Uncircumcised boys and men may face more UTIs

NEW YORK (Reuters Health) – Infections of the kidney, bladder and urethra happen in uncircumcised baby boys at ten times the rate of circumcised boys, and over a lifetime uncircumcised men are four times more likely to experience one, according to a new analysis of past research.

Urinary tract infections (UTIs) are most common in boys’ first year of life, and circumcision was already known to make a difference in their risk, but how much and whether that carried through to adulthood was unclear, Australian researchers say.

They found that circumcision “provides considerable protection and over the lifespan makes about a three- to four-fold difference by our prediction, which is quite striking in public health terms,” lead study author Brian Morris, professor of molecular medical science at the Sydney Medical School, University of Sydney, told Reuters Health.

Morris and a colleague examined 22 studies published between 1987 and 2012 that included a total of 407,902 males across the globe, a quarter of whom were uncircumcised.

Breaking down the results by age, they calculated that the likelihood of a UTI between birth and one year of age is 9.9 times higher in uncircumcised boys compared to circumcised boys. Between ages 1 and 16, uncircumcised boys are at 6.6 times higher risk, and after age 16 their risk is 3.4 times that of uncircumcised men.

Based on those findings, the researchers projected that doctors could prevent one UTI with every four circumcisions, “which is astronomical,” Morris said.

The younger the infant, the more serious a UTI can be, the researchers note in their report, which is published in the Journal of Urology. Side effects of a UTI in infants can include kidney scarring, fever, pain and blood infections.

Health experts have mostly framed circumcision as a public health preventive measure focused on HIV and other sexually transmitted diseases.

In August, the American Academy of Pediatrics for the first time stated that the health benefits of circumcision outweigh the risks, but added that the decision to circumcise a child remains with parents.

The U.S. Centers for Disease Control and Prevention is currently evaluating the potential health impact of circumcision, according to a spokeswoman, but any recommendations that come of that will also be voluntary, she said.

The estimated health benefit Morris and his colleague found was several times larger than what was projected in two previous studies, which suggested 111 or 195 circumcisions would be needed to prevent one case of UTI in the first year of life.

One expert questioned the new findings based on the methods Morris’ team used.

Zbys Fedorowicz, director of the Bahrain branch of the UK Cochrane Centre, a non-profit organization that evaluates medical studies, said that the 22-study analysis combined different types of studies and the researchers failed to assess their quality.

“It doesn’t mean to say that these guys are necessarily wrong, it’s just that we don’t know because the methodological approach that they used isn’t thorough enough, it’s not transparent, it’s not reproducible and it’s not clear,” Fedorowicz said.

In November, Fedorowicz and colleagues published a report concluding that no existing study that examined the risk of urinary tract infections and circumcision was of high enough quality for any recommendation.

Dr. Robert Van Howe, clinical professor of pediatrics at the Michigan State University College of Human Medicine and vocal critic of circumcision, also found the new study problematic.

Van Howe said that diagnostic criteria for urinary tract infections differ between researchers and that the cost/ benefit analysis of circumcision as a preventive tool for infections doesn’t add up.

At $ 200 each circumcision, preventing one urinary tract infection would cost $ 40,000, “which you can treat with an $ 18 antibiotic; it’s overkill,” Van Howe said.

“You would think we have long lists for dialysis in men because they’re not circumcised, but it just isn’t a problem, it’s fear mongering,” Van Howe told Reuters Health.

A middle ground might be to let boys decide for themselves at age 14 or 16 to become circumcised, Van Howe suggested. “You can leave this choice up to the person who has to live with the consequences,” Van Howe said.

Morris maintains that the study sends “a really strong signal for advocacy of circumcision as a public health intervention in reducing these various – and in many cases very serious – conditions over the lifetime.”

SOURCE: http://bit.ly/TJjLqA The Journal of Urology, online, November 28, 2012.

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Oil prices fall slightly after US jobs report

The price of oil ended the week lower after the latest U.S. jobs report offered a mixed picture of the economy.

Benchmark oil dropped 33 cents to finish at $ 85.93 per barrel in New York Friday, which marked the fourth consecutive day of price declines. Oil fell 3.4 percent this week.

The Labor Department said 146,000 jobs were created in November, which was more than economists had anticipated. The unemployment rate fell to 7.7 percent from 7.9 percent in October, but that was largely because more people stopped looking for work and weren’t counted as unemployed. And job gains for September and October were revised lower.

Meanwhile, in another bad sign for energy demand in Europe, Germany’s central bank lowered its expectation for economic growth next year.

At the pump, the average price for gasoline fell nearly a penny to $ 3.37 per gallon, according to AAA, Wright Express and the Oil Price Information Service. That’s nearly 9 cents more than a year ago.

In other energy futures trading on the New York Mercantile Exchange:

Heating oil fell 2.79 cents to finish at $ 2.9153 per gallon.

Wholesale gasoline rose less than a penny to end at $ 2.5974 per gallon.

Natural gas fell 11.5 cents to finish at $ 3.551 per 1,000 cubic feet.

On the ICE Futures exchange in London:

Brent crude, which is used to price international varieties of oil, fell 1 cent to $ 107.02 per barrel.

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Toronto mayor to stay in power pending appeal of ouster

TORONTO (Reuters) – Toronto Mayor Rob Ford can stay in power pending an appeal of a conflict of interest ruling that ordered him out of his job as leader of Canada’s biggest city, a court ruled on Wednesday.

Madam Justice Gladys Pardu of the Ontario Divisional Court suspended a previous court ruling that said Ford should be ousted. Ford’s appeal of that ruling is set to be heard on January 7, but a decision on the appeal could take months.

Justice Pardu stressed that if she had not suspended the ruling, Ford would have been out of office by next week. “Significant uncertainty would result and needless expenses may be incurred if a by-election is called,” she said.

If Ford wins his appeal, he will get to keep his job until his term ends at the end of 2014. If he loses, the city council will either appoint a successor or call a special election, in which Ford is likely to run again.

“I can’t wait for the appeal, and I’m going to carry on doing what the people elected me to do,” Ford told reporters at City Hall following the decision.

Ford, a larger-than-life character who took power on a promise to “stop the gravy train” at City Hall, has argued that he did nothing wrong when he voted to overturn an order that he repay money that lobbyists had given to a charity he runs.

Superior Court Justice Charles Hackland disagreed, ruling last week that Ford acted with “willful blindness” in the case, and must leave office by December 10.

Ford was elected mayor in a landslide in 2010, but slashing costs without cutting services proved harder than he expected, and his popularity has fallen steeply.

He grabbed unwelcome headlines for reading while driving on a city expressway, for calling the police when a comedian tried to film part of a popular TV show outside his home, and after reports that city resources were used to help administer the high-school football team he coaches.

The conflict-of-interest drama began in 2010 when Ford, then a city councillor, used government letterhead to solicit donations for the football charity created in his name for underprivileged children.

Toronto’s integrity commissioner ordered Ford to repay the C$ 3,150 ($ 3,173) the charity received from lobbyists and companies that do business with the city.

Ford refused to repay the money, and in February 2012 he took part in a city council debate on the matter and then voted to remove the sanctions against him – despite being warned by the council speaker that voting would break the rules.

He pleaded not guilty in September, stating that he believed there was no conflict of interest as there was no financial benefit for the city. The judge dismissed that argument.

In a rare apology after last week’s court ruling, he said the matter began “because I love to help kids play football”.

Ford faces separate charges in a C$ 6 million libel case about remarks he made about corruption at City Hall, and is being audited for his campaign finances. The penalty in the audit case could also include removal from office.

(Reporting by Claire Sibonney; Editing by Janet Guttsman, Russ Blinch, Nick Zieminski; and Peter Galloway)

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“Breaking Bad,” dominates Writers Guild TV nominations

LOS ANGELES (Reuters) – Dark drug drama “Breaking Bad” dominated television nominations for the annual Writers Guild Awards on Thursday, with “Modern Family” leading the way in the comedy category.

A trio of HBO newcomers – Lena Dunham‘s “Girls,” Aaron Sorkin‘s “The Newsroom,” and political satire “Veep” – will compete in the new series category, along with network comedy “The Mindy Project” and country music drama “Nashville,” the Writers Guild of America (WGA) announced.

“Girls,” the story of three 20-somethings navigating life and love in New York City, also won a nomination in the best comedy series slot, along with established shows “30 Rock,” “Parks and Recreation,” “Louie” and Emmy darling “Modern Family.”

The Writers Guild recognizes achievements in the writing of U.S. television, radio, news and animation, rather than actors or directors. The Guild will announce its nominations in the movie field in January.

“Breaking Bad,” starring Bryan Cranston as a teacher turned drug kingpin and now in its fifth and final season, picked up five nods on Wednesday, including best drama series and four for individual episodes.

The show is likely to face stiff competition from psychological thriller “Homeland,” which won the WGA’s award for best new drama last year and has since bagged an Emmy and Golden Globe.

“Mad Men,” lavish Prohibition-era show “Boardwalk Empire,” and fantasy series “Game of Thrones,” round out the competition for best drama series.

In longer form television, miniseries “Hatfields and McCoys” – about a 100 year-old family feud – was nominated along with TV film “Hemingway and Gelhorn” and “Political Animals.”

The WGA will hand out its awards in all categories on February 17 at simultaneous ceremonies in both New York and Los Angeles.

(Reporting By Jill Serjeant; editing by Andrew Hay)

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When drugs for depression fail, talking therapies help

LONDON (Reuters) – Patients with depression who fail to benefit from antidepressant drugs may do better if they are also treated with a type of “talking” psychotherapy called CBT, according to new research published on Friday.

In the first large-scale trial to test the effectiveness of cognitive behavioral therapy, or CBT, alongside medication for depression, scientists said they found that the combination works where drug treatment alone fails.

Nicola Wiles of Bristol University‘s school of social and community medicine, who led the study, said the findings underline the need to increase the availability of therapy for depressed patients.

“While there have been initiatives to increase access to CBT in both the UK and Australia, worldwide initiatives are rare,” she said in a statement.

Wiles and colleagues recruited 469 adults from across Britain who had not responded to at least 6 weeks of treatment with an antidepressant. For the study, 235 patients continued with their usual antidepressant medication, while 234 patients got their usual care plus CBT and were followed up for 12 months.

The results, published in The Lancet medical journal, showed that after 6 months, 46 percent of those who got CBT as well as their usual care had improved – reporting at least a 50 percent reduction in their depressive symptoms. This compared to 22 percent of those who did not get CBT.

Patients treated with CBT, which involves talking through behaviors and ways of thinking with a trained psychotherapist or psychologist, were also more likely to go into remission and have fewer symptoms of anxiety, the researchers said. Similar effects were reported at 12 months.

Major depression affects around 20 percent of people at some point in their lives. The World Health Organization (WHO)predicts that by 2020, depression will rival heart disease as the health disorder with the highest global disease burden.

While there are many antidepressants on the market, including top sellers such as Prozac and Seroxat, it is widely accepted that many antidepressants work in only half of patients half of the time, and drugmakers are struggling to come up with a new generation of drugs in this field.

Willem Kuyken, a clinical psychology professor at Exeter University who also worked on the study, said its results showed that doctors and patients should be looking beyond drugs.

“This trial provides further evidence that psychological treatments like cognitive therapy can provide substantive and lasting help to people who suffer depression,” he said.

Wiles added, however, that even in wealthy countries such as Britain, where there has been a recent push to invest more into psychological therapies, many people who have not responded to antidepressants still don’t get the chance of trying intensive CBT that take between 12 and 18 sessions.

In the United States, only about a quarter of people with depression have received any form of psychological therapy in the last 12 months, she said.

(Editing by Sonya Hepinstall)

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Ghana election to test credentials of “model democracy”

ACCRA (Reuters) – Ghanaians choose on Friday who will run one of Africa‘s most stable democracies as a surge in oil revenues promises to boost development and economic growth.

Ghana has earned a reputation as an oasis of stability and progress in West Africa, a part of the world better known for civil wars, coups, entrenched poverty and corruption.

“These elections are important not just to Ghana, but for the growing number of states and actors seeking to benefit from increasing confidence in Africa,” said Alex Vines, Africa Research Director at Chatham House.

Incumbent leader John Dramani Mahama – who replaced the late John Atta Mills after his death from an illness in July – will face main opposition candidate Nana Akufo-Addo of the New Patriotic Party (NPP), and six others.

Opinion polls point to a tight race between the two main candidates, raising the prospect of a repeat of the near deadlock in 2008 elections, in which Mills defeated Akufo-Addo with a margin of less than one percent.

“We know it will be close, but the important thing is that Ghanaians will accept the results,” said John Mark, a shuttle bus driver in the sprawling capital Accra. “We must preserve our peace,” he said.

U.S. President Barack Obama has called Ghana a “model of democracy in Africa” for stepping back from the brink during the tight 2008 polls, when other countries in the region might have tipped into conflict.

Ivory Coast erupted into civil war last year after disputed elections in 2010, and other regional neighbors Mali and Guinea Bissau have been thrown into chaos by military coups.

“In all this, let us remember that Ghana is bigger and more important than any of us,” Mahama said late on Thursday in a radio address ahead of the poll. “The surest way to sustain and enhance our enviable image is to go to the polls tomorrow in an atmosphere of peace,” he said.

OIL REVENUES

The stakes are high this time around with rivals jousting for a chance to oversee a boom in oil revenues that has brought hopes of increased development in a country where the average person still makes less than $ 4 a day.

U.K.-based Tullow Oil, which operates Ghana’s only producing field, says it expects output to rise to 120,000 barrels per day in 2013 from between 60,000 and 90,000 bpd this year, while more big deposits have been found.

Ghana, also a major cocoa and gold producer, is expected to keep up growth of about 8 percent next year and is increasingly cited by investment bankers and fund managers as a growth gem, in contrast to the woes of Europe and the United States.

Across the capital Accra, evidence of the resource wealth abounds – brightly-lit multi-storey buildings, cranes looming over new construction sites, well-paved roads, and billboards advertising banks, cars, and mobile phones.

But many Ghanaians remain out in the cold. An influx of people from rural parts of the country, hoping for jobs in the capital, has yielded a sprawl of outlying shanty towns and many homeless on the city’s streets.

Akufo-Addo, a trained lawyer and son of a former Ghanaian president has criticized the ruling party for the slow pace of job creation and fighting poverty, and says he would use the expected uptick in oil wealth to pay for free primary and secondary education.

Mahama, meanwhile, says his party’s investments in infrastructure will bring increased prosperity over time. He said he aims to put Ghana on the path to a per capita annual income of $ 2,300 by 2017 – double that in 2009.

But in a country where campaign messages rarely influence voting choices, many believe more than half of the 14 million voters will cast their ballot based on ethnic and social affiliation, or regionalism.

Mahama is from the north, where he finds his strongest support, and Akufo-Addo, well-liked by fellow Ashanti people and favored in Ghana’s second-city Kumasi, is from the east.

On Friday, voters will also elect 275 legislators.

There are 45 more seats in parliament than during the 2008 election, in which Mahama’s National Democratic Congress (NDC) won a small majority.

(Writing by Richard Valdmanis; Editing by Louise Ireland)

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Death toll from Philippine typhoon nears 300

NEW BATAAN, Philippines (AP) — Stunned parents searching for missing children examined a row of mud-stained bodies covered with banana leaves while survivors dried their soaked belongings on roadsides Wednesday, a day after a powerful typhoon killed nearly 300 people in the southern Philippines.

Officials fear more bodies may be found as rescuers reach hard-hit areas that were isolated by landslides, floods and downed communications.

At least 151 people died in the worst-hit province of Compostela Valley when Typhoon Bopha lashed the region Tuesday, including 78 villagers and soldiers who perished in a flash flood that swamped two emergency shelters and a military camp, provincial spokeswoman Fe Maestre said.

Disaster-response agencies reported 284 dead in the region and 14 fatalities elsewhere from the typhoon, one of the strongest to hit the country this year.

About 80 people survived the deluge in New Bataan with injuries, and Interior Secretary Mar Roxas, who visited the town, said 319 others remained missing.

“These were whole families among the registered missing,” Roxas told the ABS-CBN TV network. “Entire families may have been washed away.”

The farming town of 45,000 people was a muddy wasteland of collapsed houses and coconut and banana trees felled by Bopha’s ferocious winds.

Bodies of victims were laid on the ground for viewing by people searching for missing relatives. Some were badly mangled after being dragged by raging flood waters over rocks and other debris. A man sprayed insecticide on the remains to keep away swarms of flies.

A father wept when he found the body of his child after lifting a plastic cover. A mother, meanwhile, went away in tears, unable to find her missing children. “I have three children,” she said repeatedly, flashing three fingers before a TV cameraman.

Two men carried the mud-caked body of an unidentified girl that was covered with coconut leaves on a makeshift stretcher made from a blanket and wooden poles.

Dionisia Requinto, 43, felt lucky to have survived with her husband and their eight children after swirling flood waters surrounded their home. She said they escaped and made their way up a hill to safety, bracing themselves against boulders and fallen trees as they climbed.

“The water rose so fast,” she told AP. “It was horrible. I thought it was going to be our end.”

In nearby Davao Oriental, the coastal province first struck by the typhoon as it blew from the Pacific Ocean, at least 115 people perished, mostly in three towns that were so battered that it was hard to find any buildings with roofs remaining, provincial officer Freddie Bendulo and other officials said.

“We had a problem where to take the evacuees. All the evacuation centers have lost their roofs,” Davao Oriental Gov. Corazon Malanyaon said.

The International Federation of Red Cross and Red Crescent Societies issued an urgent appeal for $ 4.8 million to help people directly affected by the typhoon.

The sun was shining brightly for most of the day Wednesday, prompting residents to lay their soaked clothes, books and other belongings out on roadsides to dry and revealing the extent of the damage to farmland. Thousands of banana trees in one Compostela Valley plantation were toppled by the wind, the young bananas still wrapped in blue plastic covers.

But as night fell, however, rain started pouring again over New Bataan, triggering panic among some residents who feared a repeat of the previous day’s flash floods. Some carried whatever belongings they could as they hurried to nearby towns or higher ground.

After slamming into Davao Oriental and Compostela Valley, Bopha roared quickly across the southern Mindanao and central regions, knocking out power in two entire provinces, triggering landslides and leaving houses and plantations damaged. More than 170,000 fled to evacuation centers.

As of Wednesday evening, the typhoon was over the South China Sea west of Palawan province. It was blowing northwestward and could be headed to Vietnam or southern China, according to government forecasters.

The deaths came despite efforts by President Benigno Aquino III’s government to force residents out of high-risk communities as the typhoon approached.

Some 20 typhoons and storms lash the northern and central Philippines each year, but they rarely hit the vast southern Mindanao region where sprawling export banana plantations have been planted over the decades because it seldom experiences strong winds that could blow down the trees.

A rare storm in the south last December killed more than 1,200 people and left many more homeless.

The United States extended its condolences and offered to help its Asian ally deal with the typhoon’s devastation. It praised government efforts to minimize the deaths and damage.

___

Associated Press writers Jim Gomez, Teresa Cerojano and Oliver Teves in Manila contributed to this report.

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Microsoft #DroidRage Tweet Shows How Malware Has Moved Past Windows

“Do you have an Android malware horror story?” Microsoft asks through its @windowsphone Twitter account, in what may be one of the most ironic tweets of the year.

After all, it wasn’t that long ago that “virus” and “worm” stories made headlines on a regular basis, all of them about “computer viruses” which were really Windows viruses. Just a few years ago, Apple advertised the fact that a Mac “Doesn’t get PC viruses” as a reason to buy one.

But this year, 600,000 Macs were infected by the Flashback trojan, an epidemic which exceeded the scale of history’s single largest Windows infection. And now ​Microsoft​ is implying that its phones don’t get malware, as a way to advertise them. How did things get to be this way, and what will malware and virus authors do next?

​When virii attack

For years, Microsoft’s DOS and Windows operating systems were the biggest targets for virus and malware authors simply because they were the least secure. Today’s PC security best practices had yet to be built into them, and trying to bolt features on to ancient programming code was a half-baked solution at best. HugeWindows malware epidemics spread as the malware programs were able to install themselves without explicit permission and operate without user intervention.

​Network effects

One reason Microsoft Windows dominated the computing world for years and years was simply because it was dominant. More people using Windows meant more profits for Windows app developers, which meant more games and apps for Windows, which meant more people buying Windows PCs so they could use Windows games and apps.

Like with apps, malware is a business that makes money for the people who write it. And while it was theoretically possible to infect a computer running a more secure operating system, like OS X (used on Macs) or Ubuntu (powered by Linux), it was considered impossible to get it to spread far enough to be profitable. Whereas on Windows it was (and still is) possible to infect vast numbers of PCs, even chaining them into zombified “botnets” which act as supercomputers-for-hire.

​How the mighty have fallen?

OS X’s more secure design makes it extremely hard to infect with malware — normally. The Flashback trojan sneaked in this year using the Java web browser plugin, which is bundled with the Mac’s Safari web browser and was poorly maintained.

Plugins like Java and Flash open up new ways to infect a computer, which was one reason why Apple stopped including the Flash plugin (already absent on its iPhone and iPad) by default. Apple created a fix for the problem, but not before over half a million Macs were infected.

​What about on smartphones?

Unlike Apple and Microsoft’s app stores, the Google Play store allows anyone to submit anything with no review. It’s up to Android smartphone and tablet users to look at the “permissions” each game or app requests, as well as the reputation of their developers, and decide whether or not to install them.

While some consider this approach more “trustworthy” and respectful of users, it’s also helped lead to a comparatively enormous number of malware infections on Android, including “The Mother of All Android Malware,” which completely took over tens of thousands of phones last year.

​Are you #DroidRage-ing yet?

Microsoft’s tweet says “we may have a get-well present” for people who send it their best or worst stories of Android malware. Even if all the apps in the Windows Store are virus-free, however, there are still far fewer of them than there are for Android.

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.
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A Minute With: Scottish DJ Calvin Harris hits big time in U.S

LOS ANGELES (Reuters) – Scottish DJ Calvin Harris may not be the most recognizable face in the U.S. music scene, but after writing Rihanna‘s biggest chart hit and with two other top 20 singles, Harris is fast becoming a chart staple.

Harris, 28, found success in the UK over the last five years before storming the Billboard Hot 100 earlier this year with “We Found Love,” a dance-infused dark love song featuring Rihanna’s vocals that became one of 2012′s biggest hits.

The DJ, who released album “18 Months” in November featuring other hits “Feels So Close” and “Let’s Go,” sat down with Reuters to talk about his U.S. breakthrough.

Q: Did you ever think “We Found Love” was going to be one of the biggest hits in the U.S. this year, and what do you think of the growing British presence in the U.S. music charts?

A: “I hoped that it would do really well, but you can’t predict writing Rihanna’s biggest-ever record, else you’re an egomaniac. Couldn’t have predicted that – that was a surprise. It’s nice that British music is getting played over here, it seems like everyone has a more even playing field than before.”

Q: Why do you think dance music is becoming such a big part of the U.S. scene?

A: “The people to thank are probably the Black Eyed Peas and Lady Gaga. They were the first two American mainstream acts to have that house beat in their songs, whereas before, it was all hip hop. I remember Ne-Yo, when ‘Closer’ came out … and it bombed here but in the UK it was number 1, it was massive … Black Eyed Peas’ ‘I Got a Feeling’ and (Lady Gaga’s) ‘Poker Face’ that was pushed really hard, and once they were huge, huge hits … radio stations wanted more and there was plenty of it because it’s been going on for years.”

Q: There are a lot of DJs coming into the mainstream scene now. How do you make yourself stand out in a saturated market?

A: “I like making dance records with lyrical depth. I also like the music to sound rich and full and have real instruments, and not be that kind of synthetic sound, combined with lyrics about popping bottles, being in the club … I like them to be the sort of lyrics you can find in another genre because I think dance music historically, the lyrics have been banal and I’m not into that. I like making actual songs but also something that still works on the dance floor.”

Q: Your new album “18 Months” has songs that span different sounds within the dance-pop genre. Were any tracks challenging?

A: “The two most challenging mixes were the tracks with Example and Florence (Welch), because I think the key is to make it sound like there isn’t that much going on when actually there is … it was a more difficult mix because it was more dynamic.”

Q: Some critics say that you use well-known artists like Rihanna or Florence just so you can get hits. What do you say to people who think you’ve sold out?

A: “Critics don’t buy albums, they’re also almost 90 percent either failed musicians or they don’t know better than anyone else. Also, I don’t like them. What’s the point of a critic? … I ‘sold out’ when I signed a major record deal, which was in 2006. People didn’t say I sold out then … so don’t accuse me of selling out now. It’s very very late to do that.

“If Florence Welch wants to do a track with me, I’m going to say no and use someone unknown? … I want to do a track with people I like, not people I haven’t heard of before.”

Q: Some of your music videos have been provocative. “We Found Love” features domestic abuse and drug use, and Florence Welch’s “Sweet Nothing” has violence. Do you think music videos have to provoke to be noticed?

A: “I like videos to be seen by all and the guy who’s done my videos since ‘Bounce,’ Vince Haycock, I forever censor him … But recently, I’ve let him do whatever he wants and it’s more fun, I’ve discovered, to make whatever video he wants to make … I guess you’re more likely to get more views if someone is getting smacked in the face with a chair … ‘Sweet Nothing’ was great, but there was a lot that was cut out, like a brutal fight scene at the end … it got cut out because I couldn’t watch it, and the soundtrack was my music. There’s obviously a boundary. I’ve not had any naked people in my videos yet.”

Q: A lot of DJs are now collaborating with brand names in sponsorship deals. Are you doing anything similar?

A: “I’m genuinely just making music, I’m trying to make it good. I know these guys with their headphones and their logos and their gimmicks – you can take that route but I think it’s just added pressure to uphold something … Other people do it much better than me because they’re more like personalities.”

(Reporting By Piya Sinha-Roy, editing by Jill Serjeant and Nick Zieminski)

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Medicare emerging as prime target in U.S. “fiscal cliff” talks

WASHINGTON (Reuters) – With rival Democratic and Republican deficit plans increasingly focused on Medicare, experts say the two sides could be edging toward common ground on important changes to the popular health insurance program for seniors and the disabled.

None of the changes are assured and any specific decisions would come only after resolution of the “fiscal cliff,” the combination of tax hikes and spending cuts that’s driving the discussion.

But several ideas that have circulated among policymakers for years are frequently mentioned as the parties get more serious, and ever more specific, about how to control the exploding costs of so-called entitlement programs including Medicare.

The proposals most often discussed that would directly affect Medicare’s 52 million beneficiaries are more means-testing, meaning higher costs for wealthier retirees, and raising the Medicare eligibility age from 65 to 67.

Other proposals on the table would reduce payments for hospitals, nursing homes, drug makers, insurers and physicians.

Medicare, a $ 590 billion-a-year program long seen as an untouchable third rail in U.S. politics, has been augmented but rarely trimmed. A change in eligibility would not alter traditional benefits. But Medicare would not be available to all senior citizens aged 65 and older for the first time since the program’s creation in 1965.

While Medicare has formidable allies who oppose program changes for beneficiaries, including liberal Democrats, large segments of the public and AARP, the powerful lobby for older Americans, deeper sacrifices have moved closer to the center of the public debate over the budget deficit, with some top Democrats leaving the door to compromise ajar.

Cutbacks, along with spending reductions for other healthcare programs including the Medicaid program for the poor, could produce $ 400 billion to $ 600 billion in savings over 10 years as part of a deficit-cutting agreement Congress and the White House must reach to avoid the so-called fiscal cliff.

Potential Medicare savings, combined with the $ 716 billion in reduced payment increases for healthcare providers in the program enacted under President Barack Obama‘s healthcare overhaul, could come to more than $ 1 trillion over the next decade.

“It’s going to hit everybody,” said Joseph Antos, health expert with the conservative American Enterprise Institute.

Senate Minority Leader Mitch McConnell, in a Wall Street Journal interview, said an increase in the Medicare eligibility age would be a prerequisite for Republican willingness to accept higher revenues — though not higher tax rates — as part of a deficit-reduction deal.

Asked during a television interview on Tuesday about McConnell’s proposal, Obama said that McConnell and John Boehner, the Republican House of Representatives speaker, “know that I’m prepared to make some tough decisions on some of these issues,” quickly adding that he can’t ask Medicare beneficiaries “to sacrifice and not ask anything of higher-income folks.”

SAFE ROAD TO RE-ELECTION?

One of the president’s closest allies in the Senate, Illinois Democrat Richard Durbin, broached the subject last week in a speech urging his left-leaning fellow party members to accept the notion of Medicare changes.

“If anybody wants to talk about a later eligibility age for Medicare, what I want to hear is the assurance and guarantee that people … will have access to affordable healthcare and insurance” before they reach the age, Durbin said.

Some Medicare defenders have put forward plans to reduce the program’s spending without affecting beneficiaries. The Center for American Progress, a liberal think tank, has proposed trimming nearly $ 40 billion in healthcare costs simply by requiring product-makers, service providers and insurers to submit to competitive bidding.

Alice Rivlin, a White House budget director under President Bill Clinton and a leading voice for bipartisan solutions in the current deficit debate, says there is potentially a lot of common ground between Republicans and Democrats, particularly on healthcare. “But at the moment, it’s hard to know what they’re talking about. All we’re really seeing is numbers,” she said.

The contours of the healthcare debate have been shaped in part by Obama’s 2013 budget proposals, which would trim more than $ 350 billion from Medicare and Medicaid, and unspecified demands for $ 600 billion in healthcare reductions from House Republicans.

Raising the age of eligibility could save $ 148 billion in Medicare spending over the next 10 years, according to the non-partisan Congressional Budget Office. But critics say the change would only shift costs onto employers and beneficiaries, some of whom might have to forego coverage.

The savings would represent a 50 percent increase over the $ 300 billion in Medicare cost-cuts outlined in Obama’s 2013 budget, which officials describe as the basis for the White House bid to reduce healthcare and entitlement spending by $ 400 billion over 10 years.

The Obama budget would save $ 28 billion by increasing Medicare premiums for wealthier beneficiaries. But the lion’s share of savings would come from changes in payments to drug makers and providers.

Meanwhile, Republican lobbyists, looking to help healthcare providers avoid further Medicare cuts, are also pushing to unify Medicare deductibles and co-insurance rates, and possibly limit the use of private insurance known as Medigap, in exchange for establishing a ceiling on beneficiary out-of-pocket costs. There are different deductibles and co-insurance rates for different segments of the program and the push is to establish a single deductible and single co-insurance rate, presumably at higher rates than people pay now.

“The amount of the spending-reduction targets will determine how far they go in terms of spending cuts and more fundamental changes to Medicare, and secondarily what they do to Medicaid,” said Drew Altman, president of the non-partisan Kaiser Family Foundation.

“Whatever they do, they’ll call reform, because it sounds better. But really they’re talking about cutting spending.”

A Harvard analysis of polling data found that 47 percent of Americans favor a higher eligibility age for Medicare and 54 percent are in favor of more means testing, suggesting that lawmakers who are up for re-election in 2014 may not suffer greatly by altering the equation for Medicare beneficiaries.

“In a world where things are not wildly popular in general, these are the least unpopular things you can do,” said Robert Blendon of the Harvard School of Public Health. “It’s a safe road.”

(Editing by Fred Barbash and Eric Beech)

Seniors/Aging News Headlines – Yahoo! News

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