Fashion for life : Why ethics girls have the best style Dearly beloved , I have been addressing you from my Sunday pulpit for years now , spreading the good news about hemlines , ponchos and small leather goods . Only rarely am I given to sermonising , save the occasional hymn to the latest variety of Mulberry handbag . But occasionally belief and fashion collide . It may be in the queue to pay for a top that costs less than a Sunday newspaper , or the moment when you peer into your wardrobe and see 32 pairs of shoes staring blankly back . It may be when you read about pesticides on cotton , or the pennies paid to the women who sew the seams on your jeans . It may simply be the epiphany when you realise that you have enough . Enough stuff , enough already ... until the thrill of the new sucks you in again and propels you to the till clutching a silk blouse in a must-have shade of olive green . All the while , though , there 's a lurking discomfort . Recent research shows that we Western women wear most of our clothes only a handful of times and throw before we sew . Over the past few years , though , thanks to better folk than me , plenty of alternatives have presented themselves . If you want to shop with a conscience , you can choose to buy from companies that work directly with producers -LRB- try People Tree or Gossypium -RRB- , or from Yooxygen , a dedicated area on yoox.com devoted to ethically sourced products . You can buy ` refashioned ' clothes at fromsomewhere.co.uk , junkystyling.co.uk or traidremade.com . And , if you have no fear of needles , you can always make clothes yourself with the help of websites like wardroberefashion.net or diy-couture . co.uk . If you want to shop with a conscience , it 's clear that there 's every excuse to make your fashion fairer Once you survey the scene , it 's clear that there 's every excuse to make your fashion fairer . I love Oxfam 's brilliant Curiosity Shop -- dreamed up by Annie Lennox and now in its second year -- which is on at Selfridges until next Sunday . The idea -LRB- like all the best fashion -RRB- is simple and stunning : donations from celebrities and fashion insiders , plus the pick of Oxfam 's vintage stock , are on sale at a pop-up shop in the store . At last year 's event , one lucky punter bagged Carey Mulligan 's Bafta dress -- a glorious Vionnet gown -- while Anne Hathaway donated a Vivienne Westwood and Beyoncé parted with some of her favourite numbers . In just over a week , the shop raised # 250,000 for Oxfam 's women 's projects across the world . This year , Livia Firth has donated her many red-carpet dresses -LRB- she 's been out there a lot , given hubby Colin 's ubiquity , and wore only ethical designers throughout -RRB- . Other donations come from Florence Welch , Helen Mirren , Dannii Minogue and Alice Temperley . Retail genius Jane Shepherdson is marshalling donations from fashion houses , and there are even styling classes hosted by editors , experts and A-list stars . This is where fashion 's feel-good factor really resides -- where glamour and humanity meet . Oxfam , bless its socks , has put the fun into fundraising . Get yourself down to Selfridges , and -- yes -- go in peace . BIKE IT , YOU 'LL LIKE IT Set to become West London 's one-stop style shop , Village Bicycle is the brainchild of fashion entrepreneur Willa Keswick . With red-hot labels including Mark Fast , Felder Felder , BodyAmr and Senso Diffusion -LRB- creators of these amazing wedges , right , # 149 -RRB- , this lifestyle store à la Paris 's Colette also offers music , art and furniture , with prices starting from just # 40 . 79-81 Ledbury Road , London W11 , imavillagebicycle.com SUMMER BREEZY Change is afoot at Joules . The label loved for its laid-back pieces in pops of bold colour has launched a Boutique line including limited-edition maxi dresses , silk shorts and cute playsuits -LRB- left , # 89 -RRB- . Incorporating vintage prints and faded florals with a contemporary twist , they 're perfect for summer weddings and beach barbecues . Tel : 0845 250 7170 , joules.com It 's darling !

B I I O O O B O O O O B I O O O O O O O O B B O O O O O O B O O O O O O B I I O O O O O O O B O O O B I O O O O O B I O O O O O B I O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O B I O O B O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O B O O B O O O O O O O B O O O O O O O B I O B O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O B O O O O O O O O O O O O B O O O B O O O O O O O O O O O O O O B O O O O O O O O B O O O O B I O O O O O O O O O O O O O O B O O O O O O O O B O O O O O O B O O O B O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O B O O O B I O O B I O O O O O O O O O O O O O O O O O B O O O O O O B O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O B O O O O O O O O O O O O O B I O O B O B O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O B O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O B O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O

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Joran van der Sloot living like king in prison , says slain woman 's dad Joran van der Sloot living like king in prison , says slain woman 's dad Lima , Peru - Accused murderer , Joran van der Sloot is living a life of luxury behind bars , says the father of Stefany Flores , the Peruvian woman he 's accused of killing last Spring . Ricardo Flores said van der Sloot is '' `` living like a king '' '' as he awaits trial for Stephany 's murder in Peru 's Miguel Castro Castro Prison . Stefany , 21 , was found dead in the Dutchman 's Lima , Peru hotel room on May 30 , 2010 . Peruvian police say he confessed to killing the woman in a fit of rage , however , van der Sloot now argues he was coerced into a confession . Recently his lawyer announced he will admit culpability for the crime , but use an insanity defense . Flores was interviewed on Peru TV and said that although the famous Lima prison is known for being rough , crowded and dangerous , van der Sloot has been given a private cell . He also claims that van der Sloot is allowed to smoke marijuana and has more exercise privileges than the other inmates . Advertisement Van der Sloot is also the prime suspect in the disappearance of Alabama teen Natalee Holloway , 18 , who vanished in 2005 after being spotted leaving an Aruban nightclub with him . Want to read more Crime Examiner articles ? Then subscribe to receive continuous updates as articles are published . You can also follow me on Twitter .

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Dita Von Teese ditches sex siren wears for shapeless retro dress and flat heels We are used to seeing the Burlesque star evoking 1950 '' `` s glamour in tight corsets , seductive dresses and high heels - but even Dita Von Teese has her dressed down days . The Queen of Burlesque was looking far from her glamorous stage self as she popped to the shops L.A. with her boyfriend . The 38-year-old performer and model was cruising around in a burgundy 1946 Super Deluxe Ford coupe and was clearly enjoying a relaxed day in an outfit that was less sexy seductress and more washerwoman . Dita soaked up the sunshine with the roof of her car down with her boyfriend French model and aristocrat Louis Marie De Castelbajac . The model kept her creamy skin undercover shielded with a headscarf in-keeping with the retro scene . But while we are used to seeing Dita in highly provocative outfits she opted for a much more understated look as she popped to the shops with her man . Dita had donned a midi-length black dress with multi-colored flowers and plants print and as usual was sporting her signature bright red lipstick . Louis-Marie , 27 , also fitted in with the casual retro look in a plain white T-shirt , a pair of brown trousers and blue and brown brogues . The pair have been dating since April 2009 and Louis-Marie comes from one of the oldest and most prestigious families in France which dates back over 1000 years . His mother is an American writer and his father , Jean-Charles de Castelbajac , is a world famous fashion designer . As well as visiting Alberton 's to pick up some supplies the pair also cruised through Griffith Observatory in L.A. -- where on bemused fan spotted the star . The burlesque dancer confirmed her location on Twitter and posted to the fan : ` that 's where I take my vintage cars out for a cruise ! ' Dita glammed up for the Vivienne Westwood store opening party in L.A. on Wednesday night and oozed timeless style in her black taffeta gown . The Burlesque performer teamed the Vivienne Westwood dress with a pair of gloves , her signature bright red lips and a feathered fascinator . Do you have a story about a celebrity ? Call the Daily Mail showbusiness desk on 0207 938 6364 or 0207 938 6683 . For U.S. stories , phone 310 642 2317 .

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Orioles legend Robinson recuperating Fans of Baltimore Orioles legend Brooks Robinson are wishing him well as he recovers from a fever and infection . Robinson is at Greater Baltimore Medical Center in Towson . He was to have an outpatient procedure there Thursday , but was admitted after becoming ill . He said in a statement that he 's had a '' `` successful procedure '' '' to relieve his symptoms . He says doctors are optimistic that he can go forward next week with the previously scheduled routine procedure . GBMC set up an email address for fans , and hospital officials say the good wishes have been pouring in to getwell -LRB- at -RRB- gbmc.org A spokesman said Saturday that nearly 160 messages were received in less than 24 hours . Robinson thanked everyone for their prayers and support . Robinson , who 's 73 , played for the Os from 1955-1977 . ___ Information from : The Baltimore Sun , http://www.baltimoresun.com Advertisement

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Mayor Bloomberg ' s approval ratings are falling fast , Marist College poll finds Mayor Bloomberg 's approval ratings are falling faster than the snow in December 's blizzard . Hizzoner 's approval rating tanked since last month , dropping from 44 % in February to 40 % this week , according to a new poll from the Marist College polling institute - and it has n't even snowed since then . The poll comes as Bloomberg prepares to lay off more than 4,600 teachers and close 20 fire companies to balance the budget . '' `` The mayor continues to make tough choices in a difficult time , which is what he was elected to do , '' '' said Bloomberg spokesman Stu Loeser .

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Maple syrup a '' `` superfood '' '' : researchers OTTAWA - Researchers have identified compounds in maple syrup with similar anti-inflammatory or anti-oxidant properties as blueberries , green tea and other '' `` superfoods , '' '' they said Friday . '' `` In our laboratory research we found that several of these compounds possess anti-oxidant and anti-inflammatory properties , which have been shown to fight cancer , diabetes and bacterial illnesses , '' '' said lead researcher Navindra Seeram , assistant professor of pharmacognosy at the University of Rhode Island . Initial studies also suggest that polyphenols in the syrup may help keep blood sugar levels in check , important for diabetics , by inhibiting enzymes that are involved in the conversion of carbohydrates to sugar , he said . The discoveries of new molecules in the syrup also provide chemists with leads that could prompt synthesis of medications to fight other diseases . The findings were presented this week at an annual meeting of the American Chemical Society in Anaheim , California and are to be published in an upcoming issue of the Journal of Functional Foods . The study was funded by the Federation of Quebec Maple Syrup Producers and Agriculture and Agri-Food Canada . A total of 54 beneficial compounds were identified by the researchers in pure maple syrup from Quebec , including five of which have never been seen in nature . Among the new compounds is quebecol - named in honor of the Canadian province of Quebec , which leads the world in maple syrup production . The researchers believe it is created when a farmer boils off the water in maple sap to get maple syrup . It takes 40 liters -LRB- 20.5 gallons -RRB- of sap to make one liter -LRB- two pints -RRB- of syrup . The sweet sap is collected from maple trees in the spring when freezing and thawing cycles cause it to rise and flow from taps hammered into tree trunks . Seeram said the irony of finding a potential anti-diabetes compound in a sweetener is not lost on him . '' `` Not all sweeteners are created equal , '' '' he said . But while it may make a good substitute for high fructose corn syrup on pancakes he discourages anyone from going out and drinking gallons of it in hopes of extracting the benefits .

O B O O O O O O O B B O B O B B O O B O O B O B B O B O O O O O O O O O O O O O O O O O O O B O O O O O O O B O B O B B O O O O O O B I O B O B I O O O O O O B I O O O O B O O B O B I O O O O B O B O O B O O O O O O O O O O O B O O B O O O B O O B O B O O O O O O O B O O B O O B O O O O O O O B B O B O O O O O O O O O O O O O O O O O B O O O O O B O O O O B O O O O O O B O B I O O B O B O O B O B O B B O B O O O O O O O B I B O B O O B O O O B O B O O O O O O O O O O O O O O O B O B O O O O O O B O O B O O O O B O O B O O O B O O O B O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O B O O O O O B O O O O O B O B O B O O O O O O O O O B O O O O B O O O O B O O B O O O B O O O O O O O O O O O O B O O O O O O O O O O O O O O B O O B O B O B O B O O O O O B I O O O O O B O O O

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Drugmaker scales back sharp hike in price of pregnancy drug WASHINGTON -- The St. Louis drug company lambasted for increasing the price of a pregnancy drug from $ 20 to $ 1,500 a dose announced Friday that it 's cutting the price by more than half . The sharp reduction to $ 690 per dose came two days after the Food and Drug Administration publicly invited competition . The drug , a synthetic form of progesterone commonly called 17P and marketed under the trade name Makena , is recommended for women at high risk of delivering prematurely . The drug is administered via injection weekly for about 20 weeks . Friday 's announcement by K-V Pharmaceutical Co. of a 55 percent price reduction puts the list cost of a full course of treatment at $ 13,800 . That 's down from $ 30,000 under K-V 's old price but still a sharp jump from the $ 400 a woman could expect to spend if she had the drug made at a compounding pharmacy . Until this year , an FDA-approved version of 17P was not available . So the only alternative for women was to take a prescription for the drug to a compounding pharmacy that produced individual batches of it for $ 10 to $ 20 a dose . In February , the FDA granted K-V Pharmaceutical Co. exclusive rights to make Makena for seven years . K-V subsequently priced it at $ 1,500 a dose and sent letters warning compounding pharmacies of an FDA crackdown if they did not stop making their versions . The FDA reacted Wednesday , saying it was n't planning on blocking compounding pharmacies from making the drug , essentially encouraging patients to go that route . K-V defended its pricing as justified by development costs . But the FDA noted K-V relied on a study by the National Institutes of Health to demonstrate the drug 's effectiveness .

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GOP Launching Multi-Pronged Attack On Senior Citizens This one truly has me scratching my head . In the 2010 mid-term elections , the GOP successfully garnered the vote of the nation 's seniors by a 21 % margin . Not bad , considering that this demographic is one of the most reliable groups of voters in any national , state or local election . While the elderly have gravitated to the Republican Party for some time now , the fear the GOP has been sewing within this community over the Medicare cuts coming from Obamacare was all it really took to deliver these very healthy voter margins around the country -- never mind that the Republicans achieved this success by mischaracterizing the Medicare cuts at every opportunity in the effort to frighten the nation 's seniors . Yet , for reasons that boggle the rational mind , seniors have now become a target of both the GOP budgeting process and the House Ways And Means Committee . First , the budget . It is no great surprise that House GOP budget maven , Rep. Paul Ryan -LRB- R-Wisconsin -RRB- , is expected to announce the GOP plan to cut $ 1 trillion in Medicaid over the next ten years . While these cuts will bring devastating consequences to the nation 's poor and disabled , protecting the needs of the poor has never been a priority with the GOP . What does surprise is that Ryan has indicated that he intends to additionally propose some large cuts in Medicare - although he is being somewhat cagey about letting on just how large those cuts will be . While the expectation is that Ryan will suggest a voucher system whereby seniors will be given government checks to use in purchasing their medical care - checks that remain static or rise via cost of living adjustments despite the fact that medical costs tend to increase at a rate well in excess of the cost of living - we 'll all have to wait and see as the Congressman is not giving away many details . Of course , who can blame Ryan for being vague on the Medicare cut numbers as the nation 's senior citizens - and the AARP - are not likely to take the news very well . Still , knowing what is coming , it seems reasonable to wonder what is to become of our senior citizens when these voucher checks no longer cover the costs of serious illness . As noted , opponents of health care reform never miss an opportunity to remind our seniors that the ACA legislated away some $ 500 billion in Medicare money . However , these cuts were largely the result of ending the 11 % premium the government has been paying to Medicare Advantage programs for the identical services provided to Medicare beneficiaries when paid for directly from the government program . This premium charge was not an accident . When the Medicare Advantage program was created -- in the effort to move the administration of Medicare to the private sector -- the insurance companies asked the government to subsidize their efforts until they could get their respective programs up on their feet . They also promised that they would have these programs running efficiently by 2010 when the subsidy was scheduled to come to an end . Thus , the largest chunk of cuts in the Medicare budget resulting from the ACA comes from ending the corporate subsidy that was already scheduled to end in 2010 . As a result , none of these cuts legislated in the ACA mean any loss of important medical care to our elderly . How the Republicans ' plan to cut further into Medicare without obliterating essential health care benefits should be an interesting exercise and one that could send seniors running back to the Democratic Party in droves - and the Republicans know it . Which is why the GOP has chosen this moment to seek to discredit the AARP , the primary lobby for the nation 's elderly . This week , when the Ways and Means Committee released its report , '' `` Behind the Veil : The AARP America Does n't Know , '' '' Oversight Subcommittee Chairman Charles Boustany -LRB- R-La . -RRB- suggested that the senior citizen lobby 's commercial activities interfere with its tax-exempt status , and he called for an investigation by the Internal Revenue Service to determine whether the group 's '' `` privileged status ought to be revoked . '' '' Via Politico The report pulls no punches when arguing that AARP is a primary beneficiary of Obamacare in that the end of Medicare Advantage programs -LRB- and the overcharges to the taxpayers that comes with them -RRB- will result in an increase in the supplemental Medicare policies that AARP endorses . Republicans argue that AARP supported a provision in the overhaul that cut $ 200 billion from the Medicare Advantage program because the group will benefit when seniors replace their coverage with supplemental Medicare policies -- known as `` Medigap '' policies -- that the group endorses . Via California Healthline Sour grapes , anybody ? So intent is the GOP in punishing AARP for its support of health care reform that they now seek to pull the organization 's tax-exempt status as payback -- virtually guaranteeing some nasty blowback from the key , senior voting demographic . If this is n't a messaging opportunity that even Democrats ca n't screw up , I do n't know what is . Welcome back , senior citizens of America ! It was only a matter of time until those who have pretended to care about your well being managed to reveal themselves and show you who really has your back .

B I I I O B I O O O O O B O O O O O O O O O O B B I O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O B O B O O B O O O O O O O O O B O O B O O B O O B O O O O O O O O O O O O O O O O O O O O O O O O B B O O O O O B O O O B O O O O O O O O O O O O O O O B O O O O O O O O O O O O O B B I O O O B O O O O O O O O O O O O O B O O B O O O O O O O B O O O B O O O B O O O O O O O O O O O O O O O O O O O B O O O O O O O O O B O O O O O O O O O B O O B O O O B O O O O B O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O B O O O O B O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O B O O O O O O B I O O O B O O O O O O O O O O O O O O O O O O O O B O O O O O O O O B I O O O O O O B O O O O B O O O O O O O O O O O O B O O O O O O B B O O O O O O B O O O O O O O O O O O O O O O O O B O O O O B O O O O B O O O B B O O O B O O B O O O O O O O O O O O O B O O O O O O O O O O O B O B O O B I O O B I O O B O O O B O O O O O B O O O O O O O O B O O O O O O O O O O O O B O B O O O O O O O O O O O O O O O B O O O O B O O O O O B O O O B O O O O O O O O O O O O O B O O B O O O O O O O O O B O O O B O O O O O O B O B I O O O O O O O O O O O O O O O O O O B I O O O O O B O O O O O O O B O O O O O O O B O B O O B O O O O O B O O O O O O B O O O B O O O O O O O O O O B O O O O O O O O B O O O O O O O B O O O B O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O B O O O B O O B O O O O O O O O B O O O O O B O O O O O O O O O O O O O O O O B B O B O O B O O B O O O O O O O O O O O O O B O O O O O O B O O B O O O O B B O O O O B O B O O O O O O O B O O O O O O O O O O B O O B O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O B I O O O O O B O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O B O B O O O O O O O O O O

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Fast-food + coffee = soaring blood sugar GUELPH , Ontario , April 1 -LRB- UPI -RRB- - Eating a fatty fast-food meal can result in blood-sugar levels spiking , and chasing it with caffeinated coffee doubles the trouble , Canadian researchers say . Marie-Soleil Beaudoin , a doctoral student at the University of Guelph in Ontario , with Professors Lindsay Robinson and Terry Graham , discovered not only that a healthy person 's blood-sugar level spikes after eating a high-fat meal , and it doubles if caffeinated coffee is added - jumping to levels similar to those of people at risk for diabetes . In the study , healthy men drank about 1 gram of a fat-laden beverage - a fat cocktail that contains only lipids - for every kilogram -LRB- 2.2 pounds -RRB- of body weight . Six hours later , they were given a sugar drink . When people eat sugar , the body produces insulin , which takes the sugar out of the blood and distributes it to our muscles , Beaudoin explains . The study , published in the Journal of Nutrition , found that the fatty meal affected the body 's ability to clear the sugar out of the blood - blood-sugar levels were 32 percent higher than they were when the men had not ingested the fat cocktail . However , after they received two cups of caffeinated coffee 5 hours after ingesting the fat beverage and later a sugar drink - blood-sugar levels increased by 65 percent .

B O O O O O B B O B O O O O O O O B O B B O O B O B B I O O B O O B O B O O O O O O O B I O O B B O O B O B O B O O B O O O B I O B O O O O B O O B O B O B O B O O O O B O B O O B O B O O B O O O O O O O B O O O O O B O O O O O O O O B O O O B O O O O O O O O O O B O O O O O O B O O O O O O B B O O O O B O O O B O O O O O B O O O O O B O O O O O B I O O O O B O O B O B O O O O B O B O O O B O O O B O O O O O B O O O B O O O O O O O O O B O O B O O O O O B O O O B O O B O B O O B O O O B B O B O B O O B O

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The Nationals ' workout video `` New intro video with players working out . OK ... '' Ben Goessling wrote from Nats Park on Thursday . `` Finally , a Nationals television ad that does n't suck ! '' Nationals Enquirer wrote when a version of this workout footage made it on television . Personally , I 'm all in favor of workout videos . I just wish this one had Matt Stairs running stairs .

O O O B B O O O B O B I O O O O O B I O O B I O O O O O O O O B O O O O O O O O B O O O B O O B I O O O B O B O O O O O O O B O O O O O O O O O O O O O

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Chris Christie A Strong 2012 Presidential Contender : Poll PHILADELPHIA -LRB- Reuters -RRB- - New Jersey Governor Chris Christie insists he is not running for president , but a new poll out on Thursday shows him running ahead of most Republicans in a hypothetical matchup against President Obama . He would trail the president by only six percentage points , according to a poll by New Jersey 's Fairleigh Dickinson University . Only fellow Republicans Mike Huckabee , former governor of Arkansas , and Mitt Romney , former governor of Massachusetts , poll better against Obama . '' `` That 's pretty good for a Jersey guy , '' '' said Peter Woolley , director of the university 's PublicMind poll . '' `` People do not see New Jersey as typical of America , though it is . And they do n't see New Jersey problems as typical of America , though they are . And Christie is very New Jersey . '' '' The telephone and cellphone poll of 800 registered voters nationwide showed Christie lagging Obama by 46 to 40 percent . The margin of error is plus or minus 3.5 percent . Huckabee would be in a dead heat with the president , at 46 percent each , and Romney would be nearly in a tie , trailing Obama 44 to 43 percent , the poll showed . By contrast , Obama would clobber former Alaska Gov. Sarah Palin by 20 points , beat former Minnesota Gov. Tim Pawlenty by 14 , and former House speaker Newt Gingrich by 15 , according to the results . '' `` I know Christie is not running for president , '' '' Woolley said . '' `` But because New Jersey 's fiscal problems are a reflection of the nation 's fiscal problems , it is well worth testing his national appeal . '' '' -LRB- Editing by Barbara Goldberg and Greg McCune -RRB- Copyright 2010 Thomson Reuters . Click for Restrictions .

O B O O O B I O O B O O O O O B B O B O O O O B O B O O O O O O O B O O B O O O O O O O O O B B O O O O O B O O O B O O O O O O O O B O O O O O O O O O B O O B O B O O B I O O B O B O O O O B O O O O O O O O O B O O O O O O O O O O O O O B O O O O O O O O O B O O O O O O O O O O O O O O O B O O O O O O O O O O O B O O O B O O O O B O O O O O B O O O B O B O O O O O O O B O O O O O O O O O B O O O O O O O O B O O O O O O O O O O O O O O O O B O O O O O O O O O O O O B O O O B O O O O O O O O O B O B I O O O O O O O O O O O O O O O O O O O O O B O O B O B O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O B I O O O O O

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House passes '' `` force of law '' '' budget bill WASHINGTON , April 1 -LRB- UPI -RRB- - The GOP-led U.S. House Friday narrowly passed a '' `` force of law '' '' bill that would make an earlier spending bill law without Senate or White House action . The House passed H.R. 1255 , the Government Shutdown Prevention Act , in the face of mockery and derision from both sides of the aisle , The Hill reported . The act would make the House-passed fiscal year 2011 spending bill , which included $ 61 billion in cuts to the federal budget , law if the Senate fails to pass its own legislation by April 6 . But Democrats mocked the GOP effort , saying it displayed a shocking lack of understanding for how the U.S. government and its Constitution work . Rep. Peter DeFazio , D-Ore. , offered Republicans a copy of a children 's book titled , '' `` How our Laws are Made , '' '' while Rep. Anthony Weiner , D-N.Y. , brought a copy of '' `` House Mouse , Senate Mouse '' '' to the House floor to illustrate the process of how a bill becomes a law in this country . '' `` What you see on the floor today is no example of Democracy in action , '' '' House Minority Leader Nancy Pelosi , D-Calif. , said . '' `` It 's silly . The Republican leadership is asking its members to make a silly vote . '' '' '' `` April Fools , America , '' '' House Minority Whip Steny Hoyer , D-Md. , added . '' `` This is a joke , America . This is not real , America . '' '' Disbelief was not limited to the Democrats , however , as the bill passed by a vote of 221-202 - including 15 '' `` no 's '' '' from Republicans . Rep. Louie Gohmert , R-Texas , took the floor to say the bill '' `` violates my conscious and the Constitution , and I can not vote for it . '' '' Republicans argued the bill was meant to highlight Senate inaction . '' `` What we 're trying to do with this resolution today is get our business done , '' '' said Rep. Rob Woodall , R-Ga. , the Los Angeles Times reported . House Majority Leader Eric Cantor , R-Va. , said a shutdown '' `` looms ever larger '' '' because of the Senate 's failure to pass a bill . H.R. 1255 also would cut off the paychecks for lawmakers in the event of a government shutdown , a less controversial provision already passed by the Senate .

B O O O B O O O O O O O O O O O O O O O O O B O B I O O O B O O O O O O O B O B I O B I O O O B B O O B O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O B O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O B O O O O O O O B O O O O O O O O O B O O O O O O B B O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O B B O B O B O O O O O O O O O O O O O O O O O O B O O O B O B O B O O O B O O O O O O O O O O O O O O O O O O O B O O O B O O O O O O O O O O O B O O O B O O O O O O O O O O O O O O O O B O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O B O B O O O O O O B O O O O B O O O O O O O O O O O B O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O B O O O O B O O O O O O O B O O O O O O O

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State Rep. Knollenberg challenges US Rep. Peters Republican state Rep. Marty Knollenberg says he 's running for Congress in a district now held by Gary Peters , who unseated Knollenberg 's father . The younger Knollenberg said Thursday that his staff is filing candidacy papers with the Federal Election Commission . The Troy legislator says he 's entering the race now so as not to fall behind the Bloomfield Township Democrat in fundraising . Knollenberg says creating jobs and controlling federal spending top his agenda . Peters beat then-U.S. Rep. Joe Knollenberg in the November 2010 election for Michigan 's Ninth U.S. House district . Michigan is losing one congressional seat based on the 2010 Census , and redistricting will reshape district boundaries . Peters ' staff declined immediate comment on Knollenberg 's announcement . Advertisement

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Dim Bulb : Sen. Barbara Boxer , D-Calif . Who : Sen. Barbara Boxer , D-Calif . What : Said '' `` the Democratic Party does n't rule with an iron fist , we 're not some kind of Tea Party party where people march to a cup of tea . '' '' Why it 's dim : Does anybody understand such gibberish ? Cure : Oh , go read '' `` Alice in Wonderland '' '' again . Advertisement

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No Agreement on Plan to Avert Shutdown WASHINGTON -- Members of Congress remained at loggerheads Friday over a plan to avert a government shutdown , with House Republicans digging in behind a bill that would make it the law of the land to cut $ 61 billion from current spending , despite the fact that the Senate has already rejected that idea . Democrats in the Senate , which ended its workweek Thursday , remained resistant to both the deeper cuts demanded by House members as well as the scores of amendments seeking to make policy changes by reining in environmental regulations , financing for family planning groups and plans to carry out the health care overhaul . Though both parties oppose passing any more short-term spending plans , the threat of a government shutdown continued to loom , something President Obama , speaking at a shipping facility in Landover , Md. , implored lawmakers to avoid . `` It would be the height of irresponsibility to halt our economic momentum because of the same old Washington politics , '' he said . `` The American people do n't want us to go to our respective corners and have the same battles we 've been having for decades . '' Speaker John A. Boehner reiterated that Republicans also wanted to avoid a politically and financially costly shutdown . `` If you shut the government down , it 'll end up costing more than you 'll save because you interrupt contracts , '' he said at a news conference Friday . `` There are a lot of problems with the idea of shutting the government down . It is not the goal . '' Staff members of the Appropriations Committees in both the House and the Senate were expected to work through the weekend to figure out how to spread roughly $ 33 billion in cuts across government agencies . Lawmakers on both sides of the Rotunda and from both parties have informally agreed on that number as a target for reducing spending for the rest of this fiscal year , which ends Sept. 30 . Yet in the House it remains unclear whether the more conservative members , especially the 87 Republican freshmen , would accept that figure . In the Senate , which Democrats control , it is uncertain if lawmakers would agree to deeper spending cuts , as well as rollbacks of some environmental regulations and other amendments . `` We announced the other night in our meeting with the vice president that the White House nor Senate leaders are going to accept any E.P.A. riders , '' Senator Harry Reid , the majority leader , said in a conference call with reporters Friday . With the weekend on the horizon , the House spent Friday afternoon serving up partisan warfare , with a side order of mockery . Republicans narrowly passed a bill that called for their 2011 spending bill -- one that already failed in the Senate -- to become law should the Senate fail to approve its own spending measure by April 6 . The vote was 221 to 202 , with no Democrats in support and 15 Republicans against it . At one point , Representative Anthony Weiner , Democrat of New York , read aloud on the House floor from `` House Mouse , Senate Mouse , '' a children 's book sold in the Congressional gift shops . The story explains how a bill becomes a law -- a process that requires both Senate and House `` mice '' to back a measure , `` ` And if enough do , if enough do , this president signs it if he likes to , ' '' read Mr. Weiner , before accurately noting that the `` Senate mice '' had yet to pass the spending bill approved by the House . Because the measure to bypass the Senate would itself require Senate approval , a highly unlikely outcome , Friday 's vote was largely meaningless . But it did allow Republicans to make the point that the Senate has yet to pass its own spending bill .

O B O B O B I B O B O B O O B I O O B O O O O O O O B I O O O O B O O O O O O O O B O O O B I O O B O O O O O O B O O O O O O O O O B O O O O O B O O O O O O O O O O B I O O O O O O B O O O O O O O O O O O B O B I B O O O O O O O O O O O O B O O O O O B O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O B I I O O B O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O B O O O O O O O O O O O O O O O O O B O O B I O O O B O O B O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O B O O O O O B O O O O O O O O O O O O O O O O B O O O O O O B B O O O O B O O O B O O O O O B O O O O O O O O O O O O O O B O O O O O B O O O O O O B O O O O O O O O O O O O O B O O O B O B O O O O B O O O O O O O O O O B O O O O O B O O O O O O O B O O O O O B O O O O O B O O O O O O O O O B O O O B O O O O O B B O O O O O O O B O O O O O O B O O O O O B B O O O O O O O O O O O O O O O O O O B O O O O O B O O O O O B O B I O O O O O B O O O B B O B B O O O O O O O O O B O O O O O O O O B O O O O O B O O O B O B O O O O O O B O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O B O O O O O O O B B O O O B O O O B O O O B O O O B O O O O O O O O O O O B O O O O O O B O O O B O O B O O O O O O B B O

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New AIDS report sets zero new infections goal NEW DELHI -LRB- AP -RRB- -- The United Nations has set an ambitious goal of zero new HIV infections and zero AIDS-related deaths by 2015 as the next stage of the war against the deadly virus , a new report said Friday . The U.N. Secretary-General 's 2011 Report on AIDS highlights new strategies in the fight against the disease and urges universal access to treatment , care and support for those infected with the virus , and an end to discrimination against them . The report , released by the United Nations office in New Delhi , noted an overall global decline in HIV infections , but cautioned against any complacency , noting that every day more than 7,000 people , including 1,000 children , are newly infected by the virus . '' `` The number of people newly infected with HIV declined by 19 percent in the decade before December 2009 , with at least 33 countries experiencing a decline in HIV incidence of at least 25 percent , '' '' the report said . But despite the overall decline , the number of infected people is increasing in Eastern Europe , Central Asia , North Africa and the Middle East and parts of Asia . '' `` No country has escaped the devastation of this truly global epidemic , '' '' the report said in a summary of the 30 years since AIDS emerged as a major health challenge across the world . In those three decades , AIDS has claimed more than 25 million lives and more than 60 million people have been infected by HIV . But health experts , speaking at the function marking the release of the report , said all was not doom and gloom and there was plenty of good news coming from AIDS prevention and treatment programs worldwide .

O B O O B O B I B I O O O O O B O O O O B O O B O B O O B B I O B O O O O O O O O O B I O O O O B O O O O O O O O O B B O B O O O O O B O O O O O O O O O O O O B O O O O O O O O B O O O O O O O O O B O O O B I O O O B I O O B O O B I I O O O O O O O O O B B O O B I O O O B O O O O O O O O O B O B O B O O O O O O O O O O O O O O O O O O O O B O O O O B I O O O O O B O O O O O O O O O O B I O O O O O O O B O O O O O B I O O O B O O O O O O O O O O O O O O O O O O O B O O O O O B I O B O O O O O O O O O O O O B I O B O O O O O O O O O O O O B O O B O B O O O O O O O O O O O O O O O O B O O O O O B O O O B O B I O O B B O O O O O

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Calorie counts for everywhere from bakeries to vending machines -LRB- but do n't worry , you can eat at the cinema guilt free -RRB- Ever wondered how many calories are in your food when you dine out ? Or in the snack you 've just chosen in a vending machine ? Or indeed your early morning latte ? Well whether you have or not makes no difference . Because the FDA are now proposing that the amount of calories on each item on a menu be clearly posted for customers to see . Under the new labelling requirements , restaurant chains , bakeries , grocery stores , convenience stores , coffee chains and even vending machines will have to clearly post the amount of calories in each item . The new rules also apply to drive throughs . The calorie counts will apply to an estimated 280,000 establishments required as part of a health overhaul legislation signed into law last year . They are designed to give restaurant diners information that has long been available on packaged goods cooked at home . The FDA estimates that a third of the population 's yearly calories are consumed by eating out . The move is the latest in a series of changes to battle the nation 's epidemic of obesity . FDA deputy commissioner for foods Mike Taylor said : '' `` We 've got a huge obesity problem in this country and its due in part to excess calorie consumption outside the home . '' `` Consumers generally when you ask them say they would prefer to have that information . Nobody thinks that it by itself solves the problem , but it 's part of the tool kit . '' `` We see this as part of the overall effort to fight obesity . '' '' There are some places , however , where people will be able to indulge in their favourite snacks without worrying about the calorie content . The rules wo n't apply in bowling alleys , airplanes , or even movie theatres , where a tub of popcorn can contain almost a thousand calories - any business whose primary goal is not to sell food . Alcohol will also be exempt . Margo Wootan , director of nutrition policy at the advocacy group Center for Science in the Public Interest , told the Huffington Post that these kind of restrictions could be misleading to consumers . She said : '' `` I think it 's going to be confusing if customers see the calories for soft drinks and juice labeled on the menu but not other drinks such as beer and wine . It will make it seem like they are better choices . '' '' Calorie counts would have to be displayed prominently on all menus and menu boards , including at drive-through locations and next to self-service foods , such as items in a salad bar . A California law requiring chain restaurants to display calorie counts has been in effect since January , but many counties have put off enforcing the regulation until the release of the federal guidelines . Some fast-food chains in the state , including McDonald 's and Starbucks , have already begun displaying calorie counts on posted menus in some locations . Although public health and nutrition specialists welcomed the new rules , few suggested that they would make a substantial difference in the epidemic of overeating that adds an estimated $ 150billion a year to the nation 's medical bill . The rate of obesity has more than doubled over the last 40 years . In 1971 , an estimated 14.5 per cent of adults in the U.S. were obese , compared with about 35 per cent in 2008 .

B B O B I I O B B O O O O O O O O B I I I I I O O B O O B O O O O O O B O O O O O O O O O B O O B O O O O O B O O O O O O O O O O O B O O O O O O B O O O O B O O B O O B O O O O B O O O O O O O B O O B O O O B O O B O O O B O O B B O O O O O O O O B O O B O O O O O B O O O O O B B O B O O B O O B O O O O O B O O O O O O O O O B O O O O B O O O O O O B O B O O O O O O O O O O O O O O B O O O O O O O O O O O O O B O O O O O O O O O B O O O O O O O O O O O O O O O O O B O O O O O O O O O O O B O O O O O O O O O O O O O O O O B O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O B O O O O O O B O O O O O O O O O B O O O O O O O O B B O O O O O B O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O B O O O O B O B O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O B O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O B B O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O B B O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O B B O O O O O O O O O O O B O O O O O O O O O O O O O O B O O O O O O O O B O O O O O O O O O O O O O O B O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O

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Tea Party As negotiations on this year 's federal budget continue , the Tea Party yesterday rallied on the lawn near the Capitol , aiming to buck up Republicans to stand firm for deep cuts . There 's one week to go until another potential government shutdown .

O O O B O O O O O B I O O O O B I O O B I O B O B O B I I O B I O B I O O O B I O O O O O O O O

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Many women have kids with multiple fathers WASHINGTON , April 1 -LRB- UPI -RRB- - It is surprisingly common for U.S. women of all levels of income and education to have more than one father for their children , researchers found . Demographer Cassandra Dorius , a postdoctoral fellow at the University of Michigan Institute for Social Research in Ann Arbor , analyzed data on nearly 4,000 U.S. women who were interviewed more than 20 times over a period of 27 years . The data included information about individual men in each household , describing what demographers call '' `` relationship churning . '' '' Dorius found multiple fathers is common - 28 percent of all U.S. women with two or more children have children by more than one man - and it is frequently tied to marriage and divorce rather than just single parenthood . '' `` We tend to think of women with multiple partner fertility as being only poor single women with little education and money , but in fact at some point , most were married and working , and going to school and doing all the things you 're supposed to do to live the American Dream , '' '' Dorius says in a statement . However , different fathers was more common among minority women - 59 percent of African-American mothers , 35 percent of Hispanic mothers and 22 percent of white mothers reported multiple partner fertility . The study was presented at the annual meeting of the Population Association of America in Washington .

O O O O O B O B O O O O O O O O O B O O B O O O O O B O B O O B I I I O O B O O O O O O O O O B I O O B O B I O B I O O O O O O O O O B O O O B O O O O O O O O O O O O O B I O B O O O B O O O B O O O B I O O O O O B O O O O O O O O B O O O O O B O B O O O O O O O O O B O O B O B O O O O B O O O O O O O O O O B O O O O O B I I O O B O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O B O O O O O B O O O O O B O O O O O B O O O O O O O B I I I O O O O B O O O B O O B I O B O B O

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researchers found demographer cassandra dorius


Republicans scuttle Palin 's oil tax increase From The Hill 's GOP12 blog : Sarah Palin 's record as governor of Alaska has largely gone unchallenged by conservatives , despite the fact that one of her signature legacies was imposing an oil profits tax - a distinctly liberal idea . Now , Republicans in the state Legislature and Palin 's own Republican replacement , Gov. Sean Parnell , have scored a victory in an attempt to reverse her tax hike . Click here for the whole thing .

O O O O O O O O O O O O B O O O O B O B O B O B I I O O O O O B O O O O B I O B O O B O O O B I I O O O O O O B I O O O O O B O O O O O O B O B O O B O B I O O O B I O O O O O

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republicans scuttle palin's oil tax increase


Michele Bachmann Ambitions Could Lead To '' `` Rocky Crusade '' '' In 2012 TIME : Bachmann may also have trouble building a complex campaign operation . She has burned through four chiefs of staff in five years , often preferring her own counsel or that of her close-knit family . She writes her own speeches and relies heavily on her husband and her oldest son , a Connecticut doctor , for advice . Such an arrangement usually makes for a rocky crusade .

O O O O O O O O O O O O O O O O O O B I I O O O B I O O O O O O O B I O O O O B I I O B O O O O O O O O O O B I O B I O B I O B I B O O B O O O B O O O B O B O O O O O

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often preferring her
of staff
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complex campaign operation she has burned through four


High-end medical option prompts Medicare worries High-end medical option prompts Medicare worries -LRB- AP -RRB- WASHINGTON -LRB- AP -RRB- -- Every year , thousands of people make a deal with their doctor : I 'll pay you a fixed annual fee , whether or not I need your services , and in return you 'll see me the day I call , remember who I am and what ails me , and give me your undivided attention . But this arrangement potentially poses a big threat to Medicare and to the new world of medical care envisioned under President Barack Obama 's health overhaul . The spread of '' `` concierge medicine , '' '' where doctors limit their practice to patients who pay a fee of about $ 1,500 a year , could drive a wedge among the insured . Eventually , people unable to afford the retainer might find themselves stuck on a lower tier , facing less time with doctors and longer waits . Medicare recipients , who account for a big share of patients in doctors ' offices , are the most vulnerable . The program 's financial troubles are causing doctors to reassess their participation . But the impact could be broader because primary care doctors are in short supply and the health law will bring in more than 30 million newly insured patients . If concierge medicine goes beyond just a thriving niche , it could lead to a kind of insurance caste system . '' `` What we are looking at is the prospect of a more explicitly tiered system where people with money have a different kind of insurance relationship than most of the middle class , and where Medicare is no longer as universal as we would like it to be , '' '' said John Rother , policy director for AARP . Concierge doctors say they 're not out to exclude anyone , but are trying to recapture the personal connection shredded by modern medicine . Instead of juggling 2,000 or more patients , they can concentrate on a few hundred , stressing prevention and acting as advocates with specialists and hospitals . '' `` I do n't have to be looking at patient mix and how many are booked per hour , '' '' said Dr. Lewis Weiner , a primary care physician in Providence , R.I. , who 's been in a concierge practice since 2005 . '' `` I get to know the individual , '' '' Weiner said . '' `` I see their color . I see their moods . I pick up changes in their lives , new stressors that I would not have found as easily before . It 's been a very positive shift . '' '' Making the switch can also be economically rewarding . If 500 patients pay $ 1,500 apiece , that 's gross revenue of $ 750,000 for the practice . Many concierge doctors also bill Medicare and private insurance for services not covered by their retainer . Patients and family members say the fee is worth it . Linda Popkin lives in New York , far from her 97-year-old mother in Florida . With their mother in a concierge practice , Popkin says she and her siblings have direct access to the doctor as needed . '' `` If one of us calls the doctor , he calls us back , '' '' she said . '' `` We are involved in all the decisions . We definitely have peace of mind that Mom is seeing a doctor she can speak to if we have any questions . I 'm sure you 've heard the horror stories about people calling the doctor and they ca n't get in for three weeks . '' '' Popkin 's mother did n't lose her Medicare . She 's still covered for medications , specialist visits , hospitalizations and other services . But she has an additional level of personalized attention . Her doctor is affiliated with a Florida-based management company called MDVIP , a wholly owned subsidiary of consumer products giant Procter & Gamble that represents the largest group of concierge physicians in the country . MDVIP marketing executive Mark Murrison says its doctors do not sell access , but a level of clinical services above what Medicare or private insurance cover . The cornerstone is an intensive annual physical focused on prevention . About half the patients are Medicare beneficiaries . Retainer fees range from $ 1,500 to $ 1,800 a year , and MDVIP collects $ 500 of that for legal , regulatory and other support services . Murrison said the fee is affordable for middle-class households when compared with the cost of many consumer goods and services . '' `` One of our goals is to democratize concierge medicine , '' '' he said . For now , there may be fewer than 2,000 doctors in all types of retainer practice nationally . Most are primary care physicians , a sliver of the estimated 300,000 generalists . The trend caught the eye of MedPAC , a commission created by Congress that advises lawmakers on Medicare and watches for problems with access . It hired consultants to investigate . Their report , delivered last fall , found listings for 756 concierge doctors nationally , a five-fold increase from the number identified in a 2005 survey by the Government Accountability Office . The transcript of a meeting last September at which the report was discussed reveals concerns among commission members that Medicare beneficiaries could face sharply reduced access if the trend accelerates . '' `` My worst fear -- and I do n't know how realistic it is -- is that this is a harbinger of our approaching a tipping point , '' '' said MedPAC chairman Glenn Hackbarth , noting that '' `` there 's too much money '' '' for doctors to pass up . Hackbarth continued : '' `` The nightmare I have -- and , again , I do n't know how realistic it is -- is that a couple of these things come together , and you could have a quite dramatic erosion in access in a very short time . '' '' Another commissioner at the meeting , Robert Berenson , called concierge medicine a '' `` canary in the coal mine . '' '' Several members said it appears to be fulfilling a central goal of Obama 's overhaul , enhancing the role of primary care and restoring the doctor-patient relationship . Yet the approach envisioned under the law is different from the one-on-one attention in concierge medicine . It calls for a team strategy where the doctor is helped by nurses and physician assistants , who handle much of the contact with patients . John Goodman , a conservative health policy expert , predicts the health care law will drive more patients to try concierge medicine . '' `` Seniors who can pay for it will go outside the system , '' '' he said . MedPAC 's Hackbarth declined to be interviewed . But Berenson , a physician and policy expert , said '' `` the fact that excellent doctors are doing this suggests we 've got a problem . '' '' '' `` The lesson is , if we do n't attend to what is now a relatively small phenomenon , it 's going to blow up , '' '' he added . When a primary care doctor switches to concierge practice , it means several hundred Medicare beneficiaries must find another provider . Medicare declined an interview on potential consequences . '' `` There are no policy changes in the works at this time , '' '' said spokeswoman Ellen Griffith . ___

B B O O B O B B O O B O O O O B O O O O O O O B O O O O O O O B O O O O O O O B O O O O O O O O B O O O B O O O O O O O O O O O O O O O O O O O O O O O B O O O B I O O O O O B O O O O O O B B B O B O O O B O O O O O O O B I O O O O O O O B O B O O O O O O O B O O O O O O O O O O O O O O O O O O B O O O O O O B O O O O O O O O O O O B O O O B O O O B O B O O O B O O O O O O O O O O B O O O O O O O O O O O O O O O O B O O O O O O O B B O O O O O O O O O B O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O B O O O B O O O O B O O O O O O O O O O O O O O O O O O O O B O O O O O B O O B O O O B O O O B O O B O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O B B I I O O O B B O O O O O O O O O O B B O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O B O O O B O O B O O O O O O O O O O O B O O B O O O B O B O O B O O O O B O B O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O B B O B O O O O O O O O O O B O O O O O O O O O O O B O O O O O O O O O B O O O O O O O O O O O O O O O O O O B O O O B O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O B O O O O O O B O O O O O O O O O O O O O O B O O O O O O O O B B O O B O O O O O B O O B O O O O O O O O B I O B O O O O O O B O O O O O B O O B I O O O O O O O O O O O O O B O O B O B O O O O O O O O B O B O B O O O O B O B B O B O O O O B O O B O O O O B O O O O O O O O O O O O B O O B O O O B O B I O O O O O O O O O O B O O O O O O O O O O B I O O O O B O O O O O O O O O B O O O O O B B O O O O O B O O O O O O O B O O O O O O O O B O O B O O B O O O O B O O O O O O O O O O O O O O O O O O O O O O O B B O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O B O O B B O O O O O O O O O O O O O B I O O O O O O O B O O O O O O O O O O O B O B I O O O B B O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O B O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O B I O O O O O O O O O O O O O B O O O O B O B I O O O O O O O O O O B O O O B I O O O O B O O B O O O O O B O B I O O O O O O B O O B O O O O O B O O O O O O O O O B O O O O O O B B O O B O B B B O O O B O O B I O O O B I O O O O O O O O O O O O O B O B O O B O O B O O O O O B O B O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O B B O O B B O O O O B B B O O O O O B B O O O O B O O O O O O B O O O O O O O O O O B B B I O O

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democratize concierge medicine


Concierge medicine fills a niche , but its spread could worsen shortage of frontline doctors WASHINGTON - Every year , thousands of people make a deal with their doctor : I 'll pay you a fixed annual fee , whether or not I need your services , and in return you 'll see me the day I call , remember who I am and what ails me , and give me your undivided attention . But this arrangement potentially poses a big threat to Medicare and to the new world of medical care envisioned under President Barack Obama 's health overhaul . The spread of '' `` concierge medicine , '' '' where doctors limit their practice to patients who pay a fee of about $ 1,500 a year , could drive a wedge among the insured . Eventually , people unable to afford the retainer might find themselves stuck on a lower tier , facing less time with doctors and longer waits . Medicare recipients , who account for a big share of patients in doctors ' offices , are the most vulnerable . The program 's financial troubles are causing doctors to reassess their participation . But the impact could be broader because primary care doctors are in short supply and the health law will bring in more than 30 million newly insured patients . If concierge medicine goes beyond just a thriving niche , it could lead to a kind of insurance caste system . '' `` What we are looking at is the prospect of a more explicitly tiered system where people with money have a different kind of insurance relationship than most of the middle class , and where Medicare is no longer as universal as we would like it to be , '' '' said John Rother , policy director for AARP . Concierge doctors say they 're not out to exclude anyone , but are trying to recapture the personal connection shredded by modern medicine . Instead of juggling 2,000 or more patients , they can concentrate on a few hundred , stressing prevention and acting as advocates with specialists and hospitals . '' `` I do n't have to be looking at patient mix and how many are booked per hour , '' '' said Dr. Lewis Weiner , a primary care physician in Providence , R.I. , who 's been in a concierge practice since 2005 . '' `` I get to know the individual , '' '' Weiner said . '' `` I see their color . I see their moods . I pick up changes in their lives , new stressors that I would not have found as easily before . It 's been a very positive shift . '' '' Making the switch can also be economically rewarding . If 500 patients pay $ 1,500 apiece , that 's gross revenue of $ 750,000 for the practice . Many concierge doctors also bill Medicare and private insurance for services not covered by their retainer . Patients and family members say the fee is worth it . Linda Popkin lives in New York , far from her 97-year-old mother in Florida . With their mother in a concierge practice , Popkin says she and her siblings have direct access to the doctor as needed . '' `` If one of us calls the doctor , he calls us back , '' '' she said . '' `` We are involved in all the decisions . We definitely have peace of mind that Mom is seeing a doctor she can speak to if we have any questions . I 'm sure you 've heard the horror stories about people calling the doctor and they ca n't get in for three weeks . '' '' Popkin 's mother did n't lose her Medicare . She 's still covered for medications , specialist visits , hospitalizations and other services . But she has an additional level of personalized attention . Her doctor is affiliated with a Florida-based management company called MDVIP , a wholly owned subsidiary of consumer products giant Procter & Gamble that represents the largest group of concierge physicians in the country . MDVIP marketing executive Mark Murrison says its doctors do not sell access , but a level of clinical services above what Medicare or private insurance cover . The cornerstone is an intensive annual physical focused on prevention . About half the patients are Medicare beneficiaries . Retainer fees range from $ 1,500 to $ 1,800 a year , and MDVIP collects $ 500 of that for legal , regulatory and other support services . Murrison said the fee is affordable for middle-class households when compared with the cost of many consumer goods and services . '' `` One of our goals is to democratize concierge medicine , '' '' he said . For now , there may be fewer than 2,000 doctors in all types of retainer practice nationally . Most are primary care physicians , a sliver of the estimated 300,000 generalists . The trend caught the eye of MedPAC , a commission created by Congress that advises lawmakers on Medicare and watches for problems with access . It hired consultants to investigate . Their report , delivered last fall , found listings for 756 concierge doctors nationally , a five-fold increase from the number identified in a 2005 survey by the Government Accountability Office . The transcript of a meeting last September at which the report was discussed reveals concerns among commission members that Medicare beneficiaries could face sharply reduced access if the trend accelerates . '' `` My worst fear -- and I do n't know how realistic it is -- is that this is a harbinger of our approaching a tipping point , '' '' said MedPAC chairman Glenn Hackbarth , noting that '' `` there 's too much money '' '' for doctors to pass up . Hackbarth continued : '' `` The nightmare I have -- and , again , I do n't know how realistic it is -- is that a couple of these things come together , and you could have a quite dramatic erosion in access in a very short time . '' '' Another commissioner at the meeting , Robert Berenson , called concierge medicine a '' `` canary in the coal mine . '' '' Several members said it appears to be fulfilling a central goal of Obama 's overhaul , enhancing the role of primary care and restoring the doctor-patient relationship . Yet the approach envisioned under the law is different from the one-on-one attention in concierge medicine . It calls for a team strategy where the doctor is helped by nurses and physician assistants , who handle much of the contact with patients . John Goodman , a conservative health policy expert , predicts the health care law will drive more patients to try concierge medicine . '' `` Seniors who can pay for it will go outside the system , '' '' he said . MedPAC 's Hackbarth declined to be interviewed . But Berenson , a physician and policy expert , said '' `` the fact that excellent doctors are doing this suggests we 've got a problem . '' '' '' `` The lesson is , if we do n't attend to what is now a relatively small phenomenon , it 's going to blow up , '' '' he added . When a primary care doctor switches to concierge practice , it means several hundred Medicare beneficiaries must find another provider . Medicare declined an interview on potential consequences . '' `` There are no policy changes in the works at this time , '' '' said spokeswoman Ellen Griffith . ___

O B O O O O O O B I O B O B I O O B I O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O B O O O O O B O O O O O O O O O O O B O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O

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EPA ? ECZ ? Acronyms cause confusion over budget deal All of the hubbub Thursday over the White House possibly capitulating to House Republicans and agreeing to include some anti-EPA riders in a pending budget deal might have simply come down to a misheard acronym . `` I think there was some confusion by some people , somebody , '' Rep. Emanuel Cleaver , head of the Congressional Black Caucus , told POLITICO . Cleaver -LRB- D-Mo . -RRB- was referencing an AP article late Wednesday that cited an anonymous Democratic lawmaker stating that President Barack Obama made it clear with the caucus that the White House would have to include Republican riders trumping some EPA rules in a deal to avoid a government shutdown . `` It 's not a story , '' Cleaver said . `` Somebody got confused . I think people got EPA and ECZ mixed up . '' Cleaver said Obama was actually referring to community empowerment zones , which are generally referred to as CEZs . A readout of Wednesday 's meeting between the president and the caucus referenced that one of the topics was empowerment zones in persistent poverty communities . Cleaver said he was not aware of any concern over EPA riders . The story set off a frenzy of backlash from environmental groups Thursday that only ceased when the White House issued a statement opposing the GOP riders . Cleaver also issued a one-line statement saying the source was `` inaccurate . ''

B O O O B O B O B O O O O B B O O B B B O O B O O O O B O B O O O B B O O O O O O O O B O O O O O O O O B O O B O O O O O O B O O O O B O B O O O O B O O O O O B O O B O B O O O B O O O O B O B O O O O O B O O B B O O O B B O B O B O O O O O B O O O O O O O O O B O O B O O O O O B O O O B O B O O O O O O B O B O O B O B B O O O O O O O O B O O O O B O O O O B O O B B O O O O B O B O O B O O O B O O O O O O O O O B O O O B O O O O O O O O O B O O O O O B B B O B O O O O O B O B O B B O O B O O O O O

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epa ecz acronyms
wednesdays meeting
ap article
rep emanuel cleaver
house republicans


Top evasion from the briefing In Wednesday 's White House briefing , press secretary Jay Carney would n't say whether President Obama would veto budget proposals that include riders . `` We do not believe that this is the proper place to insert an ideologically driven agenda '' into the budget , Carney said , calling the appropriations process a `` byzantine and complex one . '' He added , though , that `` a rider can be something that declares apple pie the most favorite dessert in America . ''

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white house briefing press secretary jay carney


Tea Party Blocks Health-Care Implementation Ron Lamkey / Getty Images Hate the health-care law ? The Tea Party has come up with a solution : block any implementation of health-care reform , much to the frustration of state lawmakers from both parties . `` They 've basically handed off the health exchange to the federal government , '' said Montana Insurance Commissioner Monica Lindeen , a Democrat , about the Tea Party legislators who have managed to hamper the reforms . In Lindeen 's own state , for example , a Republican who ran on a Tea Party platform has blocked multiple health-exchange bills and has worked to create legislation that would specifically bar the state from setting up the health-care marketplace . According to the health-care bill , states must implement health-care reform by 2014 , and if they do not have a system in place by 2013 , the federal government will come in and put it in place themselves .

O O O B B O O O O B O O B O O O O O O O O O O O O O O B O B O O O O O B O B B O O B O O O O B I O O O B O O O B O O O B I I I I O O B O O O O O B O O B O B O O O O O O O B O O O O O B O O O O O O B O O B I O O O B O O B O O B O O B O O O O B I O O O O B O O B O B I O O O O O O O O O O O B O O O O O O O B O O O O B O O O O O

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NH Senate approves town spending caps New Hampshire 's Senate has approved a bill that would allow cities and towns to adopt spending caps . Bill sponsor David Boutin , R-Hooksett , says the idea is all about giving local budget control to taxpayers . The communities of Franklin , Derry , Laconia , Nashua , Dover , Rochester and Manchester have approved spending caps . In November , the state Supreme Court overturned Manchester 's spending cap , saying such a cap violates laws governing local budget-making authority . Boutin said his bill would resolve that conflict and protect existing caps from legal challenges . The Senate passed the bill 19-5 . The House has passed a similar bill . Advertisement

O B I O B B O O O O O O O B O O O B O B O O B B O B B O B O B O B O B O O O O O O B O B O O B O O O O O O O B O O O O O B O O B B O O O O O O B O B B O B O O B O O O B O B O O B O B O O B O O O O O O B B O O B O O O B O B B O O O O B O B B O O

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Guest lineups for the Sunday news shows Guest lineups for the Sunday news shows -LRB- AP -RRB- WASHINGTON -LRB- AP -RRB- -- Guest lineup for the Sunday TV news shows : ABC 's '' `` This Week '' '' -- Retired Gen. James Jones , President Barack Obama 's former national security adviser ; Sens. Chuck Schumer , D-N.Y. , and Jeff Sessions , R-Ala . ___ NBC 's '' `` Meet the Press '' '' -- Sen. Dick Durbin , D-Ill. , and Rep. Mike Rogers , R-Mich . ___ CBS ' '' `` Face the Nation '' '' -- Sens. Harry Reid , D-Nev. , and Lindsey Graham , R-S.C . ___ CNN 's '' `` State of the Union '' '' -- Jones ; Sen. John Cornyn , R-Texas ___

B I O O B I I B I O O B I I O B O B O B O O B O O O B O B I O O O O O O B O O O B O O B O B O O O B I I I O O B O O O O O O B O O O O O O O O B O B O O O O O O O B O O B O B O O O O O O O O B O B O O O O O O O B O O O B O O O O O O O O B O O B O O O B O O O B O B O

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Tea Party Express Opens 2012 Campaign Against Obama The Tea Party Express became the first organization to buy national advertising to oppose the re-election of President Obama , filing a report on Friday with the Federal Election Commission disclosing more than $ 40,000 in ad buys on Fox News Channel and Fox Business Network . The group , which became the largest independent backer of Tea Party candidates during last year 's election , also aired an ad opposing Obama in March on local television in Madison , Wis. .

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opens 2012
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Scott Brown Criticizes Proposed Budget Cuts As '' `` Irresponsible '' '' Politico : While some Senate Republicans are tacking right on the budget , Sen. Scott Brown is attacking proposed cuts coming from members of his own party as '' `` irresponsible '' '' and urging both sides of the aisle to come together on a bipartisan deal .

O B O O B B O O O B O O B O O O B I O B I O O B O O O B O B I I O O B O O B I O O O B O O O B I I O O B O B I O O O O O

come together
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criticizes proposed budget cuts
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proposed budget
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urging
scott brown


Democracy after all The people spoke : House Bill 477 is no more . Guess Utah is a democracy after all . Jennifer Leiser Salt Lake City Copyright 2011 The Salt Lake Tribune . All rights reserved . This material may not be published , broadcast , rewritten or redistributed .

B O O O B O O B I O O O O O O O O O B O O O B I I I O B O O B I I O O B I O O B I O O O O O O O O O O

jennifer leiser salt lake
material may
people
house bill
democracy
rights reserved
copyright
salt lake tribune

published broadcast rewritten
more guess utah


FDA Proposes Calorie Counts on Menus FDA proposes calorie counts on menus in chain restaurants , grocery stores , coffee shops It could get harder to indulge in a double cheeseburger and fries without feeling guilty . Menu labeling requirements proposed Friday by the Food and Drug Administration will require chain restaurants with 20 or more locations , along with bakeries , grocery stores , convenience stores and coffee chains , to clearly post the calorie count for each item on their menus . '' `` We 've got a huge obesity problem in this country and it 's due in part to excess calorie consumption outside the home , '' '' says Mike Taylor , FDA deputy commissioner for foods . '' `` Consumers generally when you ask them say they would prefer to have that information . '' '' The new rules will apply to menus , both in restaurants and drive-through lanes . They will also apply to vending machines if calorie information is n't already visible on the package . The calorie counts will apply to an estimated 280,000 establishments and could be on menus by 2012 . Required as part of health overhaul legislation signed into law last year , they are designed to give restaurant diners information that has long been available on packaged goods cooked at home . The FDA estimates that a third of calories are consumed by eating out . But do n't expect calorie shock when ordering at the movie theater , where a tub of popcorn can contain well north of a thousand calories - movie theaters are exempt , along with airplanes , bowling alleys and other businesses whose primary business is not to sell food , according to the FDA . Movie theaters pushed to be left out after guidelines published last year included them . Alcohol will also be exempted , according to the agency . Margo Wootan , director of nutrition policy at the advocacy group Center for Science in the Public Interest , says that could be misleading to consumers . '' `` I think it 's going to be confusing if customers see the calories for soft drinks and juice labeled on the menu but not other drinks such as beer and wine , '' '' she said . '' `` It will make it seem like they are better choices . '' '' Still , Wootan says the guidelines are a positive step . '' `` You wo n't have to get out of line and go back to some poster by the bathroom and look at some item in a tiny font size , '' '' she says . '' `` It will be right there on the menu where you are getting your other information about what to order . '' '' The idea is to make sure that customers process the calorie information as they are figuring out what to eat . Many restaurants currently post nutritional information in a hallway , on a hamburger wrapper or on their website . The new law will make calories immediately available for most items . Menus and menu boards will also tell diners that a 2,000-calorie diet is used as the basis for general nutrition advice , noting that individual calorie needs may vary . The labeling requirements were added to the health bill with the support of the restaurant industry , which is facing a smattering of laws from cities and states . New York City was the first in the country to put a calorie posting law in place . Since then , California , Seattle and other places have done so . Dawn Sweeney , president and CEO of the National Restaurant Association , said the calorie postings will provide customers with consistent information . '' `` The new standard , '' '' she said , '' `` will help chain restaurants provide the same type of nutrition information to consumers in any part of the country . '' ''

B O B I O B B O B I O B O O B O O O O O O O O B I O B O O O B O O O O B O O B I I O O O O O O B O B O B O O O O B O O O O O O O O O O O O O O O O O O B I O O O O O B O O O O O O O O B O O O O O O O O O O O O O B O O O O O O O O O O B O B O O O O O B O O O O O O O O O O O O B O O O O O B O O O B O O O B O B O O O O O O O B O O O B O O O O O O O O O B I O O O O O O O O O O O B O O O O O O O O O B O O O O O O O O B O O B O B O O O O O O O O O O O O O B B O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O B O O O B O B O O O O O O O O O O B O O B O O O O O O B O O O B O O B O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O B O B O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O B O O O O O O O O O O B B O O B O O O B O O O O O O B O O B B O O O O O O O B O O O O O O O O O O O B O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O B O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O B O O O O O B O O O O O O O O B O B B O O O O O O O O O O O O O O O O O B O O O O O O B O B O O O O O O O O O

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B O O B I B O B O B O O O O O B I I O B O B I B B B B I O O O O B O B B O O O O O O O B O O O O O B O O O O O O O O B O O O O B O B O B O O O B O O O O O B I O O O B O B O B O O O B O O B O O O O O O

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Hands-free faucet not so clean Hands-free electronic faucets have widely been assumed to help fight the spread of germs . But a team at Johns Hopkins Hospital in Baltimore has discovered that at their facility , electronic faucets were more likely to be contaminated with Legionella bacteria than the manual type , possibly because the electronic faucets have a complicated system of valves that is difficult to clean . The study will be presented at the annual meeting of the Society for Health Care Epidemiology .

B I O O B O B I O B O B O O B O B O B O O O O O B I I O B O B O O O O O B I O O O O O B O B I O O B O O B O O B I O O B O O B O O B O B O O O O O B O O O B O O O O O O O O

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contaminated with legionella bacteria than the manual type