Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

With final vote, Congress resolves 'fiscal cliff' drama










WASHINGTON (Reuters) - The United States averted economic calamity on Tuesday when lawmakers approved a deal to prevent huge tax hikes and spending cuts that would have pushed the world's largest economy off a "fiscal cliff" and into recession.

The agreement hands a clear victory to President Barack Obama, who won re-election on a promise to address budget woes in part by raising taxes on the wealthiest Americans. His Republican antagonists were forced to vote against a core tenet of their anti-tax conservative faith.






The deal also resolves, for now, the question of whether Washington can overcome deep ideological differences to avoid harming an economy that is only now beginning to pick up steam after the deepest recession in 80 years.

Consumers, businesses and financial markets have been rattled by the months of budget brinkmanship. The crisis ended when dozens of Republicans in the House of Representatives buckled and backed tax hikes approved by the Democratic-controlled Senate.

Asian stocks hit a five-month high and the dollar fell as markets welcomed the news.

While the vote averted immediate pain like tax hikes for almost all U.S. households, it did nothing to resolve other political showdowns on the budget that loom in coming months. Spending cuts of $109 billion in military and domestic programs were only delayed for two months.

Obama urged "a little less drama" when the Congress and White House next address thorny fiscal issues like the government's rapidly mounting $16 trillion debt load.

There was plenty of drama on the first day of 2013 as lawmakers scrambled to avert the "fiscal cliff" of across-the-board tax hikes and spending cuts that would have punched a $600 billion hole in the economy this year.

As the rest of the country celebrated New Year's Day with parties and college football games, the Senate stayed up past 2 a.m. on Tuesday and passed the bill by an overwhelming margin of 89 to 8.

When they arrived at the Capitol at noon, House Republicans were forced to decide whether to accept a $620 billion tax hike over 10 years on the wealthiest or shoulder the blame for letting the country slip into budget chaos.

The Republicans mounted an effort to add hundreds of billions of dollars in spending cuts to the package and spark a confrontation with the Senate.

RELUCTANT REPUBLICANS

For a few hours, it looked like Washington would send the country over the fiscal cliff after all, until Republican leaders determined that they did not have the votes for spending cuts.

In the end, they reluctantly approved the Senate bill by a bipartisan vote of 257 to 167 and sent it on to Obama to sign into law.

"We are ensuring that taxes aren't increased on 99 percent of our fellow Americans," said Republican Representative David Dreier of California.

The vote underlined the precarious position of House Speaker John Boehner, who will ask his Republicans to re-elect him speaker on Thursday when a new Congress is sworn in.

Boehner backed the bill but most House Republicans, including his top lieutenants, voted against it.

The speaker had sought to negotiate a "grand bargain" with Obama to overhaul the U.S. tax code and rein in health and retirement programs that are due to balloon in coming decades as the population ages.

But Boehner could not unite his members behind an alternative to Obama's tax measures.

Income tax rates will now rise on families earning more than $450,000 per year and the amount of deductions they can take to lower their tax bill will be limited.

Low temporary rates that have been in place for the past decade will be made permanent for less-affluent taxpayers, along with a range of targeted tax breaks put in place to fight the 2009 economic downturn.

However, workers will see up to $2,000 more taken out of their paychecks annually with the expiration of a temporary payroll tax cut.

The non-partisan Congressional Budget Office said the bill will increase budget deficits by nearly $4 trillion over the coming 10 years, compared to the budget savings that would occur if the extreme measures of the cliff were to kick in.

But the measure will actually save $650 billion during that time period when measured against the tax and spending policies that were in effect on Monday, according to the Committee for a Responsible Federal Budget, an independent group that has pushed for more aggressive deficit savings.

(Additional reporting by Rachelle Younglai, Thomas Ferraro, Mark Felsenthal, David Lawder; Writing by Andy Sullivan; Editing by Alistair Bell and Eric Beech)

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Weak offense costs Lovie Smith his job as Bears coach









It is not often NFL teams fire head coaches after 10-win seasons, but it is even rarer for coaches to retain their jobs after failing to reach the playoffs five times in six years.

So it was not surprising Monday morning when the Bears fired Lovie Smith less than 24 hours after his team defeated the Lions to finish 10-6 but still missed the postseason, becoming just the second team since the 12-team playoff format was established in 1990 to miss the playoffs after a 7-1 start.

The epitaph for Smith's tenure as coach of the Bears could read, "He couldn't fix the offense."

Smith spoke to his team in a brief but emotional meeting, and many players, fiercely loyal to Smith, were hurt. Some were angry. Smith was 81-63 in the regular season with three NFC North titles, four 10-win seasons, a 3-3 playoff record and one Super Bowl trip. Only George Halas and Mike Ditka won more games as coach for the NFL cornerstone franchise.

"It's a tough situation to be in to see a great man and a great coach have to stand in front of the room and do that," center Roberto Garza said. "But this is the NFL. It happens. Unfortunately, we forced that situation."

Smith has one year remaining on his contract at $5 million. His staff remains under contract through 2013 and multiple assistants said they have not been released from their deals, although all or nearly all or expected to depart.

General manager Phil Emery will speak publicly about the move at 10 a.m. Tuesday, and NFL sources confirmed the team has scheduled interviews with Broncos offensive coordinator Mike McCoy and Falcons special teams coordinator Keith Armstrong, who held the same role for the Bears from 1997-2000.

Armstrong, who is expected to interview Tuesday, is African-American and the Bears must interview at least one minority candidate to satisfy the league's Rooney Rule. He also has interviews scheduled with the Eagles and Chiefs.

Buccaneers offensive coordinator Mike Sullivan is expected to interview with the Bears on Wednesday.

Surely, Emery's vision includes a dramatically reshaped offense. For all the good things Smith did in his nine years in Chicago, his undoing was his inability to take care of the side of the ball in which he had no background.

Since Smith took over in 2004, the Bears have ranked higher than 23rd in offense only once. They have ranked 28th or lower four times and finished 28th in 2012.

Smith tried four offensive coordinators during his Bears career. Smith's first thought was to run a similar offense to the one he was familiar with when he was defensive coordinator of the Rams, so he hired Terry Shea, despite not having worked with him. It was an unmitigated disaster. The Bears finished last in the league in offense behind quarterbacks Chad Hutchinson, Craig Krenzel, Jonathan Quinn and Rex Grossman, and Shea was dismissed after one season.

Smith then turned to Ron Turner for his second stint as Bears offensive coordinator, although some insist that the Smith-Turner pairing was an arranged marriage. Turner lasted five years in what was the heyday for the Bears offense under Smith.

Those days Smith talked frequently about how the Bears "get off the bus running," and the team achieved its offensive identity by pounding the ball with Thomas Jones, then Cedric Benson and finally Matt Forte.

But after the Bears traded two first-round draft picks and a third-rounder for Jay Cutler in 2009 and still finished 23rd in offense and missed the playoffs, Turner was made the scapegoat and fired.

An extensive job search led the Bears back to Smith's old friend Mike Martz, for whom he had worked in St. Louis. Going from the conservative Turner to the aggressive Martz was quite a philosophical shift for Smith.

Martz's offense sputtered in 2010 even as the team reached the NFC championship game but started to flourish the next season. Then Cutler broke his thumb in the 10th game and the team unraveled. The Bears lost five straight, and Martz was fired along with general manager Jerry Angelo, the man who brought Smith to Chicago.

Team President Ted Phillips mandated that Emery work with Smith for at least 2012, lauding the coach for his consistency. Speculation is the Bears chose not to fire Smith because he had two years remaining on his contract.

Smith's next move was to go conservative again, this time by promoting offensive line coach Mike Tice. A first-time play caller, Tice made great use of new acquisition Brandon Marshall but struggled to find other reliable targets or to overcome protection issues.

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Change could be coming after Bears miss playoffs









DETROIT — The Bears could spend between now and wild-card weekend counting the reasons they will be sitting at home with 10 wins.

A defensive meltdown in Week 13 against the Seahawks and a brutal loss at Minnesota the following week are good places to start. Their time will be better spent, however, compiling ways they can improve in 2013 after a second-half collapse could not be saved by road wins over the lowly Cardinals and Lions at the end of a season that began with great promise.

The Bears held on for a 26-24 victory over the Lions on Sunday at Ford Field, but their playoff dreams were dashed a little more than three hours later as the Vikings upset the Packers 37-34 on Blair Walsh's 29-yard field goal as time expired.

The Bears join the 1996 Redskins as the only teams since the playoffs were expanded to 12 teams to miss the playoffs after a 7-1 start. An easy first-half schedule turned challenging, an opportunistic defense stopped scoring touchdowns and the offense again failed to blossom in the fourth season for quarterback Jay Cutler, who will enter the final year of his contract with scarce reasons for the franchise to guarantee him tens of millions of dollars.

Under first-year offensive coordinator Mike Tice, wide receiver Brandon Marshall rewrote the team record books, but far too often there was no semblance of balance, and an offensive line general manager Phil Emery did little to augment played a lot like the one he inherited. Whether the failures were due more to personnel, scheme or play calling, ultimately it's the offense of head coach Lovie Smith, who failed to guide his team to the postseason for the fifth time in six years.

Questions will persist about the future of Smith, who has an 81-63 regular-season record in nine seasons, until Emery announces his plan. It will be interesting to see what role Chairman George McCaskey takes; most believe it was his call to fire GM Jerry Angelo a year ago.

Smith is signed through next season, and Emery has been conspicuously silent this season, although he said on the WBBM radio pregame show Sunday that Smith "has done an outstanding job coaching the Bears."

"It is the full season and the whole body of work," Emery said of how he will judge Smith.

Bringing back Smith as a lame duck could be a disastrous distraction but would not be unprecedented. President Ted Phillips required Emery to keep Smith for this season, and Phillips lauded Smith for his "consistency" in explaining the decision.

Smith generally has avoided long losing streaks, but the Bears lost five of six before the final two wins. They also consistently have missed the playoffs since the 2006 Super Bowl season, and if Emery makes the unusual move of firing a coach coming off a 10-win season, it will condemn the organization's failure to clean house a year ago.

Middle linebacker Brian Urlacher, the face of the franchise for 13 seasons, has an expiring contract, and his future could be tied to Smith's. Pro Bowl defensive tackle Henry Melton might be headed to free agency. The aging defense was solid for most of the season but needs more young firepower at a time when the offense must be upgraded.

The offense showed some life Sunday, even if it couldn't put the Lions away as four trips to the red zone resulted in only one touchdown — a 1-yard run by Matt Forte, who had a season-high 24 carries for 103 yards.

Cutler, who said during the week he didn't know how the offense would get more receivers involved besides Marshall, completed five passes for 109 yards to Earl Bennett, including a 60-yard touchdown that featured nice blocking by Marshall. Alshon Jeffery had four receptions for 76 yards, while Marshall was targeted 14 times but made just five catches for 42 yards.

The Lions clawed back with three 80-yard scoring drives, but the defense got a stop when it needed one as cornerback Tim Jennings deflected a pass for Kris Durham with less than four minutes to play before Forte helped run out the clock.

Asked how he would view a 10-win season with no playoffs, Forte said, "We'll have to look forward to next year."

First, we'll see what change a new year brings.

bmbiggs@tribune.com

Twitter @BradBiggs



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Congressional leaders scramble to find 'fiscal cliff' compromise









WASHINGTON — The momentary optimism that Washington could resolve the stalemate over New Year's Day tax hikes turned quickly Saturday to the backroom number crunching needed to broker what remained a difficult deal.

Top congressional leaders and their aides holed up inside the Capitol, swapping potential scenarios that might yield enough votes to pass legislation to prevent a tax increase on all but the wealthiest Americans.

The work being done off the Senate floor, in the offices of Majority Leader Harry Reid (D-Nev.) and Minority Leader Mitch McConnell (R-Ky.) involves such tricky math that even if the political will exists to craft a compromise, partisanship may still prevent one. How to deal with income and estate taxes, as well as extended long-term unemployment benefits, remain among the stickiest issues.

"We've been in discussions all day, and they continue. And we'll let you know as soon as we have some news to make," McConnell said Saturday night as he left the Capitol. "We've been trading paper all day and talks continue into the evening."

House Speaker John A. Boehner (R-Ohio) stopped by the negotiations in the morning as a light snow dusted the city, but by midday tourists milling about the Capitol were snapping photos of the empty corridor outside his office. The Democratic leaders, Reid and House Minority Leader Nancy Pelosi (D-San Francisco), did not come to the Capitol but remained involved in the talks.

President Obama, who received updates at the White House, used his weekly address to put pressure on congressional leaders. "We just can't afford a politically self-inflicted wound to our economy," he said. "The economy is growing, but keeping it that way means that the folks you sent to Washington have to do their jobs."

Congress will convene for a rare Sunday afternoon session, with the Senate opening at 1 p.m. and the House at 2 p.m. Votes could come as soon as Sunday but most likely would be pushed to Monday as talks continue. Both parties will meet behind closed doors Sunday afternoon to consider their options.

If no agreement is reached, Obama reminded Republicans, he'll call for a vote on a proposal that would block the tax hike on income of less than $250,000 and would extend the unemployment insurance that expired Saturday for 2 million out-of-work people.

Obama's threat capitalizes on a key advantage in the tax-and-spend battle: Without a compromise, taxes will go up on everyone Tuesday, when the George W. Bush-era tax cuts expire. Republicans who oppose his bare-bones bill would be in the awkward position of protecting the wealthiest at the expense of the middle class.

"I believe such a proposal could pass both houses with bipartisan majorities — as long as these leaders allow it to come to a vote," Obama said. "If they still want to vote no, and let this tax hike hit the middle class, that's their prerogative — but they should let everyone vote. That's the way this is supposed to work."

Republicans face the prospect of voting for a tax increase for the first time in two decades, a potential milestone that has deeply divided the party. Still, they suggested Saturday that they could stomach raising income tax rates if the income threshold was higher than Obama has proposed — $500,000 might be acceptable, according to a source who asked to remain anonymous to discuss internal negotiations.

The GOP also wants to preserve the current estate tax rate, which is 35% on estates valued at more than $5 million. Most Democrats want the estate taxes set at 45% on those above $3.5 million; if no action is taken, the rate will revert to 55% on estates valued at more than $1 million.

The combination of income and estate tax rates may lead to a deal that could win Republican support, but it could also prove to be a deal killer for Democrats.

With Republicans divided, particularly in the House, Boehner is expected to bring at most barely half of his majority to any deal. Pelosi's support will be vital to pass the measure; she may have to muster about 100 votes.

A White House official stressed that whatever deal the Senate leaders broker will have to win approval from the House Democratic leader, who has shown her ability to deliver — or withhold — Democratic votes.

The deal may also draw support if it contains other must-pass year-end provisions, including a tweak to prevent middle-class households from being hit with the alternative minimum tax and an adjustment to ensure doctors treating Medicare patients do not take a pay cut.

The scene playing out on Saturday was a repeat of the cycle of brinkmanship and crisis that has characterized divided Washington for the last two years.

The optimism expressed by political leaders after Friday's White House meeting of Obama and congressional leaders appeared to be less about a major breakthrough or newfound comity than the hard reality that time was running short.

Congress has proved time and again that it works best — and perhaps only — under deadline pressure. With tax rates set to expire Dec. 31, just hours remained to approve a deal.

Despite the tight timeline, many senators left town, even if just for the day. Sen. John McCain (R-Ariz.) posted a photo on his Twitter account of himself with the Oreo mascot at a college football bowl game in San Francisco.

Others stayed behind. Sen. Scott Brown (R-Mass.) tweeted that he was touring the Smithsonian National Air and Space Museum with Sen. John Thune (R-S.D.). "Back at it tomorrow," he added.

Yet even with political momentum, the deep divisions within parties were still evident, particularly as Republicans confronted a debate over their party's bedrock principles.

Influential anti-tax activist Grover Norquist encouraged Republicans to move on to the next battles, as Congress will be asked within months to raise the nation's debt limit. Republicans see that as the next point of leverage in their fights with Obama to reduce federal spending, including on Social Security and Medicare.

Any deal being crafted this weekend is not expected to resolve those issues or alter the automatic federal spending cuts coming on Jan. 2, all but ensuring that 2013 will see a return of divisive tax and spending arguments.

lisa.mascaro@latimes.com

kathleen.hennessey@latimes.com

michael.memoli@latimes.com



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Chicago marks 500 homicides

Chicago police investigate the scene of a fatal shooting in the 1000 block of North Lavergne on Chicago's West Side. (Chris Sweda/ Chicago Tribune)









On the surface, Nathaniel Jackson fit the profile of the vast majority of Chicago's homicide victims in 2012 — he had a lengthy arrest record and alleged gang ties.


But when Jackson was shot and killed Thursday night, just months after getting out of prison, he also earned the unfortunate distinction of being the 500th homicide victim in Chicago this year, a grim milestone the city reached for the first time in four years.


While Chicago had almost twice as many slayings 20 years ago as it did this year, the number 500 is a largely symbolic threshold, a reminder of the year's escalated violence and a numerical bar the city had not reached since 513 were killed in 2008.








By mid-November the city already had tallied the most homicides in four years. As of Friday, Chicago had an estimated 17 percent increase in homicides over 2011, and an 11 percent increase in shootings, according to police.


The city's rising homicide tally has been a thorny issue for Mayor Rahm Emanuel and police Superintendent Garry McCarthy for much of the year.


"It was a milestone on those days when we had zero murders and zero shootings. Those are milestones. This is a negative one, something that we never wanted," McCarthy told the Tribune Thursday afternoon, hours before Jackson, 40, was killed. "But in perspective, there's no such thing as an acceptable murder number. Even if we cut it down to 300 next year, it's still … unacceptable."


The department went back and forth Friday over whether Jackson was the 500th homicide victim so far this year, at first confirming it and then denying it, saying a homicide last week had been reclassified as a death investigation, therefore making Jackson the 499th homicide. But by late afternoon, the department once again confirmed there had been 500 homicides.


"The city has seen its 500th homicide for 2012, a tragic number that is reflective of the gang violence and proliferation of illegal guns that have plagued some of our neighborhoods," McCarthy said in a statement. "Every homicide in Chicago is unacceptable to me and the hardworking men and women of the Chicago Police Department, who, this year, achieved a record drop in overall crime throughout our city."


Chicago's homicide rate also remains a major issue for Emanuel heading into the new year. Beyond the very real human cost, there's a perception problem for the city.


The homicide rate in Chicago far exceeds the rates in New York City and Los Angeles. While the homicide rate in LA has remained relatively flat and New York's has gone down — homicides there have fallen by more than 20 percent this year — Emanuel, known for carefully trying to craft the narrative of his tenure as mayor, has seen Chicago's violence attract national attention.


The mayor was on vacation Friday with his family but issued a statement to the Tribune:


"Chicago has reached an unfortunate and tragic milestone, which not only marks a needless loss of life but serves as a reminder of the damage that illegal guns and conflicts between gangs cause in our neighborhoods," Emanuel said, adding that his efforts to lengthen the public school day and provide before- and after-school programs for youths were part of the eventual solution.


Emanuel last week also noted that overall crime in Chicago was down about 8.5 percent for the year.


This previous winter was particularly violent. In the first three months of 2012, when the city experienced unseasonable warmth, homicides ran about 60 percent ahead of the 2011 rate. As the year went on, the increase in killings leveled out but still remained higher than in previous years.


In his statement Friday, McCarthy lauded the overall drop in crime in the city and said department efforts resulted in less violence in the latter part of 2012.


"CPD has put the right people in the right places to accomplish our long-term goal of reducing crime and ensuring that our streets and our neighborhoods belong to the residents of this city," McCarthy said in his statement. "Since the gang violence reduction strategy was adopted, we have seen drastic reductions in shootings and homicides that spiked early in the year."


Some within the department feel the disbanding of two specialized units that swooped into "hot spots" to reduce violent crime had a negative impact on this year's rate. After McCarthy was installed last year as the city's top cop, he eliminated those strike forces to move those officers to beat patrols, in the hope they would have more meaningful and positive interactions with the community. The department now uses cops who work all over the city to fulfill the same function as the strike forces, but these "area teams" comprise fewer officers.


McCarthy has blamed the proliferation of guns on Chicago's streets and the splintering of large street gangs into small factions as reasons for the homicide spike.


In October, the Tribune reported that 1 in 4 homicide victims this year were affiliated with the Gangster Disciples, the city's largest street gang, and one also riddled with internal conflict.


Jackson, who authorities described as being affiliated with the Four Corner Hustlers street gang, falls into a category shared by more than 80 percent of Chicago's 2012 homicide victims: those with criminal histories.





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Defibrillators on Metra in January









Metra is nearing completion of an initiative to equip all commuter trains with potentially lifesaving defibrillators, officials with the rail line said Thursday.

About 300 automatic external defibrillators, or AEDs, will be installed on Metra trains by the end of January. Additional defibrillators will be put in place at Metra work facilities and in its police vehicles, according to the agency.






The defibrillators monitor a person's heartbeat for irregularities and deliver an electrical current to those stricken with sudden cardiac arrest. The hand-held machines issue audio instructions, so even those without training should be able to use one, officials said.

"Even third-graders can use these devices," said Dr. Amer Aldeen of Northwestern University's Feinberg School of Medicine, which is partnering with Metra on the initiative. "They don't shock people who are sleeping. They don't shock people who are drunk."

About 300,000 Americans a year suffer cardiac arrest outside of a hospital setting, and 92 percent of them die of it, according to the Centers for Disease Control and Prevention. A defibrillator can triple the survival rate, Aldeen said.

Metra doesn't keep track of how many people suffer from cardiac arrest while on board a train, but estimates trains are forced to make unscheduled stops 10 to 20 times a month for emergency medical situations, said Metra spokeswoman Meg Reile.

Every Metra train will have at least one defibrillator on it, with the aim being to have the devices on every other car. About 1,000 Metra employees, mostly those who work on the trains, will be trained in how to use the equipment, according to Metra.

In September, the Metra board agreed to pay $664,606 for a contract with Cardiac Science Corp. to provide the AEDs and maintenance services for two years, according to the agency.

The Federal Aviation Administration has required defibrillators on passenger airplanes since 2001. But most transit agencies have been slow to add the devices to commuter trains. Metra announced it was adding defibrillators in August 2011.

In 2009, 64-year-old Michael Crowe was riding to work on a Metra train when he collapsed with heart attack symptoms. Two nurses on the train attempted to resuscitate him, but Crowe later died.

Crowe's family applauded the addition of defibrillators on Metra trains.

"I wish they had gotten it sooner," said his daughter, Michelle Crowe, who is trained in AED use. "They can save people's lives."

nnix@tribune.com

Twitter @nsnix87



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Man shot on Southwest Side in critical condition













 


A man in his 30s was shot in an alley east of California, south of 54th, around 10 p.m. Wednesday night. He's in critical condition at Sinai.
(Peter Nickeas, Chicago Tribune / December 27, 2012)


























































A man in his 30s died after someone shot him in the face, chest and arms in the Gage Park neighborhood late Wednesday night. 

He was shot in an alley east of California Avenue just south of 54th Street about 10 p.m. 

He was taken to Mount Sinai Hospital in critical condition, Chicago Police News Affairs Officer Hector Alfaro said. 


Police later said he died. A spokesman for the Cook County medical examiner's office wasn't able to say whether they had been notified of the death.

Check back for more information.







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Shootings across city wound at least 3 on Christmas













Englewood shooting


Police outside the crime scene on 69th Street, where an 18-year-old man was shot before midnight on Christmas.
(Peter Nickeas / Chicago Tribune / December 26, 2012)



























































An 18-year-old man was shot and killed and three others wounded, two of them seriously, across the city Tuesday afternoon.


The man died after someone shot him in the 2000 block of West 69th Street, just west of Damen Avenue, in the West Englewood neighborhood. He was shot after 11:30 p.m. but additional details about that shooting weren't immediately available.  


A woman is in critical condition after getting shot in the neck Tuesday night, according to police, one of at least three people shot since 2 p.m. Christmas day.





The 22-year-old was shot inside an apartment on the 1900 block of South Harding Street in the Lawndale neighborhood about 9:40 p.m., police said. She was taken to Mount Sinai Hospital.


The woman was shot by her boyfriend during a fight inside the apartment, police said.


About 7 p.m., an 11-year-old boy was grazed in the arm in the 6200 block of South Michigan Avenue and taken to Comer Children's Hospital, according to police. He was walking in a group when he heard shots and felt pain.


Another man was left in serious condition after someone shot him in the back in the Hermosa neighborhood about 2 p.m. That happened in the 4300 block of West Armitage Avenue on the Northwest Side.


No one is in custody for the shootings and Area North and Area Central detectives are investigating.


pnickeas@tribune.com
Twitter: @peternickeas






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6 shot within hours; 5 seriously hurt









Six people were hurt, five seriously, in shootings on the South and West sides late Monday.


Four of the injured were hurt in a single shooting on the Far South Side, and all four were taken to local hospitals in serious-to-critical condition, according to the Chicago Fire Department.

The shooting happened shortly before 7:30 p.m. in the 9400 block of South Justine Street, officials said.


A male shooter opened fire, striking four males as they walked down the sidewalk, Chicago Police Department News Affairs Officer Amina Greer said, citing preliminary information.

A 15-year-old boy and a 22-year-old man were taken to Advocate Christ Hospital in Oak Lawn, a 17-year old man was taken to Mount Sinai Hospital and a 19-year-old man was taken to John H. Stroger, Jr. Hospital of Cook County, police said.





The 15-year-old was shot in the abdomen, and the 17-year-old was shot in the chest, police said.


The other two men were shot multiple times.


Police said the condition of each was stabilized at the hospital.


The shooting happened in the Brainerd neighborhood.


About 9:05 p.m., a 19-year-old man was shot in the head in the West Side's University Village neighborhood, police said. 


The man was taken to Stroger in serious condition from the 1200 block of West Washburne Avenue , Zala said.


Earlier Monday evening, a 37-year-old man was shot in the leg and back in the South Side's Gresham neighborhood, police said.


The shooting happened in the 700 block of West 81st Street about 5:50 p.m., Zala said. The man was taken to an area hospital, where his condition was stabilized.


Check back for more information.

chicagobreaking@tribune.com

Twitter: @ChicagoBreaking





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Bears alive, but need help heading into final Sunday

The defensive end after the Bears beat the Cardinals 28-13 on Sunday.









GLENDALE, Ariz. — They're alive.


Only because they faced an offense far more disjointed than their own were the Bears able to withstand another lethargic start. Jump-started by two defensive touchdowns — their first since Week 9 — the Bears trounced the woeful Cardinals on Sunday at University of Phoenix Stadium.


The 28-13 victory improved the Bears to 9-6 and kept them in the NFC playoff race. They need to win the regular-season finale against the Lions in Detroit on Sunday and have the Packers defeat the Vikings at the Metrodome to claim a wild-card spot. The Bears have won eight of their last nine vs. the Lions, who will look to be a spoiler while trying to get wide receiver Calvin Johnson 2,000 yards on the season. He needs 108.








The Packers will be motivated against the Vikings with a first-round bye and the No. 2 seed in the NFC on the line.


"I've always been a big Packers fan," Bears coach Lovie Smith said. "It's not hard at all for me. We have a tough division, but as we said this week, we can't do much about that. All we can do is get a win against Detroit."


Reserve cornerback Zack Bowman, playing against the Cardinals' heavy package, recovered a fumble by Beanie Wells for the first score of the game and Charles Tillman returned an interception 10 yards for a touchdown in the third quarter, the Bears' ninth defensive touchdown of the season, leaving them one behind the 1998 Seahawks for the most in NFL history.


Those plotting an end to the Smith era have to hold on now. Most consider it unlikely the Bears will have a housecleaning project under general manager Phil Emery if the club reaches the playoffs. Emery has spoken publicly only once since the season began, during the off week.


But the Bears are not going to go anywhere in the postseason if the offense doesn't find a level of consistency. Running back Matt Forte once again is nursing a right ankle injury as he was knocked out of the game in the third quarter after carrying 12 times for 88 yards, including a 4-yard touchdown. Wearing a walking boot afterward, he declared he would play against the Lions, but it is too early to know.


"With running lanes like that, you can make moves in the open field and get extra yards," Forte said. "It is unfortunate I had to leave the game, but I felt like we were really starting to roll in the running game."


Quarterback Jay Cutler missed on 10 of his first 11 passes, yet the Bears took a 14-3 lead while he was misfiring. Cutler put together a nice drive at the end of the second quarter, firing an 11-yard touchdown pass to Brandon Marshall, but that was about it for rhythm in the passing game. He finished 12 of 26 for 146 yards, but he didn't turn the ball over.


"It wasn't pretty," Cutler said. "I thought the offensive line did a great job. I missed a lot of throws."


Cardinals quarterback Ryan Lindley was benched for Brian Hoyer after the Tillman interception and the Cardinals struggled moving the ball at all, converting only three of 15 third downs. Julius Peppers had a season-high three sacks to give him 111/2, his most in three seasons with the Bears. The biggest play for the Cardinals was Justin Bethel's 82-yard return of a blocked Olindo Mare field-goal attempt.


So, the Bears, thanks in part to the Ravens' victory against the Giants on Sunday, have a chance as they prepare for the Lions. No one knew how they would respond after losing five of their previous six games. Their mantra has been that the playoffs already have started. That is why it wasn't surprising to hear the hollering through the cinder-block walls of the locker room afterward.


"We feel like we have new life," said cornerback Tim Jennings, who returned after missing two games with a dislocated right shoulder. "We forgot what it felt like to be in the win column."


The last time the Bears won in Arizona during the regular season, then-Cardinals coach Denny Green said to "crown their ass!" No one is going to crown these Bears, but they can't be written off either.


"We need some help," Marshall said. "But the only thing we can control is going out there and playing against the Lions."


bmbiggs@tribune.com


Twitter @BradBiggs





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Some states move to ease gun rules









WASHINGTON — As Congress gears up for a fight over possible new gun restrictions, lawmakers in some states have pushed in the opposite direction — to ease gun rules — since the Dec. 14 massacre of 20 first-graders and six women at a school in Newtown, Conn.

None exactly matched the proposal Friday by Wayne LaPierre, head of the National Rifle Assn., to train and deploy armed volunteers to help guard schools around the country.






Legislation has been proposed, however, to allow teachers or other school workers to carry firearms in schools in at least seven states: Missouri, Oklahoma, South Carolina, South Dakota, Tennessee, Texas and Virginia.

"I want a last line of defense," said Jason Villalba, a Republican and newly elected Texas state representative who plans to introduce the Protection of Texas Children Act to allow schools to designate staff members as armed "marshals" provided they undergo special training.

Some lawmakers have gone further, proposing that any teacher with a permit to carry a concealed weapon be allowed to bring it into school.

"It is incredibly irresponsible to leave our schools undefended — to allow mad men to kill dozens of innocents when we have a very simple solution available to us to prevent it," said Oklahoma state Rep. Mark McCullough, a Republican who plans to sponsor legislation to allow teachers and principals to carry firearms in schools after they undergo training.

Several states have pushed for stiffer regulations. In California, lawmakers have proposed strengthening already tough state gun laws, including requiring a permit and background checks for anyone who wants to buy bullets.

Michigan Gov. Rick Snyder, a Republican, vetoed a bill last week that would have allowed gun owners with concealed weapon permits to carry their firearms into schools and other public places. Snyder objected that it didn't let institutions opt out and prohibit weapons on their grounds.

The different legislative responses underscore the difficulty of reaching a political consensus on guns, an issue that often divides lawmakers by geography as much as party affiliation.

Support for gun control measures is much higher in Democratic strongholds in the Northeast and West than in Republican bastions in the Midwest and South, according to polls. But sometimes the divisions are much closer.

Gov. Martin O'Malley of Maryland, a Democrat, complains about "too many guns" and plans to seek gun control legislation.

In neighboring Virginia, Gov. Robert McDonnell, a Republican, said the idea of arming school personnel was worth a discussion.

"If people were armed, not just a police officer but other school officials who were trained and chose to have a weapon, certainly there would have been an opportunity to stop aggressors coming into the school," McDonnell told WTOP radio in Washington.

The idea of arming teachers or administrators has drawn plenty of criticism.

"I've not heard from a single teacher or administrator who said that they want to go to school armed with a gun," said Meg Gruber, president of the Virginia Education Assn.

"Why in the world would you even think of doing this?" added Dennis Van Roekel, president of the National Education Assn. He said Sandy Hook Elementary School in Newtown "did everything right. … But you can't stop somebody with an automatic assault rifle from shooting out a window and coming through."

Betty Olson, a Republican state representative in South Dakota who proposes allowing teachers with concealed weapon permits to bring their firearms into schools, said she had gotten a favorable response.

"We've got a few anti-gun liberals who think that that's crazy, allowing anybody with a gun into the school," she said. "Never mind those lunatics."

South Carolina state Rep. Phillip D. Lowe, a Republican who proposes to allow concealed weapon permit holders who undergo rigorous training to bring guns into school, agreed.

"There's always some people who are opposed to anything with the letters G-U-N," he said.

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richard.simon@latimes.com



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Capture of jail escapee ends with bang, thud

The parents of the man who owned the townhouse where prison escapee Joseph Banks was found talk to the Tribune. (Antonio Perez/Chicago Tribune)









The spectacular escape from Chicago's high-rise federal jail — the first in nearly 30 years at the facility — fueled theories that convicted bank robber Joseph "Jose" Banks had a sophisticated plan to elude capture with hundreds of thousands of dollars in loot he had stashed away.

But in the end, Banks was hiding in a predictable spot less than five miles from the South Loop jail and was betrayed by someone who had spoken with the fugitive and was able to give authorities his exact location, a law enforcement source said. When he was captured, Banks had no cash, weapon or cellphone, and he was wearing some of the same clothes he had on when he escaped three days earlier, the source said.






Banks, who along with a cellmate scaled down some 15 stories of the sheer wall of the Metropolitan Correctional Center using a rope fashioned from knotted bedsheets, was taken into custody on the North Side by FBI agents and Chicago police about 11:30 p.m. Thursday. He was holed up at the home of a boyhood friend in the 2300 block of North Bosworth Avenue, just blocks from his former apartment and Lincoln Park High School, which he attended in the 1990s.

The second escapee, Kenneth Conley, also a convicted bank robber, remained at large Friday.

Neighbors on the quiet block where Banks was discovered described hearing the loud bang of a flash grenade — designed to stun anyone inside a residence without causing serious injury — followed by agents and officers swarming the Fullerton Court Apartments just west of the DePaul University campus.

Within minutes, agents led Banks away in handcuffs and dressed in a T-shirt and shorts.

"We heard a big boom first," said the Rev. Baggett Collier, who lives in the complex. "We thought a transformer burst or there was a traffic accident. … I went out and I saw (Banks). He was cuffed. His head was down. I didn't hear him say anything. They got him into the wagon peacefully. The police were pretty calm bringing him out."

Hours later, Banks shuffled into a federal courtroom dressed in an orange prison jumpsuit and shackled at the waist and ankles with thick, padlocked chains. The slightly built former fashion designer answered questions from U.S. Magistrate Judge Sidney Schenkier softly and politely — a sharp contrast to his defiant behavior during his trial last week on bank robbery charges in the same federal courthouse.

Banks, a prolific bank robber dubbed the Second Hand Bandit because of the used clothing he wore during his holdups, was charged with one count of escaping federal custody that carries a sentence of up to five years in prison on conviction. He also faces sentencing in March for his conviction last week for two bank robberies and two attempted holdups.

Prosecutors objected to any bond being set on the new charge, suggesting matter-of-factly that Banks was a "flight risk" and a danger to the community. Banks' attorney, Beau Brindley, did not argue for his release.

After the brief hearing, Brindley called his client a "mild-mannered" person whose statements at trial were misconstrued as threats toward the court system.

"This is not a violent person," Brindley told reporters in the lobby of the Dirksen U.S. Courthouse. "He's a talented artist and clothing designer."

Banks' cousin Theresa Ann Banks said in a telephone interview Friday that he never tried to contact her or anyone else in the family during his short time on the run. Family members were still trying to piece together conflicting information they were getting on the circumstances of his arrest, she said. Asked who lived in the home where her cousin was found, she replied, "Maybe a friend."

Theresa Ann Banks said the family has spent the past few days scared for his safety, especially since he had been described as "armed and dangerous."

"He's not the bad guy they've made him out to be," she said of her cousin. "He's soft and gentle, and he has a good heart."

Banks and Conley were last accounted for in the jail at 10 p.m. Monday during a routine bed check, authorities said. About 7 a.m. the next day, jail employees arriving for work saw ropes made from bedsheets dangling from a hole in the wall near the 15th floor and down the south side of the facade.

The two had put clothing and sheets under blankets in their beds to throw off guards making nighttime checks and removed a cinder block to create an opening wide enough to slide through, authorities said.

The FBI said a surveillance camera a few blocks from the jail showed the two, wearing light-colored clothing, hailing a taxi at Congress Parkway and Michigan Avenue. They also appeared to be wearing backpacks, according to the FBI.

The daring escape was an embarrassment for the U.S. Bureau of Prisons and a rarity for the Metropolitan Correctional Center, where the only previous successful escape took place in 1985. A high-ranking employee in the facility told the Tribune this week that video surveillance had captured the men making their descent, but that the guard who was supposed to be watching the video monitors for suspicious activity may have been called away on other duties.

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Fewer health care options for illegal immigrants


For years, Sonia Limas would drag her daughters to the emergency room whenever they fell sick. As an illegal immigrant, she had no health insurance, and the only place she knew to seek treatment was the hospital — the most expensive setting for those covering the cost.

The family's options improved somewhat a decade ago with the expansion of community health clinics, which offered free or low-cost care with help from the federal government. But President Barack Obama's health care overhaul threatens to roll back some of those services if clinics and hospitals are overwhelmed with newly insured patients and can't afford to care for as many poor families.

To be clear, Obama's law was never intended to help Limas and an estimated 11 million illegal immigrants like her. Instead, it envisions that 32 million uninsured Americans will get access to coverage by 2019. Because that should mean fewer uninsured patients showing up at hospitals, the Obama program slashed the federal reimbursement for uncompensated care.

But in states with large illegal immigrant populations, the math may not work, especially if lawmakers don't expand Medicaid, the joint state-federal health program for the poor and disabled.

When the reform has been fully implemented, illegal immigrants will make up the nation's second-largest population of uninsured, or about 25 percent. The only larger group will be people who qualify for insurance but fail to enroll, according to a 2012 study by the Washington-based Urban Institute.

And since about two-thirds of illegal immigrants live in just eight states, those areas will have a disproportionate share of the uninsured to care for.

In communities "where the number of undocumented immigrants is greatest, the strain has reached the breaking point," Rich Umbdenstock, president of the American Hospital Association, wrote last year in a letter to Obama, asking him to keep in mind the uncompensated care hospitals gave to that group. "In response, many hospitals have had to curtail services, delay implementing services, or close beds."

The federal government has offered to expand Medicaid, but states must decide whether to take the deal. And in some of those eight states — including Texas, Florida and New Jersey — hospitals are scrambling to determine whether they will still have enough money to treat the remaining uninsured.

Without a Medicaid expansion, the influx of new patients and the looming cuts in federal funding could inflict "a double whammy" in Texas, said David Lopez, CEO of the Harris Health System in Houston, which spends 10 to 15 percent of its $1.2 billion annual budget to care for illegal immigrants.

Realistically, taxpayers are already paying for some of the treatment provided to illegal immigrants because hospitals are required by law to stabilize and treat any patients that arrive in an emergency room, regardless of their ability to pay. The money to cover the costs typically comes from federal, state and local taxes.

A solid accounting of money spent treating illegal immigrants is elusive because most hospitals do not ask for immigration status. But some states have tried.

California, which is home to the nation's largest population of illegal immigrants, spent an estimated $1.2 billion last year through Medicaid to care for 822,500 illegal immigrants.

The New Jersey Hospital Association in 2010 estimated that it cost between $600 million and $650 million annually to treat 550,000 illegal immigrants.

And in Texas, a 2010 analysis by the Health and Human Services Commission found that the agency had provided $96 million in benefits to illegal immigrants, up from $81 million two years earlier. The state's public hospital districts spent an additional $717 million in uncompensated care to treat that population.

If large states such as Florida and Texas make good on their intention to forgo federal money to expand Medicaid, the decision "basically eviscerates" the effects of the health care overhaul in those areas because of "who lives there and what they're eligible for," said Lisa Clemans-Cope, a senior researcher at the Urban Institute.

Seeking to curb expenses, hospitals might change what qualifies as an emergency or cap the number of uninsured patients they treat. And although it's believed states with the most illegal immigrants will face a smaller cut, they will still lose money.

The potential impacts of reform are a hot topic at MD Anderson Cancer Center in Houston. In addition to offering its own charity care, some MD Anderson oncologists volunteer at a county-funded clinic at Lyndon B. Johnson General Hospital that largely treats the uninsured.

"In a sense we've been in the worst-case scenario in Texas for a long time," said Lewis Foxhall, MD Anderson's vice president of health policy in Houston. "The large number of uninsured and the large low-income population creates a very difficult problem for us."

Community clinics are a key part of the reform plan and were supposed to take up some of the slack for hospitals. Clinics received $11 billion in new funding over five years so they could expand to help care for a swell of newly insured who might otherwise overwhelm doctors' offices. But in the first year, $600 million was cut from the centers' usual allocation, leaving many to use the money to fill gaps rather than expand.

There is concern that clinics could themselves be inundated with newly insured patients, forcing many illegal immigrants back to emergency rooms.

Limas, 44, moved to the border town of Alamo 13 years ago with her husband and three daughters. Now single, she supports the family by teaching a citizenship class in Spanish at the local community center and selling cookies and cakes she whips up in her trailer. Soon, she hopes to seek a work permit of her own.

For now, the clinic helps with basic health care needs. If necessary, Limas will return to the emergency room, where the attendants help her fill out paperwork to ensure the government covers the bills she cannot afford.

"They always attended to me," she said, "even though it's slow."
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