U.S. healthcare costs to escalate over next decade: government agency

doctor holds hand of patient

WASHINGTON (Reuters) – The cost of medical care in the United States is expected to grow at a faster clip over the next decade and overall health spending growth will outpace that of the gross domestic product, a U.S. government health agency said on Wednesday.

A report by the U.S. Centers for Medicare and Medicaid Services (CMS) cited the aging of the enormous baby boom generation and overall economic inflation as prime contributors to the projected increase in healthcare spending.

Overall healthcare spending will comprise 19.9 percent of the economy in 2025, up from 17.8 percent in 2015, the report forecast. The pace of growth in U.S. spending on health is expected to pick up in 2017, increasing 5.4 percent over 2016. That compares with an estimated 4.8 percent spending uptick in 2016. Spending for 2016 was estimated at $3.4 trillion.

When the final numbers are in, the growth in prescription drug spending for 2016 is expected to have slowed to 5 percent from 9 percent in 2015. However, CMS has forecast growth of 6.4 percent per year between 2017 and 2025, in part because of spending on expensive newer specialty drugs, such as for cancer and multiple sclerosis.

The projections for 2016 to 2025 were made assuming that the Affordable Care Act (ACA), former President Barack Obama’s signature healthcare law widely known as Obamacare, would remain intact. It does not take into account likely changes to the law.

The Republican-led Congress and President Donald Trump have vowed to repeal and replace the ACA, but a viable replacement plan has yet to emerge.

Trump signed an executive order on his first day in office last month to freeze regulations and enable government agencies to take other steps to weaken Obamacare.

The ACA expanded Medicaid, the government health insurance program for the poor, in more than 30 states and set up private healthcare exchanges that enabled previously uninsured people to buy health insurance. After high enrollment between 2014 and 2015, Medicaid and private health insurance spending were expected to have slowed in 2016.

But spending on Medicare, the government health insurance program for the elderly, is expected to grow between 2017 and 2025 as a larger elderly population requires more medical services.

The overall insured rate of the population is expected to reach 91.5 percent in 2025, up from 90.9 percent in 2015, the report said.

(Reporting By Yasmeen Abutaleb; Editing by Tom Brown)

Protests call for U.S. immigrants to stay home from work, school

People protest against Trump's immigration policy

By Joseph Ax and Liza Feria

NEW YORK/WASHINGTON (Reuters) – Activists are calling on immigrants to protest President Donald Trump’s tough stance on immigration by staying home from work or school on Thursday, not shopping and not eating out, in an effort to highlight the vital role they play in U.S. society.

“A Day Without Immigrants,” which has been largely driven by word of mouth on social media, arose in response to Trump’s vows to crack down on illegal immigration and his executive order, since suspended by a federal judge, to temporarily block entry to people from seven Muslim-majority countries.

The action follows a series of federal raids last week in which more than 680 people illegally in the country were arrested, raising alarm among immigrant rights’ groups.

“Mr. President, without us and without our contribution this country is paralyzed,” read a poster promoting the protest that was widely shared online.

It is not clear how many people plan to participate in the walkout. With few plans for large-scale rallies, it may be hard to estimate how many ultimately do. But one group that expects to be affected, and is in some cases embracing the cause, is restaurant owners.

Celebrity chef Jose Andres, locked in a legal battle with Trump after backing out of a deal to open a restaurant at the businessman-turned-politician’s new hotel in Washington, said he was supporting the strikers on his staff.

“People that never missed one day of work are telling you they don’t want to work on Thursday,” the Spanish-born Andres said in an interview at his restaurant Oyamel, which will be closed on Thursday. “They want to say: ‘Here we are,’ by not showing up. The least I could do was to say: ‘OK, we stand by you.'”

Dozens of restaurants, which rely heavily on immigrant workers, and other businesses in cities such as Philadelphia, New York, Houston and Raleigh, North Carolina, have vowed to shut their doors on Thursday in solidarity with no-show workers.

In New York, the owners of the Blue Ribbon restaurant chain said they would close several eateries despite the economic impact.

“It’s really a show of support for our staff, and as a team and a family as a whole,” said co-owner Eric Bromberg.

More than a dozen restaurants in Washington were planning to close on Thursday, according to social media.

“You have millions of Latinos, millions of immigrants, that somehow feel under attack,” Andres said. “They feel like they’re being pushed aside. They want to be part of the American dream.”

(Reporting by Joseph Ax; Editing by Scott Malone and Peter Cooney)

Russia tells White House it will not return Crimea to Ukraine

Submarine in Crimea

By Andrew Osborn

MOSCOW (Reuters) – Russia said on Wednesday it would not hand back Crimea to Ukraine or discuss the matter with foreign partners after the White House said U.S. President Donald Trump expected the annexed Black Sea peninsula to be returned.

Moscow says an overwhelming majority of Crimeans voted to become part of Russia in a 2014 referendum wanting protection from what the Kremlin cast as an illegal coup in Kiev.

Ukraine says the referendum was a sham held at gunpoint after Russian troops illegally annexed the peninsula, that Russia-friendly president Viktor Yanukovych was ousted by people power, and that Moscow should return Crimea.

“We don’t give back our own territory. Crimea is territory belonging to the Russian Federation,” Maria Zakharova, spokeswoman for the Russian Foreign Ministry, told a news briefing on Wednesday.

The 2014 annexation prompted the United States and the European Union to impose sanctions on Russia, plunging Western relations with the Kremlin to their worst level since the Cold War.

White House spokesman Sean Spicer said on Tuesday that Trump expected and wanted to get along with Russia, but was expecting Moscow to hand Crimea back.

Kremlin spokesman Dmitry Peskov, when asked about Spicer’s comments, said President Vladimir Putin had already explained why Crimeans had turned to Russia.

“The theme of returning Crimea will not be discussed … Russia does not discuss its territorial integrity with foreign partners,” Peskov told a conference call with reporters.

Trump had not raised the Crimean issue in a Jan. 28 phone call with Putin, Peskov noted, saying the Kremlin would try to make contacts with the Trump administration to try to improve ties which he said were in “a lamentable state.”

Vyacheslav Volodin, speaker of the State Duma, the lower house of parliament, told MPs any talk of Crimea’s status amounted to a challenge to Russia’s territorial integrity.

Volodin, a close Putin ally, told the Interfax news agency Trump had promised in his election campaign to work to improve relations with Russia.

“Let’s wait for some first-hand words from the U.S. president,” said Volodin. “When people get elected by voters it’s not merely for warm words and the ability to speak, but for concrete promises … that will be fulfilled.”

(Additional reporting by Maria Tsvetkova/ Alessandra Prentice; editing by John Stonestreet)

Russian jets in ‘unsafe’ encounters with destroyer: U.S. official

Navy ship

WASHINGTON (Reuters) – Multiple Russian military aircraft came close to a U.S. Navy destroyer in the Black Sea on Feb. 10, incidents considered “unsafe and unprofessional,” a U.S. official said on Tuesday.

The Russian Defense Ministry said no such incidents had occurred.

“There were no incidents of any kind on Feb. 10, related to flights by Russian military jets in the Black Sea near the U.S. Navy destroyer Porter,” Russian news agencies cited a spokesman for the Russian Defense Ministry, Major-General Igor Konashenkov, as saying.

But Captain Danny Hernandez, a spokesman for U.S. European Command, cited three separate incidents involving Russian aircraft and the USS Porter. One involved two Russian Su-24 jets, another a separate Su-24, and the third a larger IL-38.

“USS Porter queried all aircraft and received no response,” Hernandez said. “Such incidents are concerning because they can result in accident or miscalculation,” he added.

The incidents involving the Su-24 were considered to be unsafe and unprofessional by the commanding officer of the Porter because of their high speed and low altitude, while the IL-38 flew at an unusually low altitude, Hernandez said.

Another U.S. official, speaking on condition of anonymity, said the lone Su-24 came within 200 yards (meters) of the Porter at an altitude of 300 feet (90 meters).

In April 2016 two Russian warplanes flew simulated attack passes near a U.S. guided missile destroyer in the Baltic Sea so close that they created wake in the water.

(Reporting by Idrees Ali in Washington and Jack Stubbs in Moscow; Editing by James Dalgleish)

U.S. retail sales beat expectations in January

shopper looking at tablets in best buy

WASHINGTON, Feb 15 (Reuters) – U.S. retail sales rose more than expected in January as households bought electronics and a range of other goods, pointing to sustained domestic demand that should bolster economic growth in the first quarter.

The Commerce Department said on Wednesday retail sales increased 0.4 percent last month. December’s retail sales were revised up to show a 1.0 percent rise instead of the previously reported 0.6 percent advance.

Last month’s fairly upbeat sales came despite motor vehicle purchases recording their biggest drop in 10 months.

Compared to January last year retail sales were up 5.6 percent.

Excluding automobiles, gasoline, building materials and food services, retail sales increased 0.4 percent after an upwardly revised 0.4 percent gain in December.

These so-called core retail sales correspond most closely with the consumer spending component of gross domestic product.

Economists polled by Reuters had forecast retail sales ticking up 0.1 percent and core sales gaining 0.3 percent last month.

January’s fairly solid retail sales supported views that economic growth will accelerate in the first quarter.

The economy grew at a 1.9 percent annualized rate in the fourth quarter.

Consumer spending is being supported by a tightening labor market, which is gradually boosting wage growth.

That in turn is underpinning economic growth, paving the way for at least two interest rate increases from the Federal Reserve this year.

Fed Chair Janet Yellen told lawmakers on Tuesday that “waiting too long to remove accommodation would be unwise.”

The U.S. central bank has forecast three rate increases this year.

The Fed hiked its overnight interest rate last December by 25 basis points to a range of 0.50 percent to 0.75 percent.

Last month, sales at electronics and appliances stores jumped 1.6 percent, the biggest rise since June 2015, after falling 1.1 percent in December.

Receipts at building material stores increased 0.3 percent.

Sales at clothing stores jumped 1.0 percent, the largest rise in nearly a year.

Department store sales climbed 1.2 percent, the biggest increase since December 2015.

Department store sales have been undercut by online retailers, led by Amazon.com <AMZN.O>.

That has led to some retailers, including Macy’s <M.N>, Sears <SHLD.O> and Abercrombie & Fitch <ANF.N> announcing shop closures.

Sales at online retailers were unchanged last month after soaring 1.9 percent in December.

Receipts at restaurants and bars rose 1.4 percent, while sales at sporting goods and hobby stores shot up 1.8 percent.

Receipts at auto dealerships, however, fell 1.4 percent after vaulting 3.2 percent in December.

Last month’s drop was the biggest since March 2016.

(Reporting by Lucia Mutikani; Editing by Andrea Ricci)

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Consumer prices post largest gain in nearly four years

Vehicles wait in line for gas

WASHINGTON, Feb 15 (Reuters) – U.S. consumer prices recorded their biggest increase in nearly four years in January as households paid more for gasoline and other goods, suggesting inflation pressures could be picking up.

The Labor Department said on Wednesday its Consumer Price Index jumped 0.6 percent last month after gaining 0.3 percent in December. January’s increase in the CPI was the largest since February 2013.

In the 12 months through January, the CPI increased 2.5 percent, the biggest year-on-year gain since March 2012.

The CPI rose 2.1 percent in the year to December.

Economists polled by Reuters had forecast the CPI rising 0.3 percent last month and advancing 2.4 percent from a year ago.

Inflation is trending higher as prices for energy goods and other commodities rebound as global demand picks up.

The so-called core CPI, which strips out food and energy costs, rose 0.3 percent last month after increasing 0.2 percent in December. That lifted the year-on-year core CPI increase to 2.3 percent in January from December’s 2.2 percent increase.

The Fed has a 2 percent inflation target and tracks an inflation measure which is currently at 1.7 percent.

Gradually firming inflation and a tightening labor market could allow the Fed to raise interest rates at least twice this year.

Fed Chair Janet Yellen told lawmakers on Tuesday that “waiting too long to remove accommodation would be unwise.”

The U.S. central bank has forecast three rate increases this year. The Fed hiked its overnight interest rate last December by 25 basis points to a range of 0.50 percent to 0.75 percent.

Last month, gasoline prices surged 7.8 percent, accounting for nearly half of the rise in the CPI. That followed a 2.4 percent increase in December.

Food prices edged up 0.1 percent after being unchanged for six straight months.

The cost of food consumed at home was unchanged after dropping for eight consecutive months.

Within the core CPI basket, rents increased 0.3 percent last month after a similar gain in December.

Owners’ equivalent rent of primary residence gained 0.2 percent in January after increasing 0.3 percent the prior month.

The cost of medical care rose 0.2 percent, with the prices for hospital services and prescription medicine both increasing 0.3 percent. Motor vehicle prices shot up 0.9 percent, the largest rise since November 2009.

(Reporting by Lucia Mutikani; Editing by Andrea Ricci)

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Trump to welcome Netanyahu as Palestinians fear U.S. shift

Benjamin Netanyahu

By Luke Baker

WASHINGTON (Reuters) – President Donald Trump prepared to host Israeli Prime Minister Benjamin Netanyahu on Wednesday for talks that could shape the contours of future Middle East policy, as Palestinians warned the White House not to abandon their goal of an independent state.

For decades, the idea of creating a Palestine living peacefully alongside Israel has been a bedrock U.S. position, though the last negotiations broke down in 2014.

But in a potential shift, a senior White House official said on Tuesday that peace did not necessarily have to entail Palestinian statehood, and Trump would not try to “dictate” a solution.

As Trump and Netanyahu prepared to meet, a senior Palestinian official disclosed that on Tuesday, CIA director Mike Pompeo held talks with Palestinian President Mahmoud Abbas in Ramallah, the seat of the Palestinian government in the occupied West Bank.

“(It was) the first official meeting with a high-profile member of the American administration since Trump took office,” said the official, who spoke on condition of anonymity and declined to disclose details of the discussion.

Netanyahu committed, with conditions, to the two-state goal in a speech in 2009 and has broadly reiterated the aim since. But he has also spoken of a “state minus” option, suggesting he could offer the Palestinians deep-seated autonomy and the trappings of statehood without full sovereignty.

Palestinians reacted with alarm to the possibility that Washington might ditch its support for an independent Palestinian nation.

“If the Trump Administration rejects this policy it would be destroying the chances for peace and undermining American interests, standing and credibility abroad,” Hanan Ashrawi, a senior member of the Palestine Liberation Organization, said in response to the U.S. official’s remarks.

“Accommodating the most extreme and irresponsible elements in Israel and in the White House is no way to make responsible foreign policy,” she said in a statement.

Husam Zomlot, strategic adviser to Abbas, said the Palestinians had not received any official indication of a change in the U.S. stance.

“NO GAPS”

For Netanyahu, the talks with Trump will be an opportunity to reset ties after a frequently combative relationship with Democrat Barack Obama.

The prime minister, under investigation at home over allegations of abuse of office, spent much of Tuesday huddled with advisers in Washington preparing for the talks. Officials said they wanted no gaps to emerge between U.S. and Israeli thinking during the scheduled two-hour Oval Office meeting.

Trump, who has been in office less than four weeks and has already been immersed in problems including the forced resignation of his national security adviser, brings with him an unpredictability that Netanyahu’s staff hope will not impinge on the discussions.

During last year’s election campaign, Republican candidate Trump was relentlessly pro-Israel in his rhetoric, promising to move the U.S. embassy from Tel Aviv to Jerusalem, backing David Friedman, an ardent supporter of Jewish settlements, as his Israeli envoy and saying that he would not put pressure on Israel to negotiate with the Palestinians.

That tune, which was music to Netanyahu’s ears and to the increasingly restive right-wing within his coalition, has since changed, making Wednesday’s talks critical for clarity.

Trump appears to have put the embassy move on the backburner, at least for now, after warnings about the potential for regional unrest, including from Jordan’s King Abdullah.

And rather than giving Israel free rein on settlements, the White House has said building new ones or expanding existing ones beyond their current borders would not be helpful to peace.

That would appear to leave Israel room to build within existing settlements without drawing U.S. condemnation, in what is the sort of gray area the talks are expected to touch on.

For the Palestinians, and much of the rest of the world, settlements built on occupied land are illegal under international law. Israel disputes that, but faces increasing criticism over the policy from allies, especially after Netanyahu’s announcement in the past three weeks of plans to build 6,000 new settler homes in the West Bank and East Jerusalem.

(Additional reporting by Matt Spetalnick and Steve Holland in Washington and Maayan Lubell and Jeffrey Heller in Jerusalem; Editing by Mark Trevelyan)

China warns U.S. against fresh naval patrols in South China Sea

China's army in front of South China Sea

BEIJING (Reuters) – China’s Foreign Ministry on Wednesday warned Washington against challenging its sovereignty, responding to reports the United States was planning fresh naval patrols in the disputed South China Sea.

On Sunday, the Navy Times reported that U.S. Navy and Pacific Command leaders were considering freedom of navigation patrols in the busy waterway by the San Diego-based Carl Vinson carrier strike group, citing unnamed defense officials.

Chinese Foreign Ministry spokesman Geng Shuang said tension in the South China Sea had stabilized due to the hard work between China and Southeast Asia countries, and urged foreign nations including the U.S. to respect this.

“We urge the U.S. not to take any actions that challenge China’s sovereignty and security,” Geng told a regular news briefing on Wednesday.

The United States last conducted a freedom of navigation operation in the area in October, when it sailed the guided-missile destroyer USS Decatur near the Paracel Islands and within waters claimed by China.

Dave Bennett, a spokesman for Carrier Strike Group One, said it did not discuss future operations of its units.

“The Carl Vinson Strike Group is on a regularly scheduled Western Pacific deployment as part of the U.S. Pacific Fleet-led initiative to extend the command and control functions of the U.S. 3rd Fleet,” he said.

“U.S. Navy aircraft carrier strike groups have patrolled the Indo-Asia-Pacific regularly and routinely for more than 70 years,” he said.

China lays claim to almost all of the resource-rich South China Sea, through which about $5 trillion worth of trade passes each year.

Brunei, Malaysia, the Philippines, Taiwan and Vietnam also claim parts of the waters that command strategic sea lanes and have rich fishing grounds, along with oil and gas deposits.

The United States has criticized Beijing’s construction of man-made islands and build-up of military facilities in the sea, and expressed concern they could be used to restrict free movement.

(Reporting by Philip Wen in Beijing; Additional reporting by Matthew Tostevin in Bangkok; Editing by Ben Blanchard and Clarence Fernandez)

U.S. believes Russia deployed new missile in treaty violation: NYT

Russian military helicopters fly in formation

WASHINGTON (Reuters) – Russia has deployed a new cruise missile despite complaints by U.S. officials that it violates an arms control treaty banning ground-based U.S. and Russian intermediate-range missiles, the New York Times reported on Tuesday, citing unidentified officials.

The newspaper said Russia had secretly deployed the ground-launched SSC-8 cruise missile that Moscow has been developing and testing for several years, despite U.S. complaints that it violated sections of the 1987 Intermediate-range Nuclear Forces treaty.

The Russian Defense Ministry did not immediately respond to requests for comment on the New York Times story.

The U.S. State Department concluded in a July 2014 arms control report that “the Russian Federation is in violation of its obligations under the INF Treaty not to possess, produce, or flight-test a ground-launched cruise missile (GLCM) with a range capability of 500 km to 5,500 km (310 miles to 3,420 miles), or to possess or produce launchers of such missiles.”

Russia accused Washington of conducting “megaphone diplomacy” after the accusation was repeated by the State Department in 2015. Moscow also denied it had violated the INF treaty, which helped end the Cold War between the two countries.

The New York Times said the previous U.S. administration of President Barack Obama had attempted to persuade Moscow to correct the violation while the missile was still in the testing phase.

Instead, Russia has moved ahead with the SSC-8 missile, deploying it as an operational system, the report said.

Russia now has two battalions of the cruise missile, the newspaper quoted administration officials as saying. One is located at Russia’s missile test site at Kapustin Yar in the country’s southeast.

The other cruise missile battalion has been located at an operational base elsewhere in Russia, the Times quoted one unidentified official as saying.

(Reporting by David Alexander; Editing by Susan Heavey and Grant McCool)

Over 680 arrested in U.S. immigration raids; rights groups alarmed

US Immigration officers detaining illegal immigrants

By Julia Edwards Ainsley and Kristina Cooke

WASHINGTON (Reuters) – U.S. immigration officers last week arrested more than 680 people in the country illegally, the homeland security chief said on Monday, in a broad enforcement action that alarmed immigrant rights groups.

U.S. Homeland Security Secretary John Kelly said the operations, conducted in at least a dozen states, were routine and consistent with regular operations carried out by U.S. Immigration and Customs Enforcement, or ICE.

Immigrant rights advocates said the operations, which they describe as raids, were not business as usual, and were more sweeping than operations conducted during the administration of former Democratic President Barack Obama.

Kelly said in a statement that 75 percent of the immigrants arrested have criminal records, ranging from homicide to driving under the influence of alcohol.

He said the operation also targeted people who have violated immigration laws.

Some had ignored final orders of deportation, according to ICE, the agency responsible for immigrant arrests and deportations.

Obama was criticized for being the “deporter in chief” after he deported over 400,000 people in 2012, more than any president in a single year.

In 2014, Obama’s homeland security chief issued a memo directing agents to focus on deporting a narrow slice of immigrants, namely those who had recently entered the country or committed serious felonies. Immigrants who were arrested for driving under the influence of alcohol, for example, were treated as lower priorities for deportation.

Republican President Donald Trump promised to deport 2 million to 3 million migrants with criminal records on taking office.

At a news conference with Canadian Prime Minister Justin Trudeau on Monday, Trump said his administration had “really done a great job” in its recent arrests of immigrants.

“We’re actually taking people that are criminals, very, very, hardened criminals in some cases with a tremendous track record of abuse and problems,” Trump said.

ICE said in a statement on Monday that the operations targeted immigrants in the Midwest, Los Angeles, New York, North Carolina, South Carolina, Georgia and San Antonio.

The ICE statistics revealed regional differences in the profiles of the immigrants arrested. Of the 41 people arrested in New York City and surrounding areas, 93 percent had criminal convictions, while 45 percent of the 51 people arrested in the San Antonio, Texas area did.

Among the 190 people arrested in Georgia, North Carolina and South Carolina, were 17 people who had no criminal convictions or a prior order to leave the country, according to ICE.

In a Jan. 25 executive order, Trump broadened an Obama-era priority enforcement system for immigrants subject to removal from the United States.

“Now it seems like anyone could be arrested,” said Shiu-Ming Cheer, senior staff attorney at the National Immigration Law Center. “The level of fear and anxiety is much higher than I’ve ever seen it.”

(Reporting by Julia Edwards Ainsley and Kristina Cooke; Additional reporting by Emily Stephenson; Editing by Peter Cooney and Lisa Shumaker)