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Monday, August 24, 2026

US debt breaches US$40 tril­lion mark


 Policy choices: People cross Pennsylvania avenue in Washington. the federal government’s iou has now more than doubled in less than a decade, from us$19.95 trillion when trump was sworn in for the first time in January 2017.

Rising borrowing sparks fresh fiscal crisis warnings

WASHINGTON: Total US debt has topped US$40 trillion for the first time, the Treasury Department says on Wednesday, drawing fresh warnings that a fiscal crisis is brewing as ballooning costs for social safety-net programmes and interest payments far outstrip revenues held back by tax cuts.


The Treasury’s latest daily cash and debt balances statement showed total public debt outstanding at US$40.047 trillion on Tuesday, a total that includes Treasury securities held by the public of US$32.266 trillion and intra-governmental debt holdings of US$7.782 trillion.


The federal government’s IOU has now more than doubled in less than a decade, from US$19.95 trillion when President Donald Trump was sworn in for the first time in January 2017.


Roughly one-third of that increase occurred during two years of frantic government borrowing to fund the Covid-19 pandemic responses undertaken by Trump and former President Joe Biden, while the fiscal policy choices of both presidents combined with long-running tax-andspending imbalances to account for the rest.


Budget watchdog groups have been anticipating the crossing of the threshold for weeks and have issued stark warnings that a full-blown debt crisis could erupt unless lawmakers confront an unsustainable fiscal outlook and raise taxes, cut spending or both.


“Forty trillion dollars of debt doesn’t exist solely on the government’s ledgers, it is felt throughout the economy and finds its way to the pocketbooks of people one way or another,” said Maya Macguineas, president of the nonpartisan Committee for a Responsible Federal Budget.


“The more we borrow, the more we exacerbate inflation, squeeze out other priorities in the budget, and leave ourselves vulnerable to emergencies at home and turmoil abroad,” Macguineas said in a statement just after the Treasury data was released.


She noted that the US$40 trillion figure was reached less than five months after debt reached US$39 trillion, and has quadrupled in less than 20 years after taking until 1981 to reach US$1 trillion for the first time.


“It is staggering how predictable the fiscal decline of a global power can become,” Macguineas added.


Global US creditors may already be growing wary. Days after a Us$25bil auction of 30-year Treasury bonds went off at the highest yield since 2021, yields on so-called long bonds on Tuesday hit their highest levels in nearly two decades as investors demanded greater compensation in the face of hefty US government bond issuance.


On Wednesday, US Treasury Secretary Scott Bessent took a bold step to push long bond yields back, announcing a doubling of buyback sizes for 10 to 30-year treasuries to at least Us$4bil per operation.


The term premium for 10-year treasuries – a measure of how much of the security’s overall yield is accounted for by the perceived isk of holding them over a decade – rose this week to its highest in more than a dozen years.


Against all that, demand for US debt by foreign investors, who hold nearly onethird of all treasuries, has been declining over the past year, leaving more bonds to fall to more price-sensitive buyers, which can exacerbate market volatility, John Canavan, lead financial market analyst in Oxford Economics’ Macroeconomic and Investor Services group, wrote on Tuesday.


The Treasury last week reported the fourth-highest monthly deficit in US history, Us$432bil for July, as tariff refunds turned customs receipts negative for the third month in a row and outlays for Social Security and Medicare benefits for seniors continued to grow.


The deficit for the first 10 months of fiscal 2026 has already exceeded the total gap for all of fiscal 2025 with two months to go in the current fiscal year.


Trump has largely ignored the dwindling number of fiscal hawks in his Republican Party, championing heavy spending across his two terms.


Public debt rose by US$7.8 trillion during Trump’s first term, with more than half of it accumulating during the pandemic response over his last nine months in office.


Since Trump took office a second time in January 2025, the US debt load has increased by US$3.8 trillion, for total growth of US$11.6 trillion across his two terms so far.


Public debt increased by US$8.4 trillion during Biden’s term, also marked by heavy Covid-19 recovery spending, but driven as well by big-ticket outlays for infrastructure investment, clean energy subsidies and other priorities championed by his Democratic Party.


The Committee for a Responsible Federal Budget estimated that the policy choices of Trump and Biden have increased the federal debt trajectory beyond what would have accumulated under the existing spending statutes when each took office.


For instance, Trump’s landmark second-term legislative package, the One Big Beautiful Bill Act, will add another US$4.7 trillion in debt, according to the Congressional Budget Office, the nonpartisan bookkeeper for federal lawmakers.


Trump has branded his second presidency as one focused on cost-cutting, marked by early federal agency job cuts ordered by the non-governmental Department of Government Efficiency. — Reuters



Under­stand­ing blood test num­bers

 

Screening tests are an important indicator of not only current disease, but also your future risk of developing certain chronic diseases. — Filepic

TURNING 40 is often when many people begin paying closer attention to their health.


Energy levels, exercise recovery time and metabolism may start to change, and many Malaysians undergo their first comprehensive health screening.


However, interpreting a multi-page laboratory report can be confusing.


The first thing to understand is that a laboratory “normal range” does not always mean optimal health.

These ranges are based on population averages and are designed mainly to detect disease.


Preventive health focuses on identifying risks early and understanding the overall pattern of results.


HEART DISEASE RISK


One of the most important sections is the lipid profile, which measures LDL (low density lipoprotein) cholesterol, HDL (high density lipoprotein) cholesterol and triglycerides.


LDL cholesterol plays a major role in the development of atherosclerosis and cardiovascular (heart) disease.


The ideal LDL level depends on an individual’s overall risk profile.


People with diabetes, kidney disease, a strong family history of early heart disease, or existing cardiovascular disease often require lower LDL levels.


HDL cholesterol is best considered a risk marker rather than a treatment target, while triglycerides should ideally remain below 1.7 mmol/l.


Raised triglycerides combined with low HDL cholesterol may indicate insulin resistance and increased metabolic risk.


Beyond standard cholesterol testing, additional markers can provide further insight.


Lipoprotein(a), or Lp(a), is an inherited cholesterol particle that independently increases the risk of heart attack, stroke and aortic valve disease.


Elevated Lp(a) is common, affecting approximately 20-30% of the population when defined as levels above 50mg/dl (about 125 nmol/l).


As Lp(a) is largely determined by genetics and remains stable throughout life, measuring it once in adulthood can help identify hidden cardiovascular risk.


Apolipoprotein B (Apob) reflects the number of cholesterol particles that can contribute to plaque formation and may provide additional risk information, especially in individuals with diabetes, obesity, metabolic syndrome or elevated triglycerides.


DIAGNOSING DIABETES


Another useful metabolic marker is HOMA-IR (Homeostatic Model Assessment of Insulin Resistance), which is calculated using fasting glucose and fasting insulin levels.


It may identify insulin resistance before blood sugar becomes abnormal, allowing earlier lifestyle intervention in selected individuals at higher metabolic risk.


Hba1c reflects average blood glucose over the previous two to three months, and is an important screening test for diabetes.


In Malaysia, diabetes affects almost one in five adults.


An Hba1c below 5.7% is considered normal, 5.7-6.4% suggests prediabetes, and 6.5% or above is consistent with diabetes when appropriately confirmed.


Identifying prediabetes provides an opportunity to reduce future risk through exercise, weight management and dietary changes.


LIVER AND BLOOD


Your liver enzymes, particularly ALT (alanine transaminase) and AST (aspartate aminotransferase), provide clues about liver health.


Mild abnormalities may be associated with metabolic dysfunction-associated steatotic liver disease (MASLD), previously known as non-alcoholic fatty liver disease.


These results should be interpreted alongside body weight, waist circumference, alcohol intake, medications and other risk factors.


The Full Blood Count (FBC) evaluates red blood cells, white blood cells and platelets.


Low haemoglobin may indicate anaemia, while abnormal white cell or platelet counts may require further evaluation depending on any other signs or symptoms the person may have.


OPTIMINSING HEALTH


The most important lesson from health screening is that individual numbers rarely tell the whole story.


Doctors look for patterns – a combination of raised blood pressure, increased waist circumference, abnormal cholesterol and rising blood sugar may indicate metabolic syndrome and increased future cardiovascular risk.


Your annual health screening should not be viewed as a passor-fail test.


It is a roadmap that helps identify risks early and guides better decisions.


The goal is not simply to be within the laboratory reference range, but to optimise your health so that you can remain active and well for years to come.


Dr Kishen Sivakumar is a general practitioner (GP). For more information, email starhealth@thestar.com.my. The information provided is for educational and communication purposes only, and should not be considered as medical advice. The Star does not give any warranty on accuracy, completeness, functionality, usefulness or other assurances as to the content appearing in this article. The Star disclaims all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.


Pulau Jerejak to be financial, lifestyle hub

 

Sim showing plans for the bridge linking Penang island to Pulau Jerejak as part of a development on the latter island with financial centre, resort and apartments. — ZHAFARAN NASIB/The Star

Project will see rm500million bridge link tp Penang island

A FINANCIAL centre, resort, serviced apartments and hotels are among development plans for Pulau Jerejak, which will be linked to Penang island by a RM500mil bridge.

Bayan Baru MP Sim Tze Tzin said the project on a 32ha site by developer Tropical Island Resort was intended as an ecosystem attracting investment players to support Penang’s technology and semiconductor industries.

Sim told reporters in Sungai Nibong that the proposed financial centre could complement nearby Bayan Lepas industrial area by bringing investors closer to engineers and young entrepreneurs.

“Penang needs venture capitalists, private equity funds, bankers and technology investors to set up offices in one location so that they can interact with technology companies and potentially channel funding into new ventures.

“We have about 20,000 integrated circuit design engineers.

“Many are now working for salaries because they do not have funders to help them start their own companies.

“Investors can set up offices anywhere, but we want them to be together,” he said, likening the concept to the clustering of financial and technology companies in Silicon Valley in the US.

Sim, who lived in Silicon Valley for six years, believed a similar ecosystem could help Penang’s technology sector grow.

“The industrial area will have a lot of engineers and young entrepreneurs.

“They must create that kind of symbiosis. They must be able to meet each other every day, talk to each other and exchange new ideas.”

Sim said the development would also be subject to restrictions on building height and density.

He said construction of the 1km elevated bridge, with two lanes in each direction as well as pedestrian and cycling lanes, would kick off with road widening works next month.

Works will involve widening Persiaran Bayan Indah near Queens Waterfront, and building a connecting road from the Tun Dr Lim Chong Eu Expressway to the bridge.

“Construction will take three years, with completion expected by March 2029.”

The bridge will connect the area beside Jambatan Harapan near Queensbay Mall to Pulau Jerejak, providing direct road access to the island which currently relies on boat services.

Sim said he had urged the developer to make the bridge an iconic structure.

“They have accepted my ideas and will hire one local and two international architects to design it.”

He said the bridge would improve access to Pulau Jerejak, making the island a more attractive destination for tourists.

Sim said the state government had requested the developer restore several heritage sites on the island.

He stressed that as 85% of Pulau Jerejak was gazetted as forest reserve, those would remain untouched.

Pulau Jerejak, which encompasses about 360ha, has a long history as a quarantine and medical site and later as a detention centre.- By LO TERN CHERN

Overdue connection: An aerial view near Queensbay Mall in Bayan Lepas, looking out towards Pulau Jerejak across the water. — CHAN BOON KAI/The Star
1 Aug 2026Located off Bayan Lepas, Pulau Jerejak is best known for its history as a quarantine station and leprosy settlement dating back to the 19th ...Read more
PULAU JEREJAK, PENANG from www.thestar.com.my