Gustavo Archilla, Whose Wedding Inspired Gay-Marriage Advocates, Dies at 96

Gustavo Archilla, whose marriage in Canada in 2003 after almost six decades of a quiet and committed relationship inspired supporters of same-sex marriage, died on Nov. 27 on Marco Island, Fla., where he lived. He was 96.

James Estrin/The New York Times

Gustavo Archilla, right, and Elmer Lokkins met in Columbus Circle in New York in 1945 and married in Canada in 2003.

The cause was complications of an aneurysm of the aorta, his niece Christina Dean said.

Mr. Archilla was strolling across Columbus Circle in New York in September 1945 when he met Elmer Lokkins. The men fell in love quickly, but not publicly.

For 58 years, they lived together in Manhattan at a don’t-ask-don’t-tell distance from the rest of the world — stable and secure in their mutual devotion but expertly practiced at not drawing attention to it, even as they lived for many years in the same house with some of Mr. Archilla’s younger siblings.

In time the secret became harder to keep. They were mostly accepted by their families, but their relationship was not openly discussed.

“Uncle Gus and Uncle Elmer,” their expanding collection of nieces and nephews called them, with not everyone realizing that the gregarious men who went everywhere together and were happy to take the children to the museum or the park were more than friends.

“Whether they were behind the door or out of the closet, it didn’t matter to them,” Ms. Dean said. “They just enjoyed life.”

Then, well into their 80s, they married, eloping to Canada in 2003 shortly after same-sex marriage became legal there. For the first time, they began showing affection for each other in public. They marched in gay rights parades, including the annual Wedding March in New York.

“Canada made it possible for us,” Mr. Archilla told a Wedding March crowd in 2007. “I hope everywhere else it will soon be possible. Maybe while we are still alive, though there is not much time left.”

News organizations sought them out for interviews. In a 2003 article in The New York Times, Mr. Archilla said of their decision to marry: “What we did was finally cap it all up — make it seem complete. It was about fulfilling this desire people have to dignify what you have done all your life — to qualify it by going through the ceremony so that it has the same seriousness, the same objective that anybody getting married would be entitled to.”

Gustavo Abimael Archilla was born on Dec. 7, 1915, in Mayagüez, P.R., the oldest of nine surviving children. His father, a Presbyterian minister, moved to New York when Gustavo was a boy, and his family soon followed.

Mr. Archilla’s mother died shortly after leaving Puerto Rico, and his father died when Mr. Archilla was a young man. Mr. Archilla became the primary caretaker for his younger siblings, working as an elevator operator, a waiter, a window decorator — whatever made ends meet.

After Mr. Lokkins became the registrar of the Graduate Center of the City University of New York, Mr. Archilla got a job as his assistant. They both retired in the 1970s.

Mr. Archilla and Mr. Lokkins moved to Marco Island in 2010 to be near Ms. Dean after their health declined. In addition to Mr. Lokkins and Ms. Dean, Mr. Archilla is survived by a brother, Eliel, and a large extended family.

Ms. Dean said her uncle closely followed the recent election, in which voters in three states approved same-sex marriage.

“He was watching it on TV every day,” she said. “He was all excited about it.”

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Donald Faison Marries Cacee Cobb

By Lesley Messer

12/15/2012 at 08:25 PM EST

Cacee Cobb and Donald Faison

Dr. Billy Ingram/WireImage

It's official!

After six years together, Donald Faison and Cacee Cobb were married Saturday night at the Los Angeles home of his Scrubs costar Zach Braff.

Cobb's friend Jessica Simpson was a bridesmaid. Sister Ashlee Simpson also attended.

"What a happy day," Tweeted groomsman Joshua Radin, a singer, who posted a photo of himself with Faison and Braff in their tuxedos.

The couple got engaged in August 2011. At the time, Faison Tweeted, "If you like it then you better put a Ring on it," and Cobb replied, "If she likes it then she better say YES!!"

Since then, the couple had been hard at work planning their wedding. On Nov. 12, Faison, who currently stars on The Exes, Tweeted that they were tasting cocktails to be served on the big day.

"Alcohol tasting for the wedding!" he wrote, adding a photo of the drinks. "The [sic] Ain't Say It Was Going To Be Like This!!!"

This is the first marriage for Cobb. Faison was previously married to Lisa Askey, with whom he has three children. (He also has a son from a previous relationship.)

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More than 50 shots fired at Fashion Island mall; suspect held

A gunman at Fashion Island in Newport Beach apparently fired more than 50 rounds in a parking lot at the busy shopping mall Saturday before he was apprehended by police, authorities said.

Marcos Gurrola, 42, of Garden Grove, was arrested in the parking lot near the Macy's department store shortly after allegedly firing the shots about 4:30 p.m., said Kathy Lowe, a spokeswoman for the Newport Beach Police Department. Officers on bike patrol apprehended Gurrola as he was standing by a white Honda.

Police searched the mall but did not find anyone who had been injured by the shots, which were apparently fired either into the air or at the ground.

More than 50 rounds from a handgun were recovered at the scene, said Deputy Chief David McGill. A handgun was also recovered at the scene, but police did not reveal any more details about the weapon. The state's landmark assault-weapons law, which went into effect in 2000, banned the use of handgun magazines with more than 19 bullets.

The mall was crowded with holiday shoppers at the time of the shooting. Some stores were immediately locked down, and many shoppers posted messages on Facebook and Twitter saying they were locked inside.

Shopper Dena Nassef said she and another person were walking toward Macy's when people started yelling and running.

"With what happened in Connecticut, we were freaking out," she said. "It was like crazy, people leaving stores."

Ann Butcher, an employee at Macy's, said she was on the patio at Whole Foods when people started running and screaming. She said some women left their purses and fled.

"That was very scary," she said.

Shopper Eric Widmer said he was at the Barnes & Noble bookstore when he saw a mother and daughter rush in crying. He said he heard someone scream, "Shooter!"

He said he managed to leave the bookstore and go to Macy's, which he could not leave.

"I thought, 'Great, I get to be scared twice,'" he said. "Lightning strikes twice."

One person was hurt fleeing the scene, but the injury was not considered serious.

lauren.williams@latimes.com

rosanna.xia@latimes.com

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Obama Walks a Fine Line With Egyptian President

Tara Todras-Whitehill for The New York Times

Egyptians opposed to President Mohamed Morsi prayed in Tahrir Square, Cairo, on Friday. More Photos »

CAIRO — Tanks and barbed wire had surrounded Egypt’s presidential palace and crowds of protesters were swarming around last week when President Obama placed a call to President Mohamed Morsi.

Mr. Morsi and his allies in the Muslim Brotherhood stood accused of  a sudden turn toward authoritarianism, as they fulminated about conspiracies, steamrollered over opponents, and sent their supporters into a confrontation with protesters the night before that call; the clash left seven people dead. But Mr. Obama did not reprimand Mr. Morsi, advisers to both leaders said.

Instead, a senior Obama administration official said, the American president sought to build on a growing rapport with his Egyptian counterpart, arguing to Mr. Morsi that it was in his own interest to offer his opposition compromises, in order to build trust in his government.

“These last two weeks have been concerning, of course, but we are still waiting to see,” said another senior administration official, speaking on the condition of anonymity to avoid aggravating relations with Egypt. “One thing we can say for Morsi is he was elected, so he has some legitimacy.” He noted that Mr. Morsi was elected with 51 percent of the vote.

As Egyptians vote Saturday on the draft constitution, the results may also render a verdict on Mr. Morsi’s ability to stabilize the country and the Obama administration’s bet that it can build a workable partnership with a government guided by the Brotherhood — a group the United States shunned for decades as a threat to Western values and interests.

White House officials say that as Egypt’s first democratically elected president, Mr. Morsi has a unique chance to build a credible democratic process with broad participation, which is the surest source of stability.

But critics of the Brotherhood have cited Mr. Morsi’s strong-arm push for the Islamist-backed charter as vindication of their argument that Islamist politics are fundamentally incompatible with tolerance, pluralism and the open debate essential to democracy. They say that his turn to authoritarianism has discredited the Obama administration’s two-year courtship of Egypt’s new Islamist leaders.

Some say they suspect the White House may envision the trade-off it offered to the ousted president, Hosni Mubarak: turning a blind eye to heavy-handed tactics so long as he continues to uphold the stability of American-backed regional order.

And by muting its criticism, the Obama administration shares some of the blame, said Michael Hanna, a researcher at the Century Foundation in New York and an Egyptian-American in Cairo for the vote. “Silence is acquiescence,” he said, adding about Mr. Morsi: “At some point if you are so heedless of the common good that you are ready to take the country to the brink and overlook bodies in the street, that is just not O.K.”

Mr. Obama’s advisers, though, say that in Egypt the dual goals of stability and democracy are aligned, because in the math of the revolution Egyptians will no longer accept the old autocracy.

As for Mr. Morsi, administration officials and other outside analysts argue that so far his missteps appear to be matters of tactics, not ideology, with only an indirect connection to his Islamist politics. “The problem with Morsi isn’t whether he is Islamist or not, it is whether he is authoritarian,” said a Western diplomat in Cairo, speaking on the condition of anonymity because of diplomatic protocol.

What is more, the leading opposition alternatives appeared no less authoritarian: Ahmed Shafik, who lost the presidential runoff, was a former Mubarak prime minister campaigning as a new strongman, and Hamdeen Sabahi, who narrowly missed the runoff, is a Nasserite who has talked of intervention by the military to unseat Mr. Morsi despite his election as president.

“The problem with ‘I told you so’ is the assumption that if things had turned out differently the outcome would be better, and I don’t see that,” the diplomat said, noting that the opposition to the draft constitution had hardly shown more respect than Mr. Morsi has for the norms of democracy or the rule of law. “There are no black hats and white hats here, there are no heroes and villains. Both sides are using underhanded tactics and both sides are using violence.”

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Games top App Store revenue in 2012

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Gunman's Father and Brother Are 'in Shock,' Says a Source

By Diane Herbst

12/14/2012 at 08:50 PM EST

State police personnel lead children to safety away from the Sandy Hook Elementary School

Shannon Hicks/Newtown Bee/Reuters/Landov

The father and older brother of the gunman who was blamed for the Connecticut school shooting are being questioned by authorities but are not suspects, a law enforcement source tells PEOPLE.

The Associated Press reports that the gunman has been identified as 20-year-old Adam Lanza.

His unidentified father, who lives in New York City, and his older brother, Ryan, 24, of Hoboken, N.J., are "in shock," the law enforcement source tells PEOPLE.

They were being questioned by the FBI in the Hoboken police station but "are not suspects, they have no involvement," the source says.

"Imagine the 24 year old – he's lost his mother. Imagine the father, his son killed 20 kids," the source says."   

As for Adam, "It looks like there's mental history there," the law enforcement source says.

Adam Lanza died at the scene of the shooting that killed 20 children and six adults at the Sandy Hook Elementary School in Newtown, Conn.

His mother, Nancy Lanza, was found dead at her home, according to CNN.

The source describes the weapons used by Lanza as "legitimate." According to CNN, Lanza used two hand guns that were registered to his mother and a rifle.

Adam's parents were no longer together, the source says.   

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Fewer health care options for illegal immigrants

ALAMO, Texas (AP) — For years, Sonia Limas would drag her daughters to the emergency room whenever they fell sick. As an illegal immigrant, she had no health insurance, and the only place she knew to seek treatment was the hospital — the most expensive setting for those covering the cost.

The family's options improved somewhat a decade ago with the expansion of community health clinics, which offered free or low-cost care with help from the federal government. But President Barack Obama's health care overhaul threatens to roll back some of those services if clinics and hospitals are overwhelmed with newly insured patients and can't afford to care for as many poor families.

To be clear, Obama's law was never intended to help Limas and an estimated 11 million illegal immigrants like her. Instead, it envisions that 32 million uninsured Americans will get access to coverage by 2019. Because that should mean fewer uninsured patients showing up at hospitals, the Obama program slashed the federal reimbursement for uncompensated care.

But in states with large illegal immigrant populations, the math may not work, especially if lawmakers don't expand Medicaid, the joint state-federal health program for the poor and disabled.

When the reform has been fully implemented, illegal immigrants will make up the nation's second-largest population of uninsured, or about 25 percent. The only larger group will be people who qualify for insurance but fail to enroll, according to a 2012 study by the Washington-based Urban Institute.

And since about two-thirds of illegal immigrants live in just eight states, those areas will have a disproportionate share of the uninsured to care for.

In communities "where the number of undocumented immigrants is greatest, the strain has reached the breaking point," Rich Umbdenstock, president of the American Hospital Association, wrote last year in a letter to Obama, asking him to keep in mind the uncompensated care hospitals gave to that group. "In response, many hospitals have had to curtail services, delay implementing services, or close beds."

The federal government has offered to expand Medicaid, but states must decide whether to take the deal. And in some of those eight states — including Texas, Florida and New Jersey — hospitals are scrambling to determine whether they will still have enough money to treat the remaining uninsured.

Without a Medicaid expansion, the influx of new patients and the looming cuts in federal funding could inflict "a double whammy" in Texas, said David Lopez, CEO of the Harris Health System in Houston, which spends 10 to 15 percent of its $1.2 billion annual budget to care for illegal immigrants.

Realistically, taxpayers are already paying for some of the treatment provided to illegal immigrants because hospitals are required by law to stabilize and treat any patients that arrive in an emergency room, regardless of their ability to pay. The money to cover the costs typically comes from federal, state and local taxes.

A solid accounting of money spent treating illegal immigrants is elusive because most hospitals do not ask for immigration status. But some states have tried.

California, which is home to the nation's largest population of illegal immigrants, spent an estimated $1.2 billion last year through Medicaid to care for 822,500 illegal immigrants.

The New Jersey Hospital Association in 2010 estimated that it cost between $600 million and $650 million annually to treat 550,000 illegal immigrants.

And in Texas, a 2010 analysis by the Health and Human Services Commission found that the agency had provided $96 million in benefits to illegal immigrants, up from $81 million two years earlier. The state's public hospital districts spent an additional $717 million in uncompensated care to treat that population.

If large states such as Florida and Texas make good on their intention to forgo federal money to expand Medicaid, the decision "basically eviscerates" the effects of the health care overhaul in those areas because of "who lives there and what they're eligible for," said Lisa Clemans-Cope, a senior researcher at the Urban Institute.

Seeking to curb expenses, hospitals might change what qualifies as an emergency or cap the number of uninsured patients they treat. And although it's believed states with the most illegal immigrants will face a smaller cut, they will still lose money.

The potential impacts of reform are a hot topic at MD Anderson Cancer Center in Houston. In addition to offering its own charity care, some MD Anderson oncologists volunteer at a county-funded clinic at Lyndon B. Johnson General Hospital that largely treats the uninsured.

"In a sense we've been in the worst-case scenario in Texas for a long time," said Lewis Foxhall, MD Anderson's vice president of health policy in Houston. "The large number of uninsured and the large low-income population creates a very difficult problem for us."

Community clinics are a key part of the reform plan and were supposed to take up some of the slack for hospitals. Clinics received $11 billion in new funding over five years so they could expand to help care for a swell of newly insured who might otherwise overwhelm doctors' offices. But in the first year, $600 million was cut from the centers' usual allocation, leaving many to use the money to fill gaps rather than expand.

There is concern that clinics could themselves be inundated with newly insured patients, forcing many illegal immigrants back to emergency rooms.

Limas, 44, moved to the border town of Alamo 13 years ago with her husband and three daughters. Now single, she supports the family by teaching a citizenship class in Spanish at the local community center and selling cookies and cakes she whips up in her trailer. Soon, she hopes to seek a work permit of her own.

For now, the clinic helps with basic health care needs. If necessary, Limas will return to the emergency room, where the attendants help her fill out paperwork to ensure the government covers the bills she cannot afford.

"They always attended to me," she said, "even though it's slow."

___

Sherman can be followed on Twitter at https://twitter.com/chrisshermanAP .

Plushnick-Masti can be followed on Twitter at https://twitter.com/RamitMastiAP .

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Bellflower High theater program gets a boost from star alumni

Edgar Bullington stood with a slight hunch on the stage of Bellflower High School's Robert Newman Theater, slivers of gray hair peeking from under his top hat, and sneered, "Bah, humbug!"

His portrayal of Dickens' famous crotchety old man was all the more convincing for his graying beard.

But the beard was no prop. Bullington's drama career spans more than 50 years and started right here, at Bellflower High.

Bullington and other Bellflower alumni have returned this month to put their own spin on "A Christmas Carol." Their rendition features Bullington as Ebenezer Scrooge, with other former students making up the cast. The goal is to raise money for the school's arts programs.

The production is the brainchild of Harry Cason, a 1974 Bellflower graduate who was dismayed when he saw the theater's condition earlier this year.

"It's all aged out," the Juilliard-trained actor said of the facility, built in 1959. "The lights don't work, and they don't have a sound system. The school never had the funds to replace them."

Cason enlisted the support of former classmates, including Don Hahn, now an executive producer at Disney, and pulled their former drama teacher, Robert Newman, out of retirement. Newman gave up teaching drama a few years before retiring in 1982 because he was "burned out." But he said he could not pass up the opportunity to help the theater that bears his name.

The group produced H.G. Wells' "War of the Worlds" earlier this year and raised nearly $5,000. Cason said the effort went so well that they decided to follow it with "A Christmas Carol," this time with students performing too.

"When I hear that they are cutting out music and drama, I get really disgusted," said Newman, 90, after a recent rehearsal. "We need creativity. Providing kids with an outlet is important."

Cason, Bullington and Hahn all spoke of the director's influence on their lives.

Hahn, once a shy, introverted student, went on to produce Disney's "Beauty and the Beast," "The Lion King" and "Frankenweenie," among others.

"There was a sense of enthusiasm and a culture that showed us it was fun," Hahn said about Bellflower's drama program. "Teachers and parents would pack the theater. It showed us that it was important for us to be there."

This time around, "We're here to show kids, 'We were you,'" Hahn said.

The generationally diverse cast members read their lines and took direction from Newman and Eleanor Packwood, the school's current drama teacher.

Newman once ran four to five plays a year in the theater. Now, Packwood struggles for enough funds to produce three plays a year, she said.

What money she can scrape together "goes to everything not falling apart around me," she said.

Light bulbs are expensive, so some stage lights have not been replaced and spotlights are locked in storage until performances.

When she first got to Bellflower High 21 years ago, "We had the money to have a musical with musicians," Packwood said. "Now my kids have to raise the money for it."

Saturday's performance is at 8 p.m. Tickets are $15 for adults and $5 for students.

Cason said the actors plan to give the performance their all, aiming to show Bellflower students that they, too, can succeed in the entertainment industry. "I want to give them an equal footing," he said. "At least let the lights work."

dalina.castellanos@latimes.com

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Money Woes Could Erode High Hamas Standing in Gaza

Tyler Hicks/The New York Times

Gaza residents returned to survey the damage to their homes last month after a cease-fire ended the eight-day clash between Israel and Hamas.

GAZA CITY — Hamas has been riding high of late, after its professed victory in the recent conflict with Israel and the overthrow last year of Egypt’s president, Hosni Mubarak, an avowed enemy.

Nevertheless, it is facing serious financial troubles stemming from the revolt in Syria and its expanding military ambitions, and its increasing demands on the impoverished population of Gaza are stirring resentments. In response, and with an anxious eye to the Arab Spring revolts, some Gaza residents say, it has eased up slightly in its religious restrictions on people’s lives.

The government of President Bashar al-Assad in Syria had been a stalwart ally and a conduit for Iranian money, weapons and military expertise. But the Assads are members of the Alawite sect, an offshoot of Shiism, and are fighting mostly Sunni rebels, forcing Hamas, which is Sunni, to choose sides. It decided to shut its political bureau in Damascus in March and send its political chairman, Khaled Meshal, shuttling between Qatar and Egypt.

The break with Syria has also meant a sharp cut in the financing Hamas received from Iran, which is also facing economic problems because of Western sanctions against its nuclear-enrichment program, sanctions that have cut the value of the Iranian rial in half in a year.

In response to this gathering financial crisis, Hamas has sought new support from Sunni governments like Qatar and the United Arab Emirates. But it has also raised taxes and fees considerably, prompting complaints from Gazans.

Mr. Meshal’s first, triumphal visit here last weekend displayed Hamas’s power and organization. In the five years since it drove its Palestinian rival, Fatah, out of Gaza in a brief civil war, after winning elections in 2006, Hamas has established a repressive ministate with a strong Islamist cast that it clearly has no intention of abandoning. Hamas now requires “entry visas” from visitors, for a fee, and searches luggage to ensure that no one imports any alcohol. Even more striking, Hamas has set up its own lavish civil administration in Gaza that issues papers, licenses, insurance and numerous other permissions — and always for a tax or a fee.

Gazans recognize that there is more order here, more construction and less garbage. But many resent the economic burden of financing Hamas and, implicitly, its military.

Ziad Ashour, 43, a butcher, said that “since the first intifada,” meaning the Palestinian uprising in 1987, “things have steadily declined in Gaza.” But in the last year, he said, they have gotten considerably worse economically.

Another merchant in the Beach Camp market said that Hamas, which tightly controls tunnel traffic on the Egyptian border, had raised taxes on basic items, including canned goods and building materials. There is a tax of about 70 cents on every pack of cigarettes, and around $2.50 on every gallon of gasoline or diesel, fixed even if the final price is roughly half that of Israeli gasoline. People pay to apply for identification cards, drivers’ licenses, building permits — “there are fees for everything,” the merchant said.

Larger businesses are especially targeted for high taxes. “Now businessmen know the difference between Fatah and Hamas,” another merchant said.

Adham Badawi, 22, bought an Egyptian-assembled, three-wheel Chinese motorcycle cart for his family textile shop for $1,500, “imported” through the tunnels. He had to pay $395 in tax, plus registration, insurance and a driver’s license. He says the contraption is better than a donkey because it eats only when in use and does not need to be looked after. But the fees are expensive, he said, and he is nervous about renewing his license, registration and insurance.

Hamas needs money not only for salaries, government and its charitable activities, but also for the Qassam Brigades, which some experts estimate at 20,000 men — most of whom were on show for Mr. Meshal’s visit, in uniforms with good boots and black balaclavas covering their faces, and armed with automatic rifles and other equipment, some of it smuggled from Libya.

The budget for the Qassam Brigades is not revealed, and its main task is to protect Hamas. But it has also been at the forefront of military relations with Iran and Syria, in rocket importation and development and even drone development with Iranian aid, Israeli officials say. The longer-range rocket and drone development was a particularly important target for Israel in the eight-day conflict last month, they say.

But the brigade has also been active in the building of secret underground fortifications, which require many men and large amounts of building supplies, like steel and cement. In a speech on Saturday, Prime Minister Ismail Haniya praised the brigade for its “underground work,” saying for the first time that 40 to 50 men had died laboring underground, which he said previously had been described simply as killed in “jihadi missions.” During the fighting with Israel, there were few Hamas fighters or leaders to be seen: they were all somewhere underground or in hiding in what Israel considers to be an intricate system of tunnels and bunkers modeled on those built with Iranian guidance by Hezbollah in southern Lebanon.

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The X Factor Reveals Season 2 Finalists

TV Watch

The X Factor

12/13/2012 at 09:10 PM EST

Carly Rose Sonenclar, Emblem3, Tate Stevens and Fifth Harmony

Ray Mickshaw/FOX (4)

Sparks will fly at the finale!

On Thursday, The X Factor revealed its top three acts, who will perform next week in the final night of competition – in hopes of taking home the $5 million recording contract.

Simon Cowell said it would take a miracle to get his girl group, Fifth Harmony, to the finale after they performed Shontelle's "Impossible" and Ellie Goulding's "Anything Could Happen" on Wednesday. Keep reading to find out if their dream came true ...

Apparently, miracles do happen! Fifth Harmony was the first act to be sent through to the finale.

They will compete against departing judge L.A. Reid's country singer, Tate Stevens, and Britney Spears's only remaining contestant, Carly Rose Sonenclar.

That means Simon's promising boy band, Emblem3, are out of the running for the big prize.

"This is the way it goes on competitions," Simon said. "I'm gutted really for them ... But it happens."

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Study: People worldwide living longer, but sicker

LONDON (AP) — Nearly everywhere around the world, people are living longer and fewer children are dying. But increasingly, people are grappling with the diseases and disabilities of modern life, according to the most expansive global look so far at life expectancy and the biggest health threats.

The last comprehensive study was in 1990 and the top health problem then was the death of children under 5 — more than 10 million each year. Since then, campaigns to vaccinate kids against diseases like polio and measles have reduced the number of children dying to about 7 million.

Malnutrition was once the main health threat for children. Now, everywhere except Africa, they are much more likely to overeat than to starve.

With more children surviving, chronic illnesses and disabilities that strike later in life are taking a bigger toll, the research said. High blood pressure has become the leading health risk worldwide, followed by smoking and alcohol.

"The biggest contributor to the global health burden isn't premature (deaths), but chronic diseases, injuries, mental health conditions and all the bone and joint diseases," said one of the study leaders, Christopher Murray, director of the Institute of Health Metrics and Evaluation at the University of Washington.

In developed countries, such conditions now account for more than half of the health problems, fueled by an aging population. While life expectancy is climbing nearly everywhere, so too are the number of years people will live with things like vision or hearing loss and mental health issues like depression.

The research appears in seven papers published online Thursday by the journal Lancet. More than 480 researchers in 50 countries gathered data up to 2010 from surveys, censuses and past studies. They used statistical modeling to fill in the gaps for countries with little information. The series was mainly paid for by the Bill & Melinda Gates Foundation.

As in 1990, Japan topped the life expectancy list in 2010, with 79 for men and 86 for women. In the U.S. that year, life expectancy for men was 76 and for women, 81.

The research found wide variations in what's killing people around the world. Some of the most striking findings highlighted by the researchers: — Homicide is the No. 3 killer of men in Latin America; it ranks 20th worldwide. In the U.S., it is the 21st cause of death in men, and in Western Europe, 57th.

— While suicide ranks globally as the 21st leading killer, it is as high as the ninth top cause of death in women across Asia's "suicide belt," from India to China. Suicide ranks 14th in North America and 15th in Western Europe.

— In people aged 15-49, diabetes is a bigger killer in Africa than in Western Europe (8.8 deaths versus 1 death per 100,000).

— Central and Southeast Asia have the highest rates of fatal stroke in young adults at about 15 cases per 100,000 deaths. In North America, the rate is about 3 per 100,000.

Globally, heart disease and stroke remain the top killers. Reflecting an older population, lung cancer moved to the 5th cause of death globally, while other cancers including those of the liver, stomach and colon are also in the top 20. AIDS jumped from the 35th cause of death in 1990 to the sixth leading cause two decades later.

While chronic diseases are killing more people nearly everywhere, the overall trend is the opposite in Africa, where illnesses like AIDS, malaria and tuberculosis are still major threats. And experts warn again shifting too much of the focus away from those ailments.

"It's the nature of infectious disease epidemics that if you turn away from them, they will crop right back up," said Jennifer Cohn, a medical coordinator at Doctors Without Borders.

Still, she acknowledged the need to address the surge of other health problems across Africa. Cohn said the agency was considering ways to treat things like heart disease and diabetes. "The way we treat HIV could be a good model for chronic care," she said.

Others said more concrete information is needed before making any big changes to public health policies.

"We have to take this data with some grains of salt," said Sandy Cairncross, an epidemiologist at the London School of Hygiene and Tropical Medicine.

He said the information in some of the Lancet research was too thin and didn't fully consider all the relevant health risk factors.

"We're getting a better picture, but it's still incomplete," he said.

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Online:

www.lancet.com

http://healthmetricsandevaluation.org

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State population rises in sign of economic recovery

California's population has grown to 37.8 million, continuing the state's trend of slowing but steady growth — about 1% annually — over the last decade, according to new population estimates released by the state Department of Finance.

The population increased by 256,000 people since July 2011, a growth rate of 0.7%. It's roughly the same growth rate as last year, but some experts pointed to an uptick in the number of people moving in and out of California and between counties as a sign of economic recovery.

"We've been mired in this deep slump, economically and demographically, and we're all looking for signs of revival," said USC demography and urban planning professor Dowell Myers. "During the recession, everyone froze. People didn't move as fast as normal."

In Los Angeles County, more people moved out than into the county in 2011, but at a significantly slower rate than in 2010, the state numbers show.

"Overall, movements are speeding up in both directions, but L.A.'s attraction is winning the war," said Myers, who also noticed an increase in movement in the entire western region, particularly among young adults. "It means the system is unfreezing, it's loosening up....This is the beginning."

Recent estimates by the American Community Survey showed that about 100,000 more Californians left the state than moved here. Most of those who left headed to Texas, Arizona and Oregon.

But state demographers cautioned that the out-of-state migration numbers may appear misleading because immigrants often enter through California before settling in other states.

"People see that so many people are leaving the state, and they think 'oh, it's because California business is bad,' " said Bill Schooling, chief of demographics research for the state Department of Finance. "It's more that California, particularly with counties like L.A., is a huge gateway state."

Los Angeles remains the state's most populous county, with more than 9.9 million residents. More than 26% of the state's entire population lives within the Los Angeles County limits.

Schooling noted that much of the state's population growth was concentrated in coastal counties, where people tend to be younger and more mobile.

Economists also said that job growth has been much stronger along the coast, particularly with growth in foreign trade, technology and tourism.

"The state recovery really started in the Bay Area, spread to Orange County and San Diego, and in the last six months, has spread to L.A. County," said Stephen Levy, director of the Center for Continuing Study of the California Economy. "Slow population growth is consistent with the early phase of recovery."

Births helped maintain the population growth, with 503,000 babies born in California between July 2011 and July 2012. There were 234,000 deaths in the state during the same time, a slight increase from past years, according to the state estimates.

Until the state becomes more stable economically, it is difficult to make long-term population projections, experts said.

"This is a step in the right direction," Myers said. "And we will, we should, have much better news next year."

rosanna.xia@latimes.com

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Pro-Assad Alawites Blamed in Killings of Others in Sect

Scores of Syrian civilians belonging to President Bashar al-Assad’s minority Alawite sect were killed Tuesday in the first known Alawite massacre since the Syrian conflict began. But the killings, in the village of Aqrab, happened under circumstances that remain unclear.

Rights organizations researching the massacre said Wednesday that members of the shabiha, a pro-government Alawite militia, were the killers. The Syrian Observatory for Human Rights, an anti-Assad group based in Britain with a network of contacts inside Syria, said 125 to 150 civilians died.

The accusation, if confirmed, would be a shocking episode of Alawite-on-Alawite violence in a conflict punctuated by violence between sects.

Videotaped testimony said to be from survivors, primarily women and children, has flooded the Internet in the last 24 hours, providing a series of glimpses of an atrocity in a devastated town. The picture they paint is inconclusive, however, and restrictions on foreign reporting inside Syria made verification difficult.

Many of the videos were filmed by members of the Free Syrian Army, the main anti-Assad armed group, in what appears to be a clinic, where survivors were being treated for wounds or lie wrapped in blankets, faces blank with shock. In the videos, they say that members of the shabiha gathered civilians inside a building or compound as the Free Syrian Army approached the village.

Soon, though, survivors said the shabiha turned their weapons on the same civilians they had been professing to defend.

“The shabiha came and told us they wanted to protect us from the rebels, but then they wouldn’t let us go,” said a young man in one video who gave his name as Mohamed Ibrahim al-Judud, and who like others in the videos said he was able to identify the attackers by their first names. “They killed my father, my mother and my brother.”

In another video, a young man who gave his name as Mohamed Fathy Jowwal lay wrapped in a blanket, speaking to a member of the Free Syrian Army.

“They said it was better that we kill ourselves than wait for you to kill us,” he said, looking at the young rebel fighter crouching beside him. “They were from our own group.”

Throughout the videos, members of the Free Syrian Army professed a commitment to religious pluralism and said the survivors of Aqrab were under their protection. Nevertheless, there were moments when flashes of sectarian animosity shone through. In one video, a rebel fighter could be heard saying to an injured young man, “Get well soon, even if you are in the Alawite sect.”

“Man, so what if I was in the Alawite sect?” the injured young man protests, as medics busily gathered around his bare legs. A second rebel, standing nearby, interjected and stroked his face.

“Bashar does not represent the Alawite sect,” the second fighter reassured the victim. “The Syrian people are one.”

The Syrian Observatory for Human Rights said it believed the massacre victims had died from “gunfire and bombs.” Almost all were members of the Alawite sect.

The observatory also could not confirm the circumstances of their deaths, but said it had identified several similar narratives of the attack. One was that shabiha members had sought cover among civilians in a residential area, using them as shields. Another was that “pro-regime militiamen held Alawite civilians captive.” It also said that explosions had caused many of the deaths.

Syria’s conflict began as an Arab Spring protest movement after four decades of rule by the family of Mr. Assad, and has since transformed into a sectarian conflict. Even so, attacks by Alawite militias on their own civilian populations have so far been unheard-of.

Faiek al-Meer, a longtime antigovernment activist, wrote on Facebook that the Aqrab episode could be seen as a metaphor for the predicament facing the entire Alawite sect. Mr. Assad, he wrote, “will continue to fight to defend his seat and the interests of his clique even if has to use the Alawites as human shields to protect himself.”

Liam Stack reported from New York, and Hania Mourtada from Beirut, Lebanon.

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Tevin Hunte Is 'So Happy' After His Voice Elimination

TV Watch

The Voice

By Jessica Herndon and Julia Haskins

12/12/2012 at 07:45 PM EST

Team Cee Lo's Trevin Hunte was eliminated on Tuesday's episode of The Voice, but the soulful singer isn't letting the end of this journey hold him back.

"I feel like the best person on the planet Earth. I am so happy and excited to be honest," Hunte told PEOPLE after the show. I feel like a weight has been lifted. Being away from family and friends and what you're used to was definitely a hard thing for me."

Hunte is looking forward to his mom's cooking and seeing his friends back home, and he won't waste a second wondering what if he'd made it further.

"I have no regrets. I am glad that I took a leap of faith and auditioned," he said. "I auditioned for American Idol and told my family I didn't have the strength to do it again. But I am definitely happy and excited that I made it this far."

And he still has a long way to go. "I'm only 18," he said. "I'm just really excited."

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Congress examines science behind HGH test for NFL

WASHINGTON (AP) — A congressional committee has opened a hearing to examine the science behind a human growth hormone test the NFL wants to start using on its players.

Nearly two full seasons have passed since the league and the players' union signed a labor deal that set the stage for HGH testing.

The NFL Players Association won't concede the validity of a test that's used by Olympic sports and Major League Baseball, and the sides haven't been able to agree on a scientist to help resolve that impasse.

Among the witnesses before the House Oversight and Government Reform Committee on Wednesday is Pro Football Hall of Fame member Dick Butkus. In his prepared statement, Butkus writes: "Now, let's get on with it. The HGH testing process is proven to be reliable."

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$100-million gift to cover costs for 30-plus UCLA medical students

More than 30 incoming medical school students will get a full ride to UCLA's David Geffen School of Medicine thanks to a $100-million gift from the school's benefactor.

The donation by Geffen, a philanthropist and entertainment executive, will create a scholarship fund to cover the recipients' entire cost of medical school, including tuition, room and board, books and other expenses.

"It is a fantastic vote of confidence for higher education," said UCLA Chancellor Gene Block. "We're eternally grateful."

The gift, which will be announced Thursday, makes Geffen the largest individual donor to UCLA and to any single UC campus. In 2002, Geffen donated $200 million in unrestricted funds to the medical school. At the time, the campus was renamed in his honor.

Geffen, 69, declined to comment but said in a statement that students shouldn't be discouraged by the expense of medical school.

"The cost of a world-class medical education should not deter our future innovators, doctors and scientists from the path they hope to pursue," he said. "We need the students at this world-class institution to be driven by determination and the desire to do their best work and not by the fear of crushing debt. I hope in doing this that others will be inspired to do the same."

More than 85% of medical school students nationwide graduate with some debt. Among those, the average is $170,000, according to the Assn. of American Medical Colleges. That debt often influences graduates' career choices and has contributed to a shortage of primary care doctors, who often earn less than specialists. That shortage will be exacerbated by the aging of the population and the federal expansion of health coverage to the uninsured.

The UCLA scholarships are "unprecedented," said John Prescott, chief academic officer for the association. "My mouth dropped open when I saw this," he said. "It is going to create quite a legacy for the school."

The medical school's dean, A. Eugene Washington, said that he was thrilled by the donation and that it will free scholarship recipients from the tremendous burden of debt. The four-year tab for medical school students entering next fall could exceed $300,000 in tuition, housing, fees and other costs.

The scholarship will allow the school to free up some of the money it uses for financial aid and will enable students to follow their passions and become leading physicians and researchers without worrying about paying off loans, he said. "It is going to be for a group of the top students who will be freed up to pursue whatever their interests are," he said.

The David Geffen Medical Scholarship Fund will provide scholarships for up to 33 students beginning medical school in 2013. Up to three of the scholarships are available for students pursuing a joint doctorate and medical school degree. The students will be chosen based on merit, not financial need.

Block said the scholarships will help recruit more of the nation's top medical school applicants. Already, more than 7,500 applicants compete for 163 first-year slots at the school.

Emily Dubina, 25, a third-year medical school student at UCLA, received a partial scholarship from Geffen's original contribution. The new scholarships, she said, are an amazing opportunity that will take away a lot of the stress of day-to-day life. The recipients will be able to focus on becoming great physicians rather than on how much money they are spending on their education.

"I so wish they had that when I started," she said. "Life would have been much better."

Geffen began his career as a mail room worker at the William Morris Agency in Manhattan and later earned a fortune in the record and movie industries. He formed DreamWorks SKG in 1994 with Jeffrey Katzenberg and Steven Spielberg. He has also become a well-known benefactor, giving to such organizations as the Motion Picture and Television Fund and to the Geffen Playhouse.

anna.gorman@latimes.com

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In Cairo, Effort to Broaden Support for Charter

Hassan Ammar/Associated Press

Army tanks deployed Tuesday in Cairo during a protest outside the presidential palace against President Mohamed Morsi.

CAIRO — President Mohamed Morsi’s advisers struggled Tuesday to work with a panel of politicians and intellectuals in an effort to work out last-minute proposals that might broaden support for an Islamist-backed draft constitution that is set to go before Egypt’s voters on Saturday, participants said.

Just outside Mr. Morsi’s office, thousands of his opponents staged a seventh night of demonstrations. Many of those against the proposed charter chanted for the downfall of Mr. Morsi, Egypt’s first democratically elected president.

Blocks away, crowds of Islamists denounced the secular opposition’s leaders as murderers for encouraging protests last week that led to deadly clashes with members of the Muslim Brotherhood.

The huge crowds of rivals underscored the animosity and distrust that have all but shut down political dialogue here just as Egypt is poised to complete its promised transition to a constitutional democracy.

Khaled al-Qazzaz, a spokesman for the president, said a “national dialogue” committee convened by Mr. Morsi was continuing to meet to try to come up with measures that might bridge the gap between the Islamists and their opponents over the proposed charter.

Mr. Qazzaz said the panel was discussing measures that the president could announce now but that would take effect after the referendum. “If a segment of society has concerns about some articles of the constitution, how are we going to bring them together?” he said, declining to provide more detail.

Separately, Egypt’s defense minister, Gen. Abdul Fattah el-Sisi, issued a formal invitation to Mr. Morsi, the leaders of all political factions and officials from across the institutions of government for what the invitation called “a meeting for humanitarian communication and national coherence in the love of Egypt.”

The invitation raised alarms that General Sisi intended to play a role in the constitutional debate and perhaps have the military resume the explicitly political role it had in managing the transition before Mr. Morsi took over. But a military spokesman later said in a statement that politics and policy were off the agenda.

Mr. Qazzaz called the event a display of unity at a military-run facility and said Mr. Morsi would attend. It is a “social event to show that society is in coherence, that we are one big family,” he said.

Liberals complain that the charter does not do enough to prevent a future Islamist majority from limiting individual freedoms or women’s rights.

But the Islamists’ political strength may only partly account for the expected approval of the draft constitution in Saturday’s scheduled referendum. (Egyptians abroad begin voting on Wednesday.) The charter also promises stability after two years of the country’s chaotic transition.

The secular opposition’s main coalition postponed for a third day on Tuesday a formal announcement of its decision on whether to advocate a boycott of the referendum or to urge Egyptians to vote no. A statement on Sunday had appeared to declare a boycott.

People involved said the coalition was struggling to overcome internal disagreements. “Every hour there is a change,” an aide to one opposition leader said Tuesday evening.

Also on Tuesday, the chief of the largest judicial professional association, Ahmed al-Zend, announced that 90 percent of its members would refuse to monitor the polls. Judicial supervision of elections is required by Egyptian tradition and law, but the judges said they would boycott to protest the charter and Mr. Morsi’s decree, since withdrawn, putting the president above judicial review.

Mr. Zend was a loyalist of former President Hosni Mubarak who is now more or less openly at war with Egypt’s new Islamist leaders. Some doubted that he spoke for all of his members, and advisers to Mr. Morsi insist that they have the cooperation of enough judges.

On Tuesday, Mr. Morsi’s government also put off until next month the signing of a badly needed $4.8 billion loan from the International Monetary Fund intended to help prevent an economic collapse. Officials said they wanted more time to discuss the related economic reform package with the public.

“The delay will have some economic impact, but we are discussing necessary measures” to address that until the loan can be finalized, Finance Minister Mumtaz al-Said told Reuters by telephone. “I am optimistic,” he added.

Mayy El Sheikh contributed reporting.

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Hugh Hefner's Engagement Ring to Crystal Harris Revealed

By Mike Fleeman

12/11/2012 at 07:00 PM EST

The wedding's back on – though it may be a good idea to save that gift receipt.

Hugh Hefner, 86, officially confirms that he is once again engaged to Crystal Harris, 26, telling his Twitter followers, "I've given Crystal Harris a ring. I love the girl."

And to prove it, Harris posted photos of the big diamond sparkler, calling it "my beautiful ring."

Neither announced a wedding date, though sources tell PEOPLE they're planning to tie the knot at the Playboy Mansion in Los Angeles on New Year's Eve.

Whether that still happens remains to be seen.

This is the plan they had in 2011 – a wedding at the mansion – except that Harris called it off just days before the nuptials were scheduled to happen in front of 300 invited guests.

Hugh Hefner and Crystal Harris

David Livingston / Getty

The onetime Playmate of the Month then ripped Hef's bedroom skills, calling him a two-second man, to which Hefner replied, "I missed a bullet" by not marrying her.

A year later, Hefner's "runaway bunny" bounded back to him.

• Reporting by JENNIFER GARCIA

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Preventing a tragedy for seniors at the wheel

When my dad's driving deteriorated, I called the California Department of Motor Vehicles and asked about the procedure for having his license revoked. I could fill out a form, I was told, and my dad would be called in to have his driving ability reevaluated.

I thought about it, but did nothing. My brother said we should remove the carburetor and tell our father the car was kaput, but we never did that either.

If you've been in this situation, you know the dance. My dad insisted he was driving just fine, but the evidence was not on his side. One-way signs became invisible, lane markers faded, speed and distance were wild guesses.

If we took away his keys, as my mother pointed out, we'd be stealing his last bit of independence and making him miserable. If we didn't, and he hurt himself or someone else, we'd be responsible.

My dad eventually got so sick that the driving issue was moot, and when he died in February, he hadn't driven in months. But still, I should have taken charge a couple of years earlier, and I'll always regret being so irresponsible. When loved ones get old, sometimes you have to take action, and judging by my mail lately, no one finds it easy.

"Ten years from now, this is going to be happening in epidemic proportions," said Craig Power, whose 90-year-old father died from injuries suffered in a 2010 car accident in Orange County. The car was driven by his father's 85-year-old girlfriend, who was being treated for dementia.

Power sued the driver's doctor for not reporting her to authorities, but a jury decided the physician had not violated state law. California requires doctors to notify county health officials about disorders "severe enough to impair a person's ability to operate a motor vehicle." The doctor in this case said he had reported other patients, but this particular patient wasn't disabled enough to report.

As the nation ages, this will come up more and more. We're expected to have 57 million drivers 65 and older by 2030, and while texting teenagers or drunk drivers may be more deadly behind the wheel, that's no reason to avoid dealing with a growing convoy of cognitive loss.

Some people have suggested that elderly drivers should be required to take driving tests at age 75 or older — in addition to the written tests and eye exams required after age 70 — rather than have their licenses automatically renewed. Recently, after I wrote about a 72-year-old legally blind doctor who had his license renewed by the DMV, I heard from readers saying they've been shocked to find that their parents' and friends' licenses were renewed into their 90s.

"A friend with early signs of dementia began calling me from her car and asking directions to places well-known to her," said Diane Portillo, of Redondo Beach, who notified her friend's doctor. The license was eventually revoked, but it took a couple of years.

"As a parish nurse and a hospice nurse, I am frequently asked how to stop 'Mom' or 'Dad' from driving," said Kate Reeves of the Idyllwild area. "Yes, the DMV can pull the license, but have you any idea how many folks drive with no driver's license? The only real solution is to remove the car (not just the keys)!"

Dr. Gene Dorio, who makes house calls to elderly folks in Santa Clarita, says he tries to be sensitive but honest in telling patients about the compromises that come with age. He said he's had patients using walkers who think they're going to keep driving forever, and relatives, afraid to disappoint or send their loved ones into deep states of depression haven't told them otherwise.

"People will go out there and end up driving through stop signs or on the wrong side of the road, or just getting lost," Dorio said. "Some of them, their reflexes are too slow. They can't get their foot from the accelerator to the brake fast enough, or they don't hear the sirens coming or the flashing lights."

Dr. Donald Iverson, a Eureka neurologist who has studied cognitive loss and its effect on driving, said it's not always easy to diagnose risk.

"We don't have a cut-and-dried answer as to whether a person with mild dementia is impaired or not," said Iverson, who found that 76% of people with mild dementia were able to pass on-road driving tests.

A person with dementia might be perfectly lucid at times, and one symptom of the disease is an inability to recognize that there's a problem, Iverson said. That's how my dad was, insisting the real danger on the road was all the other drivers.

Iverson said the person in the best position to determine if a driver is impaired is the passenger, whether it's a relative or caretaker. And statistically, he said, when drivers voluntarily reduce the number of miles they drive regularly, or stop driving at night or when it rains, they've entered a phase in which they have a five-fold increase in the risk of crashes.

A good list of warning signs for unsafe driving — does the person drive too fast or too slow, straddle lanes, seem nervous or oblivious — can be found at http://www.la4seniors.com.

No doubt, doctors can do a better job of starting the conversation, and more testing after a certain age could help, too. But when you find yourself in a position to do what's necessary and potentially save lives in the process, I hope you're better at stepping up to that responsibility than I was.

The last couple of years my dad drove, it was luck, and nothing more, that prevented a tragedy.

steve.lopez@latimes.com

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Euro Watch: Bonds in Spain and Italy Shaken by Italian Politics

ROME — Italian stock and bond prices fell on Monday after a weekend of political turmoil in Italy gave rise to fears that the country was headed for renewed instability.

Shares of Italian banks, which are big holders of the government’s bonds, were among the hardest hit.

The action occurred in the first day of trading after Prime Minister Mario Monti said over the weekend that he would soon step down after his predecessor, Silvio Berlusconi, withdrew his party’s support from Mr. Monti and said he would again seek election as prime minister.

Mr. Berlusconi, who was elected prime minister three times, left office a year ago as markets pushed Italy to the brink of financial collapse. Mr. Monti, an economist who was appointed as his temporary successor, has restored Italy’s credibility with investors, who have given the country a break on its borrowing costs. But those gains have come at the cost of painful austerity measures that have worsened the country’s economic situation and given Mr. Berlusconi an opening to attack.

The Milan benchmark index, MIB, fell more than 2 percent on Monday. Italian banks, which remain sensitive to declines in the country’s bond prices, were among the big losers. Intesa Sanpaolo, the most active stock, fell 5.2 percent, as did UniCredit.

Mr. Monti, who joined other leaders in Oslo on Monday to receive the Nobel Peace Prize awarded to the European Union, said at a news conference that the market reactions “need not be dramatized.”

“I am confident,” he said, that the Italian elections would result in a government “that will be responsible and oriented toward the E.U. and this will be in line with efforts the Italian government has made so far.”

The decline in bond prices sent their yields, or interest rates, higher — an indicator of the Italian government’s borrowing costs. The spread between interest rates on Italian 10-year sovereign bonds and equivalent German securities, the European benchmark for safety, grew to 3.5 percentage points on Monday. That was up from 3.25 percentage points late Friday, suggesting that investors were growing more wary of holding Italian debt.

The yield on Italian 10-year bonds, which breached 7 percent this year, ended trading on Monday at 4.8 percent, up 29 basis points. A basis point is one-hundredth of a percent.

Bonds of Spain, which is the other big economy of concern in the euro zone, also came under renewed pressure on Monday after Mr. Monti’s announcement.

The spread between Spanish 10-year bonds and equivalent German bonds widened to 4.27 percentage points from 4.16 points on Friday. The yield on the benchmark Spanish 10-year rose 10 basis points, to 5.5 percent; it reached 7.1 percent in July amid concerns that Spain would be forced into a full bailout after having to negotiate a 100 billion euro, or $129 billion, rescue package for its banks in June.

Luis de Guindos, the Spanish economy minister, warned that Italy’s political turmoil would affect his country.

“When doubts emerge over the stability of a neighboring country like Italy, which is also seen as vulnerable, there’s an immediate contagion for us,” he said Monday morning on Spanish national radio.

Asked whether Spain would itself seek further European rescue funding, he instead said, “The help that Spain needs is that the doubts over the future of the euro be removed.”

Speaking before the Nobel ceremony on Monday, the European Commission president, José Manuel Barroso, said Italy must “continue on the road of structural reforms.” The elections, Mr. Barroso said on Sky News, “must not be used to postpone reforms.”

A dismal economic report on Monday served as a reminder that despite Mr. Monti’s success with investors, the real economy continues to suffer. Italian industrial production fell a seasonally adjusted 1.1 percent in October from September, and by 6.2 percent from a year earlier, Istat, the national statistics agency, said.

Some analysts said they thought that Mr. Berlusconi’s re-emergence as a political leader was as responsible for unnerving investors as Mr. Monti’s unexpected decision to resign. Nicholas Spiro, managing director of Spiro Sovereign Strategy, a research firm, wrote on Monday in a note that Mr. Berlusconi remained “the boogeyman of investors,” who “epitomizes the dysfunctional nature of Italian politics.”

Angela Merkel, the German chancellor, was to meet on Monday with Mr. Monti on the sidelines of the Nobel ceremony, said Georg Streiter, a spokesman for the chancellor.

Ms. Merkel pushed to have Mr. Monti succeed Mr. Berlusconi. But she ended up facing Mr. Monti’s own ideas for economic change, which focused more on growth and job creation than on the austere fiscal discipline championed by Ms. Merkel.

As a rule, the German government does not comment on its partners’ domestic politics, but Foreign Minister Guido Westerwelle warned that an attempt to scale back Italy’s reform push could result in further destabilization in the euro zone.

“Italy cannot remain stagnant on two-thirds of its reform process,” Mr. Westerwelle said through a spokesman. “This would throw not only Italy but the rest of Europe into turbulence.”

Elisabetta Povoledo reported from Rome and David Jolly from Paris. Raphael Minder contributed reporting from Madrid and Melissa Eddy from Berlin.

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Hayden Panettiere Splits with Scotty McKnight

12/10/2012 at 07:50 PM EST

Hayden Panettiere and Scotty McKnight

Splash News Online

Is there a tear in her beer?

Nashville star Hayden Panettiere has broken up with her boyfriend of more than a year, New York Jets wide receiver Scotty McKnight, a source confirms to PEOPLE.

But the split doesn't appear to be the stuff of a sad country song. The actress, 23, is still friends with McKnight, 24, and one source tells TMZ that their pals wouldn't be surprised if they got back together.

This is Panettiere's second go at a relationship with an athlete. Before dating McKnight she was with Ukrainian boxer Wladimir Klitschko for about two years.
– Julie Jordan

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Surprise: New insurance fee in health overhaul law

WASHINGTON (AP) — Your medical plan is facing an unexpected expense, so you probably are, too. It's a new, $63-per-head fee to cushion the cost of covering people with pre-existing conditions under President Barack Obama's health care overhaul.

The charge, buried in a recent regulation, works out to tens of millions of dollars for the largest companies, employers say. Most of that is likely to be passed on to workers.

Employee benefits lawyer Chantel Sheaks calls it a "sleeper issue" with significant financial consequences, particularly for large employers.

"Especially at a time when we are facing economic uncertainty, (companies will) be hit with a multi-million dollar assessment without getting anything back for it," said Sheaks, a principal at Buck Consultants, a Xerox subsidiary.

Based on figures provided in the regulation, employer and individual health plans covering an estimated 190 million Americans could owe the per-person fee.

The Obama administration says it is a temporary assessment levied for three years starting in 2014, designed to raise $25 billion. It starts at $63 and then declines.

Most of the money will go into a fund administered by the Health and Human Services Department. It will be used to cushion health insurance companies from the initial hard-to-predict costs of covering uninsured people with medical problems. Under the law, insurers will be forbidden from turning away the sick as of Jan. 1, 2014.

The program "is intended to help millions of Americans purchase affordable health insurance, reduce unreimbursed usage of hospital and other medical facilities by the uninsured and thereby lower medical expenses and premiums for all," the Obama administration says in the regulation. An accompanying media fact sheet issued Nov. 30 referred to "contributions" without detailing the total cost and scope of the program.

Of the total pot, $5 billion will go directly to the U.S. Treasury, apparently to offset the cost of shoring up employer-sponsored coverage for early retirees.

The $25 billion fee is part of a bigger package of taxes and fees to finance Obama's expansion of coverage to the uninsured. It all comes to about $700 billion over 10 years, and includes higher Medicare taxes effective this Jan. 1 on individuals making more than $200,000 per year or couples making more than $250,000. People above those threshold amounts also face an additional 3.8 percent tax on their investment income.

But the insurance fee had been overlooked as employers focused on other costs in the law, including fines for medium and large firms that don't provide coverage.

"This kind of came out of the blue and was a surprisingly large amount," said Gretchen Young, senior vice president for health policy at the ERISA Industry Committee, a group that represents large employers on benefits issues.

Word started getting out in the spring, said Young, but hard cost estimates surfaced only recently with the new regulation. It set the per capita rate at $5.25 per month, which works out to $63 a year.

America's Health Insurance Plans, the major industry trade group for health insurers, says the fund is an important program that will help stabilize the market and mitigate cost increases for consumers as the changes in Obama's law take effect.

But employers already offering coverage to their workers don't see why they have to pony up for the stabilization fund, which mainly helps the individual insurance market. The redistribution puts the biggest companies on the hook for tens of millions of dollars.

"It just adds on to everything else that is expected to increase health care costs," said economist Paul Fronstin of the nonprofit Employee Benefit Research Institute.

The fee will be assessed on all "major medical" insurance plans, including those provided by employers and those purchased individually by consumers. Large employers will owe the fee directly. That's because major companies usually pay upfront for most of the health care costs of their employees. It may not be apparent to workers, but the insurance company they deal with is basically an agent administering the plan for their employer.

The fee will total $12 billion in 2014, $8 billion in 2015 and $5 billion in 2016. That means the per-head assessment would be smaller each year, around $40 in 2015 instead of $63.

It will phase out completely in 2017 — unless Congress, with lawmakers searching everywhere for revenue to reduce federal deficits — decides to extend it.

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Orange County Catholics welcome new bishop, Kevin W. Vann

Nearly 4,000 people gathered at UC Irvine on Monday to welcome the newest leader of Orange County's nearly 1.3 million Catholics.

A former medical lab technician with a penchant for the piano, Bishop Kevin W. Vann, 61, was welcomed with wild applause throughout much of the two-hour ceremony, particularly after he was led to the cathedra, or bishop's chair, by Los Angeles Archbishop Jose H. Gomez.

Greeting the crowd in Spanish, Vietnamese and Korean, Vann spoke of his Illinois upbringing near the Mississippi River and his journey out West.

"By the hand of God I believe we have been brought together to be, as the Scripture says, the stream that gladdens the city of God," said Vann, who also flashed an Anaheim Angels ball cap.

"Let us sing and keep going," he told the crowd. "What do I mean by keep going? Make progress."

Vann was chosen to lead the Roman Catholic Diocese of Orange by Pope Benedict XVI in September, but Monday's installation made it official. Vann succeeds Tod Brown, who held the post through some of the diocese's most tumultuous times, including the priest sex abuse scandal.

Vann's arrival comes at a pivotal time for the diocese, which is the nation's 10th-largest, and also considered one of the fastest growing.

Brown said in a statement that though the diocese has made progress in the last 14 years, including last year's $57.5-million purchase of the Rev. Robert H. Schuller's Crystal Cathedral in Garden Grove, "much work remains to be done."

"This work will require an administrator with proven skills and a spiritual leader with an abundance of faith," he said, adding that Vann possesses those traits and more.

Vann is not unfamiliar with the challenges that a growing contingent of worshipers will provide. As the bishop of the Catholic Diocese of Fort Worth, Texas, since 2005, he oversaw more than $135 million in capital improvements and helped oversee the opening of the nation's largest Vietnamese church.

Vann will face a $100-million capital campaign, which will go toward parish renovations, school funding and upgrades to the high-profile Crystal Cathedral for Catholic worship.

Monday's event was attended by bishops from across the country, as well as such local religious personalities as Rick Warren — pastor of the giant Saddleback Church — and Schuller.

After the ceremony, spectators said they were very excited about Vann's arrival.

Arthur Birtcher, a real estate developer who serves on the Orange Catholic Foundation, said he was impressed by Vann's enthusiasm and excitement.

"He's a grand salesman for the church," said Birtcher, as his wife, Gaye, chimed in.

"He's chitchatty," she said.

Others, such as Julie Stevens of Kansas City, were brought to tears by the ceremony.

"He's definitely by the people and for the people," she said. "He's one of us."

nicole.santacruz@latimes.com

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Sunni Muslim and Alawite Militias Clash in Lebanon

Omar Ibrahim/Reuters

Lebanese gunmen fired in Tripoli as bodies arrived from Syria.

TRIPOLI, Lebanon — Clashes between Sunni Muslim and Alawite militias have killed at least 17 people here recently in perhaps the worst spillover of violence from the civil war in neighboring Syria.

Tripoli, which is Lebanon’s second-largest city and is close to the northern border with Syria, has long been the scene of conflict between Sunni Muslims in the city’s Bab al-Tabbaneh neighborhood and Alawites in the hilltop section of Jabal Mohsen, with each group maintaining militias.

But during the 21-month conflict in Syria, the web of religious and family ties and fault lines between the two countries has created new strains, especially in Tripoli. Lebanese Sunnis have increasingly supported and even joined the Sunni-led uprising against President Bashar al-Assad of Syria, who is Alawite and whose sect dominates the government. Refugees from both sects have flowed into the city.

As some Tripoli residents begin to see themselves as part of the Syrian conflict — to the dismay of the Lebanese government, which fears being dragged into the war — the intensity and frequency of fighting has increased dramatically, with clashes sometimes ignited by events in Syria. Scores have been killed here this year.

The latest conflict began after a number of Sunni fighters from northern Lebanon were killed in an ambush by pro-government forces as they tried to enter Syria to join opposition fighters. Sunnis in Tripoli, angry over videos that purported to show the men’s bodies being stabbed and kicked, attacked Alawites, starting days of clashes between militias wielding rifles and rocket-propelled grenades. Lebanese news media put the death toll at 17.

Lebanon is divided over Syria, with the parliamentary opposition bloc fiercely opposed to Mr. Assad, and as the Syrian conflict has become more sectarian, so has the Lebanese debate. Many Shiites and Alawites support Mr. Assad and fear that Syria’s Sunni majority will take revenge against minorities, while many Lebanese Sunnis, emboldened by the uprising, have struck an aggressive posture toward a government they see as dominated by the Syria-backed Islamist party Hezbollah and weakened by Mr. Assad’s troubles.

Sunni fighters from northern Lebanon, including the Bab al-Tabbaneh neighborhood, now routinely cross into Syria to fight. Many link up with Islamist factions like Jabhet al-Nusra, a group that the United States is considering declaring a terrorist organization.

Militia leaders in Bab al-Tabbaneh say they frown on their men going to Syria because it leaves them short-handed for any conflict at home. But it is hard to stop fighters who feel a personal connection to the civil war.

Some of the young men from Bab al-Tabbaneh showed up as corpses in videos circulated on cellphones by rebel supporters. One video showed bodies being repeatedly stabbed with knives. In another, men shouted insults as they kicked and stomped on corpses’ heads.

A Sunni militia commander in Bab al-Tabbaneh who goes by the name Abu Bera identified one of the men as his friend Hussein Sorour, a 24-year-old baker and fighter.

Even during a lull in fighting on Saturday, snipers atop the hill of Jabal Mohsen made streets in Bab al-Tabbaneh unsafe. People traversed the neighborhood by passing through a maze of holes knocked out of walls and crossing alleys with huge tarps strung up to obstruct the view of snipers. One young boy walked down an alley carrying a Kalashnikov assault rifle. He said he was 11.

There is a fear that the clashes could spread to other parts of Tripoli. Violence has touched the affluent and usually quiet city center. Rockets and mortars have hit the area more than a dozen times over the past week, said Racha el-Halabi, 19, a university student and journalist.

“It’s the first time ever,” she said. “Everyone is worried.”

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In giant “garage sale”, Japan’s TV giants hawk $3 billion of assets

TOKYO (Reuters) – Panasonic Corp, Japan‘s struggling maker of Viera brand TVs, owns more than 10 million square meters of office and factory space, dormitories for its workers and sports facilities for its rugby, baseball and women’s athletics teams.

As it battles for Christmas shoppers’ wallets in the year-end holiday season, the sprawling electronics conglomerate is also seeking buyers for some of those properties to trim its fixed costs and improve cashflow at a time of intense competition, particularly from South Korean rivals such as Samsung Electronics Co.

Japan’s other troubled TV makers, Sony Corp and Sharp Corp, are also selling buildings and businesses in a giant ‘garage sale’ that could raise a combined $ 3 billion.

Panasonic plans to raise $ 1.34 billion from offloading property and shares in other Japanese companies by end-March, the group’s chief financial officer Hideaki Kawai told Reuters.

“We have a lot of land and buildings in Japan and overseas,” he said in an interview at the company’s head office in Osaka, in western Japan. He declined to list which properties would go on the block, but said most are in Japan.

Included is a 24-storey central Tokyo block – built in 2003 with more than 47,300 square meters and housing 2,000 Panasonic workers – a source familiar with the plan told Reuters.

Kawai added that Panasonic would raise about a quarter of the sell-off funds by getting rid of shares it owns in other companies – a common practice of cross-shareholdings in Japan.

The proceeds would help bolster free cashflow to 200 billion yen ($ 2.43 billion) for the business year to March, Kawai said, and allow Panasonic to reduce its debt and maintain its crucial research and development effort as it revamps its business portfolio.

It will sell more assets in the year starting in April if cashflow dips below 200 billion yen, Kawai added. Panasonic President Kazuhiro Tsuga has promised to shut or sell businesses operating at below a 5 percent margin. Those sales could start as soon as April.

Panasonic’s fixed assets of $ 21 billion are around 30 percent more than those of Apple Inc, and are almost double the company’s market value. The company, founded almost a century ago as a small electrical extension socket maker, trades at around half its book value – which includes intangible assets such as patents. Sony trades at 39 percent of book, Sharp at 30 percent.

The fixed assets – buildings, land and machinery – of the three companies that were not so long ago a byword for innovation in household gadgetry total around $ 42 billion, while their combined market value is $ 24 billion.

CASHFLOW IS KING

The three firms have been downgraded by credit ratings agencies, making it tougher to raise funding on capital markets, and making asset sales more urgent.

Selling assets “is good in terms of their credit ratings because, for all three, it will lower fixed costs and they can reduce their capex requirements. Eventually, this could improve operating margins and, more importantly, cashflow,” said Alvin Lim, an analyst at Fitch Ratings in Seoul.

Fitch, which makes its ratings without input from company management, last month cut Panasonic to BB and Sony to BB minus, the first time one of the major agencies has relegated either company to junk status. Sharp is ranked B minus, adding to its borrowing costs.

“We rate Panasonic as investment grade, and it should have various funding options. Selling assets it can do without, to avoid raising additional borrowing, can be an option,” said Osamu Kobayashi, an analyst at Standard & Poor’s.

While Korean rivals have also benefited from a weaker local currency, data from the Japan Electronics and Information Technology Industries Association shows that Japanese production of consumer electronic equipment fell to just above $ 15 billion last year from more than $ 19 billion a decade ago. Output in September was just $ 980 million, half last year’s level.

“The gap with Korean makers seems to be widening. It’s going to be very difficult for them to regain their top-tier position,” said Fitch’s Lim.

As the three Japanese firms, all under new leadership, have sketched out restructuring plans, the cost of insuring their debt against defaulting in 5 years has dropped from spikes just a month ago. Credit default swaps for Sharp and Sony are down to levels last seen 3 months ago, while Panasonic’s have dropped 40 percent in the past month.

THREE PATHS

While Panasonic is looking to revamp its business around batteries, auto parts and household appliances, Sony is doubling down on smartphones, gaming and cameras. Sharp, meanwhile, is focusing on display screens and is forging alliances with the likes of Taiwan’s Hon Hai Precision Industry and U.S. chipmaker Qualcomm Inc.

Sony may also take the real estate sale route to raise much-needed cash, with a possible sale of its 37-storey New York headquarters, dubbed by New Yorkers as the ‘Chippendale’ because of its design that is reminiscent of the period English furniture. Selling that jewel could raise $ 1 billion, media have reported.

The maker of Vaio laptops, PlayStation gaming consoles and Bravia TVs may also sell its battery business, which makes lithium ion power packs for tablets, PCs and mobile phones. The company has been approached by investment banks offering to sell the unit, which employs 2,700 people and has three factories in Japan and two overseas assembly plants. Sony values the business’s fixed assets at $ 636 million.

Potential buyers could include BYD Co Ltd, a Chinese carmaker backed by billionaire investor Warren Buffett, and Taiwan’s Hon Hai – which part owns Sharp’s advanced LCD panel plant in Sakai, western Japan, and is in talks to buy TV assembly plants in China, Malaysia and Mexico for $ 667 million, Japan’s Sankei newspaper has reported.

Sharp has mortgaged nearly all its properties to secure a $ 4.6 billion bailout from Japanese banks and so has few assets to offer in a grand garage sale.

Instead, it’s selling part of the garage.

Qualcomm has agreed to buy a 5 percent stake in Sharp, making it the largest shareholder. Hon Hai, which earlier this year agreed to invest in Sharp – before its stock slumped in the wake of record losses – has said it remains interested in taking a stake.

“Whatever they can get to get through this fiscal period by scaling down their operation is a critical step for them to remain afloat,” said Fitch’s Lim.

($ 1 = 82.4700 Japanese yen)

(Additional reporting by Reiji Murai; Editing by Ian Geoghegan)

Tech News Headlines – Yahoo! News

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