Hospitals deporting uninsured patients

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Beaming at his toothless female parent, his unique caregiver, Jimenez remains cheerily oblivious that he has come to represent the collision of pair flawed U.S. systems, immigration and health care.

Eight years ago, Jimenez, since 35, an illicit immigrant working as a gardener in Stuart, Fla., suffered devastating injuries in a car crash with a drunken Floridian. A community hospital saved his life, twice, and, after becoming bankrupt to find a restoration center willing to accept some uninsured patient, kept him as a ward for years at a require to be paid of $1.5 million.

What happened next set the stage for a legal battle with nationwide repercussions: Jimenez was deported, not by the federal government but by Martin Memorial Hospital. After captivating a state court order that would later be declared invalid, Martin Memorial leased an air ambulance for $30,000 and “forcibly returned him to his home native land,” as one hospital administrator described it.

Since returning home, Jimenez, who sustained a good for wounds brain injury, has received no medical regard or medication

“Every time, he loses a little more of himself,” said his mother, Petrona Gervacio Gaspar.

Jimenez’s benchmark capsule exposes a little-known but apparently widespread practice. Many U.S. hospitals are repatriating in earnest injured or ill immigrants because they cannot catch nursing homes willing to accept them without security against loss. Medicaid does not cover long-term attention for illegal immigrants, or according to newly arrived legal immigrants, creating a quandary for hospitals, which are obligated by federal precept to marshal post-hospital care during the term of patients who need it.

U.S. immigration authorities play no role in these private repatriations. Most hospital officials said that they answer not conduct cross-border transfers till patients are medically stable and that they arrange to save them into a physician’s care in their homeland.

But the hospitals are operating without governmental assistance or oversight, leaving ample room for legal and ethical transgressions.

Some advocates for immigrants behold these repatriations considered in the state of a kind of international patient dumping.

Hospital administrators view such cases as rich, burdensome patient transfers that force them to shoulder responsibility for the dysfunctional immigration and health-care systems. In many cases, they declared, the only alternative to repatriation is keeping patients indefinitely in acute-care hospitals.

“What that does conducive to us, it puts a strain on our system, where we’re unable to make ready adequate be anxious for our own citizens,” said Alan Kelly, vice president of Scottsdale Healthcare in Arizona.

The Anthrax Mystery Deepens (Time.com)

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The FBI says it is briefing the families of the five people who died in the anthrax attacks previous to it releases more remote information to the public. So it may have being days near the front of we know what evidence the government actually has against Ivins.

For it being so that, we do know that Bruce Ivins had a story of hiding relatively minor anthrax-related security breaches from his supervisors. He also was well-positioned to access anthrax, and his lab benefited enormously in money and resources from the fall-out of the anthrax attacks. Along with other scientists, he was listed as a co-inventor on two patents for an anthrax vaccine, and he could have stood to gain financially from the rise in vaccinations that followed the anthrax attacks. Days before his death, he was accused by a counselor of material violent threats.

But when it comes to the FBI and the anthrax investigation (or “Amerithrax,” since the Feds so inelegantly call it), things are rarely viewed like they first appear. Ivins had been cooperating with the FBI for six years, according to his attorney. In other cases, that’s what happens when the FBI doesn’t have a smoking gun but wants to wear a suspect down into confessing. But it’s credit remembering that just undivided month ago, the federal government paid $5.8 million to Steven Hatfill, another scientist who worked at the very same study lab. Hatfill’s name had been leaked to the media for example a primary suspect for the time of the years-long bioterrorism investigation. He was never arrested or charged, and when he sued the government beneficial to ruining his career, a federal judge found “not a grain of evidence” linking Hatfill to the mailings. Hatfill’s lawyer, Thomas Connolly, reported neither he nor his client had any comment on Ivins.

The FBI had been watching Ivins’ kindred for some time, according to neighbors’ accounts, and it appears that the Los Angeles Times had also been investigating him well before he died.

Ivins’ barrister says his client was totally innocuous and that he killed himself because of the FBI’s harassment. He was receiving psychotherapy in the weeks near the front of his death and was banned from the premises of his careful search lab. Yesterday, a spokesperson for Ivins’ lab, the U.S. Army Medical Research Institute of Infectious Diseases at Fort Detrick said the agency “mourns the loss of Dr. Bruce Ivins, who served the institute for more than 35 years in the same proportion that a civilian microbiologist.” That seems in the manner of an odd thing to say if you put confidence in one of your employees had something to do by an anthrax attack.

It now remains incumbent on the FBI to reveal what information it had linking Ivins to the attacks. Given the federal government’s record adhering the anthrax investigation, and the national heedlessness interests involved, Ivins’ death should not be used as an excuse for the case to be closed lacking a filled, public airing. View this article adhering Time.com

How to Craft a Winning Investor Deck

Investor decks, or the presentations businesses use to attract investors, often transgress short. Here’s how to polish them—and bring in the cash

by means of Tom Taulli

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Quite often, I get PowerPoint presentations targeted at investors (known as "investor decks") from founders who send them to me for overall critiques. (I invest in early-stage deals from proper time to time. I’m also steady several boards.) Unfortunately, many of them fall short of the ultimate goal—that is, getting investors selfish in pulling out their checkbooks.

Why complete they often lose the mark? Too plenteous focus on product and technology. Investors want to make money—so they are mostly interested in the business case. The information is too catholic. For example, the go-to strategy may neglect the sales cycle, the budgets and so on. Or they make over-the-top blanket statements, such as "there is no competition."

For the most part, I dearth to see an investor deck that tells a story, clearly showing the partnership’s path to success. In fact, it doesn’t destitution pizzazz or many slides (15 to 20 are fine).

So, what are the key elements of your story? Let’s take a look at a framework every investor deck should comprehend:

Why is this a compelling suitable? Do research to put the competitive distance in perspective. What is the pricing? Distribution? Investors? Recent initial common offerings? I’m not talking about hiring a scrutiny confirmed; using Google (GOOG) should suffice.

Armed with your research, you need to do two things: Identify an unmet need and then determine the size of the market opportunity (which, for speculation capitalists, is usually at least $1 billion.)

A good example of a company that managed to articulate this element is Athenahealth (ATHN). Back in 1999 the upstart firm pitched Bryan Roberts, a VC at Venrock Associates. The company dictum a multibillion-dollar market opportunity in helping physicians improve collections from security against loss companies.

No doubt, in that place were divers competitors; however, they were mostly mom-and-pop operators. By offering a Web-based approach, Athenahealth showed it could be a game-changer in the industry. Its offering was both more effective and cheaper.

Today, Athenahealth is growing its top-line or gross sales at 30%-plus and is on track to outstrip $100 million in revenues despite the year. The company’s place of traffic appreciate is about $943 very great number.

What are you doing that’s unique? In simple terms, try to explain the lock opener value proposition. Traditionally, investors want to see a part that provides an improvement on existing approaches by a factor of 10.

An example is Berkeley Design. In 2002 the collection pitched its deal to Daniel Ahn, who is a VC at Voyager Capital.

Berkeley was targeting the so-called electronic sketch automation market, which involves software to create microchips. At the time, the emporium was reaching the limits of its existing technology. But this company was able to demonstrate a unique approach, which allowed for simulated designs for analog and radio frequency chips. The upshot: Time to emporium was much quicker, and the simulations were highly accurate, which helped to reduce costs.

As a result, Berkeley has gotten traction, through customers that include the world’s top-10 semiconductor companies.

What’s the business model? First of all, make infallible you understand the business models of your competitors. Is their approximate sub-par? Keep in mind that it’s not easy to move from one business model to another.

What’s more, investors like to see a variety of revenue streams. A good example of a business that has achieved this is LinkedIn. The company sells premium subscriptions, ad sales, piece of work postings, and endeavor solutions. It recently raised $53 the public in venture first-class, with a valuation of about $1 billion.

What are the cash needs and the milestones? Investors will likely leave out of view the return forecasts (they are often widely against the mark anyway). Instead, they want to see a month-by-month time line notwithstanding the cash needs and milestones—say for a term of two years.

This was the approach of Ben Wolin, the CEO and co-founder of Waterfront Media, in opposition to his Series A make complete in 2003. In his investor deck, he specified a kind of key milestones, so as user counts, contracts, and new features.

The most important milestones you’ll distress to include? Go-to-market dates. Determining them requires talking to potential customers and trying to get answers to the following questions:

• Who makes the purchasing decisions?

• Where are the budgets?

• What are the realistic sales cycles?

• Are partners the preferred distribution approach? Or is a direct sales force?

Furthermore, make abiding you have a move smoothly on the milestones you have already achieved. If you are making onward on a month-by-month basis, you be inclined certainly get the attention of investors.

Who is on your team? Provide bios upon the body the main team players and emphasize how the backgrounds will have being critical in the place of the success of the venture. For example, in the case of Berkeley, the hard emphasized that it had more of the brightest academics in the automation design realm. Interestingly enough, they were not at the very time employees; rather, they were part of Berkeley’s advisory board (BusinessWeek.com, 2/1/07).

Back up everything: Don’t guess. Your potential investors will apparently have a strong understanding of your perseverance. So whether or not they uncover each inaccuracy, you’re credibility will turn to vapor—and so, unfortunately, may your chances of snagging funding.

As you can see, investor decks are not easy to piece together and can easily grasp months of work. But it’s a critical step in the capital-raising process. Moreover, the document can be an extremely advantageous guide for your walk of life.

Blair criticizes Brown’s leadership in scathing memo (Reuters)

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The memo, which the Mail on Sunday gazette reported was written through Blair to colleagues last year, sees the former prime minister accuse Brown's body of executive officers of "a lamentable confusion of tactics and tactics" and of failing to make one’s self acquainted with lessons.

Written in the aftermath of Brown's decision not call an seasonably selection that might regard consolidated his supremacy, the dispatch says poor decision-making has made Conservative leader David Cameron look substantial and a viable choice for office.

"The real problem was not the brilliance of the Tory conference, but the hubris and vacuity of our own. This meant the Tories, by having something to say on policy, appeared cogent and to represent the future," Blair wrote.

"There has been a to be lamented confusion of tactics and strategy.

"At present, there is each indication that the lessons will not be learnt."

Blair's office would not confirm or deny that he had written the memo.

"Tony Blair continues to be 100 percent supportive of Gordon Brown and the government," a spokesman said.

Blair sent a watered-down version of the memo to Brown, the paper said. It is not known how that was received.

Since the memo was written, things have single got worse with a view to Brown, whose poll ratings now make him the second most obnoxious morning minister in modern British narration.

There is widespread communication among Labour members of parliament of a potential challenge to Brown's leadership allowing that he cannot regain the confidence of the party after the summer break.

Foreign Secretary David Miliband wrote each opinion piece in a newspaper last week laying out some of Labour's failings, a move interpreted in the media as preparing the ground for a possible challenge.

Brown succeeded Blair in June last year behind spending 10 years as science pastor, tarrying to assume the prime ministership. A series of blunders and perceived policy mistakes has seen his popularity fall to just 15 percent.

After Brown took employment, he sought to distance himself in several key respects from Blair. Blair aphorism that as a mistake.

"The choice is and was always between GB (Gordon Brown) running as the change aspirant or as uninterrupted continuance NL (New Labour)," he wrote.

"By trying to be change, he played exactly the same game the media wanted but never the game that gives us the only chance of a 4th boundary (in office)."

(Reporting by Luke Baker; Editing by Giles Elgood)

Jobless rate highest in 4 years, payrolls drop (Reuters)

WASHINGTON (Reuters) - The U.S. unemployment rate accord with its highest in four years during July as employers cut jobs for a seventh straight month, though smaller quantity severely than predicted, a Labor Department report showed on Friday.

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The rising toll of job losses and plunging new-car sales in July fueled worry that a recession may be unavoidable and helped drive stock prices lower again.

The jobless rate climbed to 5.7 percent from 5.5 percent in June because 51,000 jobs were eliminated in July, bringing losses for the year to 463,000. Economists had expected 75,000 jobs would be cut last month end had forecast the unemployment rate would rise only to 5.6 percent.

In a separate report, the Institute for Supply Management said manufacturing activity held steady in July and noted some moderation in inflation pressures. Its index of national factory smartness slipped a bit to 50 from 50.2 in June — with 50 being the dividing cover with lines betwixt expansion and contraction.

"If you look at ISM and the unemployment number together, it suggests an system that is, at best, stuck in indifferent," said Subodh Kumar, commander investment strategist through Subodh Kumar & Associates in Toronto.

Stock prices dropped, by the Dow Jones industrial average (.DJI) off 51 points to end at 11,326 and the Nasdaq Composite Index (.IXIC) down 14 points to 2,310. Prices for U.S. Treasury debt securities rose moderately as investors sought safer haven.

In an interview with Reuters, U.S. Commerce Secretary Carlos Gutierrez said economic provocative payments that are being sent out to qualifying Americans should bolster the economy but wouldn't predict when more jobs would have being created.

JOB PICTURE CLOUDED

"I won't speculate," he said. "But we are forecasting continued growth in the economy for the back half of the year and it decision have being that growth that will settle a return to job creation."

But consumers, whose purchases fuel two-thirds of national output, appeared to be frightened by soaring energy and other costs and by tightening credit stipulations.

Sales of new cars by General Motors Corp. plummeted 27 percent in July from year-earlier levels, Ford Motor Co. sales fell 15 percent and Toyota Motor Corp. was on the farther side 12 percent. GM lost a staggering $15.5 billion in the second quarter.

In St. Petersburg, Florida, Democratic presidential candidate Barack Obama called on the side of new measures, including $25 billion of spending on infrastructure projects like roads.

"With job losses mounting, prices rising, increased turmoil in our financial theory, a growing credit crunch, we need to do more," Obama said at a place hall meeting.

The Labor Department trimmed estimates for job losses in both May and June. It said a total of 26,000 fewer jobs were dissolute in the two months than previously thought.

Policy-makers at the Federal Reserve meet nearest week and are expected to hold official interest rates unchanged as they weigh concerns about economic weakness against worries about bubbling price pressures.

Brian Gendreau, an investing. strategist with ING Investment Management Americas in New York, described monthly job losses as "excruciating" and consistent with a weak economy.

"We are clearly in a growth recession and my fear is that we are in a mild, but longer recession than the one we experienced in 2001-2002," Gendreau uttered.

HOUSING SLIDE CONTINUES

The unexpectedly steep ascend gradually in the unemployment rate underlines in what way a deterioration in the trappings sector continues to chill housekeeping advancement. The last time the jobless rate was higher was in March 2004, when it hit 5.8 percent.

While July's job loss was not as bad as feared, it did not modify the picture of an arrangement that is basically treading water, analysts said.

"Overall the report looks to subsist broadly congruous by other given conditions that show the economy to a great extent soft, basically stalled, not increasing extremely abundant, but not contracting very much either," said David Resler, chief economist for Nomura Securities International in New York.

The repercussion showed 16-to-24 year olds facing particular difficulty in trying to claw down summer jobs, a factor that helped push up the overall unemployment rate.

In addition, the mean proportion workweek slipped to 33.6 hours, the lowest since November 2004, from 33.7 hours in June, a farther on suggestion of housekeeping weakness.

July job losses were widespread. The only major sectors showing any gains were government, kindness to strangers, and education and health services. Construction industries shed another 22,000 employees and factories divide 35,000 jobs.

A Commerce Department report on June construction spending underlined the continuing slip in building that is dragging employment lower in the construction sector, with spending falling a steeper-than-expected 0.4 percent.

(Additional reporting through Burton Frierson and Chris Reese in New York, Patrick Rucker in Washington and John Whitesides in St. Petersburg; Editing by Neil Stempleman)

Seafair aerobatics a “sweet deal” for military pilots

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The smoke-trailed spins that Air National Guard Maj. John Klatt performs in his aerobatic airplane may elicit oohs and aahs from spectators, but frequent of the stunts are part of standard militia training.

“Those were a couple of beautiful basic maneuvers,” Klatt said Wednesday, after hanging upside down 1,300 feet above the ground, rolling his Extra 300 midair and pulling seven Gs in series of face-melting loops.

Klatt has served pair tours in Iraq since 2005 and is slated for any other possible deployment this winter. But for the time of his summerlong air-show tour

“It’s been a lifelong passion,” he related.

Klatt’s is a sentiment shared by several other pilots scheduled to play in this weekend’s air show, set to contain 11 performers, the Blue Angels amid them.

“It’s a fragrance deal,” said Air Force Capt. Paul Brown, an A-10 Thunderbolt II demo pilot who flies in 30 air shows a year. “It’s altogether normal, day-to-day stuff that we prepare out there in training, and we’re showing really what the airplane is capable of.”

The most difficult air maneuver Brown performs involves nose-diving and recovering just 200 feet before hitting the ground. The stunt is a counterfeiting of a weapons drop near friendly forces

“The most obscure thing is making sure you know who are the serviceable guys and who are the bad guys before you pull the trigger, because you can’t ever convey the bullets back,” he said.

The A-10 Brown flies is considered the “500-pound gorilla” of combat planes, carrying massive amounts of bombs and rockets and capable of flying out of rougher airfields.

“If you’re going off-road in the dirt, you wouldn’t want to take the Corvette, you’d take the truck,” Brown said. “We may not be the fastest, and we’re certainly not the best-looking, nevertheless we’re the pickup truck of fighters.”

The mammoth of this weekend’s air show is an Air Force C-17 Globemaster III cargo plane, flown by Air Force Capt. Philip Poeppelman.

Poeppelman has flown the cargo smooth all over the world, including Iraq and a mission in Antarctica for the National Science Foundation, he uttered.