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Kim Jong Un’s latest appearance, in which he dressed down officials building a showcase hospital, illustrates why the North Korean leader can’t afford to languish under sanctions forever if he wants to fix his economy.

In a visit to the Pyongyang General Hospital, Kim lashed out at the building committee over “serious problems in economic organization for the construction,” the official Korean Central News Agency said Monday. Kim “rebuked” the committee for not following ruling party policies and accused it of “careless” budgeting.

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