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Monday, October 28, 2024

Japan's ruling party loses its majority in blow to new PM

Shaimaa Khalil and Kelly Ng - BBC News in Tokyo and Singapore
Mon, October 28, 2024 

The election was called by the LDP’s new leader Shigeru Ishiba before he had been officially sworn in as prime minister [Getty Images]

The coalition led by Japan’s ruling Liberal Democratic Party (LDP) has lost its majority in parliament, its worst result in over a decade.

The LDP and its much smaller coalition partner Komeito, have taken 215 seats together, falling short of the 233-seat majority needed to govern. The party's new leader Shigeru Ishiba said there are no plans to expand the coalition at this stage.

Ishiba, who called the election just days before he was sworn in as prime minister, has vowed to stay in office despite the LDP's loss of parliamentary majority.

In a speech on Monday, he said the party has received "severe judgement", adding they would "humbly" accept this.

"Voters have handed us a harsh verdict and we have to humbly accept this result," Ishiba told national broadcaster NHK.

"The Japanese people expressed their strong desire for the LDP to do some reflection and become a party that acts in line with the people's will," he said.

Ahead of the election, Japanese media had reported that if the LDP loses its parliamentary majority, Ishiba could quit to take responsibility, which would make him Japan's shortest-serving prime minister in the post-war period.

This is the first time the LDP has lost its parliamentary majority since 2009. Since its founding in 1955, the party has ruled the country almost continuously.

The result comes after a tumultuous few years for the LDP which saw a “cascade” of scandals, widespread voter apathy and record-low approval ratings.

The party had seen approval ratings of below 20% earlier in the year, in the wake of a political fundraising corruption scandal.

Ishiba on Monday pledged to reform "enact fundamental reform regarding the issue of money and politics".

"We need to answer to the people’s criticism. That is how I will take responsibility for the loss of the election," he said.

He also promised to revitalise rural Japan and tackle inflation.

Meanwhile, largest opposition party, the Constitutional Democratic Party (CDP), won 148 seats at around 02:00 JST (17:00 GMT), according to NHK.

Yet opposition parties have failed to unite, or convince voters they are a viable option to govern.

The CDP, which is the main opposition party, had an approval rating of just 6.6% before parliament was dissolved.

CDP leader Yoshihiko Noda on Monday said he plans to work with other parties to oust the incumbents.

“It is so hard to make decisions to choose parties, I think people are losing interest,” Miyuki Fujisaki, a long-time LDP supporter who works in the care-home sector, told the BBC ahead of polls opening.

The LDP, she said, has its problems with alleged corruption, “but the opposition also does not stand out at all”.

“They sure complain a lot, but it’s not at all clear on what they want to do,” the 66-year-old said.

Early on Monday, the benchmark Nikkei 225 stock index was up by around 1.5%, while the yen fell against the US dollar.

For all the apathy, politics in Japan has been moving at a fast pace in recent months.

Ishiba took over as prime minister after being voted in by the LDP following his predecessor Fumio Kishida - who had been in the role since 2021 – making a surprise decision to step down in August.

The move to call the election came at a time when the LDP is desperate to restore its tarnished image among the public. Ishiba - a long-time politician who previously served as defence minister - has described it as the “people’s verdict”.

A series of scandals has tarnished the party’s reputation. Chief among them is the party’s relationship with the controversial Unification Church - described by critics as a “cult” - and the level of influence it had on lawmakers.

Then came the revelations of the political funding corruption scandal. Japan’s prosecutors have been investigating dozens of LDP lawmakers accused of pocketing proceeds from political fundraising events. Those allegations - running into the millions of dollars - led to the dissolution of powerful factions, the backbone of its internal party politics.

“What a wretched state the ruling party is in,” said Michiko Hamada, who had travelled to Urawa station, on the outskirts of Tokyo, for an opposition campaign rally.

“That is what I feel most. It is tax evasion and it’s unforgivable.”


[Reuters]

It strikes her as particularly egregious at a time when people in Japan are struggling with high prices. Wages have not changed for three decades – dubbed “the lost 30 years” – but prices have risen at the fastest rate in nearly half a century in the last two years.

This month saw more price hikes on thousands of food products, as well as other day-to-day provisions like mail, pharmaceuticals, electricity and gas.

“I pay 10,000 yen or 20,000 yen ($65 - $130; £50 - £100) more for the food per month (than I used to),” Ms Hamada said.

“And I’m not buying the things I used to buy. I am trying to save up but it still costs more. Things like fruit are very expensive.”

She is not the only one concerned with high prices.

Pensioner Chie Shimizu says she now must work part-time to make ends meet.

“Our hourly wage has gone up a bit but it does not match the prices,” she told the BBC as she picked up some food from a stand at Urawa station.

“I come to places like this to find something cheaper and good because everything in regular shops is expensive.”

Additional reporting by Chika Nakayama


Japan plunged into political uncertainty after voters deliver dramatic defeat to longtime ruling party

Helen Regan and Yumi Asada, CNN
Mon, October 28, 2024 

Japanese voters delivered a stinging rebuke to the country’s longtime ruling party in elections Sunday, plunging the world’s fourth largest economy into a rare period of political uncertainty.

Japan’s Liberal Democratic Party, which has governed almost continuously since 1955, has lost its parliamentary majority in the powerful lower house for the first time in 15 years.

Public anger and distrust in the government had been growing over rising living costs, inflation and a massive political funding scandal at the heart of the LDP, with voters voicing their discontent at the ballot box.

The LDP and its coalition partner Komeito secured just 215 of the House of Representatives’ 465 seats, short of the 233 needed to reach a majority, according to public broadcaster NHK.

The result is a major blow to freshly minted Prime Minister Shigeru Ishiba, whose gamble to call a snap election to bolster his position after taking office only this month dramatically backfired.

Ishiba said Monday that voters had delivered an “extremely harsh judgement” his party must take “seriously and solemnly,” but also indicated he would not step down as prime minister.

“I myself will also go back to the start and promote severe internal reforms within the party and further drastic reforms regarding the political situation,” he said.

Ishiba said the party did not have a coalition in mind to put forward to govern but it will begin by “discussing each of the party’s policies.”

Elections for Japan’s lower house are usually a foregone conclusion, with the conservative LDP dominating the country’s post-World War II political scene.

Now, it’s unclear who will govern Japan as Ishiba, a former defense minister and political veteran, may struggle to form a government.

Ahead of the elections, the LDP and its junior coalition partner Komeito had a stable majority of 279 seats while the LDP alone had 247. On Sunday, the LDP won just 191 seats – its worst result since 2009, when the party suffered its biggest defeat and was forced to hand control to an opposition party.

To remain in power, the LDP could try and bring other parties into its coalition or rule via a minority government, with both options putting Ishiba’s position as prime minister in jeopardy.

The main opposition Constitutional Democratic Party of Japan (CDPJ) won 148 seats, a significant increase from 98. CDPJ leader Yoshihiko Noda said in a press conference Sunday, “Our goal was to break the ruling party’s majority, and we achieved it, which is a great accomplishment.”


Japan's Prime Minister Shigeru Ishiba speaks to the media at the Liberal Democratic Party's (LDP) headquarters. - Takashi Aoyama/Pool/REUTERS


Fresh setback

Before the election, the LDP faced falling approval ratings and public discontent over one of the country’s biggest political scandals in decades. Families and households are facing increased financial burdens, which have been exacerbated by the weak yen, a sluggish economy and high inflation.

The funding scandal involved millions of dollars in undocumented political funds, with some factions in the party accused of paying lawmakers with the proceeds of fundraising sales as kickbacks, or failing to properly declare their income.

Former Prime Minister Fumio Kishida tried to contain the damage by replacing several cabinet ministers and dissolving LDP factions, essentially coalitions within the party. But he faced calls to resign and announced in August that he would not run for a second term.

Ishiba reportedly said he would not officially endorse some party lawmakers caught up in the scandal, but they were allowed to run as independents.

The Prime Minister has also appeared to backtrack on a number of positions since becoming LDP president. He had supported legislation that could allow married women to keep their maiden names, but later said it called for “further discussion,” according to Kyodo News.

As defense minister, Ishiba was strong on deterrence as a security issue. Before the election, he proposed an Asian version of the NATO security bloc, an idea he has apparently dropped after it was rebuffed by the US.

Ishiba has also pledged financial help to low-income households, a higher minimum wage, and regional revitalization, according to Reuters. He promised a “full exit” from Japan’s high inflation rates, vowing to achieve “growth in real wages.”

Japan’s elections come just over a week before the United States votes for a new President. Ishiba has made strengthening Japan’s relations with the US a priority and seeks deeper ties with allies amid growing security challenges in Asia, including an increasingly assertive China and belligerent North Korea.

Partnership with Japan has long been central to US strategy in the Asia-Pacific region, and Ishiba’s predecessor Kishida this year expanded Japan’s defense cooperation with its key ally. Ishiba has called for a more balanced relationship, including having greater oversight of US military bases in Japan, Reuters reported.

On Monday, Ishiba told reporters Japan “will strengthen our ties with the United States even more” and maintain the “extremely good Japan-US relationship and work to strengthen the free and open international order.”
In a political culture that prizes conformity, Ishiba has long been something of an outlier, willing to criticize and go against his own party. That willingness to speak out has made him powerful enemies within the LDP but endeared him to more grassroots members and the public.

Now, the jockeying for power will kick off with all parties seeking alliances to secure enough seats to form a government.

Ishiba and the LDP’s political future is uncertain, and one of the world’s most important economies faces a period of instability until upper house elections next summer.

This story has been updated with additional information.


Japan’s politics gets a rare dose of upheaval after snap election

Shaimaa Khalil - BBC  Tokyo correspondent
Sun, October 27, 2024 

PM Shigeru Ishiba's governing Liberal Democratic Party (LDP) has lost its majority [Getty Images]
Japanese elections are normally steady and boring affairs - but this snap election was neither.

The dramatic vote follows a political funding corruption scandal that was revealed last year, which implicated senior lawmakers and cabinet members from the ruling Liberal Democratic Party (LDP), tarnishing its image and angering the public.

It was the perfect storm - a scandal that saw dozens of LDP lawmakers investigated over pocketing millions of dollars in proceeds from political fundraisers, while households struggled with inflation, high prices, stagnant wages and a sluggish economy.

In the end, a furious and tired electorate sent a strong message in Sunday's vote, punishing the LDP at the ballot box. And it was a stunning blow: a party which had ruled Japan almost continuously since 1955 lost its single-party majority in the powerful lower house.

But there was no clear winner either. A fractured opposition failed to emerge as a viable alternative when the public was looking for one.

Although severely bruised, the LDP still won more seats - 191 - than the biggest opposition party, the Constitutional Democratic Party (CDP), whose final tally stands at 148 seats.

“This election appears to be about voters who are fed up with a party and politicians they see as corrupt and dirty. But it’s not one where they want to bring about a new leader,” said Jeffrey Hall, a lecturer at Kanda University of International Studies.

And yet the old leadership's fate is unclear. The LDP's governing coalition has fallen short of the halfway mark - 233 seats in the 465-member Diet - after its ally Komeito lost several seats, including that of its chief.

Even with Komeito's 24 seats, the LDP will be unable to muster a majority.

It's a "severe judgment", said Prime Minister Shigeru Ishiba, who was sworn in as prime minister only early this month after winning a tight party leadership race.

Voters had "expressed their strong desire for the LDP to reflect and become a party that will act in line with the people's will", he said on Sunday, as results emerged.

Japan's ageing population is one of the biggest challenges for the next government [Getty Images]

The hope was that Ishiba as leader could save the LDP at the ballot - rising discontent and plummetting ratings had forced out the last PM, Fumio Kishida.

Still, Ishiba took a gamble when he announced a snap election less than a month ago - and it has backfired.

Both he and his party underestimated the extent of public anger and, crucially, their willingness to act on it.

To stay in power, the LDP will now need to form a coalition with other parties it fought in the election. And it will do so from a position of significant weakness because it must negotiate and make concessions to survive.

It is hard to overstate how rare this is - the LDP has always enjoyed a safe and steady place in Japanese politics.

And it has a strong track record of governance – when the opposition did take over in 1993 and 2009, it ended badly.

Japan's ruling party loses its majority in blow to new PM

Japan’s embattled PM had a cruel summer – it ends with his exit

Since the LDP came back to power in 2012, it has managed to win every election, almost uncontested. There has long been resignation about the status quo, and the opposition remains unconvincing to the Japanese people.

“I think we [the Japanese] are very conservative,” Miyuki Fujisaki, a 66-year-old voter, told the BBC a few days before the election.

“It’s very hard for us to challenge and make a change. And when the ruling party changed once [and the opposition took over], nothing actually changed in the end, that’s why we tend to stay conservative."

Ms Fujisaki said that she had inititially been unsure who to vote for, especially with the fundraising scandal hanging over the LDP. But given that she had always voted for them, she said she was probably going to do the same this time too.

Although the main opposition party - the CDP - made significant gains, observers say these results are less about voters endorsing the opposition than about their ire with the LDP.

Despite voters wanting to hold their politicians accountable, “in [their] minds... there really is no-one else" they trust to lead the country, Mr Hall said.

What that leaves Japan with is a weakened LDP and a splintered opposition.

The country has long been seen as a beacon of political stability, a haven for investors and a reliable US ally in an increasingly tense Asia Pacific. So the uncertainty is concerning not just for its own people, but also its neighbours and allies.

At home, a shaky coalition will not help with turning the economy around, raising wages and improving welfare for a rapidly ageing population.


Japan election results plunge country into political crisis as ruling coalition loses majority

Adam Withnall
Sun, October 27, 2024

Prime minister Shigeru Ishiba reacts to the election results in a press conference at LDP party headquarters (JIJI PRESS/AFP via Getty Images)

Japan’s ruling coalition has lost its majority in a punishing set of results from Sunday’s general election, throwing the country into the kind of political instability not seen for decades.

With the final constituency accounted for, prime minister Shigeru Ishiba’s Liberal Democratic Party (LDP) and its junior coalition partner Komeito had just 215 seats, down from 279 and well short of the 233 needed to form a government.

It is the worst result for the LDP – which has ruled Japan for 65 of the past 69 years – since 2009, when it briefly fell out of power.



A chastened-looking Mr Ishiba told TV Tokyo it was a “very tough” election for the party, which had its reputation badly damaged by a corruption scandal involving money siphoned off from party fund-raising events.

Of 46 candidates who admitted to financial reporting errors and either had the whip withdrawn or partially lost the party’s backing, only 18 were able to retain their seats. Analysts say those who won as independents may be brought back into the LDP fold now that they have been approved by the voters.


People vote during the general election at a polling station in Tokyo on Sunday (EPA)

The result shows the “severe” level of public distrust in the LDP as a result of the slush fund scandal, Yu Uchiyama, professor of political science at the University of Tokyo, told The Independent.

“Unless Ishiba and the LDP seriously implement political reform, they might not be able to recover people’s support,” he said.

Some of the biggest names in the ruling coalition failed to win seats, including Komeito’s leader Keiichi Ishii. “We have no choice but to rebuild the party,” after Mr Ishii’s defeat, a party spokesperson told reporters.


File: Shigeru Ishiba and Keiichi Ishii (left) of the Komeito Party are seen during an election campaign event in Soka (AP)

The opposition party that gained the most from the collapse in LDP support was the Constitutional Democratic Party (CDP), which outperformed expectations to take 148 seats, up from 98 at the last election.

Opposition leader Yoshihiko Noda celebrated the results at a press conference, telling the media: “We accomplished our goal of preventing the ruling coalition from a majority, which was a major achievement.”

Yet while opposition parties collectively won enough seats to form a majority, a grand coalition between them is seen as unlikely given they span the full political spectrum and have drastically opposed views on key matters from fiscal and defence policy to the use of nuclear energy.

Opposition leader Yoshihiko Noda reacts to the Constitutional Democratic Party’s strong exit poll results on Sunday evening (EPA)

With its 191 seats the LDP remains the single largest party and could still cobble together a government by adding a third coalition partner.

Mr Ishiba declined to comment on the shape of power-sharing talks until the full results are formally declared, but he is most likely to turn first to either the centrist Democratic Party for the People or the conservative Japan Innovation Party. They took 28 and 38 seats respectively.

Both parties have previously ruled out a formal coalition with the LDP, however, meaning at best they are likely to only join a partial coalition where the government would have to approach them for their backing on legislation on a case-by-case basis.

Such a fragile government will inevitably leave Mr Ishiba vulnerable to a leadership challenge from within his own party. Waiting in the wings is Sanae Takaichi, the preferred choice from the ultra-conservative faction of the LDP who Mr Ishiba, a moderate, defeated in last month’s leadership election.


Japan’s then-economic security minister Sanae Takaichi speaks during a press conference in September 2024 to announce her candidacy for the party leadership (AP)

Mr Ishiba was seen as having decent approval ratings after that victory and called the snap election in order to try and capitalise on his honeymoon period. Yet his popularity tanked as he U-turned on a number of policies – including creating an Asian version of Nato, support for same-sex marriage and the right for married individuals to choose to keep different surnames – after entering office.

Sunday’s election was held amid an atmosphere of deep voter apathy in Japan, with little fanfare or excitement seen on the streets of Tokyo. Voters described being put off the LDP by the slush fund scandal yet reluctant to vote for the opposition given their lack of experience running the world’s fourth-largest economy.

This sentiment was borne out by the turnout figures, down almost two percentage points to 53.84 per cent as of the preliminary results at 9am on Monday morning. That’s the third-lowest turnout in Japan’s post-war history, and one of the worst among any developed nation.

Japan's ruling coalition loses majority, election outcome in balance

Sakura Murakami, John Geddie and Tim Kelly
Updated Sun, October 27, 2024 at 6:02 PM MDT
4 min read


Yahoo is using AI to generate takeaways from this article. This means the info may not always match what's in the article. Reporting mistakes helps us improve the experience.Generate Key Takeaways


By Sakura Murakami, John Geddie and Tim Kelly

TOKYO (Reuters) -Japan's ruling coalition lost its parliamentary majority in a drubbing at Sunday's national election, raising uncertainty over the make-up of the next government and the outlook for the world's fourth-largest economy.

Prime Minister Shigeru Ishiba's Liberal Democratic Party (LDP), which has ruled Japan for almost all of its post-war history, and junior coalition partner Komeito took 215 seats in the lower house of parliament, public broadcaster NHK reported.

That was down from the 279 seats they held previously and marked the coalition's worst election result since it briefly lost power in 2009.

"This election has been very tough for us," a sombre-looking Ishiba told TV Tokyo.

Komeito's Keiichi Ishii, who took over as that party's new leader last month, lost in his district.

The biggest winner of the night, the main opposition Constitutional Democratic Party of Japan (CDPJ), had 148 seats, up from 98 previously, as voters punished Ishiba's party over a funding scandal and inflation.

The outcome may force parties into fractious power-sharing deals to rule, potentially ushering in political instability as the country faces economic headwinds and a tense security situation in East Asia.

"This is not the end, but the beginning," CDPJ leader Yoshihiko Noda told a press conference, adding that his party would work with other opposition parties to aim for a change of government.

Ishiba earlier in the night said he would wait until the final results before considering potential coalitions or other power-sharing deals.

The prime minister had called the snap poll immediately after being elected to head the party last month, hoping to win a public mandate for his premiership. His predecessor, Fumio Kishida, quit after his support fell due to anger over a cost of living crunch and the scandal involving unrecorded donations to lawmakers.

The election also took place nine days before voters in the United States - Japan's closest ally - head to the polls in another unpredictable ballot.

POLITICAL DEALS, MARKET JITTERS

The yen fell to a three-month low and Japanese stocks are expected to decline while longer-dated government bond yields are seen rising as investors react to the uncertainty.

"The voters' judgment on the ruling bloc was harsher than expected," said Saisuke Sakai, senior economist at Mizuho Research and Technologies.

"Uncertainty over the administration's continuity has increased, and the stock market is likely to react tomorrow with a sell-off, especially among foreign investors."

The LDP has held an outright majority since it returned to power in 2012 after a brief spell of opposition rule. It also lost power briefly in 1993, when a coalition of seven opposition parties formed a government that lasted less than a year.

Smaller parties, such as the Democratic Party for the People (DPP) or the Japan Innovation Party, could now prove key to forming a government.

The DPP won 28 seats and the Japan Innovation Party 38 seats, according to NHK. But both propose policies at odds with the LDP line.

DPP chief Yuichiro Tamaki has not ruled out some cooperation with the LDP-led coalition, but Innovation Party head Nobuyuki Baba has rejected the idea.

The DPP calls for halving Japan's 10% sales tax until real wages rise, a policy not endorsed by the LDP, while the Innovation Party has pledged tougher donation rules to clean up politics.

"The DPP is focused on ultimately making the country better and ensuring financial resources are allocated more appropriately, so that's why I decided to vote for them," Keisuke Yoshitomi, a 39-year-old office worker, said after casting his vote at a polling station in Tokyo.

Political wrangling could also be a headache for the Bank of Japan (BOJ) if Ishiba chooses a partner that favours maintaining near-zero interest rates when the central bank wants to gradually raise them.

The Innovation Party opposes further increases in interest rates, and the DPP leader has said the BOJ may have been hasty in raising rates, while the central bank wants to gradually wean the Japan off decades of massive monetary stimulus.

"With a more fluid political landscape, pushing through economic policies that include raising taxes, such as to fund defence spending, will become much harder," said Masafumi Fujihara, associate professor of politics at Yamanashi University.

"Without a strong government, it would be more difficult for the BOJ to raise rates and keep the weak yen under control."



When Japan's predictable politics go awry

Reuters
Updated Sun, October 27, 2024 

Japan holds general election


TOKYO (Reuters) -Japan's Liberal Democratic Party (LDP) and its ruling coalition partner lost their majority in a general election on Sunday, throwing the make-up of the next government into flux.

The LDP has governed for almost all of Japan's postwar period, but here are examples of times it has lost power or needed to rely on other parties.

1983

Despite opinion polls that it would win comfortably, the LDP fell short of a majority in what was then the lowest postwar voter turnout. To stay in power, it entered a coalition with the New Liberal Club, a now-defunct party formed as a breakaway from the LDP in 1976.



In the following election, in 1986, current premier Shigeru Ishiba first entered parliament after a brief banking career.

1993

Facing a backlash over corruption scandals, the LDP again fell short of majority. Although it won the most seats, seven opposition parties - including two that had broken away from the LDP ahead of the vote - formed a coalition and kicked the LDP out of power for the first time since its 1955 formation.

Infighting led to successive leadership changes, and the coalition collapsed in less than a year.

2000

Six months before the election had to be held, LDP Prime Minister Keizo Obuchi suffered a stroke and later died. He was succeeded by Yoshiro Mori, a gaffe-prone figure who eroded the party's popularity ahead of the vote.

In the first election since the LDP tied up with the newly formed Komeito, a party backed by a large Buddhist lay group, it relied on Komeito's seats to stay in power. The two parties have ruled since, apart from a brief period when they lost power in 2009.

2009

The Democratic Party ousted the coalition in a landslide during the turmoil of the global financial crisis.

But the Democrats' perceived mishandling of the massive 2011 earthquake and tsunami that crippled the Fukushima nuclear plant and other mishaps allowed the LDP to regain control in the following 2012 election.

The Democrats dissolved in 2016, while the rump of the party eventually became the current main opposition Constitutional Democratic Party of Japan and a smaller group forming the Democratic Party for the People.

(Reporting by John Geddie and Sakura Murakami; Editing by William Mallard and Raju Gopalakrishnan)

The Japanese parties that may jockey for power after election

Tim Kelly
Updated Sun, October 27, 2024 at 8:05 PM MDT
3 min read



Japan's Prime Minister Shigeru Ishiba, leader of the Liberal Democratic Party, speaks at a campaign for the upcoming general election in Tokyo
Yahoo is using AI to generate takeaways from this article. This means the info may not always match what's in the article. Reporting mistakes helps us improve the experience.Generate Key Takeaways


By Tim Kelly

TOKYO (Reuters) - Japanese Prime Minister Shigeru Ishiba's coalition looks set to lose its parliamentary majority, exit polls from Sunday's general election suggest, meaning a possible scramble by parties to form a government.

Following are the main players in any post-election jockeying for power:

LDP

Having ruled for almost all of Japan's postwar period, Ishiba's conservative LDP has struggled with voters angry about a months-long political funding scandal.



The party promised to clean up its finances ahead of the election but allowed most of more than 40 lawmakers who failed to record political donations to stand for the party.

The party of Ishiba, who called the election immediately after Fumio Kishida resigned to take responsibility for the scandal, also faces public dissatisfaction over rising prices.

The LDP, which entered the election with 247 seats, is forecast to fall to between 153 and 219 seats, short of the 233 needed for a majority in the lower house.

KOMEITO

The LDP's longtime coalition partner has helped it keep control of parliament for most of the past two decades, apart from three years when the parties were out of power from 2009.



Affiliated with Japan's largest lay-Buddhist organisation, Sokka Gakkai, Komeito supports the LDP during campaigning, its vast network providing election volunteers.

In return for its support, Komeito gets the Land Transport and Infrastructure post in the cabinet and is consulted on policy.

Komeito has been less willing than the LDP to step back from the pacifism that has marked Japan since its World War Two loss, including decisions to double military spending, arm the country with longer-range weapons and end rules that limit military exports.

The party, which is defending 32 seats, may have won as many as 35 seats, polls suggest.



CONSTITUTIONAL DEMOCRATS

Japan's largest opposition group, the Constitutional Democratic Party of Japan, the rump of the party that ousted the LDP in 2009, fought this campaign by attacking the LDP over its funding scandal and by promising measures to tackle inflation.

Yoshihiko Noda, prime minister for a year before the LDP returned to power in 2012, became leader of the centre-left party in September.

If the LDP-Komeito coalition cannot cobble together a majority, the CDPJ could try to form a government with other opposition parties.

The party is set to double its 98 seats, NHK forecast.

JAPAN INNOVATION PARTY



The third-largest party in the lower house before the election with 44 seats, the right-wing group led by Donald Trump admirer Nobuyuki Baba is aligned with the LDP on security policy, including increased defence spending and a proposal to revise the country's war-renouncing constitution.

In the campaign Baba did not rule out the possibility of working with the LDP in a post-election administration.

Originating in the industrial western city of Osaka, the Innovation Party advocates for smaller government and in the lower house election campaign pledged to clean up politics with stricter rules on donations, as well as welfare and education reforms.

The party won as many as 45 seats, NHK forecast.

DEMOCRATIC PARTY FOR THE PEOPLE

Despite coming into the election with just seven seats, the DPP might emerge as a kingmaker.

Formed in 2020 by former Democratic Party lawmakers who declined to join the CDPJ, it advocates cutting Japan's sales tax and income taxes, and health insurance contributions.

Party leader Yuichiro Tamaki, a former finance ministry bureaucrat, was a senior party during the Democrat-led government from 2009. Before this election, he said he would not go into a coalition with the LDP.

The DPP expanded to as many as 33 seats, NHK forecast.

(Reporting by Tim Kelly; Editing by William Mallard and David Evans)

Friday, October 11, 2024

US calls out Israel at UN for 'catastrophic conditions' in Gaza

Michelle Nichols
Wed, October 9, 2024 

Palestinians walk past a house hit in an Israeli strike, amid the Israel-Hamas conflict, in Bureij refugee camp, in the central Gaza Strip


By Michelle Nichols

UNITED NATIONS (Reuters) - Israel needs to address urgently "catastrophic conditions" among Palestinian civilians in the besieged Gaza Strip and stop "intensifying suffering" by limiting aid deliveries, its ally the United States told the U.N. Security Council on Wednesday.

Referring to reports of squalid conditions in south and central Gaza, U.S. Ambassador to the U.N. Linda Thomas-Greenfield said: "These catastrophic conditions were predicted months ago, and yet, have still not been addressed. That must change, and now."


"We call on Israel to take urgent steps to do so," she said in a blunt statement.

The 15-member Security Council met over the humanitarian crisis a year after a deadly attack by Palestinian militants Hamas on southern Israel sparked the war in Gaza. Israel has since laid to waste much of the enclave and almost the entire population of 2.3 million has been displaced.

Israel says Hamas militants killed some 1,200 people on Oct. 7, 2023, while health authorities in Gaza say nearly 42,000 people have been killed so far during Israel's retaliation.

Thomas-Greenfield also addressed a recent Israeli order for civilians in Gaza's north to evacuate again, saying they must be able to return to communities to rebuild.

"There must be no demographic or territorial change in the Gaza Strip, including any actions that reduce the territory of Gaza," Thomas-Greenfield said.

Philippe Lazzarini, the head of the U.N. Palestinian refugee agency UNRWA, told the Security Council: "Hundreds of thousands of people are again being pushed to move to the south, where living conditions are intolerable.

"Yet again, Gazans are teetering on the edge of a man-made famine," he said.

'NO RESTRICTIONS'

The U.N. has long complained of obstacles to getting aid into Gaza and distributing it during the war.

Reuters reported last week that food supplies to Gaza have fallen sharply in recent weeks because Israeli authorities have introduced a new customs rule on some humanitarian aid and are separately scaling down deliveries organized by businesses.

"We need to see fewer barriers to the delivery of aid, not more of them," Thomas-Greenfield said.

Israel's U.N. Ambassador Danny Danon defended his country's record: "Israel imposes no restrictions on humanitarian aid. In fact, 82% of all requests for humanitarian coordination have been approved and implemented."

He accused Hamas of diverting aid from those in Gaza who need it.

Britain's U.N. Ambassador Barbara Woodward told the council that Israel "must do much more" to avoid civilian casualties and ensure the U.N. and aid groups can operate safely and effectively in Gaza.

"Delivery of humanitarian assistance is being hindered, and humanitarian workers are constantly under threat," French U.N. Ambassador Nicolas de Riviere said.

More than 300 humanitarian aid workers, most of them UNRWA staff, have been killed.

(Reporting by Michelle Nichols; Editing by Cynthia Osterman)


US incredibly concerned about humanitarian situation in Gaza, State Department says

Simon Lewis and Daphne Psaledakis
Wed, October 9, 2024 



By Simon Lewis and Daphne Psaledakis

WASHINGTON (Reuters) - The United States is incredibly concerned about the humanitarian situation in Gaza, particularly in northern Gaza, the State Department said on Wednesday, adding it is the subject of very urgent discussions between Washington and Israel.

"It has been the subject of some very urgent discussions between our two governments," State Department spokesperson Matthew Miller told reporters.

"We have been making clear to the government of Israel that they have an obligation under international humanitarian law to allow food and water and other needed humanitarian assistance to make it into all parts of Gaza, and we fully expect them to comply with those obligations."

The United Nations World Food Program on Wednesday said that aid entering the Gaza Strip has plummeted to its lowest level in months, forcing the agency to stop the distribution of food parcels this month.

"If the flow of assistance does not resume, one million vulnerable people will be deprived of this lifeline," it said, adding that the closure of crossing points, security issues and disruptions to routes at crossings were limiting aid delivery.

Reuters reported last week that food supplies to Gaza have fallen sharply in recent weeks because Israeli authorities have introduced a new customs rule on some humanitarian aid and are separately scaling down deliveries organized by businesses, according to people involved in getting goods to the war-torn territory.

Miller on Wednesday was separately asked about reports, including from CNN and Al Jazeera, that some Palestinians fleeing sites of Israel’s renewed military operation in northern Gaza were shot at as they fled.

"We have seen those reports. I can't speak to the details of them, but obviously that would be unacceptable. If they were Palestinian civilians that were fleeing that were being shot by Israeli forces, that would be unacceptable. We would expect the government of Israel to investigate it, and, if appropriate, we'd expect them to hold people fully accountable," he said.

(Reporting by Simon Lewis, Humeyra Pamuk, Kanishka Singh and Daphne Psaledakis; Editing by Chris Reese and Jonathan Oatis)


UN inquiry accuses Israel of ‘crime of extermination’ through deliberate destruction of Gaza’s health care system

Niamh Kennedy and Muhammad Darwish, CNN
Fri, October 11, 2024 


A United Nations inquiry has accused Israel of carrying out a “concerted policy” of destroying the health care system in Gaza during its year-long conflict with Hamas in attacks it said amount to war crimes.

Israel’s actions in the besieged Palestinian enclave “constitute the war crimes of willful killing and mistreatment and the crime against humanity of extermination,” the commission said in a statement Thursday.

“Israeli security forces have deliberately killed, detained and tortured medical personnel and targeted medical vehicles” in Gaza, according to the report by the UN’s Independent International Commission of Inquiry on the Occupied Palestinian Territory, including East Jerusalem, and Israel.

The Israeli attacks resulted in “fuel, food, water, medicines and medical supplies not reaching hospitals, while also drastically reducing permits for patients to leave the territory for medical treatment,” it said.

The Israeli foreign ministry called the accusations “outrageous” and said they were “another blatant attempt by the (commission) to delegitimize the very existence of the State of Israel and obstruct its right to protect its population while covering up the crimes of terrorist organizations.”

“This report shamelessly portrays Israel’s operations in terror-infested health facilities in Gaza as a matter of policy against Gaza’s health system, while entirely dismissing overwhelming evidence that medical facilities in Gaza have been systematically used by Hamas and the Palestinian Islamic Jihad for terrorist activities.”

Hamas, it said, uses medical facilities to conceal operatives, store weapons, conduct attacks and hide hostages. Hamas has repeatedly denied that it uses hospitals for military activity.

The UN report also accused Hamas and other Palestinian militant groups of committing war crimes of “torture, inhuman or cruel treatment, rape and sexual violence” for their treatment of Israeli hostages held captive in Gaza. It also investigated “institutionalized mistreatment” of Palestinian detainees in Israeli prisons.

The Israeli foreign ministry rejected “accusations of widespread ill-treatment and torture of detainees,” saying Israel is “fully committed to international legal standards” on treatment of detainees.

In a statement accompanying the 24-page report, which does not have the force of law, former UN High Commissioner for Human Rights Navi Pillay said Israel “must immediately stop its unprecedented wanton destruction” in Gaza.

“Children in particular have borne the brunt of these attacks, suffering both directly and indirectly from the collapse of the health system,” she said.

As part of the report, UN experts investigated the killing of 5-year-old Palestinian girl Hind Rajab, who made headlines in late January after a recording emerged of her pleading to emergency workers to rescue her and her family after they became trapped in their car due to Israeli shelling.

Despite an ambulance arriving at the scene while the girl was still alive, the presence of Israeli security forces effectively “prevented access,” meaning the bodies of Rajab’s relatives “could not be retrieved from their bullet-ridden car until 12 days after the incident,” the report said.

The report “determined on reasonable grounds that the Israeli Army’s 162nd Division” which operated in the area at the time is “responsible for killing the family of seven, shelling the ambulance and killing the two paramedics inside.”

The incident was just one of several alleged attacks on health care in Gaza, amid broader wartime conditions.

The report will be presented to the UN General Assembly on October 30.

The commission previously alleged that both Israel and Hamas committed war crimes in the early stages of the Gaza war, and that Israel’s actions also amounted to crimes against humanity.

CNN’s Dana Karni contributed to this report.


UN agency for Palestinians warns Gaza aid work may 'disintegrate' if Israeli legislation passes

EDITH M. LEDERER
Wed, October 9, 2024 

Tents are crammed together as displaced Palestinians camp along the beach of Deir Al Balah, central Gaza Strip, Wednesday, Oct. 9, 2024. (AP Photo/Abdel Kareem Hana)


UNITED NATIONS (AP) — The head of the U.N. agency for Palestinian refugees warned Wednesday that if pending Israeli legislation is adopted, all humanitarian operations in Gaza and the West Bank may “disintegrate,” leaving hundreds of thousands of people in dire need as war rages.

Philippe Lazzarini told the U.N. Security Council that senior Israeli officials are bent on destroying the U.N. body known as UNRWA, which is the main provider of humanitarian aid in Gaza, the Palestinian territory rocked by a year of war between Israel and Hamas.

An Israeli parliamentary committee approved a pair of bills this week that would ban UNRWA from operating in Israeli territory and end all contact between the government and the U.N. agency. The bill needs final approval from the Knesset, Israel’s parliament.

Lazzarini said in a video briefing that “legally, the Knesset legislation violates Israel’s obligation under the United Nations Charter and international law.’

Israel has alleged that some of UNRWA’s thousands of staff members participated in the Oct. 7, 2023, Hamas' attacks that sparked the war in Gaza. The U.N. has fired more than a dozen staffers after internal investigations found they may have participated in the attacks that killed 1,200 people in Israel.

Israeli U.N. Ambassador Danny Danon told the Security Council that UNRWA has allowed Hamas to infiltrate its ranks and that “this infiltration is so ingrained, so institutional, that the organization is simply beyond repair.”

Danon noted that the head of Gaza’s teachers union was recently killed in Lebanon and revealed as a Hamas commander, saying this showed that UNRWA has been infiltrated “to the point where terrorists are running classrooms, indoctrinating future generations and hiding in plain sight under the banner of the United Nations.”

UNRWA had suspended the union leader in March when allegations of his ties to Hamas emerged and launched an investigation.

Lazzarini urged the Security Council to shield the agency “from efforts to end its mandate arbitrarily and prematurely in the absence of a long-promised political solution.”

When UNRWA was created by the U.N. General Assembly in 1949, it was meant to provide health care, education and welfare services to about 700,000 Palestinian refugees from the 1948 conflict with Israel. Today, it provides such services to about 6 million Palestinian refugees and their descendants in the West Bank, Gaza, Jordan, Syria and Lebanon.

Lazzarini stressed that the entire humanitarian response in Gaza rests on UNRWA’s infrastructure and that it “may disintegrate” if the Israeli legislation is adopted.

The halt to coordination with Israel, he said, would further disrupt the provision of shelter, food and health care to Palestinians as winter approaches. More than 650,000 children would lose any hope of resuming their education “and an entire generation would be sacrificed,” Lazzarini said.

In the West Bank, he said, “the delivery of education, primary health care and emergency aid to hundreds of thousands of Palestinian refugees would grind to a halt.”

U.N. Secretary-General Antonio Guterres told reporters Tuesday that he has written to Israeli Prime Minister Benjamin Netanyahu to express “profound concern” about the legislation.

Lisa Doughten, a director in the U.N. humanitarian office, told the council that “few times in recent history have we witnessed suffering and destruction of the size, scale and scope that we see in Gaza.”

Israel’s offensive has killed over 42,000 Palestinians, according to the Gaza Health Ministry, which does not say how many were fighters. It has said women and children make up over half of the dead.

Doughten said “nearly every one of the more than 2 million people in Gaza receives some form of aid or service provision from UNRWA.”

U.S. Ambassador Linda Thomas-Greenfield expressed concern at recent Israeli government actions limiting the delivery of goods into Gaza. These restrictions, combined with new bureaucratic limits on humanitarian goods arriving from Jordan and the closure of most border crossings in recent weeks, will only intensify the suffering in Gaza, she said.

Thomas-Greenfield said the United States, a close ally of Israel, is following “with deep concern” Israel’s proposed legislation, saying it reflects “the significant distrust between Israel and UNRWA.”

UN accuses Israel of war crimes over attacks on Gaza hospitals

Imogen Foulkes - Geneva correspondent
Thu, October 10, 2024

The Al-Salam hospital in Khan Yunis is one of several healthcare facilities which has been ruined by the ongoing Israeli campaign in Gaza [Getty Images]


A United Nations commission of inquiry has accused Israel of carrying out a “concerted policy to destroy Gaza's healthcare system" during its ongoing war with Hamas.

The commission said Israeli attacks on Gaza’s healthcare facilities and Israel’s treatment of Palestinian detainees amounted to war crimes, as well as the crime against humanity of “extermination”.

Hamas and other Palestinian groups are also accused of war crimes and crimes against humanity for their treatment of Israeli hostages held in Gaza.

Israel is yet to comment, but has long accused the UN of bias and dismissed previous critical reports.

The report, which will be presented to the UN General Assembly on 30 October, was led by Navi Pillay, the South African former UN human rights chief.

Israeli security forces have “deliberately killed, detained and tortured medical personnel”, the report said, while children have “borne the brunt” of “the collapse of the health system".

The commission cites the case of five-year-old Hind Rajab, whose car was hit as she and her family tried to flee bombing. Several family members were killed, but Hind managed to phone the Palestinian Red Crescent for help. The ambulance trying to reach her was also shelled, and Hind, her family, and the ambulance crew all died.

The commission says the attacks on the healthcare system have “inflicted conditions of life resulting in the destruction of generations of Palestinian children and, potentially, the Palestinian people as a group”.

The report alleges Palestinian armed groups, including Hamas, have subjected Israeli hostages to "physical violence, abuse, sexual violence, forced isolation, limited access to hygiene facilities, water and food, threats and humiliation".

It calls for the immediate and unconditional release of the remaining hostages.

The report also expresses concern about the treatment of thousands of Palestinian detainees, some of them children.

Israeli security forces have subjected them to systematic abuse, including torture, rape and other forms of sexual violence, the reports alleges.

It directly names Israel’s national security minister, Itamar Ben-Gvir, saying the abuse took place “under direct orders” from him.

The report contains detailed evidence and adds to growing concerns, reflected in a case at the International Court of Justice and investigations by the International Criminal Court, at the conduct of the widening war in the Middle East.

The war began after Hamas’s unprecedented attack on southern Israel on 7 October 2023, in which about 1,200 people were killed and 251 others were taken hostage.

More than 42,060 people have been killed in Gaza since then, according to the territory's Hamas-run health ministry.


UN Security Council members warn Israel over laws curbing UNRWA

AFP
Wed, October 9, 2024 

All UN Security Council members that spoke were unanimous in calling for Israel to respect UNRWA's work and to protect its staff (Eyad BABA) (Eyad BABA/AFP/AFP)


Members of the United Nations Security council warned Israel on Wednesday against proceeding with a law aimed at curbing the UN's Palestinian refugees agency.

Israel has long been at odds with the agency known as UNRWA and alleged that some of its employees were involved in the October 7 Hamas attacks that triggered the war in Gaza.

The Foreign Affairs and Defense Committee in Israel's parliament, the Knesset, approved two bills on Sunday essentially aimed at ending UNRWA's activity and privileges in Israel. These bills were quickly condemned by UN chief Antonio Guterres.

Washington's envoy to the UN, Linda Thomas-Greenfield, said Wednesday that the United States was "following with deep concern the Israeli legislative proposal that could alter UNRWA's legal status."

She said it risked "hindering its ability to communicate with Israeli officials and removing privileges and immunities afforded to UN organizations and personnel around the globe."

Algeria, which along with Slovenia called the emergency Security Council meeting on the crisis in the Palestinian territories, said "for years, the Israeli authorities has made clear its desire, its will to dismantle UNRWA."

"It symbolizes the Palestinian refugees and their inviolable rights. We reiterate that the rights of Palestinian refugees are not subject to statutes of limitation," said Amar Bendjama, ambassador of non-permanent Security Council member Algeria.

- UN's 'greatest success'? -

All UN Security Council members that spoke were unanimous in calling for Israel to respect UNRWA's work and to protect its staff.

"Senior Israeli officials have described destroying UNRWA as a war goal," UNRWA chief Philippe Lazzarini warned the Security Council, noting that 226 UNRWA personnel have been killed in 12 months.

"Legislation to end our operations is ready for final adoption by the Israeli Knesset.

"It seeks to ban UNRWA's presence and operations in the territory of Israel, revoking its privileges and immunities, in violation of international law.

"If the bills are adopted, the consequences will be severe. Operationally, the entire humanitarian response in Gaza -- which rests on UNRWA's infrastructure -- may disintegrate."

UN Secretary-General Antonio Guterres said Tuesday that he had written to Israel's Prime Minister Benjamin Netanyahu warning the legislation "could prevent UNRWA from continuing its essential work in the Occupied Palestinian Territory."

The Palestinian ambassador to the UN Riyad Mansour told the Security Council that "we totally support UNRWA and what Lazzarini said and take it very seriously, and honor what is a very indispensable organization that should be protected by all means."

"It is the greatest success story in the history of the United Nations," Mansour said.

UNRWA was created in 1949 to support Palestinian refugees across several countries.

An internal probe published in August found that nine employees "may have been involved in the armed attacks of 7 October" on Israel.

"Yes we work with UN agencies," Israel's ambassador to the UN Danny Danon told the security council.

"We are willing and able to work on the ground.

"Compare our efforts to the failures of UNRWA... UNRWA Gaza has allowed Hams to infiltrate its ranks.

"The organization is beyond repair."

Lebanon
 envoy urges pressure on Israel to end military campaigns, allow humanitarian relief

Emma Farge
Thu, October 10, 2024

FILE PHOTO: Scenes of destruction in Khan Younis in the southern Gaza Strip


By Emma Farge

GENEVA (Reuters) - Lebanon and other states called for more pressure on Israel to end its military campaigns in the Middle East at a meeting at the U.N. in Geneva on Thursday, saying that it was repeating its Gaza methods in Lebanon with catastrophic consequences.

Pakistan, as head of the Organization of Islamic Cooperation, hosted the meeting to examine the humanitarian situation a year into the Gaza war, triggered by the Hamas-led attack in which 1,200 people were killed and 250 taken hostage, according to Israeli tallies.

Addressing assembled U.N. officials and ambassadors, the Palestinian ambassador said the pain of a year of conflict in Gaza was "indescribable", while Lebanon's envoy accused Israel of using the "same sinister playbook" in his country as in Gaza.

Israel's campaign in Gaza has killed over 42,000 people, according to Gaza health authorities, and reduced much of the coastal enclave to rubble.

Since Israel intensified its military actions against the Lebanese militant group Hezbollah last month, more than 1,000 people have been killed and one million have fled their homes, Lebanon authorities say.

Israel says it targets military capabilities in Lebanon and Gaza and takes steps to mitigate the risk of harm to civilians in both places. It accuses Hezbollah and Hamas of hiding among civilians, which they deny.

Its campaign against the more heavily-armed Hezbollah aims to secure the return home of Israelis evacuated from areas near the border as a result of nearly a year of Hezbollah rocket fire into northern Israel in support of Hamas.

"As these atrocities keep unfolding we have the right to ask ourselves after one year: what is the real and ultimate goal of this?," Lebanon's ambassador to the U.N. in Geneva Salim Baddoura said.

"There is a pressing necessity for the international community to forcibly push for a ceasefire and uninhibited humanitarian relief," he added, warning of the risk of all-out war in the region.

South Africa's envoy Mxolisi Nkosi described Gaza as an "apocalyptic humanitarian catastrophe", echoing remarks by U.N. agencies who decried safety risks and difficulties delivering aid there. Turkey's ambassador Burak Akçapar called for a comprehensive arms embargo on Israel. "We cannot see the Israeli (military) objectives being clearly defined," he added.

The meeting was also attended by many Western ambassadors, including from the U.S. and Britain. Israel did not attend.

Several countries called for a two-state solution after the Israel-Hamas conflict, an outcome that Turkey and Spain said was unworkable as long as many countries refuse to recognise Palestine.

(Reporting by Emma Farge, Editing by William Maclean)

Thursday, September 05, 2024


JD Vance's plan to lower childcare costs: have grandma and grandpa 'help a little bit more'
Sep 5, 2024, 
BUSINESS INSIDER
Trump's VP pick JD Vance said older family members should have more options to help with childcare. Anna Moneymaker

JD Vance said in recent remarks that older family members could step in to help with childcare.
It was part of his solution to address high childcare costs in the US.
It comes as many older Americans are facing financial stress as they enter retirement.

JD Vance's plan to tackle high childcare costs might not take into account the looming retirement crisis facing millions of older Americans.

During a discussion with Charlie Kirk, founder of the conservative organization Turning Point Action, former President Donald Trump's VP pick Vance addressed the issue of high childcare costs in the US.

It's an issue many parents and families are contending with — a recent report from Bank of America found that the average US couple spends over 30% of their combined wages on childcare costs.

When Kirk asked how Vance planned to address the issue, Vance suggested extended family members step in to relieve the financial burden on parents.


"One of the ways that you might be able to relieve a little bit of pressure on people who are paying so much for daycare is, maybe grandma or grandpa wants to help out a little bit more, or maybe there's an aunt or uncle that wants to help out a little bit more," Vance told Kirk. "If that happens, you relieve some of the pressure on all the resources that we're spending on daycare."

Vance clarified his remarks in a post on X on Thursday following criticism of his original comments. He said in the post that "parents or grandparents might not be able to help, but they might want to, and for those families, federal policy should not be forcing one particular family model." He also emphasized that there should be more accessible educational routes for people to get into the childcare field.

A Vance spokesperson did not immediately respond to a request for comment from Business Insider.

Vance has previously spoken about how his mother-in-law took a yearlong sabbatical from her job as a biology professor in California to live with Vance and his wife to take care of their newborn son. Vance noted that their child was born just seven weeks before his wife, who's an attorney, began a judicial clerkship. In that conversation, Vance agreed with his interviewer that taking care of grandchildren is "the whole purpose of the postmenopausal female."

But for many, helping raise grandchildren or a niece or nephew just isn't feasible. For one thing, many older Americans are struggling with economic headwinds as they approach retirement, leaving many of them without the time and financial resources to help with childcare needs. The Census Bureau's Current Population Survey found that over half of respondents over 65 had incomes of under $30,000 in 2022, leaving them to rely primarily on Social Security. For many Americans that BI has spoken to, that's not enough — leaving some to return to work.

At the same time, some millennial and Gen Z parents have left family "villages" behind for cheaper housing. The changing demographics of the labor market might also mean those family members are already booked. Linda, a 64-year-old retiree, is moving closer to one of her children — but not so she can help take care of anyone. Rather, her kids are part of her safety net; she knows that they'll look out for her.

"I fully see myself working for the next 20-some years — if I have that many left. Whatever years I have left, I will not be enjoying the retirement life in Florida," Linda said.
Lowering the cost of childcare

In his response to Kirk's question, Vance also argued that daycare would be more affordable if states didn't require that childcare workers get a "ridiculous certification that has nothing to do with taking care of kids." He added, "What we need to do is actually empower people to get trained in the skills that they need for the 21st century."

Not many states require childcare workers to have college degrees or certifications. But he might have been referring to a new law in the nation's capital that requires many childcare workers to have a two-year associate degree, among other training. Republicans in Congress have taken issue with DC's law and Sens. Katie Britt of Alabama and Mike Lee of Utah introduced a bill this summer that would repeal portions of it.

Costs aren't just prohibitive for parents; they're also sky-high for childcare providers, who operate on tiny margins and struggle to pay their workers a living wage. Burdensome government regulations, including land-use laws, are part of why childcare services are so costly to operate. But aside from stripping away some of these rules, childcare providers say they need the government to cut the cost of starting and operating a business.

"In our ideal world, it would cost nothing for providers to go into business — the background checks, the trainings, the licensing would all be cost-free," Laurie Furstenfeld, an attorney at the Berkeley, California-based Child Care Law Center, told Business Insider last year. "The cost of parents would be heavily subsidized or publicly funded."

Childcare centers already faced their own funding cliff when pandemic-era funds ran out, with several telling BI that they couldn't hike tuitions even more — but still needed to try to pay their teachers a living wage with fewer resources.

While Vance has expressed support for an expanded child tax credit, which would help parents pay for growing costs, he skipped a recent vote on a Senate bill to extend the credit. The bill failed after Republicans voted against it. Vance has condemned universal childcare, calling it a subsidy for the affluent and "class war against normal people."

"We try to force or at least subsidize one model on every family in this country," Vance wrote in his clarification on X. "And if you open up kinship and other options for families, you will relieve some pressure on the daycare system in this country."

Are you dealing with tough decisions on childcare, eldercare, or retirement? Share your story with these reporters at asheffey@businessinsider.com, jkaplan@businessinsider.com, and erelman@businessinsider.com.

Saturday, August 24, 2024

 

New study examines use of opioids for chronic cough


BABA USED LAUDUNUM FOR WHOOPING COUGH


Cough is one of the most common reasons adults seek medical care



Regenstrief Institute





INDIANAPOLIS – Chronic cough, with symptoms lasting more than eight weeks, affects approximately one in 10 adults. Cough is among the most common reasons for seeking medical care in the United States, yet chronic cough is difficult to treat. One of the largest studies of chronic cough and one of the first to explore the use of opioids, which are known to suppress cough, to treat these patients, has found that 20 percent of patients with chronic cough received a prescription for a cough suppressant containing an opioid.

With the goals of estimating opioid prescription in the chronic cough population and of informing alternative treatment strategies, a research team led by Michael Weiner, M.D., MPH, of Regenstrief Institute and the Indiana University School of Medicine, found that the odds of an opioid being prescribed were twice as great for chronic cough as for non-chronic cough.

Chronic cough is a symptom, a condition that can have a variety of causes including asthma, acid reflux, “postnasal drip”, neurological issues or a reaction to a drug.

“The magnitude of use and prescription of opioids for chronic cough is really very high. As we learned from our study, some subgroups were especially likely to be prescribed these drugs. Patients who had Medicaid insurance -- typically low-income individuals -- were more likely to be prescribed these drugs. Older patients were more likely to be prescribed these drugs than younger patients,” said Dr. Weiner. “Although over one-third of patients with chronic cough had at least three prescriptions for cough suppressants containing opioids, more than 10 prescriptions for these drugs were ordered for only half a percent of patients with chronic cough. This indicates that opioids, which play an important role in chronic cough care, are not used as long-term therapy in most cases.”

Opioid-containing cough suppressants were defined as drugs with codeine, dihydrocodeine, or hydrocodone. All opioids carry a risk of addiction.

The researchers studied the electronic health records of 23,210 patients seen by clinicians for cough at least three times over a period of about two to four months and 229,538 patients with non-chronic cough, ages 18 to 85. The deidentified data were obtained from the Indiana Network for Patient Care (INPC), one of the nation’s first and largest clinical data repositories. It was created by Regenstrief Institute and is managed by the Indiana Health Information Exchange (IHIE). Regenstrief Data Services is the custodian of data for research purposes.

Chronic cough does not have a diagnostic code, which has made it difficult to track the condition at both the individual and population levels.

“With our decades of experience with electronic health records, we were well aware that symptoms, such as cough – both chronic and non-chronic – are hard to identify. But using a natural language processing method that we developed and tested in a previous study of chronic cough, helped us identify these cases of chronic cough in the clinical notes,” said study co-author Regenstrief Institute Research Scientist Paul Dexter, M.D., a biomedical informatician who has conducted multiple prior studies using natural language processing.

“Chronic cough is a significant problem -- at home, at work and when out in the community -- for a very large number of patients and warrants not only better diagnosis plans and management pathways, but also a larger array of treatment options so that we don't have to rely on opioids to such a great extent,” added Dr. Weiner, who studies the effects of health information and information technology on physician practice and patient outcomes. “We may, for example, discover chemical compounds with new mechanisms of action to suppress cough or attack its root causes. There are drugs already in the pipeline that may be less addictive, more effective or safer with fewer side effects and complications than opioids. I'm optimistic that the future of treating patients with chronic cough will be brighter than it has been in the past.”

Prescriptions of opioid-containing drugs in patients with chronic cough” is published in the peer-reviewed journal Therapeutic Advances in Respiratory Disease. This research was supported by Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.

Study authors and affiliations:

Michael Weiner1,2,3Ziyue Liu2Jonathan Schelfhout4Paul Dexter2,5,6Anna R Roberts7Ashley Griffith5Vishal Bali4Jessica Weaver4.

  • 1Indiana University Center for Health Services and Outcomes Research, Regenstrief Institute, Inc., 1101 West 10th Street, Indianapolis, IN 46202-4800, USA.
  • 2School of Medicine, Indiana University, Indianapolis, IN, USA.
  • 3Center for Health Information and Communication, U.S. Department of Veterans Affairs, Veterans Health Administration, Health Systems Research CIN 13-416, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.
  • 4Center for Observational and Real-World Evidence (CORE), Merck & Co., Inc., Kenilworth, NJ, USA.
  • 5Center for Biomedical Informatics, Regenstrief Institute, Inc., Indianapolis, IN, USA.
  • 6Eskenazi Health, Indianapolis, IN, USA.
  • 7Regenstrief Data Services, Regenstrief Institute, Inc., Indianapolis, IN, USA.

Michael Weiner, M.D., MPH
In addition to his role as a research scientist with the William M. Tierney Center for Health Services Research at Regenstrief Institute, Michael Weiner, M.D., MPH, is a research health scientist at the VA Health Systems Research Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, and a professor of medicine at the Indiana University School of Medicine.

Paul R. Dexter, M.D.

In addition to his role as a research scientist with the Clem McDonald Center for Biomedical Informatics at Regenstrief Institute, Paul R. Dexter, M.D., is an associate professor of clinical medicine at the Indiana University School of Medicine.