UN warns risk of hepatitis E in S. Sudan grows


GENEVA (AP) — The United Nations says an outbreak of hepatitis E has killed 111 refugees in camps in South Sudan since July, and has become endemic in the region.


U.N. refugee agency spokesman Adrian Edwards says the influx of people to the camps from neighboring Sudan is believed to be one of the factors in the rapid spread of the contagious, life-threatening inflammatory viral disease of the liver.


Edwards said Friday that the camps have been hit by 6,017 cases of hepatitis E, which is spread through contaminated food and water.


He says the largest number of cases and suspected cases is in the Yusuf Batil camp in Upper Nile state, which houses 37,229 refugees fleeing fighting between rebels and the Sudanese government.


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Seawater desalination plant might be just a drop in the bucket









CARLSBAD, Calif. — Dreamers have long looked to the Pacific Ocean as the ultimate answer to California's water needs: an inexhaustible, drought-proof reservoir in the state's backyard. In the last decade, proposals for about 20 desalting plants have been discussed up and down the coast.


But even with construction about to begin on the nation's largest seawater desalination facility, 35 miles north of San Diego, experts say it is doubtful that dream will ever be fully realized.


"While this Poseidon adventure may work out, I don't look for a lot of that," said Henry Vaux Jr., a UC Berkeley professor emeritus of resource economics who contributed to a 2008 National Research Council report on desalination.





The reasons boil down to money and energy. It takes a lot of both to turn ocean water into drinking water, driving the average price of desalinated supplies well above most other sources.


The purified water produced by the Poseidon Resources plant will cost the San Diego County Water Authority more than twice what it now pays the Metropolitan Water District of Southern California for supplies from Northern California and the Colorado River. Over the authority's 30-year contract with Poseidon, San Diego County ratepayers will pay between $3 billion and $4 billion for the desalted water, which is expected to provide no more than a tenth of their overall supply.


Seawater desalination is not new to California. There are number of small coastal plants, used mostly for research or industrial purposes, and a few, such as one on Catalina Island, that provide municipal supplies.


For reasons unique to the region, San Diego County will be the first to stick a big straw into the Pacific. It is at the end of the line for imported water, doesn't have much local groundwater and is perennially battling with Metropolitan, Southern California's wholesaler of imported supplies.


"I do believe it is worth it," said Tom Wornham, board chairman of the county water authority. "I would rather be apologizing to people in 10 years for the rate than the fact they would have no water."


Up the coast, other places have taken a pass on the Pacific. Los Angeles and Long Beach recently shelved seawater desalting plans after concluding that other water sources, such as conservation or recycling, are cheaper and easier to pursue.


Poseidon, a small, privately held company based in Stamford, Conn., started talking about developing a desalination plant in Carlsbad in late 1998. The road to construction has been so long and twisting that Global Water Intelligence, which covers the international water industry, last year listed the project among the "Top 10 Desalination Disasters" of all time.


It took years for the company to get the necessary state and local permits. Environmentalists filed multiple legal challenges, the last of which was only recently resolved in Poseidon's favor. A deal with a number of local water agencies in San Diego County fell apart.


In the end, the Poseidon supplies — up to 56,000 acre-feet a year — will sell for roughly $2,000 an acre-foot, more than double the company's 2004 estimate. (One acre-foot is enough to supply two average homes for a year.) The price will rise with inflation; if energy costs go up, so will the price of water.


On the other side of the Pacific, Australia offers a sobering lesson in the perils of diving too deeply into desalination.


When years of withering drought emptied the country's reservoirs, Australia commissioned six big coastal desalting plants, including some of the world's largest. Then the rains returned. Just as some of the operations were coming on line, they were no longer needed.


Four of the six plants are being idled because cheaper water is available. Australian politicians are bemoaning the desalination binge, complaining that it saddled ratepayers with "hyper-expensive" white elephants they have to pay for regardless of whether the plants are used.


"That's certainly the risk — that we build them when they're not necessary or we build them, frankly, too soon," said Heather Cooley of the Pacific Institute, an Oakland think tank.


Santa Barbara had a similar experience in the early 1990s, when it built a desalination plant during a severe statewide drought that ended before the facility was finished. The $34-million plant, with a tenth of the capacity of the Carlsbad facility, was never used beyond the testing phase, though it could still be brought into service in an emergency.


The $954-million Carlsbad project is being financed with $781 million in tax-exempt construction bonds sold by Poseidon and the water authority. The balance is coming from investors who anticipate a return of about 13%. IDE Americas Inc., the subsidiary of an Israeli firm that runs some of the world's largest coastal desalination facilities in the Middle East, has been hired to design and operate the plant, slated for completion in 2016.


The fresh water will be produced through reverse osmosis, an energy-intensive process that separates salts and contaminants from seawater by forcing it through sand filters and tightly coiled, synthetic membranes peppered with billions of tiny holes a fraction of the width of a human hair. The water will then be pumped inland for distribution — the opposite direction that drinking supplies are usually moved — requiring construction of a 10-mile underground pipeline that the water authority will own and operate.


Poseidon chose the Carlsbad location, next to the Encina Power Station, so it could draw from the power plant's cooling water discharge — thus avoiding the environmental harm of operating its own ocean intake.


But new federal and state environmental regulations are pushing coastal power plants to phase out the use of huge volumes of ocean water for cooling, thwarting that strategy. Poseidon expects the Encina station to be replaced within the decade with a new generating facility employing a different cooling system.


That will mean the desalter will have to pump directly from the ocean, sucking 300 million gallons a day. Of that, 100 million gallons will go through the reverse osmosis process, with half converted to fresh water and half to a concentrated brine. The brine, twice as salty as the sea, will be diluted in a mixing pool with the other 200 million gallons of intake and discharged to the ocean.


Destruction of marine life is a major environmental concern of ocean desalination. Raw seawater is full of tiny organisms, including plankton that form a critical part of the food chain and the young stages of fish and invertebrates. When the water they live in is pumped into a plant, they die.


The Coastal Commission is requiring Poseidon to restore 55 acres of marine wetlands in south San Diego Bay to compensate for the plant's projected effects. The State Water Resources Control Board is also developing new seawater desalination regulations that could force Poseidon to change its intake and discharge systems.


"They took a big risk in building this before the rules are finalized," said Joe Geever of the Surfrider Foundation, which tenaciously fought the Carlsbad proposal in court and argues that water agencies should turn to the ocean only as a last resort — after more environmentally benign sources such as recycling and storm-water capture have been aggressively pursued.


Poseidon, which is trying to line up customers for a similar-size desal plant proposed in Huntington Beach, says it is peddling more than water. "What we're selling is ... a reliability premium that's locally controlled, drought-proof," said Carlos Riva, the company's chief executive.


But even Poseidon doesn't predict that the Pacific will become California's dominant water supply. The state has too many other sources.


"We have quite a bit of water to move around," said Peter MacLaggan, the Poseidon executive who is overseeing the Carlsbad project. "I don't think it's ever going to be a majority of supply or anywhere close to that."


bettina.boxall@latimes.com





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A Ticket, a Lie and a British Official’s Downfall





LONDON — It began mundanely enough with a speeding violation 10 years ago.




But it escalated, through the tangled, explosive passions of a failed marriage and one partner’s new love affair, into one of the most tawdry political scandals Britain has seen in years.


And it has claimed the political career of an ambitious cabinet minister, Chris Huhne, a Liberal Democrat who resigned his position as energy and climate change secretary in Prime Minister David Cameron’s coalition government and his parliamentary seat. He now finds himself facing what the judge in the case has described as the strong likelihood of a prison sentence.


Mr. Huhne’s former wife, Vicky Pryce, a prominent Greek-born economist who was joint head of the Government Economic Service until 2010, may go to prison, too, if a verdict expected this week finds her guilty of perverting the course of justice by falsely certifying that she, and not her husband, was the driver who had been speeding.


That was the offense to which Mr. Huhne (pronounced HEWN) pleaded guilty when the trial began two weeks ago, though he had maintained for years — up to the moment the court sat — that he was innocent of any wrongdoing.


Along the way, the trial veered far from the speeding offense, into painfully intimate details of the couple’s family life, in what some British commentators have described as an egregious invasion of their privacy.


The court has heard that Ms. Pryce, 60, a mother of five, twice faced demands from her husband that she have an abortion, and that she acceded the first time, to her bitter regret. It has been told of her fury and humiliation when Mr. Huhne, who is 58, left her for a female political aide, Carina Trimingham, who was previously in a relationship with another woman.


It heard, too, of her subsequent decision to reveal the speeding ticket switch to one of Britain’s most widely read newspapers, the Rupert Murdoch-owned Sunday Times, in order to “nail” her former husband and “bring Huhne down,” as she expressed it in e-mails shown to the court.


Evidence at the trial showed The Sunday Times aggressively encouraging Ms. Pryce to join in an effort to end Mr. Huhne’s career.


In the e-mails introduced by the prosecution, the paper’s political editor, Isabel Oakeshott, assured Ms. Pryce that going public with the story of the subterfuge over the speeding ticket in front-page articles without naming her as the person who falsely signed as the driver would inflict “maximum, perhaps fatal damage” to Mr. Huhne, by then a minister in the government and in the process of divorcing Ms. Pryce. This, Ms. Oakeshott said, would achieve “the dual purpose of bringing Huhne down, if we can, without seriously damaging your own reputation.”


The evidence also included a string of text messages between Mr. Huhne and the couple’s youngest child, Peter, now a 20-year-old college student. Distressed by what Mr. Huhne had done to his mother, the youth responded to overtures for understanding with expletive-littered repudiations in which he said, “You are the most ghastly man I have ever known,” “I hate you” and “You make me sick.”


The justification given in court for venturing so deeply into the couple’s family life was that Ms. Pryce had employed the rarely used “marital coercion” defense, adopted into English law in 1925. Using this as a plea, a woman can be found not guilty of any crime other than treason or murder if she can show she committed it under coercion from her husband while he was physically present.


Ms. Pryce asserts that her husband pressured her insistently to take the blame for the speeding violation, while the prosecution has argued that she was a willing partner in the subterfuge and constructed her account of the episode out of a desire for revenge for her husband’s affair and his abrupt ending of their 25-year marriage, shortly after he became a minister.


That has made the entire sweep of the couple’s troubled marriage and divorce an open book in court, in a way that has made allies of powerful groups that have not always seen eye to eye. Among those are women’s rights advocates deeply sympathetic to Ms. Pryce and people critical of the judiciary for leaping to the defense of individuals’ privacy rights in some cases and for adopting a seeming indifference to the same rights in others.


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Beasts of the Southern Wild-Inspired Louisiana Grub for the Oscars















02/16/2013 at 08:30 PM EST







Nitehawk's Oscar dish, with Quvenzhané Wallis (inset)


Courtesy Nitehawk; Inset: FOX Searchlight


With Feb. 24's 2013 Academy Awards drawing closer, there's no better time to whet your appetite for all things movies – literally.

Embrace your inner film buff one bite at a time starting with one of this year's Best Picture nominees: Beasts of the Southern Wild. You'll take a trip to the bayous of Louisiana courtesy of Brooklyn's Nitehawk Cinema, which is serving up Oscar contender-inspired dishes to moviegoers in celebration of the film industry's biggest night.

Pair your po' boy and hush puppies with an adults-only beverage. (Yup, that means the movie's 9-year-old star (and youngest Best Actress nominee ever), Quvenzhané Wallis, couldn't quite indulge in this gin-based treat.)

Fried Oyster Po' Boy with Hush Puppies and a Spicy Remoulade

Servings: 4

• 20 shucked oysters, cleaned
• 2 cups buttermilk
• Salt and pepper
• 1 cup all-purpose flour
• 3 tbsp. Old Bay seasoning
• 6 cups canola oil
Marinate oysters in buttermilk, salt and pepper for at least an hour. Mix flour with Old Bay. Heat canola oil in a pot large enough that the oil only fills it half way to 350ºF over medium heat. Use a candy thermometer to keep track of temperature. Remove oysters from buttermilk, dredge in seasoned flour, and fry in canola oil until crispy and golden brown. Season with salt when oysters are removed from the oil. Let oysters drain on paper towels. Serve on a toasted baguette. Cut into four pieces with hush puppies and remoulade. (See recipes below.)

Remoulade• 4 oz. Dijon mustard
• 2 oz. ketchup
• ½ tsp. Worcestershire sauce
• 1 tsp. prepared horseradish
• 1 clove garlic
• ½ tsp. lemon juice
• 2 tsp. black pepper
• ¼ cup olive oil
• 1 stalk of celery, chopped
• 2 tbsp. parsley, cleaned and chopped
• ¼ Spanish onion, chopped
• 2 tbsp. paprika
• 2 dashes of Tabasco sauce
• Pinch of cayenne pepper
• Pinch of chili flake
• Salt and pepper
Puree all items in a food processor until smooth. Season to taste.

Hush Puppies• 2 scallions, chopped
• ¼ Spanish onion, diced
• 2 eggs
• 6 oz. buttermilk
• 4 oz. bacon fat
• 2 tbsp. baking soda
• 4 tbsp. baking powder
• 2 cups cornmeal
• 1 cup all-purpose flour
• 2 oz. sugar
• 1 tbsp. Old Bay seasoning
• Salt and pepper
• 6 cups canola oil
Mix scallions, onion, baking soda, baking powder, cornmeal, flour, sugar, Old Bay, and salt and pepper well. In a small pot, melt bacon fat and set aside. Add the buttermilk and eggs into dry ingredients until incorporated, making sure not to over-mix. Slowly add in melted bacon fat. Let batter rest for 20 minutes. Over medium heat, pour the canola oil in a pot large enough that the oil only fills it halfway to 350ºF, using a candy thermometer to monitor temperature. Using a small cookie scoop, spoon batter into oil, making sure not to overcrowd the oil. Fry until golden and cooked through, about three to four minutes.

Wink’s Bathtub Gin

Makes one cocktail

• 1.5 oz gin (recipe recommends Bulldog Gin)
• ¾ oz. Lillet Blanc
• ½ oz. crème de cacao liqueur
• ½ oz. fresh lemon juice
Add all ingredients to an ice-filled pint glass. Shake well and strain over fresh ice into a rocks glass.

The 85th annual Academy Awards will air live on Sunday, Feb. 24, on ABC from the Dolby Theatre in Hollywood.

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UN warns risk of hepatitis E in S. Sudan grows


GENEVA (AP) — The United Nations says an outbreak of hepatitis E has killed 111 refugees in camps in South Sudan since July, and has become endemic in the region.


U.N. refugee agency spokesman Adrian Edwards says the influx of people to the camps from neighboring Sudan is believed to be one of the factors in the rapid spread of the contagious, life-threatening inflammatory viral disease of the liver.


Edwards said Friday that the camps have been hit by 6,017 cases of hepatitis E, which is spread through contaminated food and water.


He says the largest number of cases and suspected cases is in the Yusuf Batil camp in Upper Nile state, which houses 37,229 refugees fleeing fighting between rebels and the Sudanese government.


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Gomez, Mahony are a study in contrasts









In more than two decades leading the Los Angeles Archdiocese, Cardinal Roger Mahony headlined immigration rallies, marched for worker rights and made national news by announcing he would defy a congressional bill he regarded as anti-immigrant.


But the man who replaced him in 2011 — Archbishop Jose Gomez — has shied away from such attention-getting actions. Instead, he plans to take 60 conservative Catholic business leaders on a spiritual pilgrimage to the Shrine of Our Lady of Guadalupe in Mexico City this fall in hopes of winning them over on immigration reform.


It's a distinctly different style from that of Mahony, whom Pope John Paul II nicknamed "Hollywood" for his frequent media appearances.





"Cardinal Mahony was pretty much everywhere," said parishioner Carlos De Leon as he departed from Ash Wednesday Mass at the Cathedral of Our Lady of the Angels last week. "Archbishop Gomez seems much more behind the scenes. It's a different management style."


Yet Gomez has begun quietly making his mark on the archdiocese, the nation's largest with 4.5 million Roman Catholics in 120 Southern California cities.


He has elevated issues such as opposition to abortion and euthanasia. He has promoted evangelization and religious education and embraced more conservative voices.


At the same time, he has not led an ideological purge of the archdiocese as some liberals had feared might happen under a cleric associated with the orthodox Opus Dei organization. Gomez has not, for instance, shut down a program Mahony developed that has trained lay leaders, particularly women, for powerful church roles, said Claire Henning, a pastoral associate at St. Paul the Apostle Church in Westwood.


"I was one of the first to say, 'Oh my God, Opus Dei,'" Henning said. "But I've been very impressed. I had a lot of presuppositions about him which were wrong."


One of Gomez's most ambitious initiatives has largely gone unnoticed in English-speaking Los Angeles: active outreach to Latinos, who comprise 70% of archdiocese members and 60% of Catholics under the age of 35 nationwide.


The archbishop has launched a weekly Spanish-language radio and TV show to teach the faith, covering such topics as marriage and respect for life, that reaches an audience of more than 2 million.


The 61-year-old Mexico native has also attended popular Spanish-language gatherings — Our Lady of Guadalupe celebrations at the L.A. Memorial Coliseum and a Divine Mercy conference at the L.A. Convention Center, for instance.


For Frances Guerrero, the archbishop's outreach has had a powerful effect on her family.


The parishioner at St. John the Baptist church in Baldwin Park said she has brought her family to see the archbishop celebrate Mass, preside over a cultural festival and speak at a Guadalupe event sponsored by Univision, the Spanish-language television network. Each encounter has deepened her family's connection with Gomez, she said, drawing her husband back to church.


"We feel very connected to the archbishop," she said. "He makes you feel welcome, at home and important."


Gomez believes Catholics must first know their faith to understand the theological reasons for taking stands on social issues, said Father Virgilio Elizondo, a longtime friend in San Antonio, where Gomez previously served as archbishop.


In his first pastoral letter last October, he announced a push for a "new evangelization" to combat society's increasing secularism and said his first priority would be to increase teaching about Catholic beliefs and how to apply them in parishioners' daily lives and the world. The Spanish-language broadcasts are part of that push.


"He's concerned about social justice but feels if you're not well-grounded in the basics, then it can be seen as just activism and not … evangelization of the Gospel," Elizondo said.


Gomez, for instance, has proclaimed that respect for life is the "true foundation" of justice and peace. As a result, he has expanded the mission of the archdiocese's peace and justice office to includeissues such as abortion, contraception and euthanasia and renamed it the Office of Life, Justice and Peace. The department that had handled those issues had been eliminated under budget cuts several years ago.


Some conservatives say he hasn't gone far enough.


It irks some of them that he has not yet rid the archdiocese's annual Religious Education Congress — the world's largest gathering of Catholic workshops and exhibits, scheduled for this week — of speakers who promote such causes as gay rights and other causes they consider anti-Catholic.





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U.S. Troops Leave Afghan Outposts, Still Facing Fire


Bryan Denton for The New York Times


Afghanistan Army soldiers, left, and their American counterparts on Thursday destroyed a Taliban firing position in a village in Kandahar Province. More Photos »







STRONG POINT HAJI RAHMUDDIN II, Afghanistan — When the last American soldiers to occupy this squat, lonely outpost in southern Afghanistan pulled out this week, they left the same way earlier units had arrived: ready for a fight.




They were leaving this violent patch of land outside Kandahar, the south’s main city, just as Taliban fighters were filtering back in from winter havens in Pakistan. It was, as First Sgt. Jason Pitman, 35, bluntly put it, “no time to get stupid.”


The Americans knew they would be most vulnerable in their final hours after taking down their surveillance and early-warning systems. The Taliban knew it, too, and intelligence reports indicated that they had been working with sympathetic villagers to strike at the departing soldiers. Two days earlier, the militants made a test run against the outpost, taking the rare step of directly engaging it in a firefight, albeit a brief one, soon after the first radio antennas came down.


On the same day that President Obama announced that roughly half of the American troops still in in Afghanistan would withdraw this year, and that Afghan forces would begin taking the lead in the war, the smaller-scale departure from the Haji Rahmuddin II outpost was an uncelebrated milestone.


But it pointed at a harsh reality of the process: that some of the withdrawal will happen under fire in areas of the Taliban heartland where the idea of Afghan-led security remains an abstraction. With the start of the annual fighting season just weeks away, some of the hardest-won gains of the war are at risk of being lost.


In the years since the Obama administration’s additional tens of thousands of American soldiers and their Afghan allies pushed into the grape fields, pomegranate orchards and opium poppy fields of southern Afghanistan, some islands of relative calm have been cleared.


But even though this corner of Kandahar Province — the Zhare district — was also a focus of the troop increase, it is far from calm. And it is not unique: many areas in the south and east where troop pullouts are under way have had only tenuous security gains at best, despite years of hard-fought American-led advances.


The Taliban here have not given up their fight, on ground where Mullah Muhammad Omar and his followers first rose up against a local warlord, in the movement’s genesis. In one telling indication of the level of strife in Zhare, even many Afghans are hesitant to make the hourlong trip from Kandahar to the district’s mud-brick villages, many of which stand semiabandoned after three summers of intense fighting.


“My sons live in Kandahar City, and they do not like to come back here,” said Abdul Malik, an elder from Tieranon, a village in central Zhare. Once you are in the villages, he added, “anything can happen.”


The American withdrawal is picking up pace regardless, and American commanders have begun to cede even the most contested of ground to Afghan forces.


There are still places “that the Taliban can find sanctuary, and we still believe there is an informal network or support structure in place that they can rely on,” said Maj. Thomas W. Casey, the executive officer of the Third Battalion, 41st Infantry, which operates in the eastern and central half of Zhare.


So the Americans are out on patrol alongside Afghan units here almost every day, and running larger operations on a regular basis. Last week, they used a weapon that shoots a line of explosives and is intended to clear mined roads to knock down roughly 600 yards of trees that could provide cover for Taliban scouts and attackers.


On Thursday, they demolished a hill that the Taliban had used as a fighting position. Three huge explosions — 100 pounds of high explosives were used in each of the last two, which could be felt over a mile away — reduced the hill to dust and dirt. The Americans on the mission outnumbered Afghan soldiers nearly three to one.


There are some things the Americans have to do solo because the Afghans cannot do them, nor will they be able to anytime soon, commanders say. One example is using high-tech surveillance — blimps, drones, cameras mounted on towers at every base — to help spot militants before they attack, and to direct airstrikes against them. They have launched numerous such attacks in the past month alone.


Bryan Denton contributed reporting.



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Molly Sims: I Nursed a Little Vampire!




Celebrity Baby Blog





02/15/2013 at 01:00 PM ET



Following the birth of her baby boy, Molly Sims was ready to sink her teeth into breastfeeding.


The only problem? Her son Brooks Alan had beaten her to it.


“Early on in the hospital, they really want you to breastfeed, so I’m trying everything,” the model mama, 39, shared during a Wednesday appearance on Anderson Live.


“And I’m like, ‘Gosh, this really, really hurts.’ And they’re like, ‘Oh, we know.’”


Determined to find the root of the pain, Sims went searching in her newborn’s mouth — and was shocked at her discovery.


“I’m like, ‘Is there any way a baby could be born with a tooth?’” she recalls. “And they went, ‘Oh sweetie, I know you’re a model, but … babies aren’t born with teeth!’”


She continues: “Come to find out, my baby was born with a tooth!”


Molly Sims Breastfeeding Anderson Live
Courtesy ANDERSON LIVE



Despite countless attempts to successfully nurse — “I did nipple shields, nipple guards, supplemental nursing system, it was horrible,” the new mom says — Sims eventually decided to call it quits.


“He was literally like a vampire on me for three months — it was unbelievable,” she says with a laugh. “Cut to I’m not breastfeeding and I’m proud of it.”


Now Brooks, 7 months, has moved on to other milestones — including crawling — and is already taking after his dad, Scott Stuber.


“He has the hairline of my husband. It’s like an Eddie Munster kind of hairline. It’s not so attractive, but [he'll] end up growing into it,” Sims says.


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');var targetVideoWidth = 300;brightcove.createExperiences();/* iPhone, iPad, iPod */if ((navigator.userAgent.match('iPhone')) || (navigator.userAgent.match('iPad')) || (navigator.userAgent.match('iPod')) || (location.search.indexOf('ipad=true') > -1)) { document.write('
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States' choices set up national health experiment


WASHINGTON (AP) — President Barack Obama's health care overhaul is unfolding as a national experiment with American consumers as the guinea pigs: Who will do a better job getting uninsured people covered, the states or the feds?


The nation is about evenly split between states that decided by Friday's deadline they want a say in running new insurance markets and states that are defaulting to federal control because they don't want to participate in "Obamacare." That choice was left to state governments under the law: Establish the market or Washington will.


With some exceptions, states led by Democrats opted to set up their own markets, called exchanges, and Republican-led states declined.


Only months from the official launch, exchanges are supposed to make the mind-boggling task of buying health insurance more like shopping on Amazon.com or Travelocity. Millions of people who don't have employer coverage will flock to the new markets. Middle-class consumers will be able to buy private insurance, with government help to pay the premiums in most cases. Low-income people will be steered to safety net programs like Medicaid.


"It's an experiment between the feds and the states, and among the states themselves," said Robert Krughoff, president of Consumers' Checkbook, a nonprofit ratings group that has devised an online tool used by many federal workers to pick their health plans. Krughoff is skeptical that either the feds or the states have solved the technological challenge of making the purchase of health insurance as easy as selecting a travel-and-hotel package.


Whether or not the bugs get worked out, consumers will be able to start signing up Oct. 1 for coverage that takes effect Jan. 1. That's also when two other major provisions of the law kick in: the mandate that almost all Americans carry health insurance, and the rule that says insurers can no longer turn away people in poor health.


Barring last-minute switches that may not be revealed until next week, 23 states plus Washington, D.C., have opted to run their own markets or partner with the Obama administration to do so.


Twenty-six states are defaulting to the feds. But in several of those, Republican governors are trying to carve out some kind of role by negotiating with federal Health and Human Services Secretary Kathleen Sebelius. Utah's status is unclear. It received initial federal approval to run its own market, but appears to be reconsidering.


"It's healthy for the states to have various choices," said Ben Nelson, CEO of the National Association of Insurance Commissioners. "And there's no barrier to taking somebody else's ideas and making them work in your situation." A former U.S. senator from Nebraska, Nelson was one of several conservative Democrats who provided crucial votes to pass the overhaul.


States setting up their own exchanges are already taking different paths. Some will operate their markets much like major employers run their health plans, as "active purchasers" offering a limited choice of insurance carriers to drive better bargains. Others will open their markets to all insurers that meet basic standards, and let consumers decide.


Obama's Affordable Care Act remains politically divisive, but state insurance exchanges enjoy broad public support. Setting up a new market was central to former Republican presidential candidate Mitt Romney's health care overhaul as governor of Massachusetts. There, it's known as the Health Connector.


A recent AP poll found that Americans prefer to have states run the new markets by 63 percent to 32 percent. Among conservatives the margin was nearly 4-1 in favor of state control. But with some exceptions, including Idaho, Nevada and New Mexico, Republican-led states are maintaining a hands-off posture, meaning the federal government will step in.


"There is a sense of irony that it's the more conservative states" yielding to federal control, said Sandy Praeger, the Republican insurance commissioner in Kansas, a state declining to run its own exchange. First, she said, the law's opponents "put their money on the Supreme Court, then on the election. Now that it's a reality, we may see some movement."


They're not budging in Austin. "Texas is not interested in being a subcontractor to Obamacare," said Lucy Nashed, spokeswoman for Gov. Rick Perry, who remains opposed to mandates in the law.


In Kansas, Praeger supported a state-run exchange, but lost the political struggle to Gov. Sam Brownback. She says Kansans will be closely watching what happens in neighboring Colorado, where the state will run the market. She doubts that consumers in her state would relish dealing with a call center on the other side of the country. The federal exchange may have some local window-dressing but it's expected to function as a national program.


Christine Ferguson, director of the Rhode Island Health Benefits Exchange, says she expects to see a big shift to state control in the next few years. "Many of the states have just run out of time for a variety of reasons," said Ferguson. "I'd be surprised if in the longer run every state didn't want to have its own approach."


In some ways, the federal government has a head start on the states. It already operates the Medicare Plan Finder for health insurance and prescription plans that serve seniors, and the Federal Employees Health Benefits Program. Both have many of the features of the new insurance markets.


Administration officials are keeping mum about what the new federal exchange will look like, except that it will open on time and people in all 50 states will have the coverage they're entitled to by law.


Joel Ario, who oversaw planning for the health exchanges in the Obama administration, says "there's a rich dialogue going on" as to what the online shopping experience should look like. "To create a website like Amazon is a very complicated exercise," said Ario, now a consultant with Manatt Health Solutions.


He thinks consumers should be able to get one dollar figure for each plan that totals up all their expected costs for the year, including premiums, deductibles and copayments. Otherwise, scrolling through pages of insurance jargon online will be a sure turn-off.


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Judge clears way for Mahony deposition in sex abuse case









Before Cardinal Roger Mahony boards a plane for Rome to help elect the next pope, he will be questioned under oath about his handling of clergy sex abuse cases.


A judge cleared the way Friday for a Feb. 23 deposition of the former archbishop by a lawyer for a man who alleges that a visiting Mexican priest molested him three decades ago at his Montecito Heights parish.


In a closed-door meeting, L.A. County Superior Court Judge Emilie H. Elias said Mahony could be questioned for four hours about the priest, Father Nicholas Aguilar Rivera, and 25 other clergymen accused of abuse during the same time period, according to lawyers at the meeting.





Mahony has been deposed repeatedly since the late 1990s about his dealings with accused abusers, but the upcoming deposition will be the first since the release of 12,000 pages of internal church records about the abuse.


The alleged victim's lawyer, Anthony De Marco, said he has 138 pages of archdiocese memos and records about Aguilar Rivera that were not available when Mahony was last deposed.


"It's a vastly different examination when you have their contemporaneous notes," he said.


The files released show Aguilar Rivera returned to Mexico in 1988 shortly after a top Mahony aide, Thomas J. Curry, warned him that a police investigation was likely and he was in "a good deal of danger." Authorities believe Aguilar Rivera molested at least 26 children during a nine-month stay in the archdiocese. He remains a fugitive in Mexico.


Mahony's successor, Archbishop Jose Gomez, publicly rebuked the cardinal two weeks ago for mishandling sex abuse cases decades before.


In a post on his personal blog Thursday evening, Mahony wrote that he felt God was calling him "to be humiliated" and said he had been "been confronted in various places by very unhappy people" about the scandal.


"I could understand the depth of their anger and outrage — at me, at the Church, at … injustices that swirl around us," he wrote. "Thanks to God's special grace, I simply stood there, asking God to bless and forgive them."


In the letter Friday to "brother priests," Gomez struck a conciliatory note, encouraging prayers for Mahony as he journeys to Rome and reiterating that the cardinal remains "in good standing" in the church.


"I am confident that Cardinal Mahony's accomplishments and experience in the areas of immigration, social justice, sacred liturgy, and the role of the laity in the Church will serve the College of Cardinals well as it works to discern the will of the Holy Spirit in these deliberations that will lead to the election of our new Pope," Gomez wrote.


harriet.ryan@latimes.com





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