Monday, June 24, 2013

NBC's Gregory: Why shouldn't Greenwald be charged?

FILE - In this June 11, 2013, file photo Britain's The Guardian newspaper reporter Glenn Greenwald talks to The Associated Press in Hong Kong. Greenwald first reported former NSA contractor Edward Snowden's disclosure of NSA's government surveillance programs. On the Sunday talk show "Meet the Press", June 23, 2013, host David Gregory asked Greenwald why he shouldn't be charged with a crime for having "aided and abetted" Snowden. Greenwald replied that it was "pretty extraordinary that anybody who would call themselves a journalist would publicly muse about whether or not other journalists should be charged with felonies." (AP Photo/Vincent Yu, File)

FILE - In this June 11, 2013, file photo Britain's The Guardian newspaper reporter Glenn Greenwald talks to The Associated Press in Hong Kong. Greenwald first reported former NSA contractor Edward Snowden's disclosure of NSA's government surveillance programs. On the Sunday talk show "Meet the Press", June 23, 2013, host David Gregory asked Greenwald why he shouldn't be charged with a crime for having "aided and abetted" Snowden. Greenwald replied that it was "pretty extraordinary that anybody who would call themselves a journalist would publicly muse about whether or not other journalists should be charged with felonies." (AP Photo/Vincent Yu, File)

Glenn Greenwald, a reporter of The Guardian newspaper, speaks during an interview in Hong Kong Monday, June 10, 2013. Greenwald reported a 29-year-old contractor who claims to have worked at the National Security Agency and the CIA allowed himself to be revealed Sunday as the source of disclosures about the U.S. government's secret surveillance programs, risking prosecution by the U.S. government. (AP Photo/Kin Cheung)

FILE - In this June 10, 2013, file photo The Guardian reporter Glenn Greenwald speaks to reporters at his hotel in Hong Kong. Greenwald first reported former NSA contractor Edward Snowden's disclosure of NSA's government surveillance programs. On Sunday's "Meet the Press", June 23, 2013, host David Gregory asked Greenwald why he shouldn't be charged with a crime for having "aided and abetted" Snowden. Greenwald replied that it was "pretty extraordinary that anybody who would call themselves a journalist would publicly muse about whether or not other journalists should be charged with felonies." (AP Photo/Vincent Yu, File)

(AP) ? NBC "Meet the Press" host David Gregory got a rise out of Glenn Greenwald on Sunday by asking the Guardian reporter why he shouldn't be charged with a crime for having "aided and abetted" former National Security Agency analyst Edward Snowden.

Greenwald replied on the show Sunday that it was "pretty extraordinary that anybody who would call themselves a journalist would publicly muse about whether or not other journalists should be charged with felonies."

Greenwald first reported Snowden's disclosure of U.S. government surveillance programs. On Sunday, Ecuador's foreign minister and the anti-secrecy group WikiLeaks said that Snowden was headed to Ecuador to seek asylum.

During his interview with NBC's Gregory, Greenwald declined to discuss where Snowden was headed. That refusal seemed to prompt Gregory to ask: "To the extent that you have aided and abetted Snowden, even in his current movements, why shouldn't you, Mr. Greenwald, be charged with a crime?"

Greenwald said Gregory was embracing the Obama administration's attempt to "criminalize investigative journalism," citing an FBI agent's characterization of Fox News journalist James Rosen as a probable co-conspirator of a State Department contractor who was suspected of leaking classified information to Rosen. Rosen was not charged.

"If you want to embrace that theory, it means that every investigative journalist in the United States who works with their sources, who receives classified information is a criminal, and it's precisely those theories and precisely that climate that has become so menacing in the United States," said Greenwald, a former constitutional and civil rights lawyer who has written three books contending that the government has violated personal rights in the name of protecting national security.

Gregory responded that "the question of who is a journalist may be up to a debate with regard to what you are doing." Gregory also said he was merely asking a question.

"That question has been raised by lawmakers as well," Gregory said. "I'm not embracing anything, but, obviously, I take your point."

Later, Greenwald tweeted, "Who needs the government to try to criminalize journalism when you have David Gregory to do it?" and, "Has David Gregory ever publicly wondered if powerful DC officials should be prosecuted for things like illegal spying & lying to Congress?"

____

Follow Fred Frommer on Twitter: http://twitter.com/ffrommer

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/386c25518f464186bf7a2ac026580ce7/Article_2013-06-23-US-Reporters-Treason/id-ce96655a3b6740a29c28d14529ba8891

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US Tells Hong Kong to Turn Over Snowden (ABC News)

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WikiLeaks: Snowden going to Ecuador to seek asylum

A TV screen shows a news report of Edward Snowden, a former CIA employee who leaked top-secret documents about sweeping U.S. surveillance programs, at a shopping mall in Hong Kong Sunday, June 23, 2013. The former National Security Agency contractor wanted by the United States for revealing two highly classified surveillance programs has been allowed to leave for a "third country" because a U.S. extradition request did not fully comply with Hong Kong law, the territory's government said Sunday. (AP Photo/Vincent Yu)

A TV screen shows a news report of Edward Snowden, a former CIA employee who leaked top-secret documents about sweeping U.S. surveillance programs, at a shopping mall in Hong Kong Sunday, June 23, 2013. The former National Security Agency contractor wanted by the United States for revealing two highly classified surveillance programs has been allowed to leave for a "third country" because a U.S. extradition request did not fully comply with Hong Kong law, the territory's government said Sunday. (AP Photo/Vincent Yu)

FILE - In this June 21, 2013 file photo, a banner supporting Edward Snowden, a former CIA employee who leaked top-secret documents about sweeping U.S. surveillance programs, is displayed at Central, Hong Kong's business district. The Hong Kong government says Snowden wanted by the U.S. for revealing two highly classified surveillance programs has left for a "third country." The South China Morning Post reported Sunday, June 23, 2013 that Snowden was on a plane for Moscow, but that Russia was not his final destination. Snowden has talked of seeking asylum in Iceland. (AP Photo/Kin Cheung, File)

A TV screen shows a news report of Edward Snowden, a former CIA employee who leaked top-secret documents about sweeping U.S. surveillance programs, at a shopping mall in Hong Kong Sunday, June 23, 2013. The former National Security Agency contractor wanted by the United States for revealing two highly classified surveillance programs has been allowed to leave for a "third country" because a U.S. extradition request did not fully comply with Hong Kong law, the territory's government said Sunday. (AP Photo/Vincent Yu)

A TV screen shows a news report of Edward Snowden, a former CIA employee who leaked top-secret documents about sweeping U.S. surveillance programs, at a shopping mall in Hong Kong Sunday, June 23, 2013. The former National Security Agency contractor wanted by the United States for revealing two highly classified surveillance programs has been allowed to leave for a "third country" because a U.S. extradition request did not fully comply with Hong Kong law, the territory's government said Sunday. (AP Photo/Vincent Yu)

A TV screen shows a news report of Edward Snowden, a former CIA employee who leaked top-secret documents about sweeping U.S. surveillance programs, at a shopping mall in Hong Kong Sunday, June 23, 2013. The former National Security Agency contractor wanted by the United States for revealing two highly classified surveillance programs has been allowed to leave for a "third country" because a U.S. extradition request did not fully comply with Hong Kong law, the territory's government said Sunday. (AP Photo/Vincent Yu)

(AP) ? Admitted leaker Edward Snowden circled the globe in evasion of U.S. authorities on Sunday, seeking asylum in Ecuador and leaving the Obama administration scrambling to determine its next step in what became a game of diplomatic cat-and-mouse.

The former National Security Agency contractor and CIA technician fled Hong Kong and arrived at the Moscow airport, where he planned to spend the night before boarding an Aeroflot flight to Cuba. Ecuador's Foreign Minister Ricardo Patino said his government received an asylum request from Snowden, and the anti-secrecy group WikiLeaks said they would help him.

"He goes to the very countries that have, at best, very tense relationships with the United States and do not value press freedoms whatsoever," said Rep. Ileana Ros-Lehtinen, R-Fla., adding that she feared Snowden would trade more U.S. secrets for asylum.

"This is not going to play out well for the national security interests of the United States," she added.

The move left the U.S. with limited options as Snowden's itinerary took him on a tour of what many see as anti-American capitals. Ecuador in particular has rejected the United States' previous efforts at cooperation, and has been helping WikiLeaks founder, Julian Assange, avoid prosecution by allowing him to stay at its embassy in London.

Snowden helped The Guardian and The Washington Post disclose U.S. surveillance programs that collects vast amounts of phone records and online data in the name of foreign intelligence, but often sweeping up information on American citizens. Officials have the ability to collect phone and Internet information broadly but need a warrant to examine specific cases where they believe terrorism is involved.

Snowden has been in hiding for several weeks in Hong Kong, a former British colony with a high degree of autonomy from mainland China. The United States formally sought Snowden's extradition from Hong Kong but was rebuffed; Hong Kong officials said the U.S. request did not fully comply with their laws.

In a statement, the Justice Department said it would "continue to discuss this matter with Hong Kong and pursue relevant law enforcement cooperation with other countries where Mr. Snowden may be attempting to travel."

A State Department official said the United States was in touch through diplomatic and law enforcement channels with countries that Snowden could travel through or to, reminding them that Snowden is wanted on criminal charges and reiterating Washington's position that Snowden should only be permitted to travel back to the U.S.

The White House would only say that President Barack Obama had been briefed on the developments by his national security advisers.

Russia's state ITAR-Tass news agency and Interfax cited an unnamed Aeroflot airline official as saying Snowden was on the plane that landed Sunday afternoon in Moscow. The report said he intended to fly to Cuba on Monday and then on to Caracas, Venezuela.

U.S. lawmakers scoffed, and warned that all countries helping Snowden to evade trial were hurting their relationship with the U.S.

"The freedom trail is not exactly China-Russia-Cuba-Venezuela, so I hope we'll chase him to the ends of the earth, bring him to justice and let the Russians know there'll be consequences if they harbor this guy," said Sen. Lindsey Graham, R-S.C.

Upon his arrival, Snowden did not leave Moscow's Sheremetyevo Airport. One explanation could be that he wasn't allowed; a U.S. official said Snowden's passport had been revoked, and that special permission from Russian authorities would have been needed.

"It's almost hopeless unless we find some ways to lean on them," said Rep. Peter King, R-N.Y.

With each suspected flight, efforts to secure Snowden's return to the United States appeared more complicated if not impossible. The United States does not have an extradition treaty with Russia, but does with Cuba, Venezuela and Ecuador. Even with an extradition agreement though, any country could give Snowden a political exemption.

"As we have seen of late, I think 10 percent of Snowden's issues are now legal, and 90 percent political," said Douglas McNabb, an expert in international extradition and a senior principle at international criminal defense firm McNabb Associates.

The likelihood that any of these countries would stop Snowden from traveling on to Ecuador seemed unlikely. While diplomatic tensions have thawed in recent years, Cuba and the United States are hardly allies after a half century of distrust.

Venezuela, too, could prove difficult. Former President Hugo Chavez was a sworn enemy of the United States and his successor, Nicolas Maduro, earlier this year called Obama "grand chief of devils." The two countries do not exchange ambassadors.

U.S. pressure on Caracas also might be problematic given its energy exports. The U.S. Energy Information Agency reports Venezuela sent the United States 900,000 barrels of crude oil each day in 2012, making it the fourth-largest foreign source of U.S. oil.

Assange's lawyer, Michael Ratner, said Snowden's options aren't numerous though.

"You have to have a country that's going to stand up to the United States," Ratner said. "You're not talking about a huge range of countries here."

That is perhaps why Snowden first stopped in Russia, a nation with complicated relations with Washington. U.S. lawmakers warned those relations would grow more perilous if Moscow does not cooperate.

Russian President Vladimir Putin is "aiding and abetting Snowden's escape," said Sen. Chuck Schumer, D-N.Y.

"Allies are supposed to treat each other in decent ways, and Putin always seems almost eager to put a finger in the eye of the United States," Schumer said. "That's not how allies should treat one another, and I think it will have serious consequences for the United States-Russia relationship."

It also wasn't clear Snowden was finished with disclosing highly classified information.

"I am very worried about what else he has," said Rep. Loretta Sanchez, a California Democrat who sits on the House Homeland Security Committee.

Sen. Dianne Feinstein, the chairwoman of the Senate Intelligence Committee, said she had been told Snowden had perhaps more than 200 sensitive documents.

Ros-Lehtinen and King spoke with CNN. Graham spoke to "Fox News Sunday." Schumer was on CNN's "State of the Union." Sanchez appeared on NBC's "Meet the Press." Feinstein was on CBS' "Face the Nation."

___

Associated Press White House Correspondent Julie Pace and Associated Press writers Matthew V. Lee and Frederic J. Frommer in Washington, Lynn Berry in Moscow, Kevin Chan in Hong Kong and Sylvia Hui in London contributed to this report.

___

Follow Philip Elliott on Twitter: http://www.twitter.com/philip_elliott

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/cae69a7523db45408eeb2b3a98c0c9c5/Article_2013-06-23-NSA-Surveillance-Snowden/id-f5aa805d79c94ffea3678ee3856c69e2

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4 workers hurt in Texas A&M construction accident

This photo provided by KBTX-TV shows damage to the Texas A&M University equestrian center on Saturday, June 22, 2013 near College Station, Texas. A portion of the equestrian center under construction has collapsed. KBTX-TV reports some workers were hurt in Saturday morning's accident but that everyone has been accounted for. A&M spokesman Lane Stephenson confirmed there had been an accident at the equestrian center on university property about a mile from the College Station campus. (AP Photo/KBTX-TV, Alex Lotz)

This photo provided by KBTX-TV shows damage to the Texas A&M University equestrian center on Saturday, June 22, 2013 near College Station, Texas. A portion of the equestrian center under construction has collapsed. KBTX-TV reports some workers were hurt in Saturday morning's accident but that everyone has been accounted for. A&M spokesman Lane Stephenson confirmed there had been an accident at the equestrian center on university property about a mile from the College Station campus. (AP Photo/KBTX-TV, Alex Lotz)

This photo provided by KBTX-TV shows damage to the Texas A&M University equestrian center on Saturday, June 22, 2013 near College Station, Texas. A portion of the equestrian center under construction has collapsed. KBTX-TV reports some workers were hurt in Saturday morning's accident but that everyone has been accounted for. A&M spokesman Lane Stephenson confirmed there had been an accident at the equestrian center on university property about a mile from the College Station campus. (AP Photo/KBTX-TV, Alex Lotz)

This photo provided by KBTX-TV shows damage to the Texas A&M University equestrian center on Saturday, June 22, 2013 near College Station, Texas. A portion of the equestrian center under construction has collapsed. KBTX-TV reports some workers were hurt in Saturday morning's accident but that everyone has been accounted for. A&M spokesman Lane Stephenson confirmed there had been an accident at the equestrian center on university property about a mile from the College Station campus. (AP Photo/KBTX-TV, Alex Lotz)

(AP) ? Four workers were hurt, three critically, after a barn frame collapsed Saturday at an $80 million Texas A&M University equestrian complex that's under construction.

The collapse happened on university property about a mile from the main campus, Texas A&M spokesman Lane Stephenson said.

College Station and Bryan fire departments, campus police and Texas A&M emergency medical personnel all responded to the accident, which happened shortly before 11 a.m. Saturday.

The accident involved an approximately 300-foot barn, according to the College Station Fire Department. Twisted metal beams could be seen at the site, where ground was broken last fall.

The injured workers were transported to hospitals. Their names and further details on their conditions were not immediately released. Nobody else was hurt.

For a time, emergency responders had to halt the search for the four because of concerns about another collapse.

"After that time search and rescue efforts were suspended until the remainder of the structure that was still standing could be stabilized," according to a statement from the College Station Fire Department. "After the structure was secured a secondary search of the area was conducted to ensure that all patients had been located."

Texas A&M police officials were trying to determine what caused the collapse. University police identified the contractor as Gamma Construction Company, with offices in Houston and San Antonio.

A Gamma Construction representative did not immediately return a phone call to The Associated Press for comment Saturday.

Gamma Construction, on its website, described the A&M work as one of its 2013 projects.

The website said the equestrian complex "will enhance Texas A&M University's equine program and will consolidate not only academic programs, but clubs and associations to one premier location in order to teach, train, conduct research, exhibit and showcase events."

Conditions at the time of the collapse were cloudy with temperatures in the mid-80s and winds gusting just above 10 mph, the National Weather Service said.

The first phase of the equestrian center was set for completion in 2014. The facility will include locker rooms, offices, a concessions building, a 50-stall barn, plus practice arenas and two covered competition arenas, according to the university.

___

Online:

Texas A&M Equestrian: http://www.aggieathletics.com/SportSelect.dbml?DB_OEM_ID=27300&SPID=94496&SPSID=635254

Gamma Construction Company: http://www.gammaconst.com/

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/386c25518f464186bf7a2ac026580ce7/Article_2013-06-22-Texas%20AandM-Structure-Collapse/id-16526e423add4d5f9b11d9a49bec0369

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Sunday, June 23, 2013

Plane with wing walker crashes at Ohio air show (Providence Journal)

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Low-income uninsured adults less likely to have chronic conditions compared with Medicaid enrollees

Low-income uninsured adults less likely to have chronic conditions compared with Medicaid enrollees [ Back to EurekAlert! ] Public release date: 23-Jun-2013
[ | E-mail | Share Share ]

Contact: Jeff Lancashire
jhl1@cdc.gov
301-458-4800
The JAMA Network Journals

Compared with adults already enrolled in Medicaid, low-income uninsured adults who may be eligible for Medicaid under the Affordable Care Act were less likely to have chronic conditions such as hypertension, diabetes, and hypercholesterolemia, although those with 1 of these conditions were less likely to be aware they had it or to have the disease controlled, according to a study in the June 26 issue of JAMA. The study is being released early to coincide with its presentation at the AcademyHealth annual research meeting.

Under the Affordable Care Act (ACA), states have the option to expand Medicaid coverage to most low-income adults, an option that could add millions of new Medicaid enrollees. "In states choosing to implement the expansion, with full federal financing from 2014 through 2016, this would expand Medicaid's traditional focus away from low-income pregnant women and children, very-low-income parents, and the severely disabled to new population groups. These include childless adults and parents whose incomes are too high to qualify for Medicaid under current state eligibility criteria. This is likely to affect the type of Medicaid patients seen by physicians in states choosing to expand Medicaid. State decisions regarding Medicaid expansion will likely consider the anticipated costs and health benefits to their populations," according to background information in the article. "Uncertainty exists regarding the scope of medical services required for new enrollees."

Sandra L. Decker, Ph.D., of the Centers for Disease Control and Prevention, Hyattsville, Md., and colleagues conducted a study to document the health care needs and health risks of uninsured adults who could gain Medicaid coverage under the ACA. Data from the National Health and Nutrition Examination Survey 2007-2010 were used to analyze health conditions among a nationally representative sample of 1,042 uninsured adults 19 through 64 years of age with income no more than 138 percent of the federal poverty level, compared with 471 low-income adults currently enrolled in Medicaid. The 1,042 uninsured respondents correspond to a weighted estimate of 14.7 million uninsured adults who could be eligible for Medicaid coverage under the ACA based on 2007-2010 demographic characteristics. The primary measured outcomes were prevalence and control of diabetes, hypertension, and hypercholesterolemia based on examinations and laboratory tests; measures of self-reported health status including medical conditions; and risk factors such as obesity status.

The researchers found that compared with those enrolled in Medicaid, the uninsured adults reported better overall health; were less likely to be obese and sedentary; less likely to report a physical, mental, or emotional limitation; and much less likely (by 15.1 percentage points) to have multiple health conditions.

Although the uninsured adults were less likely than those enrolled in Medicaid to have diabetes, hypertension, or hypercholesterolemia (30.1 percent compared with 38.6 percent), if they had 1 of these conditions, the conditions were more likely to be undiagnosed or uncontrolled. An estimated 80.1 percent of the uninsured adults with 1 or more of these 3 conditions had at least 1 uncontrolled condition, compared with 63.4 percent of those enrolled in Medicaid.

The weighted counts corresponding to the prevalence estimates translate to approximately 1.4 million uninsured adults potentially eligible for Medicaid with at least 1 condition undiagnosed and 3.5 million with at least 1 condition uncontrolled, compared with approximately 0.6 million and 1.4 million, respectively, among those currently enrolled in Medicaid.

"One-third of potential new Medicaid enrollees are obese, half currently smoke, one-fourth report a functional limitation, and one-fourth report their health as fair or poorall factors that could require attention from clinicians. If Medicaid uptake is low, the uninsured adults who do enroll in Medicaid may be disproportionately drawn from those with more health problems than average among those made newly eligible. Because many of the uninsured adults have not seen a physician in the past year and do not have a place they usually go for routine health care, they are likely to need care on first enrolling in Medicaid," the authors write.

###

(JAMA. 2013;309(24):2579-2586; Available pre-embargo to the media at http://media.jamanetwork.com)

Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


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Low-income uninsured adults less likely to have chronic conditions compared with Medicaid enrollees [ Back to EurekAlert! ] Public release date: 23-Jun-2013
[ | E-mail | Share Share ]

Contact: Jeff Lancashire
jhl1@cdc.gov
301-458-4800
The JAMA Network Journals

Compared with adults already enrolled in Medicaid, low-income uninsured adults who may be eligible for Medicaid under the Affordable Care Act were less likely to have chronic conditions such as hypertension, diabetes, and hypercholesterolemia, although those with 1 of these conditions were less likely to be aware they had it or to have the disease controlled, according to a study in the June 26 issue of JAMA. The study is being released early to coincide with its presentation at the AcademyHealth annual research meeting.

Under the Affordable Care Act (ACA), states have the option to expand Medicaid coverage to most low-income adults, an option that could add millions of new Medicaid enrollees. "In states choosing to implement the expansion, with full federal financing from 2014 through 2016, this would expand Medicaid's traditional focus away from low-income pregnant women and children, very-low-income parents, and the severely disabled to new population groups. These include childless adults and parents whose incomes are too high to qualify for Medicaid under current state eligibility criteria. This is likely to affect the type of Medicaid patients seen by physicians in states choosing to expand Medicaid. State decisions regarding Medicaid expansion will likely consider the anticipated costs and health benefits to their populations," according to background information in the article. "Uncertainty exists regarding the scope of medical services required for new enrollees."

Sandra L. Decker, Ph.D., of the Centers for Disease Control and Prevention, Hyattsville, Md., and colleagues conducted a study to document the health care needs and health risks of uninsured adults who could gain Medicaid coverage under the ACA. Data from the National Health and Nutrition Examination Survey 2007-2010 were used to analyze health conditions among a nationally representative sample of 1,042 uninsured adults 19 through 64 years of age with income no more than 138 percent of the federal poverty level, compared with 471 low-income adults currently enrolled in Medicaid. The 1,042 uninsured respondents correspond to a weighted estimate of 14.7 million uninsured adults who could be eligible for Medicaid coverage under the ACA based on 2007-2010 demographic characteristics. The primary measured outcomes were prevalence and control of diabetes, hypertension, and hypercholesterolemia based on examinations and laboratory tests; measures of self-reported health status including medical conditions; and risk factors such as obesity status.

The researchers found that compared with those enrolled in Medicaid, the uninsured adults reported better overall health; were less likely to be obese and sedentary; less likely to report a physical, mental, or emotional limitation; and much less likely (by 15.1 percentage points) to have multiple health conditions.

Although the uninsured adults were less likely than those enrolled in Medicaid to have diabetes, hypertension, or hypercholesterolemia (30.1 percent compared with 38.6 percent), if they had 1 of these conditions, the conditions were more likely to be undiagnosed or uncontrolled. An estimated 80.1 percent of the uninsured adults with 1 or more of these 3 conditions had at least 1 uncontrolled condition, compared with 63.4 percent of those enrolled in Medicaid.

The weighted counts corresponding to the prevalence estimates translate to approximately 1.4 million uninsured adults potentially eligible for Medicaid with at least 1 condition undiagnosed and 3.5 million with at least 1 condition uncontrolled, compared with approximately 0.6 million and 1.4 million, respectively, among those currently enrolled in Medicaid.

"One-third of potential new Medicaid enrollees are obese, half currently smoke, one-fourth report a functional limitation, and one-fourth report their health as fair or poorall factors that could require attention from clinicians. If Medicaid uptake is low, the uninsured adults who do enroll in Medicaid may be disproportionately drawn from those with more health problems than average among those made newly eligible. Because many of the uninsured adults have not seen a physician in the past year and do not have a place they usually go for routine health care, they are likely to need care on first enrolling in Medicaid," the authors write.

###

(JAMA. 2013;309(24):2579-2586; Available pre-embargo to the media at http://media.jamanetwork.com)

Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Source: http://www.eurekalert.org/pub_releases/2013-06/tjnj-lua062113.php

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Rivalries pose problems in arming Syria's rebels

WASHINGTON (AP) ? The Syrian rebels' record in handling tens of millions of dollars in U.S. humanitarian aid suggests major challenges ahead for any delivery of American weapons and ammunition.

Food, medicine and other lifesaving supplies for victims in Syria's civil war often face long delays because of political rivalries among rival opposition factions ? though U.S. officials say no supplies appear to be heading to terrorists or corrupt hoarders.

Anecdotes abound.

One American shipment of humanitarian goods was held up for two weeks amid a dispute between opposition groups over whose label should be attached to the boxes, a senior administration official recounted this week. Aid-filled planes have landed in neighboring countries with no trucks at the landing sites for transporting the items into Syria. In Cairo, funds the U.S. was prepared to provide to an opposition political office were rejected, the official said, speaking only on condition of anonymity because the official wasn't authorized to discuss the issue publicly.

As described, this dysfunction is nothing new. But the problem is getting increased scrutiny since the Obama administration's decision last week to authorize for the first time lethal military support to units fighting to overthrow President Bashar Assad.

The administration's plans are still unclear, though Secretary of State John Kerry held two classified briefings with members of Congress on Thursday. No details emerged about what types of weapons could be sent, where and when they'd be delivered or who exactly would be the recipients. The lack of clarity rankles lawmakers who want more forceful action as well as those who say the U.S. should stay as far away as possible from Syria's two-year civil war.

"All I know is what I've read in the media and that is light weapons," said Sen. John McCain, R-Ariz., a leading proponent of taking a bigger military role in Syria. "That's clearly not only insufficient, it's insulting. We've got to take out their air assets."

Sen. Lindsey Graham, R-S.C., another supporter of arming the rebels and other steps such as establishing a no-fly zone over Syria, said he also had no understanding from the Obama administration about what form future lethal aid might take and possible delivery dates.

Sen. Bob Corker, R-Tenn., was even more critical. "''We have the ability right now to fully understand who is the type of individual or group that meet our standards, and I think we've had that information and ability for probably nine months," he said. "Will there be mistakes made? Of course, but I do think it helps to put our thumb on the scale."

Meanwhile, Senate opponents of arming the rebels moved Thursday to block President Barack Obama from providing any military support at all. The bipartisan group including Sens. Tom Udall, D-N.M., Mike Lee, R-Utah, Chris Murphy, D-Conn., and Rand Paul, R-Ky., introduced a measure to prohibit the president from using any money to increase U.S. involvement in the conflict. Specifically, it would ban the Pentagon, CIA and other intelligence agencies from funding military, paramilitary or covert operations in Syria.

"We need to place a check on the president's unilateral decision to arm the rebels, while still preserving humanitarian aid and assistance to the Syrian people," Udall said.

Paul said the president's decision was "incredibly disturbing, considering what little we know about whom we are arming. Engaging in yet another conflict in the Middle East with no vote or congressional oversight compounds the severity of this situation."

Neither Obama nor any other member of his administration has publicly confirmed that the U.S. has authorized lethal aid for the rebels, though since last week several officials have acknowledged as much on condition of anonymity. The closest anyone came was Ben Rhodes, Obama's deputy national security adviser. He said last week that U.S. confirmation of chemical weapons use by the Assad government has prompted American support to the Syrian rebels of increased "scope and scale."

Obama himself refused to provide any specifics when asked at a news conference this week in Germany.

The U.S. is most likely to provide rebel fighters with small arms, ammunition, assault rifles and a variety of anti-tank weaponry such as shoulder-fired rocket-propelled grenades and other missiles, officials said. The officials, speaking only on condition of anonymity because they weren't authorized to speak publicly about the matter, said any weapons and ammunitions were unlikely to make it to vetted Syrian rebel units before August.

The opposition's track record in handling aid has been decidedly mixed.

Officials in the U.S. say almost all of a $127 million package of ready-to-eat meals, medical kits and other nonlethal assistance announced earlier this year has been delivered to Syria. U.S.-provided food has made it from Turkey to as far south as Hama and Homs, and to the southeast border with Iraq. But humanitarian assistance reaching the besieged city of Qusair, which Assad's forces conquered from the rebels earlier this month, was limited pretty much to medical supplies.

A senior administration official said the U.S. is monitoring for possible diversions of aid but so far hasn't found any. That result could provide Obama with some confidence in the Syrian opposition's ability to ensure that U.S.-supplied weapons and ammunition don't fall into the hands of al-Qaida-linked extremists. The fear of such a diversion has long been one of the administration's primary explanations for why the U.S. wouldn't arm the anti-Assad rebellion.

Syria's opposition, however, remains problematical. Because of constant bickering among its various branches in Turkey, Egypt and inside Syria, U.S. officials say they have often been forced to act as go-betweens, if only to get the opposition to sign off on some of the aid it originally requested.

Some $5 million in U.S. aid has gone to helping the opposition establish an office in the southern Turkish city of Gaziantep and expand its staff from a handful of employees to about 100, including many in liberated parts of Syria. In Aleppo, American-trained search-and-rescue personnel have helped dig survivors out of buildings struck by Scud missiles. The U.S. is also training policemen and providing them uniforms in an effort to build the opposition's credibility with the Syrian population.

Those are successes.

On the other hand, disputes between local authorities and opposition leaders outside the country have held up elections in parts of Syria wrested from Assad's control. Those authorities and leaders have been unwilling at times to even talk to one another, the senior administration official said. When the U.S. offered to provide hospitals with emergency generators, a fight erupted over which cities and which politician's preferred recipients should get priority. The result: None of the generators were shipped until they all could go simultaneously to all the hospitals on an opposition list.

When the U.S. offered to provide the opposition headquarters in Cairo some $2 million to buy phones and computers and hire staff, Syrian opposition leader Moaz al-Khatib rejected the aid, citing administrative costs that the U.S. also was picking up, the official said.

One thing any future aid package will include is trucks. With Obama ruling out any American military boots on the ground in Syria, it is up to the opposition itself to transport goods received in Turkey or Jordan to civilians in Syrian cities or to fighters on the battlefield. And so far that has been a struggle, according to officials.

State Department spokeswoman Jen Psaki said Thursday the next package of nonlethal U.S. assistance would include at least $16.6 million in "combat support assistance," which includes trucks, communications gear and medicine. Other funds will go to reconstruction efforts, university scholarships, activist training and democracy-building efforts.

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Associated Press writers Donna Cassata and Matthew Lee contributed to this report.

Source: http://news.yahoo.com/rivalries-pose-problems-arming-syrias-rebels-194659128.html

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