If Obama wins, will he finally tell us his second-term agenda?

By Walter Shapiro

LIMA, Ohio—Speaking at a rally here last Friday afternoon, Barack Obama stressed his old-shoe familiarity: “After four years as president, you know me.” That’s a standard stump speech line, but the more than 3,000 Democrats in local high-school gym burst into cheers, brimming with confidence that they knew the Real Obama.

But does anyone outside his family and the inner sanctum of the White House staff really know Obama—or have a clear handle on what he would do with a second term? This question is not designed to feed any off-the-wall conspiracy theories about a secret second-term agenda. Rather, it’s designed to underscore the perception that Obama remains more opaque than most presidents.

During his speech in this blue-collar pocket of Ohio, the shirt-sleeved Obama waxed populist as he decried the way that the voices of the American people have “been shut out of our democracy for way too long by the lobbyists and the special interests.”

Referring to this us-versus-them rhetoric after the speech, a reporter friend, traveling with the president’s press corps, said, “That’s the real Obama.” But was it? Or was this just a president in a tight race harking back to the citizens-versus-lobbyists language that propelled him into the White House?

In his speeches, including the one in Lima, Obama talks about his second-term vision as he says, “I want to recruit 100,000 math and science teachers. I want to train two-million Americans at our community colleges.” Obama echoes this theme in a 60-second closing argument commercial heavily broadcast on Ohio television. In the ad, Obama implies that the money could come “from ending the war in Afghanistan so we can do some nation-building here at home.”

But there’s a major roadblock: The odds are very high that the Republicans will retain control of the House, even if Obama is reelected.

If that occurs, the Tea Party naysayers of 2010 almost certainly would feel emboldened by their personal electoral successes—and become even more obstinate in their resistance to new domestic spending. With the “fiscal cliff” end-of-the-year budget negotiations looming, a reelected President Obama will be hard-pressed to maintain even the current levels of educational spending let alone create new programs.

It’s politically telling that the president never mentions health care in his final TV ad and only flicked at the topic in his stump speech in Lima. But with the Democrats likely to hold the Senate, the reelection of Obama would all but guarantee that his signature domestic achievement will be fully implemented. As a result, tens of millions of Americans would never have to agonize about health insurance coverage again.

Reelected presidents, stymied by Congress, often turn their full attention to foreign affairs. While this single-mindedness can lead to unexpected breakthroughs (Richard Nixon and China), often it ends in the kind of frustration that Bill Clinton experienced over his failure to negotiate an Israeli-Palestinian peace settlement at Camp David in the waning days of his presidency.

The most likely flashpoint for the next president (whether Obama or Mitt Romney) is, of course, Iran. All occupants of the Oval Office and all who aspire to that job have unequivocally declared that a nuclear-armed Iran is unacceptable.

But what would that mean, in practice, in an Obama second term? Any temptation to categorize the president as a peacenik has to be squared against Obama’s enormous expansion of drone attacks against suspected terrorists. Even without a hawkish, even by Israeli standards, government in Jerusalem, the precise American response to a nuclear Iran would be hard for foreign-policy experts to game out in advance. For ordinary voters to do so at the frenzied end of a presidential campaign is well nigh impossible.

Maybe it’s unrealistic to expect a president running for reelection to be overly specific about his plans for a second term. Bill Clinton campaigned in 1996 on little more than the vague promise to build “a bridge to the 21st century.” And George W. Bush gave voters—and his fellow Republicans in Congress—little warning in 2004 that he intended to attempt to privatize Social Security in 2005.

Still, if Obama prevails on Tuesday (or survives a long count that stretches into Wednesday and beyond), I would be eager to read what he says in his post-election interviews. After a stealth reelection campaign, that might be the moment when we finally learn if Obama has fresh ideas for curbing the reign of special interest in Washington. Or how the soon-to-be two-term president intends to bridge the inevitably bitter stalemate in Congress.

In the end, it comes down to the elusive qualities of trust and character. Americans have had four years to make their own judgment about President Barack Obama. So, in fact, maybe we do know him as well as we ever will. Not as a friend or (in that awful cliché) a guy to have a beer with. But as a leader, who has sometimes stumbled but has mostly prevailed during four of the most arduous economic years in American history.

Read More..

Prosecutor: US soldier had blood of victims on him

JOINT BASE LEWIS-McCHORD, Wash. (AP) — A caped figure captured on surveillance video came running out of the darkness to the edge of a remote Army outpost in southern Afghanistan. Blood was smeared on his face, prosecutors said, and soaked into his clothes.

Less than a mile away, 16 Afghans, including nine children, were dead, some of their bodies on fire in two villages.

As fellow soldiers stopped him at the base's gate, Staff Sgt. Robert Bales was incredulous, prosecutors said. Then, as he was taken into custody, Bales said: "I thought I was doing the right thing."

The details, from a prosecutor as well as Bales' comrades, emerged Monday as a preliminary hearing in his case opened, offering the clearest picture yet of one of the worst atrocities of the Iraq and Afghanistan wars.

The attack on March 11 prompted the U.S. to halt combat operations for days in the face of protests, and it was a month before military investigators could reach the crime scenes.

Bales, 39, faces 16 counts of premeditated murder and six counts of attempted murder. The hearing could last up to two weeks and will help determine whether the case goes to a court martial.

The defense did not give an opening statement.

Bales has not entered a plea. His attorneys have not discussed the evidence, but say Bales has post-traumatic stress disorder and suffered a concussive head injury during a prior deployment to Iraq.

The father of two from Lake Tapps, Wash., wore green fatigues and sat beside one of his civilian lawyers as an investigating officer read the charges against him and informed him of his rights.

When asked if he understood them, Bales said, "Sir, yes, sir."

Bales spent the March night before the raids at Camp Belambay, watching "Man On Fire," a fictional account of a former CIA operative on a revenge spree, with his fellow soldiers, said Lt. Col. Jay Morse, the prosecutor.

He seemed normal as they shared whiskey, discussed Bales' anxiety over whether he'd get a promotion and talked about another soldier who lost his leg a week earlier in a roadside bomb attack, Cpl. David Godwin testified.

Shortly before leaving the base, Bales told a Special Forces soldier that he was unhappy with his family life and that the troops should have been quicker to retaliate for the March 5 bomb attack, Morse said.

"At all times, he had a clear understanding of what he was doing and what he had done," said Morse, who described Bales as lucid and responsive.

Bales is accused of slipping away from the remote outpost with an M-4 rifle outfitted with a grenade launcher to attack the villages of Balandi and Alkozai, in a dangerous district.

Morse said Bales broke the killings into two episodes. Dressed in a T-shirt, Bales walked first to one village, return to the base and then slipped away again to carry out the second attack.

Between the episodes, Bales told a colleague about shooting people at one of the villages, Morse said. The soldier apparently took it as a bad joke and responded: "Quit messing around."

Prosecutors played for the first time the video captured by a surveillance blimp that showed the caped figure running toward the base, then stopping and dropping his weapons as he was confronted. There was no audio.

It wasn't immediately clear from where Bales got the cape.

As he stood outside the base, Godwin testified, Bales had asked him and another soldier: "Did you rat me out? Did you rat me out?"

Part of the hearing will be held overnight to allow video testimony from witnesses, including an estimated 10 to 15 Afghans, in Afghanistan.

Bales' attorney, John Henry Browne, said the hearing will give the defense a chance to see what the military can prove. He said they are expecting a court martial.

The Ohio native joined the Army in late 2001 — after the 9/11 attacks — as his career as a stockbroker imploded, including an arbitrator's $1.5 million fraud judgment against him and his former company.

Bales was serving his fourth combat tour after three stints in Iraq and his arrest prompted a national discussion about the stresses that soldiers face from multiple deployments.

His lawyers have said Bales remembers little or nothing from around the time of the attacks.

Emma Scanlan, one of his attorneys, declined to say to what extent the lawyers hope to elicit testimony that could be used to support a mental-health defense. Bales himself will not make any statements.

She said the Army had only recently turned over a preliminary DNA trace evidence report from the crime scenes, but defense experts have not had time to review it.

___

Johnson can be reached at https://twitter.com/GeneAPseattle

Read More..

Apple sells 3 million iPads over first weekend

'},"otherParams":{"t_e":1,".intl":"US"},"events":{"fetch":{lv:2,"sp":"7665149","ps":"LREC,MON","npv":true,"bg":"#FFFFFF","em":escape('{"site-attribute":"_id=\'0b728596-90ac-3c9f-9a02-dd06f799a8e9\' sensitivity=\'0\' rs=\'lmsid:a0770000002GZ5iAAG\' ctype=\'fn_news;News\' ctopid=\'1499989;1550500;2299500;2313500;1507989;1506989;1542500;1550000;2315000;1507489\' can_suppress_ugc=\'1\' content=\'no_expandable;ajax_cert_expandable;\' ADSSA"}'),"em_orig":escape('{"site-attribute":"_id=\'0b728596-90ac-3c9f-9a02-dd06f799a8e9\' sensitivity=\'0\' rs=\'lmsid:a0770000002GZ5iAAG\' ctype=\'fn_news;News\' ctopid=\'1499989;1550500;2299500;2313500;1507989;1506989;1542500;1550000;2315000;1507489\' can_suppress_ugc=\'1\' content=\'no_expandable;ajax_cert_expandable;\' ADSSA"}')}}};var _createNodes=function(){var nIds=_conf.nodeIds;for(var i in nIds){var nId=nIds[i];var dId=_conf.destinationMap[nIds[i].replace("yom-","")];n=Y.one("#"+nId);if(n)var center=n.one("center");var node=Y.one("#"+dId);var nodeHTML;if(center && !node){nodeHTML=_conf.nodes[nId];center.insert(nodeHTML);};};};var _prepareNodes=function(){var nIds=_conf.nodeIds;for(var i in nIds){var nId=nIds[i];var dId=_conf.destinationMap[nIds[i].replace("yom-ad-","")];n=Y.one("#"+nId);if(n)var center=n.one("center");var node=Y.one("#"+dId);if(center && node){center.set("innerHTML","");center.insert(node);node.setStyle("display","block");};};};var _darla;var _config=function(){if(YAHOO.ads.darla){_darla = YAHOO.ads.darla;_createNodes();};};var _fetch=function(spaceid,adssa,ps){
if (typeof(ps)!='undefined')
_conf.events.fetch.ps = ps;if(typeof spaceid != "undefined") _conf.events.fetch.sp=spaceid;adssa = (typeof adssa != "undefined" && adssa != null) ? escape(adssa.replace(/\"/g, "'")) : "";_conf.events.fetch.em=_conf.events.fetch.em_orig.replace("ADSSA", adssa);if(_darla){_prepareNodes();_darla.setConfig(_conf);_darla.event("fetch");};};Y.on("domready", function(){_config();});;var that={"fetch":_fetch,"getNodes":_conf.nodes,"getConf":_conf};return that;}();/* Backwards compatibility - Assigning the latest instance to the main fetch function */YUI.PhotoAdsDarla.fetch=YUI.PhotoAdsDarla.photoslightboxdarla.fetch;
});
Y.later(10, this, function() {YAHOO.namespace('Media.Social').Lightbox = {};
});
Y.later(10, this, function() {Y.Media.Article.init();
});
Y.later(10, this, function() {new Y.Media.AuthorBadge();
});
Y.later(10, this, function() {new Y.Media.Branding();
});
Y.later(10, this, function() {Y.on("load", function () {
YUI.namespace("Media.SocialButtons");

var instances = YUI.Media.SocialButtons.instances || [],
globalConf = YAHOO.Media.SocialButtons.conf || {},
vplContainers = [];

Y.all(".ymsb").each(function (node) {
var id = node.get("id"),
conf = YAHOO.Media.SocialButtons.configs[id],
instance;

if (conf) {
instance = new Y.SocialButtons({
srcNode: node,
config: Y.merge(globalConf, conf.config || {}),
contentMetadata: conf.content || {},
tracking: conf.tracking || {}
});
vplContainers.push(
{
selector: "#" + id,
callback: function(node) { instance.render(); instance = conf = id = null; }
});

if (conf.config && conf.config.dynamic) {
instances.push(instance);
}
}
});

Y.Global.Media.ViewportLoader.addContainers(vplContainers);
YUI.Media.SocialButtons.instances = instances;
});
});
Y.later(10, this, function() {if (!Y.Media) {

return;

}

Y.Media.boba_lightbox_module_targets = Y.Media.boba_lightbox_module_targets || {};

Y.Media.boba_lightbox_module_configs = Y.Media.boba_lightbox_module_configs || {};

Y.Media.boba_lightbox_module_dataset = Y.Media.boba_lightbox_module_dataset || {};

Y.Media.boba_lightbox_module_whitelist = Y.Media.boba_lightbox_module_whitelist || {};


Y.Media.boba_lightbox_module_targets['lightbox8e97e9062b13d87a82ec1622a55e9855'] = {"lightboxId":"39b50351d209e1a7d062309a5789f6dd","pivotId":"2ecfb281-3209-37c8-a683-d063bb9e489a"};


Y.Media.boba_lightbox_module_dataset['39b50351d209e1a7d062309a5789f6dd'] = {"spaceid":"7665149","total":1,"photoby":"Photo By","xhrtype":"slideshow","videoconf":{"autoplay":true,"continuousPlay":true,"mute":false,"volume":"1.00","lang":"en-US","site":"news","region":"US","jurisdiction":"US","YVAP":{"accountId":"145","playContext":"default"},"pageSpaceId":"7665149","comscoreC4":"US News","comscoreC6":"","showEmbedCode":true,"showShareUrl":true,"expName":"MediaArticleRelatedLightbox","expType":"inline","apiEnv":"prod"},"slideshow_id":null,"slideshow_title":null,"slideshow_title_baked_html":null,"slideshow_desc":null,"slideshow_rev":null,"slideshow_plink_vita":null,"photos":[{"type":"image","url":"http:\/\/l1.yimg.com\/bt\/api\/res\/1.2\/LdZbIOc6KCRbajyUf66nBA--\/YXBwaWQ9eW5ld3M7Zmk9aW5zZXQ7aD0zMTM7cT03OTt3PTQ1MA--\/http:\/\/media.zenfs.com\/en_us\/News\/Reuters\/2012-11-05T135309Z_1_CBRE8A412L700_RTROPTP_2_USA.JPG","width":450,"height":313,"uuid":"2ecfb281-3209-37c8-a683-d063bb9e489a","caption":"The Apple logo hangs in a glass enclosure above the 5th Ave Apple Store in New York, September 20, 2012. REUTERS\/Lucas Jackson","captionBakedHtml":"

The Apple logo hangs in a glass enclosure above the 5th Ave Apple Store in New York, September 20, 2012. REUTERS\/Lucas Jackson","date":"Mon, Nov 5, 2012 9:08 AM EST","credit":"Reuters","byline":"\ufffd Lucas Jackson \/ Reuters","provider":"Reuters","photo_title":"The Apple logo hangs in a glass enclosure above the 5th Ave Apple Store in New York","pivot_alias_id":"apple-logo-hangs-glass-enclosure-above-5th-ave-photo-135309854","plink":"\/photos\/apple-logo-hangs-glass-enclosure-above-5th-ave-photo-135309854.html","plink_vita":"http:\/\/news.yahoo.com\/photos\/apple-logo-hangs-glass-enclosure-above-5th-ave-photo-135309854.html","srchtrm":"The Apple logo hangs in a glass enclosure above the 5th Ave Apple Store in New York","revsp":"","rev":"3ec055d0-2752-11e2-b9fc-e7ad958b0228","surl":"http:\/\/l.yimg.com\/bt\/api\/res\/1.2\/ZanCtApRvlWBhWeYVPd9rg--\/YXBwaWQ9eW5ld3M7Zmk9aW5zZXQ7aD01NjtxPTc5O3c9ODE-\/http:\/\/media.zenfs.com\/en_us\/News\/Reuters\/2012-11-05T135309Z_1_CBRE8A412L700_RTROPTP_2_USA.JPG","swidth":81,"sheight":56}]};

Y.Media.boba_lightbox_module_configs['39b50351d209e1a7d062309a5789f6dd'] = {"spaceid":"7665149","ult_pt":"story-lightbox","darla_id":"","images_total":0,"xhr_url":"\/_xhr\/related-article\/lightbox\/?id=0b728596-90ac-3c9f-9a02-dd06f799a8e9","xhr_count":20,"autoplay_if_first_item_is_video":true};
});
Y.later(10, this, function() {new Y.Media.RelatedArticle({count:"2",start:"1",
mod_total:"10", total:"0",
content_id:"0b728596-90ac-3c9f-9a02-dd06f799a8e9",
spaceid:"7665149",
related_count:"-1"
});
});
Y.later(10, this, function() {(function(d){
d.getElementsByTagName('head')[0].appendChild(d.createElement('script')).src='http://d.yimg.com/oq/js/csc_news-en-US-core.js';
})(document);
});
Y.later(10, this, function() {
if(!("Media" in YAHOO)){YAHOO.Media = {};}
if(!("ugcrate" in YAHOO.Media)){YAHOO.Media.ugcrate = {};}
if(!("Media" in Y)){Y.namespace("Media");}
YAHOO.Media.ugcrate.ratings_2f3321fbcbe1cca883591448772cc64a = new Y.Media.UgcRate({"context_id":"5c45fbb3-cdb2-467d-ac33-5d2ab49dd099","sCrumb":"","containerId":"yom-sentimentrate-2f3321fbcbe1cca883591448772cc64a","rateDimensions":"d1","appLang":"en-US","sUltSId":"7665149","sUltProperty":"news-en-US","sUltCampaign":"","sUltPlatform":"ugcwidgets","sUltIntl":"US","sUltLang":"en-US","selfPageUrl":"http:\/\/news.yahoo.com\/apple-says-sold-three-million-ipads-since-friday-135309834--finance.html?_esi=0","artContentId":"0b728596-90ac-3c9f-9a02-dd06f799a8e9","sUltQstnTxt":"Which size tablet would you prefer?","artContentTitle":"Apple sells 3 million iPads over first weekend","artContentDesc":"SAN FRANCISCO\/NEW YORK (Reuters) - Apple Inc sold 3 million of its new iPads in the first three days the tablet computers were available, driving optimism for a strong holiday quarter despite intensifying competition. Sales of the 7.9-inch iPad mini and fourth-generation 9.7-inch version, both Wi-Fi only models, were double the first-weekend sales of the Wi-Fi iPad sold in March, Apple said on Monday. Apple did not break out numbers for the crucial iPad mini, a smaller version of the original tablet designed to spearhead its foray into a segment now dominated by Amazon.com Inc and Google Inc. ...","sUltBucketId":"test1","sUltSection":"sentirating","sUltBeaconUrl":"","sUltRecordPageviews":"1","sUltBeaconEnable":"1","serviceUrl":"\/_xhr","publisherContextId":"","propertyId":"2fcd79b5-b3a3-333e-b98e-722536a6698f","configurationId":"435db9ee-c55e-3766-b20d-c8ad3ff889d1","graphId":"","labelLeft":"Smaller works for me","labelRight":"Bigger is better","labelMiddle":"","itemimg":"http:\/\/l.yimg.com\/a\/i\/ww\/met\/yahoo_logo_us_061509.png","selfURI":"","aggregateRatingCount":"29533","aggregateReviewCount":"0","leftBlocksNum":"17169","rightBlocksNum":"12363","leftBlocksPerCent":"58","rightBlocksPerCent":"42","ugcrate_apihost":"api01-us.ugcl.yahoo.com:4080","publisher_id":"news-en-US","yca_cert":"yahoo.ugccloud.app.trusted_proxies","timeout_write":"5000","through_proxy":"false","optionStats":"{\"s1\":2597,\"s2\":1270,\"s3\":3167,\"s4\":7685,\"s5\":2450,\"s6\":12363,\"s7\":0,\"s8\":0,\"s9\":0,\"s10\":0}","l10N":"{\"FIRST_TO_READ\":\"You are first to read this. Share your feelings and start a conversation.\",\"SHARE_YOUR_FEELINGS\":\"You too can share your feelings and start a conversation!\",\"HOW_YOUR_FRIENDS_THINK\":\"Thank you for sharing your feeling on this article!\",\"PRE_SHARE_MSG\":\"Your Facebook friends on Yahoo! can see how you responded. To share your response on Facebook, click on the Facebook share option.\",\"START_THE_CONVERSATION\":\"Start the Conversation\",\"THANKS_FOR_SHARING\":\"Sure, that's how you feel... But what do your friends think?\",\"POLL_HEADER\":\"SOCIAL SENTIMENT\",\"SERVER_ERROR\":\"Oops there seems to be some error, please try again later\",\"LOADING\":\"Loading...\",\"SHARE_AFTER_COMMENT\":\"Your response has been shared on Facebook.\",\"UNDO\":\"Undo\",\"UNIT_PEOPLE\":\"People\",\"NUM_PEOPLE_DISAGREE\":\"disagree with your opinion.\",\"READ_MORE_TEXT\":\"Read what they have to say.\",\"SLIDER_THUMB_WORDING_BEFORE_VOTING\":\"WHAT DO YOU THINK?\",\"SLIDER_THUMB_WORDING_VERB_BEFORE_VOTING\":\"DRAG\",\"SLIDER_THUMB_WORDING_THANKS_VOTING\":\"Thanks for voting\",\"NUM_PEOPLE_ANSWERED\":\" 29,533 people have responded\",\"ONE_PERSON_ANSWERED\":\" 1 person has responded. Your response will be seen by your Facebook friends on Yahoo!\",\"TWO_PEOPLE_ANSWERED\":\" 2 people have responded. Your response will be seen by your Facebook friends on Yahoo!\",\"NUM_PEOPLE_ANSWERED_AND_SHARED\":\" 29,533 people have responded. Your response will be seen by your Facebook friends on Yahoo!\",\"NUM_PEOPLE_RATED__s1\":2597,\"NUM_PEOPLE_RATED__s2\":1270,\"NUM_PEOPLE_RATED__s3\":3167,\"NUM_PEOPLE_RATED__s4\":7685,\"NUM_PEOPLE_RATED__s5\":2450,\"NUM_PEOPLE_RATED__s6\":12363,\"NUM_PEOPLE_RATED__s7\":0,\"NUM_PEOPLE_RATED__s8\":0,\"NUM_PEOPLE_RATED__s9\":0,\"NUM_PEOPLE_RATED__s10\":0}","fbconfig":"{\"message\":\"undefined\",\"name\":\"undefined\",\"link\":\"\",\"source\":\"\",\"picture\":\"http:\\\/\\\/l.yimg.com\\\/a\\\/i\\\/ww\\\/news\\\/2011\\\/09\\\/27\\\/yahoo-tc.jpg\",\"description\":\"\",\"captionLeft\":\"undefined\",\"captionRight\":\"undefined\",\"app_id\":\"196660913708276\",\"redirect_uri\":\"\\\/_xhr\\\/ugcratefbredirect\\\/\"}","template_id":"LONG_SLIDER_SOUTH","obj_id":"ratings_2f3321fbcbe1cca883591448772cc64a","opt_count":"6","opt_color1":"","opt_color2":"","template_html":"

Read More..

Controversial Guns N' Roses promo being modified

LAS VEGAS (AP) — A Las Vegas resort criticized for a suggestive ad campaign promoting Guns N' Roses shows is apologizing for the flap and changing the artwork.

Ads for the band's four-week run at the Hard Rock Hotel & Casino depicted a disheveled woman who appeared to be sexually assaulted beneath the "Welcome to Las Vegas" sign.

The artwork came to the attention of county commissioners after they temporarily renamed a street Paradise City Road in honor of the band's famous song.

Rape crisis groups decried the campaign, saying it glorified domestic violence and could re-traumatize victims.

The Hard Rock issued a statement saying it regrets that the campaign offended members of the community, and it started modifying the ads Friday.

Read More..

Study: Vitamins don't lower heart risks in men

LOS ANGELES (AP) — Multivitamins might help lower the risk for cancer in healthy older men but do not affect their chances of developing heart disease, new research suggests.

Two other studies found fish oil didn't work for an irregular heartbeat condition called atrial fibrillation, even though it is thought to help certain people with heart disease or high levels of fats called triglycerides in their blood.

The bottom line: Dietary supplements have varied effects and whether one is right for you may depend on your personal health profile, diet and lifestyle.

"Many people take vitamin supplements as a crutch," said study leader Dr. Howard Sesso of Brigham and Women's Hospital in Boston. "They're no substitute for a heart-healthy diet, exercising, not smoking, keeping your weight down," especially for lowering heart risks.

The studies were presented Monday at an American Heart Association conference in Los Angeles.

A separate analysis released in connection with the meeting showed that at least 1 in 3 baby boomers who are in good shape will eventually develop heart problems or have a stroke. The upside is that that will happen about seven years later than for their less healthy peers.

The study is "a wake-up call that this disease is very prevalent in the United States and even if you're doing a good job, you're not immune," said Dr. Vincent Bufalino, a Chicago-area cardiologist and spokesman for the American Heart Association.

The findings came in an analysis of five major studies involving nearly 50,000 adults aged 45 and older who were followed for up to 50 years.

The research was published online by the Journal of the American Medical Association, along with the vitamin paper and one fish oil study.

Multivitamins are America's favorite dietary supplement. About one-third of adults take them. Yet no government agency recommends their routine use for preventing chronic diseases, and few studies have tested them to see if they can.

A leading preventive medicine task force even recommends against beta-carotene supplements, alone or with other vitamins, to prevent cancer or heart disease because some studies have found them harmful. And vitamin K can affect bleeding and interfere with some commonly used heart drugs.

Sesso's study involved nearly 15,000 healthy male doctors given monthly packets of Centrum Silver or fake multivitamins. After about 11 years, there were no differences between the groups in heart attacks, strokes, chest pain, heart failure or heart-related deaths.

Side effects were fairly similar except for more rashes among vitamin users. The National Institutes of Health paid for most of the study. Pfizer Inc. supplied the pills and other companies supplied the packaging.

The same study a few weeks ago found that multivitamins cut the chance of developing cancer by 8 percent — a modest amount and less than what can be achieved from a good diet, exercise and not smoking.

Multivitamins also may have different results in women or people less healthy than those in this study — only 4 percent smoked, for example.

The fish-oil studies tested prescription-strength omega-3 capsules from several companies in two different groups of people for preventing atrial fibrillation, a fluttering, irregular heartbeat.

One study from South America aimed to prevent recurrent episodes in 600 participants who already had the condition. The other sought to prevent it from developing in 1,500 people from the U.S., Italy and Argentina having various types of heart surgery, such as valve replacement. About one third of heart-surgery patients develop atrial fibrillation as a complication.

Both studies found fish oil ineffective.

___

AP Medical Writer Lindsey Tanner in Chicago contributed to this report.

___

Online:

Heart Association: http://www.heart.org

JAMA: http://www.jama.ama-assn.org

Vitamin facts: http://ods.od.nih.gov/factsheets/MVMS-QuickFacts/

Dietary advice: www.dietaryguidelines.gov

___

Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP .

Read More..

Everything you wanted to know about voting machines

Ever since punch-card voting machines produced the "hanging chads" that led to the Florida recount in the 2000 election, Americans have been looking for new and more reliable technology to use on Election Day.

One result: The Help America Vote Act of 2002, which authorized $3.9 billion in federal funds for trading in punch-card and lever systems with either e-voting or optical scan systems. The act also stipulates that all polling places should make available a handicap-accessible voting device.

But while the country, for the most part, has moved on from the older, more unreliable machines, the new models present their own set of challenges. From shadowy conspiracy theories to genuine concerns about glitches, here's what you need to know about the machines that are supposed to make democracy work.

What kind of machines are used, and where?

Sixty percent of the country now supplies voters with optical scanners. To use them, voters shade in their choices on paper ballots (similar to how they would take an SAT test) before feeding it to the machines. These optical scanners, while not exactly a brand-new technology, are the state-of-the-art for both their accuracy in processing votes and their security against tampering.

But the same cannot always be said for the alternative, e-voting equipment (direct-recording electronic machines, or DREs), which is used in about 25 percent of the country. These are lined up in places like Georgia, Maryland, Utah, Nevada, New Jersey, Pennsylvania, Indiana and Texas.

E-voting machines come in three variants: push-button machines sporting a keypad; LCD touch-screens; and machines that use a rolling wheel to select and confirm a vote onscreen. All of these register votes on an electronic ballot. The absence of a paper trail, which is preserved by the optical scanners, has caused concerns since the inception of the machines.

VerifiedVoting.org provides more specifics on the history and different forms of voting technology, including a map showing the brand of election equipment for different states.

Does anyone still use punch-card or lever systems?

Four counties in Idaho still use punch-card ballots, while none in the country has used lever machines since 2010.

What are some of the examples of problems with e-voting machines?

In 2004, electronic votes were wiped from machines in New Jersey and North Carolina. But the much more ominous worries over the limits and liabilities of e-voting became clear in 2008, when a study by Princeton University revealed how easy it would be to hack into the Sequoia brand of e-voting machines (used chiefly in New Jersey, Pennsylvania and Louisiana) to steal votes.

More disturbing is this quote from Roger Johnston, a computer science expert leading a subsequent test on Diebold AccuVote e-voting machines just last year: "I've seen high-school science fair projects that are more sophisticated than what is needed to hijack a voting machine." His crash course in vote-jacking went as follows: The equipment was hacked by inserting a very inexpensive homemade device into the voting machine, which could be remotely controlled from afar. In practice, when the voter attempted to mark her e-ballot, the hacker could intercept and alter the vote from one party to the other.

Despite these widely reported studies, as well as HBO's 2006 documentary "Hacking Democracy," there has not yet been any effort to address these sorts of problems with either the Diebold machines or the smaller malfunctions of e-voting machines more broadly. (It is, of course, also true that there have been problems with fraud and machine error with more traditional forms of voting technology.)

The software for the e-voting machines is proprietary, which means that only the companies that manufacture them have access to their design, which they have kept from examination through extended legal battles.

What's with stories about Tagg Romney owning voting machines?

In a tight election, even the most tenuous connections can be spun quickly into a web of conspiracy. That's not to say that there aren't genuine links between very enthusiastic Mitt Romney donors and Hart InterCivic, a large supplier of voting machines in Ohio—but the theories attempting to prove that Tagg Romney, the Republican nominee's eldest son, owns Ohio voting machines overstep the boundaries of available evidence.

As Rick Ungar reported in Forbes, two Hart InterCivic board members made direct donations to the Romney campaign; furthermore, several directors of H.I.G. capital, which owns Hart, are major money-raisers for the campaign. (Some of them were in the room during Romney's infamous "47 percent" remarks.)

But there is no evidence that Tagg Romney's private equity firm, Solamere Capital, invests, owns or controls voting machines made by InterCivic. The closest one gets by following the money is to find Solamere investing in H.I.G.'s medical fund, BioVentures, a wholly separate fund, as reported by Eugene Kiely and Lucas Isakowitz at Factcheck.org.

What will superstorm Sandy's impact be on voting in the Northeast?

In the back of people's minds, Sandy's effect on voting in the Northeast has been a quiet but pressing concern. As Thad Hall, a University of Utah political scientist and researcher for the Voting Technology Project, told the Associated Foreign Press, "Some voters will literally not be able to vote because they will have been evacuated from their local polling place and there is no provision for remote voting."

The voting machines themselves will be left operating on batteries, not an encouraging prospect as Election Day drags on longer in areas where debris and destruction have complicated the process and organization.

In New Jersey, the state is allowing residents to combat the aftermath of the storm by voting through absentee ballots by email or fax. And state officials in New York have said that residents may be granted an extra day to vote if Tuesday's turnout is below 25 percent.

Read More..

China's Communists endorse Bo Xilai's expulsion

BEIJING (AP) — China's ruling Communist elite have endorsed the expulsion of former high-flying politician Bo Xilai and approved final preparations for the party's upcoming congress, state media reported Sunday.

The closed-door meeting of the Central Committee that ended Sunday was the last before Communist Party leader Hu Jintao and others in his government begin to cede power to Vice President Xi Jinping and others at the congress, which opens Thursday.

The official Xinhua News Agency said the committee endorsed decisions to expel Bo and former Railways Minister Liu Zhijun from the Communist Party. Bo is accused of a range of misdeeds including covering up his wife's murder of a British businessman. Liu faces corruption charges.

The policy-setting committee also appointed two new vice chairmen of the Central Military Commission, Xinhua said.

The Central Committee is comprised of about 370 people from the upper ranks of the party, government and military.

Bo's ouster earlier this year widened rifts within a leadership that likes to project an image of unity. It also complicated the bargaining over the roster of new leaders.

Read More..

Google's Android software in 3 out of 4 smartphones

'},"otherParams":{"t_e":1,".intl":"US"},"events":{"fetch":{lv:2,"sp":"1197280665","ps":"LREC,MON","npv":true,"bg":"#FFFFFF","em":escape('{"site-attribute":"_id=\'048ccb9d-45dd-354e-b2f5-74c9b098ca33\' sensitivity=\'0\' rs=\'lmsid:a0770000002GZ5iAAG\' ctype=\'fn_news;News\' ctopid=\'1499989;1550500;2299500;1507989;1506989;1542500;1550000;1507489\' can_suppress_ugc=\'1\' content=\'no_expandable;ajax_cert_expandable;\' ADSSA"}'),"em_orig":escape('{"site-attribute":"_id=\'048ccb9d-45dd-354e-b2f5-74c9b098ca33\' sensitivity=\'0\' rs=\'lmsid:a0770000002GZ5iAAG\' ctype=\'fn_news;News\' ctopid=\'1499989;1550500;2299500;1507989;1506989;1542500;1550000;1507489\' can_suppress_ugc=\'1\' content=\'no_expandable;ajax_cert_expandable;\' ADSSA"}')}}};var _createNodes=function(){var nIds=_conf.nodeIds;for(var i in nIds){var nId=nIds[i];var dId=_conf.destinationMap[nIds[i].replace("yom-","")];n=Y.one("#"+nId);if(n)var center=n.one("center");var node=Y.one("#"+dId);var nodeHTML;if(center && !node){nodeHTML=_conf.nodes[nId];center.insert(nodeHTML);};};};var _prepareNodes=function(){var nIds=_conf.nodeIds;for(var i in nIds){var nId=nIds[i];var dId=_conf.destinationMap[nIds[i].replace("yom-ad-","")];n=Y.one("#"+nId);if(n)var center=n.one("center");var node=Y.one("#"+dId);if(center && node){center.set("innerHTML","");center.insert(node);node.setStyle("display","block");};};};var _darla;var _config=function(){if(YAHOO.ads.darla){_darla = YAHOO.ads.darla;_createNodes();};};var _fetch=function(spaceid,adssa,ps){
if (typeof(ps)!='undefined')
_conf.events.fetch.ps = ps;if(typeof spaceid != "undefined") _conf.events.fetch.sp=spaceid;adssa = (typeof adssa != "undefined" && adssa != null) ? escape(adssa.replace(/\"/g, "'")) : "";_conf.events.fetch.em=_conf.events.fetch.em_orig.replace("ADSSA", adssa);if(_darla){_prepareNodes();_darla.setConfig(_conf);_darla.event("fetch");};};Y.on("domready", function(){_config();});;var that={"fetch":_fetch,"getNodes":_conf.nodes,"getConf":_conf};return that;}();/* Backwards compatibility - Assigning the latest instance to the main fetch function */YUI.PhotoAdsDarla.fetch=YUI.PhotoAdsDarla.photoslightboxdarla.fetch;
});
Y.later(10, this, function() {YAHOO.namespace('Media.Social').Lightbox = {};
});
Y.later(10, this, function() {Y.Media.Article.init();
});
Y.later(10, this, function() {new Y.Media.AuthorBadge();
});
Y.later(10, this, function() {new Y.Media.Branding();
});
Y.later(10, this, function() {Y.on("load", function () {
YUI.namespace("Media.SocialButtons");

var instances = YUI.Media.SocialButtons.instances || [],
globalConf = YAHOO.Media.SocialButtons.conf || {},
vplContainers = [];

Y.all(".ymsb").each(function (node) {
var id = node.get("id"),
conf = YAHOO.Media.SocialButtons.configs[id],
instance;

if (conf) {
instance = new Y.SocialButtons({
srcNode: node,
config: Y.merge(globalConf, conf.config || {}),
contentMetadata: conf.content || {},
tracking: conf.tracking || {}
});
vplContainers.push(
{
selector: "#" + id,
callback: function(node) { instance.render(); instance = conf = id = null; }
});

if (conf.config && conf.config.dynamic) {
instances.push(instance);
}
}
});

Y.Global.Media.ViewportLoader.addContainers(vplContainers);
YUI.Media.SocialButtons.instances = instances;
});
});
Y.later(10, this, function() {if (!Y.Media) {

return;

}

Y.Media.boba_lightbox_module_targets = Y.Media.boba_lightbox_module_targets || {};

Y.Media.boba_lightbox_module_configs = Y.Media.boba_lightbox_module_configs || {};

Y.Media.boba_lightbox_module_dataset = Y.Media.boba_lightbox_module_dataset || {};

Y.Media.boba_lightbox_module_whitelist = Y.Media.boba_lightbox_module_whitelist || {};


Y.Media.boba_lightbox_module_targets['lightbox7b074328ba80f0e906939c94408a9450'] = {"lightboxId":"5beaad150e48e74b27ba30e31680d570","pivotId":"8c9c5d48-1003-38e5-8cba-ae9828acbda7"};


Y.Media.boba_lightbox_module_dataset['5beaad150e48e74b27ba30e31680d570'] = {"spaceid":"1197280665","total":1,"photoby":"Photo By","xhrtype":"slideshow","videoconf":{"autoplay":true,"continuousPlay":true,"mute":false,"volume":"1.00","lang":"en-US","site":"news","region":"US","jurisdiction":"US","YVAP":{"accountId":"145","playContext":"default"},"pageSpaceId":"1197280665","comscoreC4":"US News","comscoreC6":"","showEmbedCode":true,"showShareUrl":true,"expName":"MediaArticleRelatedLightbox","expType":"inline","apiEnv":"prod"},"slideshow_id":null,"slideshow_title":null,"slideshow_title_baked_html":null,"slideshow_desc":null,"slideshow_rev":null,"slideshow_plink_vita":null,"photos":[{"type":"image","url":"http:\/\/l3.yimg.com\/bt\/api\/res\/1.2\/V9xx2l9jTi4JXe9pC3c9TQ--\/YXBwaWQ9eW5ld3M7Zmk9aW5zZXQ7aD0zMDA7cT03OTt3PTQ1MA--\/http:\/\/media.zenfs.com\/en_us\/News\/Reuters\/2012-11-02T201400Z_1_CBRE8A11JVJ00_RTROPTP_2_GOOGLE.JPG","width":450,"height":300,"uuid":"8c9c5d48-1003-38e5-8cba-ae9828acbda7","caption":"Attendees gather at the Android developer sandbox during the Google I\/O Conference at Moscone Center in San Francisco, California June 28, 2012. REUTERS\/Stephen Lam","captionBakedHtml":"

Attendees gather at the Android developer sandbox during the Google I\/O Conference at Moscone Center in San Francisco, California June 28, 2012. REUTERS\/Stephen Lam","date":"Fri, Nov 2, 2012 4:16 PM EDT","credit":"Reuters","byline":"\ufffd Stephen Lam \/ Reuters","provider":"Reuters","photo_title":"Attendees gather at the Android developer sandbox during the Google I\/O Conference in San Francisco","pivot_alias_id":"attendees-gather-android-developer-sandbox-during-google-o-photo-200645766","plink":"\/photos\/attendees-gather-android-developer-sandbox-during-google-o-photo-200645766.html","plink_vita":"http:\/\/news.yahoo.com\/photos\/attendees-gather-android-developer-sandbox-during-google-o-photo-200645766.html","srchtrm":"Attendees gather at the Android developer sandbox during the Google I\/O Conference in San Francisco","revsp":"","rev":"21e4e7c0-252a-11e2-a7d5-a4e5802e1c8f","surl":"http:\/\/l.yimg.com\/bt\/api\/res\/1.2\/aXNb.Hjk6iN0EEJTYGBVkg--\/YXBwaWQ9eW5ld3M7Zmk9aW5zZXQ7aD01NjtxPTc5O3c9ODQ-\/http:\/\/media.zenfs.com\/en_us\/News\/Reuters\/2012-11-02T201400Z_1_CBRE8A11JVJ00_RTROPTP_2_GOOGLE.JPG","swidth":84,"sheight":56}]};

Y.Media.boba_lightbox_module_configs['5beaad150e48e74b27ba30e31680d570'] = {"spaceid":"1197280665","ult_pt":"story-lightbox","darla_id":"","images_total":0,"xhr_url":"\/_xhr\/related-article\/lightbox\/?id=048ccb9d-45dd-354e-b2f5-74c9b098ca33","xhr_count":20,"autoplay_if_first_item_is_video":true};
});
Y.later(10, this, function() {new Y.Media.RelatedArticle({count:"2",start:"1",
mod_total:"10", total:"0",
content_id:"048ccb9d-45dd-354e-b2f5-74c9b098ca33",
spaceid:"1197280665",
related_count:"-1"
});
});
Y.later(10, this, function() {(function(d){
d.getElementsByTagName('head')[0].appendChild(d.createElement('script')).src='http://d.yimg.com/oq/js/csc_news-en-US-core.js';
})(document);
});
Y.later(10, this, function() {
if(!("Media" in YAHOO)){YAHOO.Media = {};}
if(!("ugcrate" in YAHOO.Media)){YAHOO.Media.ugcrate = {};}
if(!("Media" in Y)){Y.namespace("Media");}
YAHOO.Media.ugcrate.ratings_fd3182a74fc12b41f9c3ecb0597e49b1 = new Y.Media.UgcRate({"context_id":"1b05b3fc-d288-43a3-bf0f-c88b56b4f5a8","sCrumb":"","containerId":"yom-sentimentrate-fd3182a74fc12b41f9c3ecb0597e49b1","rateDimensions":"d1","appLang":"en-US","sUltSId":"1197280665","sUltProperty":"news-en-US","sUltCampaign":"","sUltPlatform":"ugcwidgets","sUltIntl":"US","sUltLang":"en-US","selfPageUrl":"http:\/\/news.yahoo.com\/googles-android-software-3-4-smartphones-200645049--sector.html?_esi=0","artContentId":"048ccb9d-45dd-354e-b2f5-74c9b098ca33","sUltQstnTxt":"What do you think of the iPad Mini?","artContentTitle":"Google\\'s Android software in 3 out of 4 smartphones","artContentDesc":"SAN FRANCISCO (Reuters) - Three out of every four smartphones sold in the third quarter featured Google Inc\\'s Android mobile operating system, as the gap between Google and Apple Inc-based phones widened further, according to a new research report. Shipments of Android-based smartphones made by Samsung, HTC and other vendors nearly doubled in the third quarter, reaching 136 million units, according to industry research firm IDC. The strong sales boosted Android\\'s share of the worldwide smartphone market to 75 percent, from 57.5 percent in the year-ago period. ...","sUltBucketId":"test1","sUltSection":"sentirating","sUltBeaconUrl":"","sUltRecordPageviews":"1","sUltBeaconEnable":"1","serviceUrl":"\/_xhr","publisherContextId":"","propertyId":"2fcd79b5-b3a3-333e-b98e-722536a6698f","configurationId":"435db9ee-c55e-3766-b20d-c8ad3ff889d1","graphId":"","labelLeft":"Yawn..","labelRight":"I need to have it!","labelMiddle":"","itemimg":"http:\/\/l.yimg.com\/a\/i\/ww\/met\/yahoo_logo_us_061509.png","selfURI":"","aggregateRatingCount":"12687","aggregateReviewCount":"0","leftBlocksNum":"10888","rightBlocksNum":"1799","leftBlocksPerCent":"86","rightBlocksPerCent":"14","ugcrate_apihost":"api01-us.ugcl.yahoo.com:4080","publisher_id":"news-en-US","yca_cert":"yahoo.ugccloud.app.trusted_proxies","timeout_write":"5000","through_proxy":"false","optionStats":"{\"s1\":8478,\"s2\":663,\"s3\":523,\"s4\":627,\"s5\":597,\"s6\":1799,\"s7\":0,\"s8\":0,\"s9\":0,\"s10\":0}","l10N":"{\"FIRST_TO_READ\":\"You are first to read this. Share your feelings and start a conversation.\",\"SHARE_YOUR_FEELINGS\":\"You too can share your feelings and start a conversation!\",\"HOW_YOUR_FRIENDS_THINK\":\"Share your response with your friends on Facebook\",\"PRE_SHARE_MSG\":\"Your Facebook friends on Yahoo! can see how you responded. To share your response on Facebook, click on the Facebook share option.\",\"START_THE_CONVERSATION\":\"Share\",\"THANKS_FOR_SHARING\":\"Your response has been shared with your friends on Facebook\",\"POLL_HEADER\":\"SOCIAL SENTIMENT\",\"SERVER_ERROR\":\"Oops there seems to be some error, please try again later\",\"LOADING\":\"Loading...\",\"SHARE_AFTER_COMMENT\":\"Your response has been shared on Facebook.\",\"UNDO\":\"Undo\",\"UNIT_PEOPLE\":\"People\",\"NUM_PEOPLE_DISAGREE\":\"disagree with your opinion.\",\"READ_MORE_TEXT\":\"Read what they have to say.\",\"SLIDER_THUMB_WORDING_BEFORE_VOTING\":\"WHAT DO YOU THINK?\",\"SLIDER_THUMB_WORDING_VERB_BEFORE_VOTING\":\"DRAG\",\"SLIDER_THUMB_WORDING_THANKS_VOTING\":\"Thanks for voting\",\"NUM_PEOPLE_ANSWERED\":\" 12,687 people have responded\",\"ONE_PERSON_ANSWERED\":\" 1 person has responded. Your response will be seen by your Facebook friends on Yahoo!\",\"TWO_PEOPLE_ANSWERED\":\" 2 people have responded. Your response will be seen by your Facebook friends on Yahoo!\",\"NUM_PEOPLE_ANSWERED_AND_SHARED\":\" 12,687 people have responded. Your response will be seen by your Facebook friends on Yahoo!\",\"NUM_PEOPLE_RATED__s1\":8478,\"NUM_PEOPLE_RATED__s2\":663,\"NUM_PEOPLE_RATED__s3\":523,\"NUM_PEOPLE_RATED__s4\":627,\"NUM_PEOPLE_RATED__s5\":597,\"NUM_PEOPLE_RATED__s6\":1799,\"NUM_PEOPLE_RATED__s7\":0,\"NUM_PEOPLE_RATED__s8\":0,\"NUM_PEOPLE_RATED__s9\":0,\"NUM_PEOPLE_RATED__s10\":0}","fbconfig":"{\"message\":\"undefined\",\"name\":\"undefined\",\"link\":\"\",\"source\":\"\",\"picture\":\"http:\\\/\\\/l.yimg.com\\\/a\\\/i\\\/ww\\\/news\\\/2011\\\/09\\\/27\\\/yahoo-tc.jpg\",\"description\":\"\",\"captionLeft\":\"undefined\",\"captionRight\":\"undefined\",\"app_id\":\"196660913708276\",\"redirect_uri\":\"\\\/_xhr\\\/ugcratefbredirect\\\/\"}","template_id":"LONG_SLIDER_SOUTH","obj_id":"ratings_fd3182a74fc12b41f9c3ecb0597e49b1","opt_count":"6","opt_color1":"","opt_color2":"","template_html":"

Read More..

Lucas plans 'little personal films' in future

NEW YORK (AP) — George Lucas is done with "Star Wars," but not with filmmaking.

The "Star Wars" creator says he's looking forward to making his "own little personal films" that he doubts will be for the theater crowd.

Lucas spoke Friday night at Ebony magazine's Power 100 Gala, days after announcing the sale of his storied Lucasfilm to Disney for $4.05 billion. The deal would allow for more "Star Wars" films.

Lucas was "very sad" let Lucasfilm go but excited about his educational foundation, which will benefit from the sale. He also plans to make more movies. His last one was this year's "Red Tails," about the Tuskegee Airmen, but he said he barely got it in theaters. He said the movies he's working on now "will never get into theaters."

Read More..

Floods render NYC hospitals powerless

NEW YORK (AP) — There are few places in the U.S. where hospitals have put as much thought and money into disaster planning as New York. And yet two of the city's busiest, most important medical centers failed a fundamental test of readiness during Superstorm Sandy this week: They lost power.

Their backup generators failed, or proved inadequate. Nearly 1,000 patients had to be evacuated.

The closures led to dramatic scenes of doctors carrying patients down dark stairwells, nurses operating respirators by hand, and a bucket brigade of National Guard troops hauling fuel to rooftop generators in a vain attempt to keep the electricity on.

Both hospitals, NYU Langone Medical Center and Bellevue Hospital Center, were still trying to figure out exactly what led to the power failures Thursday, but the culprit appeared to be the most common type of flood damage there is: water in the basement.

While both hospitals put their generators on high floors where they could be protected in a flood, other critical components of the backup power system, such as fuel pumps and tanks, remained in basements just a block from the East River.

Both hospitals had fortified that equipment against floods within the past few years, but the water — which rushed with tremendous force — found a way in.

"This reveals to me that we have to be much more imaginative and detail-oriented in our planning to make sure hospitals are as resilient as they need to be," said Irwin Redlener, director of the National Center for Disaster Preparedness at Columbia University's Mailman School of Public Health.

The problem of unreliable backup electricity at hospitals is nothing new.

Over the first six months of the year, 23 percent of the hospitals inspected by the Joint Commission, a health care facility accreditation group, were found to be out of compliance with standards for backup power and lighting, according to a spokesman.

Power failures crippled New Orleans hospitals after Hurricane Katrina. The backup generator failed at a hospital in Stafford Springs, Conn., after the remnants of Hurricane Irene blew through the state in 2011. Hospitals in Houston were crippled when Tropical Storm Allison flooded their basements and knocked out electrical equipment in 2001.

When the Northeast was hit with a crippling blackout in 2003, the backup power at several of New York City's hospitals failed or performed poorly. Generators malfunctioned or overheated. Fuel ran out too quickly. Even where the backup systems worked, they provided electricity to only some parts of the hospital and left others in the dark.

Afterward, a mayoral task force recommended upgrading testing standards for generators and requiring backup plans for blood banks and health care facilities that provide dialysis treatment.

Alan Aviles, president of New York City's Health and Hospitals Corp., which operates Bellevue, said that after a scare last summer when Hurricane Irene threatened to cause flooding, Bellevue put its basement-level fuel pumps in flood-resistant chambers.

It still isn't clear whether water breached those defenses, but when an estimated 17 million gallons of water rushed through loading docks and into the hospital's 1-million-square-foot basement, the fuel feed to the generators stopped working. The floodwaters also knocked out the hospital's elevators.

For two days, National Guardsmen carried fuel to the generators, but conditions inside the hospital for patients and staff deteriorated anyway. The generators were designed to supply only 30 percent of the usual electrical load at the hospital, leaving a lot of equipment and labs hobbled. The hospital also lost all water pressure on Tuesday. Nearly 700 patients had been evacuated by Thursday afternoon.

"The precautions we had taken to date had served us well," Aviles said. "But Mother Nature can always up the stakes."

NYU Langone Medical Center had also tried to armor itself against floods.

All seven of the generators providing backup power to the parts of the hospital involved in patient care are only a few years old and are on higher floors. The fuel tank is in a watertight vault. New fuel pumps were installed just this year in a pump house upgraded to withstand a high flood, said the hospital's vice president of facilities operation, Richard Cohen.

"The medical center invested quite a bit of money to upgrade the facility," he said.

The pump house remained "bone dry," Cohen said. But water shoved aside plastic and plywood defenses and infiltrated the fuel vault, where sensors detected the potentially damaging liquid and shut the generators down. "The force of the surge that came in was unbelievable. It dislodged our additional protection and caused a breach of the vault as well," Cohen said.

The power at NYU went out in a flash, leaving the staff scrambling to evacuate 300 patients with no notice.

Dr. Robert Berg, an obstetrician, said that when he lost power in his apartment, he went to the hospital to charge his cellphone and was stunned to find it in chaos.

"It didn't really occur to me that the hospital was going to be in trouble," he said. Even after finding the lobby dark, "I thought, 'We'll have power upstairs. We're an operating room.'"

He wound up carrying two patients down flights of stairs on a "med sled."

"There was a Category 1 outside and a Category 4 inside," he said. "I can't say that they were very well prepared for it."

That has left only one hospital, Beth Israel Medical Center, functioning in the southern third of Manhattan. It is also on backup power, but brought in two huge new generators Thursday, just in case.

Aviles said Bellevue might be out of commission for at least two more weeks. NYU Langone's generators are operating again, but the hospital is waiting for Consolidated Edison to restore its power before it starts taking patients again. That could happen in a matter of days.

Flooding may pose less of a danger to the hospital's power supply in the future. Construction is under way on a new power plant, at a cost of more than $200 million, that will run on natural gas and supply all the hospital's power needs.

"It's a tremendous facility, with a lot of hardening built into it," Cohen said.

___

AP Medical Writer Mike Stobbe contributed to this report.

Read More..