Cayman Islands court leaves tax agreement in tatters

Illustration: Michael Mucci.

Investigators for the Australian Tax Office and their lawyers were told by a judge last year that if they travelled to the Cayman Islands they could be locked up.

A year earlier the Tax Office had suffered a setback. It lost a case in the Grand Court of the Cayman Islands. This was the first lawsuit, and apparently the only one, to test whether a Tax Information Exchange Agreement (TIEA) actually worked. It didn't.

After years of gabfests, conferences, issues papers and symposiums, when the Australian government finally sought to uphold its rights under an international tax treaty and obtain a bit of information, thwack, it was promptly thwarted by a judge in the Caribbean.

"The Commissioner's staff and lawyers would be exposed to risk of incarceration should any of them decide to visit the Cayman Islands," wrote Justice Nye Perram of the Federal Court in a judgment after the Caymans defeat. The Caymans judge ordered the relevant documents, now in the hands of the Australian court, destroyed.

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As G20 leaders prepare for their talkfest in Brisbane in the coming week they would do well to ponder this. Even if they were to talk day and night for a year, sally forth with a shipping container brimming with white papers, sign a slew of resolutions and an array of treaties on top, it would hardly put a scratch on the Leviathan that is global profit shifting.

The key is to stop the money from getting to the tax haven in the first place, properly enforce Australia's existing tax laws and enact some new ones not try to get it back from a low-lying island in the Caribbean. The G20 does not make laws, or enforce them; sovereign nations do.

The idea of a multilateral solution plays straight into the hands of the perpetrators, the multinationals, their lawyers and the big four. You can almost hear PwC, Ernst & Young, Deloitte and KPMG chuckling about the G20 from their city eyries. While solemnly pontificating to governments on tax policy, in the very next breath they go about showcasing the latest in tax avoidance fashions to the world's premier tax cheats.

The Caymans Islands is the fifth largest banking centre in the world; its hundreds of banks and insurance companies are the stewards of trillions in the wealth of other nations. In a fiscal ring-a-ring-a-rosy, they even help prop up OECD bond markets with their surfeit of capital. The overflow has to go somewhere; why not buy government bonds in the countries where the profits originated?

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Cayman Islands court leaves tax agreement in tatters

Japan-China relations strained over illegal coral poaching

Red coral jewellery and ornaments are popular among wealthy Chinese, with the price per gram having more than quadrupled over the past five years. Photograph: Alamy

A cluster of Japanese islands has become a potential flashpoint in already tense relations between Japan and China after Tokyo urged Beijing to crack down on a rise in illegal coral poaching by Chinese fishermen.

The demand came as Japanese officials warned that Chinese poachers currently in the area would not be allowed to take refuge on the Ogasawara islands, located about 600 miles south of Tokyo, from a powerful typhoon expected to arrive later on Thursday.

Japan has boosted its coastguard and police presence near the islands after observing a dramatic rise in the number of poachers searching for red coral in its exclusive economic zone.

Chinese boats traditionally poached coral in the East China Sea and near the Japanese island of Okinawa, but are thought to have moved to the Ogasawara chain to escape beefed up security and to take advantage of calmer waters.

Jewellery and ornaments made from the coral are popular among wealthy Chinese, with the price per gram having more than quadrupled over the past five years, according to the Japanese newspaper Yomiuri Shimbun.

More than 200 Chinese fishing boats have been spotted in waters off the Ogasawara and Izu island chains in recent days, prompting calls for Tokyo to put more pressure on Beijing.

Members of the ruling Liberal Democratic party adopted a resolution this week calling on the government to lodge the strongest possible protest, adding that they were outraged by the barbaric act of pulling out coral by the roots.

The standoff will only add to tensions between the two countries as their leaders struggle to set up their first-ever bilateral meeting at next weeks Apec summit in Beijing.

The Kyodo news agency quoted diplomatic sources as saying that the prospects were dimming for an official summit between Japans prime minister, Shinzo Abe, and the Chinese president, Xi Jinping, although the two may hold informal talks lasting 10-15 minutes.

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Japan-China relations strained over illegal coral poaching

Adventures in unspoiled Vanuatu, the islands of highs and lows

By A. Odysseus Patrick November 6 at 7:31 PM

The hotel phone buzzed at 5:54 a.m. Roused from a deep sleep, 40-year-old Australian lawyer Veronica Riding groggily answered the phone.

Good morning, madam, a friendly voice at the other end said. I gave you my torch last night. Would you mind returning it?

Riding, her husband, two children and my family of four had arrived late the night before at the Warwick Le Lagon Resort and Spa, one of the five big hotels on Vanuatus main island of Efate. The flashlight was a loaner from a porter. He wanted it back. Now.

Vanuatu (van-oo-AH-too) is one of the South Pacifics rawest vacation destinations. In an age in which travelers expect modern conveniences and fast service, the archipelago is a throwback to an era before free WiFi, legal liability waivers and Taylor Swift. Its islands offer and this is why we went unspoiled tropical landscapes, friendly locals and a heritage that draws upon ancient Melanesian culture, colonial France and famed British explorer James Cook.

A former French and British protectorate, Vanuatu won independence in 1980. Eighty percent of its 250,000 citizens known as Nivans inhabit jungle villages spread across 65 islands. A form of pidgin English, Bislama, is the national language. Most families live in thatched huts; bows and arrows are still used to hunt game (including bats known as flying foxes), and children as young as seven wield sharp machetes against the thick foliage.

Our plan for a week-long tropical break from our home in Australia went wrong before it began. Its supposed to be a 3 1/ 2-hour flight from Sydney to Vanuatus capital of Port Vila. But Vanuatus international airport doesnt have an instrument-landing system, which means even some large airlines struggle to land during rainy weather, which is common. Our Virgin pilots tried three times before giving up. We then flew to Fiji, refueled and returned to Brisbane, a round trip of some eight hours.

We got to Port Vila the next evening, exhausted. The early-morning flashlight call was, though polite, unwelcome. Later, Veronicas husband, Alex, confronted the hotel employee.

Why did you wake me up so early? he asked.

But its daytime, the employee replied.

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Adventures in unspoiled Vanuatu, the islands of highs and lows

Tax, Corporate and Regulatory Aspects of Business Transactions in the Health Care Industry – Video


Tax, Corporate and Regulatory Aspects of Business Transactions in the Health Care Industry
This webinar was recorded on October 30, 2014. Join us as members of our Health Care Group discuss important tax, corporate, and regulatory considerations yo...

By: BallardSpahrLLP

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Tax, Corporate and Regulatory Aspects of Business Transactions in the Health Care Industry - Video

ORS Zinc/ Diarrhea / government health care/ rural India/Accredited Social healthcare Activist – Video


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Every hour, over 24 innocent children below the age of 5 loose their life to a seemingly harmless illness, diarrhea . Its a silent killer as the ones who are most prone in rural India are usually...

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ORS Zinc/ Diarrhea / government health care/ rural India/Accredited Social healthcare Activist - Video

Ebola in Europe: Spanish nurse first person to contract virus outside Africa – Video


Ebola in Europe: Spanish nurse first person to contract virus outside Africa
For story suggestions please contact tips@nma.com.tw A nurse in Spain has become the first person to contract the Ebola virus outside of Africa after caring for an infected priest who had...

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Ebola in Europe: Spanish nurse first person to contract virus outside Africa - Video

2014 11 05 TVN Webinar — Frailty in the elderly by Dr. Melissa K. Andrew – Video


2014 11 05 TVN Webinar -- Frailty in the elderly by Dr. Melissa K. Andrew
TVN #39;s November webinar focused on a discussion of what frailty is and why it matters for the health and health care of older adults, our target population. Dr. Melissa K. Andrew first considered...

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2014 11 05 TVN Webinar -- Frailty in the elderly by Dr. Melissa K. Andrew - Video

Filipino candidates lose in Southern California midterm elections – Video


Filipino candidates lose in Southern California midterm elections
At polling places throughout Southern California, it was silence for most of election day as voters trickled in to cast ballots for local leaders, state officials, and federal representation...

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Health-care prices: Real costs are tied to the rate of reimbursement

The solution to transparency in health-care pricing would be solved in totality if the insurance companies were required to publish their negotiated rates to all providers ["State should follow Everett Clinics lead and create transparency in health-care prices," Opinion, Nov. 3]. Without that information, institutional and office pricingrates are of limited value.

Of course, Premera Blue Cross opposedHB 2572, possibly the firststepin leading to that requirement. The insurance industry hassuccessfully lobbied in Washington state in preventing theOffice of Insurance Commissioner frombeing able to evaluatecash reserves (which are in the billions)of their companies when accepting or rejectingannual premium rate changes.

The focusshould be on reducinghealth-care costs, yet Premera has taken an active role in increasing costs toconsumers. Their action of reducing by 15 percent the previous negotiated rate for office visits toemployed independent primary care nurse practitioner providers in our state has forced practices out of business or to sell out to large hospital organizations.

Beside reducing access to care, Premera has now ensured the consumer will pay a facility fee (often double to triple the office visit costs). Yes, the consumer can benefit from seeing the billed costs for health-care, but their real costs are tied to the rate of reimbursement.

Linda van Hoff, Redmond

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Health-care prices: Real costs are tied to the rate of reimbursement

2 Health Care Stocks to Watch on GOP Congressional Takeover – Stocks in the News

Stocks historically rise after mid-term elections, and yesterday was no different. The major indices closed at record highs, and with the S&P 500 surging an average of 16% following mid-term elections since 1950, more gains could be ahead as well.

Any Changes?

The GOP will no doubt take a hard look at health care related issues now that they are the majority in both houses of Congress. Republicans have been actively opposing the implementation of cuts to medical payment insurers such as Humana ( HUM ), and lawmakers could be looking to restore some of those parts in the programs.

Medical hardware companies can see reductions in tax rates will allow them focus on growing their business such as Boston Scientific ( BSX ) and Stryker ( SYK ). Restructuring the Affordable Care Act will also be one of the leading topics on the Republicans Agenda and companies such as Johnson & Johnson ( JNJ ) could benefit in a significant way.

Let's take a closer look at some of these companies and their prospects following this electoral shift:

Humana ( HUM )

Humana, Inc. is a health services company that facilitates the delivery of health care services through networks of providers to its medical members. The company's products are marketed primarily through health maintenance organizations and preferred provider organizations that encourage or require the use of contracted providers.

The company also offers various specialty products to employers, including dental, group life and workers' compensation, and administrative services to those who self-insure their employee health plans. The stock has been very volatile this week during mid-term elections and is currently trading up about .53% on Thursday at $139.92 per share.

Some analysts predict that Humana will be the highest correlate company in terms of benefiting from direct measures the GOP enacts in the near future. Humana is the second-largest insurance company that handles Medicare Advantage, right after UnitedHealth Group, and this area could be a target by the GOP.

Humana contracts with the Centers for Medicare and Medicaid Services in a program called Medicare Advantage. Often called Medicare's HMOs, Advantage is an optional program in which the federal government pays private insurance companies a set rate to treat Medicare beneficiaries. The program was conceived as a cost-containment measure on the theory that competition among private plans would drive down costs.

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2 Health Care Stocks to Watch on GOP Congressional Takeover - Stocks in the News

Steward Health Care Plans to Close Quincy Medical Center by End of Year

By Chelsea Rice

Boston.com Staff

November 6, 2014 11:48 AM

The Boston Globe

Steward Health Care System announced today that it will be closing Quincy Medical Center by the end of the year. Steward plans to replace the financially struggling 196-bed hospital with an outpatient urgent care center.

While Quincy Medical Center earns top quality and safety ratings, competition from Boston-area medical centers, significant cuts to Medicare reimbursements, continued Medicaid underfunding, continued rate disparity, and precipitously declining inpatient volume have made QMC unsustainable, Dr. Mark Girard, president of Steward Hospitals, a for-profit company, said in a statement. On an average day, only one fifth of all beds are occupied and it has become abundantly clear that local residents no longer seek inpatient services from Quincy Medical Center.

Dr. Girard told The Boston Globe that there has been a 19 percent decline in Quincy Medical Centers emergency room visits since 2012 that has been progressively getting worse. The Boston Globe reported that this is the states largest hospital closure in a decade.

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The closure will affect 680 employees and specifically the jobs of 221 registered nurses at the hospital, according to David Schildmeier, spokesperson for the Massachusetts Nurses Association.

The MNA is committed to working with all the stakeholders to make sure the needs of the community and employees impacted by this decision are met, Schildmeier said in an interview. Its been a shock. Weve known they were in trouble for a while, but they informed us yesterday of the closure. With Radiuss closure and now this, its a lot for the community to absorb.

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Steward Health Care Plans to Close Quincy Medical Center by End of Year

Phones Bring Genetic Counseling to Rural Women

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Newswise Angelina Jolies decision to undergo a double mastectomy inspired many other women to seek genetic counseling, too. But for women in rural areas, getting a genetic test can impose its own set of barriers, like multiple long trips for counseling, testing and follow-up. New research by Anita Kinney, PhD, RN, offers some hope. The research showed that telephone counseling was just as effective as in-person counseling in many respects. Dr. Kinney, now at the University of New Mexico Cancer Center, and her colleagues published the work in the Journal of the National Cancer Institute.

The research team identified the 988 women in the study as being at-risk for hereditary breast or ovarian cancer or both. They gave each a personalized brochure and other materials about genetic testing. A board-certified genetic counselor reviewed the materials with each woman. The research team assigned about half of the women to meet with the genetic counselor in person; they assigned the other half to talk with the counselor over the phone. They surveyed the women one week after initial counseling.

If a woman chose to have genetic testing after talking with the counselor, the researchers gave or mailed her a genetic testing kit. Each kit contained instructions explaining how to take a cheek-swab DNA sample and mail it for testing. Women who were tested also discussed their results with the genetic counselor and were surveyed one week after their test result counseling session. The researchers surveyed all the women again after six months.

More of the women who talked with a genetic counselor in person chose to get a genetic test than women who talked with a counselor over the phone. But the research team found no difference between the groups in measures of anxiety, distress, quality of life and knowledge gained. They also found no difference in how the women felt about the counseling sessions.

The researchers suggest that more women who received in-person counseling chose to undergo genetic testing because they could give their DNA sample and send it for testing immediately. Women counseled on the phone may have changed their minds because they had to wait for the testing kit to arrive in the mail and then had to drive to a mailing location to send the kit. The researchers suggest further study to understand how women make these decisions.

But the study showed that genetic counseling over the phone was just as helpful as in-person counseling. Over-the-phone counseling gave women the information they needed to make a decision about genetic testing. And it explained the results of the genetic testing for urban and rural women.

This research shows that using the telephone is a viable alternative to in-person genetic counseling, Dr. Kinney says. Using the phone, we can effectively increase womens access to genetic counseling services. And that can help them make informed and life-saving decisions for their health no matter where they live.

About Anita Kinney PhD, RN Anita Kinney, PhD, RN, is a Professor in the Department of Internal Medicine, Division of Epidemiology, at the UNM School of Medicine and is The Carolyn R. Surface Endowed Chair in Cancer Control and Population Sciences. Dr. Kinney serves as Associate Director for Population Sciences and as Cancer Control Research Program Co-Leader at the UNM Cancer Center. She trained at the University of Pennsylvania, UT-Houston School of Public Health, the University of North Carolina-Chapel Hill, and the National Cancer Institute. Dr. Kinney is an internationally recognized and highly acclaimed expert in cancer prevention and public health. Her research focuses on understanding variations in cancer risk and outcomes, in diverse populations and communities and developing effective strategies to prevention and control cancer.

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Phones Bring Genetic Counseling to Rural Women

Breakthrough at SUNY-ESF: Genetic engineering may save the nearly extinct American chestnut

No one has used genetic engineering to do something beneficial for the environment.

Syracuse, N.Y. -- In the first use of genetic engineering to save a species in the wild, SUNY researchers say they have created a new strain of blight-resistant American chestnut that could restore the majestic tree to the American landscape.

After 25 years of research, a pair of professors at SUNY College of Environmental Science and Forestry say they have used a gene from wheat to create an American chestnut that could withstand the blight that wiped out up to 5 billion of the trees in the United States.

"It is tremendously satisfying to reach this level of success," said ESF professor Chuck Maynard, who worked with fellow professor William Powell to build the blight-resistant tree.

Before the blight nearly wiped out the trees by the 1950s, chestnuts ranged from Florida to Maine and comprised up to 25 percent of Eastern forests. Its rot-resistant wood was an important source of lumber for log cabins and railroad ties for an emerging nation. The nutrient-rich nuts provided food for wildlife and humans; the roasted nuts were so delicious they even inspired a Christmas song.

"The team has accomplished a major goal, the generation of a blight-resistant American chestnut tree," said Dr. Timothy Tschaplinski, a scientist at Oak Ridge National Laboratory, in a statement released by ESF. "The sum total of these efforts is a major step forward for the goal of restoration of American chestnut to the North American landscape."

Genetic engineering has been used to increase production of crops, particularly corn and soybean, and to make medicines such as insulin.

"No one has used genetic engineering to do something beneficial for the environment," Powell said. "This technique can be used for many species of trees that are threatened by disease. It goes beyond the American chestnut."

ESF's American Chestnut Research and Restoration Project has long been one of the leaders in the movement to restore the tree to the landscape.

Developing a blight-resistant chestnut was a long and tedious process. Through trial-and-error, Powell and Maynard tried 30 genes, extracting them and then using bacteria to deliver the genes to individual chestnut cells. Each of those cells had to grow into trees large enough to test for blight resistance. The first attempt took 2.5 years, Powell said.

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Breakthrough at SUNY-ESF: Genetic engineering may save the nearly extinct American chestnut