Could Outgoing Republicans Hold Keys to 'Cliff' Deal?

Nov 30, 2012 1:45pm

AP Photo/Carolyn Kaster

The outlook for reaching some sort of bipartisan agreement on the so-called “fiscal cliff” before the Dec. 31 deadline is looking increasingly grim. Shortly after noon today, House Speaker John Boehner, R-Ohio, appeared before the cameras to say the talks had reached a “stalemate.”

But there may be a glimmer of hope. There are currently 33 outgoing members of Congress — they’re either retiring or were defeated last month — who have signed the Grover Norquist pledge stating that they will not raise taxes. Those members, particularly the ones who have traditionally been somewhat moderate, could hold the key to that stance softening.

“You have 33 people who do not have to worry about the future political consequences of their vote,” said ABC political director Amy Walter. “These are people who theoretically can vote based purely on the issue rather than on how it will impact their political future.”

One outgoing member has publicly indicated a willingness to join with Obama and the Democrats on a partial deal.

“I have to say that if you’re going to sign me up with a camp, I like what Tom Cole has to say,” California Republican Rep. Mary Bono Mack said on CNN on Thursday. Cole is the Republican who suggested that his party vote to extend the Bush tax-rates for everyone but the highest income earners and leave the rest of the debate for later. Mack’s husband, Connie, however, also an outgoing Republican member of Congress, said he disagreed with his wife.

But in general, among the outgoing Republican representatives with whom ABC News has made contact, the majority have been vague as to whether or not they still feel bound by the pledge, and whether they would be willing to raise tax rates.

“[Congressman Jerry Lewis] has always been willing to listen to any proposals, but there isn’t,” a spokesman for Rep. Lewis, Calif., told ABC News. “He’s said the pledge was easy because it goes along with his philosophy that increasing tax doesn’t solve any problems. However, he’s always been willing to listen to proposals.”

“Congressman Burton has said that he does not vote for tax increases,” a spokesman for Dan Burton, Ind., said to ABC.

“With Representative Herger retiring, we are leaving this debate to returning members and members-elect,” an aide for Wally Herger, Calif., told ABC News.

The majority of Congress members will likely wait until a deal is on the table to show their hand either way. However, it stands to reason that if any members of Congress are going to give in and agree to raise taxes, these would be the likely candidates.

An agreement will require both sides to make some concessions: Republicans will need to agree to some tax increases, Democrats will need to agree to some spending cuts. With Republicans and Democrats appearing to be digging further into their own, very separate territories, the big question is, which side will soften first?

Read More..

Palestinians win de facto U.N. recognition of sovereign state

UNITED NATIONS (Reuters) - The 193-nation U.N. General Assembly on Thursday overwhelmingly approved the de facto recognition of the sovereign state of Palestine after Palestinian President Mahmoud Abbas called on the world body to issue its long overdue "birth certificate."

The U.N. victory for the Palestinians was a diplomatic setback for the United States and Israel, which were joined by only a handful of countries in voting against the move to upgrade the Palestinian Authority's observer status at the United Nations to "non-member state" from "entity," like the Vatican.

Britain called on the United States to use its influence to help break the long impasse in Israeli-Palestinian peace talks. Washington also called for a revival of direct negotiations.

There were 138 votes in favor, nine against and 41 abstentions. Three countries did not take part in the vote, held on the 65th anniversary of the adoption of U.N. resolution 181 that partitioned Palestine into separate Jewish and Arab states.

Thousands of flag-waving Palestinians in the West Bank and the Gaza Strip set off fireworks and danced in the streets to celebrate the vote.

The assembly approved the upgrade despite threats by the United States and Israel to punish the Palestinians by withholding funds for the West Bank government. U.N. envoys said Israel might not retaliate harshly against the Palestinians over the vote as long as they do not seek to join the International Criminal Court.

If the Palestinians were to join the ICC, they could file complaints with the court accusing Israel of war crimes, crimes against humanity and other serious crimes.

U.S. Secretary of State Hillary Clinton called the vote "unfortunate and counterproductive," while the Vatican praised the move and called for an internationally guaranteed special status for Jerusalem, something bound to irritate Israel.

The much-anticipated vote came after Abbas denounced Israel from the U.N. podium for its "aggressive policies and the perpetration of war crimes," remarks that elicited a furious response from the Jewish state.

"Sixty-five years ago on this day, the United Nations General Assembly adopted resolution 181, which partitioned the land of historic Palestine into two states and became the birth certificate for Israel," Abbas told the assembly after receiving a standing ovation.

"The General Assembly is called upon today to issue a birth certificate of the reality of the State of Palestine," he said.

Israeli Prime Minister Benjamin Netanyahu responded quickly, condemning Abbas' critique of Israel as "hostile and poisonous," and full of "false propaganda.

"These are not the words of a man who wants peace," Netanyahu said in a statement released by his office. He reiterated Israeli calls for direct talks with the Palestinians, dismissing Thursday's resolution as "meaningless."

ICC THREAT

A number of Western delegations noted that Thursday's vote should not be interpreted as formal legal recognition of a Palestinian state. Formal recognition of statehood is something that is done bilaterally, not by the United Nations.

Granting Palestinians the title of "non-member observer state" falls short of full U.N. membership - something the Palestinians failed to achieve last year. But it does have important legal implications - it would allow them access to the ICC and other international bodies, should they choose to join.

Abbas did not mention the ICC in his speech. But Palestinian Foreign Minister Riyad al-Maliki told reporters after the vote that if Israel continued to build illegal settlements, the Palestinians might pursue the ICC route.

"As long as the Israelis are not committing atrocities, are not building settlements, are not violating international law, then we don't see any reason to go anywhere," he said.

"If the Israelis continue with such policy - aggression, settlements, assassinations, attacks, confiscations, building walls - violating international law, then we have no other remedy but really to knock those to other places," Maliki said.

In Washington, a group of four Republican and Democratic senators announced legislation that would close the Palestinian office in Washington unless the Palestinians enter "meaningful negotiations" with Israel, and eliminate all U.S. assistance to the Palestinian Authority if it turns to the ICC.

"I fear the Palestinian Authority will now be able to use the United Nations as a political club against Israel," said Republican Senator Lindsey Graham, one of the sponsors.

Abbas led the campaign to win support for the resolution, which followed an eight-day conflict this month between Israel and Islamists in the Gaza Strip, who are pledged to Israel's destruction and oppose a negotiated peace.

The vote highlighted how deeply divided Europe is on the Israeli-Palestinian conflict.

At least 17 European nations voted in favor of the Palestinian resolution, including Austria, France, Italy, Norway and Spain. Abbas had focused his lobbying efforts on Europe, which supplies much of the aid the Palestinian Authority relies on. Britain, Germany and many others chose to abstain.

The traditionally pro-Israel Czech Republic was unique in Europe, joining the United States, Israel, Canada, Panama and the tiny Pacific Island states Nauru, Palau, Marshall Islands and Micronesia in voting against the move.

'HOPE SOME REASON WILL PREVAIL'

Peace talks have been stalled for two years, mainly over Israeli settlements in the West Bank, which have expanded despite being deemed illegal by most of the world. There are 4.3 million Palestinians in the West Bank and Gaza.

After the vote, U.S. Ambassador to the United Nations Susan Rice called for the immediate resumption of peace talks.

"The Palestinian people will wake up tomorrow and find that little about their lives has changed save that the prospects of a durable peace have only receded," she said.

She added that both parties should "avoid any further provocative actions in the region, in New York or elsewhere."

Palestinian Prime Minister Salam Fayyad said he hoped all sides would use the vote to push for new breakthroughs in the peace process.

"I hope there will be no punitive measures," Fayyad told Reuters in Washington, where he was attending a conference.

"I hope that some reason will prevail and the opportunity will be taken to take advantage of what happened today in favor of getting a political process moving," he said.

Britain's U.N. ambassador, Mark Lyall Grant, told reporters it was time for recently re-elected U.S. President Barack Obama to make a new push for peace.

"We believe the window for the two-state solution is closing," he said. "That is why we are encouraging the United States and other key international actors to grasp this opportunity and use the next 12 months as a way to really break through this impasse."

(Additional reporting by Andrew Quinn in Washington, Noah Browning in Ramallah, Jeffrey Heller in Jerusalem, Robert Mueller in Prague, Gabriela Baczynska and Reuters bureaux in Europe and elsewhere; Editing by Eric Beech and Peter Cooney)

Read More..

Putin's "health issue" sees Japan PM cancel visit

TOKYO: Japanese Prime Minister Yoshihiko Noda has cancelled a planned visit to Russia next month due to a "health issue" affecting President Vladimir Putin, media reports and a government source said on Friday.

The mayor of a northern Japanese city said Noda had explained the reasons for the cancellation to him during a meeting in Tokyo Friday, Jiji Press and Kyodo news agencies reported.

Kyodo said the mayor quoted Noda as saying "President Putin's health condition is bad".

Noda, who is facing a December election widely expected to see him lose his job, met with Nemuro City mayor Shunsuke Hasegawa to talk about the Russian-controlled Kuril islands, the source of a long-standing territorial dispute between Moscow and Tokyo.

A Japanese government source told AFP that Russian officials had informed their Japanese counterparts the leaders' planned meeting would have to be cancelled due to Putin's unspecified health problem.

A spokesman for Noda on Friday declined to confirm the prime minister's reported remarks to the mayor or that health reasons were behind the cancelled trip, which had been scheduled in September.

According to Russian media reports, Putin has recently postponed a number of foreign trips and largely stayed at his suburban Moscow government retreat after aggravating a sports injury.

The Kremlin had insisted there had been no change to his schedule.

Russia said Wednesday Putin would visit Turkey next week after postponing the trip last month.

- AFP/ir

Read More..

Anna Hazare alleges arrested Maharashtra MLA getting 'five-star' treatment

AHMEDNAGAR: Anna Hazare has alleged that MLA Suresh Jain, who was arrested in connection with the Jalgaon Housing scam, was getting "five-star" treatment and demanded an inquiry against jail authorities.

Hazare wrote a letter to this effect to additional commissioner of police Meera Borwankar, before leaving for Odisha tour on Wednesday, Anna's close aide advocate Shyam Asawa said here on Friday.

Hazare said in the letter that Jain was denied bail by the high court. After being arrested on March 12, 2012, Jain has been trying to spend maximum time in hospitals and not in prison.

Jain was brought to Arthur Road jail in Mumbai on November 3, but was immediately admitted to Saint George Hospital where he is getting five-star treatment. Some jail authorities are managing these comforts for Jain, Hazare alleged in the letter and demanded an inquiry against them.

Asawa said the Bhrashtachar Virodhi Jan Andolan, of which he is a trustee, will seek legal action against the special treatment being provided to the accused.

Jain, who was a minister for housing during the Shiv Sena-BJP rule in the 1990s, had been arrested for allegedly favouring a builder and indulging in irregularities to the tune of Rs 29 crore.

Read More..

Clinton releases road map for AIDS-free generation

WASHINGTON (AP) — In an ambitious road map for slashing the global spread of AIDS, the Obama administration says treating people sooner and more rapid expansion of other proven tools could help even the hardest-hit countries begin turning the tide of the epidemic over the next three to five years.

"An AIDS-free generation is not just a rallying cry — it is a goal that is within our reach," Secretary of State Hillary Rodham Clinton, who ordered the blueprint, said in the report.

"Make no mistake about it, HIV may well be with us into the future but the disease that it causes need not be," she said at the State Department Thursday.

President Barack Obama echoed that promise.

"We stand at a tipping point in the fight against HIV/AIDS, and working together, we can realize our historic opportunity to bring that fight to an end," Obama said in a proclamation to mark World AIDS Day on Saturday.

Some 34 million people worldwide are living with HIV, and despite a decline in new infections over the last decade, 2.5 million people were infected last year.

Given those staggering figures, what does an AIDS-free generation mean? That virtually no babies are born infected, young people have a much lower risk than today of becoming infected, and that people who already have HIV would receive life-saving treatment.

That last step is key: Treating people early in their infection, before they get sick, not only helps them survive but also dramatically cuts the chances that they'll infect others. Yet only about 8 million HIV patients in developing countries are getting treatment. The United Nations aims to have 15 million treated by 2015.

Other important steps include: Treating more pregnant women, and keeping them on treatment after their babies are born; increasing male circumcision to lower men's risk of heterosexual infection; increasing access to both male and female condoms; and more HIV testing.

The world spent $16.8 billion fighting AIDS in poor countries last year. The U.S. government is the leading donor, spending about $5.6 billion.

Thursday's report from PEPFAR, the President's Emergency Plan for AIDS Relief, outlines how progress could continue at current spending levels — something far from certain as Congress and Obama struggle to avert looming budget cuts at year's end — or how faster progress is possible with stepped-up commitments from hard-hit countries themselves.

Clinton warned Thursday that the U.S. must continue doing its share: "In the fight against HIV/AIDS, failure to live up to our commitments isn't just disappointing, it's deadly."

The report highlighted Zambia, which already is seeing some declines in new cases of HIV. It will have to treat only about 145,000 more patients over the next four years to meet its share of the U.N. goal, a move that could prevent more than 126,000 new infections in that same time period. But if Zambia could go further and treat nearly 198,000 more people, the benefit would be even greater — 179,000 new infections prevented, the report estimates.

In contrast, if Zambia had to stick with 2011 levels of HIV prevention, new infections could level off or even rise again over the next four years, the report found.

Advocacy groups said the blueprint offers a much-needed set of practical steps to achieve an AIDS-free generation — and makes clear that maintaining momentum is crucial despite economic difficulties here and abroad.

"The blueprint lays out the stark choices we have: To stick with the baseline and see an epidemic flatline or grow, or ramp up" to continue progress, said Chris Collins of amFAR, the Foundation for AIDS Research.

His group has estimated that more than 276,000 people would miss out on HIV treatment if U.S. dollars for the global AIDS fight are part of across-the-board spending cuts set to begin in January.

Thursday's report also urges targeting the populations at highest risk, including gay men, injecting drug users and sex workers, especially in countries where stigma and discrimination has denied them access to HIV prevention services.

"We have to go where the virus is," Clinton said.

Read More..

Man Arrested in Fla. Girl's 1993 Disappearance

Police have arrested a 42-year-old man and charged him with murder in the case of a Florida girl who vanished almost 20 years ago.

Andrea Gail Parsons, 10, of Port Salerno, Fla., was last seen on July 11, 1993, shortly after 6 p.m. She had just purchased candy and soda at a grocery store when she waved to a local couple as they drove by on an area street and honked, police said.

Today, Martin County Sheriff's Department officials arrested Chester Duane Price, 42, who recently lived in Haleyville, Ala., and charged him with first-degree murder and kidnapping of a child under the age of 13, after he was indicted by a grand jury.

Price was acquainted with Andrea at the time of her disappearance, and also knew another man police once eyed as a potential suspect, officials told ABC News affiliate WPBF in West Palm Beach, Fla.

Handout/Martin County Sheriff's Office

"The investigation has concluded that Price abducted and killed Andrea Gail Parsons," read a sheriff's department news release. "Tragically, at this time, her body has not been recovered."

The sheriff's department declined to specify what evidence led to Price's arrest for the crime after 19 years or to provide details to ABCNews.com beyond the prepared news release.

Reached by phone, a sheriff's department spokeswoman said she did not know whether Price was yet represented by a lawyer.

Price was being held at the Martin County Jail without bond and was scheduled to make his first court appearance via video link at 10:30 a.m. Friday.

In its news release, the sheriff's department cited Price's "extensive criminal history with arrests dating back to 1991" that included arrests for cocaine possession, assault, sale of controlled substance, aggravated assault with a deadly weapon and violation of domestic violence injunction.

"The resolve to find Andrea and get answers surrounding the circumstances of her disappearance has never wavered as detectives and others assigned have dedicated their careers to piecing this puzzle together," Martin County Sheriff Robert L. Crowder said in a prepared statement. "In 2011, I assigned a team of detectives, several 'fresh sets of eyes,' to begin another review of the high-volume of evidence that had been previously collected in this case."

A flyer dating from the time of Andrea's disappearance, and redistributed by the sheriff's office after the arrest, described her as 4-foot-11 with hazel eyes and brown hair. She was last seen wearing blue jean shorts, a dark shirt and clear plastic sandals, according to the flyer.

The sheriff's department became involved in the case after Andrea's mother, Linda Parsons, returned home from work around 10 p.m. on July 11, 1993, to find her daughter missing and called police, according to the initial sheriff's report.

Read More..

Egypt assembly seeks to wrap up constitution

CAIRO (Reuters) - The assembly writing Egypt's constitution said it could wrap up a final draft later on Wednesday, a move the Muslim Brotherhood sees as a way out of a crisis over a decree by President Mohamed Mursi that protesters say gives him dictatorial powers.

But as Mursi's opponents staged a sixth day of protests in Tahrir Square, critics said the Islamist-dominated assembly's bid to finish the constitution quickly could make matters worse.

Two people have been killed and hundreds injured in countrywide protest set off by Mursi's decree.

The Brotherhood hopes to end the crisis by replacing Mursi's controversial decree with an entirely new constitution that would need to be approved in a popular referendum, a Brotherhood official told Reuters.

It is a gamble based on the Islamists' belief that they can mobilize enough voters to win the referendum: they have won all elections held since Hosni Mubarak was toppled from power.

But the move seemed likely to deepen divisions that are being exposed in the street.

The Muslim Brotherhood and its Islamist allies called for protests on Saturday in Tahrir Square, setting the stage for more confrontation with their opponents, who staged a mass rally there on Tuesday.

The constitution is one of the main reasons Mursi is at loggerheads with non-Islamist opponents. They are boycotting the 100-member constitutional assembly, saying the Islamists have tried to impose their vision for Egypt's future.

The assembly's legal legitimacy has been called into question by a series of court cases demanding its dissolution. Its popular legitimacy has been hit by the withdrawal of members including church representatives and liberals.

"We will start now and finish today, God willing," Hossam el-Gheriyani, the assembly speaker, said at the start of its latest session in Cairo, saying Thursday would be "a great day".

"If you are upset by the decree, nothing will stop it except a new constitution issued immediately," he said. Three other members of the assembly told Reuters there were plans to put the document to a vote on Thursday.

ENTRENCHING AUTHORITARIANISM

Just down the road from the meeting convened at the Shura Council, protesters were again clashing with riot police in Tahrir Square. Members of the assembly watched on television as they waited to go into session.

"The constitution is in its last phases and will be put to a referendum soon and God willing it will solve a lot of the problems in the street," said Talaat Marzouk, an assembly member from the Salafi Nour Party, as he watched the images.

But Wael Ghonim, a prominent activist whose online blogging helped ignite the anti-Mubarak uprising, said a constitution passed in such circumstances would "entrench authoritarianism".

The constitution is supposed to be the cornerstone of a new, democratic Egypt following Mubarak's three decades of autocratic rule. The assembly has been at work for six months. Mursi had extended its December 12 deadline by two months - extra time that Gheriyani said was not needed.

The constitution will determine the powers of the president and parliament and define the roles of the judiciary and a military establishment that had been at the heart of power for decades until Mubarak was toppled. It will also set out the role of Islamic law, or sharia.

The effort to conclude the text quickly marked an escalation, said Nathan Brown, a professor of political science at George Washington University in the United States.

"It may be regarded with hostility by a lot of state actors too, including the judiciary," he said.

Leading opposition and former Arab League chief figure Amr Moussa slammed the move. He walked out of the assembly earlier this month. "This is nonsensical and one of the steps that shouldn't be taken, given the background of anger and resentment to the current constitutional assembly," he told Reuters.

Once drafted, the constitution will go to Mursi for approval, and he must then put it to a referendum within 15 days, which could mean the vote would be held by mid-December.

COURTS DECLARE STRIKE

Deepening the crisis further on Wednesday, Egypt's Cassation and Appeals courts said they would suspend their work until the constitutional court rules on the decree.

The judiciary, largely unreformed since the popular uprising that unseated Mubarak, was seen as a major target in the decree issued last Thursday, which extended his powers and put his decisions temporarily beyond legal challenge.

"The president wants to create a new dictatorship," said 38-year-old Mohamed Sayyed Ahmed, an unemployed man, in Tahrir.

Showing the depth of distrust of Mursi in parts of the judiciary, a spokesman for the Supreme Constitutional Court, which earlier this year declared void the Islamist-led parliament, said it felt under attack by the president.

In a speech on Friday, Mursi praised the judiciary as a whole but referred to corrupt elements he aimed to weed out.

"The really sad thing that has pained the members of this court is when the president of the republic joined, in a painful surprise, the campaign of continuous attack on the Constitutional Court," said the spokesman Maher Samy.

Senior judges have been negotiating with Mursi about how to restrict his new powers.

Mursi's administration insists that his actions were aimed at breaking a political logjam to push Egypt more swiftly towards democracy, an assertion his opponents dismiss.

The West worries about turbulence in a nation that has a peace treaty with Israel and is now ruled by Islamists they long kept at arms length.

Trying to ease tensions with judges, Mursi said elements of his decree giving his decisions immunity applied only to matters of "sovereign" importance, a compromise suggested by the judges.

A constitution must be in place before a new parliament can be elected, and until that time Mursi holds both executive and legislative powers. An election could take place in early 2013.

(Additional reporting by Tom Perry and Marwa Awad; Writing by Edmund Blair and Tom Perry; Editing by Will Waterman and Giles Elgood)

Read More..

Abbas seeks historic state backing at UN

UNITED NATIONS: Palestinian leader Mahmud Abbas will head to the General Assembly on Thursday with huge backing for his bid for UN recognition of statehood despite strong US and Israeli opposition.

Abbas will make the case for Palestine to become a UN "non-member observer state" and indicate his conditions for talks with Israel in a key speech to the 193-member assembly.

The Palestinian leadership is determined to make the 65th anniversary of a UN resolution on the division of Palestinian territory a "historic" landmark of their efforts to set up an independent state.

The United States, a staunch ally of Israel, has launched an aggressive campaign against the bid, warning that the vote will do nothing to improve the prospects for new peace talks aimed at ending the decades-long conflict.

US Deputy Secretary of State William Burns and Middle East envoy David Hale met with Abbas at his New York hotel on Wednesday but failed to get the resolution withdrawn or amended, officials said.

"It would be like changing my name," Palestinian foreign minister Riyad al-Malki told reporters when asked if the Palestinians were ready to change their request.

Abbas also held talks with a host of ministers and top diplomats in the day before his speech, including Turkey's Foreign Minister Ahmet Davutoglu, who pledged his country's support, and UN Secretary General Ban Ki-moon.

Much attention will be focused on the number of countries that back the observer state status. The Palestinians say 132 countries recognize their state bilaterally.

Some of those are expected to abstain, however. And some, such as France and other European nations, are expected to vote in favor even though they have not formally recognized a Palestinian state.

Canada has said it will join the United States in opposing the resolution. Only two European countries, Germany and the Czech Republic, are expected to vote against.

Britain announced it would abstain unless the Palestinians pledged not to seek an International Criminal Court (ICC) case against Israel and promised an immediate return to negotiations with the Jewish state.

The recent Israeli military onslaught against rocket attacks from Gaza could increase support for the Palestinians, diplomats said.

But several European countries, including some backing the bid, believe the Palestinians should have waited until after US President Barack Obama installed his new administration and Israel held elections, diplomats said.

The foreign ministers of Canada, Turkey, Jordan and Indonesia are to speak at the General Assembly meeting starting at 2000 GMT.

Success will give the Palestinians access to UN agencies and treaties and allow them to apply to join the ICC - a prospect that worries Israel.

Senior Palestine Liberation Organization official Hanan Ashrawi said Abbas resisted "intensive pressure" to make concessions on the ICC.

Palestinian envoys have said Abbas will not rush to join the court but could use it if Israel does not change its policies on settlements and other matters.

The United States blocked the application for full membership of the United Nations that Abbas made in September 2011.

The United States and Israel say a Palestinian state can only emerge from direct negotiations, which have been frozen since September 2010.

"We have made very clear to the Palestinian leadership that we oppose Palestinian efforts to upgrade their status at the UN outside of the framework" of talks with Israel, Secretary of State Hillary Clinton said.

The Palestinian Authority and UN agencies that admit the Palestinians could lose hundreds of millions of dollars in financing because of the vote. US law prohibits funding for any international body recognising a Palestinian state.

Washington has warned Abbas he risks losing around $200 million in aid, which is currently blocked in the US Congress.

Israel is considering freezing the transfer of tax and customs funds it collects for the Palestinians, while one Israeli foreign ministry policy paper even suggested "toppling" the Palestinian Authority.

But ministry spokeswoman Ilana Stein said Israel would most likely not take any punitive measures unless the Palestinians used the upgrade "as a platform for confrontation" at the ICC.

"Israel's reaction to the Palestinian move depends on what they choose to do. If they use this resolution as a platform for confrontation, we will have to act accordingly," Stein said.

- AFP/de

Read More..

Simple measures cut infections caught in hospitals

CHICAGO (AP) — Preventing surgery-linked infections is a major concern for hospitals and it turns out some simple measures can make a big difference.

A project at seven big hospitals reduced infections after colorectal surgeries by nearly one-third. It prevented an estimated 135 infections, saving almost $4 million, the Joint Commission hospital regulating group and the American College of Surgeons announced Wednesday. The two groups directed the 2 1/2-year project.

Solutions included having patients shower with special germ-fighting soap before surgery, and having surgery teams change gowns, gloves and instruments during operations to prevent spreading germs picked up during the procedures.

Some hospitals used special wound-protecting devices on surgery openings to keep intestine germs from reaching the skin.

The average rate of infections linked with colorectal operations at the seven hospitals dropped from about 16 percent of patients during a 10-month phase when hospitals started adopting changes to almost 11 percent once all the changes had been made.

Hospital stays for patients who got infections dropped from an average of 15 days to 13 days, which helped cut costs.

"The improvements translate into safer patient care," said Dr. Mark Chassin, president of the Joint Commission. "Now it's our job to spread these effective interventions to all hospitals."

Almost 2 million health care-related infections occur each year nationwide; more than 90,000 of these are fatal.

Besides wanting to keep patients healthy, hospitals have a monetary incentive to prevent these infections. Medicare cuts payments to hospitals that have lots of certain health care-related infections, and those cuts are expected to increase under the new health care law.

The project involved surgeries for cancer and other colorectal problems. Infections linked with colorectal surgery are particularly common because intestinal tract bacteria are so abundant.

To succeed at reducing infection rates requires hospitals to commit to changing habits, "to really look in the mirror and identify these things," said Dr. Clifford Ko of the American College of Surgeons.

The hospitals involved were Cedars-Sinai Medical Center in Los Angeles; Cleveland Clinic in Ohio; Mayo Clinic-Rochester Methodist Hospital in Rochester, Minn.; North Shore-Long Island Jewish Health System in Great Neck, NY; Northwestern Memorial Hospital in Chicago; OSF Saint Francis Medical Center in Peoria, Ill.; and Stanford Hospital & Clinics in Palo Alto, Calif.

___

Online:

Joint Commission: http://www.jointcommission.org

American College of Surgeons: http://www.facs.org

___

AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner

Read More..

Two Winners in Record Powerball Jackpot

Winning tickets for the record Powerball jackpot worth more than $579 million were purchased in Arizona and Missouri.

Missouri Lottery official Susan Goedde confirmed to ABC News this morning that one of the winning tickets was purchased in the state, but they would not be announcing a town until later this morning. Powerball's website reports the other winning ticket was purchased in Arizona.

The winning numbers for the jackpot were 5, 23, 16, 22 and 29. The Powerball was 6.

Before the numbers were drawn on Wednesday, the jackpot swelled to $579.9 million, making the cash option $379.8 million.

An additional 8,924,123 players won smaller prizes, according to Powerball's website.

"There were 58 winners of $1 million and there were eight winners of $2 million. So a total of $74 million," said Chuck Strutt, Director of the Multi-State Lottery Association.

In Photos: Biggest Lotto Jackpot Winners

Hopeful players bought tickets at the rate of 131,000 every minute up until an hour before the deadline of 11 p.m. ET, according to lottery officials.

The jackpot had already rolled over 16 consecutive times without a winner. That fact, plus the doubling in price of a Powerball ticket, accounted for the unprecedented richness of the pot.

"Back in January, we moved Powerball from being a $1 game to $2," said Mary Neubauer, a spokeswoman at the game's headquarters in Iowa. "We thought at the time that this would mean bigger and faster-growing jackpots."

AP Photo/Patrick Semansky

That proved true. The total, she said, began taking "huge jumps -- another $100 million since Saturday." It then jumped another $50 million.

The biggest Powerball pot on record until now -- $365 million -- was won in 2006 by eight Lincoln, Neb., co-workers.
As the latest pot swelled, lottery officials said they began getting phone calls from all around the world.

"When it gets this big," said Neubauer, "we get inquiries from Canada and Europe from people wanting to know if they can buy a ticket. They ask if they can FedEx us the money."

The answer she has to give them, she said, is: "Sorry, no. You have to buy a ticket in a member state from a licensed retail location."

About 80 percent of players don't choose their own Powerball number, opting instead for a computer-generated one.
Asked if there's anything a player can do to improve his or her odds of winning, Neubauer said there isn't -- apart from buying a ticket, of course.

Lottery officials put the odds of winning the $579 Powerball pot at one in 175 million, meaning you'd have been 25 times more likely to win an Academy Award.

Skip Garibaldi, a professor of mathematics at Emory University in Atlanta, provided additional perspective: You are three times more likely to die from a falling coconut, he said; seven times more likely to die from fireworks, "and way more likely to die from flesh-eating bacteria" (115 fatalities a year) than you are to win the Powerball lottery.

Segueing, then, from death to life, Garibaldi noted that even the best physicians, equipped with the most up-to-date equipment, can't predict the timing of a child's birth with much accuracy.

"But let's suppose," he said, "that your doctor managed to predict the day, the hour, the minute and the second your baby would be born."

The doctor's uncanny prediction would be "at least 100 times" more likely than your winning.

Even though he knows the odds all too well, Garibaldi said he usually plays the lottery.

When it gets this big, I'll buy a couple of tickets," he said. "It's kind of exciting. You get this feeling of anticipation. You get to think about the fantasy."

So, did he buy two tickets this time?

"I couldn't," he told ABC News. "I'm in California" -- one of eight states that doesn't offer Powerball.

ABC News Radio contributed to this report.

Read More..