Assad Says Syria ‘Accepts Advice but Not Orders’





BEIRUT, Lebanon — President Bashar al-Assad of Syria, sounding defiant, confident and, to critics, out of touch with the magnitude of his people’s grievances, proposed Sunday what he called a plan to resolve the country’s 21-month uprising with a new constitution and cabinet.




But he offered no new acknowledgment of the gains by the rebels fighting against him, the excesses of his government or the aspirations of the Syrian people. Mr. Assad also ruled out talks with the armed opposition and pointedly ignored its central demand that he step down, instead using much of a nearly hourlong speech to justify his harsh military crackdown.


Mr. Assad waved to a cheering, chanting crowd as he strode to the stage of the Damascus Opera House in the central Umayyad Square — where residents said security forces had been deployed heavily the night before. In his first public speech since June 2012, he repeated his longstanding assertions that the movement against him was driven by “murderous criminals” and terrorists receiving financing from abroad, and he appeared to push back hard against recent international efforts to broker a compromise.


“Everyone who comes to Syria knows that Syria accepts advice but not orders,” he said.


His speech came a week after the United Nations and Arab League envoy on Syria, the senior Algerian diplomat Lakhdar Brahimi, visited Damascus, the capital, in a push for a negotiated solution.


“Who should we negotiate with? Terrorists?” Mr. Assad asked. “We will negotiate with their masters.”


Mr. Assad’s speech was a disappointment for international mediators and many Syrians who say they believe that without a negotiated settlement, Syria’s conflict will descend into an even bloodier stage. The United Nations estimates that more than 60,000 people have died in what began as a peaceful protest movement and transformed into armed struggle after security forces fired on demonstrators.


Rebels have made gains in the north and east of Syria and in the Damascus suburbs, but Mr. Assad’s government has pushed back with devastating airstrikes and artillery bombardments and appears confident that it can hold the capital. Neither side appears ready to give up the prospect of a military victory.


The tenor of Mr. Assad’s speech is likely to raise the question of whether Mr. Brahimi’s mission serves any purpose; there was no immediate comment from him or his staff.


Mr. Assad’s opponents rejected the proposal as meaningless, sticking to their longstanding demand that the president resign as a precondition to negotiations.


“We can’t deal with this murderous regime at all,” George Sabra, a member of the opposition Syrian National Council, said in a brief interview. “This regime has killed 60,000 people, so no one could possibly think that working with this regime is a possibility. It is out of the question.”


Mr. Assad, whose family has ruled Syria for 42 years, said Sunday that he was open to dialogue with “those who have not betrayed Syria,” apparently a reference to tolerated opposition groups that reject armed revolution, like the National Coordination Body for Democratic Change, whose members have been floated by Syria’s allies China and Russia as possible compromise brokers.


Yet Mr. Assad’s speech appeared unlikely to satisfy even those among his opponents who reject the armed rebellion, since it made no apology for the arrests of peaceful activists or for airstrikes that have destroyed neighborhoods. Mr. Assad gave no sign of acknowledging that the movement against him was anything more than a foreign plot or had any goals other than to inflict suffering and destroy the country.


“They killed the intellectuals in order to afflict ignorance on us,” Mr. Assad said. “They attacked the infrastructure in order to make our life difficult, they deprived children from school in order to bring the country backward.”


He added, “The enemies of the people are the enemies of God, and the enemies of God will burn in hell.”


Mr. Assad has framed the uprising as an attack by the West and its allies, and the members of the exile opposition leadership as puppets of their foreign supporters, including Turkey, Qatar, Saudi Arabia and the United States, which has offered what it calls nonlethal support and recognized the main opposition body, now known as the National Coalition of Syrian Revolutionary and Opposition Forces.


Some armed rebel groups have used techniques that randomly target civilians, like car bombs, and there are foreign fighters among the rebels. But most of the armed movement is made up of Syrians who took up arms during the uprising or defected from the armed forces.


In his speech, Mr. Assad thanked officers and conscripts and vowed that he would stay by their side, apparently seeking to dispel speculation that he will flee the country. He spoke against a backdrop of snapshots that was reminiscent of montages that the opposition shows of people killed by the government.


When he finished the crowd chanted, “With our souls, with our blood, we defend you, Assad,” and vowed to be his “shabiha,” the term that has come to designate pro-government militias that have attacked demonstrators.


Scores of people then rushed toward him with an almost aggressive frenzy. Bodyguards pushed them back to form a phalanx that slowly escorted Mr. Assad through the crowd.


Many observers wryly noted on social media that the opera house was a fitting setting for the speech.


“It was operatic in its otherworldly fantasy, unrelated to realities outside the building,” Rami G. Khouri, of the Beirut-based newspaper The Daily Star, wrote on Twitter.


Mr. Assad said the first step in his plan would be for foreign countries to stop financing the rebels; then his government would put down its weapons, he said — although he reserved the right to continue to fight terrorism, which his government has defined as nearly any opponent.


Next would come national dialogue, but only with groups Mr. Assad termed acceptable; then a constitution approved by referendum; then a coalition government. There was no mention of holding elections before Mr. Assad’s term expires in 2014.


Hania Mourtada contributed reporting.



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Ravens beat Colts 24-9 in AFC wild card


BALTIMORE (AP) — Ray Lewis' last ride now will take him to Denver.


Anquan Boldin, Joe Flacco and a staunch Baltimore defense made sure of that Sunday.


Boldin set a franchise record with 145 yards receiving, including the clinching touchdown in the Ravens' 24-9 victory over Indianapolis in an AFC wild-card game. The win delays star linebacker Lewis' retirement for at least another week as Baltimore (11-6) heads to Denver next Saturday.


The Broncos beat the Ravens 34-17 three weeks ago.


"I wanted Denver," Boldin said. "Because they beat us."


Lewis, who made 13 tackles, even lined up at fullback for the final kneel-down in his last home game of a 17-year career. He then went into a short version of his trademark dance before being mobbed by teammates.


He followed with a victory lap, his right arm, covered by a brace, held high in salute to the fans after playing for the first time since tearing his right triceps on Oct. 14 against Dallas.


"There's no greater reward than for me to take this last victory lap, for me to see my team, because we have a vision," Lewis said. "We're not trying to end here. This is just my last game at Ravens stadium, and it's the most awesome thing you could ever ask for in any professional career."


Sunday's victory also enhanced the Ravens' success rate in opening playoff games. Flacco now has won at least one postseason game in all five of his pro seasons, the only quarterback to do it in the Super Bowl era.


His main target Sunday was Boldin, who had receptions of 50 and 46 yards, plus his 18-yard TD on a floater from Flacco in the corner of the end zone with 9:14 to go.


"I told (Lewis) before the game I was going to get 200 yards," Boldin said.


Baltimore overcame the first two lost fumbles of the season by Ray Rice, too, as John Harbaugh became the first head coach with wins in his first five playoff campaigns.


Backup halfback Bernard Pierce rescued Rice with a 43-yard burst that led to Boldin's touchdown, and ran for 103 yards.


Flacco also connected with Dennis Pitta for a 20-yard TD and rookie Justin Tucker made a 23-yard field goal.


The loss ended the Colts' turnaround season in which they went from 2-14 to the playoffs in coach Chuck Pagano's first year in Indianapolis (11-6). Pagano missed 12 weeks while undergoing treatment for leukemia and returned last week.


Offensive coordinator Bruce Arians, who went 9-3 as interim coach, was absent Sunday after being hospitalized with an undisclosed illness. Quarterback coach Clyde Christensen called the plays, but Baltimore's suddenly revitalized defense — inspired by Lewis' pending retirement, no doubt — never let standout rookie QB Andrew Luck get comfortable.


Indy's only points came on three field goals by Adam Vinatieri, from 47, 52 and 26 yards. Luck completed 28 of 54 passes for 288 yards. It was the most attempts by a rookie in a playoff game.


Reggie Wayne had 108 yards on eight receptions and moved into second in career playoff catches with 91 — 60 behind leader Jerry Rice. But the Colts, who moved from Baltimore to Indianapolis in 1984 — they still are despised here — became the second NFL team to improve to 11 wins following a two-win season and then lose in the opening round of the playoffs.


The Ravens also beat the 2008 Dolphins in a similar scenario.


Both teams were sloppy early on, with Rice losing a fumble, Lewis dropping a potential interception, and Luck being stripped of the ball on a sack.


But Rice atoned with a 47-yard gain on a screen pass, leading to Vonta Leach's 2-yard touchdown.


That Pro Bowl backfield was bolstered by the kick returns of another Pro Bowl player, Jacoby Jones. He gained 60 yards on kickoff runbacks and 57 on punt returns.


Vinatieri, familiar with big kicks in the playoffs after winning two Super Bowls for New England with field goals, made a 47-yarder in the second quarter, a 52-yarder as the first half expired, and a 26-yarder near the end of the third period. But he also missed a 40-yarder wide right.


___


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


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Despite New Health Law, Some See Sharp Rise in Premiums





Health insurance companies across the country are seeking and winning double-digit increases in premiums for some customers, even though one of the biggest objectives of the Obama administration’s health care law was to stem the rapid rise in insurance costs for consumers.







Bob Chamberlin/Los Angeles Times

Dave Jones, the California insurance commissioner, said some insurance companies could raise rates as much as they did before the law was enacted.







Particularly vulnerable to the high rates are small businesses and people who do not have employer-provided insurance and must buy it on their own.


In California, Aetna is proposing rate increases of as much as 22 percent, Anthem Blue Cross 26 percent and Blue Shield of California 20 percent for some of those policy holders, according to the insurers’ filings with the state for 2013. These rate requests are all the more striking after a 39 percent rise sought by Anthem Blue Cross in 2010 helped give impetus to the law, known as the Affordable Care Act, which was passed the same year and will not be fully in effect until 2014.


 In other states, like Florida and Ohio, insurers have been able to raise rates by at least 20 percent for some policy holders. The rate increases can amount to several hundred dollars a month.


The proposed increases compare with about 4 percent for families with employer-based policies.


Under the health care law, regulators are now required to review any request for a rate increase of 10 percent or more; the requests are posted on a federal Web site, healthcare.gov, along with regulators’ evaluations.


The review process not only reveals the sharp disparity in the rates themselves, it also demonstrates the striking difference between places like New York, one of the 37 states where legislatures have given regulators some authority to deny or roll back rates deemed excessive, and California, which is among the states that do not have that ability.


New York, for example, recently used its sweeping powers to hold rate increases for 2013 in the individual and small group markets to under 10 percent. California can review rate requests for technical errors but cannot deny rate increases.


The double-digit requests in some states are being made despite evidence that overall health care costs appear to have slowed in recent years, increasing in the single digits annually as many people put off treatment because of the weak economy. PricewaterhouseCoopers estimates that costs may increase just 7.5 percent next year, well below the rate increases being sought by some insurers. But the companies counter that medical costs for some policy holders are rising much faster than the average, suggesting they are in a sicker population. Federal regulators contend that premiums would be higher still without the law, which also sets limits on profits and administrative costs and provides for rebates if insurers exceed those limits.


Critics, like Dave Jones, the California insurance commissioner and one of two health plan regulators in that state, said that without a federal provision giving all regulators the ability to deny excessive rate increases, some insurance companies can raise rates as much as they did before the law was enacted.


“This is business as usual,” Mr. Jones said. “It’s a huge loophole in the Affordable Care Act,” he said.


While Mr. Jones has not yet weighed in on the insurers’ most recent requests, he is pushing for a state law that will give him that authority. Without legislative action, the state can only question the basis for the high rates, sometimes resulting in the insurer withdrawing or modifying the proposed rate increase.


The California insurers say they have no choice but to raise premiums if their underlying medical costs have increased. “We need these rates to even come reasonably close to covering the expenses of this population,” said Tom Epstein, a spokesman for Blue Shield of California. The insurer is requesting a range of increases, which average about 12 percent for 2013.


Although rates paid by employers are more closely tracked than rates for individuals and small businesses, policy experts say the law has probably kept at least some rates lower than they otherwise would have been.


“There’s no question that review of rates makes a difference, that it results in lower rates paid by consumers and small businesses,” said Larry Levitt, an executive at the Kaiser Family Foundation, which estimated in an October report that rate review was responsible for lowering premiums for one out of every five filings.


Federal officials say the law has resulted in significant savings. “The health care law includes new tools to hold insurers accountable for premium hikes and give rebates to consumers,” said Brian Cook, a spokesman for Medicare, which is helping to oversee the insurance reforms.


“Insurers have already paid $1.1 billion in rebates, and rate review programs have helped save consumers an additional $1 billion in lower premiums,” he said. If insurers collect premiums and do not spend at least 80 cents out of every dollar on care for their customers, the law requires them to refund the excess.


As a result of the review process, federal officials say, rates were reduced, on average, by nearly three percentage points, according to a report issued last September.


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Design: Who Made That Universal Product Code?





On a Sunday afternoon in 1971, an I.B.M. engineer stepped out of his house in Raleigh, N.C., to consult his boss, who lived across the street. “I didn’t do what you asked,” George Laurer confessed.




Laurer had been instructed to design a code that could be printed on food labels and that would be compatible with the scanners then in development for supermarket checkout counters. He was told to model it on the bull’s-eye-shaped optical scanning code designed in the 1940s by N. Joseph Woodland, who died last month. But Laurer saw a problem with the shape: “When you run a circle through a high-speed press, there are parts that are going to get smeared,” he says, “so I came up with my own code.” His system, a pattern of stripes, would be readable even if it was poorly printed.


That pattern became the basis for the Universal Product Code, which was adopted by a consortium of grocery companies in 1973, when cashiers were still punching in all prices by hand. Within a decade, the U.P.C. — and optical scanners — brought supermarkets into the digital age. Now an employee could ring up a cereal box with a flick of the wrist. “When people find out that I invented the U.P.C., they think I’m rich,” Laurer says. But he received no royalties for this invention, and I.B.M. did not patent it.


As the U.P.C. symbol proliferated, so, too, did paranoia about it. For decades, Laurer has been hounded by people convinced that he has hidden the number 666 inside the lines of his code. “I didn’t get the meat,” Laurer said ruefully, “but I did get the nuts.”


CODE BREAKER
Bill Selmeier runs the ID History Museum, an online archive dedicated to the bar code.


You worked at I.B.M. in the 1970s and then helped promote the U.P.C.?
Yes, I started the seminars where we invited people from the grocery and labeling industry into I.B.M. We were there to reduce their fear.


What were they afraid of?
They were afraid that anything that didn’t work right would reflect badly on them — particularly if it was only their own package that wouldn’t scan. The guy from Birds Eye said, “My stuff always has ice on it when it goes through the checkout.” So we put his package in the freezer and took it out and showed him how it scanned perfectly.


Why are you still so interested in the history of the U.P.C.?
Let me put it this way: What bigger impact can you have on the world than to change the way everyone shops?


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Ohio sheriff confronts protesters in football rape case






STEUBENVILLE, Ohio (Reuters) – A county sheriff under fire for how he has handled a high school rape investigation faced down a raucous crowd of protesters on Saturday and said no further suspects would be charged in a case that has rattled Ohio football country.


Ma’lik Richmond and Trenton Mays, both 16 and members of the Steubenville High School football team, are charged with raping a 16-year-old fellow student at a party last August, according to statements from their attorneys.






Jefferson County Sheriff Fred Abdalla, accused of shielding the popular football program from a more rigorous investigation, told reporters no one else would be charged in the case, just moments after he addressed about 1,000 protesters gathered in front of the Jefferson County Courthouse.


“I’m not going to stand here and try to convince you that I’m not the bad guy,” he said to a chorus of boos. “You’ve already made your minds up.”


The “Occupy Steubenville” rally was organized by the online activist group Anonymous.


Abdalla declined to take the investigation over from Steubenville police, sparking more public outrage. Anonymous and community leaders say police are avoiding charging more of those involved to protect the school’s beloved football program.


The two students will be tried as juveniles in February in Steubenville, a close-knit city of 19,000 about 40 miles west of Pittsburgh.


The case shot to national prominence this week when Anonymous made public a picture of the purported rape victim being carried by her wrists and ankles by two young men. Anonymous also released a video that showed several other young men joking about an assault.


Abdalla, who said he first saw the video three days ago, said on Saturday that it provided no new evidence of any crimes.


“It’s a disgusting video,” he said. “It’s stupidity. But you can’t arrest somebody for being stupid.”


The protest’s masked leader, standing atop a set of stairs outside the courthouse doors, invited up to the makeshift stage anyone who was a victim of sexual assault. Protesters immediately flooded the platform, which was slightly smaller than a boxing ring.


Victims passed around a microphone, taking turns telling their stories. Some called for Abdalla and other local officials to step down from office for not charging more of the people and for what they called a cover-up by athletes, coaches and local officials.


Abdalla then climbed the stairs himself and addressed the protest over a microphone.


Abdalla said he had dedicated his 28-year career to combating sexual assault, overseeing the arrest of more than 200 suspects.


Clad in a teal ribbon symbolizing support for sexual assault victims, Abdalla later told Reuters that he stood by his decision to leave the investigation with local police. He would have had to question all 59 people that the Steubenville Police Department had already interviewed in its original investigation, he said.


“People have got their minds made up,” he said. “A case like this, who would want to cover any of it up?”


(Editing by Daniel Trotta and Eric Walsh)


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Travel Disrupted in China Amid Unusually Cold Weather


China Daily/Reuters


Investigators inspected a port where ships are stuck in ice in Jinzhou, Liaoning Province, on Saturday.







BEIJING (AP) — China is experiencing unusually cold weather this winter, with the national average temperature hitting the lowest point in 28 years, and snow and ice leading to closed highways, canceled flights, stranded tourists and power failures in several provinces.




The China Meteorological Administration on Friday said the national average temperature had been 25 degrees Fahrenheit since late November, the coldest in nearly three decades.


The average temperature in northeast China dipped to 4.5 degrees, the coldest in 43 years, and dropped to a 42-year low of 18.7 degrees in northern China.


In some areas — northeastern China, eastern Inner Mongolia and the north part of the Xinjiang region in the far west — the low has hit minus 40 degrees, the meteorological agency said.


The state-run English-language newspaper China Daily reported Friday that about a thousand ships were stuck in ice in Laizhou Bay in the eastern Bohai Sea. The agency said Saturday that ice was covering 10,500 square miles of the sea’s surface. In Sichuan Province in southwest China, more than a thousand tourists were stranded Wednesday in a scenic mountainous area because of icy roads, the state-run Beijing News reported.


In southern China, snowstorms from Thursday night have disrupted air and road traffic.


The meteorological agency said the dropping temperatures were partly because of southward-moving polar cold fronts, caused by melting polar ice from global warming. It said the air was moist and was expected to lead to heavy snow in China, Europe and North America.


On Saturday, the forecast by the National Meteorological Center said that southern China would have more snow and rain in the coming days and that some regions could get icy rain.


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PGA Tour's season opener delayed again


KAPALUA, Hawaii (AP) — For those who think the PGA Tour season never ends, here's a new twist: This one can't get started.


The season-opening Tournament of Champions was postponed for the second straight day because of gusts that topped 40 mph and made it impossible to play golf. Unlike the previous day when 24 players managed to tee off, no one hit a shot Saturday on the Plantation Course at Kapalua.


"We tried as best we could," said Slugger White, the tour's vice president of rules and competition. Play was delayed three times before it was called for the day.


The season now starts Sunday — that's when most tournaments end — with hopes of playing 36 holes, followed by an 18-hole finish Monday.


It will be the first time the Tournament of Champions is reduced to 54 holes since 1997, when Tiger Woods hit a 7-iron to a foot to beat Tom Lehman in a playoff when a par 3 at La Costa was the only hole that could be used because of so much rain.


Players arrived in darkness and never got farther than the practice range. The wind has been relentless for two days, and it was clear early on there would be trouble. The back nine of the Plantation Course is higher up the mountain and more exposed. White and the rules officials found that golf balls kept moving on the 10th, 11th and 13th holes.


"On the 10th hole, we dropped a ball on the back of the green and it rolled 20 yards off the front," White said.


He said the wind caused another ball to roll uphill.


The forecast is slightly better for Sunday and Monday, with strong wind in the morning gradually abating through the day. Even so, the Plantation Course is a long walk with severe changes in elevation, which figures to be brutal on the caddies. White said they were considering offering more shuttle rides on portions of the course to help.


"It's just a little too windy out there for us to play," Brandt Snedeker said. "If the course wasn't so exposed, it wouldn't be a problem. But you have a lot of greens exposed to 40 mph wind gusts. It's tough to make that call. They did the right thing. We had to try to play today if we wanted to try to get 72 holes in."


The PGA Tour has weather guidelines with an emphasis to play 72 holes, even going a fifth day provided the forecast allows for it.


But this is different.


The tour opted last year for a Monday finish to try to stay away from NFL playoffs, and finish before the BCS championship game. The Sony Open in Honolulu starts on Thursday, and it's no small task to get the television and other tournament equipment to another island.


If the tournament doesn't end by mid-afternoon on Monday, the Sony Open would have a limited TV operation for its opening round on Thursday. The only way the Tournament of Champions would stretch into Tuesday would be if 54 holes could not be completed. Then, there would be no television coverage.


"It's a unique situation," said Andy Pazder, chief of operations for the tour. "It's a 16-hour barge trip, in good weather."


Pazder said the tour would not be inclined to follow its weather guidelines for a 72-hole event "because of the impact of next week's tournament." But he said the tour was not inclined to go back to a Sunday finish for Kapalua.


Meanwhile, the seven players who chose not to play in this winners-only event were feeling much better about the decision. Luke Donald, who typically takes a long break over the winter, said in a tweet to Ian Poulter, "give me a call — I'll tell you how calm and sunny it is over here on the East Coast! Haha."


Poulter's reply: "missing you."


The weather was as fickle as ever. One moment, photographers stood behind the first tee under clearing skies to capture idyllic images of the blue Pacific, filled with white caps, and a hint of orange around the puffy clouds. Five minutes later, everyone was scrambling for cover as another rain shower moved in and cut off any view of the water.


But this isn't about the rain.


"With these gusts, the ball is basically moving on its own," Hunter Mahan said. "It doesn't make for good golf, good scores. It's not fun for anybody out there."


Mahan has hit three shots this year, and they don't even count. The scores of the 20 players who finished at least one hole Friday were wiped clean. Mahan was playing with Zach Johnson, whose first putt went 10 feet by the hole. Mahan began to settle over his putt and the wind blew it a few feet closer to hole.


"I knew we were in trouble then," he said. "I was watching on TV, and I can't believe we got on the tee box."


The forecast provided enough optimism that the first round of the year would be completed — finally — on Sunday, and as long as the wind died, there should be enough time to get in 36 holes and head for the Monday finish.


Perhaps that bodes well for Dustin Johnson. He has won the last two 54-hole events on the PGA Tour, at The Barclays in 2011 and the Pebble Beach National Pro-am in 2009.


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The New Old Age: Murray Span, 1922-2012

One consequence of our elders’ extended lifespans is that we half expect them to keep chugging along forever. My father, a busy yoga practitioner and blackjack player, celebrated his 90th birthday in September in reasonably good health.

So when I had the sad task of letting people know that Murray Span died on Dec. 8, after just a few days’ illness, the primary response was disbelief. “No! I just talked to him Tuesday! He was fine!”

And he was. We’d gone out for lunch on Saturday, our usual routine, and he demolished a whole stack of blueberry pancakes.

But on Wednesday, he called to say he had bad abdominal pain and had hardly slept. The nurses at his facility were on the case; his geriatrician prescribed a clear liquid diet.

Like many in his generation, my dad tended towards stoicism. When he said, the following morning, “the pain is terrible,” that meant agony. I drove over.

His doctor shared our preference for conservative treatment. For patients at advanced ages, hospitals and emergency rooms can become perilous places. My dad had come through a July heart attack in good shape, but he had also signed a do-not-resuscitate order. He saw evidence all around him that eventually the body fails and life can become a torturous series of health crises and hospitalizations from which one never truly rebounds.

So over the next two days we tried to relieve his pain at home. He had abdominal x-rays that showed some kind of obstruction. He tried laxatives and enemas and Tylenol, to no effect. He couldn’t sleep.

On Friday, we agreed to go to the emergency room for a CT scan. Maybe, I thought, there’s a simple fix, even for a 90-year-old with diabetes and heart disease. But I carried his advance directives in my bag, because you never know.

When it is someone else’s narrative, it’s easier to see where things go off the rails, where a loving family authorizes procedures whose risks outweigh their benefits.

But when it’s your father groaning on the gurney, the conveyor belt of contemporary medicine can sweep you along, one incremental decision at a time.

All I wanted was for him to stop hurting, so it seemed reasonable to permit an IV for hydration and pain relief and a thin oxygen tube tucked beneath his nose.

Then, after Dad drank the first of two big containers of contrast liquid needed for his scan, his breathing grew phlegmy and labored. His geriatrician arrived and urged the insertion of a nasogastric tube to suck out all the liquid Dad had just downed.

His blood oxygen levels dropped, so there were soon two doctors and two nurses suctioning his throat until he gagged and fastening an oxygen mask over his nose and mouth.

At one point, I looked at my poor father, still in pain despite all the apparatus, and thought, “This is what suffering looks like.” I despaired, convinced I had failed in my most basic responsibility.

“I’m just so tired,” Dad told me, more than once. “There are too many things going wrong.”

Let me abridge this long story. The scan showed evidence of a perforation of some sort, among other abnormalities. A chest X-ray indicated pneumonia in both lungs. I spoke with Dad’s doctor, with the E.R. doc, with a friend who is a prominent geriatrician.

These are always profound decisions, and I’m sure that, given the number of unknowns, other people might have made other choices. Fortunately, I didn’t have to decide; I could ask my still-lucid father.

I leaned close to his good ear, the one with the hearing aid, and told him about the pneumonia, about the second CT scan the radiologist wanted, about antibiotics. “Or, we can stop all this and go home and call hospice,” I said.

He had seen my daughter earlier that day (and asked her about the hockey strike), and my sister and her son were en route. The important hands had been clasped, or soon would be.

He knew what hospice meant; its nurses and aides helped us care for my mother as she died. “Call hospice,” he said. We tiffed a bit about whether to have hospice care in his apartment or mine. I told his doctors we wanted comfort care only.

As in a film run backwards, the tubes came out, the oxygen mask came off. Then we settled in for a night in a hospital room while I called hospices — and a handyman to move the furniture out of my dining room, so I could install his hospital bed there.

In between, I assured my father that I was there, that we were taking care of him, that he didn’t have to worry. For the first few hours after the morphine began, finally seeming to ease his pain, he could respond, “OK.” Then, he couldn’t.

The next morning, as I awaited the hospital case manager to arrange the hospice transfer, my father stopped breathing.

We held his funeral at the South Jersey synagogue where he’d had his belated bar mitzvah at age 88, and buried him next to my mother in a small Jewish cemetery in the countryside. I’d written a fair amount about him here, so I thought readers might want to know.

We weren’t ready, if anyone ever really is, but in our sorrow, my sister and I recite this mantra: 90 good years, four bad days. That’s a ratio any of us might choose.


Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

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Opinion: Can Social Media Sell Soap?





ONE morning in mid-December, Pope Benedict XVI gazed down on an iPad and composed his first tweet. From a marketing perspective, it was about time. While the pontiff had been issuing his traditional encyclicals online, other world leaders were venturing further, onto Facebook and Twitter. The Dalai Lama, for example, was already spreading his wisdom in 140-character packets to more than five million followers. And as people retweeted his posts, his messages winged through social media, reaching tens of millions. How could the Vatican resist such marketing magic?




Growing legions of marketing consultants are pushing social media as the can’t-miss future. They argue that pitches are more likely to hit home if they come from friends on Facebook, Twitter, Tumblr or Google+. That’s the new word of mouth, long the gold standard in marketing. And the rivers of data that pour into these networks fuel the vision of precision targeting, in which ads are so timely and relevant that you welcome them. The hopes for such a revolution have fueled a market frenzy around social networks — and have also primed them for a fall.


The drama swirls around data. In the “Mad Men” depiction of an advertising firm in the ’60s, the big stars don’t sweat the numbers. They’re gut followers. Don Draper pours himself a finger or two of rye and flops on a couch in his corner office. He thinks. His job is to anticipate the needs and desires of fellow human beings, and to answer them with ideas. What slogan would light up the eyes of the dour airline executive, or the dog food people? Fellow humanists dominate Don Draper’s rarefied world, while the numbers people, two or three of them crammed into dingier offices, pore over Nielsen reports and audience profiles.


In the last decade however, those numbers people have rocketed to the top. They build and operate the search engines. They’re flexing their quantitative muscles at agencies and starting new ones. And the rise of social networks, which stream a global gabfest into their servers, catapults these quants ever higher. Their most powerful pitches aren’t ideas but rather algorithms. This sends many of today’s Don Drapers into early retirement. Others, paradoxically, hunt down new work on social networks like LinkedIn.


Yet this year has brought renewed hope for the humanists — or at least a satisfying burst of schadenfreude. Facebook made its public offering in May at a valuation of $104 billion, only to see the share price tumble as many began to doubt the network’s potential as a medium for paid ads. Corporate advertisers are devoting only a modest 14 percent of their online budgets to social networks. According to comScore, a firm that tracks online activity, e-commerce soared 16 percent from last year, to nearly $39 billion this holiday season. But advertising from social networks appeared to play only a supporting role. I.B.M. researchers found that on the pivotal opening day of the season, Black Friday, a scant 0.68 percent of online purchases came directly from Facebook. The number from Twitter was undetectable. Could it be that folks aren’t in a buying mood when hanging out digitally with their friends?


A more likely answer is this: When big new phenomena arrive on the scene, it’s hard to know what to count. We’ve seen this before. During the dot-com bubble in the late ’90s, investors threw billions at Internet start-ups that promised to deliver targeted ads to millions of viewers, or “eyeballs.” But eyeballs didn’t produce dollars, and the high-flying market crashed. Many naysayers gleefully concluded that the Internet itself had failed.


Yet as these cyberskeptics crowed, a company called Overture Services was pioneering an innovative advertising application for the new medium. When Web surfers carried out searches, it turned out, they welcomed related ads. And if they clicked on one, the advertiser paid the search engine. Google soon implemented this system on a mammoth scale and turned clicks into dollars. Advertisers could calculate their return on investment down to the penny. In this domain, the insights of a Mad Man counted for nothing. Search ran on numbers. The quants rushed in.


While the rise of search battered the humanists, it also laid a trap that the quants are falling into now. It led to the belief that with enough data, all of advertising could turn into quantifiable science. This came with a punishing downside. It banished faith from the advertising equation. For generations, Mad Men had thrived on widespread trust that their jingles and slogans altered consumers’ behavior. Thankfully for them, there was little data to prove them wrong. But in an industry run remorselessly by numbers, the expectations have flipped. Advertising companies now face pressure to deliver statistical evidence of their success. When they come up short, offering anecdotes in place of numbers, the markets punish them. Faith has given way to doubt.


This leads to exasperation, because in a server farm packed with social data, it’s hard to know what to count. What’s the value of a Facebook “like” or a Twitter follower? What do you measure to find out? In this way, marketing resembles other hot spots of data research, including brain science and genomics. In each one, scientists are combing through petabytes of data, trying to discern whether certain genes or groups of neurons cause something or simply correlate with it. It’s not clear, because these are immensely complex systems with millions of variables — much like our social networks. Even as researchers swim in data that previous generations would have swooned over, they struggle to answer crucial questions regarding cause and effect. What action can I take to get the response I want?


Debates rage as quants accuse one another of counting the wrong things. Take I.B.M.’s Black Friday study. While the numbers indicate that few shoppers clicked directly from a social network to buy a laptop or a fridge, some may have seen ads that later led to a purchase. If so, valuable influence went unmeasured. “I.B.M. is looking at a single point in time,” says Dan Neely, the chief executive of Networked Insights, a marketing analytics company. Neely’s team followed Macy’s Black Friday campaign on Twitter, which started weeks before the big day; it generated a viral flurry on the network, he says. Clearly, many big advertisers are still believers: last week, Facebook shares got a boost from reports that Walmart, Samsung and other boldfaced names have recently stepped up social-media advertising.


But gauging the effectiveness of these ads is still a challenge. “It’s hard to measure influence,” says Steve Canepa, I.B.M.’s general manager for media and entertainment.


That, in fact, may be the ultimate lesson to draw from the social media marketing miracle that wasn’t. The impact of new technologies is invariably misjudged because we measure the future with yardsticks from the past.


Dave Morgan, a pioneer in Internet advertising and the founder of Simulmedia, an ad network for TV, points to the early years of electricity. In the late 19th century, most people associated the new industry with one extremely valuable service: light. That was what the marketplace understood. Electricity would displace kerosene and candles and become a giant of illumination. What these people missed was that electricity, far beyond light, was a platform for a host of new industries. Over the following years, entrepreneurs would come up with appliances — today we might call them “apps” — for vacuuming, laundry and eventually radio and television. Huge industries grew on the electricity platform. If you think of Apple in this context, it’s a $496 billion company that builds the latest generation of electricity apps.


Social networks, like them or not, are fast laying out a new grid of personal connections. Even if this matrix of humanity sputters in advertising and marketing, it’s bound to spawn new industries in consulting, education, collaborative design, market research, media and loads of products and services yet to be imagined. Maybe, just maybe, it will even be able to sell soap.


Stephen Baker is a technology journalist who blogs at thenumerati.net, and the author of “Final Jeopardy: Man vs. Machine and the Quest to Know Everything.”



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“GameStick” Will Be the Size of a USB Memory Stick, Plug into Your TV






When the Ouya game console (scheduled to launch in April) made headlines last year, it was for three reasons. One, its size and price — the $ 99 box, which plugs into a TV, is the size of a Rubik’s cube. Two, its choice of operating system — it runs the same Android OS which powers smartphones and tablets. And three — its rise to fame on Kickstarter, where it shattered records and received millions of dollars in funding not from venture capitalists, but from gamers who wanted to see it made.


Now GameStick, “The Most Portable TV Games Console Ever Created,” is preparing to make a name for itself in exactly the same ways. Except that in some of them, it surpasses the Ouya.






Not even a set-top box


Up to this point, pretty much all home game consoles have been a box that sits on your shelf and plugs in to your TV. (Some PCs even do this these days.)


The GameStick, on the other hand, is about the size of a USB memory stick or a tube of lip balm. It plugs into a TV’s HDMI port, and connects to a wireless controller (or even a mouse and keyboard) via Bluetooth. It “works with any Bluetooth controller supporting HID,” and will come with its own small gamepad, which features twin analog sticks and a slot to put the GameStick itself inside when not in use.


Do we know if it works yet?


GameStick’s creators showed off pictures of a nonworking “Mark 1 Prototype Model,” and posted video of a “Reference Board” actually playing games while plugged into a television. This was a roughly USB-stick-sized circuit board, which lacked an outer case.


The reference unit had wires coming out of it, but the GameStick FAQ explains that on new, “MHL compliant TVs” it can draw power straight from the HDMI port, in much the same way that many USB devices are powered by a USB connection. A USB connector cable will be supplied with GameStick just in case, and “there will also be a power adapter.”


What about the games?


The GameStick reference unit was playing an Android game called Shadowgun, an over-the-shoulder third-person shooter which is considered technically demanding by Android device standards.


GameStick’s creators say “We have some great games lined up already,” and AFP Relax confirms that it has roughly the same internal specs as the Ouya, plus a lineup at launch of about a dozen games including several AAA Android titles.


How much will it cost, and when will it be out?


GameStick is available for preorder now from its Kickstarter page for $ 79. (The price includes the controller as well.) It has an estimated delivery date of April if the project is fully funded — and with 28 days to go, it had more than reached its $ 100,000 goal.


Jared Spurbeck is an open-source software enthusiast, who uses an Android phone and an Ubuntu laptop PC. He has been writing about technology and electronics since 2008.


Linux/Open Source News Headlines – Yahoo! News





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