Hiển thị các bài đăng có nhãn American. Hiển thị tất cả bài đăng
Hiển thị các bài đăng có nhãn American. Hiển thị tất cả bài đăng

Chủ Nhật, 12 tháng 5, 2013

Dennis Rodman Plans New North Korea Trip, Hopes to Secure Release of Detained American

Dennis Rodman has some fighting words for President Obama, who he says has failed in his foreign policy toward North Korean and its leader Kim Jong-Un.

"We got a black president who can't even go talk to him," Rodman told celebrity website TMZ.com. "How about that one?"

Rodman announced his plans to visit North Korea on Aug. 1 and he's got a self-imposed mission.

gty dennis rodman jt 130512 wblog Dennis Rodman Plans New North Korea Trip, Hopes to Secure Release of Detained Americandennis Rodman

He wants to secure the release of 44-year-old Korean American Kenneth Bae, who was recently sentenced to 15 years hard labor.

The former NBA player said he's going because he feels the White House has failed with its North Korea policy.

PHOTOS: Dennis Rodman Goes to North Korea

Earlier this year, Rodman visited North Korea and even spent time with the North Korean leader. The two bonded over their love of basketball.

Last week, Rodman tweeted this message to Kim Jong-Un: "…do me a solid and cut Ken Bae loose."

U.S. officials told ABC News that they are in touch with Bae's family.

PHOTOS: An Inside Look at North Korea

The U.S. government is calling on the North Korean government to grant him amnesty.

The news of Rodman's trip comes as North Korea has been dialing back talk of war.

"At least Kim did one thing, he took the missiles back," Rodman said. "Thank you. Took the missiles back, right?"

RELATED: North Korean Missiles Moved Away From Launch Site

After his earlier trip this year to North Korea, Rodman sat down in an exclusive interview with ABC News George Stephanopoulos in which he praised the North Korean leader.

"I don't condone what he does," Rodman said, "but as far as a person to person, he's my friend."

RELATED: Dennis Rodman: Kim Jong Un Wants President Obama to 'Call Him'

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Thứ Ba, 7 tháng 5, 2013

Lung Cancer Alliance Congratulates American College of Chest Physicians for Reaffirming Benefit of Lung Cancer Screening for Those at High Risk

WASHINGTON, May 7, 2013 /PRNewswire-USNewswire/ -- Today, Lung Cancer Alliance (LCA) congratulated the American College of Chest Physicians (ACCP) for reaffirming its support for lung cancer screening for those at risk. This is in response to ACCP's publishing of a special supplement to its May issue of CHEST, ACCP's peer-reviewed journal, which cites evidence that CT screening, through a structured protocol, can reduce lung cancer deaths among high risk individuals. 

In November 2010, the National Cancer Institute (NCI) announced that its National Lung Screening Trial (NLST) was being halted because it had scientifically proven the mortality benefit of CT screening for those at risk for lung cancer. Since then, seven national medical societies have followed with screening guideline recommendations.  

In February 2012, LCA launched the National Framework of Lung Cancer Screening Excellence and Continuum of Care  to advise the public of its rights, to lay out the principles of responsible screening and commit to a continuous improvement process through the collection of data on outcomes.

To date, over 130 medical centers have adopted the National Framework or have been identified as following its best practices in cancer care including a multidisciplinary team approach. LCA is working to bring over 50 additional medical centers and their multidisciplinary teams into this network.

"This is not the time or place for fear mongering as lives hang in the balance," said Laurie Fenton Ambrose, President and CEO of LCA. "Medical professionals are doing their part and providing high quality responsible screening—some at little or no cost to help ease or eliminate barriers to access particularly for our most vulnerable populations."

"The federal government must now do the same. It is unconscionable that it has not acted with greater expediency given the strength of the scientific evidence and the magnitude of lung cancer's impact," she continued.

"We commit to remaining at the forefront in calling for responsible lung cancer screening and in securing coverage pursuant to the Affordable Care Act, by Medicare and Medicaid, and by commercial health plans," concluded Fenton Ambrose.

About Lung Cancer Alliance

Lung Cancer Alliance (LCA), www.lungcanceralliance.org, is committed to ending injustice and saving lives through an alliance of advocacy, education, and support. LCA provides live, professional support, referral and information services for patients, their loved ones and those at risk for lung cancer; advocates for multiple millions in public health dollars for lung cancer research; and conducts national awareness campaigns.

Follow Lung Cancer Alliance on Facebook: www.facebook.com/lungcanceralliance. Follow us on Twitter: @LCAorg.

Media Contact:
Kay Cofrancesco
202-742-1422
kay@lungcanceralliance.org

SOURCE Lung Cancer Alliance


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Chủ Nhật, 5 tháng 5, 2013

Forget Sanford and Colbert Busch: ‘American Idol’s’ Candice Glover dominates S.C. Lowcountry

(Chris Moody/Yahoo News)

BEAUFORT, S.C. -- Campaign fever has swept the lower region of South Carolina's first congressional district, but the anticipation for next week's election has little to do with Mark Sanford or Elizabeth Colbert Busch.

The true contender is Beaufort-born Candice Glover, a 23-year-old top finalist on the hit television show "American Idol." Over the weekend, the window fronts of businesses along Main Street here were covered with campaign posters that read "Vote for Candice Y'all" and nearly everyone sported "I Voted Candice Glover For American Idol" stickers on their chests. On Saturday, the town even organized a parade for her, where thousands lined the street to see their hometown hero perform before her final competition in Los Angeles. Aside from just a handful of people on the outskirts of the parade waving campaign posters for Sanford and a Colbert Busch yard sign planted along the parade route, all the attention was on Glover. (Colbert Busch visited Beaufort on Friday and Sanford attended the parade Saturday.) Katie and Kayleigh Edgerly rally for Candice Glover. (Chris Moody/Yahoo News)

Lost in the hullabaloo in this storybook waterfront town is the other upcoming contest--an actual election-- to fill the state's open congressional seat. "No one is here to see Sanford," a man wearing a "Vote: Candice" t-shirt told me. "You're probably the only one."

But Sanford was present, making his way through the crowd, shaking hands and snapping photos with all who would stop and greet him.

One might be forgiven for not noticing him at first.

Standing in a pair of old, beaten up leather shoes, casual Izod khakis and a blue checkered oxford shirt, Sanford looked like any other dad at the parade. He meandered among the people without a flashy entourage or even a gaggle of reporters chasing him. Supporters found their old governor nonetheless--at times only after making a double-take--and stopped to pledge support for him in Tuesday's election.

Surrounded by people, Sanford appeared more exhilarated with every hand shaken and photo taken. "Happy Candice Day!" he would say before extending his hand.

Sanford could hardly walk three steps before another person would approached him. One group of men standing on a balcony overlooking the parade route spotted him in the crowd and shouted, "Mark!" before nodding their heads and giving a silent thumbs up.

Some felt the urge to tell him that they had forgiven him for his behavior as governor, when he secretly left the country to meet his Argentine mistress--now his fiance--a decision that many said at the time would end his political career.

"I'm glad you're making a comeback," a man told Sanford as he shook his hand.

"Thank God for second chances," the man's wife added.

"I agree with that," Sanford said.

Others, of course, offered less grace. Some who recognized him looked the other way, or shouted things like, "Go back to Argentina!" or "Elizabeth!" the first name of his opponent.

Still, Sanford appeared grateful. Between conversations and handshakes with parade watchers, he stopped for a moment to reflect.

"It's a blessing," Sanford said. "I've been to a place where people didn't want to get their picture taken with me."

Perhaps the true blessing, at least here, is that he's not running against Candice Glover.

Mark Sanford in Beaufort, South Carolina. (Chris Moody/Yahoo News)


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Thứ Sáu, 3 tháng 5, 2013

US calls for NKorea amnesty for sentenced American

WASHINGTON (AP) — The U.S. called Thursday for North Korea to grant amnesty and immediately release a Korean-American sentenced to 15 years' hard labor for "hostile acts" against the state.

Kenneth Bae, 44, a Washington state man described by friends as a devout Christian and a tour operator, is at least the sixth American detained in North Korea since 2009. The others eventually were deported or released without serving out their terms, some after trips to Pyongyang by prominent Americans, including former presidents Bill Clinton and Jimmy Carter.

Analysts say Bae's sentencing could be an effort by Pyongyang to win diplomatic concessions in the ongoing standoff over its nuclear program. But there was no immediate sign a high-profile envoy was about to make a clemency mission to the isolated nation which has taken an increasingly confrontational stance under its young leader Kim Jong Un.

State Department spokesman Patrick Ventrell said the U.S. was still seeking to learn the facts of Bae's case. He said the Swedish Embassy in Pyongyang, which handles consular matters there for the U.S., did not attend Tuesday's Supreme Court trial and that there hasn't been transparency in the legal proceedings.

"There's no greater priority for us than the welfare and safety of U.S. citizens abroad, and we urge the DPRK authorities to grant Mr. Bae amnesty and immediate release," Ventrell told a news conference, referencing the socialist country's formal title, the Democratic People's Republic of Korea.

North Korea has faced increasing international criticism over its weapons development. Six-nation disarmament talks involving the Koreas, the United States, Japan, China and Russia fell apart in 2009. Several rounds of U.N. sanctions have not encouraged the North to give up its small cache of nuclear devices, which Pyongyang says it must not only keep but expand to protect itself from a hostile Washington. Tensions have escalated since it conducted its third nuclear test since 2006 in February.

Pyongyang's tone has softened somewhat recently, following weeks of violent rhetoric, including threats of nuclear war and missile strikes. There have been tentative signs of interest in diplomacy, and a major source of North Korean outrage — annual U.S.-South Korean military drills — ended Tuesday.

Patrick Cronin, a senior analyst with the Washington-based Center for a New American Security, called Bae's conviction "a hasty gambit to force a direct dialogue with the United States."

"While Washington will do everything possible to spare an innocent American from years of hard labor, U.S. officials are aware that in all likelihood the North Korean regime wants a meeting to demonstrate that the United States in effect confers legitimacy on the North's nuclear-weapon-state status," Cronin said in an email.

White House spokesman Jay Carney told reporters traveling aboard Air Force One en route to Mexico that if North Korea is interested in discussion, they should live up to their obligations under the six-party talks.

"Thus far, as you know, they have flouted their obligations, engaged in provocative actions and rhetoric that brings them no closer to a situation where they can improve the lot of the North Korean people or re-enter the community of nations," Carney said.

The state-run Korean Central News Agency announcement of Bae's sentencing came just days after it reported Saturday that authorities would soon indict and try him. It referred to Bae as Pae Jun Ho, the North Korean spelling for his Korean name. The State Department had appealed Monday for his release on humanitarian grounds.

Bae, from Lynnwood, Wash., was arrested in early November in Rason, a special economic zone in North Korea's far northeastern region bordering China and Russia, state media said. The exact nature of Bae's alleged crimes has not been revealed.

"Kenneth Bae had no access to a lawyer. It is not even known what he was charged with," the human rights group Amnesty International said in a statement. "Kenneth Bae should be released, unless he is charged with an internationally recognizable criminal offense and retried by a competent, independent and impartial court."

Ventrell said the Swedish embassy's most recent access to Bae was last Friday. It has only had a handful of brief opportunities to see him since he was arrested in early November, according to U.S. officials.

Friends and colleagues say Bae was based in the Chinese border city of Dalian and traveled frequently to North Korea to feed orphans. Bae's mother in the United States did not answer calls seeking comment Thursday.

There are parallels to a case in 2009. After Pyongyang's launch of a long-range rocket and its second underground nuclear test that year, two American journalists, Laura Ling and Euna Lee, were sentenced to 12 years of hard labor after sneaking across the border from China.

They later were pardoned on humanitarian grounds and released to Clinton, who met with then-leader Kim Jong Il. U.S.-North Korea talks came later that year.

In 2011, Carter visited North Korea to win the release of imprisoned American Aijalon Gomes, who had been sentenced to eight years of hard labor for crossing illegally into the North from China.

On Thursday, Carter's press secretary, Deanna Congileo, said by email that the former president has not had an invitation to visit North Korea and has no plans to visit.

Korean-American Eddie Jun was released in 2011 after Robert King, the U.S. envoy on North Korean human rights, traveled to Pyongyang. Jun had been detained for half a year over an unspecified crime.

Jun and Gomes are also devout Christians. While the North Korean Constitution guarantees freedom of religion, in practice only sanctioned services are tolerated by the government.

U.N. and U.S. officials accuse North Korea of treating opponents brutally. Foreign nationals have told varying stories about their detentions in North Korea.

The two journalists sentenced to hard labor in 2009 stayed in a guest house instead of a labor camp due to medical concerns.

Ali Lameda, a member of Venezuela's Communist Party and a poet invited to the North in 1966 to work as a Spanish translator, said that he was detained in a damp, filthy cell without trial the following year after facing espionage allegations that he denied. He later spent six years in prison after a one-day trial, he said.

___

Kim reported from Seoul. Associated Press writers Lou Kesten and Nedra Pickler in Washington contributed to this report.


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Thứ Sáu, 26 tháng 4, 2013

Inside the Cover: The American Dream, Downsized

Middle-class Americans’ anxieties and the shift in how they define the American Dream had consequences for the 2012 election. Romney spoke in the language of economic risk: “The promise of America has always been that if you worked hard, had the right values, took some risks, that there was an opportunity to build a better life for your family and for your next generation.” Compare that with Obama describing the “basic bargain in America,” a formulation he has used since his U.S. Senate campaign in 2004: “If you’re willing to work hard and play by the rules, you should be able to find a good job, feel secure in your community, and support a family.” So, which guy won?

But if the American Dream, and the understanding of what it means to be middle class, is changing, the reverberations will go far beyond a single election. They speak to the very story Americans tell about themselves. We were once a nation of strivers, raised on Horatio Alger and Bill Gates, confident of the possibility of moving upward. If Americans now aim simply to avoid slipping backward, they will have decided that the American Dream is but a reverie.

In this week's National Journal special Next Economy issue cover story, Amy Sullivan takes a look at the state of the middle class. In the video above, get inside the story with the author herself.


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Lawmakers question U.S. government failure to protect Iranian dissidents in Iraq, continued funding for Iraq government, says Iranian American Community of Northern California

The American Dream, Downsized

The Grain Exchange Room in Milwaukee’s old Chamber of Commerce building is a dazzling display of Gilded Age opulence. Its ornate faux-marble columns soar three stories high, and an intricately carved balcony overlooks what is believed to have been the world’s first commodities-exchange trading pit. This temple to business and success was a fitting location for Mitt Romney’s victory speech after the Wisconsin primary a year ago, on the night he eclipsed his last remaining rival for the Republican presidential nomination.

Romney used the occasion to lay out his vision of an “opportunity society led by free people and free enterprises.” Barack Obama, he charged, didn’t believe in opportunity: When the president went after the “1 percent,” he wanted only to turn the United States into “one of those societies that attack success.” Romney’s supporters cheered.

In Chicago, the Obama team cheered, too.

Led by Obama’s chief pollster, Joel Benenson, the campaign had spent 2011 examining Americans’ views on economic security and the American Dream. They concluded that something fundamental had changed. It used to be political gospel that a candidate couldn’t risk talking about inequality because such a stance was so easily caricatured as an attack on the rich and because even working-class Americans believed they had an opportunity to be rich someday. But as Benenson explained in a recent interview, “There has been a recalibration of the American mind-set when it comes to economic change.”

What his polling found is that middle-class Americans are much more concerned about holding onto what they’ve got than in pursuing more. The Pew Economic Mobility project, the Allstate/NationalJournal Heartland Monitor Poll, and other studies have arrived at similar conclusions. When Pew asked Americans in 2011 if they preferred financial stability or moving up the income ladder, 85 percent of respondents chose the safer, surer future.

If that seems like a defensive crouch, it is. The American middle class is broadly defined as households earning two-thirds to twice the median income, or about $35,000 to $100,000 a year. The beginning of the 21st century was a “lost decade” for the middle class, Harvard economist Lawrence Katz said, but the decline has been under way for decades. In the early 1970s, middle-class households earned 62 percent of the national income; today, they bring in just 45 percent. These households are more vulnerable, economists say, than at any time since World War II.

The Great Recession exacerbated this decline. Sixty percent of the job losses in those years occurred in middle-income jobs. The recovery, instead of restoring those jobs, has replaced them with low-wage positions. And the middle class, which once drove American prosperity with its purchasing power and stability, is shrinking. Middle-class households make up barely half the population today, down from 61 percent in 1971. People aiming to reach the middle class, or to stay there, have ample reason to worry.

Middle-class Americans’ anxieties and the shift in how they define the American Dream had consequences for the 2012 election. Romney spoke in the language of economic risk: “The promise of America has always been that if you worked hard, had the right values, took some risks, that there was an opportunity to build a better life for your family and for your next generation.” Compare that with Obama describing the “basic bargain in America,” a formulation he has used since his U.S. Senate campaign in 2004: “If you’re willing to work hard and play by the rules, you should be able to find a good job, feel secure in your community, and support a family.” So, which guy won?

But if the American Dream, and the understanding of what it means to be middle class, is changing, the reverberations will go far beyond a single election. They speak to the very story Americans tell about themselves. We were once a nation of strivers, raised on Horatio Alger and Bill Gates, confident of the possibility of moving upward. If Americans now aim simply to avoid slipping backward, they will have decided that the American Dream is but a reverie.

WHEN THE DREAM WAS REAL

The United States was already mired in the economic disaster known as the Great Depression when historian James Truslow Adams, in his 1931 book, The Epic of America, first turned “American Dream” into a commonly recognized phrase. The dream may have been put on hold for many Americans at the time, but Adams sought to remind his fellow citizens, “It is not a dream of motor cars and high wages merely, but a dream of social order in which each man and each woman shall be able to attain to the fullest stature of which they are innately capable.”

The cars and high wages would come soon enough, during the economic boom that followed World War II. Agricultural workers moved into towns and cities for higher-paying jobs, and the GI Bill financed higher education for millions of veterans. Americans’ entrepreneurial spirit, backed by capital and opportunity and pent-up consumer desires, sent the economy soaring. And unlike in earlier eras of rising prosperity, the gains weren’t limited to those at the top but were distributed relatively equally across economic classes. The result: an expanding, robust middle class.

Almost overnight, it became not just possible but expected that young marrieds would fare better than their parents had. A middle-class family bought a house, put a car (or two) in the driveway, and raised children who ran around a safe neighborhood and later went to college with their parents’ support. Or the kids might skip college and enter the workforce with a secure, often union-protected, job that allowed them to enjoy a middle-class lifestyle and live in the same neighborhoods as bankers, teachers, and salesmen.

Erin Currier runs the Pew Economic Mobility Project, which has done two national polls about how Americans interpret the American Dream. “When people talk about their parents,” she said, “it’s in terms of what they were ‘able’ to do. They were able to buy their own home. They were able to attend college. They were able to send their kids away to summer camp. These were accomplishments, and they set the standard.”

SECURITY—A CASUALTY

Being middle class has always meant two separate things: affluence (having a solid income) and security (being able to maintain your quality of life from year to year). For the first several decades after World War II, those appeared to be one and the same. Social norms such as low divorce rates, workplace norms such as lifelong employment and generous benefits, and government-run social insurance helped to insulate people from life’s twists and turns. A high income guaranteed economic security—this was easy to assume.

That assumption began to change in the 1970s. U.S. manufacturing started to slow, then contract, battered by competition first from Germany and Japan, and later from China and East Asia. Successive oil crises wreaked havoc on energy costs. A period of inflation and sluggish growth produced a mashed-together word, “stagflation.” And the increasing use of corporate revenues to benefit shareholders instead of workers undermined the social contract between labor and management.

These developments took a toll on workers’ incomes. The hourly compensation of the average U.S. worker rose by nearly 94 percent, adjusted for inflation, between 1948 and 1973, but by only 10 percent from 1973 to 2011, according to the Economic Policy Institute. “Even after recovery started, typical wages have continued to fall,” said Tyler Cowen, an economist at George Mason University. “And education and health care costs continue to go up—at somewhat slower rates than before, but they’re still nasty price surprises.” Families spend, on average, 75 percent more for health insurance (adjusted for inflation) than they did a generation ago.

This squeeze between income and expenses has rattled many Americans’ assumptions of economic security. “Some of the stuff that really matters is hard to quantify in terms of money,” said John Schmitt, senior economist at the Center for Economic and Policy Research in Washington. “It’s about economic security. It’s about how many hours you work, how much of a return you get for the education you have, how much security you have in terms of health insurance and retirement.” About half of all workers have a retirement plan at their job, approximately the same as in the 1970s, Schmitt explained, but most of these plans don’t guarantee a particular payout, thereby shifting market risk from the employer to the individual.

Nor can Americans count on a steady and rising income. Incomes have been volatile. Yale political scientist Jacob Hacker has developed an Economic Security Index to measure the increasing variability of Americans’ economic lives. In 2009-10, as the effects of the Great Recession coursed through the economy, roughly a fifth of all Americans saw their household income drop by at last 25 percent, by Hacker’s estimate, creating greater economic insecurity than at any time since the Depression.

Not everyone is convinced that middle-class incomes have declined, however. Such fears are exaggerated, according to Scott Winship, a Brookings Institution sociologist. Citing Congressional Budget Office figures that count health benefits as well as income, he found that “prior to the Great Recession, the 2000s looked as good as the ’90s and better than the ’80s in terms of household income. And we have to remember that Hispanic immigration was continuing to increase, and that exerted a steady downward pull on income.” The overall economic trends, Winship argues, continue to be robust.

One trend that can’t be questioned is the drop in American household wealth. In 2010, median family net worth sank to around $77,300, a decline of nearly $50,000 from the years just before the financial crisis and close to $30,000 less than it was in 2001, according to the Federal Reserve Board. A shriveled nest egg can turn a stint of unemployment from an inconvenience into a catastrophe.

A racial disparity in household wealth has left African-Americans even less secure. A recent Pew study found that white families experiencing a job loss in the past decade had amassed greater wealth than African-American families with unbroken employment.

Security is also a casualty of a restructuring in the U.S. job market. A stark example is the “permatemp” employee. In nearly every industry—from engineering to law and accounting to journalism—the fastest-growing job category is contract workers. They are often the victims of downsizing who were given the “opportunity” to perform their old job but without employment security or benefits and sometimes with a cut in pay. These “labor flexibility practices” have been increasing over the past 30 to 40 years, said Susan Lambert, a University of Chicago expert on low-skilled jobs. “Our current economic downturn has really heightened their use.”

If they make a decent income, are permatemps middle class? Not by the standards of the past. But by the diminished redefinition, maybe they are: earning a middle-class living—for the moment.

RECALIBRATING RISK

The easiest way to see how much people value stability is to look at what happens when they lose it. During the past decade, more and more Americans saw their incomes fluctuate and their savings dwindle. Even when hit with unexpected life events—a lost job, an illness—they didn’t scale back their expectations or lifestyles. Instead, they took on more debt to preserve what they could.

Outwardly, the middle class still looked vibrant. But, in reality, many of those homes, cars, and pricey college degrees weren’t emblems of affluence but rather symbols of an overextended, overleveraged economy. Political leaders were hardly bystanders in promoting a culture of debt. Washington’s response to rising income inequality was to provide easy credit to consumers and to encourage everyone to buy a home, or so Raghuram Rajan, former chief economist at the International Monetary Fund, argued in his 2010 book, Fault Lines.

When the Great Recession struck, millions of Americans found they could no longer keep up with the debt they had taken on, triggering a chain reaction of default and retrenchment. The suburban house was now underwater. The two cars the parents needed for work became two car loans to shoulder as gasoline prices shot up. The college education entailed loans that brought stifling debts.

“The measures of the American Dream that brought about a sense of comfort and control and pride,” Benenson said, “became symbols of debt and risk. And that has people becoming a little more cautious, weighing risk more carefully in their lives. They have seen the consequences of taking an extra car loan or refinancing their homes. They thought the people who had tamed risk for them—banks, mortgage lenders—hadn’t done it.”

Benenson believes that many Americans have experienced a “come to Jesus” moment regarding their personal finances and are trying to commit themselves to more prudent stewardship. After U.S. credit-card debt topped $843 billion in the first part of 2010, it has slowly but steadily fallen. Average debt loads dropped in all 50 states in 2010; last fall, Moody’s Analytics found that U.S. consumer debt had sunk to 2006 levels. Personal savings rates are finally starting to rise nationwide, after a long decline.

Signs show that hard times have also prompted Americans to reevaluate what they want out of life. Not, perhaps, at first glance. Participants in focus groups convened by the Pew Economic Mobility Project are asked to draw a picture of the American Dream. Nearly everyone’s sketch is the same—two adults, some kids, and a dog in front of a house with a fence. (Even cat owners end up drawing a dog.) It is the set of Leave It to Beaver, sans canine, unchanged since the 1950s.

And yet, “when we delve deeper and ask people to explain what these symbols mean,” project manager Currier said, “they are all about security. It’s being able to afford a house. Having a healthy family and kids. Living in a safe neighborhood. A pet means you can afford a little extra. You have what you need and no more. It became clear that for the individuals we spoke to, the American Dream was much more about feeling they could sleep well at night than about getting ahead.”

NO RULES

If these changes in American attitudes and behaviors merely dated to the Great Recession, they might not last. But the recession simply punctuated a set of underlying economic trends that were several decades in the making. That may be why, even as the economy has recovered, insecurity hasn’t subsided much. As in earlier business cycles, employers aren’t hiring many workers as their profits bounce back; many are looking to downsize further and scale back employee benefits.

Above all, the recession made clear that the old rules—work hard and you will be rewarded with a comfortable, stable life—are no longer in effect. “This was a dramatic event that caused a lot of upheaval, not just financially and economically, but in terms of how they viewed the American economy overall,” Obama pollster Benenson said. “One of the big sources of concern for the people we talked with was that they didn’t recognize any new rules in this environment. All of the rules they had learned about how you succeed, how you get ahead—those rules no longer apply, and they didn’t feel there was a set of new rules.”

No wonder Americans are skeptical that their children will be better off than they are—a core element in the American Dream. A startling 59 percent of respondents to a 2011 Pew survey said it would be harder for their children to move up the income ladder than it was for them. The path to rising higher isn’t as clear as it was.

The older, ambitious model of the American Dream has even drawn some critiques. In the 1990s, the Clinton administration said Washington should “attempt to help all American households become homeowners.” After the housing market collapsed, the Treasury Department declared in 2011 that the Obama administration’s policy “does not mean all Americans should become homeowners.”

A similar downsizing of dreams popped up in last year’s campaign for the Republican presidential nomination, when former Sen. Rick Santorum of Pennsylvania called Obama a “snob” for thinking everyone should attend college. (Obama jumped to clarify that he meant community colleges and job training, too.) Economic research shows the advantage of a college diploma; a Georgetown University study last summer found that the unemployment rate for recent graduates of four-year colleges was 6.8 percent, compared with nearly 25 percent for recent high school grads. Even so, a majority of Americans tell pollsters (54 percent in last fall’s Heartland Monitor survey) they are skeptical that a college education is worth the burden of student loans.

Reducing one’s risk in pursuit of housing or education isn’t necessarily irrational. But a middle class that is increasingly characterized by risk aversion essentially rewrites our national narrative, the one that highlights ordinary people who take risks and create new opportunities and industries.

Scaling back may also mean accepting that people who haven’t yet made it into the middle class never will. “A growing body of evidence suggests that the United States, far from being the land of opportunity celebrated in our history and our literature,” economist Isabel Sawhill has written, “is instead a country where class matters after all, where upward mobility is constrained, especially among those born into the bottom ranks.” That isn’t a phrase likely to be inscribed on a national monument anytime soon, but for millions of Americans, it’s the new reality–and it hurts. 


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Thứ Tư, 24 tháng 4, 2013

AAPS Sues the American Board of Medical Specialties for Restraining Trade through Its Burdensome Recertification Program

TUCSON, Ariz., April 24, 2013 /PRNewswire-USNewswire/ -- The Association of American Physicians & Surgeons (AAPS) has filed suit today in federal court against the American Board of Medical Specialties (ABMS) for restraining trade and causing a reduction in access by patients to their physicians. The ABMS has entered into agreements with 24 other corporations to impose enormous "recertification" burdens on physicians, which are not justified by any significant improvements in patient care.

ABMS has a proprietary, trademarked program of recertification, called the "ABMS Maintenance of Certification®" or "ABMS MOC®," which brings in many tens of millions of dollars in revenue to ABMS and the 24 allied corporations. Though ostensibly non-profit, these corporations then pay prodigious salaries to their executives, often in excess of $700,000 per year. But their recertification demands take physicians away from their patients, and result in hospitals denying access by patients to their physicians.

In a case cited in this lawsuit, a first-rate physician in New Jersey was excluded from the medical staff at a hospital in New Jersey simply because he had not paid for and spent time on recertification with one of these private corporations. He runs a charity clinic that has logged more than 30,000 visits, but now none of those patients can see him at the local hospital because of the money-making scheme of recertification.

There is a worsening doctor shortage in the United States, such that the average physician has the time to spend only 7 minutes with each patient. Roughly half the counties in our nation lack a single OB/GYN physician to care for women. There are long delays to see primary care physicians in Massachusetts, and about half of them are not even taking new patients.

Money-making schemes that reduce access by patients to patients, as "maintenance of certification" does, are against public policy and harmful to the timely delivery of medical care. AAPS's lawsuit states, "There is no justification for requiring the purchase of Defendant's product as a condition of practicing medicine or being on hospital medical staffs, yet ABMS has agreed with others to cause exclusion of physicians who do not purchase or comply with Defendant's program." AAPS adds that ABMS's "program is a moneymaking, self-enrichment scheme that reduces the supply of hospital-based physicians and decreases the time physicians have available for patients, in violation of Section 1 of the Sherman Act."

ABMS does the public an additional disservice by inviting patients to search on which physicians have "recertified" and which ones have not, despite the lack of evidence that there is any difference in malpractice rates between the two categories. ABMS should try to make money by helping patients, rather than disparaging the many thousands of good physicians who spend their time caring for patients rather than on ABMS's self-serving recertification scheme.

A recent survey by AAPS showed that only 9.5% of 167 respondents thought that "maintenance of certification is good; we should support it." In an earlier survey, only 22% of physicians who had been through the process said they would voluntarily do it again.

AAPS's lawsuit, which was filed today in Trenton, New Jersey, seeks declaratory and injunctive relief to enjoin ABMS's continuing violations of antitrust law and misrepresentations about the medical skills of physicians who decline to purchase and spend time on its program. AAPS also seeks a refund of fees paid by its members to ABMS and its 24 other corporations as a result of ABMS's conduct.

The Association of American Physicians and Surgeons (AAPS) is a national organization representing physicians in all specialties, founded in 1943.

SOURCE Association of American Physicians and Surgeons (AAPS)


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