Sunday, October 9, 2011

Jurors hear Jackson doctor detailing treatments (AP)

LOS ANGELES ? In his own words, Dr. Conrad Murray described how he spent months trying to shepherd Michael Jackson through a raging case of insomnia, giving him nightly infusions of an anesthetic until realizing the singer was becoming addicted.

Murray's account, in an interview with police that was played publicly for the first time Friday, was so detailed and graphic that Jackson's sister, Rebbie, arose and rushed from the courtroom during the description of the singer's death scene.

Given two days after the King of Pop died, Murray is heard in the more-than two hour recording describing his relationship with the star, the medications he gave him and the efforts to save his life.

Murray sounded calm, speaking in a lightly accented voice. As he neared the end of his story, emotion crept in.

"I loved Mr. Jackson," he told the detectives. "He was my friend. He opened up to me in different ways. I wanted to help him ... I cared for him. I had no intention of hurting him. I did not want him to fail."

He added, "I realized Michael Jackson had a dependency and I was trying to wean him off it."

The June 27, 2009, interview outside a noisy hotel ballroom gave police their first hint that Jackson's death was not from natural causes and that he had been given the powerful anesthetic propofol in an effort to cure his extreme insomnia.

"He's not able to sleep naturally," Murray told the detectives early in the interview.

Prosecutors contend that Murray was reckless by giving Jackson propofol outside a hospital setting and without proper monitoring equipment. They claim he gave the singer a lethal dose of the drug and other sedatives on the day Jackson died.

Defense attorneys say Jackson gave himself the lethal dose after Murray left the room. Murray has pleaded not guilty to involuntary manslaughter. If convicted, he could face up to four years behind bars and the loss of his medical license.

Jurors got about two-thirds of the way through the interview and will hear the remainder of the interview ? and some of its most emotional moments ? when the trial resumes on Tuesday.

According to a transcript released Friday, detectives asked Murray about his actions at the hospital after Jackson was declared dead, which led the doctor to describe telling the singer's mother and children that the singer had died.

Paris Jackson, the doctor said, was worried about being an orphan and expressed questions about why her father was dead.

"'Dr. Murray, you said you save a lot of patients, you know, you save people with heart attacks and you couldn't save my dad,'" Murray told the detectives Paris Jackson, then 11-years-old, said.

"'I know you tried your best, but I'm really sad," he continued, recounting her words. "'I will wake up in the morning, and I won't be able to see my daddy.'"

Murray's account disclosed a long history of Jackson's reliance on propofol.

Jackson told him he had received the drug from doctors in Germany and then from a Las Vegas physician, Dr. David Adams, who came to Murray's office and put Jackson to sleep for hours with the anesthetic. Adams is slated to testify later in the trial.

Adams' lawyer, Liborius Agwara, previously said Adams administered propofol to Jackson four times in 2008 to assist a dental surgeon.

Murray sat next to his lawyers as the tape played in the hushed courtroom. The only sound came from jurors turning pages of the 125-page transcripts given to them.

The doctor's story, interrupted infrequently by detectives' questions, was probably his substitute for testifying in the two-week old trial. It offered him the chance to describe his treatment of Jackson without cross-examination.

The interview made clear that detectives knew nothing about propofol before Murray mentioned Jackson's dependence on it. When Murray said that Jackson had demanded "his milk," his nickname for the drug, Detective Scott Smith asked, "Hot milk?"

No, the doctor said. Murray then described the anesthetic.

Jackson remained awake for hours after returning home around 1 a.m. on June 25, 2009, after rehearsals. "It was 4 o'clock in the morning, and then he complained," Murray said. "'I've got to sleep Dr. Conrad. I have these rehearsals to perform.'"

Jackson threatened to cancel that day's rehearsal, so Murray gave him some more lorazepam.

Over the course of the interview, Murray told police that other doctors had given the anesthetic before. Defense attorney Ed Chernoff told the detectives that Jackson was familiar with how the drug was administered through an IV and certain dosages.

Murray said Jackson actually asked him if he could "push it" through the IV himself and said he had done it before.

The doctor said he did not allow Jackson to do it.

At times during later portions of the interview that will be played Tuesday, Murray expresses his frustration that he didn't know what other doctors were giving Jackson.

But by the end of the interview, it becomes clear that Murray and his attorney sat down with detectives because they thought they had already found three bags filled with medical equipment, syringes and propofol bottles in Jackson's closet. Detectives wouldn't find the items until two days after the interview with Murray.

Murray told the detectives he always put the medications and equipment he used on Jackson away "because he wanted me not to have anything hanging around."

Smith then asked, "Where's your bag where those syringes would be now?"

"Oh, really?" Chernoff replied, according to the transcript.

"I don't have them," Murray replied, before telling the detectives exactly where to find the bags.

During the interview, Murray also told detectives how he took all possible precautions ? keeping oxygen and a pulse monitoring machine nearby ? and constantly warned Jackson that using propofol was an artificial way to sleep.

Murray said Jackson told him before he agreed to be his personal physician that he might need help. The physician said Jackson told him that he expected to sleep for 15 to 18 hours at a time.

Jackson had battled insomnia before he came to Murray. Repeatedly, Murray said, Jackson talked of cancelling his landmark "This Is It" comeback concert in London if he could not sleep.

"He said he would not satisfy his fans if he was not rested," Murray said. "There was a lot of pressure."

In his account of Jackson's final hours, Murray told of how he infused Jackson with lorazepam and another drug, Versed, during a 10-hour struggle to get the singer to sleep. At one point, he said, he checked to make sure the sedatives weren't leaking out of the IV bag.

"Where was this medicine going? Why was this man not responding?" Murray asked.

When Jackson stopped breathing, Murray added flumazenil, a drug designed to reverse the effects of the two drugs. There is no antidote for propofol.

In the interview, Murray acknowledged that he had left Jackson's side to go to the bathroom "for two minutes." He never mentioned the series of phone calls he made that were later detected on his cell phone records.

Murray recounted how the singer's assistant sought him out in early 2009 to accompany Jackson on his upcoming series of comeback shows. Then he got a call from Jackson, "telling me how elated he was that I was going to join the trip," Murray said.

The doctor said there was no commitment yet, but indicated how impressed he was about the request.

"Michael Jackson asked me to be on his team," Murray said. "I was talking to Michael Jackson himself."

___

AP Entertainment Writer Anthony McCartney contributed to this report.

McCartney can be reached at http://twitter.com/

Source: http://us.rd.yahoo.com/dailynews/rss/music/*http%3A//news.yahoo.com/s/ap/20111008/ap_en_mu/us_michael_jackson_doctor

urban meyer sharjah sharjah lacuna lacuna observe and report observe and report

Saturday, October 8, 2011

Apple says company co-founder Steve Jobs has died

FILE- This 1993 file photo shows Steve Jobs, co-founder of Apple Computers. Apple on Wednesday, Oct. 5, 2011 said Jobs has died. He was 56. (AP Photo/File)

FILE- This 1993 file photo shows Steve Jobs, co-founder of Apple Computers. Apple on Wednesday, Oct. 5, 2011 said Jobs has died. He was 56. (AP Photo/File)

FILE - In this Sept. 18, 1990, file photo, Steve Jobs, president and CEO of NeXT Computer Inc., shows off his company's new NeXTstation after an introduction to the public in San Francisco. Apple on Wednesday, Oct. 5, 2011 said Jobs has died. He was 56. (AP Photo/Eric Risberg, File)

FILE - In this Oct. 2, 1997, file photo, Steve Jobs of Apple Computer, speaks during the Seybold publishing conference in San Francisco, in front of a poster of artist Pablo Picasso from Apple's latest advertising campaign. Apple on Wednesday, Oct. 5, 2011 said Jobs has died. He was 56. (AP Photo/Thor Swift, File)

FILE - In this June 6, 2011, file photo, Apple CEO Steve Jobs delivers a keynote address at the Apple Worldwide Developers Conference in San Francisco. Apple on Wednesday, Oct. 5, 2011 said Jobs has died. He was 56. (AP Photo/Paul Sakuma, File)

FILE - In this Sept. 5, 2007, file photo, Apple CEO Steve Jobs introduces the Apple Nano in San Francisco. Apple on Wednesday, Oct. 5, 2011 said Jobs has died. He was 56. (AP Photo/Paul Sakuma, File)

(AP) ? Steve Jobs, the Apple founder and former CEO who invented and masterfully marketed ever-sleeker gadgets that transformed everyday technology, from the personal computer to the iPod and iPhone, has died. He was 56.

Apple announced his death without giving a specific cause.

"We are deeply saddened to announce that Steve Jobs passed away today," the company said in a brief statement.

"Steve's brilliance, passion and energy were the source of countless innovations that enrich and improve all of our lives. The world is immeasurably better because of Steve."

Jobs had battled cancer in 2004 and underwent a liver transplant in 2009 after taking a leave of absence for unspecified health problems. He took another leave of absence in January ? his third since his health problems began ? and officially resigned in August.

Jobs started Apple with a high school friend in a Silicon Valley garage in 1976, was forced out a decade later and returned in 1997 to rescue the company. During his second stint, it grew into the most valuable technology company in the world.

Cultivating Apple's countercultural sensibility and a minimalist design ethic, Jobs rolled out one sensational product after another, even in the face of the late-2000s recession and his own failing health.

He helped change computers from a geeky hobbyist's obsession to a necessity of modern life at work and home, and in the process he upended not just personal technology but the cellphone and music industries. For transformation of American industry, he has few rivals.

Perhaps most influentially, Jobs in 2001 launched the iPod, which offered "1,000 songs in your pocket." Over the next 10 years, its white earphones and thumb-dial control seemed to become more ubiquitous than the wristwatch.

In 2007 came the touch-screen iPhone, joined a year later by Apple's App Store, where developers could sell iPhone "apps" which made the phone a device not just for making calls but also for managing money, editing photos, playing games and social networking. And in 2010, Jobs introduced the iPad, a tablet-sized, all-touch computer that took off even though market analysts said no one really needed one.

By 2011, Apple had become the second-largest company of any kind in the United States by market value. In August, it briefly surpassed Exxon Mobil as the most valuable company.

Under Jobs, the company cloaked itself in secrecy to build frenzied anticipation for each of its new products. Jobs himself had a wizardly sense of what his customers wanted, and where demand didn't exist, he leveraged a cult-like following to create it.

When he spoke at Apple presentations, almost always in faded blue jeans, sneakers and a black mock turtleneck, legions of Apple acolytes listened to every word. He often boasted about Apple successes, then coyly added a coda ? "One more thing" ? before introducing its latest ambitious idea.

In later years, Apple investors also watched these appearances for clues about his health. Jobs revealed in 2004 that he had been diagnosed with a very rare form of pancreatic cancer ? an islet cell neuroendocrine tumor. He underwent surgery and said he had been cured. In 2009, following weight loss he initially attributed to a hormonal imbalance, he abruptly took a six-month leave. During that time, he received a liver transplant that became public two months after it was performed.

He went on another medical leave in January 2011, this time for an unspecified duration. He never went back and resigned as CEO in August, though he stayed on as chairman. Consistent with his penchant for secrecy, he didn't reference his illness in his resignation letter.

Steven Paul Jobs was born Feb. 24, 1955, in San Francisco to Joanne Simpson, then an unmarried graduate student, and Abdulfattah Jandali, a student from Syria. Simpson gave Jobs up for adoption, though she married Jandali and a few years later had a second child with him, Mona Simpson, who became a novelist.

Steven was adopted by Clara and Paul Jobs of Los Altos, California, a working-class couple who nurtured his early interest in electronics. He saw his first computer terminal at NASA's Ames Research Center when he was around 11 and landed a summer job at Hewlett-Packard before he had finished high school.

Jobs enrolled in Reed College in Portland, Ore., in 1972 but dropped out after six months.

"All of my working-class parents' savings were being spent on my college tuition. After six months, I couldn't see the value in it," he said at a Stanford University commencement address in 2005. "I had no idea what I wanted to do with my life and no idea how college was going to help me figure it out."

When he returned to California in 1974, Jobs worked for video game maker Atari and attended meetings of the Homebrew Computer Club ? a group of computer hobbyists ? with Steve Wozniak, a high school friend who was a few years older.

Wozniak's homemade computer drew attention from other enthusiasts, but Jobs saw its potential far beyond the geeky hobbyists of the time. The pair started Apple Computer Inc. in Jobs' parents' garage in 1976. According to Wozniak, Jobs suggested the name after visiting an "apple orchard" that Wozniak said was actually a commune.

Their first creation was the Apple I ? essentially, the guts of a computer without a case, keyboard or monitor.

The Apple II, which hit the market in 1977, was their first machine for the masses. It became so popular that Jobs was worth $100 million by age 25.

During a 1979 visit to the Xerox Palo Alto Research Center, Jobs again spotted mass potential in a niche invention: a computer that allowed people to control computers with the click of a mouse, not typed commands. He returned to Apple and ordered the team to copy what he had seen.

It foreshadowed a propensity to take other people's concepts, improve on them and spin them into wildly successful products. Under Jobs, Apple didn't invent computers, digital music players or smartphones ? it reinvented them for people who didn't want to learn computer programming or negotiate the technical hassles of keeping their gadgets working.

"We have always been shameless about stealing great ideas," Jobs said in an interview for the 1996 PBS series "Triumph of the Nerds."

The engineers responded with two computers. The pricier Lisa ? the same name as his daughter ? launched to a cool reception in 1983. The less-expensive Macintosh, named for an employee's favorite apple, exploded onto the scene in 1984.

The Mac was heralded by an epic Super Bowl commercial that referenced George Orwell's "1984" and captured Apple's iconoclastic style. In the ad, expressionless drones marched through dark halls to an auditorium where a Big Brother-like figure lectures on a big screen. A woman in a bright track uniform burst into the hall and launched a hammer into the screen, which exploded, stunning the drones, as a narrator announced the arrival of the Mac.

There were early stumbles at Apple. Jobs clashed with colleagues and even the CEO he had hired away from Pepsi, John Sculley. And after an initial spike, Mac sales slowed, in part because few programs had been written for it.

With Apple's stock price sinking, conflicts between Jobs and Sculley mounted. Sculley won over the board in 1985 and pushed Jobs out of his day-to-day role leading the Macintosh team. Jobs resigned his post as chairman of the board and left Apple within months.

"What had been the focus of my entire adult life was gone, and it was devastating," Jobs said in his Stanford speech. "I didn't see it then, but it turned out that getting fired from Apple was the best thing that could have ever happened to me. The heaviness of being successful was replaced by the lightness of being a beginner again, less sure about everything. It freed me to enter one of the most creative periods of my life."

He got into two other companies: Next, a computer maker, and Pixar, a computer-animation studio that he bought from George Lucas for $10 million.

Pixar, ultimately the more successful venture, seemed at first a bottomless money pit. Then in 1995 came "Toy Story," the first computer-animated full-length feature. Jobs used its success to negotiate a sweeter deal with Disney for Pixar's next two films, "A Bug's Life" and "Toy Story 2." In 2006, Jobs sold Pixar to The Walt Disney Co. for $7.4 billion in stock, making him Disney's largest individual shareholder and securing a seat on the board.

With Next, Jobs came up with a cube-shaped computer. He was said to be obsessive about the tiniest details, insisting on design perfection even for the machine's guts. The machine cost a pricey $6,500 to $10,000, and he never managed to spark much demand for it.

Ultimately, he shifted the focus to software ? a move that paid off later when Apple bought Next for its operating system technology, the basis for the software still used in Mac computers.

By 1996, when Apple bought Next, Apple was in dire financial straits. It had lost more than $800 million in a year, dragged its heels in licensing Mac software for other computers and surrendered most of its market share to PCs that ran Windows.

Larry Ellison, Jobs' close friend and fellow Silicon Valley billionaire and the CEO of Oracle Corp., publicly contemplated buying Apple in early 1997 and ousting its leadership. The idea fizzled, but Jobs stepped in as interim chief later that year.

He slashed unprofitable projects, narrowed the company's focus and presided over a new marketing push to set the Mac apart from Windows, starting with a campaign encouraging computer users to "Think different."

Apple's first new product under his direction, the brightly colored, plastic iMac, launched in 1998 and sold about 2 million in its first year. Apple returned to profitability that year. Jobs dropped the "interim" from his title in 2000.

He changed his style, too, said Tim Bajarin, who met Jobs several times while covering the company for Creative Strategies.

"In the early days, he was in charge of every detail. The only way you could say it is, he was kind of a control freak," he said. In his second stint, "he clearly was much more mellow and more mature."

In the decade that followed, Jobs kept Apple profitable while pushing out an impressive roster of new products.

Apple's popularity exploded in the 2000s. The iPod, smaller and sleeker with each generation, introduced many lifelong Windows users to their first Apple gadget.

The arrival of the iTunes music store in 2003 gave people a convenient way to buy music legally online, song by song. For the music industry, it was a mixed blessing. The industry got a way to reach Internet-savvy people who, in the age of Napster, were growing accustomed to downloading music free. But online sales also hastened the demise of CDs and established Apple as a gatekeeper, resulting in battles between Jobs and music executives over pricing and other issues.

Jobs' command over gadget lovers and pop culture swelled to the point that, on the eve of the iPhone's launch in 2007, faithful followers slept on sidewalks outside posh Apple stores for the chance to buy one. Three years later, at the iPad's debut, the lines snaked around blocks and out through parking lots, even though people had the option to order one in advance.

The decade was not without its glitches. In the mid-2000s, Apple was swept up in a Securities and Exchange Commission inquiry into stock options backdating, a practice that artificially raised the value of options grants. But Jobs and Apple emerged unscathed after two former executives took the fall and eventually settled with the SEC.

Jobs' personal ethos ? a natural food lover who embraced Buddhism and New Age philosophy ? was closely linked to the public persona he shaped for Apple. Apple itself became a statement against the commoditization of technology ? a cynical view, to be sure, from a company whose computers can cost three or more times as much as those of its rivals.

For technology lovers, buying Apple products has meant gaining entrance to an exclusive club. At the top was a complicated and contradictory figure who was endlessly fascinating ? even to his detractors, of which Jobs had many. Jobs was a hero to techno-geeks and a villain to partners he bullied and to workers whose projects he unceremoniously killed or claimed as his own.

Unauthorized biographer Alan Deutschman described him as "deeply moody and maddeningly erratic." In his personal life, Jobs denied for two years that he was the father of Lisa, the baby born to his longtime girlfriend Chrisann Brennan in 1978.

Few seemed immune to Jobs' charisma and will. He could adeptly convince those in his presence of just about anything ? even if they disagreed again when he left the room and his magic wore off.

"He always has an aura around his persona," said Bajarin, who met Jobs several times while covering the company for more than 20 years as a Creative Strategies analyst. "When you talk to him, you know you're really talking to a brilliant mind."

But Bajarin also remembers Jobs lashing out with profanity at an employee who interrupted their meeting. Jobs, the perfectionist, demanded greatness from everyone at Apple.

Jobs valued his privacy, but some details of his romantic and family life have been uncovered. In the early 1980s, Jobs dated the folk singer Joan Baez, according to Deutschman.

In 1989, Jobs spoke at Stanford's graduate business school and met his wife, Laurene Powell, who was then a student. When she became pregnant, Jobs at first refused to marry her. It was a near-repeat of what had happened more than a decade earlier with then-girlfriend Brennan, Deutschman said, but eventually Jobs relented.

Jobs started looking for his biological family in his teens, according to an interview he gave to The New York Times in 1997. He found his biological sister when he was 27. They became friends, and through her Jobs met his biological mother. Few details of those relationships have been made public.

But the extent of Apple secrecy didn't become clear until Jobs revealed in 2004 that he had been diagonosed with ? and "cured" of ? a rare form of operable pancreatic cancer called an islet cell neuroendocrine tumor. The company had sat on the news of his diagnosis for nine months while Jobs tried trumping the disease with a special diet, Fortune magazine reported in 2008.

In the years after his cancer was revealed, rumors about Jobs' health would spark runs on Apple stock as investors worried the company, with no clear succession plan, would fall apart without him. Apple did little to ease those concerns. It kept the state of Jobs' health a secret for as long as it could, then disclosed vague details when, in early 2009, it became clear he was again ill.

Jobs took a half-year medical leave of absence starting in January 2009, during which he had a liver transplant. Apple did not disclose the procedure at the time; two months later, The Wall Street Journal reported the fact and a doctor at the transplant hospital confirmed it.

In January 2011, Jobs announced another medical leave, his third, with no set duration. He returned to the spotlight briefly in March to personally unveil a second-generation iPad and again in June, when he showed off Apple's iCloud music synching service. At both events, he looked frail in his signature jeans and mock turtleneck.

Less than three months later, Jobs resigned as CEO. In a letter addressed to Apple's board and the "Apple community" Jobs said he "always said if there ever came a day when I could no longer meet my duties and expectations as Apple's CEO, I would be the first to let you know. Unfortunately, that day has come."

In 2005, following the bout with cancer, Jobs delivered Stanford University's commencement speech.

"Remembering that I'll be dead soon is the most important tool I've ever encountered to help me make the big choices in life," he said. "Because almost everything ? all external expectations, all pride, all fear of embarrassment or failure ? these things just fall away in the face of death, leaving only what is truly important."

Jobs is survived by his biological mother, sister Mona Simpson; Lisa Brennan-Jobs, his daughter with Brennan; wife Laurene, and their three children, Erin, Reed and Eve.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/495d344a0d10421e9baa8ee77029cfbd/Article_2011-10-05-Obit-Jobs/id-98f3024c060146c482b5f3c2c99011a5

how to draw sinead o connor ssn nursery rhymes nursery rhymes arsenal transfer news ui

Friday, October 7, 2011

Significance of self importance

Self improvement is an important way to improve and develop our work ethics and make more out of yourself and your lives. Making decisions whenever required is a must. No matter what the situation is, whether you agree or disagree, you should be prepared to take the decision. We should ensure that whatever decision we made should be to our best interest in that situation. These are the real choices if self-respect is important to us.

There are chances of promotion for any position in an organization from time to time. Any person who works hard, eagerly waiting for a promotion and is willing to take up the position will be surely noticed by the people. One must be prepared to ignore bad attitudes of colleagues or peers who does take the easy way in doing the minimum amount of work required to get by. Through Self Improvement, this can be accomplished and can make our lives much better.

Some people satisfy themselves by doing as little as possible. People with this nature beat the system or try winning over their bosses. They take pride in complaining about almost everything, like constantly complaining about colleagues attitudes, petty office politics; Keep themselves updated with other personal issues etc. People with this character often lack the courage and ambition to make changes and probably never will so.

Contradictory to the above there are people who are ambitious and courageous and put their efforts to the best use. Sometimes these people?s efforts are not recognized and are ignored by their bosses. In such cases moving on the is the best choice. There is no doubt that people with such ambition and work ethic will find a position or job where their efforts are recognized.

Self Improvement can be achieved by keeping yourself updated with the latest information, learning and improving new skills and techniques and most necessary of all keep you motivated. Regardless to the situation you are in whether you want to continue in working in the corporate world or start your own business, having a strong work ethic is extremely important for success.

Emma is an expert Author. She shares valuable information on Personal Growth, Self Help and self improvement. She has a team of Virtual Personal Assistants who help her run her website as well as manage many blogs that she runs. If you?re interested in Emma?s techniques or you would like to find out more on how her Virtual Personal Assistant works, visit her website Virtual Personal Assistant

Source: http://www.eddyarticles.com/careers-articles/significance-of-self-importance/

americas got talent tupac tupac shakur dish network houston news nfl power rankings us news and world report college rankings

How the GOP can fix 'ObamaCare' (The Week)

New York ? The Right's "repeal and replace" mantra is unlikely to yield success. But there are plenty of other ways to overhaul the president's health care reforms

If the election were held today, President Obama would probably lose. The Republicans would very likely score gains in the Senate, but probably lose seats in the House ? maybe even lose their majority altogether.

In such a case, after January 2013, the U.S. would have a president committed to the repeal of the Affordable Care Act (aka, "Obamacare") ? but lacking the votes to carry out his pledge.

Perhaps the Supreme Court will rescue that hypothetical president by voiding the ACA ? resetting the screen for a Republican do-over.

More likely, though, the Supreme Court will act cautiously, leaving a hypothetical Republican president with a serious problem: How to keep his promise to his party without wrecking his own popularity. Remember, large elements of the ACA remain very popular with the public.

Republicans have assured voters that the popular bits will be maintained in a new Republican measure to "replace" the Affordable Care Act. But several months into the 112th Congress, nobody has even outlined such a replacement.

A fight for total repeal will end in total defeat.

Meanwhile, the clock is ticking. The Affordable Care Act's major provisions go into effect on Jan. 1, 2014. Come Inauguration Day 2013, a hypothetical Republican president will have less than 12 months to devise, draft, explain, and enact a new Republican health care law that preserve the parts of ACA the voters like, while junking the pieces that Republican activists and donors despise.

But a prudent Republican president will want a Plan B: A plan for living with the ACA and revising it in light of Republican priorities.

What would such a Plan B look like?

Mitt Romney has an interesting idea. Section 1332 of the Affordable Care Act enables the secretary of Health and Human Services to grant waivers to states from many ACA regulations.

With a majority of the states challenging ACA before the Supreme Court, there should be no shortage of takers for the waivers.

But as always, there are some catches.

?????? The waivers are only available for plan years beginning after Jan. 1, 2017.

?????? The replacement plans must provide benefits at least as generous and at least as affordable as those previously provided by the ACA's mechanisms. The replacement plans must also cover at least as many people.

?????? The waivers would not save the federal government any money. Subsidies due to individuals within the states under the ACA mechanisms would be granted in a block to the state government.

In other words: President Romney would find himself enforcing President Obama's law for at least three-quarters of his own first term. And when he finally got his chance to unleash the states, they'd still have to conform to the old law's main requirements ? and would still qualify for the same federal subsidy, just in different forms.

As plans for "repeal and replace" go, this isn't very satisfactory.

What would be better?

Here's where a hypothetical post-2012 Republican administration and Congress should focus.

1)?? Bring forward the waiver effectiveness date to Jan. 1, 2014. It's just crazily burdensome on states that first they must get the ACA system up and working, and only then be allowed to develop their own alternative. There should be Democratic votes in the Senate for this kind of federalism measure.

2)?? Reform the way in which ACA is financed.

The ACA is (supposedly) paid for with new taxes on higher-income taxpayers, beginning Jan. 1, 2013.

Greg Sargent at The Washington Post has charted the distributive effect of the ACA tax increases.

For earners in the top 5 percent, the bite is real but small. For earners in the top 1 percent, the bite becomes noticeable.

If it turns out that the ACA's costs have been underestimated (a good guess), then the bite on upper-income earners will be even more severe.

But financing a universal health care benefit with a narrowly targeted tax exacerbates all the perverse incentives in U.S. health care. The U.S. already spends too much: 17 percent of national income, as compared to only 13 percent for the second-biggest spender, Switzerland. Extending health care coverage at the expense of only a few will only intensify the system's pro-spending bias.

3)?? Replace the individual mandate with a refundable tax credit valid only for the purchase of health insurance. Politics is not an entirely rational business. True, the individual mandate originated as a conservative and Republican alternative to government-run single-payer health insurance. But that was then. Today, the mandate is reviled among conservatives as an outrageous violation of individual liberty. There's no arguing the point. A work-around on this issue has become an indispensable ideological requirement for? Republicans.

4)?? Unleash the cost controllers. Contrary to widespread impression, Americans don't use more health care than other people. They are actually less likely to see a doctor in a year than Western Europeans. When they go to hospital, they don't stay longer. But every item they do use costs more than its European counterpart. America needs a green eyeshade party willing to do the disagreeable work of squeezing waste from the system. And since, post-ACA, cutting waste creates opportunities to reduce taxes, the waste-squeezing job logically falls to Republicans.

Back in 2009-2010, there were opportunities to negotiate many of these changes with an administration and a Democratic Party desperately eager for Republican buy-in. Those opportunities were thrown away. Republicans should not repeat this mistake in 2013. A fight for total repeal will end in total defeat. It will leave the ACA intact, as is, to accrete interest group support until reform becomes all-but-impossible.

Yet there is a last chance to revise the law before it goes into effect. Republicans should seize that chance when the moment comes. If forfeited now through ideological excess, who knows when an equal chance will come again?

View this article on TheWeek.com
Get The Massachusetts model

  • Wit: 15 best health-care jokes of 2009
  • Opinion Brief: Obama's health care summit: Live first reactions
  • Like on Facebook?-?Follow on Twitter?-?Sign-up for Daily Newsletter

    Source: http://us.rd.yahoo.com/dailynews/rss/oped/*http%3A//news.yahoo.com/s/theweek/20111005/cm_theweek/219954

    pubmed mtv movie awards britney spears fantasy football rankings 2011 julia child mta national grid

    Thursday, October 6, 2011

    [Debt Relief] A Guidebook To Credit Card Debt Relief Packages ...

    Write-up by Teri Miller

    What Is Credit Card Debt Relief?

    With the state of present-day economic climate, nearly everybody knows an individual suffering below some economic pressure.

    Relief plans and support options are available to alleviate this financial crisis. These relief plans are intended to offer economic assistance. For people drowning in credit score card financial debt, the plans exist to make personal debt settlement probable and much more manageable.

    Credit score card debt relief packages had been developed to help individuals unable or having trouble paying regular monthly personal debt demands. Financial hardship is recognized these days by all the large credit score card firms and almost all provide some plan for credit card debt relief. Debt relief answers are for folks who are obtaining difficulty becoming able to make ends meet.

    What Is Debt Consolidation?

    Below the concept of credit card debt or mortgage consolidation, all of your existing debts are blended or ?consolidated? into yet another single financial loan. The new creditor sends a check out to settle any present financial debt to your credit score card businesses. With these companies now paid in complete, you can now focus on spending just the one particular new loan. In brief, you acquire a new mortgage to exchange all your other debt and so need to have to make only one particular payment regular monthly.

    People who have several present debts, specifically individuals with high curiosity charges, benefit significantly from this kind of debt relief method. A downside to debt consolidation is the extended repayment time period required to offset the diminished month to month repayments. By negotiating well, you can protected an attractive loan and greatly enhance your financial image.

    three Other Debt Relief Options

    one. Debt settlement offers yet another voie for credit score card debt relief. Credit card debt consolidation lowers the ?payback ratio? for your credit card debt. You can frequently negotiate paying out as tiny as forty cents for every dollar owed. These days, some credit score card companies have gone as reduced as 25 cents for every dollar owed. So you would want to shell out only $ 2500 on $ 10,000 of credit card credit card debt. These exact same businesses can at times spread the settlement payment more than two ? 4 months. What you can negotiate depends upon your hardship and your negotiation skills.

    2. Credit score card harmony transfers offer extra choices. You transfer your credit card financial debt from one particular lender to a different loan provider who is offering a lower rate on a ?very low curiosity credit card?. You need to not default on any payments to your reduced interest credit score card even though!

    3. Credit score counseling is specifically advantageous when your ?general monetary place? is challenging. This is an powerful strategy for quick-term relief and lengthy-expression management. Credit counselors and professionals create a total debt relief resolution to pull you from the personal debt quagmire and give you that 2nd opportunity. Frequently these counselors will suggest additional debt relief plans and choices to aid you boost your fiscal position and credit score background.

    Overall Advantages of Debt Relief Applications

    By decreasing your debts, credit score card debt relief applications supply 2 general benefits:

    one. Debt relief programs let you to handle and manage your debts and monetary placement efficiently.

    two. The financial debt administration methods can be used with other debts and allow you to develop a sustainable and audio financial long term.

    Recognizing the dilemma and being willing to just take motion is only the very first stage. Credit card debt relief packages can help you towards better debt administration and financial debt elimination.

    Source: http://studentloans-withoutcosigner.com/debt-relief-a-guidebook-to-credit-card-debt-relief-packages/

    sharon megamind megamind human centipede 2 san diego weather mla format regis philbin

    UK growth revised lower as Bank of England meets (AP)

    LONDON ? Britain's economy grew by a weaker than expected 0.1 percent in the second quarter, official figures showed Wednesday, a downgrade that could pile the pressure on the Bank of England to back calls for another stimulus into the economy.

    Coupled with news that the recession of 2008 and 2009 proved deeper than previously estimated, the Bank of England's nine rate-setters will have much to ponder as they begin their monthly two-day policy meeting. However, some analysts said a positive services survey Wednesday could prompt rate-setters to wait until November.

    The Office for National Statistics had previously estimated that GDP grew by 0.2 percent in the second quarter. It said decreases in production industries and household consumption were largely behind the lower growth rate.

    It also reduced first quarter growth to 0.4 percent from 0.5 percent previously. Perhaps even more dramatically, the agency said Britain's economy shrank by 7.1 percent as opposed to 6.4 percent in the recession of 2008-2009.

    The disappointing figures come as the Bank of England's Monetary Policy Committee began its monthly two-day meeting amid growing expectations that it will approve a new round of quantitative easing to pump more billions into the economy. Minutes to the last meeting showed that the rate-setters discussed the possibility of further measures, including another cut in interest rates.

    Jonathan Loynes, chief European Economist at Capital Economics, said the downward revisions give rate-setters "further justification" for more so-called quantitative easing, whereby the Bank of England buys up financial assets from institutions in the hope that they use the proceeds to lend in the wider economy.

    However, Chris Williamson, chief economist at Markit, said a services survey his firm conducts may prompt the Bank's nine policymakers to hold fire. The Markit/CIPS index rose to 52.7 in September from 50.9. Any number over 50 indicates that most purchasing managers expected improved activity.

    "Policymakers may choose to wait until more evidence on the health of the economy becomes available with the publication of October surveys, third quarter GDP data and the Bank's updated forecasts," Williamson said.

    The Bank of England launched its program of quantitative easing in March 2009 after lowering its main interest rate to 0.5 percent, a level it has indicated is as low as it could go.

    Between March 2009 and January 2010, the Bank purchased 200 billion pounds ($310 billion) of assets, mainly government securities.

    A recent Bank of England report estimated that quantitative easing raised the level of real GDP by 1.5 percent to 2 percent but also boosted the inflation rate by as much as 1.5 percent points.

    "These estimates are clearly highly uncertain, particularly as none of the methods used to produce them fully capture all the likely transmission channels set out earlier, but they do suggest that the effects of QE were economically significant," said the report in the Bank's Quarterly Bulletin.

    Source: http://us.rd.yahoo.com/dailynews/rss/britain/*http%3A//news.yahoo.com/s/ap/20111005/ap_on_bi_ge/eu_britain_economy

    augmentin d2l d2l example example mitt romney graphing calculator

    Breast Cancer Appears Less Deadly for Men Than Women (HealthDay)

    TUESDAY, Oct. 4 (HealthDay News) -- New research shows that the few men who develop breast cancer tend to have more advanced cases than women and to be diagnosed at an older age.

    But when statistics are adjusted for factors such as age, men with breast cancer are less likely to die from the disease than women are.

    The findings shed light on a rare disease in men, one that researchers had earlier assumed was deadlier for males.

    "Men can develop it and should be aware that they should seek care if a breast lump develops," said study co-author Dr. Mikael Hartman, an assistant professor at National University of Singapore.

    About 2,140 men in the United States will develop breast cancer this year, according to an estimate from the American Cancer Society (ACS), and about 450 men will die from it. The ACS estimates that the lifetime risk that a man will develop breast cancer is one in 1,000, although the likelihood skyrockets to 5 percent to 10 percent if a man has a mutation in a gene known as BRCA2, noted Dr. Mahmoud El-Tamer, an attending surgeon at Memorial Sloan-Kettering Cancer Center who studies male breast cancer.

    The same mutation greatly boosts the risk of breast cancer in women.

    It's not clear why breast cancer is much less common in men. Women, of course, have much more breast tissue. But volume doesn't appear to affect the risk of breast cancer in women, since those with large breasts don't develop the disease more than those with small breasts, El-Tamer said.

    Estrogen could be key, study co-author Hartman said, since it seems to fuel breast cancer and is almost entirely absent in men.

    In the new study, which appears online Oct. 3 in the Journal of Clinical Oncology, researchers analyzed statistics on breast cancer in both sexes in Denmark, Finland, Switzerland, Norway, Singapore and Sweden over the past 40 years. The researchers found 459,846 cases of breast cancer in women and 2,665 in men.

    Women were diagnosed at age 62 on average and men at age 70. Men with breast cancer were less likely to live for five years than women with the disease were, but the situation reversed when researchers adjusted their statistics so they wouldn't be thrown off by differences between the two groups in terms of age and other factors.

    Hartman said it's not clear why men do better, but it may have something to do with how their bodies react to anti-hormone and chemotherapy treatments. (Removal of the breast is another treatment for men with breast cancer.)

    Over time, the prospects for women with breast cancer have improved at a greater rate than those for men, he said.

    El-Tamer said men should be aware of the possible risk of breast cancer and see a doctor if they notice a lump or changes involving the nipple, such as an ulceration, discharge or changes in the areola.

    More information

    For more about male breast cancer, try the U.S. National Library of Medicine.

    Source: http://us.rd.yahoo.com/dailynews/rss/health/*http%3A//news.yahoo.com/s/hsn/20111004/hl_hsn/breastcancerappearslessdeadlyformenthanwomen

    inkling lille lille lakeland lakeland cube um