With Some Hospitals Closed After Hurricane Sandy, Others Pick Up Slack

A month after Hurricane Sandy struck New York City, unexpectedly shutting down several hospitals, one Upper East Side medical center had so many more emergency room patients than usual that it was parking them in its lobby.

White and blue plastic screens had been set up between the front door and the elevator banks in the East 68th Street building of that hospital, NewYork-Presbyterian/Weill Cornell. The screens shielded 10 gurneys and an improvised nursing station from the view of people obliviously walking in and out of the soaring, light-filled atrium.

“It’s like a World War II ward,” Teri Daniels, who had been waiting a day and a half with a relative who needed to be admitted, said last week.

Since the storm, a number of New York City hospitals have been scrambling to deal with a sharp increase in patients, forcing them to add shifts of doctors and nurses on overtime, to convert offices and lobbies to use for patients’ care, and even, in one case, to go to a local furniture store to buy extra beds.

At Beth Israel Medical Center, 11 blocks south of the Bellevue Hospital Center emergency room, which was shuttered because of storm damage, the average number of visits to the E.R. per day has risen to record levels. Visits have increased by 24 percent this November compared with last, and the numbers show no sign of dropping. Hospital admissions have risen 12 percent compared with last November.

Most of the rise in volume is from patients who had never been to Beth Israel before. An emergency room doctor at the hospital described treating one patient who said he had been born at Bellevue and had never before gone anywhere else.

Emergency room visits have gone up 25 percent at NewYork-Presybterian/Weill Cornell, which in Bellevue’s absence is the closest high-level trauma center — treating stab wounds, gun wounds, people hit by cars and the like — in Manhattan from 68th Street south. Stretchers holding patients have been lined up like train cars around the nursing station and double-parked in front of stretcher bays.

In Brooklyn, some patients in Maimonides Medical Center’s emergency room who need to be admitted are waiting two or three days for a bed upstairs, instead of four or five hours. Almost every one of the additional 1,100 emergency patients this November compared with last November came from four ZIP codes affected by the storm and served by Coney Island Hospital, a public hospital that was closed because of storm damage.

The number of psychiatric emergency patients from those same ZIP codes has tripled, in a surge that began three days before the hurricane, perhaps fueled by anxiety, as well as by displacement from flooded adult homes or programs at Coney Island Hospital, doctors said.

The Maimonides psychiatric emergency room bought five captain’s beds — which do not have railings that can be used for suicide attempts — at a local furniture store, to accommodate extra patients. The regular emergency room had to buy 27 new stretchers after the hurricane, “and we probably need a few more,” the department’s chief, Dr. John Marshall, said.

The emergency room and inpatient operations of four hospitals remain closed because of flooding and storm damage. Besides Bellevue and Coney Island, NYU Langone Medical Center and the VA New York Harbor Healthcare System, both near Bellevue on the East Side of Manhattan, are closed.

While the surge in traffic to other hospitals has been a burden, it has also been a boon, bringing more revenue.

On the Upper East Side, the storm has helped Lenox Hill Hospital, which has a history of financial problems. It took two or three wards that had been turned into offices and converted them back to space for patients. Emergency room visits are up 10 percent, and surgery has been expanded to seven days a week from five.

“We usually operate at slightly over 300 beds, and now we’re at well over 550,” Carleigh Gustafson, director of emergency nursing, said.

Conversely, administrators at the shuttered hospitals, especially NYU Langone, a major teaching center, worry that their patients and doctors are being raided, with some never to return.

NYU’s salaried doctors are being paid through January, on the condition that they do not take another job. But at the same time, they need a place to practice, so NYU administrators have been arranging for them to work as far away as New Jersey until the hospital reopens. Lenox Hill alone has taken on close to 300 NYU doctors, about 600 nurses, and about 150 doctors in training, fellows and medical students.

Obstetricians and surgeons from the closed hospitals have been particularly disadvantaged, since they are dependent on hospitals to treat their patients. Many displaced surgeons have been reduced to treating only the most desperately ill, and operating on nights and weekends, when hospitals tend to be least well staffed.

“I think there’s no question that a lot of people have postponed anything that they can postpone that is elective,” said Dr. Andrew W. Brotman, senior vice president at NYU.

In mid-November, Dr. Michael L. Brodman, chairman of obstetrics at Mount Sinai Medical Center, sent out a memo saying his department had taken on 26 NYU physicians, as well as nurses and residents, but “clearly, that is too much for us to handle long term.”

Since then, 15 of the physicians have gone to New York Downtown Hospital, while Mount Sinai has retained 11 doctors and 26 nurses.

“We are guests in other people’s homes,” Dr. Brotman of NYU said, “and we are guests who have to some degree overstayed their welcome.”

Joanna Walters contributed reporting.

Read More..

Terms of Greek Bond Buyback Top Expectations

LONDON — In a bold bid to reduce its debt burden, Greece offered on Monday to spend as much as 10 billion euros to buy back 30 billion euros of its bonds from investors and banks.

While the buyback had been expected, the prices offered by the government were above what the market had forecast, with a minimum price of 30 euro cents and a maximum of 40 cents, for a discount of 60 percent to 70 percent.

Analysts said they expected that the average price would ultimately be 32 to 34 euro cents, a premium of about 4 cents above where the bonds traded at the end of last week.

Pierre Moscovici, the French finance minister, played down concerns that the Greek debt buyback might not go as planned.

“I have no particular anxiety about this,” Mr. Moscovici said Monday at the European Parliament ahead of the meeting in Brussels of euro zone finance ministers to discuss Greece. “It just has to be very quick.”

A successful buyback is critical for Greece. The International Monetary Fund has said that it will lend more money to Greece only if it is reasonably able to show that it is on target to achieve a ratio of debt to annual gross domestic product of less than 110 percent by 2022.

Greece will have at its disposal 10 billion euros, or $13 billion, in borrowed money from Europe. Investors who agree to trade in their Greek bonds will receive six-month treasury bills issued by Europe’s rescue vehicle, the European Financial Stability Facility. The offer will close Friday.

If successful, the exchange will retire about half of Greece’s 62 billion euros in debt owed to the private sector. The country still owes about 200 billion euros to European governments and the I.M.F.

Analysts said that Greek, Cypriot and other government-controlled European banks, which have as much as 20 billion euros worth of bonds, were expected to agree to the deal at a price in the low 30s. That would mean that to complete the transaction, hedge-fund holdings of 8 billion to 10 billion euros in bonds would have to be tendered at a price below 35 cents. Any higher price would mean that Greece would have to ask its European creditors for extra money — an unlikely outcome at this stage.

Even though Greece is so close to bankruptcy, its bonds have become one of the hot investments in Europe. Large hedge funds, like Third Point and Brevan Howard, have accumulated significant stakes, starting this summer when the bonds were trading in the low teens. Shorter-term traders have been snapping up bonds at around 29 cents to make a quick profit by participating in the buyback.

In a research note published Monday, analysts at Nomura in London said it was “reasonable and likely” that enough hedge funds — especially those that might be more risk-averse and or have a shorter perspective — would agree to the deal at a price below 35 cents.

But there are also foreign investors looking to the longer term who may decide to hold onto most of their holdings in the hope that the bonds rally even more after a successful buyback.

“I think the bonds could go to as high as 40 cents in a nonexit scenario,” said Gabriel Sterne, an analyst at Exotix in London, referring to the consensus view that Greece will not leave the euro zone anytime soon.

Bondholders were encouraged by comments from Chancellor Angela Merkel of Germany, reported in the German news media over the weekend, that raised the possibility that European governments might offer Greece debt relief in the future. A number of bondholders expect Greek bond yields to trade more in line with those of Portugal in the coming years, but without the prospect of a future buyback to push up the prices of Greek government bonds, the risk to such an approach is substantial.

Jean-Claude Juncker, the president of the group of finance ministers whose countries use the euro, told a news conference late Monday in Brussels that ministers would meet again on the morning of Dec. 13 to make a final decision on aid disbursement to Greece.

Mr. Juncker said he was confident that Greece would receive its money on that date, but he declined to comment on the prospects for success of the buyback program because it was a sensitive matter for the financial markets.

Mr. Juncker has been the president of the group of ministers since 2005, and the post gives him significant power over what is discussed at the group’s meetings.

Mr. Juncker reiterated at the news conference that he would step down at the end of this year or at the beginning of next year. But he declined to signal his preference for any particular successor.

“I don’t have to endorse anyone,” Mr. Juncker said. “I was asking my colleagues to provide for my succession,” he said, referring to discussions held with ministers earlier in the evening.

Separately, Spain, which is also seeking to overcome crippling debt problems, began the process Monday of formally requesting 39.5 billion euros in emergency aid to recapitalize its banks. It also announced that a tax amnesty had yielded only 1.2 billion euros, less than half what the government had expected.

The request for emergency aid was being sent to authorities managing the euro zone bailout funds, according to Spanish officials, who added that no further approval would be needed from ministers meeting in Brussels.

The request follows the European Commission’s approval last week of a plan to make the granting of the aid conditional on thousands of layoffs and office closings at four Spanish banks: Bankia, Catalunya Banc, NCG Banco and Banco de Valencia.

James Kanter contributed reporting from Brussels.

Read More..

Young and Educated in France Find Employment Elusive

Colin Delfosse for The New York Times

Justine Forriez, 23, holds a master’s degree in health administration. But after an apprenticeship, she is living on state aid and working at off-the-books jobs.

LILLE, France — Justine Forriez wakes up early to go onto the computer to look for a job. She calls university friends and contacts; she goes to the unemployment office every week, though mostly for the companionship, and has taken a course in job hunting. She has met with 10 different recruiters since May and sent out 200 résumés.

Ms. Forriez is not poor or disadvantaged, and she holds a master’s degree in health administration. But after a two-year apprenticeship, she is living on state aid and working at off-the-books jobs like baby-sitting and tending bar. She cares for a dog for $6.50 a day. She paints watercolors in her spare time to keep herself from going crazy.

“I don’t feel at ease when I’m home,” she said. “You find yourself with no work, no project.” With the extra $45 for dog sitting, she said, “I can go to the grocery store.”

Ms. Forriez, 23, is part of a growing problem in France and other low-growth countries of Europe — the young and educated unemployed, who go from one internship to another, one short-term contract to another, but who cannot find a permanent job that gets them on the path to the taxpaying, property-owning French ideal that seemed the norm for decades.

This is a “floating generation,” made worse by the euro crisis, and its plight is widely seen as a failure of the system: an elitist educational tradition that does not integrate graduates into the work force, a rigid labor market that is hard to enter, and a tax system that makes it expensive for companies to hire full-time employees and both difficult and expensive to lay them off.

The result, analysts and officials agree, is a new and growing sector of educated unemployed, whose lives are delayed and whose inability to find good jobs damages tax receipts, pension programs and the property market. There are no separate figures kept for them, but when added to the large number of unemployed young people who have little education or training, there is a growing sense that France and other countries in Western Europe risk losing a generation, further damaging prospects for sustainable economic growth.

Louise Charlet, 25, has a master’s degree in management. She worked as an apprentice at the Kiabi clothing company for more than two years, but was not given a permanent job; she’s also worked for three months at a hotel here. She prowls the Internet for job offers, goes to the unemployment office and lives with her unemployed boyfriend in a neat, tiny apartment. “You see,” she said, pointing to the computer, “there’s only one job offer today, and it’s a temporary contract.”

The crisis makes companies doubly reluctant to hire, she said. “In our parents’ generation, you had a job for life; now we constantly have to change jobs, change companies, change regions.”

Yasmine Askri, 26, majored in human resources, and after a year of unemployment, she got a business school degree. She was promised a fixed contract after an internship, but it never came. She left the Lille area for Paris to find a job, and spent another year on unemployment, finally finding an interim job for 18 months at GDF Suez. But that contract ended in June. Again unemployed, she has sent out nearly 400 résumés, she said, but has had only three interviews.

“It’s a disaster for everyone,” said Jean Pisani-Ferry, who runs the economic research center Bruegel in Brussels. “They can’t get credit, and they’re treated awfully by employers. And then there are all those young people in jobs that don’t match their skills.” The labor market, he said, is “deeply dysfunctional.”

Throughout the European Union, unemployment among those aged 15 to 24 is soaring — 22 percent in France, 51 percent in Spain, 36 percent in Italy. But those are only percentages among those looking for work. There is another category: those who are “not in employment, education or training,” or NEETs, as the Organization for Economic Cooperation and Development calls them. And according to a study by the European Union’s research agency, Eurofound, there are as many as 14 million out-of-work and disengaged young Europeans, costing member states an estimated 153 billion euros, or about $200 billion, a year in welfare benefits and lost production — 1.2 percent of the bloc’s gross domestic product.

Maïa de la Baume and Stefania Rousselle contributed reporting from Paris and Lille.

Read More..

Specs surface for alleged low-end $99 Nexus 7

Read More..

Chiefs beat Panthers at somber Arrowhead Stadium

KANSAS CITY, Mo. (AP) — Romeo Crennel stood in the middle of the Kansas City Chiefs' locker room Sunday, the emotion threatening to overcome the good-natured coach.

Chiefs owner Clark Hunt was at his side, offering support. Members of the team hugged each other, the mud smearing with tears on their cheeks. And over along the wall stood the empty locker that once belonged to Jovan Belcher, his jersey still hanging from a hook.

Just one day after the linebacker killed his girlfriend and then turned the gun on himself, the Chiefs banded together to play their finest game of the season, an inspired 27-21 victory over the Carolina Panthers that ended an eight-game losing streak suddenly rendered trivial.

"As far as playing the game, I thought that was the best for us to do, because that's what we do," Crennel said, tears forming in the corners of his eyes. "We're football players and football coaches and that's what we do. We play on Sunday."

According to authorities, Belcher shot his girlfriend multiple times early Saturday at a residence near Arrowhead Stadium, then sped to the team's practice facility and turn the gun on himself as Crennel and general manager Scott Pioli watched in the parking lot.

Pioli walked through the press box before the game and said he was doing "OK."

"It's been an incredibly difficult 24 hours for our family and our entire organization," Hunt said. "We have so many guys on our team and our coaching staff who are really, really hurting."

Chiefs players gathered in the tunnel leading to the field for a brief prayer before their pregame stretching. A few fans in the half-empty stadium held up signs referencing the shootings, and there was a moment of silence to remember all victims of domestic violence.

Kansas City police have not released a motive for the shootings, which claimed the life of Belcher and 22-year-old Kasandra M. Perkins, and left a 3-month-old girl, Zoey, an orphan.

"I'm just trying to get through the rest of today," said the Chiefs' Brady Quinn, who threw his first two touchdown passes in three years. "The emotions of what has taken place will probably hit home for a few guys the next few days, when they realize what's taken place."

Cam Newton threw for 232 yards and three touchdowns for the Panthers (3-9), who were informed the game would be played as scheduled while they were heading to Kansas City on Saturday.

DeAngelo Williams added 67 yards rushing, carrying the load with Jonathan Stewart out with an injury. Steve Smith, Greg Olsen and Louis Murphy caught Carolina's TD passes.

"You definitely feel for them. What they are going through is tragic," Olsen said. "But we have a job to do. Our job is to come here and prepare to win. They wouldn't expect any less."

Peyton Hillis had a touchdown run for Kansas City (2-10), while Tony Moeaki and Jon Baldwin had touchdown catches. Ryan Succop hit a pair of field goals, including a 52-yarder with 4:54 left that forced the Panthers try for a touchdown to steal the win.

Instead, they went three-and-out, and the Chiefs were able to run the clock down to 31 seconds before giving back the ball. Newton completed two quick passes to reach the Carolina 38, but his final heave as time expired was caught by Smith short of the end zone.

Panthers coach Ron Rivera greeted Crennel at midfield and gave him a hug.

"They played an inspired football game," Rivera said. "They did some really good things, and we have to give them credit, because they suffered through a very difficult time."

The emotions were raw even after the kickoff.

Kansas City took the opening possession and marched 74 yards in just six plays, including a 21-yard pass to Dwayne Bowe and a 34-yarder to Baldwin that got the Chiefs to the Carolina 2.

Hillis powered in to score the first touchdown for Kansas City on the opening possession of a game since Dec. 26, 2010. It was also the first touchdown drive engineered by Quinn since December 2009, when he helped the Browns beat the Chiefs at Arrowhead Stadium.

Hillis ran to the sideline after scoring his first touchdown of the season and handed the ball to Crennel, then gave the guy who managed to hold the team together a hug.

The Panthers answered with a long touchdown drive of their own. The big play came when safety Abe Elam watched Olsen haul in a 47-yard pass from Newton for the tying touchdown.

The Chiefs had tacked on a field goal when the Panthers struck again, this time after Newton completed three passes to convert third downs, the last finding Smith in the end zone.

But Kansas City finished off the half with one of its best drives of the year, an 80-yard march that took up the final 7:25. Hillis was stuffed at the line on third-and-goal, and Crennel allowed the clock to hit 2 seconds before calling timeout. On the final play of the half, Quinn saw Moeaki open in the back of the end zone and delivered a soft toss for a 17-14 lead.

Breathing room came late in the third quarter when the Chiefs used 17 plays to go 87 yards on a drive that lasted another 10 minutes. Quinn finished it with a 3-yard touchdown pass to Baldwin.

Carolina mounted a comeback with the opening drive of the fourth quarter, with Newton hitting Murphy on a quick slant route from the 8 to get the Panthers within a field goal. But the Chiefs added their own field goal, and then burned enough of the clock to ensure the victory.

One that allowed the Chiefs to celebrate in the midst of their mourning.

"There were pockets in the game where reality hits you again, and that's sobering," said Chiefs linebacker Andy Studebaker. "I've been telling people, Jovan was like a brother to us. His family was family to us. Our hearts go out to them, man, and the game maybe took our heads off it for a while. It brought us closer as a team today, I think. But it's never going to be easy."

NOTES: Chiefs CB Brandon Flowers (hamstring), S Abe Elam (left leg) and LB Derrick Johnson (left hamstring) left the game with injuries. Carolina lost LB James Anderson (eye), Murphy (foot) and S Sherrod Martin (right knee) during the game. ... Chiefs WR Dwayne Bowe caught four passes to move into third place in franchise history with 413 catches. ... Carolina has attempted 11 FGs this season.

__

Online: http://pro32.ap.org/poll and http://twitter.com/AP_NFL

Read More..

Vietnam Veterans, Claiming PTSD, Sue for Better Discharges

NEW HAVEN — In the summer of 1968, John Shepherd Jr. enlisted in the Army, figuring that the draft would get him anyway. By January 1969, he was in the Mekong Delta, fighting with the Ninth Infantry Division.

Within a month, his patrol was ambushed, and Mr. Shepherd responded by tossing a hand grenade into a bunker that killed several enemy soldiers. The Army awarded him a Bronze Star with a valor device, one of its highest decorations.

Yet the medal did little to assuage Mr. Shepherd’s sense of anxiousness and futility about the war. A few weeks after his act of heroism, he said, his platoon leader was killed by a sniper as he tried to help Mr. Shepherd out of a canal. It was a breaking point: his behavior became erratic, and at some point he simply refused to go on patrol.

“I never felt fear like I felt when he got shot,” Mr. Shepherd said last week.

After a court-martial, the Army discharged Mr. Shepherd under other-than-honorable conditions, then known as an undesirable discharge. At the time, he was happy just to be a civilian again. But he came to rue that discharge, particularly after his claim for veterans benefits was denied because of it.

Today, Mr. Shepherd, 65, is part of a class-action lawsuit against the armed forces arguing that he and other Vietnam veterans had post-traumatic stress disorder when they were issued other-than-honorable discharges. The suit, filed in Federal District Court, demands that their discharges be upgraded.

The suit raises two thorny issues that could affect thousands of Vietnam veterans: Can they be given a diagnosis of PTSD retroactively, to their time in service, though the disorder was not identified until 1980? And if they can, should recently instituted policies intended to protect troops with PTSD be applied retroactively to their cases?

Mr. Shepherd’s legal team, students with the Yale Law School veterans legal clinic, argues yes on both counts. In court papers, they assert that it is reasonable to assume that Mr. Shepherd and other veterans who were later given PTSD diagnoses began exhibiting troublesome symptoms while in service.

Moreover, under rules put in place during the Iraq war, troops who say they have PTSD must be given medical examinations before they are forced out of the military, to ensure that problematic behavior is not linked to the disorder. If they are given a PTSD diagnosis, service members may still receive an honorable discharge.

“Vietnam War-era veterans, in contrast, have been denied this opportunity for appropriate consideration of the PTSD,” the students said in the complaint.

But the Army says no. In a rejection of an earlier request by Mr. Shepherd to upgrade his discharge, the Army tersely rejected evidence that his misconduct 43 years ago was linked to PTSD and raised questions about whether his platoon leader was actually killed.

A spokesman for the Army said the military has a policy of not discussing pending litigation.

The details of Mr. Shepherd’s case aside, the suit could have a wide impact. The Yale team says that its review of records from 2003 to 2012 shows that 154 Vietnam-era veterans petitioned the Army to upgrade discharges because of PTSD, but that only two were successful. Yet the Army Board of Corrections for Military Records granted upgrades nearly half of the time for other cases.

The students estimate that more than a quarter million Vietnam-era veterans were discharged under other-than-honorable conditions, and that thousands of those probably had PTSD. Their suit names as defendants the secretaries for the Army, Air Force and Navy. Vietnam Veterans of America, the veterans service organization, is joining the case as a plaintiff on Monday.

Discharges that are other than honorable can make it harder for veterans to find work and also disqualify them for veterans benefits.

In Mr. Shepherd’s case, a Department of Veterans Affairs doctor in 2004 gave him a diagnosis of service-connected PTSD. As a result, the department will provide health care for his PTSD. But it will not provide him general medical care, unless he is found to have other health problems related to his service.

Veterans disability compensation is also a problem. Mr. Shepherd’s undesirable discharge was actually upgraded to a general discharge in the 1970s under a special Carter administration program. That upgrade should have made it easier for him to apply for disability compensation. But subsequent legislation enacted by Congress said that clemency upgrades like Mr. Shepherd’s did not automatically qualify veterans for benefits. Mr. Shepherd’s compensation claim was ultimately rejected.

Mr. Shepherd, who has been divorced twice and battled through alcoholism and drug abuse, lives in New Haven, getting by on Social Security and a Teamsters pension. (He drove trucks for years.) He could use the extra money from disability compensation, but what matters as much, he says, is removing the stain of his discharge.

“I want that honorable,” he said. “I did do my part, until I really felt it wasn’t worth getting killed for.”

Read More..

Advertising: Ford Plan to Revive Lincoln Hinges on a New Brand

An unusual ad campaign features Abraham Lincoln, the president for whom the car brand is named.

DEARBORN, Mich. — In the fiercely competitive world of luxury cars, the Ford Motor Company’s Lincoln brand has long been stuck in the slow lane, with stodgy models, older buyers and a distinct lack of pizazz.

But Ford is determined to change that. On Monday, the company will announce upgraded customer service initiatives, a new brand name for Lincoln that plays down the Ford connection and an unusual advertising campaign that features Abraham Lincoln, the president for whom the brand is named.

Ford’s chief executive, Alan R. Mulally, will begin the rebranding effort at an event outside Lincoln Center in Manhattan — the first in a series of moves meant to reverse Lincoln’s seemingly perpetual state of decline.

Ford will formally rechristen the brand as the Lincoln Motor Company and introduce a television spot that begins with an image of Lincoln, stovepipe hat and all. The brand’s first Super Bowl commercial is in the works, as is a revamped Web site that links consumers to a Lincoln “concierge” who can arrange test drives or set up appointments at dealerships.

Mr. Mulally will also announce the on-sale date in early 2013 for the radically redesigned Lincoln MKZ sedan, as well as plans for three new vehicles down the road.

If it seems like an all-out grab for attention, well, that’s exactly the point, said James D. Farley Jr., Ford’s head of global sales and marketing and the newly named chief of the Lincoln revival effort.

“The most important thing is for people to be aware that there is a transition going on,” Mr. Farley said. “We have to shake them up.”

The shake-up is long overdue and critically important to Ford, the nation’s second-largest car company behind General Motors.

As recently as the 1990s, Lincoln was the top-selling luxury automotive brand in the United States. Its large Town Car sedan and hulking Navigator S.U.V. defined the brand, and sales topped more than 230,000 vehicles a year.

But since then, Lincoln has been left in the dust by the German category leaders BMW and Mercedes-Benz, and Toyota’s Lexus division. This year, Lincoln ranks eighth in the American luxury segment, with sales down 2 percent, to 69,000, vehicles in the first 10 months of the year.

Its crosstown rival G.M. has had much better success reviving its Cadillac brand.

“Cadillac has been stabilized, but Lincoln is still muddling about,” said Jack Trout, president of the marketing firm Trout and Partners. “The big question is, how can Lincoln convince people it is more than just a gussied-up Ford?”

That task has now fallen to Mr. Farley, who left Toyota five years ago to join Ford just as Mr. Mulally’s transformation of the company was under way. Since then, Ford has introduced a succession of sleeker, more fuel-efficient and technology-laden models that have lifted sales and made it among the most profitable car companies in the world.

Lincoln, however, has not benefited from the turnaround. It accounts for only 3 percent of Ford’s total sales, down from 8 percent during the brand’s heyday. And since Ford has sold off foreign luxury divisions like Volvo and Jaguar, Lincoln is the sole upscale brand in the company.

“There is nothing more frustrating for us than to have someone who loves their Ford car and S.U.V., but goes out to buy a luxury model from another brand because we don’t have one,” Mr. Farley said.

The Lincoln comeback effort starts with the midsize MKZ, which has been redesigned with a sweeping grille, tapered body style and an all-glass retractable roof. It will be followed by three other new models, including a larger sedan and S.U.V.

But the brand’s image needs much more than better cars. Under Mr. Farley’s direction, a newly formed team of 200 people is intent on establishing the Lincoln Motor Company as a boutique luxury line known for personalized service.

Every customer who reserves an MKZ, for example, will be presented with an elegant gift upon receiving the car. Choices include a selection of wines and Champagne, custom-made jewelry or sunglasses, or a one-night stay at a Ritz-Carlton hotel.

Lincoln’s Web site will also have a consultant available 24 hours a day for live discussions about the products and to streamline the buying process. Prospective buyers will be given an opportunity for a “date night” with Lincoln, which includes a two-day test drive and a free meal at a restaurant.

Read More..

With Aid, Afghan ‘Honor’ Victim Inches Back

Mauricio Lima for The New York Times

Gul Meena, who was reportedly attacked by her brother for dishonoring their family, recovering at a hospital in Jalalabad.

JALALABAD, Afghanistan — It is doubly miraculous that the young woman named Gul Meena is alive. After she was struck by an ax 15 times, slashing her head and face so deeply that it exposed her brain, she held on long enough to reach medical care and then, despite the limitations of what the doctors could do, clung to life.

“We had no hope she would survive,” said Dr. Zamiruddin, a neurosurgeon at the Nangarhar Regional Medical Center in the eastern city of Jalalabad who, like many Afghans, uses only one name. After she was brought in, he worked for more than six hours in the hospital’s rudimentary operating theater, gently reinserting her brain and stitching her many wounds.

For weeks afterward, she was often unconscious, always uncommunicative and, but for the hospital staff, utterly alone, with no family members to care for her. That is because, if the accounts from her home province are true, she is an adulterer: though already married, she ran away with another man, moving south until her family caught up with them.

Locals say that the man who wielded the ax against her, and also killed the man with her, was most likely her brother.

That she reached a hospital and received care at all is the second part of the miracle: the villagers, doctors and nurses who helped her were bucking a deeply ingrained tradition that often demands death for women who dishonor their families.

Such “honor killings” of women exist in a number of cultures, but in Afghanistan they are firmly anchored by Pashtunwali, an age-old tribal code prevalent in the ethnic Pashtun areas of the country that the government and rights advocates have fought for years to override with a national civil legal system. This year, six such killings have been reported in Afghanistan’s far east alone, more than in each of the past two years, and for every one that comes to light, human rights advocates believe a dozen or more remain hidden.

Gul Meena’s story, as best it can be pieced together from relatives, tribal elders and others, gives insight into that deeply entrenched tribal culture. But it is also a story about a society struggling to come to terms with a different way of thinking about women.

The Americans and Europeans have put a special emphasis on programs to help Afghan women and raise awareness of their rights. Now, as the Western money and presence are dwindling, women’s advocates fear that even the limited gains will erode and a more tribal and Taliban culture will prevail, especially in the south and east of the country, where Pashtun tribal attitudes toward women are strongly held.

It is a credit to many people — villagers, doctors, the police, rights advocates — that they chose to help Gul Meena, overcoming centuries of distaste for dealing with so-called moral crimes. The doctors at the Nangarhar Regional Medical Center who first treated her and cared for her for weeks were aware of her likely transgressions and chose to ignore them. However, the doctors, who say Gul Meena is about 18, were also bewildered about what to do with her.

“She has no one; no mother has come, no father, no one from her tribe has come,” said Dr. Abdul Shakoor Azimi, the hospital’s medical director, as he stood at the foot of her bed looking at her. “What is the solution? Even the government, the police, even the Women’s Affairs Ministry, they are not coming here to follow up and visit the patient.”

A patient in an Afghan hospital without a family member is a neglected soul. Most hospitals are so impoverished that they offer only the bed itself and limited medical care. Gul Meena lay in her own urine when a reporter first visited her because no relative was there to change her sheets. Hospital staff members were able to tend to her sporadically, but they are overstretched. Without a relative, the patient has no one to pay for drugs, drips, needles or food, no one to bring fresh clothes.

Sangar Rahimi contributed reporting from Jalalabad, and an employee of The New York Times from Kunar Province.

Read More..

Alabama holds off Georgia 32-28, advances to Miami

ATLANTA (AP) — Alabama got a hand on the ball, which wobbled into the arms of a Georgia receiver who wasn't supposed to catch it.

Before the Bulldogs could get off another play, the clock ran out.

The Crimson Tide is heading back to the national championship game.

By a mere 5 yards.

AJ McCarron threw a 45-yard touchdown pass to Amari Cooper with 3:15 remaining and No. 2 Alabama barely held on at the end, beating No. 3 Georgia 32-28 in a Southeastern Conference title game for the ages Saturday night.

"I'm ready to have a heart attack here," Crimson Tide coach Nick Saban said.

As confetti fell from the Georgia Dome roof, the Bulldogs collapsed on the field, stunned they had come so close to knocking off the team that has won two of the last three national titles.

"We just ran out of time," Georgia coach Mark Richt moaned.

Alabama (12-1) will get a chance to make it three out of four when it faces top-ranked Notre Dame for the BCS crown on Jan. 7 in Miami.

This time, Alabama will head to the big game with a championship already in its pocket — unlike last year's squad, which didn't even make it to Atlanta, but got a do-over against SEC champion LSU in the national title game.

Even though the Tide left little doubt it was truly the best team in the country, routing the Tigers 21-0, there were plenty who thought Saban's team didn't deserve a rematch.

There will be no complaints when Alabama heads to South Florida for a dream matchup between two of college football's most storied programs. The Tide and Notre Dame have each won eight Associated Press national titles, more than any other school.

"This group has been fantastic," Saban said. "They were able to accomplish something of significance, and something that last year's team didn't accomplish, which is win the SEC championship."

What a game it was.

After an apparent game-clinching interception by Alabama was overturned on a video review, Georgia's Aaron Murray completed a 15-yard pass to Arthur Lynch, a 23-yarder to Tavarres King and a 26-yarder to Lynch, who was hauled down at the Alabama 8 as the clock continued to run.

The Bulldogs (11-2) were out of timeouts.

Instead of spiking the ball and gathering themselves, the Bulldog hurriedly snapped the ball with 9 seconds to go. Murray attempted a pass into the end zone but it was deflected at the line and ended in the arms of Chris Conley out in the right flats.

Surprised to see the ball coming his way, he instinctively dove for the catch at the 5.

Georgia couldn't get off another play.

Richt said the offense called the play it wanted at the end, a deeper route to Malcolm Mitchell, but Alabama ruined it by tipping the pass. If it had fallen incomplete instead of being caught by Conley, the Bulldogs would've had at least one more play, maybe two.

Instead, they were done.

"I told the guys I was disappointed, but I'm not disappointed in them," Richt said. "They're warriors. We had a chance at the end."

The consolation prize will likely be one of the second-tier bowls — the Capital One, Cotton or Chick-fil-A — though the Bulldogs certainly looked like a team deserving of something better.

"Do I think we're worthy of a BCS bowl?" Richt said. "Yes I do."

The Bulldogs even got props from Saban.

"It would be a crying shame if Georgia doesn't get to go to a BCS bowl game," the Alabama coach said. "They played a tremendous game out there. That was a great football game, by both teams. It came right down to the last play."

In a back-and-forth second half that looked nothing like a game in the defensive-minded SEC, the Crimson Tide trailed 21-10 after Alec Ogletree returned a blocked field goal for a touchdown in the third quarter.

Alabama rallied behind a punishing run game, finishing with 350 yards on the ground, an SEC championship game record. Eddie Lacy — the game's MVP — rumbled for 181 yards on 20 carries, including two TDs. Freshman T.J. Yeldon added 153 yards on 25 carries, also scoring a TD.

After the game, Lacy hooked up with the guy he replaced in the Alabama backfield — Heisman Trophy winner Mark Ingram, now with the NFL's New Orleans Saints.

"He just told me congratulations and that I did a great job running and it was it was the best he's ever seen me run." Lacy said.

But the Tide won it through the air.

With Georgia stacking the line, McCarron fooled the Bulldogs with play action and delivered a perfectly thrown pass to Cooper, who beat Damian Swann in single coverage down the left side.

Georgia played like a champion until the clock ran out, though.

Using up their timeouts and forcing a punt, the Bulldogs got the ball back at their 15 with 1:08 remaining. Alabama broke into a celebration when a pass down the middle for Conley was deflected and Dee Milliner appeared to make a diving interception. But the replay showed the ball hit the ground, so Murray and the Georgia offense trotted back on the field for its last gasp.

And what a gasp it was.

Just not quite enough.

Todd Gurley led Georgia with 122 yards rushing, including a couple of TDs. Murray was 18 of 33 for 265 yards with one touchdown and one interception.

McCarron was 12 of 21 for 162 yards with an interception, only his third of the season.

After a defensive struggle in the first half, with Alabama kicking a field goal on the final play for a 10-7 lead, the last two quarters were nothing but run-and-gun.

The Bulldogs took the second-half kickoff and marched right down the field for the go-ahead touchdown. Gurley ran it seven times, capped by leg-churning, 3-yard drive up the middle to make it 14-10.

Alabama looked like it was about to answer, holding the ball for more than 5 1-2 minutes, before the drive stalled. Cade Foster came on for a 50-yard field-goal attempt, but his low kick was swatted down by Cornelius Washington. Ogletree scooped up the bouncing ball in stride and returned it 55 yards for a touchdown.

Suddenly, the Bulldogs led 21-10.

But the Tide wasn't about to go away that easy. Yeldon broke off a 31-yard run, Swann was called interference on a throw down the middle, and Yeldon powered in from the 10. He ran it again for the 2-point conversion, pulling Alabama to 21-18.

Georgia went three-and-out, and the ground assault resumed. Lacy barreled over right guard for 32 yards. Yeldon got it down to the 1. Lacy returned for the first snap of the fourth period, bulling over to put Alabama ahead 25-21.

The Tide's momentum lasted about 2 minutes.

Murray found King down the middle for a 45-yard completion and Gurley finished off the lightning-quick possession with a 10-yard touchdown run up the middle, putting Georgia back on top, 28-25.

But Alabama knows a thing or two about comebacks, having rebounded the last two years from regular-season losses.

Just three weeks ago, the Tide was upset at home by Johnny Manziel and Texas A&M.

Now, Bama is off to play for another title.

"It's just the never-give-up attitude," McCarron said. "You've got to keep fighting through it."

___

Follow Paul Newberry on Twitter at www.twitter.com/pnewberry1963

Read More..

Opinion: A Health Insurance Detective Story

I’VE had a long career as a business journalist, beginning at Forbes and including eight years as the editor of Money, a personal finance magazine. But I’ve never faced a more confounding reporting challenge than the one I’m engaged in now: What will I pay next year for the pill that controls my blood cancer?

After making more than 70 phone calls to 16 organizations over the past few weeks, I’m still not totally sure what I will owe for my Revlimid, a derivative of thalidomide that is keeping my multiple myeloma in check. The drug is extremely expensive — about $11,000 retail for a four-week supply, $132,000 a year, $524 a pill. Time Warner, my former employer, has covered me for years under its Supplementary Medicare Program, a plan for retirees that included a special Writers Guild benefit capping my out-of-pocket prescription costs at $1,000 a year. That out-of-pocket limit is scheduled to expire on Jan. 1. So what will my Revlimid cost me next year?

The answers I got ranged from $20 a month to $17,000 a year. One of the first people I phoned said that no matter what I heard, I wouldn’t know the cost until I filed a claim in January. Seventy phone calls later, that may still be the most reliable thing anyone has told me.

Like around 47 million other Medicare beneficiaries, I have until this Friday, Dec. 7, when open enrollment ends, to choose my 2013 Medicare coverage, either through traditional Medicare or a private insurer, as well as my drug coverage — or I will risk all sorts of complications and potential late penalties.

But if a seasoned personal-finance journalist can’t get a straight answer to a simple question, what chance do most people have of picking the right health insurance option?

A study published in the journal Health Affairs in October estimated that a mere 5.2 percent of Medicare Part D beneficiaries chose the cheapest coverage that met their needs. All in all, consumers appear to be wasting roughly $11 billion a year on their Part D coverage, partly, I think, because they don’t get reliable answers to straightforward questions.

Here’s a snapshot of my surreal experience:

NOV. 7 A packet from Time Warner informs me that the company’s new 2013 Retiree Health Care Plan has “no out-of-pocket limit on your expenses.” But Erin, the person who answers at the company’s Benefits Service Center, tells me that the new plan will have “no practical effect” on me. What about the $1,000-a-year cap on drug costs? Is that really being eliminated? “Yes,” she says, “there’s no limit on out-of-pocket expenses in 2013.” I tell her I think that could have a major effect on me.

Next I talk to David at CVS/Caremark, Time Warner’s new drug insurance provider. He thinks my out-of-pocket cost for Revlimid next year will be $6,900. He says, “I know I’m scaring you.”

I call back Erin at Time Warner. She mentions something about $10,000 and says she’ll get an estimate for me in two business days.

NOV. 8 I phone Medicare. Jay says that if I switch to Medicare’s Part D prescription coverage, with a new provider, Revlimid’s cost will drive me into Medicare’s “catastrophic coverage.” I’d pay $2,819 the first month, and 5 percent of the cost of the drug thereafter — $563 a month or maybe $561. Anyway, roughly $9,000 for the year. Jay says AARP’s Part D plan may be a good option.

NOV. 9 Erin at Time Warner tells me that the company’s policy bundles United Healthcare medical coverage with CVS/Caremark’s drug coverage. I can’t accept the medical plan and cherry-pick prescription coverage elsewhere. It’s take it or leave it. Then she puts CVS’s Michele on the line to get me a Revlimid quote. Michele says Time Warner hasn’t transferred my insurance information. She can’t give me a quote without it. Erin says she will not call me with an update. I’ll have to call her.

My oncologist’s assistant steers me to Celgene, Revlimid’s manufacturer. Jennifer in “patient support” says premium assistance grants can cut the cost of Revlimid to $20 or $30 a month. She says, “You’re going to be O.K.” If my income is low enough to qualify for assistance.

NOV. 12 I try CVS again. Christine says my insurance records still have not been transferred, but she thinks my Revlimid might cost $17,000 a year.

Adriana at Medicare warns me that AARP and other Part D providers will require “prior authorization” to cover my Revlimid, so it’s probably best to stick with Time Warner no matter what the cost.

But Brooke at AARP insists that I don’t need prior authorization for my Revlimid, and so does her supervisor Brian — until he spots a footnote. Then he assures me that it will be easy to get prior authorization. All I need is a doctor’s note. My out-of-pocket cost for 2013: roughly $7,000.

NOV. 13 Linda at CVS says her company still doesn’t have my file, but from what she can see about Time Warner’s insurance plans my cost will be $60 a month — $720 for the year.

CVS assigns my case to Rebecca. She says she’s “sure all will be fine.” Well, “pretty sure.” She’s excited. She’s been with the company only a few months. This will be her first quote.

NOV. 14 Giddens at Time Warner puts in an “emergency update request” to get my files transferred to CVS.

Frank Lalli is an editorial consultant on retirement issues and a former senior executive editor at Time Warner’s Time Inc.

Read More..