Friday, November 30, 2012

Williamsburg, Classes, Activities, Recreational Sports, Art, Dance ...

Youth

REC Connect Winter Break Program(grades K-5)

Dec. 26, 27, 28 & 31; 7 a.m.-6 p.m.

Full-time (4 days) $90; $85 JC/W residents + field trip fees

Part-time (3 days or less) $70; $65 residents + field trip fees

Rawls Byrd Elementary School

Dependable and safe fun, games, fun fitness activities, creative crafts, interactive reading, team projects, music and daily field trips are just a few great program features!Info: jamescitycountyva.gov/recreation or call 757-259-4200.

Kid?s Holiday Dessert Camp (ages 7-12), New!

Thursday, Friday, & Saturday, Dec. 27-29 10 a.m.-noon

Thursday, Friday, & Saturday, Dec. 27-29 1:30-3:30 p.m.

$65/session; $60 for JC/W residents

James City County Recreation Center

Teens

Reaching for Success (grades 9-12)

Saturday, Dec. 1, 10 a.m. - 2 p.m.

$25; $20 for JC/W residents

James City County Recreation Center

Winter Break Happenings (grades 6-12)

Rollin? Down the Lane

Wednesday, Dec. 26, 7 a.m. - 6 p.m.

$35; $30 for JC/W residents

James City County Recreation Center

Now Showing?

Thursday, Dec. 27, 7 a.m. - 6 p.m.

$35; $30 for JC/W residents

James City County Recreation Center

Cold as Ice

Friday, Dec. 28, 7 a.m. - 6 p.m.

$35; $30 for JC/W residents

James City County Recreation Center

Tag ? You?re Out!

Monday, Dec. 31, 7 a.m. - 6 p.m.

$35; $30 for JC/W residents

James City County Recreation Center

Inclusion

Teensational Socials: Holiday Shopping (ages 13-21 with disabilities)

Saturday, Dec. 15, 1-3:30 p.m.

$20; $15 for JC/W residents

James City County Recreation Center

Adults

Little Known Secrets of Paying for College (for parents)

Tuesday, Dec. 4, 6-8:30 p.m.

$30; $25 for JC/W residents (per set of parents)

James City County Recreation Center

Learn how to attend private schools for the same ?cost? as in-state schools, pay for college in the most efficient and effective manner, qualify for maximum financial aid package and gain an insider's view of the college admissions process. Register by Nov. 29. Info:jamescitycountyva.gov/recreation or call 757-259-4200.

Color Mixing for Artists (ages 16+), New

Thursdays, Dec. 6 & 13, 10 a.m.-noon

$50; $45 for JC/W residents

James City County Recreation Center

Learn how to combine colors consistently and create a balanced palette. Learn about paint properties for all mediums and about choosing pigments. All materials provided. Info: jamescitycountyva.gov/recreation or call 757-259-4200.

Dance

Beginning Ballet

Thursdays, Dec. 6-Jan. 31, 2-3 p.m.

$25; 20 for JC/W residents

This class is intended for beginners, yet will be appropriate for anyone who wants to enjoy a relaxing exercise class. Ballet shoes are recommended, but not required. Info: jamescitycountyva.gov/recreation or call 757-259-4200.

Low Impact Tap

Mondays, Dec. 10-Jan. 28 (no class 12/24), 2-3 p.m.

$25; 20 for JC/W residents

James City County Recreation Center

We?ll combine both seated and standing tap dance exercises that allow anyone to enjoy dancing! Tap shoes are recommended, but not required. Info:jamescitycountyva.gov/recreation or call 757-259-4200.

Beginning Jazz

Wednesdays, Dec. 12-Jan.30, 7-8 p.m.

$25; 20 for JC/W residents

James City County Recreation Center

Jazz has its roots in African and Caribbean dance and lends itself to being great aerobic exercise as well as exercise for the mind. Jazz shoes are recommended, but not required. Info: jamescitycountyva.gov/recreation or call 757-259-4200.

Fitness

Evening Fitness Classes

Evening classes include Kickboxing, Zumba, Power Yoga, Cardio Tap dancing and Strength Training. Child care is available on Mondays and Wednesdays from 5-8 p.m. at the James City County Recreation Center. Call 757-259-4200 for details or visit us atjamescitycountyva.gov/recreation.

Source: http://williamsburgfamiliessports.blogspot.com/2012/11/jcc-parks-and-recreation-in-december.html

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Source: http://clifton25.typepad.com/blog/2012/11/williamsburg-classes-activities-recreational-sports-art-dance.html

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Analysis: Obama, Boehner seek cliff talks leverage

President Barack Obama waves after speaking at the Rodon Group, which manufactures over 95% of the parts for K'NEX Brands toys, Friday, Nov. 30, 2012, in Hatfield, Pa. The visit comes as the White House continues a week of public outreach efforts, while also attempting to negotiate a deal with congressional leaders. (AP Photo/Susan Walsh)

President Barack Obama waves after speaking at the Rodon Group, which manufactures over 95% of the parts for K'NEX Brands toys, Friday, Nov. 30, 2012, in Hatfield, Pa. The visit comes as the White House continues a week of public outreach efforts, while also attempting to negotiate a deal with congressional leaders. (AP Photo/Susan Walsh)

House Speaker John Boehner of Ohio speaks to reporters on Capitol Hill in Washington, Thursday, Nov. 29, 2012, after private talks with Treasury Secretary Timothy Geithner on the fiscal cliff negotiations. Boehner said no substantive progress has been made between the White House and the House" in the past two weeks. (AP Photo/J. Scott Applewhite)

President Barack Obama gestures as he speaks at the Rodon Group, which manufactures over 95% of the parts for K?NEX Brands toys, Friday, Nov. 30, 2012, in Hatfield, Pa. The visit comes as the White House continues a week of public outreach efforts, while also attempting to negotiate a deal with congressional leaders. (AP Photo/Susan Walsh)

President Barack Obama waves as he arrives before speaking at the Rodon Group, which manufactures over 95% of the parts for K?NEX Brands toys, Friday, Nov. 30, 2012, in Hatfield, Pa. The visit comes as the White House continues a week of public outreach efforts, while also attempting to negotiate a deal with congressional leaders. (AP Photo/Susan Walsh)

President Barack Obama looks a rollercoaster with from left, K'Nex inventor Joel Glickman, robotics expert Joao Silver, and chief executive officer Michael Araten and during a visit to th K'Nex factory in Hatfield, Pa. on Friday, Nov. 30, 2012. Obama spoke at the toy company about how middle class Americans would see their taxes go up if Congress fails to act to extend the middle class tax cuts. (AP Photo/The Philadelphia Inquirer, Michael S. Wirtz) PHIX OUT; TV OUT; MAGS OUT; NEWARK OUT (for all of Their spot photos. Outs include 19 or so papers from N.J. and P.A. MAGS OUT; NEWARK OUT

(AP) ? One month before the deadline, negotiations between President Barack Obama and Republicans to save the economy from a plunge over the fiscal cliff are still in the throat-clearing stage. Serious bargaining is on hold while the two sides vie for political leverage.

Deal or no deal, nothing is likely to become clear until far closer to the year-end deadline, when the lure of getting away for the holidays will sharpen the focus of negotiators.

"There's a stalemate. Let's not kid ourselves," House Speaker John Boehner, R-Ohio, said Friday, punctuating the end of a week of political theater by divided government. "Right now we're almost nowhere."

He spoke as Obama all but called Republicans heartless louts from a Charles Dickens story. Their failure to pass an extension of middle class tax cuts would amount to a Christmas "lump of coal" for millions, Obama said in Hatfield, Pa. "That's a Scrooge Christmas," added the recently-re-elected president, who claims a voters' mandate to extend existing tax cuts for all but upper incomes.

Boehner, too, claimed a mandate after voters renewed the House Republican majority on Nov. 6. But the speaker's political hand was weakened ? witness his postelection announcement that the GOP would put revenues on the bargaining table. His control seems to have eroded further in the weeks since, as a smattering of the GOP rank and file let it be known they could support the president's tax plan under the right circumstances.

"Rate increase, if the package includes significant entitlement reform that gets you to $4 to $6 trillion (in deficit savings) over 10 years, I would vote for that," a retiring Rep. Steve LaTourette, R-Ohio, told reporters on Friday.

Rep. Charles Bass made similar comments. "If it gets us past the fiscal cliff and the president is willing to consider meaningful savings in entitlements, it's a legitimate solution," said the New Hampshire lawmaker, who was defeated for re-election this fall.

Yet the speaker also made a little-noticed move this week to shore up his bargaining position.

He issued a statement noting that Senate Democrats are threatening to weaken the Republicans' ability to block legislation in their chamber in the new Congress that convenes in January.

"Any bill that reaches a Republican-led House based on Senate Democrats' heavy-handed power play would be dead on arrival," he warned.

In the talks to date, Democrats have declined to identify a single spending cut they are willing to support, while Republicans avoid specifics on revenue increases they would swallow.

Once each side moves beyond opening gambits, Republicans will have to decide whether they are willing to raise income tax rates on upper incomes, as Obama wants, or hold fast to closing loopholes as a means of producing increased tax revenue.

Boehner condemns raising rates, yet didn't flatly rule it out during the day. It was a step Majority Leader Eric Cantor, R-Va., took. "We don't want to increase tax rates, we're not going to increase tax rates," he told reporters.

For their part, Democrats will decide how much savings to pull from benefit programs like Medicare, Medicaid and possibly Social Security without cutting guaranteed benefits, a line they vowed not to cross in earlier budget negotiations.

Obama's opening proposal, delivered to Boehner and other Republicans by Treasury Secretary Tim Geithner on Thursday, calls for $1.6 trillion in higher taxes over a decade, hundreds of billions of dollars in new spending, a possible extension of the temporary Social Security payroll tax cut and enhancing the president's power to raise the national debt limit.

The new federal revenue would include $950 billion generated by raising taxes on families with incomes over $250,000 and by closing certain tax loopholes by the end of this year, according to administration officials who described the offer Friday only on condition of anonymity. The remainder would be achieved through an overhaul of the tax system next year and would not become effective until 2014, said the officials, who were not authorized to provide the details by name.

Obama is seeking new spending to help the unemployed, homeowners whose property's value is less than their mortgage, doctors who treat Medicare patients and wage-earners.

In exchange, the president would back cuts of an unspecified amount this year, and savings of as much $400 billion from Medicare and other benefit programs in 2013.

Republicans said they were surprised at the plan, and Democrats wondered aloud why.

"Each side said they'd submit a down payment. We have. Our preference is revenue. What is theirs?" said Sen. Chuck Schumer, D-N.Y.

Republicans have an opening offer of their own, in line with their conservative anti-tax views, much as Obama's is designed to solidify his own political position. While agreeing to new revenue, GOP lawmakers want to extend expiring income tax cuts at all levels, including the top brackets. They also want to raise the age of eligibility for Medicare and curtail future cost-of-living adjustments for Social Security and other benefit programs. The same adjustment would raise revenue for the government by making a change in annual adjustments of tax brackets.

"We're the only ones with a balanced plan to protect the economy, protect American jobs and protect the middle class from the fiscal cliff," Boehner said on Friday.

That was a jab at Obama, who campaigned for re-election advocating a balanced approach to avoiding the fiscal cliff that combines higher taxes on the wealthy with spending cuts.

Said the president: "In Washington, nothing's easy, so there is going to be some prolonged negotiations."

___

EDITOR'S NOTE ? David Espo is AP's chief congressional correspondent. Associated Press writer Alan Fram contributed to this report.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/386c25518f464186bf7a2ac026580ce7/Article_2012-11-30-Fiscal%20Cliff-Analysis/id-d44ee5ca2c1f48c29d3a24802ae189f6

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Fatal shooting over music compared to Martin case (Providence Journal)

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Source: http://news.feedzilla.com/en_us/stories/politics/top-stories/267425163?client_source=feed&format=rss

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Thursday, November 29, 2012

RolePlayGateway?

Fantasim Land...

Image

It is a land of myth, and of magic. It is a land of power, and of promise. It is a land of fantasy, and of freedom.

For as long as anyone can remember, Fantasim Land has been ruled by the powerful Lightearth Queens. Magnificent and beautiful, these women were good, kind, loving rulers. They nurtured and cared for their Kingdom and their people, and Fantasim Land thrived.

Everything was green. Everything was beautiful. The people were happy. They rejoiced and celebrated. People came from far and wide, seeking freedom and prosperity, happiness and love. Things couldn't possibly be better for the glorious Kingdom.

However, as things tend to do, things went wrong.

Image

Everything seemed perfectly normal within Fantasim Land. The young princess Ophelia had just become Queen, and all was going normally. That is, all went normally until a troupe of castle guards stormed the inn, arresting all those who resisted and setting fire to the place. The fire was quickly extinguished, and panicked citizens hurried to the castle to report the incident to the Queen. Ophelia just laughed, though, and those who reported it were thrown in prison.

It only got worse. Soon, guards were terrorising the people. Much of the city was burned and charred. Many people were executed, thrown in prison, or banished to the dark woods. Children were stolen, homes were raided, and much of the Kingdom's beauty was destroyed. The people lived in terror each day.

With the birth of Queen Ophelia's daughter, Kiara, people began to live each day with hope. Perhaps young Kiara would overthrow her mother. Perhaps young Kiara would restore peace to the land. But she didn't. If anything, Kiara was even worse than her mother. The people were cold, hungry, and miserable.

Image

Queen Ophelia soon passed away. Kiara was assassinated by a rebel force, though the rebels were quickly overthrown by the Queen's army. Kiara's teenage daughter, Cassandra, was crowned Queen.

Now, Cassandra rules the Kingdom. Nobody is quite certain what kind of a Queen she will be, though. Were the influences of her mother and grandmother too powerful for her to be a good Queen? Will a positive influence arrive and change the Queen? Or perhaps a negative influence, one to worsen her even more? Nobody's sure, but one thing is for certain: There's hope yet for the young Queen.

Source: http://feeds.feedburner.com/RolePlayGateway

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Ironwood's constipation drug gets European approval

(Reuters) - Ironwood Pharmaceuticals Inc said its drug to treat irritable bowel syndrome with constipation has received marketing approval in Europe.

The drug linaclotide, meant for adults, will be launched in Europe in the first half of 2013 under the brand name Constella, the company said in a statement.

Constella received U.S. regulatory approval in August and Ironwood will sell the drug in the United States with its marketing partner Forest Laboratories under the brand name Linzess.

"We don't see Constella's performance in Europe as a significant value driver for Ironwood," Ladenburg Thalmann analyst Juan Sanchez wrote in a note to clients.

Sanchez estimates that Constella could bring in revenue of $189 million in 2018.

Shares of Ironwood were up 2 percent at $10.98 on the Nasdaq on Wednesday afternoon.

(Reporting by Shailesh Kuber in Bangalore; Editing by Supriya Kurane)

Source: http://news.yahoo.com/ironwoods-constipation-drug-gets-european-approval-180344990--finance.html

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Most Expensive Real Estate Markets In US - Business Insider

The areas around San Francisco and Silicon Alley is by far the most expensive place in the country to buy a home, according to Coldwell Banker's new report on home listing prices around the country.

Of the 19 most expensive markets in the U.S., 11 were in California, and four of the top five were in the San Francisco Bay Area. Los Altos took the top spot with an average listing price of $1.706 million.

For context, the average 4-bedroom, 2-bathroom home in the United States is listed at $292,152.

To come up with the list, Coldwell Banker looked at 72,000 4-bedroom, 2-bathroom properties for sale in 2,500 U.S. markets.

Source: http://www.businessinsider.com/most-expensive-real-estate-markets-in-us-2012-11

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The European Qualifications Framework (EQF) | Coordination - tice

The EQF aims to relate different countries'
national qualifications systems to a common European reference
framework. Individuals and employers will be able to use the EQF to
better understand and compare the qualifications levels of different
countries and different education and training systems. Agreed upon by the European institutions in
2008, the EQF is being put in practice across Europe. It encourages
countries to relate their national qualifications systems to the EQF so
that all new qualifications issued from 2012 carry a reference to an
appropriate EQF level. An EQF national coordination point has been
designated for this purpose in each country.
Shifting focus
The core of the EQF concerns eight reference levels describing what a learner knows, understands and is able to do ? 'learning outcomes'. Levels of national qualifications will be placed at one of the central reference levels, ranging from basic (Level 1) to advanced (Level 8). This will enable a much easier comparison between national qualifications and should also mean that people do not have to repeat their learning if they move to another country. The EQF applies to all types of education, training and qualifications, from school education to academic, professional and vocational. This approach shifts the focus from the traditional system which emphasises 'learning inputs', such as the length of a learning experience, or type of institution. It also encourages lifelong learning by promoting the validation of non-formal and informal learning. This reflects a wider shift within which the EQF is acting as a catalyst for reforms: most Member States are now developing their own National Qualifications Frameworks (NQFs) based on learning outcomes. Several countries (IE, MT, UK, FR and BE-Flanders) already have one in force.
Easier comparison
At present, an enterprise in France may hesitate to recruit a job applicant from, say, Sweden, because it does not understand the level of the qualifications presented by the Swedish candidate. But once the EQF is fully implemented, a Swedish person's certificates will bear a reference to an EQF reference level. The French authorities will have already decided where their own national certificates in the field concerned lie, so the French enterprise would use the EQF reference to get a better idea of how the Swedish qualification compares to French qualifications. An EQF advisory group brings together representatives from national authorities and other stakeholders to help with the implementation of the framework. Its work is complemented by the EU-wide Learning Outcomes Group which supports debate and peer learning on relevant issues, focusing on the development of national qualifications frameworks and the validation of non-formal and informal learning. The EQF initiative is closely related to the qualifications framework for the European Higher Education Area: the two frameworks are compatible and their implementation is coordinated.
More information EQF internet portal
  • Referencing the Lithuanian Qualifications Framework to the European Qualifications Framework for Lifelong Learning and the Qualifications Framework for the European Higher Education Area,
  • Portal dedicated to the implementation of the European Qualifications Framework for lifelong learning
Reports on the referencing of national qualifications frameworks to the EQF
  • Referencing the Lithuanian Qualifications Framework to the European Qualifications Framework for Lifelong Learning and the Qualifications Framework for the European Higher Education Area,
  • Referencing of the Estonian Qualifications and Qualifications Framework to the European Qualifications Framework
  • Referencing the Danish Qualifications Framework for Lifelong Learning to the European Qualifications Framework
  • Referencing of the Latvian Education System to the European Qualifications Framework for Lifelong Learning and the Qualifications Framework for the European Higher Education Area
  • The referencing document of the Dutch National Qualification Framework to the European Qualification Framework
  • Referencing of the Irish National Framework of Qualifications (NFQ) to the European Qualifications Framework for Lifelong Learning.
  • Referencing of the Malta Qualifications Framework (MQF) to the European Qualifications Framework (EQF) and the Qualifications Framework of the European Higher Education Area (QF/EHEA)
  • Referencing the Qualifications Frameworks of the United Kingdom to the European Qualifications Framework
  • R?f?rencement du cadre national de certification fran?ais vers le cadre europ?en de certification pour la formation tout au long de la vie
European Qualifications Framework Series EQF Newsletter

Source: http://blog.univ-provence.fr/blog/coordination-rgionale-paca/qualification/2012/11/29/the-european-qualifications-framework-eqf

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Wednesday, November 28, 2012

Nude & Boehner in Same Sentence (talking-points-memo)

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Congo rebels begin slow retreat from Masisi

GOMA, Congo (AP) ? Rebels believed to be backed by Rwanda began retreating from the territory they seized last week and pulled out of the region of Masisi, their military leader said Wednesday, in the first concrete sign that international pressure has stemmed the advance of the fighters.

Gen. Sultani Makenga, the military chief for the eight-month-old rebellion known as M23, said that his fighters intend to abide by an ultimatum issued by neighboring nations that called for their withdrawal from Goma by Friday. He said he had ordered his fighters to retreat along the southeastern axis from Masisi to Goma, and they will then leave Goma via the northern route to Rutshuru.

"My soldiers began to retreat from Masisi yesterday. We will go via Goma and then after that we will retreat to 20 kilometers (12 miles) past Goma toward Rutshuru," Makenga told The Associated Press on Friday. "I think that by Friday we will be able to complete this."

The M23 rebel group is made up of hundreds of soldiers who deserted the Congolese army in April. Since then they have occupied numerous villages and towns in mineral-rich eastern Congo, culminating in the seizing of the crucial, provincial capital of Goma last week. Although they claim to be fighting because the Congolese government has not upheld their end of a March 23, 2009 peace deal, an in-depth report by the United Nations Group of Experts says that M23 is a Rwandan proxy fighting in order to control eastern Congo's lucrative mines.

Congo's government spokesman Lambert Mende, who is based in the country's capital over 1,600 kilometers (1,000 miles) to the west, confirmed that they had received reports of troops pulling out of Masisi.

"Yes, there are reports of movements (of their fighters out of Masisi) but we won't label it a retreat until it's over. They have played this game with us before, where they say they are moving and then find a reason not to," Mende said. "There will be no negotiations with Congo until they are 20 kilometers (12 miles) outside the Goma city limit."

A regional bloc representing nations in the Great Lakes region of Africa had issued a deadline calling for M23 to retreat no later than Friday to 20 kilometers (12 miles) outside of Goma.

In Goma, there was skepticism over the rebels' claim and confusion, after the leader of M23's political wing insisted that the fighters were not leaving the city of 1 million that is the economic heart of one of Congo's mineral-rich regions.

M23 Vice-Minister of the Interior Theophile Ruremesha told The Associated Press on Wednesday that Congolese President Joseph Kabila's government needs to meet their wide-ranging demands for them to leave the city.

"Kabila has to meet our demands if we are to pull out," he said. "For humanitarian reasons we cannot leave the town in the hands of just anybody," he said. "Creating the neutral force will take some time."

While some fear M23, which in only eight months has a record of carrying out executions and of forcing children into its ranks, other residents of this lakeside city are afraid of the undisciplined Congolese army that was pushed out of Goma by the rebels on Nov. 20. Dozens of people came out for an anti-Kabila rally, holding placards and pieces of cardboard decrying the distant government's inept handling of the conflict.

"I want Kabila to leave because he hasn't helped the people and our country hasn't moved forward since he came to power," said one of the marchers, Augustin Katombo. "I think M23 should stay because we don't want the army to come back."

About 1,500 U.N. peacekeepers were in Goma when M23 attacked on Nov. 20 and government forces fled, but the well-armed U.N. peacekeepers did not intervene, saying they lacked the mandate to do so. One of their main missions is to protect civilians.

Many people expressed anxiety about a possible attack by the Congo army, which lies in wait several dozen miles (kilometers) to the south of Goma.

"This is a nerve-wracking situation. It fluctuates every hour and we cannot even plan for tomorrow," said Goma resident Ernest Mugisho. "The M23 needs to give a clear message because for us, the population, this is not good."

The rebel group has a large new cache of 1,000 tons of weapons, including heavy artillery, that were abandoned by the fleeing Congo army last week, according to M23 president Jean-Marie Runiga. Six flatbed trucks carrying crates of ammunition were seen Tuesday being driven by M23 soldiers north from Goma.

A U.N. group of experts said in a detailed report last week that M23 is backed by neighboring Rwanda, which has provided them with battalions of fighters and sophisticated arms, like night vision goggles.

___

Callimachi contributed from Dakar, Senegal. Associated Press photographer Jerome Delay contributed to this report from Goma, Congo.

Source: http://news.yahoo.com/congo-rebels-begin-slow-retreat-masisi-141714419.html

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Tuesday, November 27, 2012

McGraw-Hill sells education division to Apollo

(AP) ? McGraw-Hill said Monday that it reached a deal to sell its education arm to private equity firm Apollo Global Management LLC for $2.5 billion in cash and debt, as part of its plan to focus on its financial information businesses.

As part of the deal, McGraw-Hill will receive $250 million in Apollo debt with an annual interest rate of 8.5 percent. The acquisition includes the New York-based company's digital and traditional textbook business and other assets.

The sale is expected to close in late 2012 or early 2013. At that time, The New York-based McGraw-Hill Cos. will be renamed McGraw Hill Financial. Harold McGraw III, McGraw-Hill's current chairman, president and CEO, will head that company.

McGraw Hill Financial expects 2012 revenue of about $4.4 billion. It plans to provide 2013 financial guidance when it announces its 2012 fourth quarter and year-end financial results.

Harold McGraw said the sale will boost value for the company's shareholders, give the company added financial flexibility and allow it to focus on growing brands like Standard & Poor's, S&P Capital IQ, Platts and J.D. Power and Associates.

The company said it plans to use the proceeds from the sale, estimated at $1.9 billion, to fund its stock buyback program, make acquisitions and pay off debt.

Starting in the fourth quarter, McGraw-Hill will classify the education business as discontinued operations. It expects to take a non-cash impairment charge in the fourth quarter of about $450 million to $550 million related to the division.

McGraw-Hill first announced plans to split into two companies in September 2011 through either the sale or the spin-off of the education arm. Earlier this month, the company reported a 14 percent drop in third-quarter net income, partially as a result of the planned split.

McGraw-Hill shares rose 20 cents to close at $51.89 Monday, off its session high of $53.60. Shares of New York-based Apollo fell 6 cents to $15.27, regaining most of its earlier drop to $15.12.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/f70471f764144b2fab526d39972d37b3/Article_2012-11-26-McGraw-Hill-Apollo/id-d40278f080434e3fabe7e45307614027

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Team Building in the Philippines

Would you pay 500,000 pesos to support your team? Would you give them the opportunity to develop themselves, help them build their relationship, and equip them to achieve their goals? Team building, when it is designed to meet these objectives, may bring you millions.

Unfortunately, most companies are not certain that their next team building workshop can truly bring them millions. Team building in the Philippines is selling like hotcakes. Almost every month, a new resort transform itself into a team building venue. There is also a growing number of facilitators who ?do? team building because it is the ?in? thing. And when professionals are just following the flow, they do not think. When they allow the venue manager or the team building facilitators to plan and implement everything for them, you know that they are wasting their time, effort, and money.

When an HR manager ask what games I play, instead of how I can accomplish their objectives, I know that they will soon waste their money with someone who will give them ?packages?. Something must be done to address this ignorance.

Ask:
1. How can these team building meet our business objectives?
2. What team development framework are we using? Why?
3. What are the alternatives to a team building workshop?
4. What are the sustaining activities?
5. Do we really need to do it now?
6. Do we really need help from outside?
7. How are we going to measure our success?
8. Are we asking the right questions?

Ask more questions. But always remember number 8.

You are a leader. Team building exercises are powerful tools to increase your organization?s competence and to develop your desired culture. Make the most of your opportunity. Study. Think before you do.

Meet the author...

Jef Menguin has written 37 posts on Everyday Leadership with Jef Menguin.

Jef Menguin is a professional speaker, corporate trainer, and leadership consultant in the Philippines. He is the Chief Learning Innovator of Starfisher Asia. He directs bootcamps for team facilitators, corporate trainers, and inspirational speakers. He is the owner of Everyday Leadership blog and the main man behind Business Breakthroughs. Follow him on + Jef Menguin, on Facebook, and on Twitter. Contact him through +639158959515 and inspire@jefmenguin.com

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Source: http://jefmenguin.com/team-building-in-the-philippines/

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GBR star Ainslie retires from Olympic sailing

FILE - In this Aug. 5, 2012, file photo, Ben Ainslie of Britain celebrates winning the gold medal during the Finn dinghy class sailing medal race at the London Summer Olympics, in Weymouth and Portland, England. The four-time Olympic gold medalist announced his retirement from Olympic sailing early Tuesday, Nov. 27, 2012, saying it was time to move on to the challenge of trying to end Britain's long drought in the competition for the oldest trophy in international sports, the America's Cup. (AP Photo/Francois Mori, File)

FILE - In this Aug. 5, 2012, file photo, Ben Ainslie of Britain celebrates winning the gold medal during the Finn dinghy class sailing medal race at the London Summer Olympics, in Weymouth and Portland, England. The four-time Olympic gold medalist announced his retirement from Olympic sailing early Tuesday, Nov. 27, 2012, saying it was time to move on to the challenge of trying to end Britain's long drought in the competition for the oldest trophy in international sports, the America's Cup. (AP Photo/Francois Mori, File)

His spot in Olympic sailing history secure, Ben Ainslie will now try to become the first Englishman to hoist the America's Cup in victory.

That would be one silver trophy he'd be eager to accept.

The four-time gold medalist announced his retirement from Olympic sailing early Tuesday, saying it was time to move on to the challenge of trying to end Britain's long drought in the competition for the oldest trophy in international sports, the America's Cup.

Ainslie's decision wasn't a surprise. While he said he wanted to take some time after winning the gold medal in the Finn class at the London Olympics, he's already sailed in two America's Cup World Series regattas with his Ben Ainslie Racing team, finishing second in one of them.

The 35-year-old Ainslie became the most successful Olympic sailor ever when he won his fourth straight gold medal at Weymouth in August. He also won a silver medal at Atlanta in 1996 in his first Olympics.

"When I look back there are so many special memories; from that first medal in Atlanta 16 years ago to carrying the flag at the closing ceremony in London 2012," Ainslie said in a statement. "London was an incredibly special Olympics, competing on home waters and in front of a home crowd, I don't think anything will be able to top that experience. But you have to move forward and it is time to move onto the next challenge in my career."

Ainslie was so successful as an Olympian that he was called Britain's greatest sailor since Admiral Lord Nelson, who was killed while leading his fleet to victory over the French and Spanish fleets at the Battle of Trafalgar. A statue of Nelson rises high above London's Trafalgar Square.

Ainslie, known for an intense focus and work ethic, felt that comparison was hype.

"I didn't rescue the nation from the depths of Napoleon Bonaparte," Ainslie said after winning his final Olympic gold. "You do the best you can do in your style of racing."

Ainslie was 19 when he took silver in the 1996 Olympics in a bitter loss to Brazil's Robert Scheidt in the Laser class. Scheidt induced Ainslie into a penalty at the start of the final race and then sailed to gold.

It was the last time Ainslie didn't stand atop the medals podium.

Four years later, Ainslie expertly exacted his revenge on Sydney Harbor to beat Scheidt for the gold.

After moving up to the heavyweight Finn class, Ainslie had another remarkable performance at Athens in 2004. Disqualified from his second-place finish in the second race due to a protest by a French sailor, the British star fought back from 19th overall to win the gold.

Now his racing shifts to bigger, faster boats.

He'll skipper his 45-foot wing-sailed catamaran in the remaining regattas in the America's Cup World Series and then will sail with defending America's Cup champion Oracle Racing in the 34th America's Cup on San Francisco Bay in 2013. It's expected that he'll helm one of Oracle's two 72-foot catamarans in the buildup to the America's Cup match. Oracle suffered a setback when its first 72-foot catamaran capsized on San Francisco Bay in mid-October, destroying its giant wing sail. Oracle's second 72-foot cat is under construction.

Ainslie's goal is to then launch a British challenge for the 35th America's Cup.

Great Britain has never won the America's Cup, which began in 1851 when the schooner America beat a fleet of British ships around the Isle of Wight.

Ainslie lives in Lymington, across the Solent from the Isle of Wight.

"The America's Cup has always been a goal for me," Ainslie said. "With the new format of the America's Cup World Series and the increased commercialization of the event, I feel confident that we can continue to build toward creating a commercially viable team, with the ultimate goal of challenging for the 35th America's Cup."

John Derbyshire, performance director of the Royal Yachting Association, said Ainslie "has nothing left to prove in Olympic terms and there can be no question that he's more than achieved his first goal. It's therefore entirely understandable that he should now want to turn his attentions to the second, and hopefully lead a British team to win the oldest trophy in sport for the very first time."

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/347875155d53465d95cec892aeb06419/Article_2012-11-27-OLY-SAI-Ainslie-Retires/id-3325579ee54c4614b6f6f3a2be84e6f4

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Monday, November 26, 2012

Google Acquires Wireless Internet Network - Business Insider

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Empowered Communities And Accountable Health Systems: Need Of


Even as we deliberate upon newer strategies for controlling communicable diseases like tuberculosis and non-communicable diseases like diabetes we tend to overlook the tremendous role of an empowered community and a working primary healthcare system in achieving our goal of a healthy society. The recently concluded43rd Union World Conference On Lung Health?re-emphasized the importance of these very pertinent issues.?In a country like India, despite well qualified doctors and excellent health policies for its citizens?like the National Rural Health Mission (NRHM) ? accessing even basic public health care facilities is a nightmare for most people. Most of an average Indian?s health spending is out of pocket, with the government spending much less on the health of its citizens than they themselves. The malaise of ineptitude pervades everywhere? whether it is general medical facilities or specialized programmes like maternal/child health, and TB control. For any meaningful development, the primary healthcare services in India need to be made more accountable in their day to day working. ?Although we have a wonderful DOTS strategy in place, it has not been utilized to its fullest potential by India?s pluralistic health set up comprising a small under-performing public sector and a large uncontrolled private sector.?Dr Nevin Wilson, Regional Director of the South-East Asia Office of?International Union Against Tuberculosis and Lung Disease (The Union), rues that one out of every 8 patients notified by Revised National TB Control Programme (RNTCP) is still diagnosed in a medical college rather than a primary health centre. He says that, ?There are several reasons which make a patient go to a tertiary centre for diagnosis of a simple disease like TB. The average daily wage earner does not seek health care till that cough stops him/her from working. And then the aim is to stop coughing and going back to work without understanding the implications of the disease. So it becomes important for health services to support the patients by at least being respectful to them and explaining to them how to deal with their health problems. It is high time also, that the healthcare providers start seeing and recognizing TB. Right now patients who are coughing for a long time are often not even suspected to have TB when they visit a healthcare provider. Usually it takes about one to two months before they come to a DOTS centre and all this while they transmit the disease to others and also become sicker. So it is a matter of accountability. Right now our public healthcare system (right from the primary health centres to tertiary care centres) is not accountable to the communities it serves. This is a big challenge.? Dr Anil Kapur, President of the?World Diabetes Foundation, also agrees that primary healthcare in India is disorganized?health workers are poorly trained, overburdened, ll equipped and under resourced?and there is no accountability. He warns that, ?It is about time that the central and state governments in India prioritize health of the country and start spending more on basic health services. An unhealthy nation will be an unproductive nation and all the gains of the last 2 or 3 decades in terms of the economic development will be completely wiped out if we do not take action on building good quality care and services at the primary health care level. There has been an effort through the National Rural Health Mission scheme and we need to push that agenda even further and make it stronger. Prioritizing maternal health and vaccination programmes for children, targeting infectious diseases like TB in terms of service delivery, and dealing with chronic diseases like diabetes and hypertension are fundamental to preventing a future health crisis. All these and other problems (like cancers, HIV, malaria) will only get solved when the government starts to tackle primary health care by developing capacity and making people answerable.?

Community awareness and participation can go a long way in help making health systems more accountable by demanding better services.?Carol Nyirenda, the TB HIV activist from Zambia, who was one of the over 30 community representatives at the conference, feels that no amount of TB control will work without the active engagement of the affected community. Members of the community will have to be empowered and take ownership of the TB programme. According to her, ?Any policy and structure cannot be complete without community inputs and voices. For this, we have to de- stigmatize TB and empower TB patients by giving them enough basic knowledge about the disease from a public health point of view. TB has remained with doctors and scientists for too long. Unless the TB patients and community are informed in simple language about TB there can be no meaningful TB activism. In HIV, even persons like me from the affected community, with no medical background, have a basic understanding about the clinical aspects of HIV as it has been explained to me in simple terms. This makes it easier for me to argue with other stakeholders across the table to demand better facilities for my community. Unfortunately, this has not happened in TB and TB patients are not empowered with enough medical information about the disease. They do not even know the names of the drugs they have to eat, they do not know why they have to take them without a break and complete the treatment even though they may start feeling better after sometime. This dis-connect has to break down. There has to be simplification of messages which convey all information about TB. The process has already begun, although slowly. If TB patients realize the gravity of the situation and know that TB can kill and devastate, they will start advocating for their right to access treatment and better drugs. Sickness should not come in the way of becoming an advocate; rather it could be a result of it. In Africa we find more concrete action on TB activism. We have very few activists from India and there should be many more. We need to build a good cadre of informed and trained community advocates.?

Dr Wilson also would like the local population and community to be empowered enough to question the public healthcare provider for laxity in services?non- functioning laboratories, non- availability/absence of staff, shortage of drugs, irresponsible behaviour of health workers. He feels that right now the system puts a barrier on the community in being able to demand what is rightfully and legally theirs? patients cannot question the doctor for not arriving at the clinic on time, although it is their right that the doctor is available during working hours and listens to them and treats them with respect. Dr Wilson avers that, ?It is the people from the community who will have to be the game changers. We have to help people to become empowered and the process has begun through projects like Axshaya. Mass media can also help in improving awareness about TB and other diseases by informing people through television ads and jingles. All this will immediately have a positive effect.?

Dr Kapur too believes in utilizing the untapped potential of community health workers by giving them good training, the right information, proper equipment and enough resources. He rues that, ?We are talking of giving the Akash computer tablets free to school children in India, but if the same resources were used for community health workers, it would be a tremendous asset in terms of the ability to provide interactive education and to record/transfer data and information. It is also about community and people mobilization to understand the role of good governance.?

Let us remember that providing basic health services to the people is not an obligation but a duty on part of the government, and it is the right of people to get it. Communities will have to demand that healthcare systems become accountable to the people for whom they have been created and governments will have to ensure that public policies are implemented honestly at the grassroots level.

?Shobha Shukla ? CNS

?

(The author is the Managing Editor of Citizen News Service (CNS). She is currently providing on-site news coverage from 43rd Union World Conference on Lung Health, with kind support from the Lilly MDR TB Partnership and Global Alliance for TB Drug Development (TB Alliance). She is a J2J Fellow of National Press Foundation (NPF) USA. She received her editing training in Singapore, has worked earlier with State Planning Institute, UP and taught physics at India?s prestigious Loreto Convent. She also authored a book on childhood TB (2012), co-authored a book (translated in three languages) ?Voices from the field on childhood pneumonia? and a report on Hepatitis C and HIV treatment access issues in 2011. Email: shobha@citizen-news.org, website: http://www.citizen-news.org)?

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Source: http://www.spyghana.com/health-news/health-news-health-news/empowered-communities-and-accountable-health-systems-need-of-the-hour/

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Hezbollah says it would hit Tel Aviv in future war

(AP) ? Lebanon's Hezbollah group would fire thousands of rockets into Israel in any future war and target cities in the country's heartland, the group's leader said Sunday.

Sheik Hassan Nasrallah's warning came days after an eight-day Israeli offensive against Gaza ended with a truce. Nasrallah said Gaza militants had won "a clear victory" against Israel with their rocket bombardment.

Hezbollah, like Hamas and other Gaza militant factions, maintains a rocket arsenal and regularly threatens to use it. It fought an inconclusive 34-day war with the Jewish state in 2006 that left 1,200 Lebanese and 160 Israelis dead.

The Gaza war marked the first use by Palestinian factions of a longer ranged Iranian-made rocket, the Fajr-5. It caused no casualties but did trigger air raid warnings in the heartland cities of Tel Aviv and Jerusalem, which, unlike cities closer to the Lebanese and Gaza borders, have not experienced any sustained missile attack since Iraqi Scuds were fired in the 1991 Gulf War.

Hezbollah fired at least one long-range rocket ineffectually in the 2006 war. But Israeli intelligence now believes the militant group has the capability to strike anywhere in the country, although Israel now deploys air defense systems designed to counter the threat.

In the Gaza conflict, Israeli aircraft launched some 1,500 strikes on targets linked to the Palestinian territory's Hamas rulers and other groups, while Gaza militants fired roughly the same number of rockets into Israel.

Nasrallah said in a speech in Beirut that the Fajr-5 attacks "shook Israel." He asked: "How is it (Israel) going to stand thousands of rockets that will fall on Tel Aviv and other areas if it launches an aggression against Lebanon?"

Nasrallah spoke via a video link from a secret location to tens of thousands of supporters in Beirut who gathered to mark Ashoura, the annual Shiite commemoration of the 7th-century death of Imam Hussein, the Prophet Muhammad's grandson.

Hezbollah fired nearly 4,000 rockets at Israel during the 2006 war and is believed to have upgraded its arsenal since then. Nasrallah did not say how many missiles and rockets his group possesses, although in the past he said they have more than 20,000. Israel estimates the number at several times that.

"The battle with us is going to be all over occupied Palestine," the black-turbaned Nasrallah said. "From the border with Lebanon to the frontier with Jordan to the Red Sea."

"The Israelis should listen well to me. From Kiryat Shemona to Eilat," Nasrallah said referring to a northern Israeli town near the border with Lebanon to the southern resort town of Eilat on the Red Sea.

Since the 2006 war ended, both Israeli and Hezbollah officials have been warning each other that the next battle between the two groups will be more destructive.

Some Israeli generals had spoken of the "Dahiya doctrine," named after the Beirut suburbs considered a Hezbollah stronghold where Israel turned dozens of buildings to piles of debris in 2006.

In August, Nasrallah said Hezbollah will transform the lives of Israelis to "hell" if Israel attacks Lebanon, adding that the group would not hesitate to hit targets that would leave tens of thousands of Israelis dead.

Hezbollah was created in 1982, weeks after Israel invaded Lebanon. Israel withdrew in 2000 to a border drawn by the U.N., but Lebanon says Israel still occupies a slice of its territory.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/cae69a7523db45408eeb2b3a98c0c9c5/Article_2012-11-25-ML-Lebanon-Israel/id-65f49fc7945a4b5b80b0bd7b41fff2d6

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Sunday, November 25, 2012

Energy efficient windows ? Home Improvement: House Plans

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Source: http://olivie-strenuous.blogspot.com/2012/11/energy-efficient-windows-home.html

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Kevin McHale's Daughter Dies at 23

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AP Interview: Hamas No. 2 rejects Gaza arms halt

CAIRO (AP) ? Gaza's ruling Hamas will not stop arming itself because only a strong arsenal, not negotiations, can extract concessions from Israel, the No. 2 in the Islamic militant group told The Associated Press in an interview Saturday.

The comments by Moussa Abu Marzouk, just three days after the worst bout of Israel-Hamas fighting in four years, signaled trouble ahead for Egyptian-brokered talks between the hostile neighbors on a new border deal.

Hamas demands that Israel and Egypt lift all restrictions on the movement of goods and people in and out of the Palestinian territory, which has been buckling under a border blockade since the Islamists seized the territory in 2007. The restrictions have been eased somewhat in recent years, but not enough to allow Gaza's battered economy to develop.

Israeli officials were not immediately available for comment Saturday, the Jewish Sabbath. However, an Israeli security official said this week that Israel would likely link a significant easing of the blockade to Hamas's willingness to stop smuggling weapons into Gaza and producing them there.

Abu Marzouk said Saturday that the group would not disarm, arguing that recent Palestinian history has shown that negotiations with Israel lead nowhere unless backed by force.

"There is no way to relinquish weapons," Abu Marzouk said in his office on the outskirts of Cairo. "These weapons protected us and there is no way to stop obtaining and manufacturing them."

Hamas' founding charter calls for Israel's destruction, but leaders of the group have also said they are ready for a long-term cease-fire with the Jewish state.

The group is believed to have amassed a large arsenal of thousands of rockets since Israel's last military offensive in Gaza four years ago. Hamas has been smuggling weapons through tunnels under the border with Egypt, but also claims to have begun manufacturing longer-range rockets in Gaza.

During the latest round of fighting, Hamas fired Iranian-made Fajr-5 rockets that came close to Israel's heartland, including the cities of Tel Aviv and Jerusalem for the first time. Israel warplanes pounded the tunnel area during the offensive to disrupt smuggling, and tunnel operators reported serious damage, but in the past were able to rebuild quickly.

Hamas used to be evasive about Iranian weapons support, but in recent days senior officials in the group have openly thanked Tehran. Gaza strongman Mahmoud Zahar told reporters on Saturday that he is confident that Iran will increase military and financial support to Hamas and the smaller militant group Islamic Jihad.

Iran and its regional rivals, the Sunni Muslim-led states in the Gulf, have been competing in recent months to lure Hamas into their respective camps. The top Hamas leader in exile, Khaled Mashaal, is being hosted by the Gulf state of Qatar, which has promised hundreds of millions of dollars for Gaza reconstruction.

Zahar said Saturday that Hamas is not beholden to anyone, but defended the group's ties with Iran. "If they don't like it, let them compete with Iran in giving us weapons and money," he said in an apparent jab at the Gulf states.

Abu Marzouk, meanwhile, said Hamas would not stand in the way of a bid by its main political rival, internationally backed Palestinian President Mahmoud Abbas, to seek U.N. recognition for a state of Palestine next week.

Abbas will ask the U.N. General Assembly to approve "Palestine" ? made up of the West Bank, Gaza and east Jerusalem, areas Israel captured in 1967 ? as a non-member observer state.

Such a state is far from being established, but Palestinians hope U.N. recognition would affirm its future borders, to be used as a baseline once negotiations with Israel resume. Israel, while willing to cede some land, refuses with withdraw to the 1967 lines and opposes Abbas' U.N. move as an attempt to bypass negotiations. Israel has moved half a million Israelis into settlements on war-won land.

Abu Marzouk suggested that Abbas is wasting his time at the U.N. "Hamas believes the General Assembly is not the one to create states," he said. "Occupation needs resistance, not negotiations."

Israel and the West have shunned Hamas, which has killed hundreds of Israelis in shootings and bombings over the years, as a terror organization. However, Hamas officials believe the boycott is slowly eroding, pointing to U.S. support for the cease-fire deal brokered by Egypt and the ongoing indirect negotiations between Israel and Hamas.

Overall, Hamas leaders have claimed the group has emerged victorious from this round, noting that Israel did not make good on threats to send ground troops into Gaza. Israel says it has achieved its goal of halting rocket fire on Israel.

Abu Marzouk said the next round of indirect talks will take place in Cairo on Monday. He has not met his Israeli interlocutors, he said, but said they are security officials and experts on border arrangements.

Until late last year, most top Hamas leaders in exile were based in Syria, the Islamists' main foreign backer in addition to Iran. However, Syrian President Bashar Assad's brutal crackdown on a popular uprising there made Hamas' alliance with the Damascus regime untenable.

Abu Marzouk, who has settled in a quiet Cairo suburb, said the follow-up talks with Israel were going well so far.

In Gaza, residents said Saturday that Israel has already eased some restrictions.

Fishermen were able to sail six nautical miles out to sea, or double the previous limit, said Mahfouz Kabariti, head of the local fishermen's association. "This is an opportunity and a chance for a better catch, though it is still a limited area," said Kabariti, who represents some 3,500 fishermen.

Israeli navy boats have been enforcing a sea blockade in an attempt to prevent weapons smuggling to Gaza. The restrictions on fishermen have fluctuated over the years, linked to the ups and downs in Israeli-Palestinian relations.

Meanwhile, some Gaza residents said they were able to enter an Israeli-enforced buffer zone on the Gaza side of the border Saturday with Israel without fear of being fired on.

Israel's military had carved out a 300-meter-wide (300-yard-wide) zone several years to try to prevent militants from sneaking into Israel. The zone gobbled up scarce farmland in one of the most densely populated areas in the world.

On Saturday, 42-year-old farmer Nidal Abu Dakka said soldiers stood and watched as he and others moved close to the fence. In other border areas, residents said Hamas police kept them away from the fence.

An Israeli government spokesman said he was unaware restrictions had been eased. A defense official said the Israeli military was no longer enforcing the no-go zone, but reserved the right to act against suspicious people. Both spoke on condition of anonymity because they were not allowed to discuss the issue with reporters.

___

El Deeb reported from Gaza City. Associated Press writer Karin Laub in Gaza City contributed reporting.

Source: http://news.yahoo.com/ap-interview-hamas-no-2-rejects-gaza-arms-143906318.html

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Saturday, November 24, 2012

Health Insurance Exchanges May Be Too Small to Succeed ...

Dana P. Goldman is the director of the Leonard D. Schaeffer Center for Health Policy and Economics at the University of Southern California. Michael Chernew and Anupam Jena are professors of health care policy at Harvard University.

With the re-election of President Obama, the Affordable Care Act is back on track for being carried out in 2014. Central to its success will be the creation of health-insurance exchanges in each state. Beneficiaries will be able to go a Web site and shop for health insurance, with the government subsidizing the premiums of those whose qualify. By encouraging competition among insurers in an open marketplace, the health care law aims to wring some savings out of the insurance industry to keep premiums affordable.

Certainly, it is hard to be against competition. Economic theory is clear about its indispensable benefits. But not all health care markets are composed of rational, well-informed buyers and sellers engaged in commerce. Some have a limited number of service providers; in others, patients are not well informed about the services they are buying; and in still others, the quality of the service offerings vary from provider to provider. So the question is: What effect does insurer competition have in a marketplace with so many imperfections?

The evidence is mixed, but some of it points to a counterintuitive result: more competition among insurers may lead to higher reimbursements and health care spending, particularly when the provider market ? physicians, hospitals, pharmaceuticals and medical device suppliers ? is not very competitive.

In imperfect health care markets, competition can be counterproductive. The larger an insurer?s share of the market, the more aggressively it can negotiate prices with providers, hospitals and drug manufacturers. Smaller hospitals and provider groups, known as ?price takers? by economists, either accept the big insurer?s reimbursement rates or forgo the opportunity to offer competing services. The monopsony power of a single or a few large insurers can thus lead to lower prices. For example, Glenn Melnick and Vivian Wu have shown that hospital prices in markets with the most powerful insurers are 12 percent lower than in more competitive insurance markets.

So health insurance exchanges are probably welcome news for hospitals, physicians, and pharmaceutical and medical device companies throughout the United States. If health insurance exchanges divide up the market among many insurers, thereby diluting their power, reimbursement rates may actually increase, which could lead to higher premiums for consumers.

Ultimately, economic theory predicts that the effect of insurance exchanges on insurance premiums will depend on two offsetting factors. On one hand, smaller, less-consolidated insurance companies may have less bargaining power with large hospitals, physician groups and pharmaceutical companies, which traditionally command substantial market power. Reimbursements to these parties, as well as costs to insurers, may rise in a fractionated market, and if so, these costs would be passed on to consumers as higher premiums. On the other hand, exchanges may inject competition into the marketplace, reducing premiums as even the smallest insurer can market its plans, forcing larger insurers to lower their premiums to remain competitive. Which theoretical effect will dominate in reality is an open empirical question with important policy implications.

There is some evidence on how insurer market power affects premiums. Leemore Dafny, Mark Duggan, and Subramaniam Ramanarayanan have found that greater concentration resulting from an insurance merger is associated with a modest increase in premiums ? suggesting that concentration may not help consumers so much ? although they did report a reduction in physician earnings on average. Over all, however, the evidence is limited and mixed.

A simple analysis of the nationwide growth in premiums over the last decade is illustrative. Using 2001-10 data from the National Association of Insurance Commissioners, we examined the relationship between insurer market power (defined as the market share of the two largest companies) and changes in premiums. We found that concentration of insurer power ? hence less competition ? was not significantly associated with higher premiums, as can be seen in the chart below.

Hawaii is a good example. Kaiser Permanente and Blue Cross Blue Shield together controlled more than 90 percent of the insurance market in 2001. In this highly concentrated market, the average premium rose only 72 percent over the decade, compared to an overall increase of 135 percent nationwide. By contrast, Virginia had one of the most competitive markets in 2001, with its two largest insurers controlling only 25 percent of the market, yet premiums in the state increased nearly 140 percent over the period.

Greater competition in the insurance industry ? either through health insurance exchanges or other measures ? may not lower insurance premiums. Weakening insurers? bargaining power could instead translate into higher costs for all of us in the form of higher premiums.

In financial markets, we ask if banks are too big to fail. When it comes to health care, perhaps we should ask if insurers are too small to succeed.

Source: http://economix.blogs.nytimes.com/2012/11/23/health-insurance-exchanges-may-be-too-small-to-succeed/

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