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The World Cup in 2010 | The Pittsburgh G20 Summit | Special: Healthcare Tomorrow Feature

Holding Up the Invisible Hand


The Intersection of Business
and Public Policy

Winter 2010
Featuring
Prostitution in China (p. 8) Health IT Adoption (p. 20) Exploring Songdo (p.24)
By Adam Bao By Brian De By Christopher Lee
[Winter 2010. Volume I, Issue I]

Editor-In-Chief From the Editor


Brian De
In this inaugural issue of Business Sphere Magazine, I proudly present to you
Editorial Directors a publication produced by Yale College students that addresses the complex-
Paul Joo ity of business as it relates to a wide variety of popular news. Business Sphere
Monish Shah
Magazine aims to serve as a platform for increasing awareness of the far-rang-
Managing Editor ing implications of business in social, economic, and political arenas.
Dominic Insogna
In this first issue we provide some perspectives on how public policy can have
Content Editor vast influence on business, ranging from finance to the World Cup in South
Travis Gidado Africa, to a variety of issues in the hotly discussed area of health care in the
United States. In creating a popular business magazine, we hope to provide
Design Director
unique student perspectives on current pressing issues.
James Murphy

Layout Editor-In-Chief The Editorial, Design, and Operations teams have come a long way in produc-
John Good ing this first issue, and I want to thank them for their tireless efforts especially
towards the end of the production cycle. Special thanks goes to my brother
Graphics Editor Sanjay, who has provided much of the artistic and technical inspiration for
Jamar Bromley Business Sphere Magazine. We hope for continued success and expansion in
2010!
Associate Layout Editor
Nico Barawid Brian De, Editor-In-Chief

Operations Director From the Yale College Business Society


Bing Han

Publishing Director The Yale College Business Society was founded to address the need for a sub-
Connie Leong stantive and holistic business education for future leaders at Yale. We quickly
recognized the value of a publication dedicated to fostering a comprehensive
Business Manager understanding of business dynamics.
Andy DeWitt
In early 2009, we launched Business Sphere Magazine with the goal of forging
Distribution Manager
a link between students at Yale and the business world. By exploring global
Lindsey Raymond
trends through a unique lens, the magazine aims to shed light on enterprise as
a powerful driver for universal development.
Administrative Editors
James Zhang
Vivek Raman On behalf of YBS, I would like to thank Brian and the BSM team for working
tirelessly over the past semester on the inaugural issue. The magazine fills a
This magazine is published by Yale College crucial niche here on Yale’s campus and I look forward to the long-term suc-
students. Yale University is not responsible
for its contents. The opinions expressed by
cess of Business Sphere Magazine.
the contributers to BSM do not necessar- James Zhang, YBS President
ily reflect those of its staff or its advertis-
ers. The design and content of this maga-
zine are copyright of BSM and may not be Business Sphere Magazine • PO Box 200118 • New Haven, CT 06520-0118
reprinted without express written consent. info@BusinessSphere.org • www.BusinessSphere.org

2 B Business Sphere Magazine | Winter 2010


Holding Up the Invisible Hand
Contents

4 Spheres of Business
by James Zhang 20 Feature: Health IT Adoption
by Brian De

6 The World Cup in Africa


by James Zhang 23 Opinion: Tort Reform
by Christopher Sweeney

8 Feature: Prostitution in China


by Adam Bao 24 Feature: Songdo
by Christopher Lee

12 The Pittsburgh G20 Summit


by Dominic Insogna 27 Fed Chairman Ben Bernanke
by Lindsey Raymond

14 Ireland: The Celtic Tiger Disaster?


by John Good 28 Financial Booms and Busts
by Vivek Raman

16 Infographic:
Healthcare Tomorrow 30 Interview: Rustomjee Navroze
by Siddhant Jhunjhunwala

18 The Healthcare Debate


by Vikram Jairam

Winter 2010 | Business Sphere Magazine B 3


[SpheresOfBusiness]
Compiled by James Zhang

Canada Germany
Export demand may return to positive terri- After being battered by the recession, Ger-
tory as commodity prices stabilize and U.S. many should see economic growth return
economic growth recovers. Trade policy may in 2010. However, the recovery will be
focus on diversifying export markets to de- tepid as government support of the labor
veloping nations. and car markets phases out.

GDP Growth: 2.1% GDP Growth 2.5%


GDP: $1.478 bn GDP: $3.196 bn
GDP/capita: $43,450 GDP/capita: $38,520

Venezuela Brazil
Despite a gradual global economic recovery, Thrifty economic management by the
Venezuela will remain mired in recession. ruling Workers’ Party has helped Brazil
With limited government revenues, Hugo avoid the worst blows of the recession and
Chavez is reaching the fiscal limit for his am- growth will resume in 2010.
bitious government stimulus plan.
GDP Growth: 5.8%
GDP Growth: -3.4% GDP: $1.669 bn
GDP: $333 bn GDP/capita: $8,480
GDP/capita: $11,660
4 B Business Sphere Magazine | Winter 2010
Information courtesy of The Economist and Goldman Sachs Corporation. Sources available upon request.
Looking ahead to 2010
Russia China
Russia was hit harder than most by plum- China will have to ward off the threats of
meting oil prices during the recession, but inflation, growing asset bubbles in shares
the economy may rebound due to the na- and real estate, and a bevy of bad loans,
tion’s large stimulus package, low interest all of which have been exacerbated by the
rates, and rallying oil prices economic stimulus.

GDP Growth: 4.5% GDP Growth: 11.4%


GDP $1.414 bn GDP: $5.588 bn
GDP/capita: $10,030 GDP/capita: $4,170

India Australia
India has grown through the global down- Australia has been one of the few coun-
turn due to a resilient domestic market and tries to avoid the recession in 2009 due
low dependence on exports. A growing to successful fiscal and monetary policies.
fiscal deficit clouds an otherwise optimistic Growth in 2010 may be spurred by stronger
outlook for India. business investment and exports to China.

GDP Growth: 8.2% GDP Growth: 3.5%


GDP $1.468 bn GDP: $1.125 bn
GDP/capita: $1,240 GDP/capita: $52,290
Winter 2010 | Business Sphere Magazine B 5
Source: Getty Images
International Perspectives

The World Cup in Africa


South Africa needs to get it right in 2010

Source: www.fifa.com

By James Zhang England vs. the US, the South Afri- set to cash in on the global popular-
can government projects that over ity of the World Cup by signing a
On July 11th, 2010, football’s (soc- 450,000 international visitors will reported $2.8 billion in broadcast-
cer for Americans) World Cup – make the trip to their nation. FIFA, ing rights deals, a figure greater
arguably the world’s premier sport- football’s world governing body, is than the broadcast deals for the last


ing event after the Olympics– will two Cups combined. ABC/ESPN
kick off for the first time ever in an forked over $100 million for the
African country. South Africa will rights to broadcast in English in the
play host to the 19th FIFA World
Cup, a month-long tournament
Projections show that US while Univision paid $350 mil-
lion for the same rights in Spanish.
featuring the top 32 national teams the World Cup will
from around the globe. While
South Africa’s economy will receive
provide the In preparation for the tournament,
South Africa has invested $2.2 bil-
a sizable direct boost from hosting South African econo- lion in building nine new stadiums
the 2010 World Cup, a successful
tournament will have an even larger my with a net boost of across the country and billions of
dollars more in upgrades for its
impact on the nation and the conti- $7.2 billion transportation infrastructure. Such
nent’s image abroad. improvements have generated a
while generating a reported 415,000 jobs, a substan-
The World Cup is a prime example
of the commoditization of sport.
windfall $2.7 billion in tial boost in a country with almost
a quarter of its workers unem-
Because of marquee teams such as tax income from the ployed. Further, the government
Brazil, Netherlands, and Spain in
addition to the hyped matchup of
government. has promised $225 million worth of
World Cup contracts to local small

6 B Business Sphere Magazine | Winter 2010


and middle-sized businesses. Grant Five years later, the relocation ru- by prostitutes they had solicited to
Thornton, a global consulting firm, mors came to naught as the nation celebrate a win.
projected that the World Cup would hosted the Confederations Cup, a
provide the South African economy two-week tournament dress re- Despite the significant strides made
with a net boost of $7.2 billion and hearsal held the summer before the in the 10 years since the country’s
while generating a windfall of $2.7 World Cup. A riveting final featur- first democratic elections and 15
billion in tax income for the gov- ing a 3-2 win by perennial favorite years since the end of Apartheid,
ernment. Brazil over the upstart Americans South Africans continue to struggle
culminated a reasonably well run against negative perceptions. With
Although South Africa was unable event. Besides half-full stadiums foreign direct investment in South
to avoid the collateral damage of and minor logistical kinks, the only Africa, Africa’s largest economy,
the recent global financial crisis and public relations controversy was the only a fraction of what other emerg-
dipped into recession for the first alleged robbery of hotel rooms of ing market countries receive, South
time in 17 years, the nation is better the Egyptian national team. Event Africans suggest that the ignorance,
positioned than most because of the organizers were eventually vindi- paternalism, and prejudice of
World Cup. While other national cated when it was revealed by South Westerners create an unfairly biased
governments scrambled to imple- African authorities that the players view of their nation.
ment stimulus packages to boost had actually been shortchanged
domestic spending, South Africa Organizers hope that the indi-
was already investing heavily into rect impact of hosting the world’s
modernizing its own infrastruc- biggest sport event barring the
ture. The government hopes that Olympics will help change foreign
the structural improvements will attitudes and unlock opportunities
not only boost the local economy, for Africa and South Africa. With
but also make South Africa more the World Cup galvanizing infra-
attractive in the long term for both structure development, poverty
investors and tourists. alleviation, and black economic
empowerment, South Africa hopes
After South Africa barely lost to to leverage its role as Africa’s hub
Germany in the bidding process for energy, aid, transportation,
for the 2006 World Cup, FIFA communication, and investment to
implemented the controversial and lead Africa out of the dregs of the
short-lived policy to rotate World international order.
Cup host nations among the vari-
ous regional conferences, beginning A successful World Cup will go a
with Africa. Critics questioned long way in building Africa’s self-
the ability of any African country confidence and enhancing its in-
in undertaking such a tremendous ternational profile. However, a cup
logistical challenge and when FIFA marred by violence would tarnish
awarded South Africa the 2010 reputations and perpetuate the mar-
World Cup on May 15, 2004, inter- ginalization of a continent and its
national doubt overshadowed the people. Either way, all eyes will be
nation’s jubilance. With South Af- on South Africa as the world’s most
rica’s high crime rate, substandard popular sport comes to Africa.
transportation and accommoda-
tion infrastructure, and oft-delayed James Zhang is a junior in Berkeley
stadium construction, rumors College.
circulated that FIFA was preparing
to move the cup elsewhere.

Winter 2010 | Business Sphere Magazine B 7


Feature

Prostitution in China
Adam Bao explores an entrenched socioeconomic phenomenon that
developed after the Cultural Revolution
By Adam Bao lull in salacious activity would only prostitution has also been associ-
last until the end of the Cultural ated with an increase in sexually
After Mao Zedong took control Revolution. Deng Xiaoping’s “Open transmitted diseases, as well as
in 1949, the Community Party of Door Policy” in 1978 paved the way organized crime, violence, and gov-
China led a series of campaigns to for economic growth and also the ernment corruption.  Undoubtedly,
eliminate vices such as prostitu- revival of prostitution and other vic- prostitution constitutes a major
tion, drug use, and gambling. The es.  Currently, prostitution in China problem for the Chinese govern-
government effort was zealous in has proliferated to a sizable industry ment and its population.  Efforts
its revolutionary fervor, and by that represents a significant portion towards resolution should focus on
the 1970s, prostitution was almost of China’s service sector and GDP the very roots of the problem and
entirely eliminated. However, this output.  Unfortunately, the rise of lean towards control rather than

8 B Business Sphere Magazine | Winter 2010



elimination, as the latter option HIV positive, an alarming rate con-
seems to be nearly impossible.  sidering the number of males that
Only 15% to 30% serve as their patrons.  About 6.4%
The number of sex workers in of men from ages 20 to 64 have
China is estimated to be upwards of female sex workers engaged in illegal sex, and of these
of ten million.  There are seven use condoms... men, many have multiple partners. 
tiers of female prostitutes, ranging Consequently, there is great poten-
from those who serve as consorts to tial for STDs to spread. 
Perhaps most visible of the tiers in-
influential businessmen in the first
clude the “falangmei”, or “hairdress-
tier to street hookers and brothel There are several reasons for the
ing salon sisters,” a brand of prosti-
maids in the last tier.  Of those situ- increasing rates of STDs in recent
tutes that offer clandestine sex while
ated in the middle tiers, most work years.  First, many prostitutes are
working in massage parlors, beauty
in karaoke houses, bars, night- poorly educated, and consequently
salons, health and fitness centers. 
clubs, restaurants, teahouses, and unfamiliar with the implications of
While visiting relatives in Shanghai
other entertainment venues.  Their unprotected sex.  Only 15% to 30%
this past summer, I encountered
services involve chatting, drink- of female sex workers use condoms,
some of these “falangmei.” Le-
ing, and dancing with their clients, and according to a national survey
gitimate businesses like hair salons,
and consequently, these women are of sexual behavior 46.9% of males
spas and massage centers during the
referred to as “sanpei xiaojie”, or “la- acknowledged regular condom
daytime swiftly transform them-
dies of the three accompaniments.” use during encounters with FSWs. 
selves as dusk settles and exhibit
While the “sanpei xiaojie” usually Such statistics reveal the high
“salon sisters” that are prostitutes.
limit themselves to legal services, likelihood of prostitutes passing on

they will also engage in sexual inter- STDs, or even clients infecting the
With the proliferation of prostitu-
course if the client is willing, and if prostitutes themselves.  Further-
tion in China, rampant increase
the price is right.  While these girls more, prostitutes are usually not
in STDs is increasingly a cause for
are widely regarded as prostitutes, in a position to refuse cliental sex,
concern.  According to the Ameri-
their legal professions give them even if the client refuses to wear a
can Sexually Transmitted Diseases
legitimacy that protects them from condom.  FSWs must choose be-
Association, up to 10% of female
the law. tween money and the possible risks
sex workers (FSW) in China are
of pregnancy, STDs, and HIV. More
often than not, they undertake the
risk for financial gain.

The problems that prostitution


raises center on two issues: the im-
morality inherent in prostitution
and its role in the spread of STDs. 
Past Chinese efforts have focused
on penalizing those involved in
prostitution, including 15 days of
administrative detention or civil
fines of 5000 RMB.  Finally, in 1991,
the government passed a decision
that strictly forbade the selling and
buying of sex, and later that same
year the “Decision on the Severe
Punishment of Criminals Who
Abduct and Traffic in or Kidnap
Source: www.newamericamedia.com Women and Children.”  Such mea-
sures effectively made prostitution

Winter 2010 | Business Sphere Magazine B 9


International Perspectives

illegal, and criminal penalties in- existence of prostitution in certain


creased to a minimum of ten years business premises and even tip off
in prison and/or criminal fines of suspected prostitutes against police
up to 10,000 RMB.  Recently, with raids.   In one case, a deputy direc-
focus on the prevalence of STDs in tor of the Labor Bureau of Tianjin
China, the government also requires Municipal Government was ar-
offenders arrested for prostitution rested for allegedly spending more
and patronization to undergo man- than $66,000 of public funds on
datory testing for sexually transmit- prostitutes in night clubs and hotels. 
ted diseases.  At other times, Chinese officials are
often “reluctant or afraid to detain
Despite its efforts, China has been and arrest overseas patrons in fear
unable to curb, let alone eliminate of scaring away tourists, investors,
the problem of prostitution.  Al- businessmen.”  Consequently, the
though prostitution is now illegal in police force selectively arrests those
China, government officials and law that appear to be locals.  Further-
enforcers are often corrupt and hin- more, in order not to besmirch the
der the fulfillment of law.  Because government, most arrests seem
interpersonal relationships are so to have little connection with the Furthermore, prostitution is so
important in Chinese society, cor- government initiated and state con- deeply entrenched because it em-
rupt officials sometimes ignore the trolled work units.  powers women, allowing them to
gain a sense of independence and
material power that they would
otherwise be unable to attain. 
Generally, women tend to earn less
than men due to occupational dis-
crimination in China.  For example,
service-oriented occupations, such
as in hotels, nightclubs, restau-
rants, and bars employ many more
women than men. Women resort to
prostitution as a lucrative alterna-
tive. 

Viewed in economic terms, pros-


titution has become an important
industry that represents a signifi-
cant portion of China’s GDP. Ac-
cording to a study made by Niklas
Dougherty, China may have ten
million or more prostitutes. If every
prostitute makes about two hundred
yuan on average each day, then the
daily turn-around is about two bil-
lion yuan, or seven hundred billion
Source: www.newamericamedia.com yuan a year. This represents about

10 B Business Sphere Magazine | Winter 2010


5% of China’s GDP in 2004, which a taken to stem the problem.  The those who enforce it, and a contin-
Dougherty maintains is a “conserva- Chinese government must take a ued negligent approach will result
tive estimate.” This raises serious multidimensional approach towards in powerless laws that are eas-
economic implications. The income regulating prostitution that focuses ily ignored by prostitution rings. 
made through prostitution, al- on improvement of the female Instead of increasing the severity
though untaxed, is transferred back employment situation, elimination of punishment for those accused of
into the economy with personal of state corruption, and preventa- prostitution, laws should be passed
consumption and by the multiplier tive measures to curb STD spread.  that punish those who are found
effect, which eventually increases The Chinese government should guilty of corruption.  Women who
GDP. Consequently, prostitution seek to implement a compensation choose prostitution have no other
provides social benefits for desti- system of sorts that creates job op- choice but to sell their bodies and
tute girls while benefitting China’s portunities and gives aid to those accept the implications and associ-
economy; as a result, authorities that require it.  It should promote ated stigma.  Government officials
have strong incentives to leave pros- sexual education, perhaps as early are well off enough that they need
titution as it is. as in grade schools, since prostitutes not turn to illegal actions in order
tend to hail from rural backgrounds to improve their well-being.  Greed
Consequently, due to the underly- without any sort of high education. is the root of corruption that facili-
ing factors of prostitution, includ- tates prostitution in China.
ing the raw, human desire for sex, There needs to be constant sur-
complete eradication is improbable. veillance within the government Adam Bao is a sophomore in
More radical approach needs to be levels.  Laws are only as strong as Trumbull College.

Interested in being part of a fast-growing, motivated group of students


dedicated to publishing a high-quality popular business magazine?

Writing • Editing • Business • Layout & Design • Research

Positions for Spring 2010 now available! Visit www.BusinessSphere.org or contact


apps@BusinessSphere.org for more information.

Winter 2010 | Business Sphere Magazine B 11


Business News

The Pittsburgh G20 Summit


The leaders of Group of Twenty nations with the largest economies con-
vened in Pittsburgh to discuss steps to solve the economic crisis
By Dominic Insogna to stem the crisis. More specifically, The G20 could hardly hope to solve
the G20 pledged reform and tighter the world’s economic problems in a
The last summit of the Group of regulation of financial markets, single summit, especially with the
Twenty Finance Ministers and Cen- emphasized international coopera- transition of presidential power that
tral Bank Governors, colloquially tion, and called for a larger active was taking place in the United States
known as the G20, took place this role of the International Monetary at the time. But riding the wave of
past September in Pittsburgh, PA. Fund and the World Bank in spear- optimism that followed the Wash-
The meeting, the third in a series of heading the international economic ington Conference and the message
ongoing summits held to discuss and recovery efforts, especially in poorer of “Hope” that that accompanied
devise a response to the financial countries. The Washington summit the inauguration of Barack Obama,
recession, addressed global eco- was generally regarded as a success, the group reconvened in London in
nomic issues ranging from massive garnering the praise of President 2009 to follow up their progress and
financial stimulus to bank regulation Barack Obama as “a historical meet- to keep pushing the global economic
to climate control. But what exactly ing,” and also earning the media recovery effort. The G20 countries
have leaders of the world’s most nickname “Bretton Woods II.” While were determined to resolve the three
powerful economies actually man- the Washington summit was in- main goals proposed in Washington:
aged to accomplish in their three deed a monumental and essential coordinate international economic
major summits? step down the road towards global policy, reform the global financial
economic recovery, it was a call for system, and reform international fi-
Founded in 1999, the group held change that would have to wait to be nancial institutions such as the IMF.
its first G20 Summit in Washing- acted upon. Finally in London, the seeds that
ton, D.C. in November 2008. In
response to the ongoing financial
shock of 2007, French Prime Min-
ister Nicholas Sarkozy and British
Prime Minister Gordon Brown took
the initiative in pressuring President
George W. Bush to hold a meeting in
Washington. Mustering the influ-
ence and intellect of the leaders of
the world’s largest economies, the
G20 set out to “enhance our coop-
eration and work together to restore
global growth and achieve needed
reforms in the world’s financial
systems.” Major achievements of the
Washington summit included com-
ing to an international consensus on
the origins of the financial crisis and Source: www.kremlin.ru
agreeing on measures to be taken

12 B Business Sphere Magazine | Winter 2010


Source: www.g20pittsburghsummit.org/ to that point was for from over, and
that financial stimulus could not be
withdrawn until economies were
more stable.

Through the coordinated efforts of


the G20, the current international
economic landscape is unrecogniz-
able compared to that of the era
before the financial collapse of 2007,
for better or worse. Critics accuse
the G20 of impotency and not go-
ing far enough in their reform and
recovery efforts. Many label the
G20 as just another acronym in the
alphabet soup of ineffective inter-
national economic organizations.
But the G20 summits, at least so
the G20 had planted in Washing- regulations were not imposed on the far, have ultimately been a success
ton began to sprout as tangible and world financial system and bankers’ -- a success in the broad sense that
satisfying agreements were made, astronomical bonuses, which re- they have accomplished what they
including a pledge of $1.1 trillion in warded much the risky behavior that initially set out to do: prevent global
coordinated global economic stimu- helped initially derail the financial financial collapse, or at least reduce
lus and enhanced regulations on the system. But ultimately the leaders its scale. The world was indeed dealt
financial system. Disagreements and overcame their bickering and proved a crippling blow in 2007, and is still
tensions between leaders were high that they could work together feeling the staggering repercussions.
in London, with French President towards a common goal, conclud- However, as GDPs rise, unemploy-
Sarkozy at one point threatening to ing the London summit with some ment wanes, and the economy
walk out of the conference if tighter results to show for it.


slowly speeds back up, it is clear that
the world has avoided the worst of
In November 2009, the most recent what could have been a crisis on par
summit was held in Pittsburgh. with the Great Depression in scale.
The G20 countries While not many novel decisions Nonetheless it is inherently easier to
were made, the G20 leaders built
were determined to on the progress made in London,
destroy than to create, and the frag-
ile state of the recovering economy,
resolve the three main more definitively tightening finan- along with any progress made at the
cial regulation and granting more G20 summits, can be easily shattered
goals proposed in power to international organizations if caution is not taken. The economic
Washington: coordi- such as the IMF and the Financial leaders of the world must keep both
Stability Board. The most unex- their successes and failures in mind
nate international eco- pected move was the decision to as they prepare for the next summit
replace the G8 with the G20 as the
nomic policy, reform main international caretaker of the
in Canada this June. They must keep
a watchful eye on what they have
the global financial world’s economy. While this decision accomplished, and strive towards de-
popularly decentralized responsibil- cisive and cooperative action to see
system, and reform ity in orchestrating global economic the global economic recovery all the
international financial recovery, it also ensured deeper po- way through.
litical divides and larger bureaucracy
institutions such as the within the movement. The group Dominic Insogna is a sophomore in
concluded the Pittsburgh summit
IMF. by agreeing that that the work up
Berkeley College.

Winter 2010 | Business Sphere Magazine B 13


Financial Analysis

Ireland: The Celtic Tiger Disaster?


Ireland, once a booming market, is now one of the hardest hit by
the international financial crisis
By John Good businesses were lifted.” The country While initially criticized, the auster-
also lowered its import tariffs, and ity measures eventually gained a
Over the past two decades, Ireland by 1973, had joined both the Gen- consensus for eliminating the deep
has been transformed into a dy- eral Agreement on Tariffs and Trade budget crisis. A pact with labor,
namic, high-tech economy with (succeeded by the World Trade dubbed the Program for National
one of Europe’s highest per-capita Organization), and the European Recovery, helped to break the infla-
GDPs. A well-educated, English- Economic Community (now the tionary spiral by lowering income
speaking population combined European Union). These new mem- taxes and increasing take-home pay
with favorable tax policies attracted berships helped lifted Irish confi- without inflationary wage increases.
multinational firms who have es- dence and sense of its own status. Thus, by the 1990s, Ireland was on a
tablished research and development path of sensible economic manage-
facilities in the country. Ireland was These new low taxes and aggressive ment, and took advantage of the
dubbed the “Celtic Tiger” because attraction of foreign direct invest- global expansion that decade with
of its rapid growth. ment (by the Irish Industrial Devel- policies that encouraged competi-
opment Authority) brought over- tion and the attraction of highly-
The Celtic Tiger Comes Alive seas companies that took advantage skilled labor that could be inter-
of abundant, English-speaking, and national in focus. After 1987, Irish
Climbing out of an economic mo- low-cost labor. In addition, gov- growth averaged 6.5% per year.
rass of low living standards, high ernment expenditures expanded
unemployment, and high emigra- Defanging the Tiger: Ireland in Crisis
rapidly as spending on education
tion, Ireland used “a combination of
and social services increased. How-
sensible policies and pragmatism,” However, it seems that this fiscal
ever, high spending and domestic
according to the Heritage Founda- model of low taxes and aggressive
demand, combined with an increas-
tion. The core of these measures industrial attraction needs contin-
ing population, pushed inflation to
“was a belief in economic openness ued high growth and increasing
an average of 13.6% a year between
to global markets, low tax rates, and asset prices to succeed. With real
1971-1980. Inflation continued into
investment in education.” estate and other asset values sky-
the 1980s, and unemployment was
growing as foreign investment was high, the carefully crafted model
In direct contrast to the “economic was precarious; when they started
not producing enough jobs to offset
nationalism” that characterized to decline in value in 2007, GDP
failing domestic firms. Between
their immediate post-indepen- and public finances followed. In
1980 and 1986, total public debt
dence, in the 1950s, Ireland’s official January 2008, RGE Monitor (by
reached 120% of GNP as annual
policy moved to more integration Nouriel Roubini) published “Is Ire-
budget deficits were over 10%.
with global markets. The Heritage land At Risk of a Financial Crisis?”
Foundation analysis continues by It pointed out that housing and
When Fianna Fail, the opposition
saying by “1956, to spur business equity prices had declined precipi-
party, won the election in 1987, it
development, tax relief on profits tously, and growth was done from a
embarked on a program of severe
from export sales from Ireland was heady 5.3% in 2006 to about 2.8%.
cuts across all government expen-
offered for the first time. In 1958, In addition, the current account
ditures, including social services.
all controls on foreign ownership of balance went from even in 2003

14 B Business Sphere Magazine | Winter 2010


to a deficit of 5% of GDP by 2007. formula is in bad times. grade, Irish economist Ronan Lyons
Still, it pointed out that Ireland’s looked at where tax revenues have
declining public debt (down to only In July, Morgan Stanley published fallen the most, and they might be
35% of GDP in 2007) and relatively various scenarios that looked at made up most easily. He looked at
strong fiscal position should help how sustainable Ireland’s public the 12 bn euro gap between the 47
it weather the storm, even if the finances would be going forward. It bn collected in 2007 and the expect-
country couldn’t do much, being in says that, “currently planned poli- ed 35 bn for 2008. The smallest gap
the Eurozone. cies, if maintained indefinitely, are is in the income tax, less than a bil-
sufficient to maintain a bounded lion euro, whereas shortfalls in taxes
But by June 2009, BBC was report- debt/GDP ratio in both the short dealing with international trade
ing that Standard and Poors was and long run regardless of asset re- and commerce – the corporate tax
cutting its rating on Irish sover- covery. Net indebtedness as a share and customs and excise taxes – are
eign debt – for the second time in of GDP peaks at around 107% in much greater. He therefore argues
the year. It was quoted as saying 2012 before declining.” that raising Ireland’s much praised
“the fiscal costs to the government corporate tax rate – from 12.5% to
of supporting the Irish banking Fiscal Responses 15% - makes sense, as is the in-
system will be significantly higher troduction of a property tax. For
than what we had expected.” This Back in April, facing the balloon- doubters, he points out that even
referred to the seven billion euros ing deficit, the Irish government if public expenditures were cut by
it had to provide to its two biggest came up with an emergency budget 10 bn euros, Ireland needs to raise
banks, which, for a country the size that both increases taxes and cuts taxes by 12 bn to get back to even.
of Ireland (4 million people and spending (notably different than the That looks unlikely anytime soon.
$270 billion GDP), a huge amount. late 1980s reaction of cutting both
The combination of these measures, taxes and spending). In April, pres- Ireland built its economy on the
increasing social welfare payments sured by the EU (the EU finance conservative ideals of low taxes
for the unemployed, and decreased ministers had given Ireland a 2013 and free markets, and became
tax revenue of all kinds has made deadline to get back to a 3% deficit), very wealthy doing so. The only
for a budget deficit of 9.5% of GDP, the government raised a number English-speaking country that uses
the highest in the EU and much of taxes and introduced new ones, the Euro, it was – and probably still
higher than the EU target of 3%. at the same time cutting social is – a natural location of Ameri-
spending. Rates on a previously can companies to put operations
So what happened? How did the introduced income levy doubled, focused on serving the continen-
equation fall apart so rapidly? taxes on cigarettes were raised by tal European market. However,
25 cents, and on diesel by 5 cents a the Irish government faces tough
Of course, the unexpected sever- liter. On the spending side, the early choices because of this model, with
ity of the global downturn – much childcare subsidy will be abolished debt holders, the European Central
more than even Roubini predicted by 2010, and an allowance for Bank, and ratings agencies telling it
in January 2008, was a large part young jobseekers was cut in half. to get its fiscal house in order, but
of it. But Ireland also was fiscally Furthermore, the government an- with the corporate community and
balanced and paying down its debt nounced it would create an asset many Irish themselves urging them
when everything was great. After management agency that would buy to keep business taxes low, its tax
nearly collapsing in the 1980s, it up 90 bn euros of bad loans from policies having been crystallized in
relied on strong growth and rising Irish banks, or about 44% of the the minds of the public as the force
foreign investment (attracted by economy (GDP). In the US, that behind its stunning rise.
its low taxes) to make the overall would translate to buying about $6
equation work. Its Celtic Tiger trillion of bad debt. John Good is a senior in
years as testament, the equation was Timothy Dwight College
miraculously successful as long as In June, in another report on the
asset prices kept rising. This down- heels of the (second) S&P down-
turn showed how unsustainable that

Winter 2010 | Business Sphere Magazine B 15


A Brief Synopsis of !

M
ed
icin
Health Care Reform

So
Blue Shield
Oxford

cia
in the United States
Humana Blue Cross

liz
ed
Risk itals

Healthcare Tomorrow

Financial
Principal
Group
For approximately 100 years, presidential
administrations in the United States have tried
to pass meaningful health care reform mea-

HealthMarkets

t
sures. It is difficult to ignore the 46+ million

s n
nd e
uninsured people in the United States and the

Fu rnm
fact that National Health Expenditures (NHE)
make up over 18% of total GDP. Horror stories

ve
Government
persist about how individuals are denied cover-

Funds

Go
age in the private market after losing their jobs,
how people are denied coverage for common
preexisting conditions such as acne and hay
fever, and how skyrocketing premiums have
Health Net

forced millions into medical bankruptcy. Many


questions remain unanswered, and many of
them boil down to a central, normative ques-
tion that no one has the answer to: Is medical
care a right or a luxury?
Doctors’
Offices

We invite you to explore health care as it


evolves over the coming weeks and months.
Please visit www.healthcaretomorrow.net for
Group Health
Cooperative

more information about our symposium sched-

re
uled to take place in early April.

Timeline ca
Insurance

American
National

August 1912 – President Theodore Roosevelt


lth
campaigns on the Progressive Party ticket ad-
vocating national health insurance. He suggests
that we emulate Germany’s system, which in-
Nurses

ea

cluded old-age pensions and health insurance.


He was defeated by Woodrow Wilson.
H

1929 – Baylor Hospital in Dallas, TX creates a


Family Insur-
American

pre-paid program for a local teaching union, a


ance

model widely considered to be the first example


of health insurance.

!
Risk Com
1938 – Popularity of pre-paid insurance model
In

nity H
Cigna Assurant
th

Intermountain
increases. Insurance companies advertise “three Cen
e

Health Care
HO

cents a day for hospital care” but exclude the


SP
ITA

unemployed and those over 66 years of age.


L

Any logos or pictures contained herein are the


property of their respective owners.
July 1965 – President Lyndon B. Johnson signs
into law the creation of Medicare and Medic-

H al
n
ve
t
ew spi
aid, extending government health insurance

.. . Ho
to all citizens 65 and over, as well as the poor,

N
Heatlh

..
blind, and disabled.

E.
of Ohio

L
Lifewise Unitrin

YA
Medical Mutual

TO
December 1973 – President Richard M. Nixon
Hos Physicians

GO
signs the Health Maintenance Organization
Act, setting aside $375 million to finance

SCHIP
demonstration projects of H.M.Os, a type of
managed care organization that provides health
coverage through a contract with doctors, hos-
w pitals, and other health care providers.

Medicaid
ro
1993 – President Bill Clinton unveils a plan
that would provide universal coverage based
on managed competition, in which private
or

Government
insurances compete in a regulated market. This

Funds
ultimately fails due to fierce partisan politics
m

and lobbying from interest groups.

July 14, 2009 - House Democrats introduce


Medicare
To

legislation called “America’s Affordable Health


Choices Act” which promises to expand health
coverage, reign in the costs of Medicare, and
increase taxes for the wealthy.
Facilities
Nursing
Skilled

July 15, 2009 – The Senate Health, Education,


Labor, and Pensions Committee creates a bill
requiring Americans to obtain health insurance
and establishing a new government insurance
!
Risk

plan, the “public option.”

October 29, 2009 – The House unveils a stag-


gering 1990 page bill that would cost $1.05
trillion over the next 10 years and provide
Aetna

increased coverage to 36 million people. On


November 7, the bill passes in the House in a
sk

final vote of 220-215.


Ri

Coverage
Cadillac

Pay $15 copay

November 18, 2009 – The Senate introduces


its own Health bill that would cost $848 billion
over the next 10 years and extend coverage to
31 million Americans. It would, however, re-
Permanente

duce projected budget deficits by $130 million


Kaiser

over this same decade.

mmu- Government December 21, 2009 – The Senate bill is finally


$2 ay

Health Medicare Funds voted upon and, unlike the House bill, contains
00
P

nters Tax AARP Independence


no provision for a public insurance option. In-
Blue Cross
stead, it plans to extend coverage by regulating
the insurance market and industry rules.
Pay 1.45%
Compiled by Vikram Jairam
Healthcare Tomorrow

The Healthcare Debate


A short summary of the proposals currently being debated in Congress
By Vikram Jairam figures, it seems imperative that system. Medicare’s beneficiaries
there must be some type of health- generally enjoy the service, but at its
There is no doubt that the issue of care reform; the real issue is how it current rate, the program’s costs are
healthcare reform figured promi- should be achieved. The two main estimated to bankrupt the federal
nently in the 2008 Presidential schools of thought in today’s debate trust fund within this century. One
election. It served as a harbinger are those favoring government- single-payer proposal has been set
for the role this issue would play in based versus free market reforms. forth in Congress by representative
2009. For more than half a century, This article will examine the various John Conyers Jr. D-MI, which mir-
politicians, leaders, and activists proposals set forth by proponents rors the United Kingdom’s health-
have attempted to spark debate that of each idea as well as the current care system. This will be financed
would ultimately shape the direc- healthcare reform bills being de- through taxes, which economist
tion of our nation’s healthcare sys- bated on the Senate floor. Paul Krugman estimates would
tem. Unfortunately, the healthcare eliminate the large administrative
system in place is unsustainable and Government-Based Reforms costs associated with private health
costs have spiraled out of control Many people believe the govern- insurance. However, this proposal
and consumed a significant portion ment should play a larger role in has not been met with much sup-
of the United States federal budget. ensuring that its citizens have access port. With America’s general aver-
The current figures are staggering - to adequate healthcare and insur- sion to government involvement,
the United States spends 16% of its ance, with an emphasis on coverage single-payer options have never
GDP on healthcare, more than any for all. There are two proposals that been widely popular; the idea is that
other industrialized nation. In 2007, have been laid out to achieve this individuals should have the option
an estimated $2.26 trillion was spent goal: first is a single-payer system to choose to utilize public or private
on health care in the U.S., result- and the second is the widely popular healthcare services.
ing in a per capita expenditure of public option, supported by Presi-
$7,439. In turn, what are we receiv- dent Barack Obama and other left- Public Option
ing from this tremendous monetary leaning politicians. Instead, the public option has en-
investment? The number of unin- joyed much greater appeal as well
sured in America is a whopping 47 Single-Payer System as political relevance in the nation’s
million. The World Health Orga- A single-payer system is a service healthcare debate. The public option
nization ranks the U.S. health care in which a public agency, usually is a public health insurance plan
system 37th in the world, right next the government, is responsible for that would be offered by the U.S.
to Slovenia. Furthermore, 62% of all financing the healthcare costs of government to compete with similar
personal bankruptcies in America a nation, resulting in the univer- private insurance plans in a health
list healthcare costs as a significant sal coverage of all citizens. Many insurance market place. This plan
contributing factor. Finally, the Americans support a socialized would be restricted to people not
Congressional Budget Office (CBO) single-payer model akin to that insured through either Medicare
argued that at its current rate, Medi- of Canada, or the United King- or an employer-based scheme. The
care spending will soon consume dom, whose healthcare systems are public option would compete with
the entire federal budget. Economi- ranked 30th and 18th, respectively, private insurers, which would create
cally speaking, we are not yielding by the WHO. The current Medicare downward pressure to lower prices
a strong return on investment by system that guarantees coverage to (i.e. premiums, deductibles, etc).
any standard. Given these startling America’s seniors is a single-payer Many economists argue that certain

18 B Business Sphere Magazine | Winter 2010


insurance companies hold mo- program that allows members to main provision of the Healthy
nopolies in local markets and have pay for routine services directly Americans Act is that citizens
no existing competition. Especially through Health Savings Accounts would be allowed to opt out of their
during today’s recession, where while paying a high insurance employer-provided health insur-
thousands of people lose their deductible for catastrophic medi- ance, and instead would be given
jobs, and subsequently their health cal expenses. In short, consumers money to shop around for other
benefits daily, the idea of a public would pay directly for the bulk of insurance plans. The HAA also
insurance option that does not deny their medical expenses with their employs the idea of the individual
coverage based on a wide array of own money, as opposed to insur- mandate – that citizens who are fi-
conditions has garnered much ap- ance companies. Under full insur- nancially able must purchase health
peal. President Barack Obama has ance schemes, consumers may not insurance, which, in theory, diversi-
touted the public option through feel the entire monetary weight of fies the risk pool, increases cover-
much of the healthcare debate, each medical procedure and thus, age, and lowers costs. The guarantee
claiming “it could provide a good may have a tendency to overutilize to consumers of insurance coverage
deal for consumers, and would also medical services, a common ex- means they cannot be rejected for
keep pressure on private insurers to planation for the high cost of care. preexisting conditions and be left
keep their policies affordable and In theory, competing CDHC plans without insurance. The CBO scored
treat their customers better.” Those would stimulate competition and the HAA as revenue neutral. Thus,
criticizing the public option claim introduce free-market variables that while CDHC proponents would
it is unfair for private insurance would drive the price of services like to minimize the role of insur-
companies to compete with a large down. However, there are two main ance, the HAA proposed by Wyden
government behemoth, and that the criticisms of CDHC. First, crit- heavily regulates the existing health
public option will slowly drive pri- ics believe consumers that are less insurance market. However, critics
vate insurers out of business. They wealthy will avoid needed health- lament this bill would signal the end
fear this would gradually lead to the care since they will be paying out of the employer-based insurance,
emergence of a single-payer system. of their own pocket. Furthermore, which has been an integral part of
patients with chronic diseases who our healthcare system since World
Market-Based Reforms will have to make several visits to a War II. Thus, Wyden’s bill may be
On the other side of the argument, physician will be adversely affected, seen as too radical to gain popular
many believe universal health- especially under a high-deductible appeal.
care with expanded coverage and plan. The second criticism is that
reduced costs can be achieved CDHC would only work under full Comparison of Current Congressio-
through market-based reforms. pricing transparency – that is, if nal Bills
They distrust the inefficiency and patients are fully informed about It is now interesting to examine
bureaucracy of the government and the prices of health services and can the current bills proposed in both
instead place their faith in the abil- make an informed decision when chambers of Congress, the House
ity of market forces to drive prices purchasing various options. Cur- and Senate. The House healthcare
down. There are two market-based rently, the insurance model masks bill was approved on November 7th
proposals I would like to examine: the true cost of health care services by a vote of 220-215. The Senate
first is consumer-directed health from patients, leading to a situation unveiled a bill on November 18th
care, and the other is a proposal cre- where we have no healthcare pricing that they debated the week of No-
ated by Senator Ron Wyden D-OR, information. A transition to CDHC vember 30th. If legislation is indeed
the Healthy Americans Act, a bill would require this paradigm shift in passed, this would hopefully signal
endorsed by both parties as well as how health services are advertised. the end of the healthcare ordeal that
prominent publications, including has gripped the nation for over a
The Economist. Healthy Americans Act decade, and the beginning of afford-
The Healthy Americans Act (HAA) able healthcare for all Americans.
Consumer Directed Health Care is a bill that promises to provide
Consumer Directed Health Care universal healthcare through both Vikram Jairam is a senior in
(CDHC) is a health insurance private and public schemes. The Morse College.

Winter 2010 | Business Sphere Magazine B 19


Feature
Health Information Technology
Rethinking benefits that flow to providers is necessary before health IT
systems are widely adopted by physicians and hospitals
By Brian De
Medical records have evolved from Medical records have moved beyond diverse set of capabilities, streamlin-
their earliest forms, as kept by Hip- being mere databases of information ing and standardizing information
pocrates in the fifth century BC, and now include capabilities such as flows, and creating interoperable sys-
and they have taken on increasingly digitized administrative data man- tems have also come to be important
complex information with tremen- agement, clinical/patient data man- considerations for data management.
dous amounts of data, differential agement through electronic health As such, the broader term Health In-
access for personnel in a clinical records (EHR), clinical decision sup- formation Technology (HIT) is used
practice, and stricter privacy regula- port systems (CDSS), computer phy- to describe the comprehensive man-
tions governing patient information. sician order entry (CPOE), among agement of medical information and
many others. With the advent of this

20 B Business Sphere Magazine | Winter 2010


its secure exchange between health Promote integration through complete HIT solutions despite their
care consumers and providers. DHHS certification documented benefits to quality and
The Department of Health and Hu- costs. It may be in the best interest
Though political leaders differ man Services (DHHS) will certify of the DHHS to encourage integra-
substantially on issues surrounding HIT solutions to meet the “mean- tion of advanced HIT functionality
health care reform, there is relative ingful use” criteria put forth for by into the meaningful use criteria as
agreement that HIT implementation the American Recovery and Rein- it becomes more explicitly defined
can lower costs and improve qual- vestment Act of 2009. The existing over the next several years. This could
ity of health care through a variety adoption evidence seems to indicate be accomplished through financial
of mechanisms including decreased that the flow of benefits to physicians incentives given to developers to inte-
medication errors, improved primary must increase for physicians to be grate advanced capabilities into their
and secondary preventive care, and properly incentivized to adopt, and solutions, or merely by requiring
decreased utilization of care. To the it has been shown also that benefits certain capabilities for certification.
healthcare system as a whole, it is ex- that flow to physicians are also passed Other ways to consider the physician
pected that National Health Expendi- on to their patients in the form of in meaningful use criteria should also
tures (NHE) are likely to increase by better quality care. Thus, one possible be kept in mind, so that physicians
around $14 billion over the next five solution is to redefine “meaningful themselves – the potential adopters of
years as a result of widespread HIT use” criteria to include benefits that such technologies – feel that HIT use
implementation. However, HIT will flow to physicians instead of merely is indeed meaningful. Such solutions
help reduce NHE in the long-term – considering health outcomes. While will increase physician utility and the
as much as $88 billion in ten years. it is true that ultimately the goal of marginal benefits of adoption, lead-
Despite this, it is widely thought that HIT is to improve delivery of health ing to increased willingness-to-pay
the benefits from HIT implementa- care, the adoption barrier needs to be and quantities of HIT adopted.
tion flow mainly to insurance compa- considered in the short-term as well.
nies and consumers of health care. Create a private sector nonprofit to
“Advanced HIT” components that oversee standards
There are also several market fail- increase the flow of benefits to The importance of standards in the
ures in HIT, including a fragmented physicians, such as Computer Physi- HIT adoption problem cannot be
industry, a difficult-to-demonstrate cian Order Entry, Clinical Decision understated – namely, physicians
return on investment, and a first- Support Systems, and others are are much more willing to adopt
mover disadvantage, among many not entirely well-implemented into HIT solutions if they feel that their
others. Ultimately, there is asym-
metric risk and reward for HIT
adoption – providers pay for the HIT
solutions but may only experience
11 percent of the net potential gains.
As a result, this creates an incentives
problem – physicians and hospitals
choose to adopt HIT technologies in
lesser quantities than they would if
they realized the benefits. A sound
implementation plan will seek to
increase the readily apparent benefits
for potential adopters of HIT through
a variety of mechanisms – the most
obvious being a monetary subsidy
given to those who adopt or a pen-
alty given to those who fail to adopt.
Three different ways to do this are
proposed below.

Winter 2010 | Business Sphere Magazine B 21


Healthcare Tomorrow

systems can be used in conjunction the government’s role in creating a catalyze adoption, perhaps this would
with other systems so as to streamline private sector entity. The process of lead to the desired improvements in
workflows and avoid re-adoption of appointing staff to the nonprofit also health care delivery after all.
expensive technologies in the future. allows for the possibility of involving
This would be result in an increase in clinical expertise in the development The role of government
efficiency and profits over time. The of standards. The bulk of the literature suggests two
assurance of interoperable, standard- possible roles for government, in-
ized HIT solutions would induce a Increase training and detailing cluding providing financial incentives
increase in flow of benefits to physi- If the problem with HIT adoption is for HIT adoption, and the creation
cians, thus leading to more adoption in part psychological, measures to of standards. While financial incen-
and higher willingness-to-pay for the increase physician perception of the tives are definitely necessary in the
expensive HIT systems. benefits of HIT may be just as use- short term for physician adoption,
ful as features that bring about true government should also have the role
In light of the problems presented increases in benefits to physicians. of helping to involve all stakehold-
with standardization, one solu- Additionally, more positive physi- ers in the HIT adoption process so
tion proposed is to create a neutral, cian perceptions would also lead to as to reduce barriers to adoption.
nonprofit organization in the private higher perceived efficiency, profits, This can be accomplished through
sector with the authority to manage and patient welfare, thus increasing physician-benefit oriented reforms.
all aspects of health data standards. physician utility. Thus, as a solution, As for the creation of standards, the
Work on standards would be coor- it may be in the best interest of the bulk of evidence seems to suggest
dinated at this level, and standards Office of the National Coordinator of that government involvement should
would be developed as a single, HIT to use the $2 billion in discre- be limited; it appears that the private
integrated effort governed by process tionary spending allocated by the sector needs to fuel development of
rules. Governance could be provided ARRA of 2009 (“for affiliated grants standards, and the proposed creation
with a permanent staff at the top lev- and loans”) in part to inform physi- of a nonprofit to drive standards de-
els of leadership (e.g. director, deputy cians about the current capabilities velopment addresses this concern. A
director, etc.) appointed by the Of- of HIT, its integration, and its rapidly key role of government will be to dis-
fice of the National Coordinator of improving state over the next sev- seminate information as HIT rapidly
Health Information Technology. This eral years. This can be accomplished changes, and the proposed spending
setup would represent the different through a variety of methods, includ- on supporting physician detailing
US Standards-Development Orga- ing subsidies to vendors for physician and developing training programs at
nizations (SDOs), check that they detailing, or by creating and/or subsi- all levels of a physician’s development.
adhere to the scope of their work, and dizing training courses for physicians
include all other stakeholders in the at all levels to become more aware of The medical industry faces a myriad
development of standards. HIT, its uses, and its benefits. of reforms; hopefully, Health Infor-
mation Technology implementation
The operating budget could be a Rapidly changing HIT solutions need will progress smoothly and reduce
combination of membership dues, to be met with rapidly disseminated costs for providers, insurance compa-
revenue from services, and govern- information through the above solu- nies, and consumers alike.
ment funding. Previous evidence tions so that physicians are aware of
in other markets, such as the de- the true benefits of HIT. David Brail- Brian S. De is a senior in Berkeley
velopment of barcodes and coding er, former Coordinator of HIT, argues College.
for grocery stores, or the develop- that aggressive adoption will lead to
Note: This article contains material derived from Professor Howard
ment of IEEE wireless standards better quality products and lower Forman’s ECON467 seminar. Further reading and references available
for computerized devices seems to costs, and subsequently more adop- upon request.

suggest that the private sector needs tion. Part of solving this HIT adop-
to fuel development of standards, tion problem seems to be inertial,
and this solution effectively manages so if the government can sufficiently

22 B Business Sphere Magazine | Winter 2010


Healthcare Tomorrow

Opinion: Tort Reform and Cost Reduction


Current medical malpractice tort litigation obstructs reform

By Chris Sweeney $30.4 billion for that year alone. 52% maintain our good health, feel obli-
of awards made exceeded $1 mil- gated to protect themselves from the
Medical malpractice tort litigation lion, with the average award coming people they are trying to help; clearly,
reform is currently a hot political out to roughly $4.7 million. These something must be done.
topic in the United States because numbers are all the more staggering
of the implications reform could when one considers that, according Unfortunately, there is no “silver bul-
have on health care costs. The law in to a report made in 1999 by the Insti- let” solution that will fix every prob-
America dictates that tort litigation tute of Medicine, roughly one out of lem and reduce costs. However, there
requires those responsible for harm- one hundred hospitalizations led to are a few small steps that should be
ing or injuring others to compensate serious injury. Of that relatively small taken to help move the process in the
the affected party, often in the form number of cases, only 4-7% of those right direction. One action involves
of large cash payments. More spe- injured filed suits. These numbers instituting a set of universal caps for
cifically, tort litigation allows pa- indicate that the huge litigation costs malpractice awards based on the type
tients who have been misdiagnosed and compensation payments are of injury suffered. This standardized
or improperly treated to file a suit stemming from lawsuits made by a system would be a fair way to deter-
against their doctors in order to seek select few people. mine how much should be awarded
compensation not only for lost wages and also help differentiate among
while in the hospital, but also for Even though the aforementioned different types of malpractice cases
things that are much more difficult to numbers might already seem outra- while providing some protection to
define, such as pain and suffering. geous, they do not even scratch the the medical community by limiting
surface of the costs that come from liability. These standards could be es-
Although some states have paved the malpractice lawsuits. Many doctors tablished by a board of medical pro-
way for reform by capping the maxi- engage in what is called “defensive fessionals and lawyers, which would
mum amount of money that can be medicine,” or the practice of ordering remove many steps from the costly
paid out for a malpractice suit, many expensive and potentially unneces- litigation process by classifying cases
states have yet to do so, which occa- sary tests/examinations in order to based on relevant facts and histori-
sionally results in multi-million dol- hedge against the possibility that a cal precedents before they ever make
lar settlements. These suits affect the patient has serious health issues. The it to court. Additionally, by limiting
entire medical system by driving up Pacific Research Institute estimates the medical community’s liability, it
costs and adversely affecting doctors’ that doctors spend $200 billion per could eliminate a large portion of the
behavior out of fear of such lawsuits. year on defensive medicine practices, costs associated with defensive medi-
As Americans, we have a clear need a number which dwarfs the costs of cine practices. If a doctor or practice
for tort litigation reform as a means malpractice litigation. Upon a closer knows that it will only be liable up
of driving down medical expenses look, a 2007 study by the Massa- to a certain predetermined amount,
and protecting the doctors that do so chusetts Medical Society found that the standardized payout caps could
much for our everyday health. a staggering 48% of Massachusetts create an incentive for doctors to run
The amount of money paid out for doctors surveyed admitted that they tests that might be unnecessary at a
malpractice lawsuits in the United changed some of their daily practices less frequent rate, resulting in fewer
States is staggering. In 2007, the in order to avoid lawsuits! Not only costs for all.
actuarial consulting firm Towers are these adverse changes extremely
Perrin gathered data on medical expensive, they are also unneces- Chris Sweeney is a senior in
malpractice tort litigation and found sary in many cases. It is a sad state Berkeley College.
that costs and payments exceeded of affairs when doctors, who work to

Winter 2010 | Business Sphere Magazine B 23


Feature

Songdo: Master Planned City


In an effort to increase foreign direct investment, South Korea is plan-
ning a multi-billion dollar city with with all the latest technology

By Christopher Lee master-planned city currently under ignated by the South Korean gov-
construction 40 miles west of Seoul. ernment as a Free Economic Zone.
How does one build a modern South Korea is not just playing Sim With a hefty price tag of $35 billion,
“city upon a hill”? Develop it with City on a hill of mud. Songdo City it comes with state-of-the-art facili-
“smart” buildings that monitor their is one of South Korea’s latest and ties built with cutting edge technolo-
own energy use? Beautify it with most important ventures to increase gy and top-notch cultural amenities,
parks, bike trails and ocean-fed ca- foreign direct investment in the next to architectural features mod-
nals? Install a city-wide data network country. Gale International, a U.S. eled after New York’s Central Park
that accepts a single smart-card real estate firm, and Posco, a Korean and Venetian canals.
house key for a subway ride, movie steelmaker, are the main backers of
rental, parking meter and more? its development. Built on a 1,500 Touted as the largest development
acre man-made island off the coast project undertaken by the private
Welcome to Songdo City, an entire of Incheon, the city has been des- sector in world history, the complet-

24 B Business Sphere Magazine | Winter 2010


ed city is expected to have 9,000 new
homes and 50 million sq. ft. of office
space. Gale International estimates
that the city will eventually house
65,000 residents and employ 300,000
workers. A top priority is making
Songdo a lush, “walkable” city; 40%
of the land has been allocated for
“green space.” If all goes according
to plan, Songdo will be environmen-
tally green as well. With a pneumatic
garbage disposal pipeline, extensive
rain collecting irrigation system and
fuel cell-powered buses, the entire
city is being built to meet the U.S.
Green Building Council’s LEED
certifications.

Through subsidies, tax incentives


and loosened regulations, Songdo Source: www.prweb.com
has drawn nearly $60 billion in
finance and investment during the as a globally replicable model for plexes. In 2006, the first 2,600 apart-
past six years. This money has been future “Smart+Connected” Commu- ments opened for purchase were
put to use on a variety of novel nities based on Songdo. In his words oversubscribed eightfold. In spite
projects, which include a centrally to Forbes, “It’s an adjacent business of the current global market con-
located 100-acre park boasting a we expect a lot from.” traction, Songdo will bring another
mile-long canal filled with 85,500 1,000 units to the market this year.
tons of purified seawater. Aside from Though many of the projects will
conserving freshwater, the canal will not be completed until about 2015, Despite the superior quality and
also allow for a water taxi system current developments are already popularity of the development, the
run by solar-powered boats. placing Songdo in the limelight. project as a whole has met several
Against tough competition, Songdo obstacles along the way. One major
But that’s not all. Developers also succeeded in becoming one of the issue has been the mixed-use of
hope to make Songdo avant-garde top candidates for the G-20 sum- retail, commercial and residential
in data networking. Data network mit in November 2010. According space in the new buildings. The top
giant Cisco will commit $2 billion to Incheon FEZ Commissioner Lee thirty floors of the NEATT were
over the next 3-5 years to coordinate Heon-Seok, “[Songdo] would be originally intended for residential
transportation, security, healthcare able to accommodate 700,000 people use. Construction of the tower was
and other municipal services within with 512,000 locals in its 230 multi- temporarily halted in July of this
a strategic common network –a con- story buildings with up to 40 floors.” year, when revisions in the govern-
cept known as the “Ubiquitous City” Convensia, the architecturally inno- ment’s regulations on condominium
(U-City). By establishing its Global vative convention center, itself holds sales caused Morgan Stanley, Kook-
Center for Intelligent Urbanization up to 10,000 people and provides min, and Woori banks to pull out
in Songdo’s signature Northeast Asia parking for 5,000 cars. due to fears of decreasing profitabil-
Trade Tower (NEATT), Cisco will ity. Gale deliberated with govern-
also provide the tools necessary to Songdo’s housing market has met ment officials to secure all necessary
construct intelligent buildings that similar success so far. In May, an permits to complete construction,
will monitor their own energy use estimated 45,000 visitors converged which is now slated for summer
and employee resource-consump- on Songdo in a single weekend to 2010.
tion data. Cisco’s chief globalization examine five new apartment com-
officer Wim Elfrink has touted this

Winter 2010 | Business Sphere Magazine B 25


Business News
Another issue surfaced regarding taxes for up to five years, and an ad- the national government success-
enrollment in Songdo’s Interna- ditional two years of half-exemption. fully continue its efforts to make
tional School. Hoping to attract In October, the government opened Songdo FEZ more marketable to
more foreign families into the city, the Incheon Bridge to cut travel time the global business community?
the government set a quota limit on from Incheon International Airport Developers at Gale certainly hope
the number of Korean students who to ten minutes. According to Berna so. Although Gale CEO John B.
could attend the school. Although Biotech CFO Mark Slijpen, both the Hynes might not plan on seeing
the school was designed to accom- city’s proximity to the airport and a return on the firm’s investments
modate 2,100 students, only 30% the tax exemptions within its FEZ for the next couple years, he and
were allowed to be Korean. As of played a key role in Berna’s decision others at Gale believe that Songdo
February this year, only 50 of the 744 to commit $30 million earlier this will attract more residents as it
foreigners registered in Songdo were year. lures more corporations to create
still of school age. Insufficient enroll- new jobs. Professor Jongryn Mo of
ment delayed the opening of the Meanwhile, the Gyeonggi Provin- Seoul’s Yonsei University notes that
school, which is currently on hold cial Government is planning the the national government is already
due to concerns from the Korean construction of a 90-mile Great “in a big bind, and can’t pull out of
Ministry of Education regarding the Train Xpress (GTX) rail line in and the project.”
reputation of the school operator, around Seoul, Incheon and Songdo.
Vancouver International Primary Expected to cut travel time between In terms of long-term financial
and Secondary School. the cities by at least half, the GTX sustainability, it may also be in the
will hopefully expedite business and city’s best interest to diversify its
Beyond its city limits, Songdo faces communication between Songdo economy by attracting a range of
additional challenges from neigh- and the Seoul metropolis. The total manufacturers and service provid-
boring competitors. In a statement cost of this project is estimated to be ers that will increase stability as
to Reuters, Samsung Economic roughly $12 billion. well as profitability. Songdo could
Research Institute fellow Soojong improve its economic stability by
Kwak voiced concern over the fact Some skeptics fear that Songdo may securing investment from a num-
that the rapid development of South follow the fate of previously master- ber of industrial firms with less
Korea’s six FEZs ran the danger planned cities such as Canberra and elastic demand for labor. Songdo
of “overheated competition”. The Brasilia, and end up as an “urban would also increase its chances of
Incheon, Yellow Sea, Busan-Jinhae, theme park.” Others are skeptical success by studying the real estate
Saemangeum-Gunsan, and Gwang- about the effectiveness of the FEZs market from a long-term perspec-
yang FEZs are all marketing their in improving South Korea’s econo- tive. Considering examples such
high-tech and logistical capacity to my. According to Reuters, several as San Francisco’s experience with
become a business hub for northeast analysts voiced concerns regard- plummeting real estate prices and
Asia. According to Kwak, “The ad- ing the absence of more expansive surplus office space in the global
vantage from local arbitrage against reform of barriers to foreign own- market contraction of the 1970s,
China is close to zero,” and the South ership in Korea beyond the FEZs. developers might also want to exer-
Korean zones will face stiff competi- Randall Jones, head of the Japan and cise caution when determining the
tion from their rivals in China. Korea desk at the Organization for fine line between demand driven
Economic Cooperation and Devel- by speculation and long-term de-
As of yet, however, Songdo con- opment, emphasizes that the FEZs mand in the market.
tinues to draw new converts. In should not “distract policymakers
January 2009, the national govern- from these more important priori-
ment changed the law so that with a ties.” Christopher Lee is a sophomore in
minimum investment of $30 million, Branford College.
foreign manufacturers in the FEZs Will Songdo be able to sustain its
could receive full exemption from all current and projected growth? Will

26 B Business Sphere Magazine | Winter 2010


Business News

Federal Reserve Chairman Ben Bernanke


From Spelling Bee Champ to Savior of the Economy

By Lindsey Raymond Bernanke’s academic expertise is shortfalls. Just 7 days later, Bank of
particularly pertinent in the current America’s purchase of Merrill Lynch
As Chairman of the Federal Reserve, economic crisis. He wrote exten- for $50 bn was overshadowed by
Ben Bernanke may have one of the sively on the causes of the Great the decision of Bernanke and then
highest-pressure jobs in the world. Depression, arguing that financial Secretary of the Treasury Henry
On the other hand, Bernanke may disruptions during the early 1930s Paulson to let financial services in-
be the best prepared Federal Reserve reduced the availability of credit, dustry giant Lehman Brothers fold.
Chairman in history. depressing aggregate demand. On September 16, 2008, an $85 bn
Bernanke’s “financial accelerator” loan was extended to rescue Ameri-
Bernanke, born December 13, 1953, theory, which explains how slight can International Group (AIG). The
displayed flashes of brilliance as a economic downturns are worsened loan was heavily scrutinized because
student in South Carolina. At age by lending restrictions, strengthens AIG was an insurance company, not
eleven, Bernanke won the South his argument about the importance a bank, and therefore not under the
Carolina State Spelling Bee. Class of credit availability during depres- jurisdiction of Bernanke. The Fed
valedictorian in high school, Ber- sions. Bernanke’s interest in credit also introduced a temporary pro-
nanke chose to continue his educa- led to the idea of a “savings glut,” gram of low-cost overnight loans to
tion at Harvard University. Bernan- or that a worldwide oversupply of investment banks, poured almost
ke graduated from Harvard in 1975 savings finances the current US ac- $300 bn into global credit markets,
summa cum laude with a B.A. in count deficit and keeps interest rates announced a program to buy up
economics and he later received his low. Today, Bernanke is primarily companies’ unsecured debt, and
Ph.D. in economics from MIT with identified by his stance on inflation. attempted to shore up confidence
a thesis entitled “Long-Term Com- Bernanke was recently criticized by in money market mutual funds.
mitments, Dynamic Optimization, the media for being soft on inflation Although inflation will be one of the
and the Business Cycle.” after saying, “People know that infla- most important concerns moving
tion erodes the real value of the gov- forward as the Federal Reserve be-
Bernanke then went on to teach ernment’s debt, and therefore, that it gins to unwind its stimulus package,
at Stanford’s Graduate School of is in the interest of the government Bernanke’s response to the financial
Business and New York University, to create some inflation.” In the same crisis has been generally approved of
before settling down at Princeton, 2002 speech, Bernanke stated the by economists and led to his reap-
where he obtained tenure and served government can always avoid defla- pointment as Federal Reserve Chair-
as chair of the Economics Depart- tion by issuing more money, earning man by President Obama.
ment from 1996 to 2002. A former him the nickname “Helicopter Ben.”
editor of the American Economic Bernanke’s most difficult tasks lie
Review, Bernanke also wrote four Under Bernanke, the Federal Re- ahead. Given his drive towards aca-
textbooks on economics during his serve has engaged in some of the demic success, it is unsurprising to
time at Princeton and is among the most controversial monetary and fis- see that Bernanke is fully committed
50 most published economists in cal policy measures in recent memo- to doing whatever it takes to steer
the world. A member of the Board ry. On September 7, 2008, Bernanke America out of the recession.
of Governors of the Federal Reserve was involved in the seizure of Fannie
System from 2002 to 2005, Bernanke Mae and Freddie Mac, committing Lindsey Raymond is a sophomore in
was appointed Alan Greenspan’s up to $100 bn to each corporation Timothy Dwight College.
successor in February 2006. in order to backstop any capital

Winter 2010 | Business Sphere Magazine B 27


Business News

Financial Booms and Busts


The credit crunch of 2008 and beyond

By Vivek Raman tal Management’s downfall in the


and bust cycle; just as the U.S. has Asian crisis. Easy availability of
The world has recently seen some recovered from previous crises, it money and credit was blatantly
of the most extraordinary financial will recover this time as well. Final- present in the Gilded Age bubble
events in over half a century. We ly, the article will end with a discus- that preceded the Great Depres-
have witnessed the largest corpo- sion on how current governmental, sion. The credit crisis of 2008 is no
rate bankruptcy of all times in the public, and private policy will shape different. Let us briefly examine the
form of Lehman Brothers. We have the future of the United States and major catalysts and their specific
seen the United States government, global financial landscape. role in the current crisis.
reputed for its promotion of free-
market, cowboy-style capitalism, Time and again throughout history, One is the easy availability of
bail out several financial institutions we have seen common phenomena money and credit and excessive
like Bear Stearns and insurance occur that help bubbles grow. These amounts of borrowing and lending:
and mortgage giants such as AIG, catalysts include: feedback loops fu- the underlying housing boom that
Fannie Mae, and Freddie Mac, in elled by human overconfidence and gained momentum in the early part
an unprecedented series of actions greed, easy availability of money of this decade encouraged those
that the growing number of critics and credit, excessive amounts of who previously did not own homes
are dubbing as socialism. Indeed, borrowing and lending, huge levels to jump on the bandwagon of real
we are going through what seems of leverage that are always justifiable estate speculation. This required
like the mother of all bubble-and- at the time, financial innovation borrowers to take out massive loans,
bust cycles, and the entire world to create the illusion that risk has and lenders were all too happy to
is convinced that the financial and disappeared, governmental policy comply and write as many loans as
corporate landscape of the United decisions that fuel the bubble and a possible to boost short-term profits.
States will change forever. Some believable story that sounds absurd
are even saying that the days of US in hindsight but is universally ac- Huge levels of leverage were a
dominance are over, and that it will cepted at the time. recipe for disaster. Bear Stearns and
never recover to the level of pros- Lehman Brothers were leveraged
perity it, as a nation, had achieved Scholars of all financial crises, rang- 30:1, meaning they borrowed $30
before the disastrous credit crunch. ing from the Dutch tulip mania to for each dollar that they had. This
the Great Depression to the spec- seems foolish, but leverage is a feed-
This worldview is unfounded, unre- tacular bubble economy of Japan back loop: if one firm takes on le-
alistic, and simply untrue. To sub- in the 1990s and its ensuing bust, verage and makes additional profit,
stantiate such a contrarian claim, will attest to these common factors other firms need to do the same or
this article will analyze common manifesting themselves to cre- they lose their competitive edge and
catalysts that have driven virtually ate speculative bubbles. The tulip subsequently market share.
every historical bubble-and-bust cy- mania was fuelled by the believ-
cle. It will then relate these catalysts able story that tulip prices would Financial innovation created the il-
to the current crisis, proving that rise forever. Excessive leverage was lusion that risk was eliminated. The
this crisis is simply another boom a symptom of Long Term Capi- creation of securitization to spread

28 B Business Sphere Magazine | Winter 2010



prices in the United States would amount of liquidity from reaching
never go down. There has never the consumer market. Therefore,
been, and likely never will be, any the risk the United States runs is
By subsidizing and asset on the market whose price not that of an inflationary scare,
will never go down. However, Wall or even necessarily of following
incentivizing home Street’s bets, borrowers’ mortgages, Japan’s fate into a prolonged state of
purchases rather than and the whole subprime market deflation and low growth. Instead,
itself were all based on the then- the main risk the U.S. runs is that of
home rentals, the gov- believable assumption that home an echo bubble forming as a result
ernment itself fueled prices would never decline. of the government’s current poli-
cies. Indeed, 2009 has shown us a
the housing bubble This bubble-and-bust cycle has all massive recovery in stocks as well as
that culminated in the the same attributes of historical commodities, bonds, and basically
cycles. The government and the all paper and hard asset markets.
catastrophic bust. Federal Reserve have responded These have been largely fuelled by
appropriately, with huge monetary the unprecedented zero percent
injections akin to pumping steroids interest rate set by the Federal
risk to thousands of counterparties
into the financial system, and the Reserve, which will likely have un-
coupled with the invention of intri-
United States will recover despite intended consequences in precipi-
cate financial products like collat-
all the naysayers’ cries of doom tating another bubble. If another
eralized debt obligations (CDOs)
and destruction. As Michael Lewis bubble starts forming, the world
and even collateralized debt obliga-
states in his book, Panic: The Story will quickly forget about the current
tions of an existing basket of CDOs
of Modern Financial Insanity, “How credit crisis and volumes of pro-
(CDO squared) eliminated risk
many times does the end of the posed legislation that would help
via hedging mathematically and
world as we know it need to arrive solidify the financial system, such
theoretically, but in reality, the in-
before we realize that it’s not the as regulating derivatives like CDSs
ability to price these products and
end of the world as we know it?” and CDOs and imposing stronger
to assess the complex risks arising
capital requirements and leverage
from their arrival in the financial
This brings us to the final point of limits, will likely not be passed into
marketplace created a false sense of
this article: a brief speculation of law. Just as the low interest rates
financial invincibility.
the future, of how the landscape of from the tech bubble contributed to
the financial sector and corporate an even bigger housing bubble, we
Governmental policy decisions
America will change in the after- need to prepare for the Fed’s even
helped create the bubble. The Bush
math of this undeniably destructive stronger reaction to the credit crisis
administration undertook the am-
credit crunch. As noted earlier, the forming a super-bubble that could
bitious task of creating a “home-
Federal Reserve has admirably in- come even closer to wiping out the
ownership society” in which every
jected liquidity into a financial sys- global financial system.
American that wanted a home
tem that had suffered the equivalent
could own it. Therefore, by subsi-
of a heart attack, thereby preventing Vivek Raman is an accelerated junior
dizing and incentivizing home pur-
a complete global financial melt- in Davenport College.
chases rather than home rentals,
down. Such strong, quick action
the government itself fueled the
was absolutely necessary and helped
housing bubble that culminated in
avoid another Great Depression.
the catastrophic bust.
Moreover, the Federal Reserve,
having learned from mistakes made
Virtually every American, whether
during the Depression, has the tools
the layman from Main Street or a
to prevent rapid hyperinflation
banker on Wall Street or even the
by restricting the money supply
“maestro,” the deified Alan Greens-
and preventing the unfathomable
pan himself, believed that home

Winter 2010 | Business Sphere Magazine B 29


International Perspective

Make Way for the Indian Juggernaut


Rustomjee Navroze, of Tata Motors India, uncovers the powerful ambition
steering India’s automobile industry
By Siddhant Jhunjhunwala
it is a huge achievement for Indian crisis have definitely been partially
Business Sphere Magazine (BSM): companies to be participating in such successful, a consequence that formed
Mr. Navroze, how would you high-stakes transactions. Politically, the crucial groundwork for the suc-
describe India’s role in the global there now exists tremendous good- cess of Tata this year, along with many
automobile sector? will between Ford and Tata. And other Indian companies. It is also
emotionally, of course, it remains a important to observe the growing
Rustomjee Navroze (RN): It’s been matter of huge pride and prestige that role of public-private partnerships in
revolutionary. As any business cars that are synonymous with luxury Indian development: from the fields
student would tell you, the previ- now sit gleaming in showrooms in of energy and electricity to those of
ous few decades have seen the Asian Mumbai through an Indian firm—in infrastructure, private companies
tiger economies of Korea and Japan all aspects, this has been a giant leap stepping in to provide competitive
invade and successfully conquer niche for Tata. The fact that India remains services have become an essential part
automobile markets in the developed relatively buffered from the current of the business landscape, provid-
world. 2009 has undoubtedly been the economic crisis spewing in the USA ing an excellent example of how the
year of India, and we at Tata Motors and the UK has definitely made it public and private sectors of India
believe that the time has come for a desirable investment sink. While can reinforce each other. This same
India to lead as the vanguard of an there was a significant drying up of vision for an India that forms a shin-
automobile revolution. The automo- liquidity felt in this sector as well ing beacon of efficiency is what we
bile sector in Asia is still very much in during the current economic environ- at Tata cherish. Looking at Asia as a
its growth phase; the Indian market ment, investment flows into India whole is formidable; the sheer human
grew by an astounding 10% overall still reached a record level of 20% at capital in terms of labour and exper-
during the year. And we need to cater 120,000 crores ($25 bn). tise, when combined with the rate at
to these huge emerging markets with which Western technology is being
very different needs—the 1-lakh BSM: Looking at Asia’s past and imported and absorbed, is explosive.
($2,145) Tata Nano car is such an future trends concerning the four- Historically, there have always been
example. Not only has the response wheel automobile industry, what are two superpowers competing against
in this niche sector of small vehicles your immediate thoughts? each other on the globe. But that plot
been far greater than anticipated, but is about to change and transform into
the excitement has actually translated RN: Looking into India’s past history a one-hero game, and that sole player
into very large pre-booking orders for within this business sector, it does will be Asia. It is so fascinating to see
the Nano. seem unfortunate that large-scale the immense potential that is brewing
and hugely beneficial projects like the within the countries of this region.
BSM: But surely for a company with Tata Nano still find a political span- The West should be analyzing the
as global a vision as Tata Motors, ner in the works sometimes—while combined power of the Asian nations
positioning well on the internation- India is flourishing commercially, our and the consequences Asian growth
al market will be important too. government needs to be updated and will soon have on the power balance
steer the country rather than act as a of the globe.
RN: Absolutely. I feel a tremendous deadweight on the shoulders of young
milestone was achieved this year India. Having said that, the measures Siddhant Jhunjhunwala is a
with the acquisition of Ford Motor’s taken by them to curtail the economic sophomore in Pierson College
Jaguar and Land Rover. Economically,

30 B Business Sphere Magazine | Winter 2010


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