considering joining PESCO which is their equivalent of NATO, he has also signed up to cooperation on military into operability.

"He has also signed up to give the Court of Justice of the European Union, quite a large say in what happens in all those matters I just listed.

"I think, unfortunately, we are going to get a deal by January 1st that signs us up very closely to the EU."

See the rest here:

Brexit fury: Leaver rages at Brexit deal disaster and Covid creating 'challenging 2021' - Daily Express

US election outcome will determine what kind of Brexit we get – The National

AS the most significant US election in over a century is now upon us, the world holds its breath to see who will emerge as the most powerful politician on earth.

A win for President Trump will doubtless witness four more years of populist government that makes Sauron, the Dark Lord from Tolkiens Lord of the Rings, look like a liberal. A win for Joe Biden may witness a return to more traditional and less divisive US internal and external policies. Crucially though, a victory for the Democrat will force the UK Prime Minister to reassess his relationship with the USA and possibly even his increasingly haphazard policy on Brexit.

Mr Johnson has signalled that a no- deal Brexit, what he euphemistically terms an Australian solution, now looks to be a formality. Scapegoating the EU and attempting to appear as an honest broker only damages Mr Johnsons national and international credibility further and rings urgent alarm bells regarding the months and years ahead.

READ MORE:Joe Biden winning US election is the last big hope for a world on fire

A No-Deal solution has been the clear objective of the Westminster government for some time. It is the route by which their ultimate goal of a laissez- faire market economy can be achieved. The onset of the global pandemic has been regarded by government advisers like Dominic Cummings as an inconvenience or even a useful deviation from his long-term strategy to inflict a libertarian capitalist regime on to the UK, irrespective of its social, political or economic effects on the mass of the population.

Mr Cummings is an admirer of the American president and his unpredictable ignoring of democratic rules and precedents.Like Nigel Farage, he recognises that a defeat for President Trump will damage his political ambitions, as Trumps unfettered populist blueprints would be consigned to the history books.

READ MORE:'Sean Connery stepped in to help me build in Scotland', Donald Trump claims

Mr Cummings thrives on conflict and division and will advise the Prime Minister to continue to stick to an agenda that openly flouts accepted practices. The flagrant breaking of international law witnessed in the controversial UK Internal Market Bill are irrefutable evidence of this. Not only do they openly declare war on devolved administrations but they also adopt a dangerous and cavalier attitude to the fragile peace on the island of Ireland.

The Westminster government would argue that the end justifies the means, irrespective of the effect this may have on others pure Trumpian philosophy in action.

A No-Deal Brexit is a vehicle for increased isolationist individualism, emasculating devolution and eroding the ethos and practices of the welfare state in Britain. It is a gateway to privatised healthcare, widespread dilution of workers rights and the advent of an Americanised social Darwinism wherein the poorest and most vulnerable are discarded as unproductive. The CBI and the TUC have jointly condemned any notion of a No-Deal for two years but have been summarily ignored or scorned by those in power.

READ MORE:Alex Salmond: Donald Trump claim Sean Connery helped win planning is 'silly'

With just two months left we are now on the cusp of leaving the EU without any deal and trading on World Trade Organisation terms, with tariffs and quotas reinstated which will, in the short and long term, prove disastrous for industries such as hospitality, farming, the car industry and fishing. Animal welfare, food and environmental standards will be jettisoned amidst a rogue government running a rogue economy. An estimated 85% of companies will not have necessary documentation in place by January 1, meaning massive border queues for up to nine months with an obvious impact on food and medical distribution in the UK. HMRC estimate that they will spend upwards of 15 billion more on paperwork as we witness a massive increase in bureaucracy.

To make matters worse, if that were possible, it is predicted by most reputable economists that Scotland will suffer more than the rest of the UK under a No-Deal Brexit. Our GDP will decline by around 5% over the first five years of a process that Jacob Rees-Mogg said would take 50 years to settle. As we anticipate a dramatic fall in the pound, increased prices, panic buying and stockpiling it is a puzzle to me why the latest polls put support for an independent Scotland at only 58%.

A No-Deal Brexit will represent the culmination of Cummingss grand plan for a right-wing libertarian state that could lose its main ally and ideological sugar daddy in the coming days. Regardless of how he and Boris Johnson steer the Westminster ship of government, it appears to be irreparably wounded in Scottish eyes by the continuation of a self-harming, disastrous No-Deal Brexit in the midst of a ruinous pandemic.

As Nicholas II and Rasputin are remembered for their part in the end of the Russian monarchy, so Messrs Johnson and Cummings will be remembered for being the harbingers of an independent Scotland.

Owen KellyStirling

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US election outcome will determine what kind of Brexit we get - The National

Brexit betrayal: Boris Johnson accused of caving to EU bullying in last moments of talks – Daily Express

The former Brexit Party MEP argued that he was not confident Brexiteers would be satisfied with Boris Johnson's Brexit trade deal with the EU. During an interview with Express.co.uk, Mr Habib insisted Boris would get a deal but it would not have the benefits associated with walking away without an agreement. It would also be a deal that would very closely align the UK with the EU.

He claimed these areas of alignment would fall under many issues Brexiteers were concerned about such as fishing, the role of the European Court of Justice, and the level playing field.

Mr Habib said: "I think there is no prospect of, what I would call, a proper no deal exit on December 31.

"Because of that I am convinced that Boris Johnson will be working very hard to do a deal with the EU.

"This is because he doesn't want pernicious effects of the Northern Ireland protocol to be starkly revealed.

DON'T MISS:Boris Johnson warned EU will abandon economic strength for DOMINATION

"The details would be revealed in the event of not having a future trading relationship with the entire United Kingdom."

Mr Habib admitted that he did think the UK would get a deal by the end of the transition period but it would not be one that satisfies true Brexiteers.

He continued: "I think what we are going to get by the time we get to January 1 is a deal.

"But it will be a deal that mirrors, to a very significant extent, the political declaration that the Prime Minister signed as part of the Withdrawal Agreement.

"In that political declaration, he did sign up to a level playing field, to fix fishing quotas, signed up to considering joining PESCO which is their equivalent of NATO, he has also signed up to cooperation on military into operability.

"He has also signed up to give the Court of Justice of the European Union, quite a large say in what happens in all those matters I just listed.

"I think, unfortunately, we are going to get a deal by January 1st that signs us up very closely to the EU."

Mr Habib also warned the EU would be willing to give up economic growth and benefit to have the UK politically aligned.

READ MORE:

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"The EU is not concerned about any loss of trade with the UK due to a poor, or no deal.

"They are in this negotiating for a political aim which is to make sure that a number of things happen.

"One of those things being the UK pays a hefty price for Brexit and that the UK is tethered to the EU as much as possible going forward.

"In tandem with those two aims the EU wants to make sure the EU project isn't undermined by the United Kingdom leaving the European Union."

Excerpt from:

Brexit betrayal: Boris Johnson accused of caving to EU bullying in last moments of talks - Daily Express

What are the implications of COVID-19 and Brexit for the post-millennial generation? – Rural Services Network

New research published by The National Federation of Young Farmers Clubs (NFYFC) reveals how young people are pessimistic about future opportunities to live and work in rural areas and believe the pandemic will continue to affect their prospects in the long-term. What needs to be done to support young people, now and in the years ahead, to ensure they can have a stake in the countryside? Jessica Sellick investigates.

The United Nations Convention on the Rights of the Child (UNCRC) states that a child means every human being below the age of eighteen years unless, under the law applicable to the child, majority is attained earlier. In England, TheChildren Act 1989, makes a number of orders relating to the welfare of children,defininga child (under Section 105) as a person under the age of 18. Prior to that, back in 1933 theChildren and Young Persons Actimposed criminal liability for the abandonment, neglect or ill-treatment of any child under 16 years of age by anyone over 16 years of age.

In practice, there is no one understanding of children and/or young people shared by all agencies and bodies; and no set time or age in which a child necessarily moves to becoming a young adult and through to adulthood.

Inmedicine, for example, the terms children and young people are used from birth until their 18thbirthday with the word children used to refer to younger children who do not have the maturity and understanding to make important decisions for themselves and young people to refer to older or more experienced children who are more likely to be able to make these decisions for themselves. There is no specific age at which childrens services within the health system end, although generally children requiring continuing treatment transition to adult services between the ages of 16 and 18 years, depending on the service area, local factors and the individual.

In education, a child canleave schoolon the last Friday of June if they will be aged 16 years by the end of the summer holidays but they must stay in full-time education, start an apprenticeship or traineeship, or spend 20 hours a week or more working or volunteering while in part-time education or training.

From aged 14 years a child can obtain a part timejobinvolving light work with some restrictions set over the number of hours and when the work can take place. A young adult can leave home without parental consent at the age of 18 years although there are provisions contained within the Childrens Act for exceptional circumstances relating to residence coming to an end before or at aged 16 years.

If a child has been looked after by the Local Authority they are provided with a needs assessment and a pathway plan forleaving carethat can finish when they are aged 21 years. For those children that go on to higher education, the Local Authority has a duty to assist them past the age of 21, to the extent that his or her welfare and educational and training needs requires it.

A 17-year old can obtain a licence todrivea car, small goods vehicle and an agricultural tractor on the road but not a medium or heavy goods vehicle (where they need to be 18 years old) or large passenger vehicle (where they need to reach 21 years of age).

These definitions are important on the one hand illustrating how we make special protection and provision to children (sometimes while they are under or until they reach 16 years of age, 18 years of age, or beyond 18 years under some circumstances); on the other hand children and young people are often regarded as adults able to make and be responsible for their own decisions (e.g. driving, employment). Crucially, some of these definitions determine what support a child/young person is entitled to receive and from whom and when.

Age is also important as it is one of the predictors of differences in attitudes and behaviours. Generations are one means researchers use to group age cohorts; with each cohort typically spanning people born over a 15-20-year time period. The Pew Research Center, for example,definesyounger cohorts asMillennials(anyone born between 1981 and 1996 and aged 24-39 years in 2020) andpost millennialsorGeneration Z(people born between 1997 and 2012, currently aged 8-23 years in 2020). Generational cohorts provide a means for researchers to explore how different formative experiences (e.g. pandemics, recessions) interact with the life cycle and shape their view of the world over the longer-term. For example, theCentre for Longitudinal Studiesat University College London has been undertaking aNational Child Development Studysince 1958, with cohort members followed up ten times since the study began, with the next sweep due to take place in 2020 2021 when the participants will be in their early sixties. The Centre is using participants from this study and four other studies to carry out a national longitudinal study onCOVID-19. Similarly,Generation Scotland, based at the University of Edinburgh, is carrying out aRuralCovidLifesurvey to better understand how COVID-19 measures are affecting the health and wellbeing of people in rural Scottish communities the survey complements a longitudinal health and wellbeing study involving 7,000 families since 2006.

Engaging and empowering young people through research is important for it reveals important insights about their influences, aspirations and outcomes as they move through childhood and adulthood. It also provides an evidence base to guide policy makers providing them with valuable data on a range of issues, their causes, and the effectiveness of different interventions.

What do post millennial young people think about growing up in the countryside? In June 2020, the National Federation of Young Farmers Clubs (NFYFC) launched a survey, Your Post-Brexit Rural Future. Funded by Defra and led by the NFYFC and Rose Regeneration, the survey provided young people living and working in rural areas, next generation farmers and land managers with an opportunity to share theirviewson living and working in the countryside, now and into the future. Input to the survey questions was kindly provided byEnglish Rural,AHDB, and the Game & Wildlife Conservation Trust (GWCT). 528 young people responded to the survey, offering their views on housing, services, farming, skills, COVID-19 and the future.

To build on the survey findings Rose Regeneration carried out 40 follow-up telephone interviews with young farmers. During the lockdown period March-June 2020, young farmers highlighted the impact of COVID-19 on their farm businesses; with some indicating how they had struggled to recruit and/or retain workers, received no income or reduced income from farm diversification activities (e.g. closure of caf/restaurant, holiday lets, wedding venue), had been unable to undertake agricultural training, had been pushed to meet changing supermarket and consumer demands, and had to respond to more people walking in the countryside and not closing gates or keeping to designated footpaths. Young farmers also discussed the closure of some auction marts and the cancellation of agricultural shows which provide important outlets for them to meet each other and connect directly with the public.

Young farmers provided some examples of how they have adapted to COVID-19 and mitigated some of its effects. These included: creating farming bubbles by keeping the same staff together on shifts to work as a protective measure to help reduce the potential risk of transmission and providing personal protective equipment (PPE) and ensuring social distancing. Other on-farm examples included ensuring vehicles are not shared by staff and ensuring vehicle cleaning before and after each journey; increasing online and/or direct sales to consumers (e.g. farm shop, box schemes, roadside sales); piloting new diversification ideas (e.g. pick-your-own, mazes); and purchasing equipment and supplies online rather than visiting premises. Some farm businesses had furloughed staff involved in non-agricultural activities (e.g. hospitality, weddings/events). Young farmers were considering their options in recovering from COVID-19 which varied from looking to increase online sales through to pop up visitor facilities and attractions (e.g. caf, food stand, outdoor/countryside classroom), farm stays [converting agricultural buildings into visitor accommodation] and accessing online training opportunities.

During the lockdown period March-June 2020 Young Farmer Clubs used social media and provided support online/virtually so they could carry on with regular activities that could not happen face-to-face (e.g. meetings, event planning, competitions, rallies); raise awareness and run campaigns (e.g. mental health support, buy local-buy British); and deliver new social activities (e.g. stock judging, bale sculptures, virtual farm tours).

The financial implications of COVID-19 on clubs were emphasised during many of the telephone discussions. These concerns covered three main areas: (1) the impact of a second peak/wave on the next financial year if social distancing measures are still in place or reintroduced; (2) members particularly newer members may not renew their membership if clubs are unable to offer regular face-to-face activities; and (3) Clubs may be unable to generate a surplus and donate money to local or national charities. While many young farmers described how they had benefitted from accessing their club through digital platforms; other members miss face-to-face activities and have struggled to engage with the virtual offer. In some instances, club Chairs made telephone calls to members and/or socially distanced visits. Since lockdown restrictions were eased from July 2020 in some areas, clubs have been trying to balancing online/virtual with restarting some face-to-face activities (in line with Government guidelines).

During COVID-19 Government identified farmers, farm workers and people in the food supply chain as key workers. Young farmers suggested this had led the public to recognise the work they do in supplying the nations food:farmers are key workers, but I dont think a lot of recognition was given to farmers before COVID-19.The majority of interviewees perceived COVID-19 as a short-term problem with farming facing other threats/issues that have been neglected during the pandemic. These issues can be grouped into three themes: (i) Brexit and the transition to a new Agricultural System; (ii) broadband and mobile connectivity; and (iii) climate change and the environment. Young people are thinking about the future and the implications of this bigger picture on their farm business, skills and future work:young farmers are resilient, and innovative, and thats why well make the best of the situation.

Overall, the findings of the research suggest:

1. Young people want to have a stake in the countryside:they care about the community where they live and many take an active part in local organisations and activities (e.g. church, parish council, school, pub). Often growing up and spending many hours working on a farm means they already have a wealth of skills and experiences at a young age compared to their peers not growing up on a farm.

2. Young people are a vital part of the social fabric of rural communities:this has become even more apparent during COVID-19 with many young farmers delivering medicines or groceries and phoning or visiting vulnerable residents for example.

3But they are pessimistic about the future:while many young people want to continue to live and work in the countryside, this research suggests they will only be able to do so if they remain on their family farm. Similarly, many young farmers believe that if they are to have a future in farming, they will need an off-farm income to supplement and sustain them.

4. COVID-19 restrictions have had a big impact on young farmers and clubs:not being able to meet face-to-face and socialise has had a significant effect on the health and wellbeing of young farmers. Clubs are taking stock in looking at how they deliver activities virtually and in person and the support they need to do this.

5. Young people are seeking information and advice and some want morethey are more likely to talk about their mental health than their parents or grandparents. They want more information on housing and activities available for young people. Given the need to undertake further training and skills development [particularly higher-level courses/qualifications] accessing this information will also become increasingly important.

6. Policy and decision makers need to ensure the voices of young farmers are heard:as future farming schemes are developed and introduced, listening and responding to feedback from young farmers will continue to be important. Defra also has a strategic role as rural champion across Government and can ensure some of the themes emerging from the research (e.g. housing, youth services and activities) are picked up by other relevant Government departments.

These findings were discussed at a special panel debate held duringNational Young Farmers Week 2020. This current research and discussion builds on asurveycarried out by the NFYFC in 2016 which sought to gather the ideas of young farmers for a future British Agricultural Policy. Thefindingscovered six areas: negotiating a better deal for young farmers; future farm business culture; employment skills and training; farming regulations; building farm businesses; and farming subsidies. When asked which do you feel it is most important for UK Government negotiators & legislators to focus on, and which do you feel it is most important for farmings industry bodies to focus on?, 79% of the 184 respondents stated that the UK Government should focus on controlling the costs of production and 78% stated that farming industry bodies should focus on consumer confidence. The survey found the two biggest barriers for young farmers wanting to start in or to remain in farming were around access to land and access to credit.

Amid COVID-19 and Brexit these are uncertain times for children and young people wanting to live, grow up, learn, work and spend time in the countryside. On the one hand, there can be particular challenges for young farmers, particularly relating to the time they may have to wait before they have the chance to farm in their own right (e.g. access to land, finance, succession planning), juggling paid work on the farms of others or off-farm, and balancing the demands of studying or training with paid work. On the other hand, their involvedness in farming, sometimes from a very early age, and their passion, means they already have a wealth of skills, knowledge and maturity not always seen in other cohorts of young people in the general population. With many longitudinal studies underway, what might research with young farmers tell us about the effectiveness of policy and industry interventions designed to support the industry post Brexit, and how to make a success of farming as a career? Watch this space.

Jessica is a researcher/project manager at Rose Regeneration and a senior research fellow at The National Centre for Rural Health and Care (NCRHC). Her current work includes supporting health commissioners and providers to measure their response to COVID-19 and with future planning; working with 8 farm support groups across England on a Defra funded resilience programme; and helping 3 places to develop proposals for a Town Deal. Jessica also sits on the board of a Housing Association that supports older and vulnerable people.

She can be contacted by email jessica.sellick@roseregeneration.co.uk, Website -http://roseregeneration.co.uk/ https://www.ncrhc.org/, Blog -http://ruralwords.co.uk, Twitter -@RoseRegen

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What are the implications of COVID-19 and Brexit for the post-millennial generation? - Rural Services Network

Keir Starmer warns there is no prospect of a Brexit extension – The New European

The Brexit transition period will not be extended, Labour leader Sir Keir Starmer ashe told businesses that it is now down to Boris Johnson to deliver on his promise.

Sir Keir struck a strongly more pro-business tone than his predecessor Jeremy Corbyn as he spoke at the CBI conference.

Sir Keir, who backed Remain in the referendum, said: There is no prospect of an extension.

There was never going to be a vote in parliament on it.

There was no way of it being forced and that is why I say to the prime minister, You promised a deal, get on with it.

The outstanding issues are capable of being resolved. They need to be resolved in the national interest.

The prime minister went to the country last December with one central commitment and that was that he had got a Brexit deal already oven ready and now he needs to deliver on it because the impact on businesses, communities and the whole country will be profound if he fails to make good on that commitment.

The UK is set to leave the Brexit transition period on December 31, but talks on a future trade agreement have proved highly problematic.

Sir Keir said that Labour wanted to work with business.

He said: A Labour government led by me will be pro-business. Working with businesses and recognising businesses for what they are.

Sir Keir said that Covid called for a rethink about the economy and said he would do that with business.

Asked about nationalisation, Sir Keir said: If you look at rail, there are real problems with the franchises that have been running in the last few years.

We are now in a changed situation and the vast majority of the public want to see rail in some sort of common ownership and I support that.

He added: I dont think its a one size fits all, but I do think there are clear examples of where criminal justice would be one of them where simply privatising has not worked.

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Keir Starmer warns there is no prospect of a Brexit extension - The New European

Brexit will be crisis of UK Government making, Michael Gove is told – The Scotsman

NewsPoliticsBrexit will be a crisis entirely of the UK Governments making, a key ally of Nicola Sturgeon has said, as he dismissed Westminster claims that they had been working collaboratively with Scottish ministers.

Monday, 2nd November 2020, 7:00 am

Constitution Secretary Mike Russell insisted ministers in London had simply ignored the Scottish Government and other devolved administrations throughout the whole Brexit process.

He hit out in a letter to Cabinet Office minister Michael Gove, who wrote to him recently claiming there was now intensified engagement between Westminster and Holyrood as the UK prepares for the Brexit transition period ending in December.

Mr Gove also complained that Scottish ministers have not given the UK Government access to crucial data on Brexit preparedness.

But Mr Russell insisted that the UK Government had recklessly decided to end the transition period at great cost to Scotland and indeed the UK as a whole.

He added: This action I am afraid typifies the UK Governments whole approach to Brexit total disregard for the wishes and interests of the people of Scotland, contempt for devolution and a drive towards an ever more extreme and damaging Brexit which is going to end with either the worst possible outcome no trade deal or at best a low deal which will cost jobs and hit the economy hard at the worst possible time.

Responding to the Cabinet Office minister, Mr Russell said: I fully understand why you would wish to assert that you have been working collaboratively with the devolved governments, but the facts show that the decisions on Brexit have been taken by the UK Government alone.

This is a crisis entirely of the UK Governments making and people in Scotland are well aware of where the responsibility for the consequences lie.

The Scottish Constitution Secretary said while Mr Gove had referenced the number of meetings held between the UK Government and the devolved administrations, ministers at Holyrood were concerned about the quality and timing of engagement.

His comments come after he told MPs in September that there was now no trust between the Scottish Government and Westminster, complaining that dialogue between the two administrations had become significantly worse since Boris Johnson became Prime Minister.

A UK Government spokesperson said: As the letter from Michael Russell itself acknowledges, officials in the devolved administration in Scotland and UK Government are working closely together on preparations for the end of the Transition Period with dozens of meetings over the last few weeks alone.

The Joint Ministerial Committee on EU negotiations, which brings together UK and devolved administration ministers, has already met six times this year and we look forward to further constructive discussions. We will not always agree on policy but we are committed to working together.

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Brexit will be crisis of UK Government making, Michael Gove is told - The Scotsman

Meet This Year’s Be Well Philly Health Hero Finalists – Philadelphia magazine

News

You can vote now for the winner of the 2020 Health Hero challenge.

You can start voting right now for the winner of the 2020 Be Well Philly Health Hero Challenge.

Were thrilled to announce that we now have our three finalists for the 2020 Be Well Philly Health Hero Challenge presented by Independence Blue Cross. Here at Be Well Philly, we constantly strive to highlight people who are helping others in the greater Philadelphia area live healthier and better lives. The Health Hero Challenge is our way of honoring the incredible and often unseen work that people do every day, even in the most challenging of circumstances.

We set out at the beginning of this challenge looking for medical providers, nonprofit leaders, entrepreneurs, teachers, anyone really whos making a difference in our community from a health and wellness perspective. And, you all delivered. You shared powerful personal stories of the heroes making a difference in our community, which led to to the nomination of these three finalists. Now, its time to choose the winner.

Name: Asasiya Muhammad (@thepeoplesmidwife), womens health advocate and midwife at Inner Circle Midwifery (@innercirclephilly), a private home birth practice based in Germantown.

Nonprofit of choice: Maternity Care Coalition. Since 1980, Maternity Care Coalition has assisted more than 135,000 families throughout Southeastern Pennsylvania, focusing particularly on neighborhoods with high rates of poverty, infant mortality, health disparities, and changing immigration patterns. A familys needs change as they go through pregnancy and their childs first years, and MCC offers a range of services and programs for every step along the way.

What motivates you to try to make Philadelphia a healthier place, and what policy would you institute if you could? I cherish Philadelphia as the place where I have had my most life-shaping experiences, some high such as graduating college, becoming a mother, and raising a family and others low. Ive had experiences that have left me feeling isolated, lost, and voiceless. As a Black mother, I have faced the feelings of fear and uncertainty many Black women in Philadelphia face, because of the haunting statistic that we are two times more likely to die during pregnancy, or within a year of giving birth due to pregnancy-related complications. As a midwife, I understand that the majority of these complications are preventable, and therefore have made it my mission to build a community-based a practice that is committed to diminishing this disparity in Philadelphia. My practice is unique in that it has a wraparound care component that bundles nutritional counseling and fitness classes into standard midwifery care.

I would institute a policy that expanded the use of and access to community-based providers and particularly related to those specializing in natural health and food access. This would look like expanding insurance access to providers like midwives, doulas, nutritional counselors, and fitness experts so that these services are both normalized and accessible to a larger part of the population. This would further look like creating sustainable food cooperatives in neighborhoods that are distant from larger markets and who now rely on stores that mostly carry processed foods.

Name: Vicky Borgia, a local doctor who utilizes Direct Primary Care (DPC), an alternative payment model for healthcare services. She specializes in reproductive health, LGBTQIA health and integrative medicine.

Nonprofit of choice: Womens Medical Fund. Racial justice and reproductive justice issues are intertwined. In 1976, Congress banned federal Medicaid coverage for abortion through the Hyde amendment. Then, in 1985, Pennsylvania prohibited state Medicaid coverage for abortion. Since then, Womens Medical Fund has provided funding to thousands of individuals struggling to get by and enrolled in Medicaid. Womens Medical Fund has expanded their mission to include advocacy and community organizing.

What motivates you to try and make Philadelphia a healthier place, and what policies would you institute if you could? I believe that healthcare is a human right. I serve communities that have historically been medically disenfranchised because I can use my skills and education to make changes in a system rife with health inequities. I center access, inclusion and equity in my direct primary care practice, which enables me to take the time I need with my patients and give the care they deserve.

Since it is well-established that racism and other forms of systemic oppression are major factors in increased morbidity, mortality, and generational trauma for all, my policy recommendations focus on dismantling systems of oppression in Philadelphia. This includes reprioritizing city investments from policing and instituting PILOTS where big health and educational nonprofits would volunteer a portion of their revenue to the general fund. These resources could be then be used to fund education and invest in communities by improving access to services, opportunities, food, and healthcare.

Name: Christy Silva, cofounder of Aidans Heart Foundation, a nonprofit committed to providing awareness, education, and support to the communities of the southeast Pennsylvania region and its surrounding area to create heart-safe communities for youth regarding the prevention of, or response to, tragic instances of Sudden Cardiac Arrest.

What motivates you to try to make Philadelphia a healthier place and what policy would you institute if you could ?

My motivation for wanting to make Greater Philadelphia a healthier place actually comes from a tragedy in my family. In September of 2010, my seven-year-old son Aidan, who had no prior health conditions, died without warning from sudden cardiac arrest, or SCA. I had never even heard of SCA prior to his death. As I struggled with my grief and tried to understand why my seemingly healthy child collapsed one sunny Saturday, I plunged into research. I learned that, nationally, approximately one out of every 300 youth has an undetected heart condition that could cause SCA. The American Heart Association quotes that more than 7,000 children under age 18 are struck by SCA each year. This equates to one young person, nearly every hour, every day, every year. Its a little known fact that Sudden Cardiac Arrest (SCA) is the leading cause of death in student athletes on school grounds. As a result of what I learned, I became determined to still be Aidans mom and try to prevent SCA from taking more young lives in our local communities. Im motivated by these facts to do everything possible to decrease the number of preventable deaths in young people in Philadelphia and its surrounding suburbs. I co-founded Aidans Heart Foundation shortly after Aidans death. To date, we have placed 89 AEDs in youth based sports facilities, trained 6,100 youth on how to perform CPR and how to use an AED, and we have partnered with pediatric cardiologists to provide 2,100 free heart screenings to kids and teens in efforts to detect heart conditions through a simple, non-invasive ECG exam.

If I could institute a policy to make Greater Philadelphia a healthier region, it would center around protecting hearts. Annual electrocardiogram exams at every well-child visit, particularly for young athletes; CPR and AED training for all teachers, coaches, instructors, etc. who work with physically active youth; and AED devices available in all schools, child care centers, dance, martial arts, gymnastics and other studios where kids are active, in addition to AEDs being prominently placed on every athletic playing field. These arent impossible tasks, but they do take the awareness of the public, particularly parents, to urge our community leaders and policymakers to implement these measures. We owe it to our kids to keep them safe at play.

Vote now to select your 2020 winner. Remember: the winner will be named the 2020 Health Hero and will receive a $15,000 donation to her charity of choice, and the two runners-up will each receive $2,500 donations to the charities of their choice.

Vote HERE now. (Remember, you can vote once a day until November 16th!) Stay in touch with @bewellphilly and @phillymagevents.

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Meet This Year's Be Well Philly Health Hero Finalists - Philadelphia magazine

Beware the Trojan Horse of Integrative Medicine | Office for Science and Society – McGill Newsroom

The story of the Trojan horse is well known: the Greeks allegedly delivered to the city of Troy a massive wooden horse, which the Trojans mistook for a gift and pulled inside their city. At night, this hollow horse released a band of Greek men who had been hiding inside of it, and they opened the city gates so that their army could strike the final blow in the Trojan War.

The concept of integrative medicine has gained in popularity since it was coined by Dr. Andrew Weil in 1994 and it is important to recognize it as the Trojan horse that it is. Although the metaphor usually implies deception, many fans of integrative medicine promote this gift horse without misleading intentions, but the damage may well be the same.

The claim at the heart of integrative medicine is that conventional medicine is not enough and that so-called complementary and alternative medicine (CAM) is also insufficient, but that by integrating the two, patients get the best of both worlds. Medicine is accused of being hyper-focused on disease and on the use of pharmaceuticals, failing patients with chronic illnesses. CAM is positioned as the answer to this, the yang to conventional medicines yin to yield a complete, holistic perspective.

On its surface, the CAM half of integrative medicine looks wonderful. We are usually told it involves nutrition and exercise. Similarly, proponents of integrative medicine claim its added value is in holism, meaning focusing on the whole person. Strangely though, as has been argued by many people, conventional medicine at its best is focused on the whole person. But integrative medicines seductive, superficial messaging does not end there.

This Trojan horse has been making major in-roads inside of academic hospitals, and it moves on four wheels: the appeals to nature, antiquity, authority, and popularity. Hospital directors and patients alike are told that integrative medicine prioritizes natural treatments... without mentioning that synthesized products are not necessarily harmful and natural ones, not necessarily harmless (or useful). They are told that many of these interventions, like acupuncture, have been used for a long time... just like bloodletting was in ye olden days. They are told that many serious university hospitals, like Johns Hopkins, Duke, and Yale, are already offering integrative medicine... but keeping up with the Joneses is no substitute for a critical appraisal of the body of evidence. And they are told that many, many people are clamouring for these therapies. Market forces being what they are, the Trojan horse rolls into town and we may wonder what pours out of it.

Inside the Trojan horse of integrative medicine, painted in the colours of nutrition and exercise, we find unproven and disproven remedies like homeopathy, the 200-year-old philosophy that claims that the more a substance is diluted, the stronger it becomes. We find Reiki and other energy healing interventions, which pretend that hands-off massages of an undiscovered force field around the body can provide healing. We find poorly regulated herbal remedies, problematic therapies like acupuncture, and things like reflexology, where a foot massage can somehow help your stomach heal itself. The horse also contains more benign interventions, like art therapy and massages, but the majority of CAMs contribution puzzles the mind. These often pre-scientific folkloric therapies often lack plausible mechanisms. Given our extensive knowledge of biology, it makes no sense for the entire human body to be represented on the sole of our feet (see reflexology). Given our extensive knowledge of chemistry, it makes no sense for vast dilutions that leave behind no trace of the ingredient to work (see homeopathy). Yet proponents often throw their hands up when confronted with this and simply claim that it works, how ever it may work.

Universities can easily fall under the spell of integrative medicine because of what I would call the two towers. Imagine two towers that visually represent the evidence we have for conventional medicine and for complementary and alternative medicine, things like homeopathy and Reiki. The conventional medicine tower has an old foundation and is continually being extended and repaired with better materials. By comparison, the CAM towers foundation is made of cheap, imitation material, and while theres a shell that gives it its full height, the bricks have not been laid yet. But the structure is draped in a banner that illustrates what the tower will look like when finished. From a distance, both towers appear similar. Same height, same look. But when you get closer to the CAM tower, you notice how grossly incomplete it is. Dont worry, you are told, what we have so far is very promising and we will keep building it. This slogan never goes away. The CAM tower will always be sold as promising, year after year, convincing many people to invest in it.

Studies of ear acupuncture, craniosacral therapy, homeopathy and many other complementary interventions are usually small, poorly done, and encouraging. When rigorous trials are completed, they fail to demonstrate efficacy, which leads CAM proponents to return to smaller studies and extract hopeful results from those. This tower of promising results can then be presented to academic health centres by philanthropists who believe acupuncture or homeopathy cured them, and their generous donations can lead to the creation of integrative medical centres within these hospitals. Impressive consortia are created to advocate for integrative medicine and to put pressure on medical school curricula to pull the Trojan horse in.

There are clear harms to this. Obviously, if I were to argue that because astronomy is insufficient, it needs to hold hands with astrology in university faculties, it would be easier to see the potential for intellectual harm. Similarly, I have seen Canadians elevating Indigenous ancestral knowledge to the same level as science and asking for its integration into medicine, without testing these claims with the most rigorous tools we have, and I find this equally troublesome

Theres also the financial harm to selling invalid therapies to patients, but perhaps an even bigger eye-opener on the subject of harm is vaccination. Integrative medicine frequently does not embrace immunization, one of the most important public health interventions we have. Dr. Daniel Neides, former director of the Cleveland Clinic Wellness Institute, infamously wrote a furious anti-vaccination screed in 2017 on the website Cleveland.com. Meanwhile, a survey completed by 290 members of the American Board of Integrative and Holistic Medicine revealed them to be more likely than their conventional counterparts to believe misinformation about vaccines (e.g. alternative schedules, toxicities, link to autism). Chiropractors, whose practice is often rolled into integrative medicine, are notorious for harbouring a significant percentage of antivaxxers; ditto for naturopaths. Given how many CAM disciples worship at the altar of Mother Nature and see toxins everywhere, a vote for integrative medicine often risks bolstering unnecessary vaccine hesitancy.

If you are caught looking this Trojan horse in the mouth, the most likely retort you will hear is that conventional medicine has problems. Yes, it does. It is true that medicine does not offer great solutions to many chronic conditions, chief among them chronic pain. Some of its solutions, like opioids, have also caused significant harm because of misplaced economic interests. But the medicine tower gets fixed. Moldy parts are extruded and replaced. Meanwhile, the CAM tower remains deeply flawed and mostly illusory. The bricks are coming, we are told, and soon we will have the proof we need.

If I may bring one more metaphor to this crowded landscape, it would be Dr. Ben Goldacres pearl of wisdom. Problems in aircraft design, he says, do not mean that magic carpets can actually fly. As the Trojan horse of integrative medicine knocks on the doors of our institutions, we must remember that what we need is not a hollow prize with a corrupting cargo; we need to keep fixing the real tower.

Take-home message:-Integrative medicine is a philosophy that advocates for the integration of conventional medical care with numerous complementary and alternative therapies, like Reiki and homeopathy- The evidence for these complementary therapies is often lacking but they keep being sold as a promising solution to the problems of real medicine- Its important to remember that just because there are problems with airplanes, the solution is not to switch to flying carpets

@CrackedScience

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Beware the Trojan Horse of Integrative Medicine | Office for Science and Society - McGill Newsroom

Daylight Saving Time: What happens to your body when we fall back – Yahoo News

Daylight saving time ends on Nov. 1 at 2 a.m. While many simply see this as gaining an hour of sleep on Sunday, there are various lasting effects that this time change will bring, both mentally and physically. Yahoo Life is joined by two experts who share what to expect and ways to combat the negative effects.

Integrative medicine physician and wellness expert Dr. Taz Bhatia explains that when we set the clocks back, were also adjusting our internal clock and throwing off our circadian rhythm.

Our circadian rhythms, or the flow of when we sleep and when were awake, dictates so many different processes in the body, says Bhatia.

When our circadian rhythms are thrown off, our sleep cycles become inconsistent, our weight is less regulated due to a change in insulin, and the risk of heart disease, stroke and heart attack increases.

Judy Ho, a licensed clinical and forensic neuropsychologist, highlights how experiencing one less hour of light each day can heavily impact ones mood, causing us to experience more depression and sadness.

So what can we do to cope with these changes? During the day, its crucial to take advantage of any kind of sunlight, whether its indirectly through a window or through a sun lamp as light therapy has been proven to work wonders on mood and sleep.

With less sunlight during the day, we also receive less vitamin D, also known as the sunshine vitamin. We can, however, make up for the lack of vitamin D in other ways. It's important now more than ever to exercise regularly, as it helps with the endorphin release and boosts our mood, says Bhatia.

Ho recommends establishing a calming nighttime routine that involves putting away all devices, especially blue light devices. To combat sleep deprivation, people should go to bed earlier, but not too early.

You dont want to go to bed too early just to make sure that youre in bed by a certain hour because then you might be awake for longer than you need to be, Ho explains. Then the bed becomes associated with anxiety and stress.

Story continues

Since 2020 has been anxiety-inducing for many, Bhatia points out that our threshold for anxiety and depression is lower right now.

When we have additional disruptions like disruptions to our sleep cycle, disruptions to the amount of light we're getting in when we're awake, its just one more factor in an already really tough year for so many people, she says.

Ho reiterates how beneficial it is to maintain social connections on a daily basis with friends and loved ones.

Even a brief interaction like that can bring you a lot of positivity and feeling of community when you need it most, she says.

Video produced by Jenny Miller

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Daylight Saving Time: What happens to your body when we fall back - Yahoo News

The best anti-inflammatory diets – Harvard Health – Harvard Health

When it comes to fighting inflammation with diet, following a specific program is not a necessity. In fact, many of the so-called anti-inflammatory diets are more hype than real science. That said, a couple of diets round up all the anti-inflammatory elements into one eating plan and have more evidence of benefit than other diets. If you aren't sure where to start, these diets are good choices.

People who live in countries ringing the Mediterranean Sea, like Italy and Greece, have traditionally eaten a diet consisting mainly of fruits and vegetables, nuts and seeds, whole grains, fish, and olive oil the same foods that experts recommend to bring down inflammation. Over the years, researchers began to discover that people who followed this style of eating had lower rates of disease and lived longer than people in the United States who ate a Western-style diet.

The Mediterranean diet is ranked high among doctors and dietitians, and for good reason. Studies show it protects against diseases linked to inflammation, including cardiovascular disease, metabolic syndrome, and type 2 diabetes. And, because it includes a variety of foods, the Mediterranean diet is relatively easy to follow and stick with.

Although its name may suggest the "grab-and-go" section of the supermarket, DASH is anything but a fast-food regimen. DASH stands for Dietary Approaches to Stop Hypertension. It was originally developed to lower blood pressure without medication, but is now widely considered to be one of the healthiest eating patterns around. It includes foods low in total fat, saturated fat, and cholesterol, and lots of fruits, vegetables, and whole grains. Protein is supplied by low-fat dairy, fish, poultry, and nuts. Red meat, sweets, and sugary drinks are limited. DASH is high in fiber, potassium, calcium, and magnesium and low in sodium.

Another anti-inflammatory diet with science to back it up comes from Harvard-educated integrative medicine practitioner Dr. Andrew Weil. He started talking up anti-inflammatory measures decades ago, long before the idea began trending. His anti-inflammatory diet could be described as a Mediterranean diet with Asian influences. About 40% to 50% of calories come from carbohydrates, 30% from fat, and 20% to 30% from protein.

Where Dr. Weil's diet wins is in its emphasis on plant-based foods and healthy protein sources, as well as specific elements (fatty fish, fruits, vegetables, oils, nuts, and seeds) that help to reduce inflammation. It also minimizes highly processed foods, which can contribute to inflammation.

For additional advice about ways to reduce inflammation, read Fighting Inflammation, Special Health Report from Harvard Medical School.

Image: OksanaKiianGetty Images

Disclaimer:As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

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The best anti-inflammatory diets - Harvard Health - Harvard Health

Maui Grown Therapies’ Webinar, Cannabis and the Anti-inflammatory Lifestyle to be Held on Nov. 5 – California Herald

Maui Grown Therapies webinar titled, Cannabis and the Anti-Inflammatory Lifestyle is scheduled to take place on November 5. It will be presented by Andrew Weil who is MD, founder, and director of the Andrew Weil Center for Integrative Medicine at the University of Arizona and chief science offer for Maui Grown Therapies.

Maui Grown Therapy is Hawaiis first state-licensed medical cannabis dispensary. The timing of the webinar is set at 11:00 (HST) to 2:00 (PST) on Thursday, Nov. 5, 2020. The webinar will highlight the importance of living an anti-inflammatory lifestyle to improve overall health and wellness. It will end with a live Q&A post the online presentation.

Dr. Andrew Weil has always supported the anti-inflammatory lifestyle to live a healthy life. He is globally renowned for his pioneering work in integrative medicine. He earned his undergraduate degree in botany from Harvard and he completed his M.D. from Harvard Medical School. It was in 1969 when Dr. Weil conducted the nations first human trials with the use of cannabis.

The participants of the webinar, Cannabis and the Anti-Inflammatory Lifestyle will learn a lot of ways to reduce inflammation and boost the natural defense mechanisms of the body. In addition to this, the value of compounds in cannabis plants such as CBD, THC, and terpenes will also be discussed.

Dr. Weil always endorses the consumption of cannabis seeds to gain healthy fats and essential fatty acids. One can register for the webinar for free by clicking the link below.

Register for the Webinar https://manao.mauigrown.com/maui-grown-manao

Youtube Link https://www.youtube.com/watch?v=yz8ryqanQDM

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YOUR GUIDE TO CANNABIS & THE ANTI-INFLAMMATORY LIFESTYLE

Your Guide to Cannabis and an Anti-Inflammatory Lifestyle by THE MEDIA BUTLER

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Maui Grown Therapies44 Paa St, Kahului, HI 96732(808) 866-7576

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Maui Grown Therapies' Webinar, Cannabis and the Anti-inflammatory Lifestyle to be Held on Nov. 5 - California Herald

Who are this year’s Best of the Press? – Press of Atlantic City

On Oct. 14 2020, in Ocean City, Car Caress was named Best Auto or Boat Detailer for this years Best of The Press contest.

When you buy a new car, it has that crisp, clean smell of wax, leather and upholstery. But over time, that fresh scent can be overtaken by cigarettes, fast food, spilled coffee and pet odors.

If the thought of cleaning your car seems overwhelming, take it to Car Caress Custom Auto Detailing, which earned Best of the Press in the Automotive/Transportation category.

Owner Brian Coggins is honored by the accolade and owes his success to his employees.

Customer services is No. 1, and that makes all the difference. I have a good group of people working for me, he says. I cant do everything myself. They do a great job.

With three locations Ocean City, Marmora and Somers Point Car Caress restores vehicles with services that shine, buff, polish and freshen your car or boat, inside and out.

Services include detailing; ceramic coating, a longer-lasting way to protect the paint than wax alone; ozone treatment, which disinfects and destroys bacteria in your car and the ventilation system; and automatic car washing.

Car detailing along with these other services requires a desire for perfection.

You have to be picky to do this kind of work, says Coggins. Youre not there just to make it look OK. You want to get the car or boat looking perfect. So you have to get into all the cracks and crevices.

It also takes skill, particularly buffing the car or boat.

Buffing isnt using a rag to shine something, Coggins explains. Theres a high-speed rotary buffer that runs at 1,500 rpms to 2,000 rpms. Using this machinery requires real craftsmanship, says Coggins, because if you dont know what youre doing, you can scratch the car and do damage.

For these reasons, Coggins is grateful most of his 15 employees stayed with him, even while his business was closed during quarantine.

Although COVID-19 sidelined Car Caress, it has created a silver lining for the family-owned business, namely sanitizing vehicles. Coggins explains the difference between cleaning and sanitizing.

With sanitizing, youre killing the germs and bacteria that are on the surfaces of whatever youre cleaning. When youre cleaning with a regular soap, youre not necessarily killing all the germs, he says.

Thats where ozone cleaning comes in, a service thats becoming increasingly more popular now that COVID-19 is a way of life. Ozone is a gas that removes odors, as well as disinfects and destroys viruses and bacteria. Unlike a liquid disinfectant, ozone gets into the places you cant clean, including the ventilation and AC systems, carpet fibers and upholstery.

Customers are requesting this service more, as well as used car dealerships, and those in the private transportation business, such as Uber drivers.

Although coping with COVID-19 was difficult during quarantine, Coggins biggest challenge still is operating a seasonal business.

Summers are super busy here, he Coggins. We hire summer workers, and it takes a while for them to learn. Just when they start getting good at this, they go home and leave.

Thats why Coggins is grateful to his employees, who take the sting out of summer workers departures.

The guys I have are really good, and most came back after quarantine, which was nice. I owe this (Best of The Press) to them, he says.

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Who are this year's Best of the Press? - Press of Atlantic City

Relieve migraine headaches without medication. – The Washington Newsday

Melissa Young, MD, is a specialist in integrative medicine at the renowned Cleveland Clinic in the USA. In a recent article at the clinic, the migraine expert explains what people with chronic migraine can do to reduce the frequency and severity of migraine attacks without having to take medication for it.

Migraine sufferers are often struck by a debilitating pain that often forces them to retreat to a dark room and wait for the pain to subside. A specialist will present non-drug options to reduce the frequency and intensity of these attacks.

To escape the pain, migraine sufferers often resort to painkillers such as ibuprofen or prescription drugs. However, according to Dr. Young, this is not always necessary, because there are also natural and drug-free ways to combat migraine headaches. We have to consider nutrition, nutrient supply, sleep, fluid intake and stress, all of which are common triggers for migraines, the doctor explains. The following tips can help cushion the effects of migraines.

According to Dr. Young, the consumption of several small meals throughout the day helps to keep the blood sugar level stable. A stable blood sugar level in turn leads to fewer migraine attacks. With the kind of the nutrition one can orient oneself at the concept of the Mediterranean diet, which has a high portion of fruit, vegetable, beans, lean protein and healthy fats (e.g. from wild salmon, nuts, seeds and olive oil).

Pay attention to the triggers

Certain ingredients that are ingested through the diet are frequent triggers of migraine attacks. For example, caffeine or fried foods are possible triggers for many of those affected. Dr. Young recommends that it is always important to understand what was eaten on the day when a seizure occurs: Watch out for reactions to ripened cheese, chocolate, alcohol and fermented or pickled foods. Experience shows that the following ingredients are often involved:

There seems to be a connection between mitochondrial energy production in your cells and migraine, stresses Dr. Young. In migraines, he says, it is particularly important to consume the right amounts of coenzyme Q10, vitamin B2 and magnesium. Anyone who frequently suffers from migraine attacks should have a doctor check whether a nutrient deficiency exists.

In addition, chiropractic and acupuncture measures as well as massages also have a soothing effect on some migraine sufferers, according to the expert. Further tips can be found in the article: Natural household remedies for headaches. (vb)

Getting a grip on migraine attacks without drugs

Stress in everyday life is also a common trigger for tension headaches. Lifestyle changes and targeted stress management can reduce the number and severity of migraine attacks. I teach my patients meditation, including mindfulness and mantra meditation, says Dr. Young. Diaphragmatic breathing and the so-called 4-7-8 breathing technique are also effective ways to reduce stress.

Herbal therapies, for example with butterbur and feverfew, can also help prevent migraines, Dr. Young recommends. Butterbur can also help with seasonal allergy symptoms. Feverfew dilates the blood vessels and can thus help to prevent migraine attacks.

WashingtonNewsday Health and Wellness.

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Relieve migraine headaches without medication. - The Washington Newsday

Some Rectal Cancer Patients Can Safely Avoid an Aggressive Operation – Imaging Technology News

November 2, 2020A nonsurgical treatment option for rectal cancer that preserves quality of life is safe for carefully selected patients, according to a new study comparing it with the standard operation. The study results appear online as an"article in press"on theJournal of the American College of Surgeonswebsite in advance of print publication and was presented at the American Society for Radiation Oncology (ASTRO) Annual Meeting.

In the United States, the standard treatment for most rectal cancers is triple therapy. Typically, patients first receive chemotherapy pills and radiation therapy at the same time before the main treatment--called neoadjuvant chemoradiation--followed by an operation to remove the rectum and surrounding tissues, and then intravenous chemotherapy to kill cancer cells. The new approach, called watch-and-wait (or watchful waiting), initially skips the operation, with regular patient monitoring for cancer recurrence.

"Rectal cancer surgery is very good for a cure, but it does have certain potential side effects: the ability to control bowel movements, bladder accidents, sexual dysfunction, and in up to half of cases, a permanent colostomy," said senior study investigator Vikram Attaluri, M.D., FACS, a colon and rectal surgeon, and assistant professor at Kaiser Permanente (KP) School of Medicine, Pasadena, Calif. "So someone could be living with a bag outside their body for the rest of their life, which has a huge effect on one's quality of life. Some patients have indicated they would rather live with cancer."

Rectal cancer is common--an estimated 43,000 new cases occur each year1--but eligibility criteria for watch-and-wait are strict. It is an option only if patients can return for follow-up visits and have no visible tumor several months after preoperative treatment, a so-called complete clinical response.

Attaluri estimates that less than 20 percent of patients achieve a complete response after chemoradiation. He said this percentage is increasing as more patients receive both chemoradiation and intravenous chemotherapy in the neoadjuvant setting (called total neoadjuvant therapy).

Despite favorable results of watch-and-wait in many studies,2concerns exist that any remaining microscopic cancer cells could spread and lower survival rates.3Therefore, the new strategy has not gained widespread acceptance in the United States outside clinical trials or specialized cancer centers, according to Bryce W. Beard, M.D., a fifth-year radiation oncology resident at KP Los Angeles Medical Center and lead study author.

"What is unique about our study is the community-based practice setting in a large integrative managed care organization," Beard said. "Our results, which are similar to those from past studies, suggest that watch-and-wait can be implemented on a broader scale."

The researchers reviewed the medical records of KP patients who underwent rectal cancer treatment between January 2015 and February 2019 at one of three Los Angeles-area radiation oncology centers. Patients had stages I to III rectal cancer (had not spread to distant organs), were medically fit for an operation, and completed neoadjuvant chemoradiation.

Of 465 patients, 406 had an assessment of their treatment response two to three months later. These patients underwent a digital (finger-guided) rectal exam and rectal imaging via endoscopy. Some patients also had rectal magnetic resonance imaging (MRI) to confirm the absence of tumor.

Ninety-five patients (23 percent) had a complete response and were eligible for watch-and-wait, the investigators reported. Fifty-three of these patients refused an operation and chose watch-and-wait, whereas the other 42 patients underwent an operation.

Three years later, all but six patients from the watch-and-wait group (11 percent) had no local regrowth of the cancer at the original site. All six patients had no evidence of a distant recurrence, and the tumor could be removed surgically, Beard said.

"The ability to perform curative-intent salvage, or rescue, surgery at the time of regrowth was quite good, indicating this approach seemed generally safe," he said.

Seven patients in the watch-and-wait group (including two initially) and four patients in the surgical group experienced a distant recurrence, with a lower likelihood of cure, which the researchers called "nonregrowth recurrence." On statistical analysis, the 85 percent rate of freedom from nonregrowth recurrence for watch-and-wait was similar to the 91 percent rate in the surgical group, Beard noted.

Although five of the six watch-and-wait patients with local regrowth eventually had a distant recurrence, Dr. Beard said local regrowth may, but does not necessarily, lead to a distant recurrence. It is also possible that distant recurrences would have developed in those patients even if they had undergone an operation, he added.

Disease-specific survival rates, meaning those who have not died of their cancer, also were statistically similar between groups: 95 percent for watch-and-wait versus 100 percent in the surgical group, according to the article.

Based on their other results, the investigators concluded that watch-and-wait appears to be safest in patients with stages I and II rectal cancer. Patients with stage III cancer were less likely to be alive at three years unless they received intravenous chemotherapy containing the drug oxaliplatin, the researchers found. They recommend rectal MRI to confirm a complete treatment response.

Although watch-and-wait is still considered experimental, study co-investigator Elisabeth C. McLemore, M.D., FACS, a colon-rectal surgeon at KP Los Angeles Medical Center, said, "There are sufficient data to offer this alternative treatment to eligible patients."

She recommends that patients who choose watch-and-wait receive monitoring every three months for the first two years, then every six months for years 3 to 5, and annually thereafter.

For more information: http://www.facs.org

1American Cancer Society. Key statistics for colorectal cancer: how common is colorectal cancer? Available at:https://www.cancer.org/cancer/colon-rectal-cancer/about/key-statistics.html. Accessed October 15, 2020.

2Including the first study: Habr-Gama A, Perez RO, Nadalin W, et al. Operative versus nonoperative treatment for stage 0 distal rectal cancer following chemoradiation therapy: long-term results.Ann Surg.2004;240(4):711-717.

3Smith JJ, Strombom P, Chow OS, et al. Assessment of a watch-and-wait strategy for rectal cancer in patients with a complete response after neoadjuvant therapy.JAMA Oncol.2019;5(4):e185896.

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Some Rectal Cancer Patients Can Safely Avoid an Aggressive Operation - Imaging Technology News

The inclusion of health data standards in the implementation of pharmacogenomics systems: a scoping review – DocWire News

This article was originally published here

Pharmacogenomics. 2020 Oct 30. doi: 10.2217/pgs-2020-0066. Online ahead of print.

ABSTRACT

Background: Despite potential benefits, the practice of incorporating pharmacogenomics (PGx) results in clinical decisions has yet to diffuse widely. In this study, we conducted a review of recent discussions on data standards and interoperability with a focus on sharing PGx test results among health systems. Materials & methods: We conducted a literature search for PGx clinical decision support systems between 1 January 2012 and 31 January 2020. Thirty-two out of 727 articles were included for the final review. Results: Nine of the 32 articles mentioned data standards and only four of the 32 articles provided solutions for the lack of interoperability. Discussions: Although PGx interoperability is essential for widespread implementation, a lack of focus on standardized data creates a formidable challenge for health information exchange. Conclusion: Standardization of PGx data is essential to improve health information exchange and the sharing of PGx results between disparate systems. However, PGx data standards and interoperability are often not addressed in the system-level implementation.

PMID:33124487 | DOI:10.2217/pgs-2020-0066

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The inclusion of health data standards in the implementation of pharmacogenomics systems: a scoping review - DocWire News