Sandy's death toll climbs; millions without power

NEW YORK (AP) — Millions of people from Maine to the Carolinas awoke Tuesday without electricity, and an eerily quiet New York City was all but closed off by car, train and air as superstorm Sandy steamed inland, still delivering punishing wind and rain. The U.S. death toll climbed to 38, many of the victims killed by falling trees.

The full extent of the damage in New Jersey, where the storm roared ashore Monday night with hurricane-force winds of 80 mph, was unclear. Police and fire officials, some with their own departments flooded, fanned out to rescue hundreds.

"We are in the midst of urban search and rescue. Our teams are moving as fast as they can," Gov. Chris Christie said. "The devastation on the Jersey Shore is some of the worst we've ever seen. The cost of the storm is incalculable at this point."

More than 8.2 million people across the East were without power. Airlines canceled more than 15,000 flights around the world, and it could be days before the mess is untangled and passengers can get where they're going.

The storm also disrupted the presidential campaign with just a week to go before Election Day.

President Barack Obama canceled a third straight day of campaigning, scratching events scheduled for Wednesday in swing state Ohio. Republican Mitt Romney resumed his campaign, but with plans to turn a political rally in Ohio into a "storm relief event."

Sandy will end up causing about $20 billion in property damage and $10 billion to $30 billion more in lost business, making it one of the costliest natural disasters on record in the U.S., according to IHS Global Insight, a forecasting firm.

Lower Manhattan, which includes Wall Street, was among the hardest-hit areas after the storm sent a nearly 14-foot surge of seawater, a record, coursing over its seawalls and highways.

Water cascaded into the gaping, unfinished construction pit at the World Trade Center, and the New York Stock Exchange was closed for a second day, the first time that has happened because of weather since the Blizzard of 1888. The NYSE said it will reopen on Wednesday.

A huge fire destroyed as many as 100 houses in a flooded beachfront neighborhood in Queens on Tuesday, forcing firefighters to undertake daring rescues. Three people were injured.

New York University's Tisch Hospital evacuated 200 patients after its backup generator failed. About 20 babies from the neonatal intensive care unit were carried down staircases and were given battery-powered respirators.

A construction crane that collapsed in the high winds on Monday still dangled precariously 74 floors above the streets of midtown Manhattan, and hundreds of people were evacuated as a precaution. And on Staten Island, a tanker ship wound up beached on the shore.

Most major tunnels and bridges in New York were closed, as were schools, Broadway theaters and the metropolitan area's three main airports, LaGuardia, Kennedy and Newark.

With water standing in two major commuter tunnels and seven subway tunnels under the East River, Mayor Michael Bloomberg said it was unclear when the nation's largest transit system would be rolling again. It shut down Sunday night ahead of the storm.

Joseph Lhota, chairman of the Metropolitan Transportation Authority, said the damage was the worst in the 108-year history of the New York subway.

Similarly, Consolidated Edison said it could take at least a week to restore electricity to the last of the nearly 800,000 customers in and around New York City who lost power.

Millions of more fortunate New Yorkers surveyed the damage as dawn broke, their city brought to an extraordinary standstill.

"Oh, Jesus. Oh, no," Faye Schwartz said she looked over her neighborhood in Brooklyn, where cars were scattered like leaves.

Reggie Thomas, a maintenance supervisor at a prison near the overflowing Hudson River, emerged from an overnight shift, a toothbrush in his front pocket, to find his Honda with its windows down and a foot of water inside. The windows automatically go down when the car is submerged to free drivers.

"It's totaled," Thomas said with a shrug. "You would have needed a boat last night."

Around midday, Sandy was about 120 miles east of Pittsburgh, pushing westward with winds of 45 mph, and was expected to make a turn into New York State on Tuesday night. Although weakening as it goes, the storm will continue to bring heavy rain and flooding, said Daniel Brown of the National Hurricane Center in Miami.

In a measure of the storm's immense size and power, waves on southern Lake Michigan rose to a record-tying 20.3 feet. High winds spinning off Sandy's edges clobbered the Cleveland area early Tuesday, uprooting trees, cutting power to hundreds of thousands, closing schools and flooding major roads along Lake Erie.

In Portland, Maine, gusts topping 60 mph scared away several cruise ships and prompted officials to close the port.

Sandy also brought blizzard conditions to parts of West Virginia and neighboring Appalachian states, with more than 2 feet of snow expected in some places. A snowstorm in western Maryland caused a pileup of tractor-trailers that blocked part of Interstate 68 on slippery Big Savage Mountain.

"It's like a long-tailed cat in a room full of rocking chairs up here," said Bill Wiltson, a Maryland State Police dispatcher.

The death toll climbed rapidly, and included 17 victims in New York State — 10 of them in New York City — along with five dead in Pennsylvania and four in New Jersey. Sandy also killed 69 people in the Caribbean before making its way up the Eastern Seaboard.

In New Jersey, Sandy cut off barrier islands, swept houses from their foundations and washed amusement pier rides into the ocean. It also wrecked several boardwalks up and down the coast, tearing away a section of Atlantic City's world-famous promenade. Atlantic City's 12 waterfront casinos came through largely unscathed.

Jersey City was closed to cars because traffic lights were out, and Hoboken, just over the Hudson River from Manhattan, was hit with major flooding.

A huge swell of water swept over the small New Jersey town of Moonachie, near the Hackensack River, and authorities struggled to rescue about 800 people, some living in a trailer park. And in neighboring Little Ferry, water suddenly started gushing out of storm drains overnight, submerging a road under 4 feet of water and swamping houses.

Police and fire officials used boats and trucks to reach the stranded.

"I looked out and the next thing you know, the water just came up through the grates. It came up so quickly you couldn't do anything about it. If you wanted to move your car to higher ground you didn't have enough time," said Little Ferry resident Leo Quigley, who with his wife was taken to higher ground by boat.

___

Hays reported from New York and Breed reported from Raleigh, N.C.; AP Science Writer Seth Borenstein contributed to this report from Washington. Associated Press writers David Dishneau in Delaware City, Del., Katie Zezima in Atlantic City, Emery P. Dalesio in Elizabeth City, N.C., and Erika Niedowski in Cranston, R.I., also contributed.

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Google unveils first 10-inch Nexus tablet

SAN FRANCISCO (Reuters) - Google Inc unveiled a larger version of its Nexus-branded tablet computer on Monday, and updated its mobile gadget and online content offerings as competition with Apple Inc, Amazon.com Inc and Microsoft Corp heats up ahead of the holiday sales season.


The device follows a spate of new product launches by the technology leaders in recent weeks, including Apple's iPad Mini last week and software-maker Microsoft's first-ever home-built tablet, the Surface.


Google, the world's No.1 Internet search engine, has pushed deeper into the hardware business at a time when consumers are increasingly accessing the Web on mobile devices.


Google's new Nexus 10, made in partnership with consumer electronics company Samsung Electronics Co, is the first 10-inch tablet to come to market under Google's Nexus brand. The device, with prices starting at $299, will be available on November 13 in the United States and seven other countries, Google said in its official blog on Monday.


Google was scheduled to introduce the device at a media event in New York on Monday, but was forced to cancel because of Hurricane Sandy.


Google also said it was expanding its online movie and music retail businesses to several countries in Europe.


And the company introduced an improvement to its online-music storage service. The new "matching" feature scans songs in a consumer's music collection and automatically creates an online or "cloud-based" library of the same tracks which consumers can access from any device or computer.


Google said the music matching feature, which only works with tracks that are part of the Google Play store's music catalog, will be available in Europe on November 13 and in the United States soon after.


Google also updated its smaller, Nexus 7 tablet released earlier this year. It increased the storage on the $199 version of the device to 16GB from 8GB, and introduced a new $299 version of the Nexus 7 with a cellular data service option. Google also unveiled a new Nexus 4 smartphone, made in partnership with LG Electronics, that features a quad-core processor and a 4.7-inch display.


(Reporting by Alexei Oreskovic; Editing by Richard Chang)


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Labrinth, Taylor Swift top UK music charts

























LONDON (Reuters) – Singer-producer Labrinth topped the British singles charts this week with the ballad “Beneath Your Beautiful” featuring Emeli Sande.


It was the first No. 1 as a solo artist for the British singer.





















Boy band JLS was new in at No. 6 with “Hottest Girl in the World”, the Official Charts Company said on Sunday.


The other new entry in the singles chart was “Wonder” by British rapper Naughty Boy, also featuring Sande, which took the 10th position.


Taylor Swift swept the album charts with her fourth full-length release “Red”. It is the first time the American country singer has topped the British charts.


British band Lawson, another new entry, scored fourth position with their debut studio album “Chapman Square”.


(Editing by Jon Hemming)


Music News Headlines – Yahoo! News



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Mass. shuts down another compounding pharmacy

























BOSTON (AP) — Massachusetts shut down another compounding pharmacy over sterility concerns after a surprise inspection prompted by the nationwide meningitis outbreak linked to a different company, state officials have said.


Dr. Madeleine Biondolillo of the state Department of Public Health said inspectors went to the Waltham location of Rhode Island-based Infusion Resource last week and found significant issues with the environment in which drugs were being mixed.





















The company was inspected when it first opened in December 2009 and there had been no complaints since. She said the manager of record at the company was a former employee at Ameridose, which is owned by the same people who ran New England Compounding Center, the company linked to the meningitis outbreak.


She would not identify the drugs or say what specific issues investigators found at Infusion Resource, but she said they were concerned about sterility. The company mixes sterile injectable drugs for people who have been released from hospitals.


The company has agreed to contact its 40 patients and their doctors and ask them to return any unused medication. Biondolillo says there is no indication any medication the company compounded is unsafe. She said the company also had an area to administer intravenous drugs, which it was not licensed to do. She says the company voluntarily surrendered its pharmacy license this weekend.


Company Chief Executive Officer Bernard F. Lambrese said in a statement that the company will take immediate action to fix issues identified by Massachusetts investigators, including a crack in a window, the condition of flooring in a clean room and a leak in a refrigerator drain hose.


“No issues were cited relating to the integrity of our products nor to the quality of our compounding practices,” Lambrese said. “I want to reassure our patients and the general public of the safety, purity and efficacy of our solutions produced at our Waltham pharmacy since we were first licensed in 2009. Patient safety is something we take very seriously.”


Lambrese said in the meantime patient needs are being served out of the company’s pharmacy in its main headquarters in East Providence, R.I.


The surprise inspections started in the wake of the nationwide outbreak of fungal meningitis, an inflammation of the lining of the brain and spinal cord, that has sickened more than 300 people, including 23 who have died, in 17 states. The outbreak has been linked to a steroid made by the NECC and taken mainly for back pain. Compounding pharmacies like NECC custom mix solutions in doses or forms generally not commercially available.


Dr. Lauren Smith, interim commissioner of the state Department of Public Health, said Sunday that the department is adding five inspectors to help review all compounding pharmacies in the state by the end of the year. Previously pharmacies were inspected only when they opened or if they moved or were the subject of complaints.


Smith also said the state pharmacy board, which oversees compounding pharmacies, has asked member Sophia Pasedis to step down. Pasedis, a pharmacy manager for Ameridose, has been on the board since 2004. The state previously said she had recused herself from all matters related to Ameridose and the NECC, but Smith said minutes from pharmacy board meetings raise questions about whether that is true. She said Pasedis has so far declined to leave the board. Her term ends next month.


Tom Kiley, an attorney for Pasedis, said a resignation would be mostly symbolic because she doesn’t have much time left in her term and the board will mostly be dealing with issues related to NECC, which she would not participate in.


“As a practical matter it doesn’t make sense,” Kiley said. “What she’s going to do is whatever she can to contribute to the board and assist the board.”


He said she always recused herself on issues related to NECC and Ameridose. He said meeting minutes may be vague because she may have been present at some point in a given meeting but not necessarily when NECC was discussed.


Smith said the Department of Public Health is taking other steps including proposing regulations to require frequent reports from compounding pharmacies and forming a commission to look at best practices in other states.


Medications/Drugs News Headlines – Yahoo! News



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Northeast hunkers down ahead of Hurricane Sandy

ATLANTIC CITY, N.J. (AP) — A strengthening Hurricane Sandy churned north Monday, raking ghost-town cities along the Northeast corridor with rain and wind gusts. Subways and schools were closed across the region of 50 million people, the floor of the New York Stock Exchange was deserted, and thousands fled inland to await the storm's fury.

As the storm closed in on the mid-Atlantic coast, it washed away an old section of the world-famous Atlantic City Boardwalk and left most of the city's emptied-out streets under water.

The monster hurricane was expected to make a westward lurch and blow ashore in New Jersey on Monday night, combining with two other weather systems — a wintry storm from the west and cold air rushing in from the Arctic — to create an epic superstorm.

Authorities warned that New York City and Long Island could get the worst of the storm surge: an 11-foot onslaught of seawater that could swamp lower Manhattan, flood the subways and cripple the underground network of electrical and communications lines that are vital to the nation's financial capital.

Because of Sandy's vast reach, with tropical storm-force winds extending almost 500 miles from its center, other major cities across the Northeast — Washington, Baltimore, Philadelphia and Boston — also prepared for the worst.

"The days ahead are going to be very difficult," Maryland Gov. Martin O'Malley said. "There will be people who die and are killed in this storm."

By late morning, the storm had strengthened to 90 mph and had already knocked out power to tens of thousands of people. Sandy was about 200 miles southeast of Atlantic City, N.J.

Authorities moved to close the Holland Tunnel, which connects New York and New Jersey, and a tunnel between Manhattan and Brooklyn. Street grates above the New York subway were boarded up, but officials worried that seawater would seep in and damage the electrical switches.

Millions of people in the storm's path stayed home from work. Subways, buses and trains shut down, and more than 7,000 flights in and out of the East were canceled, snarling travel around the globe. Hundreds of thousands of people were under orders to flee the coast, including 375,000 in lower Manhattan and other parts of New York City, but authorities warned that the time to get out was short or already past.

Sheila Gladden evacuated her home in Philadelphia's flood-prone Eastwick neighborhood and headed to a hotel.

"I'm not going through this again," said Gladden, who had 5 1/2 feet of water in her home after Hurricane Floyd in 1999.

"I think this one's going to do us in," said Mark Palazzolo, who boarded up his bait-and-tackle shop in Point Pleasant Beach, N.J., with the same wood he used in past storms, crossing out the names of Hurricanes Isaac and Irene and spray-painting "Sandy" next to them.

"I got a call from a friend of mine from Florida last night who said, 'Mark, get out! If it's not the storm, it'll be the aftermath. People are going to be fighting in the streets over gasoline and food.'"

President Barack Obama and Republican Mitt Romney called off their campaign events at the very height of the presidential race, with just over a week to go before Election Day. And early voting was canceled Monday in Maryland and Washington, D.C.

At the White House, the president made a direct appeal to those in harm's way: "Please listen to what your state and local officials are saying. When they tell you to evacuate, you need to evacuate. Don't delay, don't pause, don't question the instructions that are being given, because this is a powerful storm."

Obama president declared emergencies in Massachusetts, Connecticut, Rhode Island, New York, New Jersey and Pennsylvania, authorizing federal relief work to begin well ahead of time.

Sandy, a Category 1 hurricane, was blamed for 69 deaths in the Caribbean before it began traveling northward, parallel to the Eastern Seaboard. As of 11 a.m., it was moving at 18 mph, with hurricane-force winds extending an extraordinary 175 miles from its center.

Forecasters said the combined Frankenstorm could bring close to a foot of rain in places, a potentially lethal storm surge of 4 to 11 feet across much of the region, and punishing winds that could cause widespread power outages that last for days. Up to 3 feet of snow was forecast for the West Virginia mountains.

About 90 miles off Cape Hatteras, N.C., the Coast Guard rescued 14 crew members by helicopter from the HMS Bounty, a replica 18th-century sailing ship that sank in the storm. The Coast Guard searched for two other crew members. The ship was built for the 1962 Marlon Brando film "Mutiny on the Bounty."

The rescued had donned survival suits and life jackets and boarded two lifeboats after the ship began taking on water. They were plucked from 18-foot seas just before sunrise.

O'Malley, the Maryland governor, said a fishing pier in the beach resort of Ocean City, not far from a popular boardwalk and amusement park, was "half-gone." The area had been ordered evacuated on Sunday.

Water was already a foot deep on the streets of Lindenhurst, N.Y., along the southern edge of Long Island, and the canals around the island's Great South Bay were bulging two hours before high tide. Gale-force winds blew overnight over coastal North Carolina, southeastern Virginia, the Delmarva Peninsula and coastal New Jersey.

In the morning, water was already splashing over the seawalls at the southern tip of Manhattan and had matched the levels seen during Hurricane Irene in August 2011. Still, people were out jogging, walking their dogs and even taking children out in strollers amid gusts of wind.

"We're high up enough, so I'm not worried about flooding," said Mark Vial, who was pushing his 2-year-old daughter, Maziyar, in a stroller outside their building, where they live on the 15th floor. "There's plenty of food. We'll be OK."

The major American stock exchanges closed for the day, the first unplanned shutdown since the Sept. 11 attacks in 2001. The floor of the NYSE, typically bustling with traders on a Monday morning, fell within the city's mandatory evacuation zone. Wall Street expected to remain closed on Tuesday. The United Nations canceled all meetings at its New York headquarters.

New York called off school on both Monday and Tuesday for the city's 1.1 million students, and the more than 5 million people who depend on its transit network every day were left without a way to get around.

"If you don't evacuate, you are not only endangering your life, you are also endangering the lives of the first responders who are going in to rescue you," Mayor Michael Bloomberg warned. "This is a serious and dangerous storm."

New Jersey Gov. Chris Christie was typically blunt: "Don't be stupid. Get out."

Craig Fugate, chief of the Federal Emergency Management Agency, said FEMA teams were deployed from North Carolina to Maine and as far inland as West Virginia, bringing generators and basic supplies that will be needed in the storm's aftermath.

"I have not been around long enough to see a hurricane forecast with a snow advisory in it," Fugate told NBC's "Today" show.

___

Breed reported from Raleigh, N.C.; Contributing to this report were AP Science Writer Seth Borenstein in Washington; Katie Zezima in Atlantic City, N.J.; David Porter in Pompton Lakes, N.J.; Wayne Parry in Point Pleasant Beach, N.J.; and David Dishneau in Delaware.

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Lithuania opens 2nd round of national election

























VILNIUS, Lithuania (AP) — Voting stations have opened in the second round of Lithuania’s parliamentary elections, with the results likely to determine whether the small East European nation continues tough austerity measures in an effort to join the euro zone.


Nearly half of Parliament’s 141 seats are at stake in single-mandate district voting, which takes place two weeks after the party-list round that failed to produce a clear favorite.





















Two center-left opposition parties took the most seats and have pledged to form a new coalition government, but the ruling conservative party, which came in third, still has a chance to emerge victorious as it has candidates in over half the 67 districts where voting will be held Sunday.


Opposition parties have vowed to increase social spending and postpone tentative plans to adopt the euro in 2014.


Europe News Headlines – Yahoo! News



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SAP eyes "long" period of high sales growth: report

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Reports: UK police arrest Gary Glitter

























LONDON (AP) — The sex abuse scandal surrounding the late BBC children’s television host Jimmy Savile widened on Sunday as police arrested former glam rock star and convicted sex offender Gary Glitter in connection with the case, British media said.


Police would not directly identify the suspect arrested Sunday, but media including the BBC and Press Association reported he was the 68-year-old Glitter.





















The musician made it big with the crowd-pleasing hit “Rock & Roll (Part 2),” a mostly instrumental anthem that has been a staple at American sporting events thanks to its catchy “hey” chorus. But he fell into disgrace after being convicted on child abuse charges in Britain and Vietnam.


On Sunday, the BBC and Sky News showed footage of Glitter, who wore a hat, a dark coat and sunglasses, being taken from his home by officers and driven away.


British police do not generally identify suspects under arrest by name until they are charged. When asked about Glitter, a spokesman said only that the force arrested a man in his 60s early Sunday morning in London on suspicion of sexual offenses in connection with the Savile probe. He remains in custody in a London police station, police said.


Hundreds of potential victims have come forward since police began their investigation into sex abuse allegations against Savile, the longtime host of popular shows “Top of the Pops” and “Jim’ll Fix It” who died at age 84 last year. Most allege abuse by Savile, but some said they were abused by Savile and others.


Glitter is the first suspect to be arrested in the scandal, which has raised questions about whether the BBC turned a blind eye to the alleged sexual crimes. It was not immediately clear if Glitter, whose real name is Paul Gadd, and Savile knew each other.


Glitter rose to fame in the 1970s with a string of U.K. hits and his look of shiny jumpsuits, silver platform shoes and bouffant wigs, but his music has often been shunned since his abuse convictions. In 2006, the NFL advised its football teams not to use the Glitter version of “Rock and Roll (Part 2)” at games.


Glitter was jailed in Britain in 1999 for possessing child pornography, and convicted in 2006 in Vietnam of committing “obscene acts with children” — offenses involving girls aged 10 and 11. He was deported back to Britain in 2008.


Police have said that though the majority of cases it is investigating related to Savile alone, some involved the entertainer and other, unidentified suspects. In addition, some potential victims who reported abuse by Savile also told police about separate allegations against unidentified men that did not involve the BBC host.


The scandal has horrified Britain with revelations that Savile cajoled and coerced vulnerable teens into having sex with him in his car, in his camper van, and even in dingy dressing rooms on BBC premises.


One witness told the BBC that she once saw Glitter having sex with a schoolgirl in Savile’s dressing room at the broadcaster’s TV center in the 1970s. Glitter has denied the allegations.


On Sunday, the chairman of the BBC Trust said he was committed to finding out the true scale of the scandal to save the broadcaster’s reputation.


“Can it really be the case that no one knew what he was doing? Did some turn a blind eye to criminality? Did some prefer not to follow up their suspicions because of this criminal’s popularity and place in the schedules?” Chris Patten wrote in The Mail on Sunday.


The BBC has set up an independent inquiry into the corporation’s culture and practices in the years Savile worked there. It also launched a separate inquiry into whether its journalists dropped an investigation into the allegations.


Entertainment News Headlines – Yahoo! News



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Analysis: Employees to face healthcare sticker shock

























NEW YORK (Reuters) – Visit to New York City orthopedist: $ 223. One X-ray: $ 50. One follow-up magnetic resonance imaging test: $ 766. Total bill for checking out that aching shoulder: $ 1,039 – all to be paid by the patient, rather than the insurer.


Healthcare has gone retail.





















Over the next 18 months, between one quarter and one half of Americans who get insurance coverage through their employers will pay more of their doctor bills themselves as companies roll out healthcare plans with higher deductibles, benefits consultants say. The result: sticker shock.


“They have huge out-of-pocket costs before they get any insurance coverage, it’s a real slap in the face,” said Ron Pollack, the executive director of Families USA, a healthcare advocacy group.


High-deductible plans set a threshold for medical expenses that an individual must pay for, often in the thousands of dollars, before insurance kicks in. Studies show people on these plans are three times more likely to delay or skip care than people on traditional plans, where doctor or emergency room visits are covered by a relatively low co-payment.


These plans have been around for years, pushed by employers, insurers and industry experts who believe that consumers with “skin in the game” will drive demand for better quality care at a lower cost. It is a rationale also backed by President Barack Obama‘s Republican challenger Mitt Romney.


But now corporate America’s adoption of high-deductible plans is accelerating, partly because of Obama’s healthcare reform, which requires insurance plans to provide more expansive coverage such as preventive care.


Several industry surveys forecast a two-percentage-point increase in the number of companies offering only high-deductible plans in 2013 to about 19 percent, and a larger jump of anywhere from 5 to 25 percentage points in 2014.


“2013 is almost a calm period before a period of intense change in 2014,” according to Randall Abbott of Towers Watson & Co, a Boston-based senior consulting leader at the human resources firm.


The shift means consumers will have to spend many more hours researching their treatment options and managing costs on websites like Healthcarebluebook.com, which helped budget the cost of examining the shoulder pain mentioned above.


It could also spur lawsuits against doctors whom patients may blame for not making clear whether a test or procedure would spare them future harm, legal experts say.


SKIN IN THE GAME


About 170 million people were covered by employer-based insurance in 2011, according to the U.S. Census Bureau.


Companies with workers enrolled in high-deductible plans in 2012 include General Electric Co, Wells Fargo & Co, Whole Foods Market Inc, Chrysler Group and American Express Co.


In 2013, Bank of America Corp will offer some employees high-deductible health plans. Smokers who work at the bank will also have to pay higher healthcare premiums than non-smokers.


Wal-Mart Stores Inc, which has 1.1 million people covered by healthcare plans and pays 75 percent of the premium cost for workers, is trimming the number of insurance plans that it offers. It has added “healthcare advisors” who counsel employees on care, and has struck a deal with a group of hospitals that could save money on costly procedures.


Employees are going to pay more at Microsoft Corp as well. The world’s largest software company, which covers 100 percent of insurance premium costs for employees, will next year ask workers to pay for some portion of doctor bills and other services. It has offered high-deductible health plans since 2006 and also funds employees’ health savings accounts.


Deductibles on high-deductible plans start at $ 1,250 for singles and run up to $ 12,500 for families. Once that threshold has been reached, consumers then typically make co-insurance payments, usually a percentage of the service fee.


Insurers such as UnitedHealth Group Inc, Aetna Inc and Cigna Corp are putting prices online to help customers manage their spending.


Cigna, where 2 million of its 12 million members are enrolled in high-deductible plans, is upgrading a software application for mobile devices that can be used in the doctor’s office, hospital or other provider location to help decide where to go for a lab test or cheaper prescription.


“The other thing is, and this is really hard, is to figure out what stuff is necessary and what stuff isn’t,” said Nancy Metcalf, senior program editor at Consumer Reports.


For her, that choice meant that during a check-up she passed on an electrocardiogram, which measures the electric activity or your heart and is not a routinely covered test.


FROM DOCTOR’S OFFICE TO COURT


Critics of this shift say it leaves consumers at the mercy of providers when it comes to medical costs. While insurers have been able to leverage their scale to negotiate rates down, ordinary individuals do not have that clout.


That gap may prove fertile ground to patients waging legal challenges against doctor bills.


Haavi Morreim, a lawyer and professor in the College of Medicine at the University of Tennessee, notes that individuals have the legal rights of any customer covered by U.S. contract law, which assumes that there will be a “reasonable charge” for the service.


Two cases based on this notion – one in Indiana filed by a patient against a hospital and another filed in Missouri by a hospital seeking payment from a patient – have reached appeals courts in the past year.


Laws dealing with “informed consent” may also play a role in putting the onus on doctors to clearly disclose costs when explaining treatment options. Doctors may be liable for a breach of fiduciary duty if their healthcare recommendations turn out to be too aligned with their financial interest, Morreim said.


“Courts are beginning to pay increased attention to this because more people are in high-deductible plans and more people are beginning to ask, ‘What does this cost?’” said Morreim, who has written several articles on the issue for law journals.


(Editing by Michele Gershberg, desking by G Crosse)


Health News Headlines – Yahoo! News



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Sandy: East Coast braces for epic hurricane, ‘life-threatening’ storm surge

Waves crash into a pier in Nags Head, N.C., Oct. 27, 2012. (Gerry Broome/AP)


[UPDATED: 2:30 p.m. ET]


"Superstorm." "The Perfect Storm." "Frankenstorm."


Whatever you want to call it, the East Coast is bracing for Hurricane Sandy, a "rare hybrid storm" that is expected to bring a life-threatening storm surge to the mid-Atlantic coast, Long Island Sound and New York harbor, forecasters say, with winds expected to be at or near hurricane force when it makes landfall sometime on Monday.


According to the National Hurricane Center, the Category 1 hurricane was centered about 260 miles southeast of Cape Hatteras, N.C., and 395 miles south of New York City early Sunday, carrying maximum sustained winds of 75 mph and moving northeast at 10 mph.


[Slideshow: Latest photos from Hurricane Sandy]


New York Mayor Michael Bloomberg ordered the immediate, mandatory evacuation for low-lying coastal areas, including Coney Island, the Rockaways, Brighton Beach, Red Hook and some parts of lower Manhattan.


"If you don't evacuate, you're not just putting your own life at risk," Mayor Bloomberg said at a news conference Sunday. "You're endangering first responders who may have to rescue you."


New Jersey Governor Chris Christie's message for residents was a bit more blunt. "Don't be stupid," Christie said Sunday afternoon, announcing the suspension of the state's transit system beginning at 12:01 a.m. Monday.


Earlier, New York Governor Andrew Cuomo announced the suspension of all MTA service--including subways, buses, Long Island Railroad and Metro North--beginning at 7 p.m. Sunday. New York City Public Schools will be closed on Monday, the mayor said. City offices and the New York Stock Exchange, however, will be open for business.


[Related: Superstorm could impact 60 million]


Sandy is expected to continue on a parallel path along the mid-Atlantic coast later Sunday before making a sharp turn toward the northwest on Monday--with the Jersey Shore and New York City in its projected path.


But the path is not necessarily the problem.


"Don't get fixated on a particular track," the Associated Press said. "Wherever it hits, the rare behemoth storm inexorably gathering in the eastern U.S. will afflict a third of the country with sheets of rain, high winds and heavy snow."


(Weather.com)


A tropical storm warning has been issued between Cape Fear to Duck, N.C., while hurricane watches and high-wind warnings are in effect from the Carolinas to New England. The hurricane-force winds extend 175 miles from the epicenter of the storm, while tropical storm-force winds extend 520 miles--making Sandy one of the biggest storms to ever hit the East Coast.


"We're looking at impact of greater than 50 to 60 million people," Louis Uccellini, head of environmental prediction for the National Oceanic and Atmospheric Administration, told the Associated Press.


"The size of this alone, affecting a heavily populated area, is going to be history making," Jeff Masters wrote on the Weather Underground blog.


[Also read: Big storm scrambles presidential race schedules]


"I can be as cynical as anyone," Christie said on Saturday, announcing a state of emergency. "But when the storm comes, if it's as bad as they're predicting, you're going to wish you weren't as cynical as you otherwise might have been."


Meanwhile, emergency evacuations were being mulled by state officials in Connecticut, Massachusetts, Vermont, New Hampshire and even Maine.


In Virginia, Governor Bob McDonnell said 20,000 homes there had already reported power outages.


"This is not a coastal threat alone," said Craig Fugate, director of the Federal Emergency Management Agency, said during a media briefing early Sunday. "This is a very large area."


Forecasters also fear the combination of storm surge, high tide and heavy rain--between 3 and 12 inches in some areas--could be life-threatening for coastal residents.


According to the National Hurricane Center summary, coastal water levels could rise anywhere between 1 and 12 feet from North Carolina to Cape Cod, depending on the timing of the "peak surge." A surge of 6 to 11 feet is forecast for Long Island Sound and Raritan Bay, including New York Harbor.


The storm surge in New York Harbor during Hurricane Irene in September 2011, forecasters noted, was four feet.


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