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NEW YORK (Reuters) - U.S. stocks closed flat on Tuesday as investors continued to await clarity on European Central Bank plans to shore up heavily indebted countries, but the market ended off its lows on strength in Apple Inc .
Based on the latest available data, the Dow Jones industrial average <.dji> was down 54.90 points, or 0.42 percent, at 13,035.94. The Standard & Poor's 500 Index <.spx> was down 1.64 points, or 0.12 percent, at 1,404.94. The Nasdaq Composite Index <.ixic> was up 8.09 points, or 0.26 percent, at 3,075.06.
(Reporting by Caroline Valetkevitch; Editing by James Dalgleish)
Source: http://news.yahoo.com/p-500-ends-near-flat-apple-supports-200857177--finance.html
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Source: http://publicfeedback.net/?p=22396
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GRANTS PASS, Ore. (AP) ? Nina Musselman had no trouble finding a family doctor when she retired to rural Oregon nine years ago to be closer to her children. But then that doctor moved away, leaving her to search for another who would take Medicare.
After a year of going from doctor to doctor, she finally found one who stuck.
As record numbers of baby boomers go into retirement, many are thinking about moving from the places they needed to live to make a living, and going someplace warmer, quieter or prettier.
If they choose small towns like Grants Pass, 250 miles south of Portland, they could well have a hard time finding a family doctor willing to take Medicare, even supplemental plans, rather than private insurance.
"It's a sad situation for seniors," she said.
There are several reasons boomers, the 78 million Americans born between 1946 and 1964, could face difficulties finding a doctor if they retire to small towns over the next 20 years.
First, many primary care doctors prefer to live and work in urban areas because of greater cultural opportunities, better schools and job opportunities for spouses.
Also, Medicare pays rural doctors less per procedure than urban physicians because their operating costs are supposedly less. That makes rural doctors less likely to accept Medicare patients.
With cuts to Medicare reimbursement for doctors targeted under the federal health care overhaul, the shortage is likely to get even worse, said Mark Pauly, professor of health care management at the University of Pennsylvania.
That is, unless increasing reimbursements for nurse practitioners and physicians' assistants encourages those providers to take up the slack, Pauly said.
If the Medicare cuts go through, "the doctors are saying: "We're out of here,'" Pauly said. "The least they are saying is: 'We'll treat Medicare patients like we treat Medicaid patients,' which is mostly not."
Still, there is some good news, depending on where you live.
Pauly said the Affordable Care Act "puts a lot of emphasis on wellness programs and primary care. Nurses, especially nurse practitioners, are intended to play a major role there."
In Oregon, Washington and 14 other states, nurses and nurse practioners "can operate independently of doctors, writing prescriptions, ordering tests, and even running clinics," Pauly said.
Nationwide, the 22.5 percent of primary care doctors who practice in rural areas roughly matches the 24 percent of Medicare patients living there, said Dr. Roland Goertz, chairman of the American Academy of Family Physicians board.
A survey of academy members nationwide shows 83 percent take new Medicare patients. But there is an overall shortage of primary care physicians that still makes it hard for retirees to find a family doctor.
The real problem, he said, is that the health care system "has not supported a robust, adequate primary care workforce for over 30 years."
According to the American Association of Medical Colleges, rural areas need about 20,000 primary care doctors to make up for the shortages, but only about 16,500 medical doctors and 3,500 doctors of osteopathy graduate yearly.
"We are always trying to recruit doctors. We are barely keeping even," said Lyle Jackson, the medical director at the Mid-Rogue Independent Physician Association, a cooperative of doctors in Josephine County, where Musselman lives.
Taking part in the Medicare Advantage program, which pays a higher rate to doctors than standard Medicare, helps, but is still not enough, said Jackson, a former family physician.
A 2009 survey of doctors in the Oregon Medical Association showed concern over Medicare reimbursement rates topping the list of 23 issues, with 79 percent rating it as very important, said Joy Conklin, an official at the association.
The survey showed 19.1 percent of Oregon doctors had closed their practices to Medicare, and 28.1 percent had restricted the numbers of Medicare patients.
That really becomes evident in Josephine County, which attracted retirees after the timber industry collapsed.
Low taxes, cheap housing, wineries, a symphony and low traffic put it in top 10 lists for retirement communities. The 2010 census puts the number of people older than 65 at 23 percent, compared to 14 percent for the state.
But the website County Health Rankings & Roadmaps, which gathers a wide range of health care data nationwide, shows 933 patients for every primary care physician in the county, nearly 50 percent higher than the national 631-to-one rate.
At the Grants Pass Clinic, Dr. Bruce Stowell said they are no longer taking new Medicare patients. Medicare pays about 45 percent of what commercial insurance pays.
As it is, their proportion of Medicare patients is double that of a similar Portland practice.
"We used to get a steady stream of high-quality (resumes) from U.S.-trained and U.S.-born physicians," he said. "Over the last year, that stream has declined into a trickle. Very few (doctors) are choosing to go into primary care."
Schools are turning out more nurse practitioners and physician assistants.
How well they fill the doctor gap will depend largely on how much independence states give them to practice, said Tay Kopanos, director of health care policy for state affairs at the American Academy of Nurse Practitioners.
Meanwhile, overall demand for primary care will be increasing as more people can afford it under the Affordable Care Act, said Joanne Spetz, a health care policy professor at the University of California, San Francisco.
Dr. Atul Grover, chief of public policy for the American Association of Medical Colleges, said the nation is facing a tough time recruiting for primary care as well as other specialties that treat Medicare patients, such as oncologists.
When he decided to become a primary care doctor in the 1990s, it was because of a widespread belief that health maintenance organizations were going to be hiring all the doctors.
He said they wanted primary care doctors to emphasize wellness and prevention. Now, many graduates are moving into specialties that do procedures, such as surgery, because Medicare pays more for them than plain-old office visits.
Also, the Balanced Budget Act of 1997 capped the number of residencies paid by Medicare, so there is no quick way to increase the numbers of doctors in general, let alone in rural areas, he said.
"An entire year's worth of doctor production is needed to deal with the (rural-area) shortage just today," he said.
Source: http://news.yahoo.com/boomers-retiring-rural-areas-wont-doctors-173644311.html
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By Abdul Nishapuri
First of all I would like to send my appreciation to my friends?Paul Rockower?and Waleed Ziad in particular, for inviting us to engage in?people-to-people contactbetween Pakistanis and Israelis. I would also like to thank Dahlia Scheindlin (of +972 Magazine) for?her recent post in this series?in which she has outlined the need for such a dialogue between the two countries.LUBP presents itself as Pakistan?s alternative media and is known for its non-mainstream views and discourses on issues of human rights, democracy and politics. It is a voluntary project and not sponsored or affiliated with any religious or political group.? It continues to publish on topics or positions that are considered taboos in Pakistan?s mainstream society and politics.
Given the increasing dominance of the Saudi-sponsored Wahhabi-Deobandi extremist ideology and the brutal treatment of dissenting voices of journalists and scholars by the military state, many of our contributors use pen names as a precaution for their personal safety.
Therefore, it was relatively easy for us to engage with Dahlia, and freely discuss our views on the informal contact between the two countries. From the Pakistani side, we have been able to express such views without any fear of reprisal from religious fanatics, politically correct political parties and repressive military apparatus.
What do we seek to gain from this dialogue? Here are a few things that come to my mind:
1. To develop a genuine people-to-people contact (instead of State-sponsored and State-controlled, elitist, shallow contact) between Israel and Pakistan;
2. To make the people of Pakistan aware that there exists an Israel which is much different and larger than the one seen through the narrow Saudi Arabian or Iranian lenses frequently used in Pakistan;
3. To make the people of Israel aware that Pakistani society can be much more inclusive and tolerant if liberated from the shackles of Islamism which, in Pakistan, is mainly sponsored by Saudi Arabia and the tiny but financially powerful Sheikhdoms of the Persian Gulf;
4. To make people of Pakistan aware that there are bold voices in Israel which oppose the occupation and seek a political resolution. Pakistanis can learn about the diversity of approaches, and open dialogue among those committed to ending the occupation.
5. To make the people of Israel aware of the extreme brutalities that certain ethnic and religious groups (Balochs, Pashtuns, Shias, Ahmadis, Christians, Hindus, etc.) in Pakistan are currently facing at the hands of the military state and its Jihadist and Islamist proxies.
6. To make the people of Pakistan aware of the internal religious and political diversity of the people of Israel;
7. To make the people of Israel aware of how mainstream media (both Pakistani and international media) twists and misrepresents certain news about Pakistani society and its people;
In reaction to a question on my Facebook and Twitter, the response to the prospects of Pakistan-Israel dialogue has been clearly positive. Out of a total of 76 feedbacks that I received, 90 percent were in support of the dialogue while less than 10 percent expressed concerns due to political reasons and clouded judgement, e.g.,? ?Israel is an illegitimate State,? ?Jews cannot be our trusted friends,? ?Israel is an occupier? etc.
Therefore, it is imperative that we have this dialogue. I cannot speak for my friends in Israel but amongst upper-middle class Pakistanis (including expats), there is a mindset that has internalized opposition to Israel?s policies. The resulting conspiracy theory laden mindset and borderline anti-Semitism has prevented many Pakistanis from having a much needed dialogue ? a dialogue that will only help in clearing the resentment and understanding each other.
I am aware that our friends at +972 have always wanted to bring the voices of both Israeli and Palestinian communities. Thus our contact is also an opportunity for Pakistanis to encounter both Israeli and Palestinian communities.
At LUBP, we value diversity and heterogeneity ? both of opinion and of the social makeup of Pakistan. At the time of Partition in 1947, there were significant Jewish communities in Pakistan ? especially in the metropolis of Karachi. Their subsequent departure, along with that of other targeted groups, has damaged our social fabric and pluralist society. We hope that we can rebuild a Pakistan in which people of all faiths and ethnic backgrounds feel equally valued and included. Acceptance of difference is consistent with our egalitarian interpretation of Islam and is also an integral part of the tolerant culture of the Subcontinent.
Overall, we are very excited to build such a relationship between Pakistani and Israeli and Palestinian bloggers. We understand that members of this dialogue in their respective countries may be subject to harsh criticism.? However, as an alternative media outlet we are willing to accept such challenges which will only strengthen our resolve to develop better understanding between our nations. Long live Pakistan, Israel and Palestine.
About the author: Abdul Nishapuri is founder-editor of Let Us Build Pakistan (LUBP), Pakistan?s leading blogzine with a specific interest in building a democratic, progressive and inclusive society. He tweets at @AbdulNishapuri
Source: http://levantine18.blogspot.com/2012/08/pakistan-israel-dialogue-continues.html
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August 31st, 2012
While I was perusing social data proposals for SXSW panels, I came across the Digital Love Project submission. ?The Digital Love Project is a study of the full life cycle of romantic partnerships through ethnographic analysis of digital-social picture and video sharing. Through review of thousands of visual-social data points ? from first glance to ultimately tying the knot ? we observe trends about romantic partnerships that change the way we think about driving relevance.? I thought this would make a great Data Story, so I reached out to one of the researchers, Annicka Campbell of SapientNitro, for an interview.?
1. What was the genesis of deciding to do the Digital Love Project?
My co-author Melissa Read and I both have backgrounds in the social sciences ? I was trained as an anthropologist, and Melissa has a PhD in digital marketing psychology. We?re both fascinated by the behavioral implications of social media, and so a few months ago we decided to embark on an ethnographic analysis of romantic partnerships as expressed through social. Our theory was that our findings would illuminate new ways for marketers to build more meaningful relationships and experiences for consumers online. It?s been a pretty fun (and often funny) experience, and we?re hoping that this combination of marketing insight and humor could translate really well for SXSW Interactive attendees.
Annicka Campbell of the Digital Love Project
2. How has displaying relationships on social media changed how people behave?
Great question. Since the term ?relationship? is so broad, we?ve focused on analyzing people in serious romantic relationships. We found that the relationship sharing process has become somewhat standardized; we identified a set of relationship milestones that couples are almost expected to share in social. This could mean posting joint vlogs or ?selfies,? crowdsourcing engagement proposals, or having wedding attendees post with a customized hashtag. We?ve even seen instances of people updating their Facebook relationship statuses at the alter, which is obviously on the far end of the spectrum. Call them the digital rules of engagement, perhaps. We actually think that these behaviors are making romantic relationships more interactive and collaborative than ever before. Of course, there can be negative implications of this behavior, as well.
3. What social media publishers get the most love from those in love? What channels are people using to display their love?
This is such a great question. What we?ve found is that it often hinges on age ? age of those in-love, and the age of the relationship. For teenagers, tools like Tumblr and Facebook provide a very public space to flirt and date in the passive presence of their friends, which I think is really important at that age. What really surprised us is that this is also true for more mature people.
Right now, we?re really focusing on the impact of geo-location in romantic relationships in our analysis. A few years ago I met an ex-boyfriend through Twitter?s ?Nearby Tweets? feature. It was really convenient, initially, because he lived across the street from me! Of course, when we broke up, the geolocation API haunted me every time I left my apartment (at least for a few weeks).
Melissa Read (Ph.D) of the Digital Love Project
4. By studying Facebook relationship changes, researchers were able to find out that breakups spiked highest around the holidays. What are some of the interesting takeaways you?ve learned about relationships by studying them online?
I loved the findings of David McCandless and Lee Byron?s project ? and of course, how beautifully those findings were visualized. Some of what we?ve found is similar, particularly during wedding season, back-to-school season, and spring break.
We also found that social media is being used a feedback tool for people in relationships. This might mean instagramming a photo of a dinner cooked together as a way to express appreciation to them. Conversely, this could also mean using Facebook to give negative feedback to your significant other. I?m fascinated by the way some couples use social media tools like Tumblr as sort of a ?relationship backchannel? where they document and discuss the life they share together, with both their online and offlline friends. I think that our long national obsession with the negative effects of oversharing and narcissism online is passing. We increasingly view social media as tools to grow meaningful relationships, and perhaps even contribute something of value to our culture. Just look at Facebook introducing a same-sex marriage status option a few months ago.
5. What do you want people to take away from what you learned, especially marketers? How do marketers reach in-love couples besides targeting wedding ads at the newly engaged?
We?ve found that there are very tactical takeaways for marketers as it relates to engaged couples. As the economy continues to improve, we?ve seen that the wedding industry has really rebounded, as well ? we spend $74 billion dollars per year on weddings, and that fact alone has obvious implications for marketers within that industry. We?re seeing event marketers using Pinterest to drive sales, planners using tools like Evernote to make the planning process more collaborative, and photographers incorporating Instagram into their toolkit.
Again, the tactical implications for that industry are interesting, but we?re trying to think even bigger. The idea that social media are being used as to establish, build and optimize romantic relationships in new and innovative ways ? well, switch out ?romantic relationships? with ?consumer-brand relationships? and we have the beginning of a really interesting discussion
Today is the last day for SXSW panel voting, so if this is a topic that interests you, be sure to get your vote in for the Digital Love Project.?
Source: http://blog.gnip.com/digital-love-project/
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