Friday, June 29, 2012

Ecclestone backs London grand prix

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Source: http://news.yahoo.com/formula-one-boss-ecclestone-backs-london-gp-012515760--nascar.html

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Thursday, June 28, 2012

Google Play starts selling movies, TV shows (single episode or full season) and magazines today

Google Play starts selling movies, TV shows single episode or full season and magazines today

The Android Market became Google Play to focus on how it pushes media, and now it's adding a few new options. On stage at Google I/O 2012 the company just announced it's adding support for the purchase of movies, as well as TV shows by episode or by season, and even magazines all available today. That's in addition to the existing apps, movie rentals, music and books. Oh, and look, Google just introduced a new tablet that you can use to access all of that content. We'll keep an eye out for an exact list of all the new media partners, although mentioned on stage were magazines including Hearst, Conde Nast and Meredith long with TV networks Disney / ABC, NBC Universal, Sony Pictures and Paramount . Check out our Google I/O live blog for even more details as they're announced, and look after the break for video introductions.

Check out our full coverage of Google I/O 2012's opening keynote at our event hub!

Continue reading Google Play starts selling movies, TV shows (single episode or full season) and magazines today

Google Play starts selling movies, TV shows (single episode or full season) and magazines today originally appeared on Engadget on Wed, 27 Jun 2012 13:18:00 EDT. Please see our terms for use of feeds.

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Real estate sales strong in Erie | GoErie.com/Erie Times-News

Howard W. "Hoddy" Hanna III wears a shiny green button on his suit coat that makes a simple promise: "If you list it, we will sell it."

Hanna and a number of other area real estate agents are feeling pretty confident in that message these days.

Through June 12, the number of homes sold by the Greater Erie Board of Realtors was up more than 4 percent from the previous year, while the average price of those homes was up nearly 8 percent.

Numbers for the first three months of the year were even more dramatic.

Through the end of March, home prices in Erie County were up 16.6 percent, the third largest jump of any major market in the United States, according to a report in Real Estate Broker's Insider.

To a lesser degree, there's mounting evidence that the U.S. real estate market as a whole is improving.

A report Tuesday from the Standard & Poor's Case-Shiller home price index shows that housing prices improved during April in 19 of our 20 largest cities.

And a measure of national prices rose 1.3 percent in April from March, the first increase in seven months.

Hanna can easily explain the improvements in Cape Coral, Fla., and Grand Rapids, Mich., the two markets that top the list of most improved. Both, he said, were hit hard during the recession and are showing signs of bouncing back.

Erie was different. The area's steady-as-she-goes real estate market saw only modest declines, during even the darkest days of the most recent recession.

Now, both statistical and anecdotal evidence suggest that the usually plodding real estate market is riding a wave.

Some of the reasons are simple, Hanna said.

"What is going on is supply and demand," he said. "We are in a rising market. There is pent-up demand."

Toby Froehlich, owner of Coldwell Banker Select Realtors in Erie, said the numbers don't entirely surprise him.

"We didn't get hit as hard with the foreclosure issues," he said. "Two, the local economy is stronger than anyone wants to admit. You have jobs, you have record-low interest rates. It was a lot of things going on for us."

A growing number of competitive bidding situations is more evidence of a stronger real estate market.

Hanna said his agents are making frequent use of a new program that allows prospective buyers to automatically submit a second bid if their first offer is met or surpassed.

Strong sales figures could be substantially better if it were not for one shortcoming, said John Peluso, senior vice president and regional market manager for Howard Hanna.

There aren't enough houses to sell, particularly in the middle price range of $125,000 to $250,000, he said.

"We could probably be doing twice as much business if we had the houses," he said.

Hanna said the inventory of houses for sale is at its lowest point since 2004.

Froehlich said local Realtors have about 1,350 single-family homes listed at the moment, about 150 fewer than he considers ideal.

Froehlich and Hanna see another soft spot in the local real estate market. Fans of new construction don't have many options, they said.

"Construction is very weak," Froehlich said. "There are very few builders who can get financing and very few developers who can get financing."

Mortgage financing is available at historically low interest rates, Hanna said. But securing a loan can take time.

"There are a lot of hoops we have to jump through," he said.

Hanna said evidence suggests that more people are deciding homeownership is worth jumping through those hoops.

After falling into the low 60 percent range during the recession, those numbers and interest in buying a home are bouncing back, he said.

JIM MARTIN can be reached at 870-1668 or by e-mail.


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Wednesday, June 27, 2012

Inver Grove Heights realtors and real estate agents | RE/MAX Realtors

Are you contemplating buying or selling a home in Inver Grove Heights? Consider working with a Inver Grove Heights realtor to get the job done. Our Re/Max Advantage Plus office is located in Eagan and Inver Grove Heights with local Inver Grove Heights real estate agents. Our professional agents specialize in short sales, foreclosures, investments, and much more. We use the most up to date technology to market homes and find the perfect homes for each our clients. Inver Grove Heights real estate agents are available when you need them including evenings and weekends.

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Truck Freight Companies in Dallas TX

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Tuesday, June 26, 2012

Egypt's Morsi to rethink Israel peace pact: report

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Monday, June 25, 2012

South Africa, England draw in final three-Test match

PORT ELIZABETH, South Africa (AFP) - Springboks coach Heyneke Meyer is worried about the poor form of fly-half Morne Steyn before the August kick-off of the new Rugby Championship.

Leading 2011 Rugby World Cup points scorer Steyn missed 12 of 22 kicks at goal and several drop goal attempts during a 2-0 series victory over England with the third Test drawn 14-14 Saturday in Port Elizabeth.

Usually the darling of South African crowds, the 29-year-old Northern Bulls player was booed by some spectators at Nelson Mandela Bay Stadium after a second-half drop goal effort drifted wide.

Steyn gave a virtuoso performance at the same ground last year before the World Cup, kicking all 18 points in a Tri-Nations win against the All Blacks.

In the endless public and media debate about who among Steyn, Patrick Lambie, Peter Grant, Johan Goosen and Elton Jantjies should wear the No 10 green and gold shirt, the superb goal kicking of the Bulls star has settled many arguments.

But as the ability to constantly plant the ball between the posts from all angles and distances deserts Steyn, Meyer is hoping a return to Super 15 action from next weekend will help the first-choice pivot recover his form.

"Morne is a worry at the moment as we know he is not playing well," admitted Meyer, "but I thought he played well in the previous two games, it was just his kicking that was off.

"He has high standards and will come back stronger with at least three Super games to get himself right and he knows we need him in the Rugby Championship. I have a lot of confidence in him although he is not striking the ball well now."

Meyer, who coached the Pretoria-based Bulls to Super 14 and Currie Cup glory before succeeding Peter de Villiers as Springboks coach this year, said he opted not to replace Steyn with Jantjies in Port Elizabeth because of inexperience.

"I did not make that move because there was a lack of experience on the field as the match approached the closing stages," he said of his decision to leave the young Golden Lions fly-half on the bench.

Meyer admitted England were the better team in the dead rubber as they ended a run of nine consecutive losses against South Africa, including defeats in Durban (22-17) and Johannesburg (36-27) this month.

"All credit to England as they were the better team on the night. They adapted much better than us to the wet, windy conditions and probed once or twice behind us and defended for their lives."

England coach Stuart Lancaster, another post-World Cup appointment as Martin Johnson quit after a disappointing campaign, said he was "gutted" not to win in Port Elizabeth.

"We wanted to win the game and the series. We failed, but there are plenty of positives to take as well. When you look at where we were and where we are now, I think we are in a good place," he stressed.

"Go back six months and we lost a huge amount of experience out of this England side. When you take out Jonny Wilkinson, Simon Shaw, Mike Tindall and Lewis Moody -- it takes time to rebuild.

"When Owen Farrell came on for Toby Flood we had under-21 players wearing the No 10, 12 and 13 shirts. We have young lads making debuts and I thought Alex Goode was outstanding at full-back."

Formerly known as the Tri- Nations, the Rugby Championship features world champions New Zealand, Australia, South Africa and debutants Argentina with the six-round series running from mid-August to early October.

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Morsy keen to renew long-severed Iran ties

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Friday, June 22, 2012

Scrapbooking Family Heritage | Scrapbooking - Clayton - Typepad


Scrapbooking Your Family History: The Ultimate Workbook (Leisure Arts #4295) (Creating Keepsakes)

Scrapbooking Your Family History: The Ultimate Workbook (Leisure Arts #4295) (Creating Keepsakes)

$2.98

Produced for Leisure Arts by the editors of Creating Keepsakes scrapbook magazine, this guided workbook will help you get started, get organized, and preserve your favorite family memories in a way that?s fun, easy, and meaningful. It features 72 ready-to-use checklists, forms, page planners, and worksheets; these are also available as free downloads over the Internet, for easy duplication. The bo?

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Thursday, June 21, 2012

Experts say science lacking on 9/11 and cancer

NEW YORK (AP) ? Call it compassionate, even political. But ... scientific? Several experts say there's no hard evidence to support the federal government's declaration this month that 50 kinds of cancer could be caused by exposure to World Trade Center dust.

The decision could help hundreds of people get payouts from a multibillion-dollar World Trade Center health fund to repay those ailing after they breathed in toxic dust created by the collapsing twin towers on Sept. 11, 2001.

But scientists say there is little research to prove that exposure to the toxic dust plume caused even one kind of cancer. And many acknowledge the payouts to cancer patients could take money away from those suffering from illnesses more definitively linked to Sept. 11, like asthma and laryngitis.

"To imagine that there is strong evidence about any cancer resulting from 9/11 is naive in the extreme," said Donald Berry, a biostatistics professor at the University of Texas MD Anderson Cancer Center in Houston.

Yet this month, Dr. John Howard, who heads the federal agency that researches workplace illnesses, added scores of common and rare cancers to a list that had previously included just 12 ailments caused by dust exposure.

Lung, skin, breast and thyroid cancer were among those added; of the most common types of cancer, only prostate cancer was excluded.

"We recognize how personal the issue of cancer and all of the health conditions related to the World Trade Center tragedy are to 9/11 responders, survivors and their loved ones," Howard said in a June 8 statement.

He declined requests for an interview with The Associated Press. His decision, based on an advisory panel's recommendation, will go through a public comment period and additional review before it's final.

Several factors about the decision by the National Institute for Occupational Safety and Health raised eyebrows in the scientific community:

? Only a few of the 17 people on the advisory panel are experts at tracking cancer and weighing causal risks; they were outnumbered by occupational physicians and advocates for Sept. 11 rescue and cleanup workers.

? Exposure to a cancer-causing agent doesn't necessarily mean someone will develop cancer. And if they do, conventional medical wisdom says it generally takes decades. But the panel agreed to cover those diagnosed with cancer within just a few years of the disaster.

?The panel members favored adding cancers if there was any argument to include them. They added thyroid cancer because a study found a higher-than-expected number of cases in firefighters who responded to 9/11, even though thyroid cancer is generally linked to genetics or high doses of radiation. The same study found a lower-than-expected number of lung cancers, but it was added because it was considered a plausible consequence of inhaling toxins at the site.

Even lawyers for the first responders were stunned: They had expected to see only certain blood and respiratory cancers put on the list.

"I understand the urge to want to compensate and reward the heroes and victims of that tragedy," said Dr. Alfred Neugut, a Columbia University oncologist and epidemiologist. But "if we're using medical compensation as the means to that, then we should be scientifically rigorous about it."

When the twin towers collapsed, much of lower Manhattan was enveloped in a dense cloud of pulverized glass and cement that left people in the area gasping for air. Fires smoldered in the rubble pile for weeks. Many workers labored in the ash wearing only flimsy paper masks, and went home coughing up black phlegm. Years later, some were still experiencing mild respiratory problems.

After Sept. 11, the government established the Victim Compensation Fund, which paid out about $7 billion for the nearly 3,000 deaths from the attacks and for injuries, including some rescuers with lung problems.

In late 2010, Congress set up two programs for anyone exposed to the rubble, smoke and dust at ground zero: rescue and cleanup workers and others who worked or lived in the area. Cancer was initially excluded, but Congress ordered periodic reviews based on the latest scientific evidence.

One $1.55 billion program is for treatment for any illness determined to be related to ground zero. The second $2.78 billion fund is to compensate people who suffered economic losses or a diminished quality of life because of their illness. Both programs expire in 2016, but could be extended.

How many people might apply isn't clear. In the decade since the attacks, about 60,000 people have enrolled in the two health programs for those who lived or worked within the disaster zone of lower Manhattan. Many have signed up for medical monitoring, but around 16,000 have been getting treatment annually.

Every new illness added to the list means less money for the group as a whole, especially when dealing with major diseases like cancer, acknowledged Sheila Birnbaum, the special master handling applications to the compensation fund.

Registration for the compensation program only began in October. How the money will be divvied up, or whether it will be enough, isn't clear, Birnbaum said. People with the gravest health problems would get the largest amounts, with cancer payments likely among the most sizable.

Applicants could qualify for treatments and payments as long as they and their doctors make a plausible case that their disease was connected to the caustic dust.

But is Sept. 11 really to blame for every cancer case?

Overall, roughly 1 in 2 men and 1 in 3 women will get cancer over their lifetimes. And generally, the more you look for cancer, the more cases you find. People worried that they got sick from the World Trade Center attacks are likely going to doctors more than other people. So some slow-growing cancers that started before 9/11 but were found afterward could end up being blamed on the fallout.

Reggie Hilaire was a rookie police officer when the hijacked planes flew into the World Trade Center. He spent the initial weeks after the attacks patrolling Harlem, miles away from the disaster zone, then was sent to Staten Island, where he spent weeks at a city landfill sorting through rubble and looking for human remains.

At the landfill, he wore a Tyvek suit, boots, gloves and a respirator to protect him. Months later, he also worked as a guard near ground zero, wearing no protective gear but never working on the debris pile itself.

Hilaire didn't develop the hacking cough or other problems experienced by those who inhaled big doses of soot. But he worried about his health, periodically visiting doctor's offices and clinics.

In 2005, at age 34, a lump showed up in his neck. He was diagnosed with thyroid cancer and successfully treated. Months later, he got more bad news: Doctors noticed he was anemic and investigated, leading to diagnosis of a second cancer ? multiple myeloma, a blood cancer normally seen in the elderly.

Since roughly half of people with the diagnosis never get sick from it, doctors monitor a patient's condition rather than put them through chemotherapy and other difficult treatments ? which is the case with Hilaire, still on the force. His medical bills have been covered by insurance, and to date, he hasn't applied for compensation from the federal fund.

Doctors don't know what causes multiple myeloma, but say genetics plays a role and that it is more common in black men. Hilaire, who is black, is convinced that toxins at ground zero are to blame.

"I've had cancer twice since 9/11, and I'm 41 years old," he said. "It would be some coincidence."

The U.S. government traditionally has been cautious about labeling things as cancer-causing agents, choosing to wait for multiple studies to confirm and reconfirm such a conclusion.

The famed 1964 surgeon general's report that permanently tied smoking to lung cancer came out more than a decade after a series of studies showed the link. The Environmental Protection Agency has taken decades to decide about other carcinogens. Howard's agency, NIOSH, has a conservative reputation as well.

But with this decision, Howard broke from that history.

"I think this was a special case," said Richard Clapp, a professor emeritus of environmental health at Boston University.

No question, bad stuff was in the air and on the ground. Asbestos, lead, mercury, PCBs and dioxins were all found at the smoldering World Trade Center site for months after the terror attacks. Dioxins have been associated with promoting the growth of some pre-existing cancerous cells, Clapp noted.

Previous studies have shown some of the contaminants ? like asbestos, arsenic and soot, for example ? have led to cancers in workers exposed to hefty amounts for long periods of time.

The fallout was a terrible mixture of toxins with significant potential to harm people, said Elizabeth Ward, an American Cancer Society vice president and cancer researcher who headed the advisory panel that made the recommendation to Howard.

"This was a really unique exposure," said Ward. Based on the best available evidence, the panel decided it was likely that people could get cancer, she said, and that it was better to offer help now than when it was too late.

Indeed, Howard and Ward have a number of supporters in the public health and scientific community who think it was the wisest decision, given the large human need.

"I think for Dr. Howard, it's a very tough decision to make. I'm sure he knew that whatever he said, people are going to complain about it," said Daniel Wartenberg, an epidemiology professor at the University of Medicine & Dentistry of New Jersey.

"In my view, I hope he is wrong. I hope no one gets sick," he added.

A mere two years after 9/11, former New York City police detective John Walcott, 47, was successfully treated for a common type of leukemia that doesn't hit most people until about age 60.

Walcott arrived at the World Trade Center just after the second tower fell and spent months searching for human remains ? on the pile, in empty buildings nearby, and later at the city landfill where the rubble had been taken.

He was so sure his cancer would eventually be covered by the federal program, he dropped his negligence lawsuit against the city last winter, as was required to remain eligible for the fund.

He is well aware that some scientists question whether illnesses like his were really caused by ground zero toxins. But he has no doubts.

"My heart told me I got it from there," he said.

___

Online:

Howard's statement about the program, and the advisory panel's report: http://www.cdc.gov/niosh/topics/wtc/stacpetition001.html

___

AP Medical Writer Mike Stobbe reported from Atlanta.

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Tuesday, June 19, 2012

USC Dornsife Scientific Diving: 2012 Wrap Up - Notes From a Field Course

Planning for this year?s Guam and Palau course stated about two weeks after we got back from last year?s course. Halfway through our stay in Palau this year, my co-instructor Dave Ginsburg and I were being interviewed on Oceana Television Network when the anchor asked if we were doing the course next year. I demurred that if I said ?yes? it would mean that we were officially working on the course year-round. Still ignoring that question for another couple of weeks, the last year has been, well ? a lot of work but enormously satisfying. There were a lot of lessons learned, nearly all very positive.

One of the first things we did for this year?s course was to greatly expand the application form. In addition to the very extensive dive physical form we added a very lengthy ?release? in which we put prospective students on notice about everything from our necessarily inflexible attendance policy through the required swim test, weekends on Catalina, deadlines, course expenses, and rigorous academic expectations ? even (especially) in paradise. Each item on the release/application had a sign-off, and item 1 required the applicants to acknowledge that they had read all of our Scientific American blog posts from last year. ?I didn?t know that we had to ?.? wasn?t going to be something we would be listening to this year.

The application also requires a photocopy of the student?s passport showing number and expiration. We had about 50 application requests for what ended up being two-dozen slots in the class. Some prospective students who did not complete the application had scheduling conflicts or other external limitations, but I imagine that a few realized that our program required more than they were willing to commit to. This release-application model was quickly adopted in a general way by several of the other field courses in Dornsife. Our Belize course application, for example, requires that the prospective students acknowledge that they will be expected to take anti-malarial drugs.

The application stack grew over the fall semester as we were preparing for improved dive training, more rigorous academic content, improved first-aid components, and better field experiences. USC Dive Safety Officer Gerry Smith convinced a local dive shop to donate some SCUBA tanks and sell others at a steep discount so that we would have a set of tanks on the main campus for pool training. Our office suite now has 32 candy-colored 62 cf aluminum SCUBA tanks. Gerry also got his hands on several hundred pounds of lead shot and sewed a few dozen soft weight belts for use in the USC pool without the threat of chipping tiles that come with conventional SCUBA weights.

Meanwhile Dave and I navigated the Program through curricular approval. It is astonishingly easy to create a new course at USC through the mechanism of 499 ? Special Topics. But once a course has been taught twice as 499 it must go through an exhaustive approval process to become a permanent course. We used the 499 mechanism twice, and last fall we created 480 ?Integrated Ecosystem Management in Micronesia? as the permanent catalog listing, but not without several back-and-forths through the curricular process. My joke that ?Curriculum Mechanics is harder than Quantum Mechanics? was pretty stale by the end of the road.

Before last year?s class we had added a new 2-unit course ENST 298 ?Introduction to Scientific Diving? as a way to award some credit (and enforce attendance) for some of the essential run-up to Guam and Palau. American Academy of Underwater Sciences (AAUS) scientific diver certification requires over 100 hours of academic content. Recent changes to AAUS guidelines require formal certifications in CPR, basic first-aid, AED, and oxygen administration. We needed to get all of our students through all of that plus basic open water SCUBA and NITROX (oxygen-enriched air) certifications before we took them overseas as ?Scientific Divers in Training?.

We also had to get them through the basics of coral reef ecology and diving physiology and physics, teach them the basics of scientific diving and the detailed sampling protocol including 24 species IDs for the surveys in Palau. So ENST 298, a 2-unit course, met every Friday afternoon in the spring for one hour of lecture and two hours of lab plus three mandatory three-day weekends on Catalina Island. We plowed through five books plus handouts.

If ENST 298 is so much work, why is it only 2 units? The answer had, in part, to do with the Maymester programming concept. ENST 480 e.g., ?Guam and Palau? ran from May 14 ? a couple of days after commencement ? through June 3, the same time frame as some summer courses at USC. But administratively a Maymester course is part of the student?s spring semester registration ? and hence spring fee bill. Maymester, among other advantages, allows a student to participate in a short-term study abroad course (or other intensive coursework) without having to pay for summer tuition.

At USC, a student may register for 18 units in a semester and pay the same amount of tuition that they would pay for 16 units. So, if a student does Guam and Palau with us, takes three normal four-unit courses between mid January and early May plus ENST 298 during the same time as those other courses along with 480 in Maymester ? their tuition payment is the same as for a more typical registration. We could have justified 298 as a four-unit course (the same as 480) but it would have either increased the tuition burden or interfered with registration for other courses. So we have a six-unit, two course program.

While I?m on the subject of course-related expenses, flying to Guam and Palau is not cheap, and we also incur a lot of expenses in California, before we get on the first airplane. USC Dornsife has a program called Summer Undergraduate Research Fellowships (SURF), which awards up to $3000 for a Dornsife student with a GPA of 3.0 or higher for summer research. This year most of our students received the full $3000. This brought the cost of the entire program down to textbooks, mask, fins and snorkels, certification cards, some meals, and maybe a little over $1000 in other expenses for some students. One student qualified for a Gold Family Scholarship and got very nearly everything paid for by USC Dornsife.

Dave Ginsburg (left) and Tom Carr begin the annual ritual of filling the office suite with dive gear and CPR manikins. (All photos by the author).

Dave Ginsburg (left) and Tom Carr begin the annual ritual of filling the office suite with dive gear and CPR manikins. (All photos by the author).

ENST 298 met for the first time this year on January 13, 2012. There was no such thing as typical class meeting. On four weeks we lectured for an hour and then spent 90 minutes in one of the campus pools, usually on SCUBA. We did CPR on manikins, practiced administering shocks using AEDs, and we went through a lot of physics and biology.

Something that helped a lot this year was that we used the NAUI e-learning system instead of traditional lectures for basic SCUBA classroom instruction. The students then did that work on their own, leaving us with more classroom time. We added Marlowe Anderson?s ?The Physics of SCUBA Diving? to the course books, allowing me to derive elements of the Navy dive tables in class (and test on this). We also had a book that covered diving physiology, the usual NAUI manuals for Open Water, NITROX and Master Diver plus various first-aid instructional materials.

One very special lecture in ENST 298 was given by Prof. Geoffrey Middlebrook of the USC Writing Program on the subject of academic blogging. And it made a difference. I am a proponent of writing throughout the curriculum, and I think writing needs to be a lot more active than it normally is. In more traditional courses writing assignments, if any, are seen by a single reader, marked, and then returned ? to be tossed out with the trash. For some students this was the first time they had writing returned to them with instructions like ?start over ? it?s not good enough ? for the reasons listed below?. And then after revisions and editorial changes their work is published where anyone can read it. This is much more active. Also several of the students were well equipped with serious cameras, and everyone else was carrying a point and shoot. So words and photographs became a daily activity.

First science dive on Catalina. Buoyancy and compass skills are not always on display at this point in the course.

One of the advantages of diving a transect tape on Catalina becomes evident when the visibility silts out and it is the only thing you can still see.

In March and early April we spent three weekends on Catalina, meeting at 6:45 on Friday mornings to board a bus followed by a boat and returning to campus on Sunday afternoons. Those weekends had up to four dives each as well as lectures, exams, blog workshops, swim tests, filling SCUBA tanks, and sleep. On the first two weekends we had extraordinary conditions for Catalina in the spring ? up to 70 ft. visibility.

We also had some extra help. Bradley Walker, a former Navy SEAL and high-level SCUBA instructor, helped out with the basic open water instruction. As did some of the other scientific divers: graduate student Chris Suffridge, postdoc Anand Patel, and our former students Austin Hay, Caitlin Contag, and Dan Killam. Austin, having completed Dive Master training with Bradley, was to come with us to Palau to assist with general safety and survey organization. By the third weekend on Catalina we were back to the limited (or nonexistent) visibility common for spring diving in California, so the students got to work in some more realistic conditions as well.

First science dive on Catalina. Buoyancy and compass skills are not always on display at this point in the course.

First science dive on Catalina. Buoyancy and compass skills are not always on display at this point in the course.

Finally, after all of that ? an entire semester?s worth, it was time for our field course to start. USC held commencement on Friday May 11, and the following Monday morning we were on the boat to Catalina for three weeks in the field. The six days in Catalina were spent on navigation, scientific diving and deeper dives ? out to 60 fsw in our cove. We also received a great lecture and lab on fish collection by Chris Plante from the Aquarium of the Pacific in Long Beach. Twice, Tom Carr made the one-hour dive on dirt roads to Avalon with sick students. Immediately before we left Catalina another student banged her knee ? which swelled to grapefruit size on the flight. She disembarked onto Guam soil by wheelchair. Once again Tom was off to a hospital and then back again for an MRI. The student only had a sprain and was quickly cleared to dive, but did some of the terrestrial activities on crutches. (She was more mobile in the ocean than on land). Tom is, among other things, an EMT and a Captain (Reserve) in the Riverside County Sherriff?s Department. When a student is sick or injured in the field you could do worse than have your own EMT/police officer as a first responder. Since Tom is also a Shift Supervisor at the Catalina Hyperbaric Chamber he would useful in the unlikely event of a diving accident.

On Guam, a Brown Tree Snake crawls up my arm.

On Guam, a Brown Tree Snake crawls up my arm.

Brent Tibbits and his colleagues at the Guam Department of Agriculture Division of Wildlife and Aquatic Resources were even more helpful than they have been in past years. Day one in Guam was at their headquarters interacting with critically endangered birds and a fruit bat, and (somewhat ironically) handling a juvenile Brown Tree Snake, a mildly venomous viper that when mature is highly aggressive. Brent latter took us on a tour of the Massa Watershed, a labor of love for him that provided us with some of the best academic content for the course. Brent also gave us a lecture in our meeting room at the Hilton.

We only spent one day diving on Guam to leave more time for the monitoring project on Palau, but what a day of diving. The first dive was on Western Shoals Reef, which is adjacent to where the Navy wants to demolish other reefs to make way for carrier berthing. As we surfaced into poring rain, an Ohio-class SSGN (a ballistic missile submarine converted to carry a large number of cruise missiles) passed immediately in front of our dive boat ? perhaps 300 feet away ? as a coast guard vessel with a manned machine gun kept watch between us. The dive boat captain insisted it was a smaller Los Angeles class submarine, and I called it that in an earlier blog post, but the photo clearly shows it was the more massive Ohio class ? with a hanger for some sort of SEAL delivery vehicle on the hull.

This was a coincidental reminder of the elements of the course focusing on the military buildup on Guam with its flawed environmental review. On our second dive in See Bee Junkyard the students ran transects around discarded bulldozers and other WW II detritus. Our last day in Guam was a mandated free day, and it was the occasion of the closest thing to a glitch in the entire program. Nine of the students rented motor scooters from a lot a mile from the hotel and went off in various directions oblivious to the gridlock that roadways on Guam become on Friday afternoons. We were still collecting the last of them along the roadside as the shuttle and rental van drove to the airport, but no one missed the flight, and the only item left at the hotel was repatriated.

I should mention that we also had two textbooks for 480 as well as a weekly examination. We used the very excellent ?The Biology of Coral Reefs? by Sheppard et al. ? if we wrote a lab manual for the marine components of our course we could do no better than that book. We also had Pat Colin?s ?Marine Environments of Palau?. More on Pat Colin later. Basically, on the last working day on any island, Catalina, Guam or Palau, the students had a traditional exam. Most of it was based on the assignments in Sheppard or Colin, but we also threw in questions from the course blog, which was quite the bonus for the students who found that they were being tested on something they wrote!

Arriving in Palau, we got to the hotel at a decent hour for once. The first full day in Palau was a visit to the Ngardmau Falls on the island of Babeldaob, which is morphing into a semi-developed ecotourism destination complete with a monorail train for those (like our knee-sprained student) who were not up to the steep steps down to the waterfall and back. I took a few photos of the students cavorting at the falls and then headed into the jungle on the tracks of a different train.

Two of the derelict little locomotives from the WW II Japanese bauxite mining operation on Palau.

Two of the derelict little locomotives from the WW II Japanese bauxite mining operation on Palau.

Before and during WW II the Japanese used forced labor from Korea, Okinawa and Palau to surface mine bauxite for producing aluminum, a strategic resource for aircraft production. Some of the mines were near the waterfall, and the tracks from a narrow-gage railway that carried out the ore are still extant, briefly paralleling the monorail for the modern conveyance. I followed the tracks a ways into the jungle and found the remains of two of the locomotives. I was even able to determine that a U.S. manufacturer (Hercules Engines) made some of the components of these locomotives, which were labeled ?Saka Works? in English. I had hoped to run down some more information on the railway and the bauxite mines (and no doubt the suffering of the miners), but I was unsuccessful. Palauans have access to little of their history, and if the Japanese recorded anything about this, I didn?t immediately find it.

Much of our time in Palau was spent doing surveys in the Ngederrak Marine Conservation Area, in support of Koror State and the Coral Reef Research Foundation. As in Guam we had a lot of help. Ilebrang Olkelriil and King Sam from the Koror State Department of Conservation and Law Enforcement were of fantastic help, and King accompanied us on the dive boats on some days. Here the students performed the most important part of the course ? functioning as real scientific divers giving Koror State some of the data they need to get the Rock Islands listed as a UNESCO World Heritage Site. The diving those days could have been described as repetitive and highly scripted, but the students didn?t see it that way.

By the time we had finished our work in Ngederrak as well as surveys at Short Drop Off and Ngederchong as control sites, the students were looking very good in the water, with excellent buoyancy control and situational awareness. Even so I had not expected that the Dive Safety Officer would clear them to make one of their last dives at Blue Corner, which is consistently listed as one of the top dive sites in the world. Actually he provisionally cleared them for Blue Corner, provided that the next day?s dives at Ulong Channel went well. They did. Last year we had an immense current at Ulong Channel, sweeping us into the lagoon like aircraft flying up a canyon. This year we caught Ulong closer to slack, and it was more sedate, just barely a drift dive, and with fewer sharks.

The final day of diving in Micronesia started with Blue Corner. This site features a wedge-shaped reef with vertical wall drop-offs on either edge. The contour ensures an active upwelling on the leading edge relative to any prevailing current. Deepwater upwellings bring up abundant nutrients drawing very high fish densities and in turn large numbers of reef sharks. These currents, outside the fringing reef of Palau and hence away from any runoff, also provide spectacular visibility. We dropped from our three boats into some of the bluest waters I have every seen. Visibility was about 150 ft. A nearly unique feature of Blue Corner is the use of reef hooks to ?hook in? against the current.

Our groups settled in on reef planes between 40 and 60 feet below the surface, hooked in and enjoyed the show. For 25 minutes we watched the parade of gray reef sharks, the less abundant black tip sharks, giant Napoleon wrasses, bumphead parrotfish and other fishes while kiting on our reef lines. We then unhooked, drifted back over the reef along with a turtle, ascended for a safety stop, and recovered. Everyone looked great in the water. We made one final dive after lunch in German Channel, which can be a spectacular site (with Manta Rays), but Blue Corner was the highlight of the day. Key to our success in Palau was the assistance we got from Sam?s Dive Tours and especially General Manager Dermot Keane. Sam?s gave us three boats, each of which could have handled a dozen divers. With typically eight students and two faculty or staff per boat we were never crowded.

Dave and I don?t get to relax in the water very much ? our roles are primarily safety, and along with Tom, Gerry, Austin, and any other dive professionals in the group, we are watching the students pretty closely. After the first few dives I?m usually also handling a fairly large camera and strobe system to capture some of the stills. This means that I have to think ahead of the action. My least favorite underwater photo is anything that is swimming away from me.

At Blue Corner students (right and upper left) watch sharks while Dave Ginsburg (lower left) watches students.

At Blue Corner students (right and upper left) watch sharks while Dave Ginsburg (lower left) watches students.

Shots of students collecting data on transects are the easiest to get: let them swim the transect out, wait a couple of minutes, then follow the transect tape and swim through the students? formation while they are counting invertebrates and reeling up the tape. The hardest photos include students encountering charismatic sea creatures. A photograph of a shark is just another photograph of a shark, but a photograph of a USC student with a shark has value. So, at Blue Corner, for example, I placed myself behind most of the other divers, so that most of my shark photos would have students in the foreground.

The last day in Palau was the Rock Island kayak tour with naturalist Ron Leidich, who is something of a force of nature on Palau. Among very many other details, Ron led the students up the side of a small island where he had just found the wing of a U.S. B-24 bomber that was lost in WW II and not seen since. That night Dave and I sent everyone else to the airport for the very long trip back to LA and then we moved across the street into an apartment in the Coral Reef Research Foundation run by Pat and Lori Colin, the author of one of our textbooks. Dave Ginsburg reported in a recent blog on the rediscovery of the lost brittle star species, but those four extra days in Palau were not all glory. For much of the time it poured rain, and we did a lot of grading. Our hands were in constant pain from hydroid stings and spicule-induced rashes that we picked up from sponges during the brittle star hunt.

All indications are that the students had a transformational experience. Quite simply it exceeded their expectations, which were already high. What did they get out of the program? If they had to list one thing it might be doing research to help Palau get the Rock Islands listed as a UNESCO World Heritage Site. They also became full American Academy of Underwater Sciences Scientific Divers. In the future some of them may work full time as AAUS divers at universities, aquaria, or state and federal agencies. More immediately and more likely they will continue their scientific diving at USC. When a visiting scientist comes to our Catalina Campus for specimen collection he or she is likely to be paired with one of our students.

Several of the students show off at the end of the last dive in German Channel.

Several of the students show off at the end of the last dive in German Channel.

Some of the students are continuing the surfgrass monitoring project headed up by Dave. Others are increasingly showing up on the volunteer dive staffs at the Aquarium of the Pacific in Long Beach and the California Science Center across from campus. One is starting a Ph.D. in marine ecology at UC-Davis and several are applying for internships with governmental agencies that monitor coastal environments from California to the Virgin Islands. Three of this year?s class, Dawnielle Telez, Stephen Holle, and Judy Fong, went almost immediately from Palau to Catalina Island where they are spending the summer as interns for the Catalina Conservancy along with Justin Bogda from the 2011 class. There they are doing trail building and non-native plant removal Monday through Friday, and diving on the weekend. Most of the 2010 Guam and Palau class graduated from USC last month, and it seemed that they had a generous share of academic honors. If nothing else, experience as a scientific diver makes an application to graduate and professional schools or a White House internship stand out. Dave Ginsburg and I are entirely satisfied that the program is transformational for many of the students.

I want to close by thanking Bora Zivkovic of Scientific American, who gave us a lot of latitude on content this year, and who was always happy to receive a post, wherever he was at the time, as long as I remembered to include the images separately and not just embedded in a document. Usually I remembered.

Editor?s note: Scientific Research Diving at USC Dornsife is offered as part of an experiential summer program offered to undergraduate students of the USC Dana and David Dornsife College of Letters, Arts and Sciences. This course takes place on location at the USC Wrigley Marine Science Center on Catalina Island and throughout Micronesia. Students investigate important environmental issues such as ecologically sustainable development, fisheries management, protected-area planning and assessment, and human health issues. During the course of the program, the student team will dive and collect data to support conservation and management strategies to protect the fragile coral reefs of Guam and Palau in Micronesia.

Instructors for the course include Jim Haw, Director of the Environmental Studies Program in USC Dornsife, Assistant Professor of Environmental Studies David Ginsburg,, SCUBA instructor and volunteer in the USC Scientific Diving Program Tom Carr and USC Dive Safety Officer Gerry Smith of the USC Wrigley Institute for Environmental Studies

Previously in this series:

Catching Up with Scientific Diving at USC Dornsife: Surfgrass Monitoring at Catalina
Catching up with Scientific Diving at USC Dornsife: The Robot Submarine
Catching up with Scientific Diving at USC Dornsife: Diving into the Aquarium of the Pacific
USC Dornsife Scientific Diving: Moving Forward to Guam and Palau 2012
USC Dornsife Scientific Diving: Finding My Career Through This Course
USC Dornsife Scientific Diving: The Devaluation of Ecosystem Services
USC Dornsife Scientific Diving: Why USC Dornsife was the Right Decision For Me
USC Dornsife Scientific Diving: Why Experiential Learning is Vital to Academic Life
USC Dornsife Scientific Diving: My Walden South of Los Angeles
USC Dornsife Scientific Diving: Crown-of-Thorns Outbreaks and Anthropogenic Pollution
USC Dornsife Scientific Diving: The International Policy Rationale for the Military Buildup on Guam and Some Environmental Drivers
USC Dornsife Scientific Diving: Marine Ecology from Antarctica to Micronesia
USC Dornsife Scientific Diving: Palau Water Supply
USC Dornsife Scientific Diving: The Contributions of J. S. Haldane to Dive Safety
USC Dornsife Scientific Diving: Human Impacts on Mangrove Forests
USC Dornsife Scientific Diving: Global Sea Cucumber Fisheries
USC Dornsife Scientific Diving: Palauan Mermaids
USC Dornsife Scientific Diving: The California Spiny Lobster
USC Dornsife Scientific Diving: The Invasion of the Coconut Rhinoceros Beetle
USC Dornsife Scientific Diving: The Coconut Crab in Guam
USC Dornsife Scientific Diving: The Ordot Dump and Layon Landfill
USC Dornsife Scientific Diving: Marine Ecosystem Based Management
USC Dornsife Scientific Diving: The Navy Dive Tables
USC Dornsife Scientific Diving: Entangled in the Excitement of Every New Day
USC Dornsife Scientific Diving: Economic Effects of the Revised Military Buildup in Guam
USC Dornsife Scientific Diving: The Guam and Calayan Rails
USC Dornsife Scientific Diving: Chamorro Women and the Spanish
USC Dornsife Scientific Diving: Diving into Apra Harbor?s Western Shoals and CB Junkyard
USC Dornsife Scientific Diving: Remaking What We?ve Lost ? A Look At Artificial Reefs
USC Dornsife Scientific Diving: Ecosystem Monitoring in the Ngederrak Marine Conservation Area
USC Dornsife Scientific Diving: Micronesia Regional Shark Sanctuary
USC Dornsife Scientific Diving: Palau, Above the Waterline
USC Dornsife Scientific Diving: Jellyfish Lake
USC Dornsife Scientific Diving: Preserving Palau?s Resources through Protected Area Networks
USC Dornsife Scientific Diving: A Note on the Rock Islands of Palau
USC Dornsife Scientific Diving: Beginning My Journey as a USC Environmental Studies Major
USC Dornsife Scientific Diving: New Methods to Avoid Decompression Sickness
USC Dornsife Scientific Diving: An Interview with Karl Huggins
Scientific Diving at USC Dornsife: Monitoring Contaminants of Emerging Concern using new passive sampling techniques
USC Dornsife Scientific Diving: ?Think Like a Brittle Star?

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Monday, June 18, 2012

Germany advances after 2-1 win over Denmark

Germany's Lars Bender celebrates after scoring his side's second goal during the Euro 2012 soccer championship Group B match between Denmark and Germany in Lviv, Ukraine, Sunday, June 17, 2012. (AP Photo/Ivan Sekretarev)

Germany's Lars Bender celebrates after scoring his side's second goal during the Euro 2012 soccer championship Group B match between Denmark and Germany in Lviv, Ukraine, Sunday, June 17, 2012. (AP Photo/Ivan Sekretarev)

Germany's Lars Bender, left, celebrates after scoring his side's second goal during the Euro 2012 soccer championship Group B match between Denmark and Germany in Lviv, Ukraine, Sunday, June 17, 2012. (AP Photo/Ivan Sekretarev)

Germany's Lars Bender, bottom, celebrates after scoring his side's second goal during the Euro 2012 soccer championship Group B match between Denmark and Germany in Lviv, Ukraine, Sunday, June 17, 2012. (AP Photo/Ivan Sekretarev)

Denmark's Christian Poulsen, left, and Jakob Poulsen react after Germany scored the second time during the Euro 2012 soccer championship Group B match between Denmark and Germany in Lviv, Ukraine, Sunday, June 17, 2012. (AP Photo/Darko Vojinovic)

Germany's Mario Gomez, right, is substituted by Miroslav Klose during the Euro 2012 soccer championship Group B match between Denmark and Germany in Lviv, Ukraine, Sunday, June 17, 2012. (AP Photo/Michael Probst)

(AP) ? Germany advanced without fanfare to a quarterfinal against Greece after grinding out a 2-1 victory over Denmark on Sunday at the European Championship.

The Danes were eliminated after the two teams finished their Group B campaigns.

Lukas Podolski opened the scoring for Germany in the 19th minute and Lars Bender slotted home the winner in the 80th after Michael Krohn-Dehli had equalized for Denmark in the first half.

"It's absolutely a day of joy," Bender said. "I'll be thinking back to this day a long, long time. We have a positive spirit in the team."

Germany played without flair, but controlled possession and were never really challenged by the Danes, who go home after stunning the Netherlands in the first match but losing to Portugal in the second.

"We can be satisfied with our effort but not with the result," Denmark midfielder William Kvist said. "I think we proved that we can play against the big teams. We won (against the Netherlands) and we didn't lose big. We showed that we can play against the best."

Germany seized the initiative from the kickoff and came close twice before Podolski, playing his 100th international match, scored his first goal of the tournament.

Mario Gomez set him up with a deft backheel touch following Thomas Mueller's low cross from the right flank.

Denmark replied just five minutes later with Krohn-Dehli heading in the equalizer from a set piece that stunned the German defense. A corner found Nicklas Bendtner who headed the ball into the area where Krohn-Dehli nodded home his second goal at Euro 2012.

Jakob Poulsen missed a chance to put Denmark in the driver's seat at the start of the second half when his shot grazed the outside of German goalkeeper Manuel Neuer's right post.

After that scare, the Germans were firmly in charge and denied Denmark any real chance of getting back into the game.

Coach Morten Olsen's men were already looking tired when Bender, replacing suspended right back Jerome Boateng, picked up a pass from Mesut Oezil and made it 2-1.

"We should have gone ahead by two or three goals in the first half, but Denmark scored virtually out of nowhere," Germany coach Joachim Loew said.

"I think we had the game well under control. You get the feeling Denmark doesn't want to score, that they don't want to go forward, but suddenly they push ahead," he said. "We had a lot of possession and I was sure that we would score and advance."

It was the first competitive match between the two countries since the 1992 European Championship final, when the Danes stunned the Germans with a 2-0 win to become champions.

Hoping for another upset, Olsen changed his lineup by moving playmaker Christian Eriksen to the right flank, replacing injured winger Dennis Rommedahl in a five-man midfield.

But the move had little effect as Philipp Lahm effectively closed down the talented 20-year-old, who leaves Euro 2012 without fulfilling expectations of an international breakthrough.

Olsen praised the Germans, saying they played "fantastic football" that confirmed they are among the favorites to win the European title.

He regretted that Denmark wasn't able to salvage a point in the previous game against Portugal. The Danes gave up a goal in the final minutes for a 3-2 loss.

"Having said that, I think we have done a really good job in this tournament," Olsen said. "This team has a future."

Germany finished top of the group with a perfect record of three wins and now faces Euro 2004 champion Greece on Friday in Gdansk.

____

Lineups:

Denmark: Stephan Andersen, Lars Jacobsen, Simn Kjaer, Daniel Agger, Simon Poulsen, William Kvist, Christian Eriksen, Jakob Poulsen (Tobias Mikkelsen, 82), Niki Zimling (Christian Poulsen, 78), Michael Krohn-Dehli, Nicklas Bendtner.

Germany: Manuel Neuer, Lars Bender, Mats Hummels, Holger Badstuber, Philipp Lahm, Thomas Mueller (Toni Kroos, 84), Sami Khedira, Bastian Schweinsteiger, Mesut Oezil, Lukas Podolski (Andre Schuerrle, 64) Mario Gomez (Miroslav Klose, 74).

Associated Press

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Saturday, June 16, 2012

In Health Care Ruling, Vast Implications for ... - Health and Fitness


Mr. Mashburn, 39, is exactly the kind of person who stands to benefit from changes in Medicaid scheduled to occur under the new health care law ? a vast expansion of the program that is expected to add 250,000 people to the rolls here in Arkansas and 17 million across the country.

The expansion of Medicaid ? if it is upheld by the Supreme Court ? is among the most significant parts of the law, as it will provide coverage to people with the greatest financial needs.? Many health care advocates support the expansion, saying it will allow poor people to receive needed care, while many state officials, especially Republicans, worry that it will bring budget-breaking new costs.

The expansion may also strain the health care system, given the shortage in some places of primary care doctors, who will be vital to expanded coverage.

The Supreme Court, which is expected to rule on the health care law this month, devoted more than an hour of argument to the Medicaid provision.

Arkansas illustrates not only the potential benefits but also the major challenges facing states as they plan for a larger Medicaid program. The state does not have enough doctors and other health care workers to care for all the new beneficiaries, experts say, and state officials worry about the costs.

?The expansion of Medicaid is a sea change, and it?s occurring at the most difficult fiscal time in the history of the program,? said the Medicaid director in Arkansas, R. Andrew Allison, who is the president of the National Association of Medicaid Directors. ?States are preoccupied with the challenge of sustaining the Medicaid program we already have.?

Arkansas officials have discussed cutting Medicaid services in the coming year to help close a gap between Medicaid costs and expected state appropriations. The gap ? up to $400 million ? represents more than one-fourth of state spending on the program.

Medicaid is jointly financed by the federal government and the states, with Washington paying 50 percent of the costs in higher-income states and about 70 percent in lower-income states like Arkansas. States have historically had leeway to define eligibility and benefits within guidelines set by federal law.

Under the new law, the federal government will pay the full cost of covering those newly eligible for Medicaid for three years, from 2014 to 2016, and the federal share will then gradually decline to 90 percent in 2020 and later years. Administration officials say this is a good deal for states, but it may ultimately create new costs for states. Many state officials also worry that Congress will reduce the federal share and shift more costs to the states.

?There is uncertainty, very commonly conveyed to me by states, that the law as written now will somehow have to change to address the federal government?s fiscal crisis,? Mr. Allison said.

In challenging the constitutionality of the new health care law, 26 states have asserted that Congress cannot force them to make such a large expansion of Medicaid. The case raises profound questions about Congress?s ability to attach conditions to money that it distributes to states not only for health care but also for education, transportation and myriad other purposes. At some point, the states argue, financial inducement turns into coercion.

The expansion of Medicaid would have a large impact in relatively poor states like Arkansas, where current eligibility criteria for adults are strict and chronic conditions like diabetes and obesity are widespread. (Arkansas is less healthy than all but three other states, according to annual rankings by the United Health Foundation.)

Other states that expect large increases in Medicaid enrollment, like Louisiana and Texas, are among the plaintiffs in the federal lawsuit. In Arkansas, by contrast, state officials accept the expansion of Medicaid.

?Expansion of Medicaid will be a huge opportunity, a way to provide coverage for low-income citizens that we simply could not afford without federal financing,? said Dr. Joseph W. Thompson, the surgeon general of Arkansas.

Arkansas officials want to expand insurance coverage while also taking steps to keep costs under control. They would pay doctors a lump sum for each ?episode of care,? rather than a separate fee for each service.

The Census Bureau estimates that 500,000 people in Arkansas are uninsured. Half of them would be eligible for Medicaid under the new health care law.

Arkansas officials expect the Medicaid rolls to grow by more than 35 percent, to 925,000, from 675,000. Here, as in other states, most of the new Medicaid beneficiaries are expected to be adults.

Arkansas has taken significant steps to insure more children in recent years, under Gov. Mike Beebe, a Democrat, and his predecessor, Mike Huckabee, a Republican, who signed a bill creating an insurance program for children in 1997, five months before the federal program for children was established.

In the 15 years since then, the proportion of Arkansas children lacking coverage has been cut by more than half. But coverage of parents and other adults lags far behind. Some Arkansas adults have children covered by Medicaid or the Children?s Health Insurance Program but are themselves uninsured.

Heather D. Clubbs said that her children ? a 14-year-old daughter and two sons, ages 8 and 15 ? went regularly to doctors and dentists here for services covered by Medicaid. But Ms. Clubbs, who earns $9.71 an hour as a nurse?s aide at a nursing home, said she could not afford coverage for herself, which would take $200 a month out of her paycheck.

?I would go to the doctor more often if I had health insurance,? Ms. Clubbs said. ?I try not to go to the doctor at all.?

Current Medicaid eligibility rules are notoriously complicated, and to qualify a person must fit into one of several dozen categories. ?It?s a very common misconception that Medicaid covers all poor people, but that?s far from the truth,? Mr. Allison said.

In Arkansas, parents generally cannot qualify for Medicaid if their family income is more than 25 percent of the poverty level (in other words, more than $4,770 a year for a family of three), and childless adults generally cannot qualify unless they are disabled.

The new health care law will simplify eligibility, sweeping away many of those categories in favor of a single standard. People under 65 will generally qualify for Medicaid if their income is less than or equal to 133 percent of the federal poverty level (up to $25,390 for a family of three).

In addition to the costs, state officials here are not sure how they will cope with the expected surge in people eligible for Medicaid, given that doctors and nurses are scarce in some counties.

Dr. Steven F. Collier, the chief executive of a network of community health centers known as ARcare, said: ?The new health care law is a good thing. But if it is ruled constitutional, there will be some practical problems, and access to care is No. 1. If you give people health insurance and they do not have access to a doctor or health care, what difference will that make??

Darren Caldwell, chief executive of DeWitt Hospital in DeWitt, Ark., said: ?I worry that the Medicaid card will be like Confederate money. You won?t have anywhere to use it, and it won?t be worth anything.?

Sip B. Mouden, chief executive of Community Health Centers of Arkansas, whose members operate 75 clinics in the state, said: ?A lot of our community health centers are at capacity right now. An insurance card does not guarantee access to a regular source of primary and preventive care.?

Arkansas, like many states, plans to train more doctors, physician assistants and other health care workers. But the supply is expected to fall short of the demand, and Dr. Daniel W. Rahn, chancellor of the University of Arkansas for Medical Sciences, said the state had not identified ?a revenue source to build that additional capacity.?


Article source: http://www.nytimes.com/2012/06/16/us/in-health-care-ruling-vast-implications-for-medicaid.html?pagewanted=all

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