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Dr. Monali Desai
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Cardiologist

Does it seem like the Trump Administration is putting together economic policies that help billionaires (who have millions saved in foreign bank accounts) more than the rest of Americans? Can China use US debt in its tariff war against Trump? China is the second largest holder of US debt and could, theoretically, dump it to devalue the dollar. The US exported $143bn worth of goods to China in 2024 and has a trade deficit of $295bn. According to Treasury Department data, the tariffs have brought in $200m a day.

“As the tariff barriers become so prohibitive that we are just no longer able to access each other’s markets, the only source of escalation becomes kind of more escalating retaliatory tools,” like selling off US debt for less than it is worth to devalue the dollar, said Alex Jacquez, chief of policy and advocacy at the economic think tank, the Groundwork Collaborative.

James Mohs, a professor of accounting, taxation and law at the University of New Haven, says that it could be worse if China were to buy more of the debt that the US may issue. “If we have to issue more debt, that is going to weaken our economic structure. Of course, it’s going to probably weaken the dollar because it’s a pure amount of excess debt,” Mohs told Al Jazeera.

https://www.aljazeera.com/economy/2025/4/14/can-china-use-us-debt-in-its-tariff-war-against-the-us

mallorca, cafeteria mallorca, san juan - delicious sweet bread

[Diets high in processed carbs and saturated fats have been associated with the development of cardiovascular disease]

museo de san juan & las americas museum, san juan

In the future AI pre-reads of echos will make it faster for cardiologists to read echos. In this study the deep learning workflow showed strong and consistent performance in identifying apical 4-chamber videos with color Doppler across the tricuspid valve and in detecting studies with clinically significant TR.

https://jamanetwork.com/journals/jamacardiology/fullarticle/2832554

beach, san juan ☀️

Redfin: Housing market cools as economy, tariffs weigh on buyers 🇺🇸Buyers are contending with broader economic instability. A recent Redfin-Ipsos survey found that 55% of U.S. adults are less likely to make a major purchase this year because of new tariff policies announced by President Donald Trump. “Betting markets have the odds of a recession at higher than 50%, which is understandably making people wary of putting a big chunk of their money toward a house or a car,” said Chen Zhao, Redfin’s lead economist. “Consumers are tightening their belts because they are rightly nervous about their job security and the prospect of paying more for everyday expenses.”

https://www.housingwire.com/articles/redfin-housing-market-cools-as-economy-tariffs-weigh-on-buyers/

Recently, I went to a cardiology conference in Puerto Rico, I also enjoyed sightseeing and walking around San Juan. 🏝️

I went before the power outages, but it seems similar to Texas where power outages are a possibility unfortunately. A lot of the larger hotels have back up generators and rental places with solar panels are apparently becoming more common too ☀️

https://m.primal.net/QTgD.mov

Does it seem like the White House Billionaires advising the Trump Administration are out of touch with the reality of how Americans live? They recommended tariffs that will lead to higher prices and decreased stock values which are expected to then lead to layoffs plus they recommended increased federal defense spending and tax cuts for billionaires that will increase the federal deficit and likely lead to more inflation and even higher prices. 🇺🇸 It seems that the White House Billionaires thought Americans would be able to spend increasing amounts of money, even while prices are going up and there are increased concerns of lay offs because of the new tariffs and inflation.

Powell Warns of ‘Challenging Scenario’ for Fed as Trade War Rages. 🇺🇸 Powell said he saw a “strong likelihood” that consumers would face higher prices and that the economy would see higher unemployment as a result of tariffs in the short run.

https://www.wsj.com/economy/central-banking/powell-warns-of-challenging-scenario-for-fed-in-cushioning-trade-war-fallout-81d17965?mod=mhp