July 2009

Irish court may censor next Catholic abuse report (AP)

DUBLIN – Ireland's next report into the cover-up of child abuse in the Catholic Church might be censored or delayed because its publication could undermine prosecutors' efforts to imprison pedophile priests, Justice Minister Dermot Ahern announced Friday.
Ahern said he wants to publish the report into three decades of abuse cases in Dublin's archdiocese "with all possible speed" — but not if this would allow priests responsible for "horrific acts of depravity" to escape justice.
A fact-finding commission spent three years gathering evidence about how bishops and other Dublin archdiocesan officials sheltered known pedophile priests from police and other child-protection authorities from 1975 to 2004. The commission delivered its findings confidentially 10 days ago to Ahern and Attorney General Paul Gallagher.
Gallagher has concluded that the report, if published now in full, "might prejudice some current criminal proceedings," Ahern said.
The justice minister said he has asked Ireland's second-highest court, the High Court, to read the report and deliver a judgment on whether it should be censored or withheld from publication until criminal cases are complete.
Three cases involving priests charged with sexually abusing children are scheduled for Dublin courts next year. Ahern's comments suggest that, at minimum, details of those three cases will be blacked out before the government publishes the Dublin archdiocese report.
The investigation, led by Dublin High Court Justice Yvonne Murphy, documents the cases of 46 priests implicated in abusing hundreds of children. Several of the cases are already well known to the Irish public because of criminal trials and lawsuits by former altar boys since the mid-1990s, when it began to become socially acceptable in Ireland to sue the once-powerful Catholic Church.
In most cases, bishops told police nothing about the crimes reported to them by parents or teachers, and instead transferred the abusive priests to new parishes — where even other priests were kept in the dark about abuse complaints against their colleagues.
The previous archbishop of Dublin, Cardinal Desmond Connell, tried to withhold key documents from investigators documenting what he and other church officials knew about abuse complaints. He relented after suffering public criticism from his reform-minded successor, Archbishop Diarmuid Martin, who took over in Dublin in 2004.
Martin told Mass-goers in an April sermon that the report's findings "will shock us all."
Over the past 15 years, Ireland has grown somewhat numb to revelations of molestation, cruelty and cover-up in a church that until the 1980s wielded heavy influence over the government and wider society.
The floodgates for lawsuits and criminal investigations began to open in 1994, when a government collapsed amid allegations it delayed the extradition of a notorious abuser, the Rev. Brendan Smyth, to the neighboring British territory of Northern Ireland.
Since 2002, a government-funded compensation board has paid out more than euro900 million ($1.25 billion) to about 12,000 people abused in church-run facilities for children since the 1930s.
In May, a 2,600-page report into that scandal concluded that Catholic orders of nuns, priests and brothers who ran state-funded orphanages, workhouses and reformatories for Ireland's poorest children were guilty of shielding hundreds, if not thousands, of known abusers within their ranks. Crimes documented included ritual beatings, rape, and lying to children that their parents were dead. The last of those church-run facilities closed in the 1990s.

Ex-trainer sues Roger Clemens for defamation (AP)

NEW YORK – Roger Clemens' ex-trainer has sued the former star pitcher for defamation.
In the lawsuit filed Friday in federal court in Brooklyn, Brian McNamee (MAK'-nah-me) accused Clemens of launching a public campaign to discredit him after the trainer claimed Clemens used steroids.
McNamee has told federal agents, baseball investigator George Mitchell and a House committee that he injected Clemens more than a dozen times with steroids and human growth hormone from 1998 through 2001. Clemens has denied using performance-enchancing drugs.
Clemens' attorney did not immediately respond to a phone message.
The lawsuit seeks unspecified damages.

Analysis: Obama's rare race foray a positive step (AP)

Perhaps the biggest "teachable moment" from the Henry Louis Gates Jr. saga was for President Barack Obama: If you want to improve race relations, you have to enter the fray.
Even some of Obama's fiercest opponents say that by bringing together the black professor and the white police officer who arrested him, the president had orchestrated an unlikely and unifying moment, a peaceable kingdom in the Rose Garden.
Symbolic? Yes. Made for TV? Certainly. But these things could not obscure the fact that a president who has tried to transcend racial matters was down in the arena, talking about race.
"The cynic in me wants to shoot holes in it, the critic in me wants to pick it apart," said conservative radio host Mike Gallagher. "But I'm sorry, you have two sides, polar opposites in a racially tinged confrontation like this, sitting down with the president of the United States over a beer at the White House?
"This is a great step forward in showing how you can take a confrontation, a conflict, and make a positive out of it."
This also is the kind of direct action Obama had sidestepped as he sought the support of white voters weary of racial dissonance.
In March, Obama was asked whether he agreed with Attorney General Eric Holder's comments that many Americans have been "cowards" because "we, average Americans, simply do not talk enough with each other about race."
"I'm not somebody who believes that constantly talking about race somehow solves racial tensions," Obama told The New York Times. "I think what solves racial tensions is fixing the economy, putting people to work, making sure that people have health care."
The standoff between Gates and Obama has the potential to exacerbate tensions. Many blacks supported Gates' claim that he was racially profiled by Crowley, while many whites insisted Crowley displayed no bias in investigating a possible break-in at Gates' home.
Gates demanded an apology from Crowley and called him a "rogue policeman." After Obama said police had "acted stupidly" in arresting an angry Gates for disorderly conduct, Crowley said Obama was "way off base wading into a local issue without knowing all the facts."
The atmosphere was much different after Thursday's conversation.
"No tension," Crowley said.
Mostly, racial conflicts fade out without any consultation, let alone resolution. Imagine the widow of Sean Bell meeting with the New York police officers who shot her husband, or the black teens in Jena, La., talking to the white schoolmate they attacked.
That made the White House meeting even more remarkable — "revolutionary and potentially healing, a peace pipe for modern times," wrote the right-leaning columnist Kathleen Parker.
"When future archaeologists excavate our history, they will doubtless marvel at the symbolism of that simple gesture," she wrote.
It probably never would have happened had Obama not criticized Crowley, a mistake that demanded damage control.
Why not?
"His advisers would have said, 'No, it's not about health care!'" said Rev. Jim Wallis, president of the progressive Christian group Sojourners and author of "God's Politics: Why the Right Gets It Wrong and the Left Doesn't Get It."

It was political theater — but it sent a powerful message, Wallis said.

"It was a parable for what needs to happen off-camera all the time — that kind of conversation," he said. "Obama was saying, 'This now needs to happen.'"

Obama has rarely joined that conversation since his national debut at the 2004 Democratic National Convention speech, when he declared, "There is not a black America and a white America and Latino America and Asian America — there's the United States of America."

But as the first black president, son of a white mother and black father, many say he in uniquely suited — even obligated — to lead the discussion.

"As a white man, I would say the nation needs a president to be proactive on race," Wallis said. "He has a power to be that, the capacity to be that, the identity and the history."

Gallagher said no one besides Obama could have orchestrated this type of resolution.

"You had to almost have a black president who's capable of saying to Gates, the man who feels aggrieved and insulted, 'I need you at the White House.'"

"Obama said ... 'Let's show the world that we're trying to advance race relations rather than digress,'" he continued. "And you know what? As one of his fiercest critics, he gets an A-plus on this. I'm just blown away."

Much has been made of the symbolism of a black president and how he provides an opportunity for people to talk about race. In some ways, race is always an element of any conversation Obama is involved in.

But "watercooler conversations aren't enough any more," Wallis said. "They don't go deep enough, they are too short and they are very safe. You gotta sit at the table."

That's exactly what Crowley, Gates and Obama did on the White House lawn, along with Vice President Joe Biden, whose presence conveniently balanced out the image.

Earlier, Crowley and Gates talked after they crossed paths while separately touring the White House with their relatives.

They continued their tour as one large group.

___

EDITOR'S NOTE: Jesse Washington covers race and ethnicity for The Associated Press. AP news researcher Rhonda Shafner contributed to this report.

Racial disparities for one type of tumor disappear (Reuters)

NEW YORK (Reuters Health) –
African-Americans diagnosed before 2000 with a very rare kind of tumor found in or near the digestive tract were less likely than other races to receive surgery, and even when they did have surgery, they were more likely to die of the cancer. Today, however, African-Americans with these tumors have outcomes equivalent to those in other races, according to a new study.

The differences are likely due to the availability of a treatment called imatinib, marketed as Gleevec, say the authors of the study.

Using data from the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) registry, Dr. Leonidas G. Koniaris and colleagues from the University of Miami, Florida, compared outcomes of patients diagnosed gastrointestinal stromal tumors (GIST) before and after imatinib was introduced in 2000.

According to their report in the Journal of the American College of Surgeons, 3795 patients were diagnosed with GIST between 1992 and 2005, with 30 percent diagnosed before 2000. Overall, 72 percent were white, 16 percent were African-American, and 9 percent were Hispanic.

In the earlier group, the risk of dying within 30 days of surgery was higher in African Americans than in whites, although there was no difference in the stages of the tumors found.

Also, African Americans were less likely than whites to undergo surgery (80 percent versus 88 percent).

After 2000, however, the risk of dying within 30 days of surgery were equivalent between races, as was the likelihood of having surgery.

Koniaris told Reuters Health in an email that the findings "suggest that newer therapies, although extremely expensive, have greatly impacted health for all patients with GIST."

SOURCE; Journal of the American College of Surgeons, July 2009.

Liberia's Taylor lifts veil on life as strongman (AP)

AMSTERDAM – In three weeks on the witness stand, Charles Taylor has painted a portrait of an African strongman — navigating rebellions and palace intrigue, and ultimately failing in a struggle to survive as Liberia's president.
By turns vitriolic and professorial, Taylor is lifting a veil during his war crimes trial on the life of a guerrilla commander who fought enemies across borders and at home to seize his country's presidential mansion, and had aspirations to become a pan-African leader.
He has sought to counter claims he was a cannibalistic tyrant trading human lives for diamonds in neighboring Sierra Leone by describing himself as a democrat and statesman surrounded by enemies consumed with the notion to "get Taylor."
The detailed narrative is fascinating, if selective.
"He's a great communicator," says David Crane, the prosecutor who drew up Taylor's indictment six years ago. "He's just not telling the whole story,"
As president, Taylor felt under siege, rarely trusting those around him.
When he traveled, he rode in a convoy with two presidential limousines so that potential attackers would never know which car he was in.
He says he created a broad government, bringing in former enemies in an attempt at national reconciliation. But he acknowledged keeping them under constant surveillance.
"Everybody is watching his movements, his attitude," Taylor said of Varmuyan Sherif, a former bodyguard who testified against him.
"This was a man who just tried to kill me" when he was a general in an opposing militia. Taylor said that Sherif, who described himself as close to the president, was never allowed to carry a weapon in his presence.
Taylor is the first defense witness at the Special Court for Sierra Leone in The Hague. His testimony is likely to continue several weeks more, and the defense has lined up another 200 potential witnesses.
He is accused of 11 counts of murder, rape, sexual slavery, cruelty, forced labor and recruiting child soldiers as he supported rebels in neighboring Sierra Leone. He has denied all allegations.
His British lawyer, Courtenay Griffiths, is leading him through a month-by-month account of his rise to power, from the invasion of his rebel force in 1989 to overthrow the tyrannical regime of Samuel K. Doe to his 1997 election and his own ouster in 2003, when his government was accused of surpassing Doe's in brutality.
Along the way Taylor describes encounters with former allies and opponents, as well as his sometimes tumultuous personal affairs with a succession of wives and girlfriends. He casually name-drops acquaintances like Jimmy Carter and Jesse Jackson.
Ellen Johnson-Sirleaf, the current Liberian leader and Africa's first woman president, was a former supporter and fundraiser with whom Taylor said his relations "had gotten rocky." Former U.S. President Bill Clinton, Taylor said, was friendly and encouraging of Liberia's "democratic reforms" during a telephone conversation, even though the country was then under a U.N. embargo.
He is usually sedate but has moments of jocularity and sudden flashes of venom — using calculated moments of outrage to deny allegations against him and denounce witnesses as liars or madmen.
That atrocities happened in Sierra Leone is undeniable. For more than a year prosecutors brought a parade of victims displaying the stumps of limbs hacked off by rebels and women who told of being dragged off into slavery.
The defense strategy must be to dissuade the three judges that Taylor was responsible for the rebel actions and to undermine the prosecution's allegations that he had a command-and-control function over the militias to gain access to Sierra Leone's mineral wealth.

Crane, who is now a Syracuse University law professor, said Taylor was trying to portray himself as Liberia's savior and as a victim of circumstances. "He steps very quickly over the 1.2 million human beings that he destroyed in 10 years."

Alpha Sesay, a Sierra Leone lawyer who writes a daily summary of the trial for an Internet site, says Taylor has been trying at every turn to distance himself from the rebels of the Revolutionary United Front, or RUF.

"Many of us used to think that Taylor was reckless. But now, listening, you can see that as president he tried to cover every trace of his association with the RUF," said Sesay, whose own family repeatedly were chased from their homes by rebels.

In that regard, Taylor's performance so far has been "brilliant," he said. "I've always known he is a smooth talker. He can be very very convincing."

Klein: How Special Interests Could Block Health Reform (Time.com)

"Sometimes I get a little frustrated," Barack Obama admitted to AARP in late July, "because this is one of those situations where it's so obvious that the system we have isn't working well for too many people, and that we could just be doing better." He was talking about health care, of course. As Washington collapsed toward its August recess, the President's reform efforts were looking distinctly iffy, even though he is absolutely right about the need for change. The system is a fiscal mess, the king of all budget busters. It is also a moral mess, leaving far too many Americans with far too little protection. But the President is wrong when he says, "The system we have isn't working well for too many people." The vast majority - more than 80% in the latest TIME poll - are satisfied with their health care. They may be worried about losing their coverage, and angry as their premiums rise, but the health-care "crisis" is theoretical to most Americans. That's the immediate source of Obama's frustration, but there is a larger, structural issue blocking his path. (See the five biggest hurdles to health-care reform.)
One of the most difficult things to do in a democracy is react to a problem that is real, but not immediately threatening. Obama is trying to do this in two monster areas, health care and climate change. "He's killing me," says Senator Debbie Stabenow of Michigan, referring to the hordes of special-interest groups that have camped on her doorstep and clogged her phone lines. Stabenow is smiling as she says it. She supports the broad thrust of Obama's initiatives. "But you can't believe all the groups that want to make their case. There are the doctors, the nurses, the cancer society," she continues, raising the specter of a conga line of disease groups bending her ear. "All of them have legitimate concerns. And that's just health care."
As long ago as 1982, the economist Mancur Olson made the argument, in The Rise and Decline of Nations, that as a democracy matures, special interests grow more entrenched. Their intense dedication to their own specific needs, Olson wrote, often trumps the broader, but less focused, interests of society. And that was before the rise of cable news and talk radio. It was before the utterly corrupting effect of televised advertising on politicians really kicked in - the need to raise money (from interest groups, mostly) and to exercise extreme caution lest one of your votes be used to decapitate you in a 20-second ad. It was before the Democrats and Republicans transformed themselves into more strictly ideological parties. Put all these factors in the cauldron and you create a poisonous atmosphere that makes legislative action on big issues almost impossible. It is also a prescription for conservative governance of the sort that has thrived since Ronald Reagan. Doing nothing is the easiest thing. (Read TIME's exclusive health-care interview with Obama.)
"We've gotten rusty at legislating," says Representative Jim Cooper, a Tennessee Democrat. He is being kind. There are only two sorts of legislation that seem to pass these days: things that have to pass, like budgets - and cotton-candy giveaways, like tax cuts or the wildly irresponsible, unfunded Medicare drug bill that George W. Bush enacted. Occasionally, responsible actions take place in the budget process. Bill Clinton spent most of his political capital on deficit reduction, which helped fuel the economic boom of the 1990s. Obama has just managed to kill the F-22, an anachronistic fighter jet. Very, very occasionally a special interest will take it on the chin - as the teachers' unions did when Bush passed the No Child Left Behind Act, which mandated a testing regimen the teachers didn't like. But the passage of landmark legislation like the health-industry reforms that Obama is seeking has become about as common as politicians who refuse to run television ads. It just doesn't seem to happen anymore.
Download TIME's new BlackBerry app.
See who's who in Obama's White House.
These constrictions account for some of the strange decisions that Obama has made in shaping the health-care debate. Since most people like the health care they have, the President has been forced to say, "If you like the health care you have, you can keep it." But it is difficult to enact substantive reforms when 80% of the system stays the same. The need for simplicity has also forced Obama to stick with - indeed, to double down on - the current practice of having employers provide health insurance. This is the weakest, most illogical part of the system. It is difficult to sustain in a global economy where American corporations have overseas competitors that aren't saddled with providing health care for their employees.
The pressures of partisanship have forced other contortions. It seems obvious that the cost of malpractice insurance cripples doctors - and drives up the number of tests and procedures they perform in order to bulletproof themselves against lawsuits. Obama has said he is open to malpractice reform, but congressional Democrats haven't included it in their bills because trial lawyers are a major Democratic special-interest group. Another Democratic interest group, organized labor, has blocked the most logical and progressive way to fund a universal health-care system - eliminating the tax exclusion on health benefits and replacing it with a progressive tax credit. The health-care exclusion is, at approximately $250 billion, the single biggest tax break in the federal code. The problem is that unions have negotiated generous health packages over the years. According to Senator Stabenow, autoworkers get a package worth about $15,000 per year - and public employees get more, about $19,000. "The police and firefighters get even more," she says. "But they need it, and do you really want to tax them for putting their lives on the line?" (Advocates like Representative Cooper insist that exceptions for some unions can be made.) (See the results of TIME's health-care poll.)
The best-constructed health-care bill, developed by Senator Ron Wyden of Oregon, would eliminate the health-care tax exclusion the unions want. "But we also offer a tax credit of $17,000 per year, which is more than most people are getting in health-care benefits now," he says. Wyden's bill addresses most of the other major health-care issues. It has 14 bipartisan co-sponsors in the Senate, it covers everyone and offers more choices, it reforms the health-insurance business, it alleviates the responsibility of employers, it has a robust cost-control mechanism, and it has been scored as revenue-neutral over 10 years by the Congressional Budget Office. "It's got everything," says Stabenow, one of the co-sponsors, "except interest groups to back it."
At the end of his presidency, Clinton told me that the biggest mistake he made in trying to reform health care was pulling a pen out of his pocket during the 1994 State of the Union address and threatening to veto any health-care legislation that didn't achieve universal coverage. He had come to believe that the only way to get something big like health-care reform was to do it incrementally. Obama has been wise not to make any take-it-or-leave-it offers. He is still fighting for a comprehensive bill - and he still may get one. But he may have to settle for less. (Watch TIME's video "Uninsured Again.")
"Something called health-reform legislation will pass," a prominent Democrat told me. "The political consequences of not passing anything would be too great." A bare-bones bill that reforms the health-insurance industry - insurers would have to accept all comers, including those with pre-existing conditions, at the same rates - is a distinct possibility. Expanded coverage, perhaps including the parents of children eligible for the State Children's Health Insurance Program (SCHIP), is also probable. Most important for long-term reform, a system of health-care superstores - the wonks call them "exchanges" or "co-ops" - where individuals and small businesses can go to buy a plan, could be included.
"Look, we've already passed three major pieces of health-care legislation," says Henry Aaron of the Brookings Institution, who is skeptical about the chances for a comprehensive bill. He was referring to the expansion of SCHIP and the funds for electronic records and studies to monitor which treatments are most effective that were included in the stimulus bill. "If we can pass health-care exchanges, which could be expanded in the future and are the seeds of real change, this will be the most successful year of health-care reform in decades." The President wants much more; the media expect much more - but given the constraints of our middle-aged democracy, perhaps we should be happy to achieve any sort of progress at all.
See pictures from an X-ray studio.
Read "The Year in Medicine 2008: From A to Z."
View this article on Time.comRelated articles on Time.com:Health-Care Poll: Americans Support Obama's Reform Goals Can Obama Close the Deal on Health Care? Barack Obama, MD TIME Health-Care Poll: Americans Back Reform but Worry About Details Cost Controls, Not Universal Coverage, Drive Health Care Debate

Klein: How Special Interests Could Block Health Reform (Time.com)

"Sometimes I get a little frustrated," Barack Obama admitted to AARP in late July, "because this is one of those situations where it's so obvious that the system we have isn't working well for too many people, and that we could just be doing better." He was talking about health care, of course. As Washington collapsed toward its August recess, the President's reform efforts were looking distinctly iffy, even though he is absolutely right about the need for change. The system is a fiscal mess, the king of all budget busters. It is also a moral mess, leaving far too many Americans with far too little protection. But the President is wrong when he says, "The system we have isn't working well for too many people." The vast majority - more than 80% in the latest TIME poll - are satisfied with their health care. They may be worried about losing their coverage, and angry as their premiums rise, but the health-care "crisis" is theoretical to most Americans. That's the immediate source of Obama's frustration, but there is a larger, structural issue blocking his path. (See the five biggest hurdles to health-care reform.)
One of the most difficult things to do in a democracy is react to a problem that is real, but not immediately threatening. Obama is trying to do this in two monster areas, health care and climate change. "He's killing me," says Senator Debbie Stabenow of Michigan, referring to the hordes of special-interest groups that have camped on her doorstep and clogged her phone lines. Stabenow is smiling as she says it. She supports the broad thrust of Obama's initiatives. "But you can't believe all the groups that want to make their case. There are the doctors, the nurses, the cancer society," she continues, raising the specter of a conga line of disease groups bending her ear. "All of them have legitimate concerns. And that's just health care."
As long ago as 1982, the economist Mancur Olson made the argument, in The Rise and Decline of Nations, that as a democracy matures, special interests grow more entrenched. Their intense dedication to their own specific needs, Olson wrote, often trumps the broader, but less focused, interests of society. And that was before the rise of cable news and talk radio. It was before the utterly corrupting effect of televised advertising on politicians really kicked in - the need to raise money (from interest groups, mostly) and to exercise extreme caution lest one of your votes be used to decapitate you in a 20-second ad. It was before the Democrats and Republicans transformed themselves into more strictly ideological parties. Put all these factors in the cauldron and you create a poisonous atmosphere that makes legislative action on big issues almost impossible. It is also a prescription for conservative governance of the sort that has thrived since Ronald Reagan. Doing nothing is the easiest thing. (Read TIME's exclusive health-care interview with Obama.)
"We've gotten rusty at legislating," says Representative Jim Cooper, a Tennessee Democrat. He is being kind. There are only two sorts of legislation that seem to pass these days: things that have to pass, like budgets - and cotton-candy giveaways, like tax cuts or the wildly irresponsible, unfunded Medicare drug bill that George W. Bush enacted. Occasionally, responsible actions take place in the budget process. Bill Clinton spent most of his political capital on deficit reduction, which helped fuel the economic boom of the 1990s. Obama has just managed to kill the F-22, an anachronistic fighter jet. Very, very occasionally a special interest will take it on the chin - as the teachers' unions did when Bush passed the No Child Left Behind Act, which mandated a testing regimen the teachers didn't like. But the passage of landmark legislation like the health-industry reforms that Obama is seeking has become about as common as politicians who refuse to run television ads. It just doesn't seem to happen anymore.
Download TIME's new BlackBerry app.
See who's who in Obama's White House.
These constrictions account for some of the strange decisions that Obama has made in shaping the health-care debate. Since most people like the health care they have, the President has been forced to say, "If you like the health care you have, you can keep it." But it is difficult to enact substantive reforms when 80% of the system stays the same. The need for simplicity has also forced Obama to stick with - indeed, to double down on - the current practice of having employers provide health insurance. This is the weakest, most illogical part of the system. It is difficult to sustain in a global economy where American corporations have overseas competitors that aren't saddled with providing health care for their employees.
The pressures of partisanship have forced other contortions. It seems obvious that the cost of malpractice insurance cripples doctors - and drives up the number of tests and procedures they perform in order to bulletproof themselves against lawsuits. Obama has said he is open to malpractice reform, but congressional Democrats haven't included it in their bills because trial lawyers are a major Democratic special-interest group. Another Democratic interest group, organized labor, has blocked the most logical and progressive way to fund a universal health-care system - eliminating the tax exclusion on health benefits and replacing it with a progressive tax credit. The health-care exclusion is, at approximately $250 billion, the single biggest tax break in the federal code. The problem is that unions have negotiated generous health packages over the years. According to Senator Stabenow, autoworkers get a package worth about $15,000 per year - and public employees get more, about $19,000. "The police and firefighters get even more," she says. "But they need it, and do you really want to tax them for putting their lives on the line?" (Advocates like Representative Cooper insist that exceptions for some unions can be made.) (See the results of TIME's health-care poll.)
The best-constructed health-care bill, developed by Senator Ron Wyden of Oregon, would eliminate the health-care tax exclusion the unions want. "But we also offer a tax credit of $17,000 per year, which is more than most people are getting in health-care benefits now," he says. Wyden's bill addresses most of the other major health-care issues. It has 14 bipartisan co-sponsors in the Senate, it covers everyone and offers more choices, it reforms the health-insurance business, it alleviates the responsibility of employers, it has a robust cost-control mechanism, and it has been scored as revenue-neutral over 10 years by the Congressional Budget Office. "It's got everything," says Stabenow, one of the co-sponsors, "except interest groups to back it."
At the end of his presidency, Clinton told me that the biggest mistake he made in trying to reform health care was pulling a pen out of his pocket during the 1994 State of the Union address and threatening to veto any health-care legislation that didn't achieve universal coverage. He had come to believe that the only way to get something big like health-care reform was to do it incrementally. Obama has been wise not to make any take-it-or-leave-it offers. He is still fighting for a comprehensive bill - and he still may get one. But he may have to settle for less. (Watch TIME's video "Uninsured Again.")
"Something called health-reform legislation will pass," a prominent Democrat told me. "The political consequences of not passing anything would be too great." A bare-bones bill that reforms the health-insurance industry - insurers would have to accept all comers, including those with pre-existing conditions, at the same rates - is a distinct possibility. Expanded coverage, perhaps including the parents of children eligible for the State Children's Health Insurance Program (SCHIP), is also probable. Most important for long-term reform, a system of health-care superstores - the wonks call them "exchanges" or "co-ops" - where individuals and small businesses can go to buy a plan, could be included.
"Look, we've already passed three major pieces of health-care legislation," says Henry Aaron of the Brookings Institution, who is skeptical about the chances for a comprehensive bill. He was referring to the expansion of SCHIP and the funds for electronic records and studies to monitor which treatments are most effective that were included in the stimulus bill. "If we can pass health-care exchanges, which could be expanded in the future and are the seeds of real change, this will be the most successful year of health-care reform in decades." The President wants much more; the media expect much more - but given the constraints of our middle-aged democracy, perhaps we should be happy to achieve any sort of progress at all.
See pictures from an X-ray studio.
Read "The Year in Medicine 2008: From A to Z."
View this article on Time.comRelated articles on Time.com:Health-Care Poll: Americans Support Obama's Reform Goals Can Obama Close the Deal on Health Care? Barack Obama, MD TIME Health-Care Poll: Americans Back Reform but Worry About Details Cost Controls, Not Universal Coverage, Drive Health Care Debate

India to Foreign Universities: Set Up Campus Here (Time.com)

For decades, foreign universities have been an integral part of India's higher education. Whiz kids across the country with the financial means have left for highly regarded global universities to study. Many never return, taking both their tuition money and their talent overseas. More than 160,000 students are currently studying in schools in the U.S., Australia, Britain and elsewhere. Over 100,000 pack up and head to study abroad every year, spending $7 billion on tuition and housing.
But what if big foreign universities like Yale, MIT, Stanford, Columbia Business School and the London School of Economics could set up campus in India? India's new Minister for Human Resource Development, Kapil Sibal, wants to make that happen. Sibal intends to have new laws in place by next July that would open up India's heavily regulated educational system to foreign players, with a goal of building a skilled pool of local managers and workers to help run an economy that continues to grow at a rate of 6.7%. Sibal also intends to make this new wave of higher education accessible to a larger swath of students, having foreign schools reserve over a quarter of their seats for India's economically disadvantaged. "If India wants to be a world-class educational hub, then we need access to global institutions," said Sibal early in July. (Read about India's grass-roots teachers.)
Sibal is not alone in his mission. On July 6, Finance Minister Pranab Mukherjee increased the budget for higher education by 55% to $3.1 billion, saying that "the demographic advantage that India has needs to be converted into a dynamic economic advantage by providing the right education and skills." Taking cues from India's politicians, nearly all of the major foreign English-language universities now have an eye on India. Next January, Allan Goodman, president and CEO of the New York–based Institute of International Education (IIE), with which some 800 U.S. colleges are affiliated, plans to take a 20-college delegation to India to explore opportunities to set up programs there. Goodman sees India's large English-speaking population, affluent middle class and the value given to higher education as attractive opportunities for his schools. "For us, India is the country of the future," says Goodman.
While many foreign universities already have Indian partnerships in place, their models of business vary. Carnegie Mellon, for instance, has for the past eight years offered a master's program at the Chennai-based Sri Sivasubramaniya Nadar School of Advanced Software Engineering. Students fork over $53,000 for the 18-month program - 15% lower than if the coursework were done in the U.S. They also spend the last six months at Carnegie Mellon's Pittsburgh campus. The London School of Economics offers three-year undergrad degrees in economics, finance and management through the Indian School of Business and Finance (ISBF) in New Delhi, for a total tuition of $20,000, or one-fifth the standard cost. "Our students get a degree from a reputed foreign university at Indian rates, while LSE gets global reach," says ISBF director Jitin Chadha.
Tie-ups like these may be a bargain, but they also circumnavigate national requirements for accredited schools, which govern student admission, fees and faculty salaries. Carnegie Mellon, for instance, now selects students jointly with its private Indian counterpart, and sets its own curriculum that is taught by local faculty. Under the proposed legislation, schools would continue to operate with those special concessions. But Sibal plans to make it mandatory for foreign universities to reserve seats for the underprivileged - a requirement that has not gone down well with many academicians. "If a country's aim is to educate the poor, then many foreign universities are not going to do that because [those students will] survive on grants and not fees," says the IIE's Goodman.
India needs to find a way to boost its higher-education sector. A 2006 McKinsey study concluded that only 25% of India-trained engineers and 15% of finance and accounting professionals had the skill sets to work for multinational companies. The report highlighted the dismal quality of education in many private colleges, where the curriculum is not in sync with industry needs. And this unemployable workforce is growing: India has the world's largest pool of young people, with nearly 60% of its population under 25, according to the National Knowledge Commission, a government advisory body on higher education. Of these, relatively few go to college. Currently, only 11% of those aged 17 to 23 sign up for higher education. Prime Minister Manmohan Singh wants to double the college-going rate in the next five years, and wants more Indian institutes for technology and management.
Sibal's legislation still needs to be approved by the Indian Parliament. And the government still needs to ease regulatory roadblocks and find a way to make education a financially viable business for all concerned. But if that can be done, many more Indian students may just stay at home to study.
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Doctor: Massa to return to Brazil on Monday (AP)

BUDAPEST, Hungary – Felipe Massa's doctor says the Formula One driver will return home to Brazil on Monday.
Dr. Dino Altman said Friday at AEK hospital that Massa is "in a good mood and in good shape" and wants to race again as soon as possible.
Altman didn't reveal how long Massa's full recovery would take but said the Brazilian would not need "special treatment" to overcome his injuries.
The 28-year-old Massa underwent surgery on multiple skull fractures after he was hit in the helmet by a loose part from another car and crashed into a protective tire barrier during qualifying for Ferrari at the Hungarian Grand Prix last Saturday.

Former England football boss Robson dies (AFP)

LONDON (AFP) –
Former England and Newcastle manager Bobby Robson died on Friday at the age of 76 after a long battle with cancer.

Robson, whose first brush with the disease that would ultimately claim him was in 1992, led England to the World Cup semi-finals in 1990 before leaving to manage a host of top European clubs including PSV Eindhoven, Sporting Lisbon, Porto, Barcelona and finally his boyhood team Newcastle.

A statement issued on behalf of his family said: "It is with great sadness that it has been announced today that Sir Bobby Robson has lost his long and courageous battle with cancer.

"He died very peacefully this morning (Friday) at his home in County Durham with his wife and family beside him.

"Sir Bobby's funeral will be private and for family members only.

"A thanksgiving service in celebration of Sir Bobby's life will be held at a later date for his many friends and colleagues.

"Lady Robson and the family would very much appreciate it if their privacy could be respected at this difficult time."

As a youngster, Robson, born in County Durham, fell in love with football as he travelled with his father Philip and brother Ronnie 20 miles on the bus to watch the Newcastle team of the 1940s, which included the great Jackie Milburn.

Robson, whose father was a miner, had started to learn to be a pit engineer when he avoided a career underground by signing for Fulham, aged 17.

Through the 1950s and early 1960s he was a top midfielder with the London club and with West Bromwich Albion.

Robson was the first player to negotiate an image rights deal and was paid a fee of three guineas for his photo to appear on cigarette cards.

He won 20 England caps, and took part in the 1958 World Cup in Sweden.

His first managerial role came at Fulham, but he made his name during a successful reign at Ipswich from 1969 to 1982.

Under Robson's astute leadership, Ipswich - an unheralded provincial club - became one of the most feared teams in England and their boss earned a reputation as one of the gentleman of British sport.

Ipswich won the FA Cup in 1978, beating Arsenal 1-0 in the final, and enjoyed European glory for the first time in 1981 with victory over Dutch side AZ 67 Alkmaar in the UEFA Cup final.

A year later Robson was appointed England coach and, after missing out on qualification for the 1984 European Championships, he took England to the quarter-finals of the World Cup in 1986.

England's run in Mexico ended in controversial circumstances when Diego Maradona's infamous 'hand of god' goal and a brilliant solo effort handed Robson's team a 2-1 defeat.

"It wasn't the hand of God, it was the hand of a rascal," Robson said.

By the time England reached the 1990 World Cup in Italy, Robson had grown tired of the pressures of the job and revealed he would leave to take charge at PSV after the tournament.

He almost went out on a high as England, inspired by a young Paul Gascoigne, reached the last four for the first time since winning the competition in 1966.

A heart-breaking penalty shoot-out defeat to West Germany ended Robson's England reign, but he was to enjoy more success for the rest of his career.

With his reputation restored, Robson won the Dutch league twice with PSV, then went on to Sporting Lisbon and Porto in Portugal, where he won more championships.

A move to Barcelona in 1996 was perhaps the biggest job in his club career, and he led them to Spanish Cup and Cup Winners' Cup success in Europe before he briefly became general manager.

In 1999 he made a romantic return to Newcastle at the age of 66 but was unable to end the club's long wait for silverware.

Robson was knighted in 2002 but two years later Newcastle chairman Freddy Shepherd sacked him despite a fifth place finish in the Premier League the previous season.

His last job in football came in 2006 when he was a consultant to the rookie Republic of Ireland boss Steve Staunton.

Robson was first diagnosed with cancer in 1992 while working in Holland and when he was 62 a malignant tumour was detected in his head.

A routine check-up in February 2007 revealed more tumours on his lungs. This time they were inoperable.

He devoted his time to raising cash for the fight against cancer and launched the Sir Bobby Robson Foundation.

He finally admitted cancer was going to kill him, saying: "I have accepted what they have told me and I am determined to make the most of what time I have left..

"But then everyone has to go some time, and I have enjoyed every minute."

Sir Bobby is survived by his wife Lady Elsie and their three children, Andrew, Paul and Mark.