E-Hailing Comes to New York City






Catching a cab in midtown Manhattan at 4:30 on a weekday afternoon is the closest most New Yorkers will ever get to hunting. You have to know the patterns of your prey: its favorite haunts, its preferred routes, its tendency to vanish when your need is most acute (during rainstorms, for example). You have to outwit all the cab-poachers lurking in the shadows.


Yesterday, however, New York City emerged from the hunter-gatherer cab era. The city’s Taxi and Limousine Commission voted 7-0 (with two abstentions) to allow people to find, hail, and pay for taxis using smartphones. So-called “e-hailing” is already hugely popular in San Francisco, London, Chicago, Dublin, and other cities, where services such as Uber, Hailo, GetTaxi, and Flywheel are competing to sign up both cab users and drivers. Users love the convenience of being able to scan for nearby cabs and then summon one with a touchscreen tap. Cabdrivers are able to spend less time driving around looking for fares and more time carrying paying customers.






Not everyone was thrilled at the prospect, however. The taxi market in New York is divided between yellow cabs, which can only be hailed on the street, and livery cabs, which passengers call on the phone for pickups. Livery cab companies fear that e-hailing will allow yellow cabs to take their business. A few city council members also expressed concern in letters to the TLC that e-hailing will make it harder for people without smartphones to get cabs.


As a result, the TLC only approved a one-year e-hailing pilot program, with restrictions. E-hails will only be able to summon cabs from a half mile away in the heart of Manhattan and a mile and a half elsewhere, to minimize the number of frustrated street hailers who have to watch empty cabs drive by them on the way to e-hail pickups. And to prevent drivers from privileging e-hails over street hails, drivers cannot charge more for e-hails than the taxi meter fare.


Among the most active of the e-hail services in pushing for the change was Hailo. The company already dominates the London market, with more than half of the city’s cabs using it. Over the past year, the company has been signing up drivers in New York, persuading many of them with research it has done showing that up to 40 percent of a cabdriver’s time is spent searching for fares. And though New York cabbies can’t yet use Hailo to connect with passengers, the driver version of the app already allows them to connect with each other, sharing information about traffic and demand. The company’s co-founder and chief executive officer, Jay Bregman, said he’s very happy with the TLC’s decision. “We are thrilled to be taking this technology, which has worked so well in the rest of world, to the New York market.”


As Bregman sees it, the stipulations in the ruling will blunt its impact a bit. The limits on the e-hailing radius may, as he puts it, “cut some value out of the system.” And the requirement that e-hail payments go through existing cab credit-card swipe machines might slow the implementation as well. The companies that make the swipe machines, known as TPEP (for Taxicab Passenger Enhancements Project) equipment, have been reluctant to collaborate with e-hailing companies, since payment through the apps would cut into the income from swipe machine fees. (The TLC gave itself an out on this requirement, stipulating that if the integration process proves too onerous, the TLC chair can just waive the requirement.) Nonetheless, Bregman promises that Hailo will be ready to go by mid-February, the pilot program’s official start.


Of course, none of this helps solve what for New Yorkers is the biggest problem with smartphones in cabs: their tendency to fall out of pockets or purses onto the backseat, never to be seen again.


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Top Canada court upholds anti-terrorism law in unanimous ruling






OTTAWA (Reuters) – Canada‘s Supreme Court on Friday upheld an anti-terrorism law enacted after the September 11, 2001, attacks on the United States, ruling unanimously that those who choose to engage in terrorism must “pay a very heavy price.”


The law’s constitutionality was challenged by Mohammad Momin Khawaja, convicted in Canada of terrorism for involvement with a British group that had plotted unsuccessfully to set off bombs in London.






It was also challenged by two men accused of terrorism by the United States for trying to buy missiles or weapons technology for the Sri Lankan Tamil Tigers.


The court rejected arguments that the law’s definition of terrorism was overly broad. It upheld Khawaja’s life sentence and confirmed the orders to extradite the other two to the United States.


Khawaja, a Canadian of Pakistani descent, was the first to be convicted under the law. He was sentenced in 2008 to 10-1/2 years in prison, and his sentence was then extended to life after appeal by the government.


The trial judge noted that Khawaja referred to Osama Bin Laden as “the most beloved person to me in the … whole world, after Allah.” He was found to have participated in a terrorism training camp in Pakistan and to have designed a device dubbed the “hi fi digimonster” for detonating bombs.


“The appellant was a willing participant in a terrorist group,” Supreme Court Chief Justice Beverley McLachlin wrote in the 7-0 decision, adding that he was “apparently remorseless.”


“He was committed to bringing death on all those opposed to his extremist ideology and took many steps to provide support to the group. The bomb detonators he attempted to build would have killed many civilians had his plans succeeded.”


The law applies to any act committed for a political, religious or ideological purpose with the intention of intimidating the public by causing death or serious bodily harm, or substantial property damage, or causing serious interference with an essential service.


The court also ruled that Canada can proceed to extradite two men the United States has accused of involvement with the Tamil Tigers, which waged a bloody war for independence in Sri Lanka and is considered a terrorist organization by Washington and Ottawa.


The Canadian government declined to comment on when they would be extradited.


Piratheepan Nadarajah was alleged to have tried to purchase surface-to-air missiles and AK-47 assault rifles for the Tamil Tigers from an undercover officer posing as a black-market arms dealer on Long Island, New York.


The other man, Suresh Sriskandarajah, was alleged to have helped Tamil Tigers get electronic equipment, submarine and warship design software and communications equipment.


They surrendered to the government ahead of the court decision, their lawyers said.


BEYOND ‘LEGITIMATE EXPRESSION’


The court disagreed that the federal law’s terrorism provisions had put a chilling effect on Canadians’ freedom of expression and was disproportionately broad.


“Only individuals who go well beyond the legitimate expression of a political, religious or ideological thought, belief or opinion, and instead engage in one of the serious forms of violence – or threaten one of the serious forms of violence – listed (in the law) need fear liability under the terrorism provisions of the Criminal Code,” McLachlin wrote.


She quoted with approval the appeals court decision in the Khawaja case that faulted the Ottawa trial judge’s sentence for failing to send a “clear and unmistakable message that terrorism is reprehensible and those who choose to engage in it will pay a very heavy price.”


The original sentence of 10-1/2 years does “not approach an adequate sentence for such acts,” she concluded.


Khawaja’s lawyer, Lawrence Greenspon, said it was a “terrible day” for his client and said too often people were investigated or prosecuted for their religious or political beliefs.


“It’s a … very unfortunate ruling for minorities in this country, and we’re extremely disappointed with the result,” he told reporters in the foyer of the Supreme Court.


Justice Minister Rob Nicholson said the decision was important as Canada was not immune to the threat of terrorism. “The court sent a strong message that terrorism will not be treated leniently in Canada,” he said.


The cases are Mohammad Momin Khawaja v. Her Majesty the Queen. (Ont) (34103); Suresh Sriskandarajah v. United States of America, Minister of Justice and Attorney General of Canada (34009), Piratheepan Nadarajah v. United States of America, Minister of Justice and Attorney General of Canada (34013).


(Additional reporting by Louise Egan; Editing by Jackie Frank and Xavier Briand)


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Valve Confirms New Game Console on Its Way






In an interview with Kotaku’s Jason Schreier at the Spike TV Video Game Awards, Valve co-founder Gabe Newell confirmed that a “living-room-friendly PC package,” designed to “compete with next-gen consoles from companies like Microsoft and Sony,” will be available for purchase starting next year.


What makes a PC a PC






Most of the machines Newell described, which he expected “companies” would “start selling” next year, would be powered by Microsoft Windows like normal PCs. However, they would be more like home theater PCs than regular computers; they would be designed to fit in the living room and plug into an HDTV, and they would use a much-simplified interface which eschews pointing and clicking in favor of using a game controller.


Getting the (Big) Picture


That interface is Steam’s Big Picture mode, launched last week as a free upgrade to the Steam digital store. Gamers can click a button on the Steam window to be taken to a screen much like an Xbox 360′s dashboard or PlayStation 3′s XMB, where they can use a game controller to buy things from the store and play their installed games.


Games which can be played using only a controller get special branding and status in Big Picture mode. Steam held an enormous sale to promote such games when Big Picture mode launched, including titles like Sonic Generations which are also available on game consoles.


Steam-powered penguins?


Besides Big Picture mode, Valve’s other big project as of late has been porting Steam to Linux, starting with the popular Ubuntu version. The Linux version of Steam, currently in beta, also supports Big Picture mode. Newell said in the interview that a working Linux version would “give Valve more flexibility when developing their own hardware,” and dozens of games are already available for Linux gamers on Steam.


What will this hardware look like?


Newell’s talk of “companies” making computers like this suggests a Valve-created standard, like the Intel ultrabook or like Google’s requirements for Android devices, which PC manufacturers would have to adhere to. He also talked about Valve making its own hardware, which might be similar to Google’s Nexus lineup of tablets and smartphones.


Besides that, these game console style PCs won’t be as “malleable” as a normal computer, according to Newell. Like with today’s laptops, it may be difficult or impossible to get at the internals and upgrade parts, the way dedicated PC gamers like to do with their machines.


How much will these machines cost?


Newell’s statement that they will compete with “next-gen” consoles from Sony and Microsoft, which probably means the long-awaited new PlayStation and Xbox consoles expected next year, implies that they will be cost-competitive in some way. Gaming PCs typically have prices starting at $ 600 – $ 800 at the very lowest, while the PlayStation 3′s $ 599 USD launch price made it a pariah of the game console world for years. A Steam-powered game console may have to invent its own price bracket.


However, the original Xbox was basically an Intel Celeron PC with a custom-made case. So it’s possible that Steam has a similar plan in mind.


Jared Spurbeck is an open-source software enthusiast, who uses an Android phone and an Ubuntu laptop PC. He has been writing about technology and electronics since 2008.
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Amanda Bynes enters settlement in hit-and-run case






LOS ANGELES (AP) — Actress Amanda Bynes has resolved a misdemeanor hit-and-run case after entering into a civil settlement with other drivers.


Court records show Bynes entered a civil compromise to end the case and her attorney informed a Los Angeles court on Thursday. Bynes was charged with leaving the scene of accidents in April and August without providing the proper information.






Defendants in certain California misdemeanor cases are allowed to enter civil settlements to resolve criminal cases.


City Attorney’s spokesman Frank Mateljan (mah-tell-JIN’) says prosecutors objected to the dismissal, noting other instances in which Bynes has been cited for driving without a license and her pending driving under the influence case.


Bynes rose to fame starring in Nickelodeon’s “All That” and has also starred in several films, including 2010′s “Easy A.”


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Venezuela’s Chavez in satisfactory condition: government






CARACAS (Reuters) – Venezuela‘s President Hugo Chavez is recovering “satisfactorily” from his cancer surgery in Cuba although the process remains slow, Information Minister Ernesto Villegas said on Friday.


Reading the latest of regular government updates on the socialist leader’s condition, three days after his operation, Villegas said the 58-year-old president had communicated with relatives and sent greetings to all Venezuelans.






“The recovery has been slow but progressive,” he said.


(Reporting by Eyanir Chinea, Writing by Andrew Cawthorne; Editing by Daniel Wallis and Will Dunham)


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SEC has examined Bank of America mortgage repurchases






WASHINGTON/CHARLOTTE (Reuters) – Securities regulators have made inquiries into the mortgage repurchase practices at Bank of America Corp’s Countrywide unit, according to a transcript filed in a lawsuit against the bank by insurer MBIA Inc.


The details of the inquiries, which had not been previously disclosed, were included in documents filed this week.






It is unclear if the SEC continues to investigate the matter, but the documents reveal the agency’s interest dating back to at least 2010 in an issue that has already saddled the second-largest U.S. bank with billions of dollars of losses in the wake of the financial crisis.


According to the documents, the U.S. Securities and Exchange Commission requested a meeting with the bank to discuss its representations and warranties process, according to the documents.


When selling the mortgages, banks made promises or “representations and warranties” about the loans. Investors can ask banks to buy back soured mortgages if these promises were evidently broken, for reasons such as poor underwriting, insufficient verification of income or other documentation errors.


The SEC also asked about reserves for mortgage repurchase requests, a bank employee testified.


Since buying Countrywide in 2008, Bank of America has been forced to take billions of dollars of losses on soured mortgages that were sold to investors such as Fannie Mae and Freddie Mac during the housing boom. At the end of the third quarter, it had set aside reserves of $ 16.3 billion in reserves for future claims.


While the SEC has taken action against Bank of America over its merger with Merrill Lynch, it has not sued the bank over conduct at Countrywide. In 2010, the SEC imposed a record $ 22.5 million penalty on Countrywide chief executive Angelo Mozilo over disclosures made as the subprime mortgage crisis emerged.


The SEC’s interest in repurchases was disclosed as part of heated litigation between MBIA and Bank of America over mortgage-related claims. Bank of America on Thursday filed a lawsuit against MBIA related to the bank’s efforts to buy the insurer’s bonds.


An SEC spokesman did not respond to a request for comment. A Bank of America spokesman declined to comment.


In its annual report filing in February, the bank said it had received “a number of subpoenas and other requests for information” from regulators about mortgage-backed securities and other mortgage-related matters.


In its most recent quarterly filing, it also included a recurring disclosure that “in the ordinary course of business” the bank is “subject to regulatory examinations, information gathering requests, inquiries, investigations, threatened legal actions and proceedings.”


The transcripts filed this week include depositions MBIA lawyers conducted with Bank of America employees in August. The interviews, with Cynthia Simantel and Michael Schloessmann, shed new light on what the SEC may be examining.


Simantel, who is an executive in Bank of America’s investor audit department, which handles repurchase claims, said she gave testimony to the SEC “a few years ago”, and discussed with the SEC a grid used to rate loans that came in to the group, according to the transcripts.


Schloessmann, who managed the representations and warranties process, which governs how repurchases are made, said Countrywide provided the SEC with claims-related data the agency had requested in early 2010.


Countrywide also put together a document about the top five reasons that they have approved repurchases related to so-called monoline insurers, which was provided to the SEC, according to emails discussed by Schloessmann.


The details suggest the SEC could be examining whether the bank was properly reserving for repurchases, or whether it properly disclosed its repurchase requests.


(Reporting By Aruna Viswanatha in Washington and Rick Rothacker in Charlotte; editing by Andrew Hay)


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UPDATE 3-Cricket-Hughes shines as Australia reach 299-4






* Hughes falls just short of century


* Clarke and Hussey combine for 101






* Welegedera takes 3-99 (Adds quotes)


HOBART, Dec 14 (Reuters) – Phil Hughes made a solid 86 on his return to test cricket before Michael Clarke and Mike Hussey took up the running and steered Australia to 299 for four at close of play on the first day of the first test against Sri Lanka on Friday.


Hughes was the only batsmen to fall in the final session, lasting only a couple of overs after lunch before being bowled through the gate by Chanaka Welegedera, giving the Sri Lankan seamer his third wicket of the day.


Clarke, who had made 70 not out, and Hussey, unbeaten on 37, batted through the remainder of the day and if the evidence of their prolific partnerships in the recent series against South Africa is anything to go by, will take some shifting.


“Overall, 299 for four puts the ball in our court,” said Hughes. “I thought we were outstanding today. It really gives us momentum going into tomorrow.”


Sri Lanka’s bowlers, dubbed this week as the worst pace attack ever to tour Australia by former test bowler Rodney Hogg, made life uncomfortable for the batsmen at times but struggled for any real penetration under cloudy skies at Bellerive Oval.


“I think we showed we can put Australia under pressure and hopefully the bowlers will be fresh in the morning and we can get them out for less than 100 additional runs,” said Welegedera, who finished with 3-99 on his return after nine months out injured.


Clarke, who passed 1,400 runs for the year, has now put on 731 runs in partnerships with Hussey in the last four tests and will be looking to plunder a few more on Saturday despite taking a couple of painful knocks to his legs.


Friday, however, belonged to Hughes.


The lefthander was recalled to the side on the back of good domestic form following the retirement of Ricky Ponting at the end of the series against the Proteas.


The 24-year-old reached his fourth test half century with a square drive for three runs and then initially accelerated towards a century, most notably with an ugly but effective slog for six off spinner Rangana Herath.


CALAMITOUS RUNOUT


On the ground where his second spell as a test batsman ended amid questions about his technique after two failures against New Zealand last year, Hughes scored eight fours and one six in his 166-ball knock before Welegedera struck with a superb ball.


“It was nice to get a few,” he said. “It would have been nice to get a few more and get into three figures.”


Australia had lost openers Ed Cowan (four) and David Warner in the opening session, the latter run out for 57 on the stroke of lunch after a calamitous misunderstanding with Hughes.


Shane Watson, dropping down to fourth in the batting order to allow Hughes to come in at number three, followed them to the pavilion for 30 shortly before tea, the victim of an exceptional diving catch in the slips by skipper Mahela Jayawardene.


That was a second wicket for Welegedera and a measure of redemption for the bowler after he had Hughes caught behind for 77 only for the umpire to call a no ball.


Welegedera had also made the early breakthrough for the tourists when Cowan tried to pull a short delivery only for the ball to catch him high on the bat and carry to mid-on where Shaminda Eranga took a simple catch.


It could have been even better for the Sri Lankans, who were only centimetres away from the perfect start to the morning after Clarke had won the toss and elected to bat.


Cowan edged the second delivery of the day from Nuwan Kulasekara to the slips but Angelo Mathews was just unable to get his hands to it, despite an athletic dive. (Editing by Peter Rutherford)


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Tolkien class at Wis. university proves popular






MILWAUKEE (AP) — The vast collection of J.R.R. Tolkien manuscripts initially sold senior Joe Kirchoff on Marquette University, so when the school offered its first course devoted exclusively to the English author, Kirchoff wanted in. The only problem: It was full and he wasn’t on the literature track.


Undaunted, the 22-year-old political science and history major lobbied the English department and others starting last spring and through the summer and “kind of just made myself a problem,” he said. His persistence paid off.






“It’s a fantastic course,” said Kirchoff, a Chicago native. “It’s a great way to look at something that’s such a creative work of genius in such a way you really come to understand the man behind it.”


He and the 31 other students can now boast of their authority about the author who influenced much of today’s high fantasy writing. The course was taught for the first time this fall as part of the university’s celebration of the 75th anniversary of “The Hobbit” being published. And class wrapped up just before the film, “The Hobbit: An Unexpected Journey,” was released Friday.


The class, which filled up fast with mostly seniors who had first dibs, looked at Tolkien as a whole, not just the popular “Lord of the Rings” and “The Hobbit.” Students took their final exam this week, and the course was so well received, Marquette is considering more in the future.


“It’s the best class I’ve had in 27 years here … for student preparation, interest and enthusiasm,” said English professor Tim Machan. “And I can throw out any topic and they will have read the material and they want to talk about the material.”


Marquette is one of the main repositories of Tolkien’s drafts, drawings and other writings — more than 11,000 pages. It has the manuscripts for “The Lord of the Rings” and “The Hobbit,” as well as his lesser-known “Farmer Giles of Ham” and his children’s book “Mr. Bliss.” Marquette was the first institution to ask Tolkien for the manuscripts in 1956 and paid him about $ 5,000. He died in 1973.


Other significant collections are at the Bodleian Library at Oxford University in England and Wheaton College in Illinois.


Though Tolkien classes aren’t unusual nationwide, Marquette students had the added bonus of being able to visit Tolkien’s revisions, notes, detailed calendars, maps and watercolors on site at the school’s archive. And they got a lesson from the school’s archivist Bill Fliss.


“One of the things we wanted to impress upon the students was the fact that Tolkien was a fanatical reviser,” said Fliss said. “He never really did anything once and was finished with it.”


Chrissy Wabiszewski, a senior English major, described Tolkien’s manuscripts as art.


“When you get down and look at just his script and his artwork in general, it all kind of flows together in this really beautiful, like, cumulative form,” Wabiszewski said. “It’s cool. It is just really cool to have it here.”


The class also looked at Tolkien’s poetry, academic articles and translations of medieval poems; talked about the importance of his writers’ group, the Inklings; and explored what it meant to be a writer at that time.


“We’ve … tried to think about continuities that ran through everything he did,” Machan said. His students were also required to go to three lectures that were part of Marquette’s commemoration.


“The Hobbit,” a tale of homebody Bilbo Baggins’ journey, is set in Tolkien’s fictional realm of Middle-earth and takes place 60 years before “The Lord of the Rings.” The movie released Friday is the first of the trilogy, with “The Hobbit: There and Back Again” set for release on Dec. 13, 2013, and a third film to come out in the summer of 2014.


Most of the students were just finishing elementary school when the first “Lord of the Rings” film was released 11 years ago.


Kirchoff said he started reading “The Hobbit” and the “Lord of the Rings” when he was in fourth grade, before the movies came out. He said the movies have introduced others to Tolkien’s ideas, making his love for Tolkien’s fantasy worlds more socially acceptable.


“The movies were fantastic enough and engaging enough to coexist in my mind with the literature I really do love,” he said.


Wabiszewski said it’s clear her classmates weren’t just taking the class as a filler.


“I definitely expected the enthusiasm from everybody but just the knowledge that everybody brought into the class, it’s cool,” she said. “We really have a smart group of people in that class who have a lot to offer.”


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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 .


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Fitch affirms France “AAA”, says no room for slippage






PARIS (Reuters) – Fitch Ratings stuck by its triple-A rating on France in a much-awaited review on Friday but warned that an expected peak in debt in 2014 was the limit it could agree to for a country with a top-notch credit grade.


Fitch is the only agency to retain an AAA rating on the euro zone’s second-largest economy. It kept to its negative outlook, saying that indicated a slightly greater than 50 percent chance of a downgrade in future.






Fitch said it was raising its forecast for the country’s debt in 2014 to 94 percent of gross domestic product from an earlier 92 percent – higher than any other top-rated sovereign except the United States and Britain.


“This is at the limit of the level of indebtedness consistent with France retaining its ‘AAA’ status assuming the government debt is firmly placed on a sustainable downward path from 2014,” Fitch said in a statement.


French Finance Minister Pierre Moscovici called Fitch’s rating an “encouragement” and a “motivating force” that confirmed the government was right to pursue its debt reduction targets.


“It’s a pointer for the way ahead. My take on this is that the French economy is solid and can be trusted, and it is absolutely essential that we keep to the path we have mapped out: European construction, budget solidity and competitiveness,” he told Europe 1 radio.


Last month, Moody’s cut France by one notch from AAA to Aa1 – causing only muted investor reaction – following a similar downgrade by Standard & Poor’s in January.


(Reporting by Alexandria Sage; editing by Patrick Graham)


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