Chinatown landmark named for pioneering jurist

He was the first Chinese American graduate of Stanford Law School and the first Chinese American judge to be appointed to the bench in the continental United States.

On Friday, he became the first Chinese American to have a Los Angeles landmark named after him: Judge Delbert E. Wong Square, which encompasses the intersection of Hill and Ord streets at the western edge of Chinatown.

Councilman Ed Reyes hopes that someday the stretch of Hill Street that runs in front of the Chinatown public library will be named after Wong, who died in 2006 at age 85. Wong and his wife, Dolores, were instrumental in getting the library built, so the location would be fitting.

"The square is a starting point," said Reyes, who presided over the dedication.

A street in Little Tokyo bears the name of Judge John Aiso, the nation's first Japanese American judge.

Wong was born in the Central Valley town of Hanford in 1920, the son of a grocer from China's Guangdong province. The family later moved to Bakersfield, where Chinese and other minorities were restricted to the balconies of movie theaters and could only use the public swimming pool on Fridays, according to an oral history by Wong's son, Marshall Wong.

Wong graduated from UC Berkeley and enlisted in the Army Air Forces during World War II. As a navigator on a B-17 Flying Fortress, he completed 30 bombing missions in Europe, earning a Distinguished Flying Cross and four Air Medals.

When he returned home, Wong decided to attend law school. His parents disapproved, fearing that racial prejudice would prevent him from finding work.

After graduating from Stanford, Wong found that his job options were indeed limited. The few Chinese American attorneys in California practiced immigration law. Wong gravitated to the public sector, working as a deputy legislative counsel and then as a deputy state attorney general.

In 1959, Wong became the first Chinese American judge in the continental United States when then-Gov. Pat Brown appointed him to the Los Angeles County Municipal Court. He later joined the Superior Court, serving for more than two decades. He continued to make headlines in retirement, leading a probe into racial discrimination at the Los Angeles Airport Police Bureau and working as a special master in the O.J. Simpson case.

Wong and his wife were among the founding benefactors of the Asian Pacific American Legal Center and the Chinatown Service Center. They were also pioneers in another arena: housing. After a real estate agent told them that Chinese could not buy in Silver Lake, they sought out the property's owner, who was happy to sell to them.

Wong's widow and three of his four children attended Friday's dedication.

California now has more than 90 Asian American trial judges. Four of seven state Supreme Court justices are Asian American, including Chief Justice Tani Cantil-Sakauye. But young people passing through Judge Delbert E. Wong Square should remember those who paved the way, perhaps even drawing inspiration from them, Marshall Wong said.

"The children who grow up in this neighborhood will pass by and wonder, 'Who was Judge Wong?' Hopefully, they'll learn something about his story and his work and think, 'Maybe I should go to law school and be a judge someday.'"

cindy.chang@latimes.com

Read More..

Death Toll From Bangladesh Unrest Hits 42

DHAKA, Bangladesh — Violent clashes between protesters and security forces erupted across Bangladesh on Thursday, leaving at least 44 people dead, after a special war crimes tribunal handed down a death sentence to an Islamic leader for crimes against humanity committed 42 years ago, during the country’s 1971 war of independence from Pakistan.

The verdict against Delawar Hossain Sayedee, a leader of Jamaat-e-Islami, an Islamist party, resonated across the country. It was celebrated by the hundreds of thousands of young protesters who have taken to the streets in recent weeks to condemn Jamaat and demand justice in the war crimes cases against other party leaders, insisting that those who were convicted be hanged.

“This verdict is a victory for the people,” declared Imran H. Sarkar, a blogger and an organizer of the protests, during a rally on Thursday afternoon.

But followers of Jamaat reacted with fury, saying the case brought against Mr. Sayedee and others was politically motivated and tainted by judicial irregularities. The police and witnesses said that of the 42 people killed in the unrest, six of them were policemen.

Jamaat leaders had called a nationwide strike on Thursday to protest the verdict, and by afternoon bloodshed had erupted across the country, as party workers fought with the police in the streets.

The protests for and against Jamaat have convulsed Bangladeshi politics, demonstrating that the country has still not healed from the bloody 1971 conflict, in which an estimated three million people were killed and thousands of women were raped. Before the war, Bangladesh was East Pakistan, separated from the rest of that country by a wide expanse of India. The war pitted Bangladeshi separatists against Pakistani soldiers and local collaborators, who were known then as the Razakar Bahini.

“As judges of this tribunal, we firmly hold and believe in the doctrine that ‘justice in the future cannot be achieved unless injustice of the past is addressed,’ ” Justice A. T. M. Fazle Kabir commented in a written summary of the judgment.

The war crimes tribunal has convicted three Jamaat leaders in connection with the war, and other cases are under way, including some against defendants not affiliated with the party.

Mr. Sayedee, 73, is a well-known religious speaker with a bright red beard who became a member of the Bangladeshi Parliament after the war. Prosecutors accused him of involvement in looting and burning villages, raping women and forcing members of religious minorities to convert to Islam during the war.

His defense lawyer, Abdur Razzaq, scoffed at the court’s verdict and accused the authorities of deliberately prejudicing the trial and preventing an important witness from testifying.

“This is unfortunate, and this is unexpected,” Mr. Razzaq said of the verdict and sentence in a telephone interview. “This is a perverse judgment. It is inconceivable that a court of law awarded him a conviction. This prosecution was for a political purpose.”

Jamaat leaders and other opposition politicians have said for months that the government was manipulating the war crimes process to go after political rivals, accusations that the authorities deny. The proceedings have already created dissent and some international criticism. The chief presiding judge resigned after reports, based on hacked Skype conversations, that the judge had improper contacts with a legal expert linked to prosecutors and the government.

But to many Bangladeshis, the real injustice has been that war criminals have remained free for decades. On Feb. 5, the tribunal convicted another Jamaat leader, Abdul Quader Mollah, and sentenced him to life in prison. Furious that the tribunal had not sentenced Mr. Mollah to death, protesters gathered in growing numbers, surpassing 200,000 on some days.

The protests have become known as the Shahbagh movement, named for a large intersection in central Dhaka where the main demonstrations have taken place. Many political analysts say the Shahbagh protests are the most significant spontaneous political movement in Bangladesh in decades. Though the movement may be suffused with idealism and proud nationalism, it also bears a hard edge, with demands for the execution of convicted war criminals.

Sultana Kamal, a prominent human rights leader in Dhaka, said that she disagreed with the calls for the death penalty, but that they reflected the cynicism of Bangladeshis who have seen war criminals evade punishment for decades. Many people were infuriated when Mr. Mollah flashed a victory sign after receiving his life sentence.

“We have a problem in accepting that they are demanding the death penalty,” Ms. Kamal said in a telephone interview. “But we understand that it was from a nervousness among the people here that unless they are given the highest penalty in the land, these people will come back out.”

Julfikar Ali Manik reported from Dhaka, and Jim Yardley from New Delhi.

Read More..

American Idol Reveals Its Top 20

By Steve Helling

02/28/2013 at 11:20 PM EST

From left: Randy Jackson, Mariah Carey, Ryan Seacrest, Nicki Minaj, Keith Urban

Michael Becker/FOX

American Idol has been on the air for 12 seasons. From the early days of Kelly Clarkson, the judges continually hounded the contestants on song choice. Simon Cowell (remember him?) would criticize contestants for being "cabaret," "old-fashioned" and, worst of all, "boring." Some of this season's contestants have been watching Idol since they were in elementary school, which makes it all the more inexplicable that they still choose to sing songs like Peggy Lee's "Fever," which is 57 years old.

The show began with the 10 contestants rising from the floor, Hunger Games-style. Five of them will continue, while five of them met their end. Find out who made it through to the next round …
Spoiler Alert! The final picks for the Top 20 follow:

Cortez Shaw: His ballad arrangement of David Guetta's "Titanium" was excellent – and it was a nice change to hear a song that was current and relevant. "Your range surprised me today," judge Randy Jackson said. "When you hit those big notes, I was shocked."

Burnell Taylor: He's lost 40 lbs. since auditioning, and singing John Legend's "This Time," he brought down the house – despite oddly exaggerated hand movements. "I would pay to hear you sing," said Nicki Minaj, sharing the best compliment of the night. Mariah Carey was also pleased, simply saying, "This was fantastic."

Lazaro Arbos: After delivering an emotional performance of Keith Urban's "Tonight I Want to Cry," the 21-year-old singer from Naples, Fla., was unanimously sent through to the next round. The Cuban-born Arbos has arguably the season's most poignant backstory, with a severe stutter that vanishes when he sings. Minaj remains a big fan, telling him: "You feel it. You stay in it. Don't change nothing."

Nick Boddington: The New York City bartender performed "Say Something Now" by James Morrison and did a passable – if unremarkable – job. "I kept waiting for the feeling of being connected to you as a person," said Urban. Carey agreed, saying, "I needed to feel you more connected to the song."

Vincent Powell: Singing Lenny Williams's "'Cause I Love You," he effortlessly broke into a falsetto that elicited cheers from the audience. After calling him a "sexy old-fashioned" singer, Minaj added, "I could envision a whole bunch of 50-year-olds throwing their panties at you." Powell, who works his day job as a church worship leader, laughed nervously.

And yes, it was guys' night, but finalist Zoanette Johnson made a cameo when she stood up and cheered Powell's performance, prompting host Ryan Seacrest to run over with a microphone. (For a brief moment, It felt like a '90s-era episode of Ricki Lake, which is actually a very good thing.) "Get it, Papa Smurf," Johnson screamed. "You go get it."

Leave it to Zoanette to steal the show on guy's night.

Tonight's finalists will join Charlie Askew, Curtis Finch Jr., Paul Jolley, Elijah Liu and Devin Velez – and 10 female finalists – to sing for America's votes next week.

Who are you rooting for?

Read More..

WHO: Slight cancer risk after Japan nuke accident

LONDON (AP) — Two years after Japan's nuclear plant disaster, an international team of experts said Thursday that residents of areas hit by the highest doses of radiation face an increased cancer risk so small it probably won't be detectable.

In fact, experts calculated that increase at about 1 extra percentage point added to a Japanese infant's lifetime cancer risk.

"The additional risk is quite small and will probably be hidden by the noise of other (cancer) risks like people's lifestyle choices and statistical fluctuations," said Richard Wakeford of the University of Manchester, one of the authors of the report. "It's more important not to start smoking than having been in Fukushima."

The report was issued by the World Health Organization, which asked scientists to study the health effects of the disaster in Fukushima, a rural farming region.

On March 11, 2011, an earthquake and tsunami knocked out the Fukushima plant's power and cooling systems, causing meltdowns in three reactors and spewing radiation into the surrounding air, soil and water. The most exposed populations were directly under the plumes of radiation in the most affected communities in Fukushima, which is about 150 miles (240 kilometers) north of Tokyo.

In the report, the highest increases in risk are for people exposed as babies to radiation in the most heavily affected areas. Normally in Japan, the lifetime risk of developing cancer of an organ is about 41 percent for men and 29 percent for women. The new report said that for infants in the most heavily exposed areas, the radiation from Fukushima would add about 1 percentage point to those numbers.

Experts had been particularly worried about a spike in thyroid cancer, since radioactive iodine released in nuclear accidents is absorbed by the thyroid, especially in children. After the Chernobyl disaster, about 6,000 children exposed to radiation later developed thyroid cancer because many drank contaminated milk after the accident.

In Japan, dairy radiation levels were closely monitored, but children are not big milk drinkers there.

The WHO report estimated that women exposed as infants to the most radiation after the Fukushima accident would have a 70 percent higher chance of getting thyroid cancer in their lifetimes. But thyroid cancer is extremely rare and one of the most treatable cancers when caught early. A woman's normal lifetime risk of developing it is about 0.75 percent. That number would rise by 0.5 under the calculated increase for women who got the highest radiation doses as infants.

Wakeford said the increase may be so small it will probably not be observable.

For people beyond the most directly affected areas of Fukushima, Wakeford said the projected cancer risk from the radiation dropped dramatically. "The risks to everyone else were just infinitesimal."

David Brenner of Columbia University in New York, an expert on radiation-induced cancers, said that although the risk to individuals is tiny outside the most contaminated areas, some cancers might still result, at least in theory. But they'd be too rare to be detectable in overall cancer rates, he said.

Brenner said the numerical risk estimates in the WHO report were not surprising. He also said they should be considered imprecise because of the difficulty in determining risk from low doses of radiation. He was not connected with the WHO report.

Some experts said it was surprising that any increase in cancer was even predicted.

"On the basis of the radiation doses people have received, there is no reason to think there would be an increase in cancer in the next 50 years," said Wade Allison, an emeritus professor of physics at Oxford University, who also had no role in developing the new report. "The very small increase in cancers means that it's even less than the risk of crossing the road," he said.

WHO acknowledged in its report that it relied on some assumptions that may have resulted in an overestimate of the radiation dose in the general population.

Gerry Thomas, a professor of molecular pathology at Imperial College London, accused the United Nations health agency of hyping the cancer risk.

"It's understandable that WHO wants to err on the side of caution, but telling the Japanese about a barely significant personal risk may not be helpful," she said.

Thomas said the WHO report used inflated estimates of radiation doses and didn't properly take into account Japan's quick evacuation of people from Fukushima.

"This will fuel fears in Japan that could be more dangerous than the physical effects of radiation," she said, noting that people living under stress have higher rates of heart problems, suicide and mental illness.

In Japan, Norio Kanno, the chief of Iitate village, in one of the regions hardest hit by the disaster, harshly criticized the WHO report on Japanese public television channel NHK, describing it as "totally hypothetical."

Many people who remain in Fukushima still fear long-term health risks from the radiation, and some refuse to let their children play outside or eat locally grown food.

Some restrictions have been lifted on a 12-mile (20-kilometer) zone around the nuclear plant. But large sections of land in the area remain off-limits. Many residents aren't expected to be able to return to their homes for years.

Kanno accused the report's authors of exaggerating the cancer risk and stoking fear among residents.

"I'm enraged," he said.

___

Mari Yamaguchi in Tokyo and AP Science Writer Malcolm Ritter in New York contributed to this report.

__

Online:

WHO report: http://bit.ly/YDCXcb

Read More..

Las Vegas Strip shooting suspect is arrested in L.A.

A man suspected in a deadly car-to-car shooting in the heart of the Las Vegas Strip was arrested Thursday at a Studio City apartment complex, bringing an end to a weeklong manhunt.

Los Angeles police and FBI agents surrounded the suburban apartment complex in the 4100 block of Arch Drive about noon and ordered Ammar Harris to surrender. Officers said there was a woman inside the apartment where he was holed up; she was not arrested.

Harris, 26, is being held on suspicion of murder and is expected to be extradited back to Nevada.

"This arrest is much more than just taking Ammar Harris," said Las Vegas Sheriff Doug Gillespie, speaking at police headquarters near the Strip. "The citizens of our community as well as tourists who visit and work in the Las Vegas Valley are entitled to a safe community."

Harris — described by law enforcement officials as a man with an "extensive and violent criminal history" — is accused of being the gunman in the Feb. 21 shooting that killed three people, including Kenneth Cherry Jr., an Oakland native and rapper known as Kenny Clutch.

Las Vegas police said Harris opened fire from his Ranger Rover on Cherry's Maserati on Las Vegas Boulevard after an altercation at a valet stand at the Aria hotel resort.

The Maserati then sped into the intersection at Flamingo Road, where it rammed a Yellow Cab, which erupted in flames near the mega-wattage casinos of the Bellagio, the Flamingo and Ceasars Palace. The explosion killed the taxi driver and passenger inside.

Cherry and a passenger in his Maserati were taken to a hospital, where Cherry was pronounced dead. Four other vehicles were involved in the fiery crash, which left three other people with injuries.

"What I can tell you is that Mr. Harris' behavior was unlike any other I've seen, and I've been in this community in law enforcement for 32 years," Clark County Dist. Atty. Steve Wolfson said.

"I cannot imagine anything more serious than firing a weapon from a moving vehicle into another moving vehicle on a corner such as Las Vegas Boulevard and Flamingo."

Even in a city accustomed to spectacle, the shooting and collision were shocking.

On the night of the shooting, Harris was accompanied by three people in his Range Rover, none considered suspects, said Lt. Ray Steiber of the Las Vegas Metropolitan Police Department. On Saturday, Las Vegas police found Harris' black Range Rover at an apartment complex in the city. The district attorney charged Harris with murder even though he could not be located, and a federal magistrate signed off on a charge of fleeing the jurisdiction.

Federal court documents show Las Vegas homicide detectives suspected that Harris may have fled to California because his phone showed he made calls in the state.

According to law enforcement sources, Harris operated as a pimp in Las Vegas. In a video released by Las Vegas police, Harris flashed a fistful of $100 bills as he bragged about the money. He boasted about money, guns, expensive cars and run-ins with the law on social media accounts, authorities said.

On one social media site, using the name Jai'duh, someone authorities believe was Harris posted pictures of stacks of $100 bills and a Carbon 15 pistol.

Harris' record includes a 2010 arrest in Las Vegas on suspicion of pimping-related offenses of pandering with force and sexual assault. He has previously been arrested on suspicion of a variety of crimes in South Carolina and Georgia, authorities said.

Harris is slated to appear in a downtown Los Angeles courtroom Monday for an extradition proceeding.

richard.winton@latimes.com

john.glionna@latimes.com

kate.mather@latimes.com

Glionna reported from Las Vegas. Times staff writer Andrew Blankstein contributed to this report.

Read More..

India Ink: Big Hikes in Rural, Social Spending in India’s New Budget

Finance Minister Palaniappan Chidambaram presented the Union budget in Parliament on Thursday morning. When Mr. Chidambaram walked into the Lok Sabha, or lower house of Parliament, carrying the ceremonial budget briefcase, it was eighth time he had presented the country’s annual budget, and the 82^nd national budget presented in India.

As the last Union Budget to be presented before the national elections in 2014, the finance minister faced a difficult task of balancing good politics with good economics, particularly in trying to rein in a record-high national deficit.

He was, nonetheless, upbeat. “I acknowledge that the Indian economy is challenged, but I am absolutely confident that, with your cooperation, we will get out of the trough and get on to the high growth path,” he said, before presenting the budget in a speech that lasted nearly two hours. “There is no reason for gloom or pessimism,” he said. “Even now, of the large countries of the world, only China and Indonesia are growing faster than India in 2012-13.”

Here is a brief overview of the Union Budget for the fiscal year that begins April 1, 2013:

Total Expenditure:

Planned expenditure in 2013-2014 is 5.55 trillion rupees, or $103 billion, up 29.4 percent from revised estimates for the year before. Total expenditure for 2013-2014 will be 16.7 trillion rupees, up 16 percent from the total expenditure in the fiscal year 2012-2013 of 14.3 trillion rupees.

Full year economic growth projections for the year beginning April 1, 2013:

Gross domestic product growth for 2013-2014 will be 6.1 to 6.7 percent, up from 5 percent the year before. In a budget that emphasized growth, Mr. Chidambaram said that his aim was to get back to an 8 percent growth rate. “Our mantra is, higher growth leading to inclusive and sustainable development,” he said.

Fiscal Deficit:

The fiscal deficit for the current year was contained at 5.2 percent, Mr. Chidambaram said. For the fiscal year 2013-2014, which begins April 1, the estimated fiscal deficit is 4.8 percent and the revenue deficit is 3.3 percent. By 2016-2017, the finance minister said, he aimed to bring down fiscal deficit to 3 percent and revenue deficit to 1.5 percent

Trade:

Exports fell 5.5 percent in the 2012-2013 fiscal year to $ 214.1 billion, compared to their 21.3 percent growth in fiscal 2011-12, when they reached $226.5 billion.

Imports fell 0.7 percent percent in the 2012-2013 fiscal year to $361.3 billion, down from $ 363.9 billion in the corresponding period of 2011-12.

Current Account Deficit

The current account deficit, a measure of the difference between the value of exports and imports, is caused by high oil, coal and gold imports and a slowdown in exports, the finance minister said. This figure is a “bigger worry” than the fiscal deficit, he said. In the first half of the fiscal year 2012-2013, the latest figures available, the current account deficit worsened to $39 billion, or 4.6 percent of G.D.P, versus $36.4 billion, or 4 percent, in the corresponding period of 2011-12.

In order to finance the current account deficit, foreign investment must be increased. Over the next two years, $75 billion is needed to finance the current account deficit, Mr. Chidambaram said.

Rural Spending

The budget for the Ministry of Rural Development will rise by a staggering 46 percent, to 802 billion rupees, or $14.9 billion.

Agriculture Spending:

The Union budget 2013-2014 allocated 270 billion rupees, or $5.02 billion to the Agriculture Ministry, an increase of 22 percent from the previous budget.

Food Security:

The National Food Security Bill, which will provide subsidized food to poor people, is a “promise” of the United Progressive Alliance government, the finance minister said, and he hopes that the Parliament will pass the bill soon. The budget has set aside 100 billion rupees ($1.86 billion) for costs likely under the food security bill, he said.

Health and Education

“Health for all and education for all remain our priorities,” Mr. Chidambaram said. In 2013-2014 he allocated 373 billion rupees, or $6.93 billion to the Ministry of Health and Family Welfare. This includes 212 million rupees for the National Health Mission, a program to improve healthcare in rural India, an increase of 24.3 percent from the year before.

He also proposed to provide rupees 47 billion rupees, or $878 million for medical education, training and research.

Defense Spending:

Allocations for defense in the upcoming year rose by 4.5 percent from the year before, to 2 lakh crore, or 2 trillion rupees. In 2012-2013 fiscal year, defense spending allocation was 1.94 trillion rupees ($38.7 billion), up 17.6 percent over the year before.

Taxes: Tax rates will remain the same, the finance minister said, but there will be a one-time surcharge imposed on the 42,800 Indians who report income of more than 10 million rupees ($186,000) to the tax department. This will be imposed for one year only, he said, adding that he hoped these rich Indians would feel a little of the spirit of Azim Premji, the Wipro founder and philanthropist.

Read More..

American Idol Reveals Its Top 10 Women

TV Watch

American Idol

02/27/2013 at 10:45 PM EST

From left: Randy Jackson, Mariah Carey, Ryan Seacrest, Nicki Minaj, Keith Urban

Michael Becker/FOX

American Idol's's list of the top 10 women is complete!

After the first week of sudden-death rounds, the judges gave their stamp of approval to five more female singers Wednesday night. And they sent five others home.

Keep reading to find out who's in and who's out on Idol ...

Here are the five contestants who are moving on in the competition:

1. Zoanette Johnson: The Tulsa resident, 20, was the first to be put through by the judges, who showered her with praise for singing a spirited version of "Circle of Life" from The Lion King. Keith Urban declared her "queen of the jungle." Nicki Minaj told Zoanette, "You make me so emotional ... You're the person we're going to remember tonight."

2. Aubrey Cleland: After singing a slowed-down version of Beyoncé's "Sweet Dreams," Mariah Carey told Cleland, 19, "You're limitless." Nicki and Randy Jackson pointed out her commercial appeal. "Lookin' like a current artist, soundin' like one, feelin' like one," said Nicki of the performance.

3. Candice Glover: Taking on Aretha Franklin's "(You Make Me Feel Like) A Natural Woman" paid off for the singer, 23, who earned a standing ovation from Keith. Randy said she was "one of my favorite singers in the whole competition."

4. Breanna Steer: "You're extremely marketable and gorgeous and talented," Mariah told the singer, 18, after she sang a dramatic version of Jazmine Sullivan's "Bust Your Windows" that had Randy wanting to sign her up for a recording contract. "You got the whole package," he said. "You brought so much drama."

5. Janelle Arthur: She beat out the other country singer in the competition, Rachel Hale, for the final spot in the women's top 10 after singing Lady Antebellum's "Just a Kiss." Though Randy called Arthur, 23, his "favorite country singer in this competition," the other judges questioned her song choice. "[The song] doesn't give you a chance to really soar," Keith said. "The melody kept pulling you back."

These five will join the five female finalists announced last week – Kree Harrison, Amber Holcomb, Adriana Latonio, Angela Miller and Tenna Torres – as well as the five men – Charlie Askew, Curtis Finch Jr., Paul Jolley, Elijah Liu and Devin Velez. Ten more guys will sing Thursday (8 p.m. ET) and five will move on to round out season 12's top 20.

Did the judges make the right decisions? Sound off in the comments below.

Read More..

Medicare paid $5.1B for poor nursing home care

SAN FRANCISCO (AP) — Medicare paid billions in taxpayer dollars to nursing homes nationwide that were not meeting basic requirements to look after their residents, government investigators have found.

The report, released Thursday by the Department of Health and Human Services' inspector general, said Medicare paid about $5.1 billion for patients to stay in skilled nursing facilities that failed to meet federal quality of care rules in 2009, in some cases resulting in dangerous and neglectful conditions.

One out of every three times patients wound up in nursing homes that year, they landed in facilities that failed to follow basic care requirements laid out by the federal agency that administers Medicare, investigators estimated.

By law, nursing homes need to write up care plans specially tailored for each resident, so doctors, nurses, therapists and all other caregivers are on the same page about how to help residents reach the highest possible levels of physical, mental and psychological well-being.

Not only are residents often going without the crucial help they need, but the government could be spending taxpayer money on facilities that could endanger people's health, the report concluded. The findings come as concerns about health care quality and cost are garnering heightened attention as the Obama administration implements the nation's sweeping health care overhaul.

"These findings raise concerns about what Medicare is paying for," the report said.

Investigators estimate that in one out of five stays, patients' health problems weren't addressed in the care plans, falling far short of government directives. For example, one home made no plans to monitor a patient's use of two anti-psychotic drugs and one depression medication, even though the drugs could have serious side effects.

In other cases, residents got therapy they didn't need, which the report said was in the nursing homes' financial interest because they would be reimbursed at a higher rate by Medicare.

In one example, a patient kept getting physical and occupational therapy even though the care plan said all the health goals had been met, the report said.

The Office of Inspector General's report was based on medical records from 190 patient visits to nursing homes in 42 states that lasted at least three weeks, which investigators said gave them a statistically valid sample of Medicare beneficiaries' experiences in skilled nursing facilities.

That sample represents about 1.1 million patient visits to nursing homes nationwide in 2009, the most recent year for which data was available, according to the review.

Overall, the review raises questions about whether the system is allowing homes to get paid for poor quality services that may be harming residents, investigators said, and recommended that the Centers for Medicare & Medicaid Services tie payments to homes' abilities to meet basic care requirements. The report also recommended that the agency strengthen its regulations and ramp up its oversight. The review did not name individual homes, nor did it estimate the number of patients who had been mistreated, but instead looked at the overall number of stays in which problems arose.

In response, the agency agreed that it should consider tying Medicare reimbursements to homes' provision of good care. CMS also said in written comments that it is reviewing its own regulations to improve enforcement at the homes.

"Medicare has made significant changes to the way we pay providers thanks to the health care law, to reward better quality care," Medicare spokesman Brian Cook said in a statement to AP. "We are taking steps to make sure these facilities have the resources to improve the quality of their care, and make sure Medicare is paying for the quality of care that beneficiaries are entitled to."

CMS hires state-level agencies to survey the homes and make sure they are complying with federal law, and can require correction plans, deny payment or end a contract with a home if major deficiencies come to light. The agency also said it would follow up on potential enforcement at the homes featured in the report.

Greg Crist, a Washington-based spokeswoman for the American Health Care Association, which represents the largest share of skilled nursing facilities nationwide, said overall nursing home operators are well regulated and follow federal guidelines but added that he could not fully comment on the report's conclusions without having had the chance to read it.

"Our members begin every treatment with the individual's personal health needs at the forefront. This is a hands-on process, involving doctors and even family members in an effort to enhance the health outcome of the patient," Crist said.

Virginia Fichera, who has relatives in two nursing homes in New York, said she would welcome a greater push for accountability at skilled nursing facilities.

"Once you're in a nursing home, if things don't go right, you're really a prisoner," said Fichera, a retired professor in Sterling, NY. "As a concerned relative, you just want to know the care is good, and if there are problems, why they are happening and when they'll be fixed."

Once residents are ready to go back home or transfer to another facility, federal law also requires that the homes write special plans to make sure patients are safely discharged.

Investigators found the homes didn't always do what was needed to ensure a smooth transition.

In nearly one-third of cases, facilities also did not provide enough information when the patient moved to another setting, the report found.

___

On the Web:

The OIG report: http://1.usa.gov/VaztQm

The Medicare nursing home database: http://www.medicare.gov/NursingHomeCompare/search.aspx?bhcp=1&AspxAutoDetectCookieSupport=1

___

Follow Garance Burke on Twitter at —http://twitter.com/garanceburke.

Read More..

Eric Garcetti showed political savvy during busy student years

Fourth in a series of articles focusing on key periods in the lives of the mayoral hopefuls.

Ben Jealous still recalls walking into a Columbia University meeting of a new group called Black Men for Anita Hill and seeing a half-Jewish, half-Mexican kid from Los Angeles leading the discussion.

"What's he doing here?" he asked the professor who organized the meeting.

"Honestly brother," the teacher replied, "he's the only one here I'm certain will really work hard."

L.A. ELECTIONS 2013: Sign up for our email newsletter

It was Jealous' first exposure to Eric Garcetti, a committed young progressive known on campus for gliding between different worlds and liberal causes. As a political science major at Columbia, Garcetti patched plaster and painted walls in low-income apartments in Harlem while also serving as the president of an exclusive literary society known for its wealthy membership. He led a men's discussion group on gender and sexuality, ran successfully for student government, and wrote and performed in musicals.

His busy student years offered hints of the future political persona that would later help him win a Los Angeles City Council seat and emerge as a leading candidate for mayor. As he pursued countless progressive causes — improved race relations in New York City, democracy in Burma and human rights in Ethiopia — Garcetti also exhibited a careful stewardship of his image and a desire to get along with everyone.

Some of his critics complain that he is confrontation averse, and say his chameleon-like abilities are political. Others complain that he has lost touch with his activist roots, citing his recent advocacy for a plan to allow taller and bigger buildings in Hollywood despite strong opposition from some community members.

But Jealous, who went on to study with Garcetti at Oxford, where they were both Rhodes scholars, remembers his classmate as "authentically committed" to social justice and naturally at ease in different settings. That was a valuable trait in early 1990s New York City, when tensions between whites and blacks were high, said Jealous, who is now the president of the National Assn. for the Advancement of Colored People. Against a backdrop of racial violence, including the stabbing of the Rev. Al Sharpton in Brooklyn in 1991, "there was an urgent need to build bridges," he said.

On Columbia's campus, Garcetti pushed to involve more men in Take Back the Night protests against sexual violence and tracked hate crimes as president of the National Student Coalition Against Harassment. He also worked against homelessness and founded the Columbia Urban Experience, a program that exposes incoming freshmen to city life through volunteerism.

Judith Russell, a Columbia professor who taught Garcetti in a yearlong urban politics course, remembers him as a skilled organizer. "Eric was one of the best people I've ever met at getting people to agree," she said.

He was also ambitious. Russell says she wrote countless recommendation letters for Garcetti, who was always applying for some new opportunity. "For most people I have a file or two. For Eric I have a folder," she said.

Even as a student, Garcetti went to great lengths to guard his image and public reputation. In a 1991 letter to a campus newspaper, a 20-year-old Garcetti sought a retraction of a quote that he acknowledged was accurate. A reporter wrote that Garcetti called owners of a store that declined to participate in a Columbia-sponsored can recycling program "assholes." Garcetti said the comment was off the record.

"I would ask, then, if you would retract the quote, not because of the morality of my position, rather the ethics of the quoting," he wrote.

That self-awareness came partly from being raised in a politically active family. Back in Los Angeles, his father was mounting a successful campaign for county district attorney. His mother, the daughter of a wealthy clothier, ran a community foundation. Her father, who had been President Lyndon B. Johnson's tailor, made headlines in the 1960s when he took out a full-page ad in the New York Times calling on Johnson to exit the Vietnam War.

Garcetti's family wealth allowed him to carry on the legacy of political activism. While attending L.A.'s exclusive Harvard School for Boys, he traveled to Ethiopia to deliver medical supplies. In college, while other students worked at summer jobs, he traveled twice to Burma to teach democracy to leaders of the resistance movement.

In 1993, after receiving a master's degree from Columbia's School of International and Public Affairs, Garcetti departed for Oxford. There he met Cory Booker, a fellow Rhodes scholar who is now the mayor of Newark, N.J., and a likely candidate for the U.S. Senate. Garcetti, Booker said, "was one of those guys who would be in the pub at midnight talking passionately about making a better world."

In England, Garcetti worked with Amnesty International and also met his future wife, Amy Wakeland, another Rhodes scholar with activist leanings. Garcetti remembers being impressed when Wakeland missed President Clinton's visit to the Rhodes House at Oxford because she was on the streets protesting tuition hikes. Her worldview aligned with his, he told friends.

In his second year at Oxford, Garcetti persuaded student leaders to join him in a hunger strike after the passage of Proposition 187, the 1994 California ballot measure that denied immigrants access to state healthcare and schools.

Looking back, he sees the hunger strike as a bit of youthful folly. "We were young," Garcetti said. "Was a fast an ocean away going to overturn 187? No. But in my book, whether it's me in Los Angeles seeing an injustice across an ocean or vice versa, you have to stand up and be heard."

Read More..

Pope Benedict Prepares for Final General Audience

Agence France-Presse — Getty Images

Tens of thousands of believers gathered for Pope Benedict XVI’s final general audience in St. Peter’s Square on Wednesday.

ROME — In the waning hours of his troubled papacy, Pope Benedict XVI prepared on Wednesday to hold his final general audience as tens of thousands of believers gathered in St. Peter’s Square a day before his resignation takes formal effect.

Vatican officials said around 50,000 tickets had been requested for the occasion, which is likely to draw many more pilgrims into the broad boulevard leading toward the Vatican from the River Tiber.

The pope sent shock waves around the Roman Catholic world on Feb. 11 when he announced he would resign on Thursday — the first pope to have done so voluntarily in six centuries.

The announcement left officials scrambling to deal with the protocols of his departure as he ceases to be the leader of the world’s 1.1 billion Roman Catholics. Only on Tuesday did the Vatican announce that he will keep the name Benedict XVI and will be known as the Roman pontiff emeritus or pope emeritus.

He will dress in a simple white cassock, forgoing the mozzetta, the elbow-length cape worn by some Catholic clergymen, the Vatican spokesman, the Rev. Federico Lombardi, told reporters at a news briefing on Tuesday.

And he will no longer wear the red shoes typically worn by popes, symbolizing the blood of the martyrs, Father Lombardi said, opting instead for a more quotidian brown.

Benedict’s looming departure has also triggered a surge of maneuvering among the 117 cardinals who will elect his successor in a conclave starting next month, reviving concerns about the clerical abuse scandals that dogged Benedict’s time at the Vatican.

Indeed, the abrupt resignation of the most senior Roman Catholic cardinal in Britain on Monday — after accusations that he made unwanted sexual advances toward priests years ago — showed that the taint of scandal could force a cardinal from participating in the selection of a new pope.

His exit came as at least a dozen other cardinals tarnished with accusations that they had failed to remove priests accused of sexually abusing minors were among those gathering in Rome to prepare for the conclave.

But there was no indication that the church’s promise to confront the sexual abuse scandal had led to direct pressure on those cardinals to exempt themselves from the conclave.

Rachel Donadio reported from Rome, and Alan Cowell from Paris.

Read More..