Voters in Egypt Cast Ballots on Draft Constitution





CAIRO — Egyptians voted on Saturday in a referendum on an Islamist-backed draft constitution, even as they doubted that the results would end three weeks of violence, division and distrust between the Islamists and their opponents over the ground rules of Egypt’s promised democracy.




By midmorning Saturday, long lines had formed outside polling stations around the capital and the country. Military officers were on hand to ensure security. Despite a new outbreak of fighting over the charter in Alexandria and opposition warnings of chaos, by late afternoon the streets were free of protests for the time in weeks. Many expressed their confidence in the integrity of the vote, but continued to criticize the process that produced the charter.


Even as they waited to cast their ballots, voters continued to spar. Some said that Egypt’s new Islamist leaders had unfairly steamrolled the charter over the objections of other parties and the Coptic Christian church; others blamed the Islamists opponents for refusing to negotiate in an effort to undermine democracy because it went against them. Many expressed discontent with political leaders on both sides of the fight.


“Neither group can accept its opposition,” said Ahmed Ibrahim, 40, a government clerk waiting to vote in a middle-class neighborhood in the Nasr City area. Whatever the outcome, he said, “one group in their hearts will feel wronged, and the other group will gloat over their victory, and so the wounds will remain.”


The referendum on a new constitution once promised to be a day when Egyptians realized the visions of democracy, pluralism and national unity that defined the 18-day-revolt against the former leader Hosni Mubarak. But then came nearly two years of a chaotic political transition, in which Islamists, liberals, leftists, the military and the courts all jockeyed for power over an ever-shifting timetable.


On Saturday, Egyptians voted on a rushed revision of the old Mubarak charter that many international experts faulted as a missed opportunity, stuffed broad statements about Egyptian identity but riddled with loopholes about the protection of rights.


Many voters waiting in line on Saturday said they rejected the exploitation of the emotional issue of religion by both sides: the Islamists who sought to frame the debate over the constitution as a debate over Islamic law, and opponents who accused President Mohamed Morsi and his Islamist allies in the Muslim Brotherhood of laying the groundwork for a theocracy.


“It is not about these emotional issues,” said Talan Hassaballah, a businessman waiting to vote in the Nasr City neighborhood. “I am going to vote no, but not because I disagree with the Muslim Brotherhood or the president.”


Like most who said they would vote against the referendum, he faulted its provisions on issues of “social justice,” like guarantees of human rights, workers’ rights and social services. “They are vague,” he said.


Egypt’s Christian minority, believed to make up about 10 percent of the population, were particularly critical during the the debate. Muslim satellite networks often faulted angry Christians for provoking violence, and Christians were surprised that the Islamists leaders of the constitutional assembly had pushed out the charter even after the official representatives of the Coptic Church had withdrawn in protest.


“The entire Christian community was offended,” Nagwa Albert, 56, said after she voted against the charter. Speaking of the Islamist leaders’ statements to rally support for the charter, she said: “It feels like the beginning of a war.”


In the Cairo neighborhood of Shubra, Muslim and Christian voters each took turns approaching journalists to try to contradict the group’s depiction of the constitutional debate. Sarwat Mikhail, a 53-year-old Christian, blamed Mr. Morsi for recklessly rushing to ratify the charter. “We still have not found someone who respects us, and fears for his people,” he said.


Nadra Mandoor, a 49-year-old Muslim lawyer next to him, insisted that her Christian neighbors misconstrued the charter. Opposition leaders, she said, “do not want the country to move forward,” she said. “Do we respect the dictatorship of the minority?”


Several Muslims voting against the referendum said they were offended at Friday Prayer by imams who had urged them to vote ‘yes’ in the name of religion. In Alexandria, one such appeal by an ultraconservative sheikh set off a street fight that injured more than a dozen people, until riot police broke it up with tear gas.


Mayy El-Sheikh and Mai Ayyad contributed reporting.



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Stars Tweet Over Gun Control Following Elementary School Shootings In Connecticut — Updated






Celebrities were outraged over the tragic elementary school shooting in Newtown, Conn. on Friday, and many immediately turned to Twitter, to share their sadness.


And some even urged America’s leaders to address gun control.






PLAY IT NOW: Edward Norton Discusses Tragic Colorado Shootings


“Gun control is our only road to freedom. Freedom from the fear of senselessly losing children. I’m so saddened. WE NEED LAWS NOW,” “Parks and Recreation” actress Rashida Jones Tweeted.


Singer Michelle Branch also touched on the topic in her Tweet, writing, “Gun control people!!! My heart is breaking. As a parent this is my worst nightmare.”


VIEW THE PHOTOS: Stars We Lost In 2012


“Two and a Half Men’s” Holland Taylor wrote, “Just heard re CT shooting coming in from a walk… MY GOD. The “right” to carry concealed weapons … this has become a truly INSANE issue.”


Michael Raymond-James, who plays Neal Cassady on “Once Upon A Time,” also tackled gun control in his Tweet, writing, “Unfortunately, we have more access to assault weapons than we do to quality mental health care. That needs to change. #HowManyMoreTimes.”


Brit Piers Morgan wrote, “Why does any civilian in America need a weapon that can fire 100 rounds of ammunition at rapid speed? Give me ONE good reason?” and added, “#GunControl.”


VIEW THE PHOTOS: General Hospital: Cast Photos & More


Filmmaker Michael Moore Tweeted, “The way to honor these dead children is to demand strict gun control, free mental health care, and an end to violence as public policy.”


“General Hospital” actress Lisa LoCicero also Tweeted about gun control, in the wake of the tragedy, writing, “anyone still not ready for us to err on the side of losing some gun rights at this point, needs to leave the country.”


VIEW THE PHOTOS: ‘Grey’s Anatomy,’ Season 5


“Raising Hope” star Martha Plimpton Tweeted, “When can we talk about it? WHEN? Ever? Never? If not now, when we are staring it in the face, then WHEN? #GunControl.”


Motley Crue singer Vince Neil wrote, “Sad day today. Prayers to all the families. Gun Control!!!”


“True Blood” star Denis O’Hare Tweeted, “When do we get to seriously talk about gun control?”


“Malibu Country” actor Jai Rodriguez also Tweeted about gun control, writing, “Sick over what happened in the world this week. We need better gun laws. My heart goes out to all those affected by the horrors.”


Eric Benet Tweeted, “Half of the U.S. will say,”How dare u bring up gun control at a time like this?!” But the sane half will say,”How dare we not!?” pls RT”


Susan Sarandon wrote, “How much more suffering & loss will it take before we better regulate the sale of arms in our country? Let @NRA know how you feel.”


Jaime King wrote, “We do not have time to wait to tighten gun control- we cannot loose anymore innocent lives. I beg the government to stop F-ing around.”


Jason Biggs Tweeted, “Hey-I love guns. I’ve shot, killed, n eaten my own food-n grown cuz of the experience. But clearly, restrictions need to be put into place.”


Hill Harper ‏Tweeted, “Can we please re-institute the assault weapons ban & a ban on selling high load gun clips.”


Ginnifer Goodwin wrote, “I just emailed my representative & it was super easy. http://m.house.gov/ #guncontrol.”


“General Hospital” star Finola Hughes Tweeted, “I believe that ‘other day’ for debating gun laws is now.”


Mehcad Brook, from the USA series “Necessary Roughness” Tweeted, “Why do we go through more scrutiny getting a driver’s license bcuz cars CAN kill than we do obtaining a gun which ONLY kills?”


Other stars shared their deep sadness over the senseless deaths in Connecticut.


“God have mercy!!!! No one deserves this! Praying for the families of the victims of the Connecticut shooting!! What a Christmas it will be,” Rihanna wrote.


“Everyone reading this PLEASE get on your knees and PRAY for the sweet babies, families, and for everyone hurting in Connecticut right now,” Lady Antebellum singer Hillary Scott Tweeted.


“There have been 31 school shootings since Columbine, 14yrs ago. This time, kindergarteners. #NoWords,” Anika Noni Rose wrote.


Jennifer Hudson Tweeted, “Yal, we need to pray! This can’t keep happening . My mama always said ” if u think you’ve seen it all just keep on living.’”


Oprah Winfrey responded to Jennifer’s Tweet, writing, “@IAMJHUD for sure . Pray and take action.. Another WAKE UP for guns.”


Here’s more of what the stars had to say on Twitter:


Katie Couric: Shocked & saddened to hear this morning’s news… My heart goes out to the families of #SandyHook Elementary children, faculty, staff


Joy Behar: My thoughts and prayers are with the families of Sandy Hook Elementary.


Maksim Chmerkovskiy: I hate the “my heart is with” this and “my prayers go out” that… We ALL need to get f***ing angry and DO something more than ‘feel sad’…


Vivica A. Fox: Wow! It seems like we r gonna have to put metal detectors everywhere and armed guards! Seems like u can’t b safe anywhere!! WTH?? icon sad Stars Tweet Over Gun Control Following Elementary School Shootings In Connecticut    Updated


Jack Wagner: OMG prayers 4 those affected by the shooting in Connecticut…so sad


Ian Somerhalder: We are sad.Our hearts,thoughts&help are w/you.Im so sorry to all affected by this.So sorry.May all thelove in the world hug you in this time


Ralph Macchio: There are no words… Prayers #Connecticut


Rachel Dratch: Our weekly mass shootings aren’t happening in other countries. And this time, children? WHEN WILL OUR “LEADERS” PUT AN END TO THIS INSANITY?


Teresa Giudice: On days like this, we should hug our children just a little bit tighter.


Steve Levitan: My thoughts and deepest sympathies are with the victims. I should have said that first, but I’m tired of these tragedies. #standuptothenra


Marlee Matlin: I am numb as the numbers of the dead – children and adults – keep ticking up. #PrayForNewtown


Christina Applegate: There are just no words. Only sorrow. We are all shedding tears today for those families.


Karina Smirnoff: We need to pray for all the families affected by the Newtown, CT school shooting. Absolutely devastating….


Kim Kardashian: These kids come to school to learn, never expecting this tragedy to happen. They didn’t deserve this. Praying for everyone involved!


Brandi Glanville: I can not believe this school shooting, what is wrong with people!!!! My heart is breakking for the kids and families.


Jackie Collins: My heart breaks for the Newtown community…for these families.


Damon Lindelof: I’m not “politicizing” squat. I’m heartbroken, angry, confused and scared and I DO NOT UNDERSTAND WHY THIS KEEPS HAPPENING.


DJ Pauly D: My Prayers Go Out To Everyone Affected By This Horrible Shooting In Connecticut


Copyright 2012 by NBC Universal, Inc. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


Social Media News Headlines – Yahoo! News


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Connecticut Shooting: Grief and Disbelief at Vigils for Victims









12/15/2012 at 09:45 AM EST







St. Rose of Lima Church


Andrew Gombert/EPA/Landov


A palpable grief hung in the air on a bitterly cold night in Newtown, Conn., on Friday night as hundreds came out to mourn the dead – 20 children and six adults – of the
mass shooting just hours before.

Several services were held around the area, including one at the town hall. At the St. Rose of Lima Church people packed the pews and spilled out the doors.

While hymns and prayers could be heard from inside, outside people cried, hugged, and even laughed at times. Some participated in a prayer circle, silently holding hands before beginning to sing songs including "Amazing Grace" and "Silent Night."

Many who attended told PEOPLE they were there to pay their respects to the victims and their families, and some had closer connections.

Tiana Dwyer, a high-school student in Newtown, spent several hours a week with a 5-year-old boy who reportedly died in the shooting, and Friday night held a candle for him.

"I came out to honor him and all the kids who died," she said. "He was a really nice kid. He was a little shy. It’s really sad, I can’t believe it happened. I’m so upset."

A priest handed out wafers outside as people left the service, and many stayed afterward to connect and to observe the nativity scene outside the church.

Earlier, the church's Monsignor Robert Weiss told PEOPLE he'd been counseling survivors and families for much of the day, and described the shock many are experiencing.

"I think nobody can understand who this is or why [the shooter] would do this," he said. "Why would you walk into a classroom of little children and do what he did? That's probably the biggest question right now."

Read More..

Fewer health care options for illegal immigrants


ALAMO, Texas (AP) — For years, Sonia Limas would drag her daughters to the emergency room whenever they fell sick. As an illegal immigrant, she had no health insurance, and the only place she knew to seek treatment was the hospital — the most expensive setting for those covering the cost.


The family's options improved somewhat a decade ago with the expansion of community health clinics, which offered free or low-cost care with help from the federal government. But President Barack Obama's health care overhaul threatens to roll back some of those services if clinics and hospitals are overwhelmed with newly insured patients and can't afford to care for as many poor families.


To be clear, Obama's law was never intended to help Limas and an estimated 11 million illegal immigrants like her. Instead, it envisions that 32 million uninsured Americans will get access to coverage by 2019. Because that should mean fewer uninsured patients showing up at hospitals, the Obama program slashed the federal reimbursement for uncompensated care.


But in states with large illegal immigrant populations, the math may not work, especially if lawmakers don't expand Medicaid, the joint state-federal health program for the poor and disabled.


When the reform has been fully implemented, illegal immigrants will make up the nation's second-largest population of uninsured, or about 25 percent. The only larger group will be people who qualify for insurance but fail to enroll, according to a 2012 study by the Washington-based Urban Institute.


And since about two-thirds of illegal immigrants live in just eight states, those areas will have a disproportionate share of the uninsured to care for.


In communities "where the number of undocumented immigrants is greatest, the strain has reached the breaking point," Rich Umbdenstock, president of the American Hospital Association, wrote last year in a letter to Obama, asking him to keep in mind the uncompensated care hospitals gave to that group. "In response, many hospitals have had to curtail services, delay implementing services, or close beds."


The federal government has offered to expand Medicaid, but states must decide whether to take the deal. And in some of those eight states — including Texas, Florida and New Jersey — hospitals are scrambling to determine whether they will still have enough money to treat the remaining uninsured.


Without a Medicaid expansion, the influx of new patients and the looming cuts in federal funding could inflict "a double whammy" in Texas, said David Lopez, CEO of the Harris Health System in Houston, which spends 10 to 15 percent of its $1.2 billion annual budget to care for illegal immigrants.


Realistically, taxpayers are already paying for some of the treatment provided to illegal immigrants because hospitals are required by law to stabilize and treat any patients that arrive in an emergency room, regardless of their ability to pay. The money to cover the costs typically comes from federal, state and local taxes.


A solid accounting of money spent treating illegal immigrants is elusive because most hospitals do not ask for immigration status. But some states have tried.


California, which is home to the nation's largest population of illegal immigrants, spent an estimated $1.2 billion last year through Medicaid to care for 822,500 illegal immigrants.


The New Jersey Hospital Association in 2010 estimated that it cost between $600 million and $650 million annually to treat 550,000 illegal immigrants.


And in Texas, a 2010 analysis by the Health and Human Services Commission found that the agency had provided $96 million in benefits to illegal immigrants, up from $81 million two years earlier. The state's public hospital districts spent an additional $717 million in uncompensated care to treat that population.


If large states such as Florida and Texas make good on their intention to forgo federal money to expand Medicaid, the decision "basically eviscerates" the effects of the health care overhaul in those areas because of "who lives there and what they're eligible for," said Lisa Clemans-Cope, a senior researcher at the Urban Institute.


Seeking to curb expenses, hospitals might change what qualifies as an emergency or cap the number of uninsured patients they treat. And although it's believed states with the most illegal immigrants will face a smaller cut, they will still lose money.


The potential impacts of reform are a hot topic at MD Anderson Cancer Center in Houston. In addition to offering its own charity care, some MD Anderson oncologists volunteer at a county-funded clinic at Lyndon B. Johnson General Hospital that largely treats the uninsured.


"In a sense we've been in the worst-case scenario in Texas for a long time," said Lewis Foxhall, MD Anderson's vice president of health policy in Houston. "The large number of uninsured and the large low-income population creates a very difficult problem for us."


Community clinics are a key part of the reform plan and were supposed to take up some of the slack for hospitals. Clinics received $11 billion in new funding over five years so they could expand to help care for a swell of newly insured who might otherwise overwhelm doctors' offices. But in the first year, $600 million was cut from the centers' usual allocation, leaving many to use the money to fill gaps rather than expand.


There is concern that clinics could themselves be inundated with newly insured patients, forcing many illegal immigrants back to emergency rooms.


Limas, 44, moved to the border town of Alamo 13 years ago with her husband and three daughters. Now single, she supports the family by teaching a citizenship class in Spanish at the local community center and selling cookies and cakes she whips up in her trailer. Soon, she hopes to seek a work permit of her own.


For now, the clinic helps with basic health care needs. If necessary, Limas will return to the emergency room, where the attendants help her fill out paperwork to ensure the government covers the bills she cannot afford.


"They always attended to me," she said, "even though it's slow."


___


Sherman can be followed on Twitter at https://twitter.com/chrisshermanAP .


Plushnick-Masti can be followed on Twitter at https://twitter.com/RamitMastiAP .


Read More..

Bellflower High theater program gets a boost from star alumni









Edgar Bullington stood with a slight hunch on the stage of Bellflower High School's Robert Newman Theater, slivers of gray hair peeking from under his top hat, and sneered, "Bah, humbug!"


His portrayal of Dickens' famous crotchety old man was all the more convincing for his graying beard.


But the beard was no prop. Bullington's drama career spans more than 50 years and started right here, at Bellflower High.





Bullington and other Bellflower alumni have returned this month to put their own spin on "A Christmas Carol." Their rendition features Bullington as Ebenezer Scrooge, with other former students making up the cast. The goal is to raise money for the school's arts programs.


The production is the brainchild of Harry Cason, a 1974 Bellflower graduate who was dismayed when he saw the theater's condition earlier this year.


"It's all aged out," the Juilliard-trained actor said of the facility, built in 1959. "The lights don't work, and they don't have a sound system. The school never had the funds to replace them."


Cason enlisted the support of former classmates, including Don Hahn, now an executive producer at Disney, and pulled their former drama teacher, Robert Newman, out of retirement. Newman gave up teaching drama a few years before retiring in 1982 because he was "burned out." But he said he could not pass up the opportunity to help the theater that bears his name.


The group produced H.G. Wells' "War of the Worlds" earlier this year and raised nearly $5,000. Cason said the effort went so well that they decided to follow it with "A Christmas Carol," this time with students performing too.


"When I hear that they are cutting out music and drama, I get really disgusted," said Newman, 90, after a recent rehearsal. "We need creativity. Providing kids with an outlet is important."


Cason, Bullington and Hahn all spoke of the director's influence on their lives.


Hahn, once a shy, introverted student, went on to produce Disney's "Beauty and the Beast," "The Lion King" and "Frankenweenie," among others.


"There was a sense of enthusiasm and a culture that showed us it was fun," Hahn said about Bellflower's drama program. "Teachers and parents would pack the theater. It showed us that it was important for us to be there."


This time around, "We're here to show kids, 'We were you,'" Hahn said.


The generationally diverse cast members read their lines and took direction from Newman and Eleanor Packwood, the school's current drama teacher.


Newman once ran four to five plays a year in the theater. Now, Packwood struggles for enough funds to produce three plays a year, she said.


What money she can scrape together "goes to everything not falling apart around me," she said.


Light bulbs are expensive, so some stage lights have not been replaced and spotlights are locked in storage until performances.


When she first got to Bellflower High 21 years ago, "We had the money to have a musical with musicians," Packwood said. "Now my kids have to raise the money for it."


Saturday's performance is at 8 p.m. Tickets are $15 for adults and $5 for students.


Cason said the actors plan to give the performance their all, aiming to show Bellflower students that they, too, can succeed in the entertainment industry. "I want to give them an equal footing," he said. "At least let the lights work."


dalina.castellanos@latimes.com





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WORLD: Assad’s Grip on Power Is Questioned

December 13, 2012

The Times’s Anne Barnard on Thursday’s violence in Syria and the significance of the statement by a top Russian envoy on President Bashar al-Assad’s weakening grip.

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Online gambling companies struggle to clear EU hurdles






LONDON (Reuters) – A partnership stuck on Friday between bwin.party Digital Entertainment and a Belgian casino group has defused one of many disputes pitting online gambling companies against governments across Europe.


The agreement came a month after bwin.party’s co-CEO was questioned by Belgian authorities in an escalating license dispute the company said was costing it 700,000 euros ($ 916,000) in monthly revenue.






By joining forces with Belcasinos, a unit of local casino owner Group Partouche, bwin.party neatly met a requirement to have a presence in Belgium to win a license for online poker, casino and sports betting.


The agreement is a rare bright spot in a tough regulatory environment for online gambling companies across the continent.


Betting online on sports events or playing poker on the Internet are increasingly popular pastimes in Europe, where operators say they are held back by unfair and discriminatory rules in many European Union countries.


“It is not a European Union in any way, it is a patchwork of different countries who happen to be in the EU,” said Professor Leighton Vaughan Williams, director of the betting research unit at Nottingham Business School in central England.


“Different countries have different vested interests and different ideas they are trying to promote. Are they trying to protect consumers or to maximize their tax take?” he said.


The 27 EU member states retain the right to regulate their gambling sectors as they see fit, but rules must comply with EU law, broadly meaning they must be consistent and proportionate.


Some companies are scaling back activities in European markets where, they say, regulatory risks are too high or tax rates are punitive.


Betting exchange operator Betfair for instance said this week it was halting marketing and investment in unregulated markets, including EU members Cyprus, Germany and Greece.


William Hill, Britain‘s largest bookmaker, has joined Betfair in pulling out of Greece and has also stopped offering sports betting to German residents because of a 5 percent turnover tax.


STAKES RISE


The stakes are high. Online gambling is growing at an annual rate of almost 15 percent in the EU and will be worth an estimated 13 billion euros ($ 17 billion) by 2015, according to EU figures.


The European Commission, the EU’s executive, stepped in to the debate in October when it published a medium-term plan to clarify regulations and promote cooperation between member states, ruling out EU-wide legislation for the time being.


“All citizens must be adequately protected, money laundering and fraud must be prevented, sport must be safeguarded against betting-related match-fixing and national rules must comply with EU law,” Internal Market and Services Commissioner Michel Barnier said, setting out his approach.


The online operators accuse the European Commission of failing to follow through properly on complaints lodged about regulation in no fewer than 20 or the 27 EU member states.


Barnier has written to member states accused of breaching EU law in the way they handle gambling, seeking an update on the situation by the end of the year.


However, the industry questions whether the EU will go into battle over gambling when it is facing so many other problems.


“They will chip away at some of the most blatant ones,” said Clive Hawkswood, chief executive of trade body the Remote Gambling Association. “What we really need is for them to take some to the European Court and take enforcement action.”


BRITISH TAXES


Gambling companies themselves have taken advantage of different tax regimes where they work in their favor.


This is illustrated in Britain, historically the biggest betting market in Europe and a place with a well-developed gambling culture where bookmakers have operated in town centers for 50 years.


In recent years, most betting companies have moved their British online betting operations to Britain’s overseas territory of Gibraltar. There they are sheltered from a 15 percent tax on gross profit faced by operators based in Britain.


New legislation will close off that loophole after 2014. The shift to a taxation model based on the location of the consumer was expected to cost gambling companies as much as 270 million pounds ($ 435 million) by 2016-17.


Analyst Nick Batram at brokerage Peel Hunt said smaller players would likely be picked off because of the impact of higher tax and regulatory burdens across Europe.


“It is getting more complicated and more expensive. There is more change afoot but it should ultimately play into the hands of the better-capitalized companies.”


In that vein, William Hill has provisionally agreed a 485 million pound takeover of smaller rival Sportingbet, keen to get its hands on the company’s regulated Australian betting business.


“I think there is a lot more M&A activity to come,” said Batram.


(Additional reporting by Rosalba O’Brien; Editing by David Holmes)


Internet News Headlines – Yahoo! News


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PHOTO: Jessica Biel's Dog Tina Sleeps in a Tree















12/14/2012 at 09:30 AM EST



Jessica Biel found her dog snoozing beneath a tree – but not the kind you might expect for this time of year.

In her regular photo post series, #TuesdayswithTina, Biel shared four shots of her dog hopping into a potted tree and laying down for a nap.

"That doesn't even look comfortable!" she wrote on WhoSay, with a shot of the dog curled up around the tiny tree's trunk. "I promise I have an actual dog bed for her."

It seems Tina is never too picky about where she sleeps. In August, she got cozy in Biel's suitcase, and in October the dog copped-a-squat right on top of Biel, who was lying on a couch.

"My 55 pound blanket," the actress Tweeted, with a shot of the pair snoozing together.

Read More..

Fewer health care options for illegal immigrants


ALAMO, Texas (AP) — For years, Sonia Limas would drag her daughters to the emergency room whenever they fell sick. As an illegal immigrant, she had no health insurance, and the only place she knew to seek treatment was the hospital — the most expensive setting for those covering the cost.


The family's options improved somewhat a decade ago with the expansion of community health clinics, which offered free or low-cost care with help from the federal government. But President Barack Obama's health care overhaul threatens to roll back some of those services if clinics and hospitals are overwhelmed with newly insured patients and can't afford to care for as many poor families.


To be clear, Obama's law was never intended to help Limas and an estimated 11 million illegal immigrants like her. Instead, it envisions that 32 million uninsured Americans will get access to coverage by 2019. Because that should mean fewer uninsured patients showing up at hospitals, the Obama program slashed the federal reimbursement for uncompensated care.


But in states with large illegal immigrant populations, the math may not work, especially if lawmakers don't expand Medicaid, the joint state-federal health program for the poor and disabled.


When the reform has been fully implemented, illegal immigrants will make up the nation's second-largest population of uninsured, or about 25 percent. The only larger group will be people who qualify for insurance but fail to enroll, according to a 2012 study by the Washington-based Urban Institute.


And since about two-thirds of illegal immigrants live in just eight states, those areas will have a disproportionate share of the uninsured to care for.


In communities "where the number of undocumented immigrants is greatest, the strain has reached the breaking point," Rich Umbdenstock, president of the American Hospital Association, wrote last year in a letter to Obama, asking him to keep in mind the uncompensated care hospitals gave to that group. "In response, many hospitals have had to curtail services, delay implementing services, or close beds."


The federal government has offered to expand Medicaid, but states must decide whether to take the deal. And in some of those eight states — including Texas, Florida and New Jersey — hospitals are scrambling to determine whether they will still have enough money to treat the remaining uninsured.


Without a Medicaid expansion, the influx of new patients and the looming cuts in federal funding could inflict "a double whammy" in Texas, said David Lopez, CEO of the Harris Health System in Houston, which spends 10 to 15 percent of its $1.2 billion annual budget to care for illegal immigrants.


Realistically, taxpayers are already paying for some of the treatment provided to illegal immigrants because hospitals are required by law to stabilize and treat any patients that arrive in an emergency room, regardless of their ability to pay. The money to cover the costs typically comes from federal, state and local taxes.


A solid accounting of money spent treating illegal immigrants is elusive because most hospitals do not ask for immigration status. But some states have tried.


California, which is home to the nation's largest population of illegal immigrants, spent an estimated $1.2 billion last year through Medicaid to care for 822,500 illegal immigrants.


The New Jersey Hospital Association in 2010 estimated that it cost between $600 million and $650 million annually to treat 550,000 illegal immigrants.


And in Texas, a 2010 analysis by the Health and Human Services Commission found that the agency had provided $96 million in benefits to illegal immigrants, up from $81 million two years earlier. The state's public hospital districts spent an additional $717 million in uncompensated care to treat that population.


If large states such as Florida and Texas make good on their intention to forgo federal money to expand Medicaid, the decision "basically eviscerates" the effects of the health care overhaul in those areas because of "who lives there and what they're eligible for," said Lisa Clemans-Cope, a senior researcher at the Urban Institute.


Seeking to curb expenses, hospitals might change what qualifies as an emergency or cap the number of uninsured patients they treat. And although it's believed states with the most illegal immigrants will face a smaller cut, they will still lose money.


The potential impacts of reform are a hot topic at MD Anderson Cancer Center in Houston. In addition to offering its own charity care, some MD Anderson oncologists volunteer at a county-funded clinic at Lyndon B. Johnson General Hospital that largely treats the uninsured.


"In a sense we've been in the worst-case scenario in Texas for a long time," said Lewis Foxhall, MD Anderson's vice president of health policy in Houston. "The large number of uninsured and the large low-income population creates a very difficult problem for us."


Community clinics are a key part of the reform plan and were supposed to take up some of the slack for hospitals. Clinics received $11 billion in new funding over five years so they could expand to help care for a swell of newly insured who might otherwise overwhelm doctors' offices. But in the first year, $600 million was cut from the centers' usual allocation, leaving many to use the money to fill gaps rather than expand.


There is concern that clinics could themselves be inundated with newly insured patients, forcing many illegal immigrants back to emergency rooms.


Limas, 44, moved to the border town of Alamo 13 years ago with her husband and three daughters. Now single, she supports the family by teaching a citizenship class in Spanish at the local community center and selling cookies and cakes she whips up in her trailer. Soon, she hopes to seek a work permit of her own.


For now, the clinic helps with basic health care needs. If necessary, Limas will return to the emergency room, where the attendants help her fill out paperwork to ensure the government covers the bills she cannot afford.


"They always attended to me," she said, "even though it's slow."


___


Sherman can be followed on Twitter at https://twitter.com/chrisshermanAP .


Plushnick-Masti can be followed on Twitter at https://twitter.com/RamitMastiAP .


Read More..

Man sought to videotape girlfriend's murder for Christmas, DA says




ChristmasA south Orange County man who solicited his ex-girlfriend's murder and asked that the killing be videotaped so he could watch it on Christmas was sentenced Thursday to 31 years to life in state prison.


Mark Alan Jarosik, a Ladera Ranch resident, was in custody at the time of the murder solicitation, being held on suspicion of raping his former girlfriend.


Jarosik, 46, was found guilty in October of forcible rape, solicitation to commit murder and attempted murder with premeditation and deliberation, according to the Orange County district attorney's office.


Prosecutors said Jarosik went to the Ladera Ranch home of his 41-year-old ex-girlfriend in May 2009 to use her computer. They had broken up a month before, after living together and dating for several years.

The woman was at dinner with friends and when she returned, prosecutors said, the two got into an argument. The woman allegedly thought Jarosik had been spying on her, driving past the restaurant where she had been having dinner.


Prosecutors said the argument escalated into a physical and sexual assault, with Jarosik raping the woman.


On May 16, 2009, the incident was reported to law enforcement, and within days, prosecutors had filed rape charges. Jarosik was held in lieu of $100,000 bail. 


A protective order was issued requiring him -- should he make bail -- to stay more than 200 yards away from the woman at all times and forbidding any contact, directly or through a third party.


But after he posted bail, prosecutors said, Jarosik attempted to break into the woman's home. The woman's two children saw a hand come through a window near the front door of the house and screamed, and Jarosik fled.






The next morning, prosecutors said, Jarosik violated the protective order, attacking the woman outside her home. He pushed her to the ground, punched her in the face and banged her head against the curb, according to prosecutors.

Neighbors who witnessed the attack pulled Jarosik off of her, called authorities and pinned him down until police arrived. The woman was left in serious condition with a concussion and lacerations to the head.


While he was in custody at the Orange County Jail, prosecutors said, Jarosik asked another inmate to have a relative murder the woman, requesting that he have it videotaped.


The solicitation was never carried out.


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-- Rick Rojas and Richard Winton


Photo: Mark Alan Jarosik. Credit: Orange County District Attorney.


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