Guest Contributor

Malaysia’s Traditional and Complementary Medicine goes mainstream

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Cupping is a popular detoxing of the body in Malaysia

What are Traditional Medicine, Complementary Medicine and Alternative Medicine?

Traditional Medicine (TM) has different definitions to different people. However the World Health Organisation defines TM as “the sum total of knowledge, skills and practices based on the theories, beliefs and experiences indigenous to different cultures that are used to maintain health, as well as to prevent, diagnose, improve or treat physical and mental illnesses”

TM is therefore a comprehensive term that refers to a diverse form of health practices, approaches, knowledge and beliefs incorporating plant, animal, and/or mineral based medicines, spiritual therapies, manual techniques and exercises applied singularly or in combination to maintain well-being, as well as to treat, diagnose or prevent illness that has long established in a country.  Some of the best-known TM systems include Traditional Indian Medicine (Ayurveda), Traditional Chinese Medicine (TCM), and Traditional Arabic Medicine (Unani). Traditional Malay Medicine (TMM) also falls under this category.

It is an accepted fact that countries in Africa, Asia and Latin America use TM to help meet some of their primary health care needs. In Africa, up to 80% of the population uses TM for primary health care.

Health care practices that are not part of the country’s conventional health care system or modern medicine are often referred to as Complementary and Alternative Medicine or CAM. Strictly speaking however Complementary Medicine (CM) is different from Alternative Medicine (AM) though sometimes, the terms CM or AM are used interchangeably with TM. CM is by definition non-conventional medicine practice used together with conventional medicine practice while AM is used in place of conventional medicine practice.

Complementary and Alternative Medicines (CAM) come in a wide variety of forms. The 5 main categories include the following:

Alternative medical systems

Homeopathy and Naturopathy are among the healing practices that evolved from AM. Others may include The Traditional Malay Medicine (TMM), The Indian Traditional Medicine (Ayurveda) and The Traditional Chinese Medicine (TCM). Within TCM are Acupuncture and Acupressure.

Acupunctureis a TCM technique that uses thin, sterile needles to stimulate specific points around the body. The goal is to help the body’s natural healing process kicks in. Acupuncture is believed to encourage the release of endorphins, natural painkillers that can also increase feelings of well-being. Studies have shown that acupuncture can be effective in treating a number of conditions, like neck and back pain, nausea, anxiety, depression, insomnia as well as infertility. Somewhat similar to Acupuncture, Acupressure is a therapy in which the same acupoints are stimulated by hand. The therapy may be effective in the same way, but to a lesser degree than Acupuncture.

Mind-body medicine therapy

Hypnosis is a popular type of mind-body therapy. Others may include Meditation, Yoga and Music Therapy.

Yoga is often practiced as a form of exercise and a means of reducing stress. However Yoga is also used in CAM. Indeed, some research indicates that Yoga may help manage conditions like anxiety, insomnia, migraines, and depression.

Biologically-based therapies

Biologically-based therapies in CAM use substances found in nature, such as herbs and vitamins. Others in this category may include Aromatherapy, and Nutritional Therapy.

Herbal Medicine, also called Botanical Medicine or Phytomedicine, refers to using a plant’s seeds, berries, roots, leaves, bark or flowers for medicinal purposes. It is used to treat allergies, asthma, eczema, premenstrual syndrome, rheumatoid arthritis, fibromyalgia, migraine, menopausal symptoms, chronic fatigue and irritable bowel syndrome. In The United State this category of CAM is the most popular and most widely used.

Manipulative and body-based methods

Manipulative and body-based methods in CAM are based on manipulation and/or movement of one or more parts of the body. Some examples include chiropractic or osteopathic manipulation, massage and cupping.

Cupping is performed by applying cups made of glass or similar tools to selected skin points and creating a vacuum, either by heat or by suction. There are two methods of cupping – dry or wet. Dry cupping does not draw blood while wet cupping removes blood stasis, which is an accumulation of toxins in the body. Most commonly, cups are made out of glass. However, before the use of glass, cups made of bamboo, clay, or animal horns were used. Some uses of cupping are for the treatment of lower back pain, neck and shoulder pain, headache and migraine. Cupping is also reported to help stimulates blood circulation, aids in detoxification, and promotes healing

Energy therapies

Energy therapies involve the use of energy fields. Examples include Qi Gong, Reiki, Therapeutic Touch, Aura Metaphysic and Color Vibration Therapy.

Reiki is an energy medicine practice that originated in Japan. In Reiki, the practitioner places his hands on or near the person receiving treatment, with the intent to transmit ki, believed to be life-force energy.

Adoption of Traditional and Complementary Medicine (T&CM) – The Malaysian Perspective

In Malaysia the use of Traditional and Complementary Medicine (T&CM) is widespread and increasing. Malaysia’s rich tropical biodiversity is a reliable source for natural health products and the government is now aware of its full potential. The high demand for T&CM has led to tireless efforts by the Malaysian government to integrate it into the national healthcare system. Hence, efforts were and are ongoing to take TM and CM mainstream with the view of TM and CM complementing and not to replace the role of conventional medicine practices. Towards this end TM and CM are grouped together under the umbrella of Traditional and Complementary Medicine (T&CM). These health systems and practices used to be outside the conventional modern medical system.

Several initiatives and measures were taken to ensure safety and quality of T&CM practices in the country. These include the establishment of the Traditional and Complementary Medicine Division (T&CMD) by the Health Ministry in 2004 and the gazettement of Traditional and Complementary Medicine (T&CM) Act (Act 775) on 10 Mac 2016 and enforced on 1 August 2016. Under the act the recognised T&CM practices have been categorised into six main groups based on the main ethnic groups and concept of practice. The six practices are Traditional Malay Medicine (TMM), Traditional Chinese Medicine (TCM), Traditional Indian Medicine (TIM), Homeopathy Medicine and Islamic Medicine

Status and progress of T&CM in Malaysia.

The mainstream healthcare system in Malaysia is the modern or conventional medicine. However the Health Ministry Malaysia advocates T&CM as a complement to modern medicine and strives to not only make safe and quality T&CM services accessible to the public, but by integrating them into the national health care system with the aim of achieving holistic health care for all Malaysians. 

The Traditional and Complementary Medicine (T&CM) Act 2016 (Act 775) which governs T&CM practices and practitioners in Malaysia, was gazetted on 10 March 2016 and enforced on 1 August 2016.  Malaysia is one of the very few countries to regulate diverse practices and practitioners of T&CM. The enforcement of the Act will be conducted in phases.  

As of July 2017, 15 hospitals have successfully combined T&CM practices within the national healthcare system. Currently, there are seven (7) modalities of T&CM practices offered in T&CM units of government hospitals, namely:

  1. Traditional Massage for chronic pain and stroke
  2. Acupuncture for chronic pain and stroke
  3. Herbal Therapy as an Adjunct Treatment for Cancer
  4. Traditional Postnatal Care
  5. Shirodhara
  6. External Basti Therapy
  7. Varmam Therapy

While the following are the government hospitals where some T&CM services are available (The five main services currently offered are Malay Massage, Malay Postnatal Care, Acupuncture, Chinese Herbal Therapy, and Shirodhara):

  1. Hospital Kepala Batas, Pulau Pinang
  2. Hospital Sultanah Bahiyah, AlorSetar
  3. Hospital Putrajaya, Putrajaya
  4. Hospital Rehabilitasi Cheras, Kuala Lumpur
  5. National Cancer Institute, Putrajaya
  6. Hospital Port Dickson
  7. Hospital Sultan Ismail, Johor Bharu
  8. Hospital Sultanah Hajjah Kalsom, Cameron Highlands
  9. Hospital Sultanah Nur Zahirah, Kuala Terengganu
  10. Hospital Perempuan Raja Zainab II, Kota Bharu
  11. Hospital Jasin, Melaka
  12. Hospital Umum Sarawak, Sarawak
  13. Hospital Duchess of Kent, Sabah
  14. Hospital Sungai Buloh
  15. Sabah Women and Children Hospital 

Notes:  The Malaysian model of integrating conventional health practices and CAM may signal the move towards Integrative Health Care. Integrative Health Care is defined as a comprehensive, often interdisciplinary approach to treatment, prevention and health promotion that brings together complementary and conventional therapies.

Why Traditional and Complementary Medicine?

The National Health and Morbidity Survey conducted by the Ministry of Health Malaysia in 2015 on Traditional and Complementary Medicine had revealed some interesting findings. Among the reasons given for the use of T&CM practices was mainly to maintain wellness while the use as treatment was still low. For those who seek T&CM practices as a treatment, the percentage of use as primary treatment or complementary treatment were almost equivalent. The number of people who used T&CM as an alternative treatment without seeking treatment in conventional medicine is less than 20%.

Also, Malaysian population are most likely to use T&CM for health problems related to musculoskeletal system problems such as myalgia, join pain muscle ache and back pain. This is similar to the reported reason for T&CM use worldwide especially in USA.

About the guest contributor

Mr Ahamad Rozi Daud is a keen practitioner of traditional medicines in Kuala Terengganu, Malaysia. He is a stingless bee honey producer. This honey is considered to have special health properties.

Must-Read Reports

Fossil fuels will still contribute significantly to primary energy supply in 2040

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Renewable energy constitutes only a small proportion of total primary energy supply in the future

When I graduated with Chemical Engineering degree from the Birmingham University in the UK in the 1980, I chose to work with ESSO Malaysia. This was because ESSO Malaysia (now EXXON Mobil) was one of the two biggest companies in Malaysia. They paid high salaries for their engineers. The other company was SHELL Malaysia, also an oil company. Today, these two companies continue to pay good salaries but they are considered less attractive as employers under the current environment that oil companies contribute to global warming.

A new report by energy consultancy, Wood Mackenzie, forecasts that coal, oil and gas will still contribute about 85 per cent of primary energy supply by 2040, compared with 90 per cent today. The report noted that 1 terawatt of installed solar and wind capacity makes up about around 8 per cent of total power generation as of 2019.

This equates to just a fraction of total energy consumption. “The world risks relying on fossil fuels for decades to come,” the report said. It also forecasts carbon emissions will continue to rise, with growth only slowing in the 2030s. This will put the world far off course in meeting the Paris climate goals, to limit global warming to well below 2C, despite growing political momentum to prevent climate change. Energy demand, led by growing populations in emerging economies of Africa and Asia, will increase by at least 25 per cent by 2040. Yet carbon emissions would need to halve over the same period to comply with the Paris Accord, posing a huge challenge for energy systems. “This is a wake-up call for governments and the energy industry,“ said David Brown, one of the authors of the report.

While there is much focus on creating renewable electricity, Mr Brown said greater attention needs to be paid to clean up sectors like aviation and shipping. Governments also need to take the lead in developing low-carbon technologies, rather than the private sector, given the scale of what needs to be achieved.

“If the world  wants to de-carbonize, they need to take a leap, and come out with targeted policies,” he said.

The costs of renewable power is falling rapidly and it is the fastest growing source of energy  supply globally But reaching a fuel mix whereby 50 per cent or more of energy demand is derived from solar and wind would require huge changes in infrastructure—from power storage systems to modernized grids.

The issue is not generation of electricity. The move towards zero carbon in the utility industry is advancing well and will continue so long as solar and wind plus storage are significantly cheaper than making electricity by burning coal, oil or gas. It is other industries like heating and cooling buildings, shipping, air travels, cement production, and transportation that are not moving fast enough to embrace low or zero carbon technology.

One factor that could accelerate the de-carbonization of these sectors is moving some of the money currently targeted for direct fossil fuel subsidies—almost US$400 billion globally— to subsidies for renewable energies and other low carbon technologies.

Other effective strategy would be making those who emit carbon dioxide to the atmosphere pay a fee for the harm they cause. Why should industries be allowed to escape paying for proper disposal of their waste products? Is it because of all the employment opportunities they offer?

That makes sense on the surface of things but is totally false when subjected to deeper analysis. First, industries won’t cease to exist if they are required to pay for the harm they do. Second, clean technologies promise more jobs than will be lost if a carbon fee became widespread. Third, there would be no industries if most human and the other species on the Earth are wiped out by rising temperatures.

So let’s stop feeling bad about polluters.

It’s time to change our thinking and stop apologizing for wanting to keep the global temperatures from skyrocketing. We have a right to demand a clean environment, one that allows humans and all species to thrive.

What could be objectionable about that?

And, finally, don’t let little Greta Thunberg, the 16-year Swedish schoolgirl, fights climate change alone!                 

World Unique Innovation

Better quality of life for kidney patients

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A dialysis machine

People with kidney failure could soon be spared regular trips to hospital thanks to a new dialysis machine the size of a microwave.

My late father used to visit a government dialysis centre twice a week, for almost 10 years. Fortunately, we had a friend who ferried him to the dialysis centre, which was about 10 km from our house. Some kidney patients are less fortunate who had to travel a distance to receive a dialysis treatment.  

A British company, Quanta, had announced that it had has raised £38m from investors to launch a much smaller than traditional dialysis machines, called SC+. Currently only 5 per cent of UK kidney patients, some 1,500 people, are treated at home. Quanta, based in Warwickshire, United Kingdom, said patients could be taught how to use the SC+ either at home or at a self-service clinic.

Quanta’s compact dialysis machine

John Milad, head of Quanta, said the device would allow dialysis patients to take “greater control of their lives”. In the future, dialysis could be as easy as visiting a “cash machine”.

“We believe there should be tens of thousands of them,” he added.

Approximately 3.5m people around the world require dialysis treatment.

Quanta was spun out of British engineering giant IMI in 2008, and was created after the technology used to mix soft drinks in bars was applied to blood dialysis. It now plans to ask for permission to launch the new compact dialysis machine in the US this year.

The cash injection came from several investors, including a private Swiss family office, Wellington Partners and Seroba Life Sciences.

Lifestyle choices, modern diet and increased life expectancy are all negatively impacting renal health across the globe and End Stage Renal Disease (ESRD) affects millions of patients worldwide. Haemodialysis is a lifesaving treatment delivered to an estimated 3 million people globally, with this figure expected to double in the next decade.

At present, haemodialysis is primarily provided by specialist clinics and centres. The rigid clinic scheduling means that the patient is not in control of when they can dialyse. It is clinically proven that more regular dialysis improves outcomes and quality of life for the patient, and a number of studies have shown that 30-40% of patients would be capable of performing self-care dialysis.

Issues of patient benefit, cost and clinic capacity are driving the growth of home and self-care modalities of haemodialysis. A major factor limiting the growth of self-care and home haemodialysis is the lack of convenient, compact and easy-to-use dialysis systems.  Quanta addresses these issues and puts the focus on the patient, allowing them to take greater control of their treatment.

Visit website of Quanta: http://www.quantadt.com/

Economic Matters for Innovators

Why patience is a workplace virtue

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Tortoise is slow and patient

We read an interesting article by Jonathan Black in Financial Times on June 24th, 2019.

He wrote that most people do not seem to think that deploying patience is a viable course of action at work. The word, which originates from the Latin word for “suffer”, nowadays tends to suggest passivity, forbearance, tolerance and even resignation. None of which are prized in the working world. Yet it has a distinguished history, with the first known use of the phrase “patience is a virtue” in the late 14th century poem “Piers Plowman”, by William Langland. And patience was listed as one of the seven heavenly virtues by the Roman Christian poet Prudentius 1,000 years earlier in his book, Psychomachia (Battle of the Soul). Patience may be unfashionable, but it is making a modest comeback.

He had interviewed a number of people working across a variety of sectors — the law, banking, the civil service and scientific research — all of whom thought patience could be active and effective. Most of them saw it as an important workplace skill, along with teamwork, leadership and communication.

An interviewee thinks patience can be an asset in the civil service: “If you can crack patience as a tool, then you stand a good chance of being seen as professional and reliable.” Yet he had sometimes seen patient people being marginalised by more dynamic and impatient colleagues. And he notes that “patience should not, however, be seen as an excuse for indecision.” While those who are naturally impatient can use it as a tool, they too have to learn how to manage their impatience and use it wisely. He considers that patience is learned, often through mistakes, rather than taught and concludes that patience can be used as one of many, interconnected skills.

Another interviewee, who recently retired after a career as a senior corporate tax adviser, agrees that “patience is a hard learned and useful art form”. She reflects that passing her professional exams required stamina, resilience and an element of impatience, in order to qualify as quickly as possible. In contrast, she says, “clients had to be managed with saintly patience, as did senior staff with unrealistic expectations of workload management”. More broadly, she found that “patience is useful when you are faced with a lack of understanding, political motivation to block, or just misogyny and racism. That said, too much patience allows these factors to hold you back.”

A third interviewee, who is a senior postdoctoral researcher, reported that her career in life sciences academic research has depended on patience. Success is based, she thinks, on “resilience and perseverance and is mostly incremental wins, while plagued by failures and disappointments in experiments, paper and funding application rejections”. She also cites the need to exercise patience with managers who are measuring success in tangible outcomes, while waiting for her detailed experiments that can take months to reveal significant results. She thinks that patience gives her the courage and confidence to stand her ground against the “avalanche of information and alluring possibilities, the fear of missing out, and the infliction of instant gratification”. In these instances, patience at work is not to be confused with complacency, but is rather a learned stillness that allows us to evaluate before advancing strategically with intention and enthusiasm.

Mr. Black noted that technology has been the big enabler of impatience and speed: having letters typed and proofread involved a built-in reflection period that allowed time to reconsider and ideas to develop.

New graduates enter the workplace having been trained by social media that they can, and therefore are expected to, respond instantly. The 24-hour news cycle creates a febrile atmosphere in which patient deliberation can be seen as a personal weakness. No one wants to be seen as inactive in case it looks like inability to act or complacency. And it is easy to confuse activity with progress — whereas allowing time for consideration and just letting things play out can be a more effective approach. An interviewee observes that “even if one is impatient to act, you still have to time when to strike; that can require patience itself.” Patience at work is not to be confused with complacency, but is rather a learned stillness that allows us to evaluate before advancing strategically.

Mr. Black noted that when we are impatient for change — is also a useful tool for managing one’s entire career. An interviewee thinks that “impatience for change is critical for a successful career”. This was echoed more formally by another interviewee, who every three years asks himself: “Do I like what I’m doing and should I stay?”

In some fields, patience and impatience are built into the career development structure. An interviewee, who left the British Royal Navy as a commodore in 2002, says that after becoming a lieutenant commander, promotion relies on being selected from the pool, or “zone”. Officers do not enter the zone for promotion to the next rank for a period of years, in order to consolidate skills and experience — an approach which he describes as, “guided patience”.

An interviewee views her career as a “purposeful continuum, which requires assessing my current position and strategizing the next; if done mindfully, this requires time and patience”. The urge to act quickly — responding immediately to an email or chasing a promotion — may have underlying behavioural reasons.

Economists call this tendency hyperbolic discounting, or “present bias”, in which humans place a higher value on the more imminent reward when considering two future events. Taking action immediately can give a psychological pay-off and show how engaged you are — even though ultimately it may be less effective at making progress. With decision-making timeframes under increasing pressure, the virtues of both patience and deliberate impatience risk being forgotten at work and when we think about our long-term career plans.

According to Mr. Black, while we do learn from our mistakes, teaching the importance of patience may result in fewer mistakes in the first place — which is surely the better outcome.

Advice from Mr. Black on to use patience as a tool at work

If you are going to be patient, or impatient, do it deliberately. Include “wait and see”, or “do nothing yet”, as an option for all decision making.

Do not respond to all requests instantly; even the urgent or important may need time for consideration.

Do let people know what you are doing. If naturally impatient, use the phrase, “I need to think about this before I can respond”.

If you are too patient, especially on your career, do not wait for others to look after you. Set yourself deadlines, tell other people your plans, and act on them.

Biodata

Mr. Jonathan Black is Director of Career Service, Oxford University, UK.

Brief

You can now taste caviar from Madagascar

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Lake Mantasoa in Madagascar where sturgeons are farmed

My Iranian MBA students proudly said that Iran produces the best caviar from sturgeons caught in rivers near the Caspian Sea. These sturgeons are now bred in commercial farms as wild sturgeons are declining in number. With the caviar selling at expensive prices in fancy restaurants, and travelers in first and business classes of airlines such as Singapore Airlines and Emirates are served caviar, many entrepreneurs in several countries are entering the aquaculture of sturgeons to harvest their eggs. An example was a commercial sturgeon farm in Malaysia, using South Korean expertise, which was started several years ago but failed.

Recently, it was reported by Jane Flanagan in The Times on July 6th, 2019,    that now there are successful sturgeon entrepreneurs in Madagascar.  

A lake in the highlands of Madagascar has become an unlikely source of caviar in the race to meet demand for the delicacy amid a worldwide shortage.

Entrepreneurs in Madagascar have produced a tonne of caviar after a painstaking process that began six years ago using the fertilised eggs of rare sturgeon imported from Russia.

“We took the time to prove that this is serious,” Delphyn Dabezies, the head of Rova Caviar, said, admitting that the enterprise was rather a gamble.

Producers in the Caspian Sea still boast the most prized caviar from Beluga sturgeon but steadily constricting quotas in response to dwindling stocks of fish have led to farms springing up outside Russia. Lower supply and higher demand has only increased caviar’s currency as a symbol of wealth and prestige.

The French entrepreneur, who has lived on the island for years, sold her first harvest within weeks — at £90 per 100g — half the price or less compared with caviar farmed in Europe. Her customers are luxury shops and restaurants in Madagascar and its neighbours Mauritius, the Seychelles and Réunion.

The world’s most expensive caviar, from albino sturgeon caught off the coast of Iran, regularly fetches up to £2,000 for 100g.

Lake Mantasoa, which is perched at a cool altitude of 1,400 metres and east of the capital Antananarivo, was identified as an ideal place to develop a nursery to hatch the imported eggs. Three hundred staff have been trained to manage the exacting process of raising the sturgeon until they weigh 1.5kg, when only the females are kept until their eggs are ready to be harvested.

The quality and taste of the caviar tests the skill of Gaston Sovani’i Thomas, 23, who, knife in hand, has no margin for error as he extracts the precious black eggs from each fish. “At first I was afraid to destroy or contaminate the eggs, but now everything comes automatically,” he said.

We hope the venture would be hugely successful. Visitors would now be able to enjoy spoons of caviar after spending time at Madagascar’s parks to watch lemurs, which are the island’s famous tourist products.

Jobs and Automation

Robots and the Japanese mind

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In Japan, robots are perceived positively

My youth was filled with Japanese robots such as Ultra Man while my children were occupied with Transformers. We note an interesting article by Gillian Tett in Financial Times on June 12th, 2019. The article touched on the positive acceptance of robots in Japan as compared to other countries, mainly the UK and US.

She wrote that a survey by Pew last year suggested 83 per cent of Japanese people think that automation raises inequality. But they are less concerned that using automation will make it hard for them to find a job, and an unusually high proportion think that a robot-filled economy would be far more efficient.

Meanwhile, the Japanese tend to view robots as a source of pride, not terror, since they highlight the country’s ability to innovate, with 300-plus robots per 10,000 employees, Japan has the highest take-ups of robots in the world.

One reason for that phenomenon is that robotics is an industry where Japanese business is ahead of international competitors, creating a sense of national optimism. Another subtle factor is that popular culture has tended to present robots as being friendly. Think of Astro Boy series, a manga and anime creation  that most adult Japanese watched on TV in their youth: its robotic protagonist presents  an appealing and helpful face that is easy to embrace.

In Britain, however, today’s adults grew up watching TV series such as Doctor Who, which offered a more ambivalent take on robots, with mechanized adversaries such as Daleks and Cybermen that truly terrifying for young viewers. So too in the US, where Hollywood’s robots were at least as likely to harm as to help –to be a relentless Terminator, say, as to be a cute R2 D2.

Then there is a third more tangible-issue that affects Japanese attitudes towards robots: demography. Japan’s birth rate is so low (1.43 births per woman) that its working-age population is shrinking at an alarming rate. Companies in Japan have responded by recruiting more women. Indeed, one little-noticed detail about modern Japan is that the population of women between 15 and 64 years old who now work is about 68.5 per cent, higher than in the US. The country has also started to hire a few more workers from countries such as China, Vietnam and India to fill positions ranging from elderly care to the development of AI.

Miss Tett says that these cannot entirely plug the labour shortage and there is a considerable hostility towards immigration. That makes automation seem less terrifying by default.

Then, there is a fourth issue: the social safety net. Last year’s Pew r survey revealed that 63 per cent of people in Japan think that it is up to the government—not  the individual— to help the population to adopt to automation. Perhaps that is not so surprising: Japan publicly-funded social safety net remains pretty robust, and there is still a high sense of social cohesion, common purpose and sacrifice.

In the US, however, only about 30 per cent of the public expect the government to help with automation, while more than double that number expect the burden to fall on the individual. That may sound more empowering, but Miss Tett suspected it is also a recipe for anxiety.

Miss Tett noted that our views on robots will change in the coming years. It would be interesting to see what happens, for example, in places such as Italy, where birth rate is also falling sharply. It would be more interesting to see whether political protest eventually forces the US government to take measures to strengthen the social safety net in the face of automation.

The key point is this: when it comes to robots, Japan may yet have an edge over other nations, not just in term of its technology but in its attitude too, or, at least, its recognition that robots may yet  enable the county to keep growing even its population shrinks. Call this the unexpected upside of Astro Boy –or maybe a sign that it is time for Hollywood to embrace robots more whole-heatedly.

The Situation in Malaysia

As a nation, Malaysia has a population of about 30 million The Malaysian government has been encouraging its citizens to have more children so as to reach a targeted population of 60 million for sustaining economic growth.

We noted a number of observations in our previous job as Adviser, Tabung Warisan Anak Selangor (TAWAS), a foundation that monitors and records the birth of new-borns in the state of Selangor. First, the number of children among a typical Chinese parent is two. Second, the number of children in a typical Malay family is five. It is projected that the percentage of Chinese in the Malaysian population will significantly decline due to this small number of children in the long run.

The increasing population will mean that the country must find jobs for its young adults. Recently it was revealed that a significant number of graduates are unemployed. This was worrying to the nation’s planners. Robots and automation may not be perceived to be friendly to Malaysians as robots would lead to less job opportunities.    

Brief

Snails offer path to the perfect glue

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Garden snails moving; note the mucus behind

At our small fruit garden at the back of our house in Seremban, Negeri Sembilan, Malaysia, snails are a menace, eating young papaya leaves through the night. These slow-moving snails can be found in the morning before they manage to hide under the stones and small logs or run across my neighbour’s fence. We will crush them with our feet, producing a crushing sound when their protective shells are broken. But some scientists are interested to study these menacing garden snails.    

We noted an interesting article on snails, which was written by Tom Whipple in The Times on June 19, 2019.  

According to him, scientists have long envied snails. When a snail wants to travel up a wall, it secretes a sticky mucus that holds it securely but still allows it to move. When it stops, the mucus hardens and fastens it even to rough surfaces with ten times that force. When it thinks it is time to move again, it releases more mucus and heads on up the wall.

Scientists struggle to do that: the glues they make are either strong and irreversible, such as superglue, or weak and reusable. A rare exception is Velcro, which can be extremely strong and can also be reused, but it requires a strip on each of the objects being joined.

Now, inspired by the remarkable mucus of snails, a team of researchers think they have cracked a glue that is both strong and able to be reversed: a Velcro in gel form. When wet the glue is wobbly like a snail’s slime. When dry it holds tight, then when rehydrated it returns to its mucus-like state.

The glue, described in the journal Proceedings of the National Academy of Sciences, was made from a “hydrogel”, a network of chemical chains that absorbs and swells in water. In experiments its creators showed that it was strong enough to hold up the weight of a human, who dangled off a support held by two square centimetres of the dried adhesive. He did not stay long enough for it to rain: when you add water the strength decreases tenfold.

The key, said Anand Jagota, from Lehigh University in Pennsylvania, US, was to make a gel that became strong only after it had shrunk. “Most of the time, in the process of drying, something shrinks,” he said. “When a gel shrinks, if it also stiffens it develops stresses that break the bonds.” This means that even if it stuck down before, the shrunken version releases the bond.

Professor Jagota, who worked with Shu Yang from the University of Pennsylvania, US, said that their gel did not do this. “The secret is to shrink when you’re soft then stiffen when you’re not shrinking. That’s the trick, otherwise any old gel would work. That’s what we think the snail does.”

Then when you add water, “it has a memory, the material remembers its original state. Everything becomes soft and it comes off easily. To a great extent it goes back to its original shape.”

He said they thought that the glue could be used in a range of applications. “You can imagine many cases where you want a bond you can release. Bandages, for instance. You could well want something strong that you could unglue easily by pouring water on it.”

Our Comments

Given the scientific secrets of the common garden snails, now, we feel we should not crush them but release them to a place that they can enjoy eating other leaves rather than our young papaya leaves.

Brief

US-China Trade War Affects Materials for New Energy Technologies

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Tin metal-Malaysia used to be the largest producer of tin in the world

New energy technologies require mineral resources such as copper, cobalt and lithium. A shift in the global energy system from fossil fuels- driven by cost reductions that are making new technologies  are increasingly competitive and by government policies to fight global warming and local pollution-is expected to result in steep increases in demand for some metals and other materials.

Demand for copper, for example, could rise by 275 to 350 per cent by 2050, according to research by Yale University in the US. The World Bank estimated in 2017 that action to limit the rise in global temperature to 2OC from pre-industrial levels could a seven-fold increase in demand for cobalt and an eleven-fold increase in demand for lithium by 2050.

 Chinese companies have been investing to secure supplies of these minerals, buying up mines in countries from Australia to South America.

Simon Moores of Benchmark Mineral Intelligence, a research firm, said the importance of technologies such as electric vehicles and battery storage meant “whoever controls these supply chains controls industrial power in the 21st century”.

Concern about mineral supplies has been growing in the US administration and Congress and has been heightened by China’s warnings of plans to curb export of rare earths. China accounts for mote than 80 per cent of world rare earths production.

The US commerce department has published a report in 2018 looking at 35 critical minerals, which found that imports accounted for more than 50 per cent of US domestic demand for 29 of them, and 100 per cent for 14 of them.

The list of the 35 critical minerals include the following:

  1. Aluminum (bauxite), used in almost all sectors of the economy.
  2. Antimony, used in batteries and flame retardants.
  3. Arsenic, used in lumber preservatives, pesticides and semiconductors.
  4. Barite, used in cement and petroleum industries.
  5. Beryllium, used as alloying agent in aerospace and defense industries.
  6. Bismuth, used in medical and atomic research.
  7. Cesium, used in R&D.
  8. Chromium, used primarily in stainless steel and other alloys.
  9. Cobalt, used in rechargeable batteries and superalloys.
  10. Fluorspar, used in the manufacture of aluminum, gasoline and uranium fuel.
  11. Gallium, used in integrated circuits and optical devices like LEDs.
  12. Germanium, used fir fiber optics and night vision applications.
  13. Graphite (natural), used for lubricants, batteries and fuel cells.
  14. Hafnium, used for nuclear control rods, alloys, and high-temperature ceramics.
  15. Helium, used fir MRIs, lifting agent, and research.
  16. Indium, used mostly in LCD screens.
  17. Lithium, used primarily for batteries.
  18. Magnesium, used in furnace linings for manufacturing steel and ceramics.
  19. Manganese, used in steelmaking.
  20. Niobium, used mainly in steel alloys.
  21. Platinum group metals, used for catalytic agents.
  22. Potash, mainly used as fertilizers.
  23. Rare earth elements group, primarily used in batteries and electronics.
  24. Rhenium, used for lead-free gasoline and superalloys.
  25. Rubidium, used for R&D in electronics.
  26. Scandium, used for alloys and fuel cells.
  27. Strontium, used for pyrotechnics and ceramic magnets.
  28. Tantalum, used in electronic components, mostly capacitors.
  29. Tellurium, used in steelmaking and solar cells.
  30. Tin, used as protective coatings and alloys for steel.
  31. Titanium, used as a white pigment or metal alloys.
  32. Tungsten, used to make wear-resistant metals.
  33. Uranium, mostly used for nuclear fuel.
  34. Vanadium, mostly used for titanium alloys.
  35. Zirconium, used in high-temperature ceramic industries.

Source: www.usgs.gov.

Reference for article: Ed Crook Financial Times, June 12th, 2019.

Economic Matters for Innovators

States Creates Useful Money

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We have created a new category, Economic Matters, which features economic topics which would be useful to innovators in understanding how economies work.

Today, we highlighted the article written by Martin Wolf, a well-known economist of Financial Times, on 29th, May, 2019.

According to Martin Wolf, the state is the most important of all our institutions.  It is the ultimate guarantor of security. But its power makes it frightening. For this reason, people sometimes pretend it is weaker than it is.

In one area of economics, this is particularly true; money. Money is a creature  of the state. Modern monetary theory, a controversial account of this truth is analytically correct, so far it goes. But where it does not go is crucial: money is a powerful tool, but it can be abused.

L Randall Wray of the University of Missouri-Kansas City set out these ideas in Modern Monetary Theory (MMT). They have the following fundamental elements:

First, taxes drive money. This doctrine is called “chartalism”. Governments can force their citizens to use the money it issues, because that is how people pay their taxes. The state’s money will thus become the money used for domestic transactions.

Banks depend upon the government’s bank-the central bank- as lender of last resort. The lOUs  of banks-the predominant form of money in today’s economies-are imperfect substitutes for such sovereign money. They are imperfect, because banks may become illiquid or insolvent and so may default  That is why banking crises are common.

Second, contrary to conventional wisdom, no mechanical relationship exists between holdings of central bank  liabilities by banks (that is, reserves) and the creation of bank money. Since the financial crises, central bank balance sheets and bank reserves have grown hugely, but broader monetary aggregates have not. The explanation is that the dominant driver of the money supply is the (risk adjusted) profitability of lending, which is high in boom times and low in busts. The weakness of credit also explains why inflation has remained low.

Third, governments need never default on loans in their own currency. The government does not need to raise tax or borrow to pay its way; it is possible for it to create money it needs. This makes it simple for governments to run deficits, in order to ensure full employment.

Fourth, only inflation sets limits on a government’s ability to spend. But, if inflation emerges, the government has to tighten demand, by raising taxes.

Finally, governments do not need to issue bonds in order to fund themselves. The reason for borrowing is to manage demand, by altering interest rates, or the supply of reserves to the banks.

This analysis is correct, up to a point.  It has also implications for policy. A sovereign government can always spend, in order to support demand. Again the expansion of the central bank balance sheet does not make high inflation likely, let alone inevitable.

Some believers in MMT argue that the power to create money should be used to offer jobs  guarantee or finance programmes such as the Green New Deal proposed by Democrats in the US. But such ideas do not follow from their analysis. These are suggestions for where the state should spend.

What then are the problems with MMT?

These are twofold: economic and political

An important economic difficulty, clear from the painful western experience in the 1970s, is that it is hard to know where “full employment”  lies. Excess demand may exist in some sectors or regions, and deficient demand elsewhere. Full employment is a highly uncertain range, not a single point.

A still more important economic mistake is to ignore the expectations that drive people’s behaviour. Suppose holders of money fear that government is prepared to spend on its high priority items, regardless of how overheated the economy might become. Suppose holders of money fear that the central bank has also become entirely subject to the government’s whims (which has happened often enough in the past). They are then likely to dump money in favour of some other asset, causing a collapsing currency, soaring asset prices and booming demand for durables. This many not lead to outright hyperinflation. But it would lead to a burst of high inflation, which becomes entrenched.

The focus of MMT’s proponents on balance sheet and indifference to expectations that drive behaviour are huge errors.

The mistakes are economic ones but there is a related and far worse political error, as Sebastian Edwards of University of California, Los Angeles, has argued. If politicians think they do not need to worry about the possibility of default, only about inflation, their tendency may be to assume output can be driven far higher, and unemployment far lower, than it is possible without triggering an upsurge in inflation.

That happened to many western countries in the 1970s. It has happened more often to developing countries, especially in Latin America. But the economic and social consequences of big spikes in inflation can be very damaging.

Yet the same is also true for high employment.

So in managing a modern monetary economy, one has to avoid two gross errors. One is to rely on private sector to much, since that can all too easily end up with highly destructive financial booms and busts.

The opposite error is to rely on government-led demand too much, since that may well generate destructive inflation booms and busts. 

The solution, nearly all the time, is to delegate the needed discretion to independent central banks and financial regulators. Yet proponents of MMT are right that during a period of structurally feeble private demand (as in Japan since 1990) or a deep slump, a sovereign government must and can act, on its own or in cooperation with the central bank, to offset private weaknesses. 

There is then no reason to fear the constraints. It should just go for it.