Spill in China Lays Bare Environmental Concerns


Adam Dean for The New York Times


A member of the Handan Winter Swimming Association, which has sued over a chemical spill.







HANDAN, China — The first warning came in the form of dead fish floating in a river.




Then officials in this city got confirmation that a chemical spill had taken place at a fertilizer factory upstream. They shut off the tap water, which sent residents into a scramble for bottled water. In the countryside, officials also told farmers not to graze their livestock near the river.


The spill, which occurred on Dec. 31, affected at least 28 villages and a handful of cities of more than one million people, including Handan. Officials here were irate that their counterparts in Changzhi, where the polluting factory was located, had delayed reporting the spill for five days. For the past two months, Changzhi officials and executives at the company running the factory, Tianji Coal Chemical Industry Group, have generally stayed silent, exacerbating anxiety over water quality.


The conflict over the Changzhi spill has drawn attention to the growing problems with water use and pollution in northern China. The region, which has suffered from a drought for decades, is grappling with how industrial companies should operate along rivers. Local officials are shielding polluting companies and covering up environmental degradation, say environmentalists.


“Problems with water weren’t so serious before, but they have become much worse with industrial consumption,” said Yin Qingli, a lawyer in Handan who filed a lawsuit in January against Tianji, which uses water to convert coal to fertilizer at the factory in Changzhi.


Environmental degradation has led many Chinese to question the Communist Party’s management of the country’s economic growth. Addressing the problem is one the greatest challenges for the administration of Xi Jinping, the new chief of the Communist Party. Environmental issues will most likely be on the agenda at the annual meeting of the National People’s Congress, scheduled to begin on Tuesday.


The results of an official investigation into the Tianji spill were announced on Feb. 20 by Xinhua, the state news agency, which reported that a faulty hose had resulted in the leakage of about 39 tons of aniline, a potential carcinogen, from the fertilizer factory. Thirty tons were contained by a reservoir, but nearly nine tons leaked into the Zhuozhang River, which feeds into the Zhang River that runs to Hebei Province, where Handan is, and Henan Province. The Xinhua report said 39 people had been punished, including Zhang Bao, the mayor of Changzhi, who was removed from his post. But the party chief, Tian Xirong, the city’s top authority, was recently promoted to deputy director of the provincial Parliament.


Some critics say officials may be slow to divulge information because the acting governor of Shanxi Province, where Changzhi is, is Li Xiaopeng, the “princeling” son of Li Peng, a powerful Communist Party elder. At a news conference in January after news of the spill had emerged, the younger Mr. Li urged officials to make safety a top priority.


Handan officials first got a tip about a potential spill on Jan. 4 from a water management agency upstream. But when they tried contacting Changzhi officials, there was no response. “After more than 30 calls, we still weren’t able to reach them,” a Handan environmental official told Xinhua. Only the next day did Changzhi officials agree to meet with Handan officials.


At least two managers of Tianji have been fired, but the company, which is the foundation of Changzhi’s economy, appears to have suffered no other significant consequences. It is one of many companies in China’s booming coal-to-chemicals industry, in which a water-intensive gasification process is used to convert coal to chemicals that are critical for a wide range of products. The process results in large amounts of wastewater that is supposed to be treated and then contained.


After sending a team to Handan in January, Greenpeace East Asia issued a report on the spill. It said that there were about 100 coal-to-chemical factories on the upper reaches of the Zhuozhang River. “There is a history of clashes between heavily water-consuming coal-to-chemical factories and citizens downstream who are trying to compete for water to drink,” the report said. Larger factories like those of Tianji use 2,000 to 3,000 tons of water per hour, equivalent to the amount of water that more than 300,000 people use in a year.


The factory in Changzhi dumps more than six million tons of wastewater per year, about 30 percent of the water taken from the river, according to Greenpeace. The wastewater is supposed to drain into a receptacle.


Amy Qin and Patrick Zuo contributed research from Handan and Beijing.



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Alec Baldwin Is Busy Fulfilling Expectant Hilaria's Fruit Requests

Alec Baldwin Hilaria Baldwin Pregnancy Cravings
Mark Davis/WireImage


Fatherhood is nothing new to Alec Baldwin. But daddy duty later in life? Now that’s a whole new playing field.


Already dad to daughter Ireland, 17, the actor and his wife Hilaria are set to welcome their first child together this summer — and Baldwin is busy taking in the experience.


“Being around a woman when she’s pregnant and I’m older now — quite a bit older, actually — it’s just really … it’s amazing,” he joked with David Letterman Monday.


“Like my wife, the pregnant woman, the hormonally-charged woman if you will – uh, it’s thrilling. It’s a thrilling thing to observe.”


But the Orphans star, 54, isn’t just sitting back and taking it all in; The future father-of-two is doing his part to keep his yoga instructor wife relaxed, happy — and full!

“She’s been super fit her whole life and nutritionally very conscious. I’ll say to her, ‘You want to eat smart and keep up your nutritional values, but you gotta eat, you’re having a baby,’” he explains. “I’ll go, ‘Do you want me to go get you some pineapple?’ And she’ll be like, ‘I don’t know.’”


While Hilaria may be unsure of what she’s actually craving, Baldwin has been known to take matters into his own hands, heading out to the store to stock up on her favorite foods. And, as it turns out, his gut instinct that his pregnant wife could go for some fruit is typically proven true.


“There’s a container of pineapple that will probably serve four people. I put it on the counter [and] I go, ‘If you want some pineapple, here it is,’” he recalls of a recent episode.


“I go to the other room, I plug my phone in to charge it [and] sure enough I walk back — three quarters of the pineapple is gone and she’s like, ‘I was very hungry.’”


However, Hilaria is much more vocal when it comes to her constant bathroom breaks — or lack thereof. “My wife will be announcing, ‘I have to pee every five minutes, I can’t believe it!’ Then I’m like, ‘Well, we have four bathrooms in the apartment, so you’re covered. We got a bathroom in every quadrant of the house at the ready, clean and freshly papered and everything good to go,’” Baldwin jokes.


“And then the next day she’s like, ‘I don’t have to pee at all today. Something’s wrong!’ I’m getting whiplash here: pee, no pee…”


– Anya Leon


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Trutanich struggling in bid to keep his city attorney post









With large numbers of Los Angeles voters yet to make up their minds, a new poll shows that first-term City Atty. Carmen Trutanich is struggling to stay afloat as Tuesday's primary election approaches.


Trutanich is in a statistical dead heat for second place with private attorney Greg Smith. Former lawmaker Mike Feuer enjoys a slight edge over both as the three candidates battle to advance to an expected May runoff.


Feuer, who served on the City Council and then in the state Assembly representing the city's Westside, was the choice of 23.8% of those surveyed for the USC Sol Price School of Public Policy/L.A. Times Los Angeles City Primary Poll, while 16.4% favored Trutanich, who won the office in a 2009 upset. Smith, a first-time candidate who has pumped more than $800,000 of his personal wealth into the race, was preferred by 15.2%.





But the poll has a margin of sampling error of 4.4 percentage points in either direction. Furthermore, 40% of those surveyed said they hadn't decided on a candidate.


"Feuer maintains a small advantage," said Dan Schnur, director of the Jesse M. Unruh Institute of Politics at USC. But, he added, Smith's television and radio advertising and incumbent Trutanich's name ID "could change that," particularly with so many undecided voters.


Just 4.7% of respondents favor a fourth candidate on the ballot, private attorney Noel Weiss. Weiss, who also ran for the post in 2009, has not had the money to mount a viable campaign.


The bipartisan telephone survey canvassed 500 likely voters in the city from Feb. 24 through 27. It was conducted jointly by the Benenson Strategy Group, a Democratic firm, and M4 Strategies, a Republican company.


Earlier independent surveys by other organizations showed that Trutanich had started the race with a lead. But he got into the contest late — after failing to make the runoff in his bid for county district attorney last year — and has not been able to match the campaign treasuries of Feuer and Smith, both earlier entrants in the contest. The blunt-spoken Trutanich, who has tangled publicly with the mayor and City Council, has also alienated some of his past supporters with his style and his decision to run for D.A. despite his 2009 campaign promise to serve two full terms at City Hall before seeking another post.


"To the extent that voters know about the candidates, this race is a referendum on Carmen Trutanich," Schnur said.


In the survey, Trutanich did somewhat better than Feuer and Smith among Latinos: 22.8% of voters in that group said they would vote for the incumbent, compared with 17.8% for Feuer and 12.7% for Smith. Feuer fared best among whites — 26.1% favored him, while Trutanich and Smith were backed by 16.7% and 16.4%, respectively.


Feuer also fared better with female voters (25%) than either Trutanich (13%) or Smith (14%). A Democrat, Feuer also did best among voters who identified with that party — 32% preferred him to Smith, another Democrat, who was chosen by 11%; while 15% favored Trutanich, a former Republican who is currently unaffiliated with a party. Among Republicans, who make up about one-fifth of the city's voters, Trutanich and Smith tied with 23% apiece, while 8% preferred Feuer.


jean.merl@latimes.com





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At War Blog: Remembering a Silent Success in Afghanistan

December in the mountains of southern Afghanistan greeted me and my men with strong and seemingly endless gusts of wind. The frigid temperatures were equally unforgiving. Our living quarters were constructed out of cardboard boxes and plastic sheeting, which didn’t create much of an escape. The highlight of my day, despite the obvious threat, was leading patrols as a squad leader. The physical activity kept me comfortably warm and allowed me to distance my mind from our frosty reality.

Despite daily patrols, it took me a few months to build rapport with the residents of Kunjak in Helmand Province. During the first month of my deployment in 2010, barely any villagers talked to me. This is when my interpreter, who we called H.B., suggested I start inviting the elders to our base for a meeting, or shura. He assured me this would build a mutual trust.

Soon, my Sunday mornings consisted of two to three hours of conversing with dozens of village elders. At 9 a.m., my interpreter and I would greet them as they climbed the steep and sandy hill to my remote outpost. To present a less hostile environment, I chose to meet them without my body armor or weapon.

We sat outside, suffering in the wind together. My interpreter would make chai, but I always brewed a pot of Starbucks coffee and offered some to my guests. Some liked it, some didn’t. I would like to think my generosity was appreciated.

The shuras were full of requests for new wells and mosques. But if there are two things Afghanistan has a plethora of, it’s those two things. I chose to propose something different, which thrilled them all.

We would build a school.

The Taliban had prevented them from being able to send their kids to school for years. With one suggestion, I had won over the villagers.

As the sun rose the following day, despite not having a school yet, I had over a dozen children waiting outside my base. Many had traveled from afar to attend what they thought was the first day of class. The last thing I wanted to do was send the children away. We invited them on the base, and H.B. taught them the Pashtu alphabet on our dry-erase board. It was on that Monday morning I realized I had to do something fast.

Our supplies were stored in a small tent at the back of our outpost, but I made the decision to move the tent to the base of our hill to serve as the school. By positioning it there, we could maintain its security, protecting it from Taliban attacks.

At 8:45 every morning, my Marines patrolled the school and used our metal detectors to sweep for improvised explosive devices. The safety of the children had to be paramount or our efforts would be for nothing. As the days passed, a growing number of children ranging in the age from 4 to 10 arrived for school. Within weeks we were teaching more than 40 boys and girls. During our time in Afghanistan, not a single child was injured at our school, and for the last four months of my deployment, the school was a giant success.

The Afghan National Police officers attached to my outpost did not participate much in the security of the school. In fact, many of them disapproved of it because it catered to girls as well as boys. I fear that as the American military presence draws down in Afghanistan, initiatives like our school will be abandoned by the Afghan government or destroyed by the Taliban. While the district mayor of Musa Qala knew of our efforts at the school, we received little to no local government support. Requests for a teacher, supplies and a permanent structure were either ignored or forgotten.

Stories like the one of our school tend to never make the limelight. Far too often the news is only about the horrors of war, or mistakes made by NATO troops, rather than their successes. It is easy to focus on the negative, especially as the United States plans to withdraw most of its forces by the end of 2014.

As I left Afghanistan in the spring of 2011, dozens of Afghans were attending our shuras, and they were full of varying requests. They no longer asked for wells and mosques. Now they wanted a community center and a larger school. I left before I could make those dreams come true for them. But I hoped the Marines who relieved me would be able to fulfill them.

I came home and listened and watched the news a lot. I kept hoping I would see or hear something good from Afghanistan. To no avail; the stories were depressing. After spending seven months in Afghanistan, I now knew good things were happening, but they just weren’t being shown.

I hope that my school wasn’t short-lived, and I would like to think that it is still operating safely. Whether it is or not, I still fondly remember our efforts. They led to one of the silent successes that have happened and, I believe, will continue to happen in Afghanistan.


Thomas James Brennan is a military affairs reporter with the Daily News in Jacksonville, N.C. Before being medically retired this fall, he was a sergeant in the Marine Corps stationed at Camp Lejeune, N.C. He served in Iraq and Afghanistan with the First Battalion, Eighth Marines, and is a member of the Military Order of the Purple Heart. Follow him on Twitter at @thomasjbrennan.

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Family Creates Bucket List for Dying 9-Month-Old Daughter















03/01/2013 at 12:00 PM EST







Quinn Linzer and her parents, Brett and Eileen Linzer



A Long Island family, facing the prospect of the death of their 9-month-old daughter, has created a bucket list of sorts to maximize her brief life.

Quinn Linzer suffers from Neimann-Pick Disease Type A, which causes the brain and body to regress. The family learned of Quinn's disease when she was just 3 months old, with doctors saying she is not expected to live past her first birthday.

So her family created Quinn's List, which includes up to 50 experiences for the little Lynbrook, N.Y. resident to complete, reports Long Island's News 12.

Among them are a visit to FAO Schwarz, a trip to Disney, tea at New York's Plaza Hotel and time spent swimming with dolphins.

Fundraisers have been held, online and elsewhere, to help the family of five, including Quinn's two brothers, raise enough money to make some of the dreams come true.

Even as the family's doctor had encouraged the Linzers to take Quinn home and give her love, saying nothing more could be done for her, the family was inspired to give their daughter the fullest life possible. Mom Eileen Linzer shared photos of the family enjoying time together with Quinn on a blog she created, called Team Linzer.

As it says on Quinn's List, her family is on a "mission to give her as wonderFULL a life as we could possibly give her."

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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.





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Lens Blog: Gustav Arvidsson's Photos of Landless Peasants in Colombia

Land is no small thing in Latin America. Dynasties flush with wealth and power have arisen from plantations and cattle ranches owned by a select few families. For those left on the margins, taking over a tiny, fallow plot long forgotten by its owners may be the only thing keeping their family alive.

Until someone pushes them out.

Gustav Arvidsson has been following the plight of landless peasants in Colombia, where bureaucracy, chicanery and deadly force have been used to dislodge entire villages of subsistence farmers. Where families once grew rice, cassava and other basic crops, large corporations have swept in with palm oil plantations, cattle ranches and mines. The result has been devastating, Mr. Arvidsson said, in a country where armed conflict and economic hardship have displaced four million people — the second-largest number of such internally displaced people after Sudan.

Resolving the complexities of land tenure in the developing world has been seen by some policy experts as critical to uplifting the most impoverished sectors of society. Hernando de Soto, the Peruvian economist, has long argued that finding ways to grant land titles to subsistence farmers and others can set them — and their country — on the path to stability and growth.

“A farmer once told me, ‘a farmer without land is not a farmer,’ ” Mr. Arvidsson said in a telephone interview from his native Sweden. “This is all about inequality.”

He started his project in 2010, when he was living in Bogotá while freelancing for Swedish publications. He read an article in The Guardian about a palm oil plantation whose owners had evicted 120 families from the land they had farmed for more than 10 years. Outcry over the eviction, which had been carried out by the police in riot gear, led the Body Shop cosmetics company to drop the firm as a supplier.

Soon, Mr. Arvidsson traveled to the area to track down the displaced families, who had moved to a spit of land along the Magdalena River, about an hour away on horseback. Where they once fed themselves, they had to rely on foreign relief groups for basic nourishment.

“It’s so tiny they can’t grow anything,” he said. “They don’t have space to grow their crops or be self-sufficient. To make it worse, they’re on this peninsula which gets flooded every year when the river rises and kills their crops.”

Mr. Arvidsson’s project has expanded in subsequent trips to look at other communities of displaced people. In the country’s western region he visited “peace villages,” settled by people who have declared their community off-limits to firearms and violence. Last August he went to a region where a huge open-pit coal mine is set to expand — but only after having to relocate several communities.

Even for long-established communities, convoluted contracts and bureaucracy have often made it difficult to sort out who the rightful owners are. And for those who acceded to pressure — either financial or physical — what they get in return often is never enough to make up for what they once had.

The Colombian government has passed legislation to help people who have been dislodged from their land. But human rights groups have voiced concern that the law is insufficient in its scope and benefits. People may get papers saying they own a particular plot, but that means little if those who pushed them out in the first place are still there, or nearby.

“If you want to be cynical, you can say this law was created to make all these land takeovers valid,” Mr. Arvidsson said. “People have papers, but many of them will be forced to sell the land anyway because they dare not return. Then everything gets validated.”


Mr. Arvidsson’s “A Fragile State” first came to our attention by way of fotovisura.

Follow @GustavArvidsson, @dgbxny and @nytimesphoto on Twitter. Lens is also on Facebook.

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Ben Affleck & More Oscar Nominees Then and Now









02/28/2013 at 12:30 PM EST








Jason Merritt/Getty; Jim Smeal/WireImage


The years may have passed, but the talent remains for Oscar nominees who have been there, done that and continue to look good doing it.

Denzel Washington, Robert De Niro, Helen Hunt, Sally Field, Alan Arkin and Tommy Lee Jones aren't strangers to the Academy Awards – all have taken home Hollywood's ultimate prize. This year, they all took that familiar red carpet walk again – with flair, grace and style.

It's an accomplishment not lost on young Hollywood. When this year's Best Supporting Actress winner Anne Hathaway accepted her Oscar, she gave a special shout out to former winners Hunt and Field as well as fellow nominees Jacki Weaver and Amy Adams.

"I look up to you all so much and it's just been an honor," she said in her acceptance speech.

See more photos of Oscar nominees then and now in the new issue of PEOPLE – including a special gallery and photos of Ben Affleck, Daniel Day-Lewis and Jamie Foxx (with his all-grown-up daughter Corinne!) in PEOPLE's coverage of the red carpet, parties and more!

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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.


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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."


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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.


FULL COVERAGE: L.A.'s race for mayor


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.





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