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Expand chart
Adapted from a Mercator Institute for China Studies map; Map: Lazaro Gamio/Axios

Yale Environment 360 has a cautionary look at the emissions stakes of China's Belt & Road initiative (BRI), the massive collection of infrastructure projects that spans several continents.

Why it matters: The multi-decade project formally launched in 2013 aims to project China's economic interests through a network of infrastructure projects that include shipping ports, railways and highways, Isabel Hilton, writing for Yale Environment 360, argues: "BRI has the potential to transform economies in China’s partner countries. Yet it could also tip the world into catastrophic climate change."

Where it stands: She notes that the project will "absorb massive amounts of concrete, steel, and chemicals, creating new power stations, mines, roads, railways, airports, and container ports, many in countries with poor environmental oversight."

  • But her biggest focus is on the initiative's connection to Chinese-backed plans to expand coal-fired power construction in other countries — even as it takes steps to curb domestic air pollution and carbon emissions.

The big picture: "China may be pursuing eco-civilization at home, but it urgently needs to address the global risks it is creating in the Belt and Road Initiative," Hilton writes.

Go deeper: The staggering scale of China's Belt and Road initiative

Go deeper

Private colleges across America can't pay their bills

Illustration: Sarah Grillo/Axios

Behind the scenes in colleges across the U.S., institutions are having trouble paying their bills.

Why it matters: There’s a reckoning coming in higher education — especially for smaller, private liberal arts schools — that’s been years in the making. In obvious ways, COVID accelerated some of the trends, but college finances have been hurting for a while.

Caitlin Owens, author of Vitals
1 hour ago - Health

Special report: America's biggest hospitals vs. their patients

Expand chart
Data: JHU; Chart: Will Chase/Axios

More than a quarter of the 100 U.S. hospitals with the highest revenue sued patients over unpaid medical bills between 2018 and mid-2020, according to new research by Johns Hopkins University provided exclusively to Axios.

Why it matters: The report suggests that, rather than being an anomaly, patient lawsuits are relatively common across the country and among the largest providers.

1 hour ago - Health

Most top hospitals charge a more than 5x markup

Expand chart
Data: JHU; Chart: Will Chase/Axios

Some of the hospitals with the highest revenue in the country also have some of the highest prices, charging an average of 10 times more than the actual cost of the care they deliver, according to new research by Johns Hopkins University provided exclusively to Axios.

Why it matters: Hospitals each determine their own charges, or list prices. While few patients ever pay those prices, due to negotiated insurance rates, they do affect the uninsured and, experts say, ultimately influence the overall price we all pay.

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