Summary: Healthcare systems around the world needs to fix their delivery model All levels of government need to have audited risk and emergency management plans as part of mitigating geopolitical risks and events. Healthcare needs to put more emphasis on homecare as part betting supporting the patient Assisted and living needs to ensure spaces are aligning with the aging population More needs to be done on rental credits for seniors to better support affordable housing costs for seniors Both the private and public sectors need to emphasis more health and wellness activities. Adding tax credits as part of annual tax filing would help support people living a healthier lifestyle More needs to be done in areas like gene and immune therapy

1. GEOPOLITICAL EVENTS – VIRUSES
MANAGEMENT – WORLD HEALTH
ORGANIZATION AND WORLD GOVERNMENTS
Paul Young CPA CGA
October 8, 2022

2. PAUL YOUNG - BIO
Contact information email: Paul_Young_CGA@hotmail.com
LinkedIn: https://www.linkedin.com/in/paul-young-055632b/
SlideShare - https://www.slideshare.net/paulyoungcga
Twitter: https://twitter.com/paulyoungcpa
YouTube - https://www.youtube.com/user/youngercga1968/videos
CPA, CGA (1996)
Academia (PF1, FA4, FN2, MU1. and MS2)
SME – Customer Success Management
SME – Risk Management
SME – Close, Consolidate and Reporting
SME – Public Policy
SME – Emerging Technology
SME – Business Process Change
SME – Financial Solutions
SME – Macro/Micro Indicators
SME – Supply Chain Management
SME – Data, AI, Security, and Platform
SME – Internal Controls and Auditing

3. AGENDA
• Inflation
• Stock Market
• Wealth
• Cases
• Deaths
• Vaccinations by country
• Vaccinations / Delivery
• Vaccines / Approval
• Vaccinations / Procurement
• Employment – January 2021 (USA vs Canada)
• Unemployment (Canada vs OECD and G7)
• Stock Market
• Global GDP / Forecast
• Blog – Crisis Management
• Blog – New Normal
• Blog – Supply Chain
• Summary
• Training/Development

4. TOP GEOPOLITICAL THREATS
Source - https://www.ey.com/en_jo/geostrategy/when-political-disruption-surrounds-you-whats-your-next-strategic-
move
1. A two-tiered world
2. Evolving great power relationships
3. Middle powers on the global stage
4. Rise of cyber piracy
5. Climate change political nexus
6. Green mineral nationalism
7. Increase intervention supply chain
8. Technology nationalization
9. Expansion of the Brussels effect
10. Inequality and push for redistribution

5. SUMMARY
PRESENTATION TITLE 5
Summary
• Concerns over housing debt and affordable housing are driving down markets
• Access to critical metals has become a growing concerns for countries trying to shift to cleaner economic policies
• Lack of focus on systemic issues with inflation
• Supply chain disruptions continue to plague global supply chains
• High inflation is challenge for global central banks
• Threat of recession continues to rise each week
• Bear market could lead to issues with pension solvency
Blog – Stock Market for the Week-Ending October 7, 2022
CIBC Trade.pdf PM says government
moving to block members of Iranian regime, IRGC from entering Canada CBC News.pdf
20220810_Equity_B
MO.pdf
BottomLine_2022100
7.pdf
weekly-economic-wa
tch.pdf
Summary:
U.S. unemployment rate falls to 3.5%
Technology leads sector declines on S&P 500
AMD leads chipmakers lower after revenue warning
FedEx drops on report of plans to reduce volume forecasts
Indexes fall: Dow down 2.1%, S&P 500 2.8%, Nasdaq 3.8%
Wall Street fell sharply on Friday following a solid jobs report for September that increased the
likelihood the Federal Reserve will barrel ahead with an interest rate hiking campaign many investors
fear will push the U.S. economy into a recession.
Source – https://finance.yahoo.com/news/us-stocks-wall-street-ends-204805743.html
https://www.slideshare.net/paulyoungcga/what-is-up-with-the-stock-market-
for-we-october-7-2022pptx

6. OECD AND INFLATION

7. OECD AND GDP

8. GDP PER CAPITA

9. BMO – CONSUMER PRICE INDEX
Source –
https://economics.bmo.com/en/publications/detail/ae97550
d-8a18-46fc-bb31-ca013cee5f45/
BMO - Inflation - CPI
- Canada - July 2022.pdf
Canadian CPI (Aug.)
— Another Step Down a Long Road.pd

10. WEALTH global-wealth-report-
2015.pdf
At $514 trillion, China
overtakes US in terms of amassing the biggest net worth, World News wionews.com.pdf
The rapid growth in
global wealth McKinsey.pdf

11. KEY METRICS AND COST OF LIVING

12. G7

13. HOSPITALIZATION

14. COVID
Source -
https://graphics.reuters.co
m/world-coronavirus-
tracker-and-
maps/countries-and-
territories/canada/
https://www.nytimes.com/in
teractive/2021/world/covid-
cases.html
Canada

15. COVID
Source -
https://graphics.reuters.co
m/world-coronavirus-
tracker-and-
maps/countries-and-
territories/canada/
https://www.nytimes.com/in
teractive/2021/world/covid-
cases.html

16. COVID
Source -
https://graphics.reuters.co
m/world-coronavirus-
tracker-and-
maps/countries-and-
territories/canada/
https://www.nytimes.com/in
teractive/2021/world/covid-
cases.html

17. COVID
Source -
https://graphics.reuters.co
m/world-coronavirus-
tracker-and-
maps/countries-and-
territories/canada/
https://www.nytimes.com/in
teractive/2021/world/covid-
cases.html

18. VACCINES
APPROVAL
Source -
https://www.nytimes.com/inter
active/2020/science/coronaviru
s-vaccine-tracker.html

19. PROCUREMENT
/
VACCINATIONS
Source -
https://launchandscalefaster.or
g/COVID-19

20. VACCINATION
DOSAGE
Source -
https://www.economist.co
m/graphic-
detail/tracking-
coronavirus-across-the-
world

21. USA VS CANADA EMPLOYMENT Canadian Jobs Back
in School.pdf
U.S. Labour Market
Tight As It Ever Was.pdf

22. GDP – CANADA VS USA
Source - https://economics.bmo.com/en/publications/detail/5d512b38-d983-47d7-
b6e9-a343cbe5c8a7/ or https://www2.deloitte.com/us/en/insights/economy/us-
economic-forecast/united-states-outlook-analysis.html MSM never mentioned how GDP went from 3.0% in 2017 to 1.6 in 2019. Trudeau
also never mentioned how inflation.
16 https://www.slideshare.net/paulyoungcga/2016-november-2016-gdp-gross-
domestic-product-canada
18 https://www.slideshare.net/paulyoungcga/gdp-canada-the-real-truth
Oct/21 https://www.slideshare.net/paulyoungcga/gdp-canada-analysis-and-
commentary-october-2021
Source - https://www.aa.com.tr/en/economy/atlanta-feds-gdp-
model-indicates-us-economy-in-recession/2628418

23. USA / OVERALL RETAIL SALES USA Retail Sales -
August 2022.pdf

24. PRICE CHANGE BY
MAIN AREA
SOURCE – STATS
CANADA

25. USA VS CANADA – RETAIL SALES
BMO -
https://economics.bmo.com/en/publications/detail
/ead26518-a9e6-424b-9979-dad2f71aee46/
BMO -
https://economics.bmo.com/en/publications/detail/f64
b2abe-0b26-4399-a1d3-7cd4fb861bae/
U.S. Retail Sales No
Gas.pdf
A Summertime
Slump in Sales.pdf

26. LATEST FORECAST
PRESENTATI, ON TITLE 26

27. BLOG – CRISIS MANAGEMENT
There are emergency management
depts for a reason. So, why has
emergency management not been
subjected to annual audits as part of
scrutinization when it comes to
geopolitical events?
https://www.slideshare.net/paulyoungcg
a/crisis-and-emergency-management-
how-best-to-manage-risk

28. AUDIT REPORT / CANADA PANDEMIC
Crisis Management
Auditor/Report
Despite nearly two decades of warnings, planning and government spending, the
Public Health Agency of Canada was not ready for the global pandemic and did not
appreciate the threat it posed in its early stages, Canada's auditor general says.
In a hard-hitting review released today, Auditor General Karen Hogan took the
country's primary pandemic response agency to task for failures in early warning,
surveillance, risk assessments, data-sharing with the provinces and follow-up on
Canadian travelers who were ordered into quarantine.
"The agency was not adequately prepared to respond to the pandemic, and it
underestimated the potential impact of the virus at the onset of the pandemic," said
the AG's review — one of three that looked at the Liberal government's management
of the COVID-19 crisis, which as of Thursday had killed 22,780 Canadians and
brought the country's economy to its knees.
https://www.cbc.ca/news/politics/auditor-general-pandemic-covid-phac-1.5963895
Here is my work on crisis management -
https://www.slideshare.net/paulyoungcga/why-there-needs-to-be-audited-reports-of-
crisis-emergency-management-policies-and-procedures

29. NEW NORMAL
Here are many links on great work by Mckinsey Group - https://www.mckinsey.com/featured-insights/coronavirus-
leading-through-the-crisis?cid=other-eml-nsl-mip-
mck&hlkid=e220291424cb421991e4e6a3b37ecb2d&hctky=11493232&hdpid=b812b692-ed48-496d-a1e4-
9eb133561e6b#
I can add a bit more color in terms of what needs to transpire:
1. Careers in demand are those that are in areas like skills trades or healthcare or Information technology.
2. World continues to grow public sector employment at higher rate than the goods-producing sector.
3. Targeting policies that will support the reshoring of key parts of the supply chain.
4. Better balance between regulations when it comes to supporting getting goods to market.
5. More targeted focus of customers on areas like customer success to better help drive transformation of both the
public and private sectors.
6. Information technology will play a key role in terms of transforming the economy.
7. Fixing issues with global trade including the elimination of protectionism policies.
8. Reforming taxation including transforming tax acts as well as closing-down tax havens.
9. Reforming the housing market to ensure it is more affordable.
10. Reforming the size of government as part of moving to a digital model
Source - https://www.slideshare.net/paulyoungcga/new-normal-canada-and-the-world-february-2021-242414576

30. SUPPLY CHAIN
https://www.bnnbloomberg.ca/china-s-trade-unexpectedly-surges-despite-virus-outbreaks-
1.1648671?taid=61373efe2b6d260001ced600&utm_campaign=trueAnthem+Manual&utm_medium=trueAnthem&utm_sour
ce=twitter
There are enormous issues with ports, rails, and other parts of the infrastructure's ability to move goods to the end consumer.
https://ibm.box.com/s/bqy9mr0ktlgi64sbf49o4rg5d9w0rqkn
Blog – How to build a resilient Supply Chain using Data and AI
https://ibm.box.com/s/bqy9mr0ktlgi64sbf49o4rg5d9w0rqkn

31. SUPPLY CHAIN
Blog – Ecommerce and Retail – Container Shortage and Risks to Supply Chain
Ship-building companies continue to work on building ever larger container vessels, and there’s little
evidence this trend will stop anytime soon.
Today, an estimated 90% of the world’s goods are transported by sea, with 60% of that – including virtually
all your imported fruits, gadgets and appliances – packed in large steel containers. The rest is mainly
commodities like oil or grains that are poured directly into the hull. In total, about US$14 trillion of the
world’s goods spend some time inside a big metal box.
In short, without the standardized container, the global supply chain that society depends upon – and that I
study – would not exist.
A recent shortage of these containers is raising costs and snarling supply chains of thousands of products
across the world. The situation highlights the importance of the simple yet essential cargo containers that,
from a distance, resemble Lego blocks floating on the sea.
https://www.canadianmanufacturing.com/features/global-shortage-of-shipping-containers-highlights-their-importance-
in-getting-goods-to-amazon-warehouses-store-shelves-and-your-door-in-time-for-christmas/

32. NEXT PANDEMIC
Source - https://www.newswire.ca/news-releases/g20-leaders-urged-at-
global-health-summit-to-take-bold-action-to-prevent-future-pandemics-
868068233.html
TORONTO, May 21, 2021 /CNW/ - As G20 leaders meet for a Global Health Summit, the global
charity World Animal Protection is urging them to prioritize pandemic prevention and to curb the
global commercial wildlife trade due to its role in this pandemic and previous epidemics.
How come you never demand performance audits from @WHO
https://www.slideshare.net/paulyoungcga/the-importance-of-
value-for-money-and-perfomance-based-audits

33. RISK MANAGEMENT
Blog – Managing Data as part of Mitigating Geopolitical Risks –
Private and Public Sector
• This ties nicely into my many blogs around how best to
managed data as it relates to geopolitical events:
• Audit and Risk Analytics
https://ibm.ent.box.com/folder/116292560123
• Crisis and Emergency Management -
https://ibm.box.com/s/rsp6p9tez8uru9fo0wu5d13bxt7rtrr0

34. OTHER GEOPOLITICAL RISKS
Source - https://globalriskinsights.com/
1. Chile Election
2. Sudan political instability
3. EMEA dependence on Russia Natural Gas
4. South Africa political instability
5. Future Pandemic outbreak
6. China and Taiwan
7. Ukraine and Russia Conflict
8. Military coups in Africa
9. Iran nuclear weapons
10. Hamas and Hezbollah

35. IMPROVING IMMUNE SYSTEMS
• Improving the immune system - https://www.houstonmethodist.org/blog/articles/2020/mar/5-ways-to-boost-
your-immune-system/
• Food and immune system - https://www.healthline.com/health/food-nutrition/foods-that-boost-the-immune-
system
• Startups - https://www.medicalstartups.org/top/immunotherapy/
• Gene and cell therapy = https://www.drugtargetreview.com/article/100201/highlights-from-drug-target-
reviews-cell-gene-therapy-advancements-online-summit/

36. BOOSTER SHOTS
Source - https://fortune.com/2022/01/19/covid-19-
boosters-block-immunity-omicron-study-finds/
COVID boosters do
not provide protection against Omicron, study finds Fortune - Heatlhcare.pdf

37. FOOD COSTS
1. Trucker shortage
2. Factor labor shortage
3. Rising warehouse costs
4. Food scarcity
5. Supply chain delays
https://www.thomasnet.com/insights/5-reasons-why-groceries-are-so-expensive-right-now/?ecms_id=6176bbf5-ba66-
4d82-89f1-df3e9ceb9969&ecms_short=ART6517&doc_type=ted_article&sponsored=&acct=&parent_id=d2286731-
fef9-4f48-8a45-
df0f64c043f9&utm_content=featuredstory&position=2&linktype=title&channel=email&campaign_type=thomas_ind
ustry_update&campaign_name=tiu220204&utm_campaign=tiu220204&utm_medium=email&utm_source=thomas_i
ndustry_update&tinid=221763045
Here is my work - https://www.slideshare.net/paulyoungcga/transportation-sector-analysis-and-commentary-
december-2021

38. HEALTHCARE REFORM
• Moving to private / public healthcare model as part of reducing wait times
• Revising insurance payout including single pay system (This will require alignment with various systems through a
better automation model)
• Building up critical medical supplies including annual audits of supplies
• Mandatory risk and crisis management for all hospitals, medical centers, and long-term care facilities
• Expanding spots at long-term care facilities including more oversight
• Addressing issues with drug costs
• Fixing the delivery model for healthcare including more digitalization, elimination of layers of management, etc.
• Putting the focus on patient care
• Adopting more automation through use of technology
• Increasing seats at medical and nursing schools
• Addressing issues with foreign credentials
• Mandatory reporting by hospitals, medical centers, and long-term care facilities into the government. Audit
Analytics and Ministry of health can then set up triggers as part managing the data including outcomes.
• Here is my work on healthcare - https://www.slideshare.net/paulyoungcga/global-healthcare-crisis-pptx

39. SUMMARY
• More and more countries are lifting vaccine
mandates.
• Supply chain continues to face many challenges.
• Immune and gene therapy continue to explore at
different ways to treat diseases.
• Little has been said about the need for all levels of
government to have better crisis and risk
management policies and procedures.
• WHO governance model needs to have more
audits as part ensuring steps are taking to mitigate
future pandemics.
• Healthcare systems continue to struggle with their
operational model
Blog – Geopolitical Risks and Threats – Disease and Variant Management – October 8, 2022
Summary:
Healthcare systems around the world needs to fix their delivery model
All levels of government need to have audited risk and emergency management plans as part of
mitigating geopolitical risks and events.
Healthcare needs to put more emphasis on homecare as part betting supporting the patient
Assisted and living needs to ensure spaces are aligning with the aging population
More needs to be done on rental credits for seniors to better support affordable housing costs for
seniors
Both the private and public sectors need to emphasis more health and wellness activities. Adding tax
credits as part of annual tax filing would help support people living a healthier lifestyle
More needs to be done in areas like gene and immune therapy.
4 Actions Healthcare
Leaders Can Take To Prepare For Future Outbreaks.pdf
What’s Next
Predicting The Frequency and Scale of Future Pandemics Center for Global Development Ideas to Action.pdf
World of Worries
Political Risks in 2023 Fitch Solutions.pdf
What To Do in Your
40 and 50s To Plan for Healthcare Costs in Retirement.pdf
Chart of the Day SG
healthcare spending to reach $45.9b in 2030 Healthcare Asia Magazine.pdf
The role of Robotics,
AI, and automation in healthcare .pdf
Ocugen, Inc. to
Present at Upcoming Vaccines, Cell & Gene Therapy Conferences.pdf
Immunotherapy
Benefits, Risks, Uses, and How It Works.pdf
The New Medicare
Part D Out-Of-Pocket Cap Will Have Unintended Consequences. Here’s How To Address Them Health Affairs.pdf
How AI & technology
can transform the healthcare sector Healthcare Digital.pdf
Regional home-care
spending falls as demand outstrips funds – Winnipeg Free Press.pdf
Research Brief
Administrative Waste’s Role In Excess US Health Spending Health Affairs.pdf
Boom in private
healthcare piles pressure on GPs The BMJ.pdf
1. Geopolitical risks - https://www.fitchsolutions.com/events/world-worries-political-risks-2023
2. Health and wellness - https://ca.sports.yahoo.com/news/40-50s-plan-healthcare-costs-
130013081.html
3. Healthcare technology - https://orthostreams.com/2022/09/the-role-of-robotics-ai-and-
automation-in-healthcare/
4. Gene Therapy - https://finance.yahoo.com/news/ocugen-inc-present-upcoming-vaccines-
120000174.html
5. Immune therapy - https://www.healthline.com/health/immunotherapy#what-it-treats
6. Drug Costs - https://www.healthaffairs.org/content/forefront/new-medicare-part-d-out-of-
pocket-cap-have-unintended-consequences-here-s-address-them
7. Digital healthcare - https://healthcare-digital.com/technology-and-ai/how-ai-technology-can-
transform-the-healthcare-sector
8. Homecare - https://www.winnipegfreepress.com/breakingnews/2022/10/07/regional-home-
care-spending-falls-as-demand-outstrips-funds

40. TRAINING AND DEVELOPMENT
• If you like to learn more
about trade and/or other
subjects as part of your
professional learning, and
development then feel
free to review my material
on
https://www.udemy.com/
(search Paul Young CPA
CGA)
• These subjects address
how to fixed issues with
housing and/or systemic
issues related to economy
including government
policies