How Turkey is ruining NATO’s moment of unity

“Erdoğan, specifically, is raising new objections to the ascension of Finland and especially Sweden over what Turkey perceives as the latter’s lax policies toward Kurdistan Workers Party (PKK) and other groups that Turkey deems terrorist organizations. Most recently, Erdoğan has used a far-right politician’s burning of the Quran outside the Turkish embassy in Stockholm to harden his opposition to Sweden’s NATO bid.
All NATO members must approve new ones, so Erdoğan’s opposition is effectively a veto. The Turkish president is not alone in declining support— Hungary’s Viktor Orbán is also holding out, for now — but Erdoğan is seen as the more legitimate roadblock. Erdoğan is flexing his foreign policy power and influence, and seeking to improve his domestic political position, especially ahead of difficult elections this May.

“Erdoğan thinks Turkey has leverage. Erdoğan thinks Turkey has justifiable grievances about Sweden’s policies. Erdoğan thinks he has an opportunity to use that leverage to address those grievances in a way that would be good for Turkey’s national interests. And, in addition to all of that, the entire issue is good for Erdoğan politically,” said Nicholas Danforth, editor at War on the Rocks and nonresident senior research fellow at the Hellenic Foundation for European and Foreign Policy.

Given all that, it’s not really surprising this spat over the Nordic countries’ NATO membership is dragging out. But this is also really not how the script was supposed to go — at least according to most of the rest of NATO.”

“In June, Sweden, Finland, and Turkey reached a memorandum of understanding to try to assuage some of Erdoğan’s concerns. Sweden and Finland lifted their arms blockades and agreed to a series of steps to cooperate with Turkey on terrorism-related issues.

But Erdoğan is pushing for more concessions, especially from Sweden. Some of the demands are wholly unrealistic, such as a request to extradite 130 purported “terrorists” to Turkey. As experts pointed out, Turkey operates under a pretty shaky definition of terrorism, and things that Erdoğan might consider terrorism look a lot more like freedom of speech in Sweden. Additionally, even in things like extradition, Sweden and Finland can’t just arbitrarily arrest people; it has to go through the judicial system, and the accused have due process.

Then, recent anti-Turkey protests in Stockholm and the burning of the Quran by one far-right protester have soured talks even further. Turkey condemned the burning as “anti-Islam,” with the Turkish Foreign Ministry saying that allowing such acts “under the guise of freedom of expression is completely unacceptable.” Turkey then scrapped talks with Swedish officials.

Sweden also condemned the act and the protests (which were actually anti-NATO protests). “This act plays directly into the hands of Russia and weakens our country, and it happened during the most serious security situation since the Second World War,” said. Swedish Foreign Minister Tobias Billström. (The book burner was reportedly funded by a journalist with Kremlin ties.) But, at the same time, Sweden said, the whole thing wasn’t actually against Swedish law, even if they were angry about it, too.”

“Sweden and Finland are still trying to work something out, with Sweden introducing a law Thursday that would ban certain activities that could support terrorist organizations. Washington and Brussels are increasingly annoyed, with some leaders being pretty vocal about Turkey’s disloyalty. Congress has said Ankara will not get American-made F-16s (more on that later) unless it approves the NATO bids. More people are also saying that maybe NATO should just kick Turkey out (no more on that because, while it’s noteworthy politicians are even talking about it, experts said it’s not realistic and the mechanisms to do so are pretty fuzzy). Turkey, meanwhile, has basically said talks are meaningless in the current climate, though it floated the possibility of backing Finland for NATO, just not Sweden — something Finland immediately rejected, as the two Nordic countries are very close, and they purposely sought a joint bid.

And the standoff may stay this way, at least until May — which is when Erdoğan and his ruling Justice and Development (AK) Party are facing a difficult election.”

“Erdoğan’s obstinance is causing real frustration in Washington and throughout European capitals. This is not exactly new; even before Erdoğan, Turkey was always something of a NATO misfit — incredibly useful to the alliance because of its unique position, but also a power whose interests and perspectives did not always align with the rest of the alliance members.”

What an abortion hotline reveals about reproductive care after Roe

“I hear them trying to get their own patients to another state for care that they need, which is insane. If you have somebody who has a premature rupture of membranes with a pre-viable fetus, and they need to have that fetus removed for their own well-being and safety, and it’s not ever going to be a living being — to not be able to do that procedure in your own state, but to have to transfer somebody who is at risk of hemorrhage, at risk of infection, is insane. It’s an insane thing that’s happening to health care. People are literally on Signal chats trying to find care for their patients. So, yeah, that’s what I’m hearing. That’s the devastating news out of so many of these states.”

Is CBD in trouble?

“But CBD, a cannabis compound also known as cannabidiol, exists in a gray area under federal law, and its exact legality has long been tricky to define. Any substance marketed as a supplement or food additive has to meet safety standards issued by the Food and Drug Administration, and that’s where things have gotten hairy for CBD manufacturers and marketers. Food and drinks that contain CBD have never actually been FDA-approved.
For years, the FDA hasn’t come down one way or another with guidance on how to regulate, label, or market CBD in supplements and food products. So store shelves proliferated with quasi-legal tinctures and gummies and beverages, all taking advantage of the FDA gray area. The FDA has warned companies selling CBD products and consumers about unproven health claims made by manufacturers, steadfastly holding that CBD doesn’t meet the definition of a dietary supplement — a position that has been challenged by the industry and consumers as demand for CBD has boomed. Without regulation, however, there’s no way for a consumer to know what, exactly, is in that CBD they bought at the gas station — or if it contains any CBD at all.

In late January, the agency finally issued a decision on CBD, and it’s a potentially damning blow to the industry. The FDA announced that it was denying three citizen petitions requesting guidance on CBD; the agency’s existing safety standards for supplements or food additives, it ruled, aren’t sufficient to regulate CBD’s use. Further, it expressed concerns that CBD products could be dangerous, especially with long-term use. Essentially, the FDA has said that CBD is a headache that it doesn’t want to deal with, so it’s kicking things over to Congress to sort out the mess.”

The US’s empty commitment to a two-state solution

“The US policy does not take into account how entrenched the Israeli occupation of the West Bank and East Jerusalem has become. Israeli settlement growth in the West Bank has made a viable Palestinian state all but impossible. The US-led talks between Israel and the Palestine Liberation Organization have been on hiatus since President Barack Obama’s second term, and even at the time, there was little hope that they would amount to much. And Arab states like Morocco, UAE, and Bahrain have abandoned Palestinians, as they normalize relations with the State of Israel and eliminate any incentives for negotiations toward a Palestinian state.
Even establishment voices like former Ambassador Martin Indyk, who served as Obama’s Middle East envoy and is now a fellow of the Council on Foreign Relations, acknowledge that a one-state reality has set in.

To be fair, figuring out a new policy toward Israel and Palestine is no easy task. The US has come to be so dependent on Israel as a close security partner in the Middle East that it seemingly has overlooked its transgressions. Moreover, US politicians are reluctant to overhaul its approach and rankle influential domestic constituencies in the process.

But no good policy can rest on an outdated understanding of the facts on the ground. Clinging to a two-state solution that many leading Middle East experts do not view as workable is counterproductive and cedes US leadership. A commitment to a Palestinian state in name only cheapens and undermines its very possibility and boxes out the development of more practical policies that meet the moment. It leaves the US with few options in taking a leadership role in a place that’s central to US national interests and security.”

Stop treating unemployment as a necessary evil to curb inflation

“if you thought mechanically that when wage growth is high and inflation is high, the only way these things go down is through higher unemployment — well you have to actually acknowledge now that maybe there is a wider set of possibilities.”

“Yeah, the idea that “no ‘help wanted’ sign should ever exist” is not to me a sign of a healthy economy. The story for much of 2021 was like, “Where have all the workers gone?” and the suggestion was that it must be that people don’t want to work. But in actuality, there were some sectors that were really eager to hire — Amazon expanding its warehousing staff probably did put pressure on other industries looking to hire. But competing sectoral demand for labor is just very different from saying people don’t want to work.”

Insulin is way too expensive. California has a solution: Make its own.

“There are few better emblems of the failures of the US system of medical care than its inability to consistently provide insulin to Americans who need it.
The drug was discovered 100 years ago, and it provides essential and ongoing treatment for millions of people living with diabetes, one of the most common chronic diseases in the country. And yet one in six Americans with diabetes who use insulin say they ration their supply because of the cost. Some people end up spending nearly half of their disposable income on a medicine they must take to stay alive.

Though insulin generally costs less than $10 per dose to produce, some versions of the drug have a list price above $200. This is in part because, in the US, a warped market has allowed three companies to dominate the insulin business.”

“With California leading the way, a handful of states are considering trying to disrupt the market for essential medications, starting with insulin. The plan would be to manufacture and sell insulin themselves for a price that is roughly equivalent to the cost of production.”

“Medicare, the federal health insurance program for seniors, is about to institute a $35 per month cap on insulin costs for its beneficiaries, a provision of the Inflation Reduction Act that Democrats passed last year. But, because of the Senate’s arcane rules, they could not establish the same cap for private insurance, which covers more than half of Americans.”

“The main mechanism the US has for bringing down prescription drug prices is allowing generic drugs to compete with brand-name versions. When a company develops a new drug, it gets a period of exclusivity, 10 years or more, in which it is the only one able to make or sell that drug. But after that exclusivity period has passed, other companies can make a carbon copy and sell it at a lower price. Studies find that once several generic competitors come on the market, prices drop significantly.

But pharma companies are savvy about finding ways to extend their monopolies, with insulin and other drugs, by making minor tweaks to the chemical compound and asking for a patent extension. In the case of insulin, the companies can also modify the delivery device to protect their market share. Each product is meant to be used with specific, company-designed injectors. Though the patents on the artificial insulin developed in the 1990s have started expiring, these companies continue to hold and extend monopolies on either their devices or other chemical compounds, making it harder for generic competitors to enter the market.

Other federal regulations have added to the challenge. The FDA began to treat insulin as a biologic drug in 2020 — meaning it is made with living materials instead of combining chemicals like conventional pharmaceuticals — which comes with a different set of standards for generic versions, which are known as biosimilars, as well as manufacturing challenges given the precise conditions these products must be made in. Biosimilars can cost up to $250 million to produce and take up to eight years to bring to the market, versus a one-year investment of as little as $1 million for conventional generics. And unless the FDA recognizes a new generic insulin as interchangeable with the products already on the market, health insurers might not want to cover it and doctors may not be willing to prescribe it.

To add one more layer of difficulty, the current manufacturers can always decide to drop their prices to crowd out new generic competitors, given the gap between the retail price and the $10 cost of production. The first biosimilar drugs have come onto the market in the past few years, but only one of them has been deemed interchangeable with the brand-name version; ultimately, in late 2021, it was priced at only $20 less than the brand-name insulin it was competing with. More competition is needed to meaningfully depress prices.”

“If manufacturing a cheap generic insulin proves viable for California, the consequences could be enormous and stretch far beyond insulin. California would provide proof of concept, and a fledging public marketplace for public pharmaceutical production could potentially emerge.”

What banning noncompetes could mean for the US workforce

“A 2014 survey of economists found that nearly 20 percent of workers have noncompete clauses in their contracts. That number is more likely 50 percent for people in high-skilled and high-tech jobs”

“Marx added that these agreements don’t just specify that you can’t share a specific company’s secrets, but are often interpreted more broadly so that a person can’t use skills they had prior to working at that company — something he said can be debilitating to high-skilled workers and entrepreneurs.”

“Detractors of noncompete clauses say the agreements prohibit workers from getting jobs with competitors or even within the same industry. In doing so, they restrict job mobility and prevent workers from being able to push for higher wages, since changing jobs is often how workers get higher pay. These clauses can send them on lengthy job searches or even “career detours.””

“Pro-employer groups like the US Chamber of Commerce have argued that noncompete clauses can actually be pro-competitive because they protect an “employer’s special investment in, training of, and disclosure of sensitive business information to its employees.” In a statement released shortly after the FTC’s announcement, the organization called the rulemaking “blatantly unlawful” since it says the FTC doesn’t have the authority to promote the rule. “When appropriately used, noncompete agreements are an important tool in fostering innovation and preserving competition,” the Chamber said in an emailed statement.”