This is a new site highlighting my autobiography with my name David B Katague spelled backwards. The photo above is Chateau Du Mer Beach House in Boac, Marinduque, Philippines. Photo taken in the Spring of 2012.
From My Readings on Medical News in the Philippines
Philippines gene therapy cured thalassemia in single infusion permanently eradicating hereditary disease, compared to lifelong transfusions costing millions of pesos.
University of Santo Tomas used lentivirus gene therapy to correct beta-globin gene mutations causing thalassemia major, genetic blood disorder requiring lifelong transfusions to survive. Single IV infusion of corrected stem cells cured 87% of patients permanently. The patients now produce normal hemoglobin, require no transfusions, live normal lives without disease.
Blood tests show sustained normal hemoglobin levels 6+ years post-treatment. Cured patients can work, travel, have children (though genetic change isn't inherited-germ line unaffected). The therapy extracts patient's bone marrow stem cells, uses lentivirus to insert functional beta-globin gene, multiplies corrected cells, then infuses them back where they repopulate bone marrow producing healthy blood permanently.
Thalassemia patients require blood transfusions every 2-4 weeks for life, without transfusions, severe anemia causes organ failure and death by age 30. Transfusion dependency creates enormous burden: hospital visits, iron overload requiring chelation therapy, infections from transfusions, inability to travel, life revolving around treatment schedule. Philippines has treated 340 thalassemia patients with gene therapy-294 achieved transfusion independence, living normal lives for the first time. Treatment cost: ₱1.8 million ($32,000) one-time versus lifetime transfusion costs of ₱23 million ($410,000) plus incalculable quality of life benefits.
The identical gene therapy costs $2.8-3.5 million in the United States and Western Europe—90 times more expensive than Philippines pricing. Insurance companies routinely deny coverage, classifying it "experimental genetic therapy" despite 6 years real-world cure data.
American patients organize GoFundMe campaigns to afford cure or accept lifelong transfusion dependency costing $15,000-$25,000 annually (totaling $600K-$1M lifetime). Pharmaceutical companies defend pricing as "reflecting value of lifetime cure"-ignoring that Philippines delivers identical cure at 1/100th price. Western healthcare systems prefer managing chronic disease (predictable ongoing revenue) over curative one-time treatments.
Americans remain transfusion-dependent while Filipinos receive gene therapy cure for fraction of price. The same genetic disease, same curative technology, 100x cost difference, pure healthcare system exploitation of desperate patients.
Meanwhile, here's the AI Overview on the Above Topic:
While specific news of a "cure in the Philippines" isn't prominent in these results,
gene therapy for beta-thalassemia, like exa-cel (Casgevy), offers a single-infusion, potentially curative treatment by editing a patient's own stem cells to produce normal hemoglobin, with approvals and successful trials showing transformation from lifelong transfusions to normal life, though it's a complex and costly therapy approved for ages 12+ in the US.
How it Works (General Gene Therapy for Thalassemia):
Stem Cell Collection: A patient's own blood-forming stem cells are collected.
Gene Editing/Addition: In a lab, these cells are modified (e.g., using CRISPR) to add a working copy of the gene needed to make hemoglobin.
Conditioning: The patient undergoes chemotherapy to prepare their body.
Infusion: The modified stem cells are infused back into the patient, usually via IV, to produce healthy red blood cells.
Key Therapy (exa-cel):
Exagamglogene autotemcel (exa-cel/Casgevy) is an FDA-approved (late 2023/early 2024) CRISPR-based gene therapy for severe beta-thalassemia in patients 12 and older, offering a potential cure with a one-time treatment.
Outcomes:
Patients often become free from regular blood transfusions and experience significant improvements in quality of life, energy, and pain.
Philippines Context:
While these advanced therapies are global breakthroughs, reports specifically detailing successful treatments within the Philippines often highlight local clinical trials or access to international treatments rather than initial discovery. The principles described above are what enable these life-changing outcomes, regardless of location.
Meanwhile,
Deep in Philippine forests, some Pandanus (Screw Pine) appear to move.
Not by magic, but by survival. These trees grow tall stilt roots that lift the trunk off the ground. Over many years, they slowly shift position by growing new roots toward sunlight while the older roots decay.
It’s nature’s slow-motion migration - a tree that can change location without ever taking a step. Did you know trees here can literally reposition themselves to survive?
Would you believe it if you saw the same tree years later in a slightly different spot?
Lastly,
New research reveals that skin-to-skin contact between fathers and newborns triggers a biological surge in oxytocin, drastically reducing infant stress while cementing lifelong emotional bonds.
Skin-to-skin contact is no longer seen as just a bonding luxury; it is a biological necessity that reshapes the early paternal experience. When a father holds his newborn against his chest in the first hour of life, both parties experience a measurable spike in oxytocin, the "bonding hormone." This chemical shift does not just foster an immediate emotional connection; it actively regulates the infant’s stress levels and sets a foundation for long-term emotional stability. Research indicates that this simple act helps fathers feel more competent and connected to their new role from the very first moments of parenthood.
Beyond the emotional impact, the physiological benefits for the newborn are immediate and profound. Infants who receive early paternal skin-to-skin contact exhibit more stable heart rates and more consistent breathing patterns as they transition to life outside the womb. These babies cry significantly less and spend more time in a state of calm, deep sleep, which is vital for early neurological development. By stabilizing body temperature and reducing cortisol, this practice provides a critical safety net for newborns during their most vulnerable window of development, proving that a father's touch is a powerful medical asset.
This posting is inspired from my today's readings of the WSJ.
The Dollar in Retreat: What’s Happening and What It Means for the World in 2026
In the latest edition of the Wall Street Journal, a striking narrative has emerged: the once-mighty U.S. dollar is weakening, and with it, so too some argue, America’s global prestige. Headlines underscore a broader concern among policymakers and investors that the U.S. currency’s historical strength is eroding in the face of deepening geopolitical tensions, a succession of tariffs, isolationist trade policies, and provocative political rhetoric, including high-profile episodes like the public obsession over acquiring Greenland. These developments are not just political theatre; they are reshaping perceptions of U.S. economic leadership worldwide.
The Mechanics of a Weaker Dollar
Recent market data shows the U.S. dollar has weakened substantially against major currencies, hitting multi-year lows. A widely watched gauge of the dollar’s performance has dipped significantly over the past year, the most pronounced annual slide in some time. This isn’t merely technical noise: a falling dollar reflects a combination of monetary policy shifts, political uncertainty, and diminished confidence in U.S. leadership on trade.
Several drivers stand out:
Tariff escalation: The Trump administration’s aggressive use of tariffs, sometimes against traditional allies has added uncertainty to global trade flows and spurred defensive adjustments by foreign partners. Economists note that these barriers have hindered smoother commerce and encouraged other nations to seek alternatives to dollar-centric trade settlements.
Geopolitical instability: From threats of punitive duties on Canada to turbulent rhetoric about strategic assets like Greenland, political unpredictability has unsettled investors. The Bank of Canada’s governor has publicly warned that such tensions are eroding the dollar’s role as a “safe haven” asset.
Global currency diversification: Even traditional U.S. partners are considering diversifying reserves and trade invoicing away from the dollar, seeing value in a more multipolar monetary system.
Symbolism and Prestige: More Than Just Exchange Rates
The dollar is more than a medium of exchange, it is a symbol of economic stability and U.S. influence. For decades, the greenback’s dominance in global reserves, commodity pricing, and sovereign debt markets has been a cornerstone of U.S. power. But when the world perceives American policy as unpredictable or insular, confidence can erode just as quickly as exchange rates.
This shift in sentiment matters because trust in the U.S. economic system underpins the dollar’s reserve status. When that trust wavers, countries start hedging their bets holding more euros, yuan, or even alternative assets like gold. Rising demand for gold and other non-dollar instruments in recent months underscores this trend.
Global Ripples: Winners, Losers, and the Middle Ground
The weakening dollar doesn’t uniformly damage the world economy. Some countries benefit from a cheaper dollar:
Export competitiveness: A softer dollar makes U.S. goods cheaper abroad in theory boosting exports. Yet this potential gain is often offset by retaliatory tariffs and trade frictions that dampen global demand.
Relief for emerging markets: A weaker dollar can ease the debt service burden for countries with dollar-denominated liabilities and support global liquidity, a factor that helped the IMF modestly revise its growth outlook in the face of tariffs.
Still, there are clear negatives:
Trade tensions spill over: The World Bank warned that broad tariff increases could reduce global growth by tightening supply chains and chilling investment decisions.
Export-oriented economies hit: Germany’s chancellor recently cited a weak dollar as a significant drag on European exporters, who now grapple with stronger euro valuations making their goods more expensive abroad.
Where 2026 Heads Next: Projection
As we settle into 2026, the global economic landscape will be shaped by three major forces:
1. A Multipolar Currency Environment
The dollar is unlikely to collapse, it remains central to global finance, but its share of global reserves will continue to shrink modestly as countries seek diversification. Central banks and sovereign investors will increasingly balance portfolios across currencies and alternative assets.
2. Slower U.S. Growth - But Not Collapse
Domestic growth in the United States is expected to moderate as tariff-related costs filter through prices and business investment decisions. Many forecasts see U.S. GDP expansion in the low single digits, with inflation pressures elevated due to trade costs. Global partners are less likely to enter full-blown retaliation, but persistent policy uncertainty will keep investment cautious.
3. Continued Resilience in Global Growth
Despite headwinds, the global economy will likely avoid outright recession in 2026, with broad consensus placing world GDP growth in the 3.0% range, slower than the boom years of the early 2020s, but still positive. Emerging markets, particularly in Asia, will carry much of the momentum, while advanced economies navigate trade and monetary policy tightening.
Final Thoughts: A Decade of Rebalancing
The weakening of the U.S. dollar is not just a technical financial story, it is a reflection of deeper shifts in how the world views economic leadership, cooperation, and strategic alignment. If policymakers in Washington want to restore the dollar’s luster and bolster U.S. prestige globally, they will need to demonstrate predictability, collaborative trade frameworks, and support for open markets.
As 2026 unfolds, the global economy will adapt to this evolving monetary landscape, not overnight, and not without friction, but with the enduring pragmatism that markets have shown time and again in the face of geopolitical change.
Meanwhile, here's the AI Overview on the Above Topic:
The U.S. dollar reached a
four-year low in late January 2026, following comments from President Trump indicating he was comfortable with the currency’s decline. This weakness is the continuation of a trend where the dollar index (DXY) fell 9.5% in 2025. While traditional economic theory suggests tariffs and strong growth (estimated at 5.4% in Q4 2025) should bolster a currency, "Trump's unpredictable policymaking" and pressure on the Federal Reserve have instead eroded investor confidence.
Primary Drivers of Dollar Weakness
Administration Policy & Rhetoric: President Trump has explicitly stated the dollar's decline is "great," viewing a weaker currency as a tool to boost exports and manufacturing.
Federal Reserve Pressure: The administration has frequently demanded lower interest rates. On January 28, 2026, the Fed held rates steady at 3.5%–3.75%, defying Trump's calls for cuts. However, two Trump-appointed governors (Stephen Miran and Chris Waller) dissented, voting for a cut.
Fiscal Deficits: Expanded government spending, including the "One Big Beautiful Bill" Act, has deepened the national deficit, leading to concerns about the long-term health of the U.S. fiscal position.
Trade Volatility: Aggressive tariff policies—including proposed "Greenland tariffs" on eight European nations—have shifted investor behavior from "buying America" to "hedging America".
Economic Impact in 2026
Exporters vs. Importers: A weaker dollar aids U.S. exporters by making their goods cheaper abroad, but it significantly raises costs for U.S. businesses reliant on imported materials, especially when combined with high tariffs.
Inflation Risks: Economists warn that a devalued currency typically exerts upward pressure on inflation. The average tax increase per household from tariffs is projected to reach $1,300 in 2026.
Investment Shifts: Investors are increasingly moving into "hard assets" like gold, which hit record highs in January 2026, or emerging market funds, a trend some analysts call "quiet-quitting" the dollar.
2026 Currency Outlook
Most forecasts for 2026 suggest a "V-shaped" or "check mark" pattern for the dollar:
H1 2026 (Weakness): Expected continued decline toward a DXY range of 92–96 as markets react to policy uncertainty and potential Fed leadership changes in May.
H2 2026 (Potential Recovery): A rebound is possible if government spending fuels higher inflation, eventually forcing the Fed to maintain or raise interest rates.
Here are five major stories today, January 29, 2026:
1.Looming partial U.S. government shutdown over DHS funding and federal agent shootings Congress is deadlocked over a multi-bill spending package, with Democrats demanding reforms to Department of Homeland Security operations after fatal shootings by federal agents in Minnesota, raising the risk of a partial shutdown this weekend.
2. Trump warns Iran as U.S. naval buildup heightens war fears President Donald Trump has warned that a “massive armada” is heading toward Iran and said the U.S. is ready to use force unless Iran agrees to a new deal, prompting vows of immediate retaliation from Tehran and concern among U.S. allies.
3. Ongoing war in Ukraine with new Russian missile and drone strikes Russia has launched fresh waves of drone and missile attacks across Ukraine, including deadly strikes near Kyiv and on civilian rail infrastructure, ahead of renewed diplomatic talks billed as possible “peace” discussions.
4. Deadly violence and political fallout from federal agent shootings in Minneapolis The killing of Minneapolis residents, including Alex Pretti, by federal agents enforcing Trump administration immigration policies has sparked national outrage, protests, and is now central to Democrats’ demands for bans on masked agents and warrantless operations.
5. Global security crises: attacks in Niger and unrest in Yemen and Canada Heavy gunfire and explosions have been reported around Diori Hamani International Airport in Niamey, Niger, amid broader instability, while a mass shooting in Mistissini, Quebec, and ongoing conflict in Yemen highlight rising security risks in multiple regions.