26/05/2011

American Icon Ralph Lauren and His Family

American Icon Ralph Lauren and His Family
Oprah and Ralph Lauren at the Double RL Ranch
Photo: George Burns/Harpo Studios
Ralph Lauren doesn't just design clothes—he designs a lifestyle that many people dream of living. For more than 40 years, Ralph's vision has defined American style, but away from the runway, this designer prefers to stay out of the spotlight.

Over the past four decades, Ralph has granted only a few interviews, but in the final days of The Oprah Show, he invited Oprah and her cameras to his family's majestic Double RL Ranch for a rare sit-down.

For years, Oprah says she's dreamed of visiting Ralph and his wife, Ricky, at their 17,000-acre property, located just outside Telluride, Colorado, a resort town she's visited often.

"I can't tell you how many times I've driven on that road and counted the miles of your fence, tried to look over, like so many people do, in their neighborhoods," Oprah tells Ralph. "When you're growing up, you look at the big house on the hill. For me, it was looking through the fence at your ranch."

When life got hectic in New York City, Ralph and Ricky say they started searching for a place to escape out West. "I needed another side that was totally private, totally a world that I felt I could live," Ralph says. "It was nature. It was peaceful. It was horses. It was riding. It was cattle."

When the Laurens first visited this property and saw the view from "the Vance," where a 100-year-old cabin and three-story barn are surrounded by the Rocky Mountains, they knew they'd found the perfect place. "You're in a world that's all your own," Ralph says.

Fat Actress no more!

 

Fat Actress no more! Kirstie Alley shows off weight loss after squeezing into skintight size 10 dress

By Sarah Bull

She claims not to have weighed herself for the past four weeks, but the effects of appearing on Dancing With The Stars are clear to see.
Kirstie Alley stepped out last night in a corseted red dress which highlighted her newly-slim physique.
And while the former Fat Actress star acknowledges she still has a long way to go, she says she is thrilled with her ever-shrinking frame.
Fat Actress no more! Kirstie Alley showed off her weight loss after squeezing in to a tight red dress for a night out in Los Angeles last night
Fat Actress no more! Kirstie Alley showed off her weight loss after squeezing in to a tight red dress for a night out in Los Angeles last night
Fat Actress no more! Kirstie Alley showed off her weight loss after squeezing into a tight red dress for a night out in Los Angeles yesterday

She said recently: 'I haven't weighed myself in the last four weeks. I bought these dresses from a size twelve (UK size 16) to a two (UK size 6). Tonight I'm a six (UK 10). When I'm a two, I'm done, people!'
Kirstie was celebrating in Hollywood last night after narrowly escaping elimination on Dancing With The Stars after the public voted to send Petra Nemcova home.
After making it through to next week's show, Kirstie thanked fans for voting for her and dance partner Maksim Chmerkovskiy and tweeted: 'Yay!!!!!!'we live to dance another week!!!!!! My sex stick and I are happy!!! Woo hooo!!!!'
Ladylike: Kirstie struggled to get out of her car in the incredibly figure-hugging outfit, which emphasised her curves
Ladylike: Kirstie struggled to get out of her car in the incredibly figure-hugging outfit, which emphasised her curves
Ladylike: Kirstie struggled to get out of her car in the incredibly figure-hugging outfit, which emphasised her curves
Kirstie is clearly feeling a lot more confident about her body now, and showed off her slim waist in a jumpsuit with a sheer waist panel as she performed the foxtrot to the track American Woman.
The former Cheers star said before starting her Dancing With The Stars journey that one of the main reasons she was taking part in the show was to shed the pounds.
She told US Weekly magazine: 'I've lost 60 pounds, and I have 30 or 40 more to go. And I think with this strenuous, rigorous dance schedule, I think it's going to work.'
Celebration: Kirstie was celebrating after making it through to another week on Dancing With The Stars with dance partner Maksim Chmerkovskiy
Celebration: Kirstie was celebrating after making it through to another week on Dancing With The Stars with dance partner Maksim Chmerkovskiy
Kirstie documented her battle with the bulge in reality TV show Kirstie Alley's Big Life last year, and was seen tipping the scales at 16st 4lb (230lb).
But, after she was filmed on the verge of a tantrum on the programme, Kirstie vowed to get down to a slender 9st 7lb through diet and exercise.
Kirstie knows she has the ability to slim down, as she was seen proudly parading her bikini body on The Oprah Winfrey Show in 2006 after losing five stone.
Yo-yo dieter: Kirstie was 16st 4lbs at her heaviest but showed off her bikini body on Oprah after losing five stone in 2006
Yo-yo dieter: Kirstie was 16st 4lbs at her heaviest but showed off her bikini body on Oprah after losing five stone in 2006
Yo-yo dieter: Kirstie was 16st 4lb at her heaviest but showed off her bikini body on Oprah after losing five stone in 2006


Read more: http://www.dailymail.co.uk/tvshowbiz/article-1378847/Dancing-With-The-Stars-2011-Kirstie-Alley-shows-weight-loss-size-10-dress.html#ixzz1NVBcxvnt

Brad Pitt, Angelina Jolie Shop for Shiloh's Birthday?

Brad Pitt, Angelina Jolie Shop for Shiloh's Birthday?

1306418652_brad-angie-290.jpg Shopping for Shiloh?
Angelina Jolie and Brad Pitt went shopping at Ozzie Dots, a party store in L.A., on Wednesday. With Shiloh turning 5 on Friday, it's very likely the duo were shopping for her upcoming fete!
Jolie, 35, carried the couple's bag of goodies. She even sucked on a lollipop as she and Pitt, 47, made their way back to their car.
In addition to Shiloh, the couple have five other kids: Maddox, 9, Zahara, 6, Pax, 7, and twins Vivienne and Knox, 2. See more pictures of Brangelina shopping.
PHOTOS: Shiloh's style through the years
For Pax's seventh birthday in November 2010, the whole family took a boat cruise on the Seine. Back in 2007, Maddox turned six in the family's backyard with dirt bikes, a slip and slide and four-wheelers!
Pitt, who plays a disciplinarian and sometimes abusive father in his new film The Tree of Life, told Us Weekly: "I certainly don't raise my kids the same was [as my character does]. I am painfully aware that my actions leave an indelible mark on them in these formidable years." 

Carla Bruni Debuts Baby Bump!

1306425849_carla-290.jpg When you've got it, flaunt it!

Carla Bruni Debuts Baby Bump!

After her husband's best friend revealed to The Telegraph Monday that she and French President Nicolas Sarkozy were expecting a baby boy, first lady Carla Bruni showed off her growing bump during Thursday's G8 Summit. She wore a loose-fitting white smock dress and a black overcoat.
While the former model and singer tried to keep mum on her pregnancy ever since the rumors started earlier this month, the couple's friends and family weren't so tight-lipped.
First, Sarkozy's father confirmed the news in an interview with a German newspaper, saying he was "looking forward to his grandkid!" One week later, the president's best friend, Jacques Seguela, spilled the beans on the sex of the couple's unborn baby to a Belgian newspaper.
Bruni, 43, has a ten-year-old son, Aurélian, from a previous relationship; President Sarkozy, 56, has three children from previous marriages. This baby will be the couple's first child together.

http://www.usmagazine.com/momsbabies/news/carla-bruni-debuts-baby-bump-2011265
1306425559_lilo-290.jpg


Lindsay Lohan Begins House Arrest

Lindsay Lohan began serving her house arrest Thursday morning after turning herself in to authorities. The 24-year-old actress arrived at Lynwood Jail at 5:02 a.m. to check in, where she was fitted with an electronic ankle bracelet. She was then sent home to her townhouse in Venice, Calif., where she'll reportedly spend 35 days in confinement. VIDEO: Lindsay shows up hours late to a photo shoot: http://www.usmagazine.com/stylebeauty/news/lindsay-lohans-photographer-worries-shell-bite-him-2010296?page=2 The Mean Girls star had been sentenced to four months in jail after she pleaded no contest to stealing a $2,500 necklace in April. Because she is a nonviolent offender and there are jail overcrowding issues, Lohan became eligible for house arrest. As part of her sentence, Lohan was also ordered to complete 480 hours of community service, which includes janitorial duties at an L.A. County morgue. PHOTOS: All of Lindsay's shenanigans: http://www.usmagazine.com/moviestvmusic/photos/lindsay-lohan-mess-2010306/

24/05/2011

MAY 30, MEMORIAL DAY IN THE US.

Memorial Day is a United States federal holiday that honors soldiers and is observed on the last Monday of May (May 30 in 2011). Formerly known as Decoration Day, it commemorates U.S. soldiers who died while in the military service. First enacted to honor Union and Confederate soldiers following the American Civil War, it was extended after World War I to honor Americans who have died in all wars.
Memorial Day often marks the start of the summer vacation season, and Labor Day its end.
Begun as a ritual of remembrance and reconciliation after the civil war, by the early 20th century, Memorial Day was an occasion for more general expressions of memory, as ordinary people visited the graves of their deceased relatives, whether they had served in the military or not. It also became a long weekend increasingly devoted to shopping, family get-togethers, fireworks, trips to the beach, and national media events such as the Indianapolis 500 (since 1911) and the Coca-Cola 600 (since 1960) auto races.

THE ROYALS: Prince William & Kate Return Home from 'Memorable' Honeymoon

Prince William & Kate Return Home from 'Memorable' Honeymoon

Saturday May 21, 2011 09:30 AM EDT
Prince William & Kate Return Home from 'Memorable' Honeymoon | Royal Wedding, Kate Middleton, Prince William
The Duke and Duchess of Cambridge
John Stillwell/Getty


Prince William and bride Catherine are back in the U.K. after their 10-day honeymoon to an Indian Ocean paradise.

The couple are said to have had a "memorable" vacation in the Seychelles, the palace confirms to PEOPLE.

William and Kate "thoroughly enjoyed their time together, and they are grateful to the Seychelles government for their assistance in making the honeymoon such a memorable and special 10 days," a palace statement reads.


The honeymooners left the luxurious seclusion of the islands on Friday.

"They left happy and clearly content with their stay," the head of the Seychelles tourism board, Alain St Ange, told the Associated Press.

And foreign minister Jean-Paul Adam told the AP they "are truly honored that Prince William and his wife chose to return to Seychelles for this special holiday and we are proud to have been able to offer them a peaceful and private getaway."

Officials will not say when William, 28, is due back at work at his base at RAF Valley in Anglesey, but it is thought he will be back in the skies as a helicopter search and rescue pilot in the coming week.

Next up? The ceremonial duties to mark his grandmother Queen Elizabeth's 85th birthday – at the so-called Trooping the Color – on June 11, followed by the 90th birthday celebrations for grandfather, Prince Philip, on June 12.

Von Trier Condemned after Hitler Remarks

Von Trier Condemned after Hitler Remarks
Click here to find out more!
(CANNES, France) — Danish filmmaker Lars von Trier has been condemned and declared "persona non grata" by the Cannes Film Festival for saying that he sympathizes with Adolf Hitler.
A statement from Cannes organizers Thursday castigated von Trier for his comments a day earlier. It is an unprecedented move by the festival that bestowed its highest honor on the director's film "Dancer in the Dark" back in 2000. (See more on the controversy.)
Though the statement did not specify whether von Trier's current film, "Melancholia," has been booted from Cannes, a spokeswoman for the festival press office said it remained in the competition for prizes, which will be handed out at a closing ceremony Sunday.
At a news conference for the film Wednesday, von Trier said in a rambling train of thought that he understood and sympathized with Hitler. He said afterward he had been joking and later issued an apology.
The festival statement said the Cannes board of directors "firmly condemns these comments and declares Lars von Trier a persona non grata at the festival."
The festival "provides artists from around the world with an exceptional forum to present their works and defend freedom of expression and creation," the statement said. The board "profoundly regrets that this forum has been used by Lars von Trier to express comments that are unacceptable, intolerable, and contrary to the ideals of humanity and generosity that preside over the very existence of the festival."


Read more: http://www.time.com/time/arts/article/0,8599,2072566,00.html#ixzz1NJxh4hF6

Happy 70th Birthday, Bob Dylan!

Happy 70th Birthday, Bob Dylan: His Best and Worst Songs of All Time

Michael Ochs Archives / Getty Images

One of the greatest musicians of all time, Bob Dylan has delighted, angered, frustrated and inspired fans since 1962. To mark his seven decades on earth, TIME takes a look at his highs and lows
Bob Dylan had been drifting for quite a while by the time 1997's Time Out of Mind was released. Some of his output over the previous two decades had been plain embarrassing. A rare highlight was 1989's Oh Mercy. Dylan decided to reunite with Daniel Lanois, who produced that album, for a record that managed to signal his artistic rebirth while also making him sound like he was well on his way to the grave. "Not Dark Yet" was Time Out of Mind's first single, and it's the moody album's center. A world-weary and resigned-sounding Dylan sings of shadows and burdens, hardened souls and unhealed scars. The closest thing to a chorus is the line, repeated at the end of every stanza, "It's not dark yet, but it's getting there." It's a moving end-of-life song written and sung by an aging artist who has somehow managed to remain vital. It's certainly not turning dark yet for Dylan as he enters his eighth decade.


watch the video (Bob Dylan's Not Dark Yet): http://www.time.com/time/specials/packages/article/0,28804,2072732_2072718_2072708,00.html%20#ixzz1NJxOvxAI

Read all about DYLAN: http://www.time.com/time/specials/packages/0,28757,2072732,00.html%20#ixzz1NJwys1fk

Jobless Discrimination?

Jobless Discrimination? When Firms Won't Even Consider Hiring Anyone Unemployed

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A woman talks to an employer at a job fair in New York on April 18, 2011
Seth Wenig / AP
When Sony Ericsson needed new workers after it relocated its U.S. headquarters to Atlanta last year, its recruiters told one particular group of applicants not to bother. "No unemployed candidates will be considered at all," one online job listing said.
The cell-phone giant later said the listing, which produced a media uproar, had been a mistake. But other companies continue to refuse to even consider the unemployed for jobs — a harsh catch-22 at a time when long-term joblessness is at its highest level in decades. (See TIME's video "What It Took to Create a Job for One Bright Engineer.")
Refusing to hire people on the basis of race, religion, age or disability — among other categories — is illegal. But companies that turn away jobless people as a group are generally not breaking the law — at least for now.
Job seekers have long known, of course, that it's easier to land a job when you are still working. There are no hard data on discrimination against the unemployed. But there have been reports from across the country of companies' making clear in job listings that they are not interested in people who are out of work. Employment experts say other companies have policies of hiring only people with jobs — but do not publicly acknowledge their bias.
At an Equal Employment Opportunity Commission hearing this year, Christine Owens, executive director of the National Employment Law Project, declared that "excluding the unemployed" is "becoming business as usual." Owens testified about a 55-year-old California woman who had applied for a job as a software-systems engineer. The recruiter for the position was enthusiastic until she learned that the woman had been out of work for six months. At that point, she told the woman she could not forward her résumé to the hiring company. (See TIME's video "Why Young Vets Have Trouble Finding Work.")
The apparent uptick in such incidents couldn't come at a worse time for the unemployed. The Great Recession has produced an unusually large number of long-term jobless. Forty percent of the nation's unemployed — some 4.4 million people — have been out of work for a year or more, the highest level since World War II. The long-term unemployed have far more difficulty finding work than people who have left the workforce more recently. The problem is worst for workers over 50, who often face age discrimination as well.
Some employers argue that they have a perfectly reasonable right to weed out the unemployed and that it is just good business. People who have lost jobs or have never been hired are less qualified as a group than those who are currently working, they say. People who are out of the workforce for a significant period of time may also have fallen behind in skills.


Read more: http://www.time.com/time/nation/article/0,8599,2073520,00.html#ixzz1NJwOyjPV

Sex, Lies, Arrogance: What Makes Powerful Men Behave So Badly?

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Former California governor Arnold Schwarzenegger, left, and IMF chief Dominique Strauss-Kahn, who formally resigned on May 18, 2011
Left: Mario Anzuoni / Reuters; Shannon Stapleton / Reuters
When her husband Dominique Strauss-Kahn was preparing to run for President of France five years ago, Anne Sinclair told a Paris newspaper that she was "rather proud" of his reputation as a ladies' man, a chaud lapin (hot rabbit) nicknamed the Great Seducer.
"It's important," she said, "for a man in politics to be able to seduce."
Maybe it was pride that inspired French politicians and International Monetary Fund officials to look the other way as the rumors about "DSK" piled up, from the young journalist who says Strauss-Kahn tried to rip off her clothes when she went to interview him, to the female lawmaker who describes being groped and pawed and vowed never to be in a room alone with him again, to the economist who argued in a letter to IMF investigators that "I fear that this man has a problem that, perhaps, made him unfit to lead an institution where women work under his command." Maybe it was the moral laziness and social coziness that impel elites to protect their own. Maybe it was a belief that he alone could save the global economy. Maybe nothing short of jail is disqualifying for certain men in certain circles. (See pictures of Dominique Strauss-Kahn.)
But in any event, the arrest of Strauss-Kahn in New York City for allegedly trying to rape a hotel maid has ignited a fierce debate over sex, law, power and privilege. And it is only just beginning. The night of Strauss-Kahn's arraignment, former California governor Arnold Schwarzenegger admitted that the reason his wife Maria Shriver walked out earlier this year was the discovery that he had fathered a child more than a decade ago with a former member of the household staff. The two cases are far apart: only one man was hauled off to jail. But both suggest an abuse of power and a betrayal of trust. And both involve men whose long-standing reputations for behaving badly toward women did not derail their rise to power. Which raises the question: How can it be, in this ostensibly enlightened age, when men and women live and work as peers and are schooled regularly in what conduct is acceptable and what is actionable, that anyone with so little judgment, so little honor, could rise to such heights?
Crime and Culture Wars
Let's note first that Strauss-Kahn is innocent until proved guilty and, second, that if he is guilty, he is not a player — he's a predator. This was not just a French version of an American classic, the Family Values Virtuecrat, who preaches by day and trysts by night. Nor was Strauss-Kahn a fallen star like Tiger Woods or Charlie Sheen or one of the libidinous lawmakers and Luv Guvs whose confessions can be as infuriating as their sins. Strauss-Kahn was not accused of seducing his close friend's wife, like former Senator John Ensign, or patronizing prostitutes while prosecuting prostitution rings, like former New York governor Eliot Spitzer, or lying about an affair while impeaching a President for lying about an affair, like Newt Gingrich. On the spectrum that starts at randy, runs through creepy and ends in handcuffs, where DSK belonged became a matter of global dispute even before it became a matter for a grand jury. (See pictures of the career of Arnold Schwarzenegger.)
This is what the alleged victim told the police: On May 14, at the Sofitel in midtown Manhattan, the maid, a 32-year-old African immigrant, entered the $3,000-a-night suite around midday to clean, thinking it was empty. When she went into a bedroom, Strauss-Kahn emerged naked from the bathroom; when she apologized and tried to leave, according to a police spokesperson, he chased her down, grabbed her and locked the door. He tried to assault her in the bedroom before dragging her to the bathroom and making her perform oral sex. She eventually fled the suite; hotel staff called the police, who caught up with him sitting in his first-class seat on the Air France flight from JFK to Paris — where he could have been safe from extradition.
See more international news in Global Spin
With his arrest, a transatlantic culture war broke out. Strauss-Kahn was the world's wallet, a shrewd and nimble financier who had rescued the IMF from irrelevance in time to save the European economy. He was the favorite to defeat Nicolas Sarkozy for the French presidency next year. He had friends everywhere who called him far too brilliant to do anything so tawdry, as though being smart and being decent were the same thing. Newspapers in Paris couldn't decide on the headline. "Shock. Political Bomb. Thunderclap," blared the left-leaning paper Libération. The New York Daily News went with "Le Perv." The French, who forbid photographing a suspect in handcuffs on the grounds that it violates the presumption of innocence, were aghast at what followed: "Death by media," one former Socialist minister called it. "If you don't want to do the perp walk, don't do the crime," New York City Mayor Mike Bloomberg fired back, which only confirmed the French objection.
Strauss-Kahn was charged with offenses including criminal sex acts, unlawful imprisonment and attempted rape, for which he could face up to 25 years. He pleaded not guilty at his arraignment; his lawyers suggested that whatever might have occurred was consensual. His wife had wired $1 million for bail, they said — but concluding that a man pulled off a flight constituted a flight risk, the judge denied it. (See seven women who chose to stand by their men.)
And so he sat in a cell at Rikers Island, a short flight but a long fall from his $4 million Georgetown home and the life he had come to lead. He was on suicide watch; the victim and her teenage daughter were moved to a safe house to protect them from the cameras — but that did not stop the French press from publishing her name and background or the New York Post from reporting that she was a widow who lives in a Bronx apartment set aside for adults with HIV, a claim her lawyer called "outrageous."
So much for the famous European indifference to the private sex lives of its leaders. DSK's situation is more serious even than that of Italy's embattled Prime Minister, Silvio Berlusconi, 74, who has been on trial for corruption, tax fraud and, most relevant, having sex with an underage prostitute and then using his office to cover it up. These cases are the exception; they will both play out in court, with evidence presented and witnesses called and the conduct of the accused judged by the standards of the law. In many instances of sexual conflict, it never comes to this but unfolds in a murmur of rumors and gossip, even nudges and winks. More often than not, the women involved weigh the stakes and decide to be silent, judging that the burden of proof is high and that they have little to gain and so much to lose. It's no coincidence that when events like this happen, women come out of the shadows to add their testimony; they figure the odds have improved enough that they just might be believed.


Read more: http://www.time.com/time/world/article/0,8599,2072527,00.html#ixzz1NJup1OSv

10 Questions for Oprah Winfrey

10 Questions for Oprah Winfrey


Her book club is back, her ratings are up, and she has just returned from a trip to South Africa, where she visited hospitals and orphanages and met with officials at a school she is building in Johannesburg. Can anything stop Oprah Winfrey? TIME's Richard Zoglin inquired.
YOUR SHOW IS UP IN THE RATINGS THIS SEASON. WHY?
I keep growing into myself, and the show just keeps evolving. I think the shows have veered away from doing so many topics that were of the same nature. I went through a phase where we did a lot of spiritual-related shows, and this year we just did more fun things, I think.
WHY DID YOU MOVE AWAY FROM SPIRITUAL TOPICS?
For several years I did Remembering Your Spirit, and then just one year I said, "O.K., well, everybody ought to know what their spirit is by now." We had evolved to shows reflecting the spirit of people triumphing in their lives or overcoming difficulties, and I thought these shows became so much more reflective of what we were trying to represent.
A LOT OF PEOPLE THINK ARNOLD SCHWARZENEGGER'S APPEARANCE ON YOUR SHOW GAVE HIS CAMPAIGN A BIG BOOST. DO YOU AGREE?
Oh, I heard that about George Bush too, and I totally disagree. I will not give myself that kind of credit. I think what we are able to do is allow people to see a side of a person that you wouldn't normally see, and you either relate to that or you don't.
LAST YEAR YOU WENT TO SOUTH AFRICA AND GAVE OUT GIFTS TO 50,000 KIDS. HOW ABOUT THIS YEAR?
Last year it was a life-changing experience for me. I had a moment of ... a supreme moment of destiny is what I call it, where you realize, "Oh, so this is why I was born." When I was 12 and on welfare with my mother, I was told we weren't going to have a Christmas. Some nuns showed up at the last minute and brought food and presents. And I never forgot that. I wanted to create something like that for these children. Now I am working on building schools there. I understand what it means to be poor and not have your possibilities revealed to you. So I feel like if I can do that for as many young girls as I can reach, I would have served part of my purpose here. WHY SOUTH AFRICA? I am drawn to South Africa because of Nelson Mandela, who has become a personal friend, and my love of the country. I think that for every act of generosity in the world, regardless of where it is given--in Mississippi, Montana or Mozambique--it's O.K., because it's spreading that kind of energy out into the world in a way that can make a difference.
DID YOU IDENTIFY WITH ROSIE O'DONNELL IN HER LAWSUIT OVER HER MAGAZINE?
I didn't follow the case, if you really want to know the truth. [But] I couldn't believe that she didn't have ultimate editorial control. There are many times in my magazine when I have not agreed with the editor, and we just talk it out. Sometimes I let it go. And there are other times where I feel strongly enough about it, and I say that absolutely cannot happen. Because it's an O on the magazine.
WHAT DO YOU THINK OF YOUR BOY DR. PHIL'S DIET BOOK?
I think it's solid. I mean, you've still got to do the work at the end of the day. But there is nothing in that book, if you followed it and went through the process that he asks you to, that you wouldn't be successful.
DO YOU THINK HE OUGHT TO BE ENDORSING A LINE OF NUTRITIONAL SUPPLEMENTS?
Well, it's not a choice that I would have made for myself.
DAVID LETTERMAN SAYS YOU WON'T COME ON HIS SHOW. ARE YOU SNUBBING HIM?
No, I'm not. I've done the show twice. Both times I was sort of like the butt of his jokes. I felt completely uncomfortable sitting in that chair, and I vowed I would not ever put myself in that position again. But I have a great deal of respect for his talent, and I sent him what I think is the best baby gift I ever gave. It was a tub of children's books.
EVERY COUPLE OF YEARS YOU TOY WITH THE IDEA OF WALKING AWAY FROM YOUR SHOW, AND THEN YOU DON'T. ARE YOU TEASING US?
I really am not. I like having the ability to decide whether it's still working or not. But also, I just feel like this is the best forum to reach people, so that I don't have to run around and try to get a spot on the Larry King show to tell them how important I think AIDS is. To have been granted the opportunity to have a forum like this, it just seems stupid, really, to give it up.
Read more: http://www.time.com/time/magazine/article/0,9171,1006443,00.html#ixzz1NJtJZHI3

Advice From Doctors: Top 5 Ways to Lower Costs and Improve Care

Advice From Doctors: Top 5 Ways to Lower Costs and Improve Care


Thomas Barwick / Taxi via Getty Images
Thomas Barwick / Taxi via Getty Images
  • If anyone knows where health-care dollars are being wasted, it's primary-care physicians. So, the National Physicians Alliance recently assembled working groups of doctors within three fields of primary care — family medicine, internal medicine and pediatrics — and asked each to come up with five ways to reduce costs in their areas while enhancing patient care.
The groups' recommendations were then field-tested by 255 other doctors, and the three final "Top 5" lists were published Monday in the Archives of Internal Medicine. The central theme? Less is more. Most of the physicians' advice focused on eliminating expensive tests and drugs that aren't shown to improve patient care.
Following is a rundown of their recommendations:

Top 5 List in Family Medicine
1. Don't do imaging for low back pain within the first six weeks, unless the patient has red flags like progressive neurological deficits. Low back pain is the fifth most common reason for all physician visits, but early imaging only increases costs without improving patient outcomes.
2. Don't routinely prescribe antibiotics for mild or moderate sinusitis, unless symptoms last more than seven days or worsen after an initial improvement. Despite the fact that most sinusitis is caused by a viral infection, antibiotics are still prescribed in more than 80% of outpatient cases. That adds up: each year sinusitis results in 16 million office visits and $5.8 billion in costs, even though viral infections will clear on their own.
3. Don't order annual ECGs or other cardiac screening for healthy, low-risk patients with no symptoms. False-positives and other potential harms of the tests, such as unnecessary invasive procedures and overtreatment, are likely to exceed the benefits.
4. Don't perform Pap tests on patients under 21 or in women who have had hysterectomies for benign disease. In these populations, Pap smears tend to cause unnecessary anxiety and cost, with no improvement in patient outcomes.
5. Don't do DEXA bone scans to screen for osteoporosis in women under 65 or men under 70 with no risk factors. The scans aren't cost-effective in younger patients, unless they have risk factors like calcium or vitamin D deficiency, fractures after age 50, long-term corticosteroid use, smoking or alcoholism.

Top 5 List in Internal Medicine
The recommendations for low back imaging, cardiac screening and DEXA screening are the same as the above. The two additional recommendations are:
1. Don't do blood chemistry panels or urinalyses for screening in healthy adults with no symptoms. Full blood workups don't improve health for already healthy adults, except for cholesterol screening and Type 2 diabetes screening in adults with hypertension.
2. Use generic statins when initiating cholesterol-lowering therapy. Generic drugs benefit patients with high cholesterol just as much as popular name brands like Lipitor and Crestor, but cost a great deal less.

Top 5 List in Pediatrics
1. Don't prescribe antibiotics for sore throat unless the patient tests positive for streptococcus. Most cases of sore throat are viral, yet antibiotics are prescribed more than half the time, contributing to drug resistance and high costs.
2. Don't order diagnostic imaging for minor head injuries, unless the child has loss of consciousness or other risk factors like dizziness, neurologic deficits, age under 2, or "raccoon eyes" — blood pooling around the eyes that is often evidence of a basilar skull fracture. Otherwise, imaging low-risk patients rarely detects traumatic abnormalities, while the early exposure to the scans' radiation can increase kids' risk of radiation-related cancer.
3. Don't refer cases of OME (ear infections with fluid) early on. Most cases resolve on their own within three months; however, reasons for early referral include language delay, learning problems or neurologic abnormalities.
4. Advise patients not to use over-the-counter cough and cold medications. More than 10% of children use cough or cold medicine every week, even though there's little evidence that the drugs reduce cough, runny nose or other cold symptoms. Plus, parents tend to administer improper doses of these medications, which increases the risk of side effects and even death.
5. Use corticosteroid asthma inhalers properly. Inhalers are safe, and when used properly, reduce asthma complications and hospital and emergency room visits.


Read more: http://healthland.time.com/2011/05/24/advice-from-doctors-top-5-ways-to-lower-costs-and-improve-care/#ixzz1NJrkRrXw

Netanyahu Sets Out His Peace Terms

Netanyahu Sets Out His Peace Terms but Is Unlikely to Find a Palestinian Taker

Netanyahu insisted that he was "willing to make painful concessions to achieve [a] historic peace" with the Palestinians and made clear that this would require that Israel "give up parts of the ancestral homeland of the Jewish people." He railed against the notion of occupation, saying that in Judea and Samaria — the biblical names traditionally used on the right of Israel's political spectrum for what is internationally known as the West Bank — "Jewish people are not foreign occupiers." Instead, he stressed what he said was a "4,000-year-old bond between the Jewish people and the Jewish land."
Still, he said, "the Palestinians share this small land with us," and "we seek a peace in which they'll be neither Israel's subjects nor its citizens" but would live as a "free, viable and independent people in their own state."
The reason such a state has not emerged, Netanyahu argued, is that "so far the Palestinians have been unwilling to accept a Palestinian state if that meant accepting a Jewish state alongside it." In other words, the obstacle to peace is Palestinian obduracy.
In fact, the demand that the Palestinians recognize Israel as a Jewish state and the national homeland of the Jewish people as a precondition to peace was first made by Netanyahu himself in 2009, and the Palestinian leadership responded by saying it was a red herring. Palestinian Authority President Mahmoud Abbas said the PLO recognized Israel's right to exist within the Oslo Accords and that Israel was free to define its own character. Palestinian leaders remain reluctant to take a position that would appear to diminish the rights of Israel's non-Jewish citizens, which include a million Palestinians.
But the underlying issue is the fate of the Palestinian refugees: the Palestinian leadership wants the refugees' right of return as established by U.N. resolutions to be part of the negotiating process, even if the outcome of talks involves an agreement to settle them primarily in a new Palestinian state. But Netanyahu made clear that the fate of the Palestinian refugees was not Israel's concern and that it would have to be resolved outside of Israel's borders. Indeed, he challenged Abbas to lay to rest "the fantasy that Israel will one day be flooded by the descendants of Palestinian refugees." Essentially, the Israeli leader was demanding that Abbas make clear to his people that which he may have been prepared to accept in previous rounds of talks. But even if they're prepared to compromise on the outcome, the Palestinians are unlikely to simply drop the refugee issue from its designated place among the "final status" issues to be resolved in the peace process.
While Abbas may have been willing to accept a deal under which Israel would keep the major settlement blocs in exchange for equivalent land from inside Israel's 1967 borders, he sees it as a matter of international law rather than one of Israeli generosity. Part of the logic of going to the U.N. for a ruling on sovereignty, in fact, is to establish the principle in international law that all West Bank land is the Palestinians' to trade away, rather than, as Netanyahu suggested on the basis of biblical claims, Israel's to concede.
"We'll be generous about the size of a Palestinian state," said Netanyahu, "but we'll be very firm about where we put the border with it," stressing that Israel would not return to the borders of June 4, 1967. Israel's "unique security requirements" would also have to be at the forefront of any peace agreement, the Prime Minister stressed, and that would require, among other things, "that Israel maintain a long-term military presence along the Jordan River" — i.e., that the Palestinian state's border with its only Arab neighbor, Jordan, be effectively policed by Israeli troops.
And if the vague promise of generosity while also claiming the major settlement blocs and the right to a long-term military presence in the Palestinian state were not likely to be welcomed by Abbas as a basis for renewed talks, Netanyahu had more bad news for the Palestinian leader: Israel is not prepared to share Jerusalem as the capital of both states, despite the international consensus on the issue.
After telling Congress that only Israel could be trusted to maintain freedom of worship for all faiths, Netanyahu insisted that "Jerusalem must never again be divided; Jerusalem must remain the united capital of Israel." Disagreement over the Holy City had been a key deal breaker at Camp David in 2000, and no Palestinian or Arab leader would be willing to accept Palestinian statehood without Jerusalem despite Netanyahu's pledge that "with creativity and goodwill, a solution can be found" to the difficulties that his position on Jerusalem presents for the Palestinians.
The Israeli Prime Minister then added a final hurdle for Abbas to cross in order to restart talks: he would have to reverse the reconciliation agreement that his Fatah movement has struck with Hamas, the Islamist movement that has engaged in both terrorism attacks and successful electoral politics, and which refuses to recognize Israel's right to exist as a precondition for negotiations. "We will not negotiate with a Palestinian government backed by the Palestinian version of al-Qaeda," Netanyahu thundered. "I say to President Abbas, tear up your pact with Hamas and sit down and negotiate with Israel."
The agreement with Hamas, of course, was concluded by Abbas under pressure from his base, seized by the spirit of the Arab Spring. He'd only likely tear it up if he believed negotiating with Israel could yield an outcome sufficiently acceptable to justify such a move to the Palestinian public. And he's unlikely to see such an outcome on the basis of what Netanyahu said on Capitol Hill.
A spokesman for Abbas predictably rejected Netanyahu's demands, claiming that he had put "more obstacles" in the path to peace. A resumption of talks looks as unlikely after Tuesday's speech as it did before Netanyahu spoke.
Obama noted in his speech to the Israel lobbying organization AIPAC on Sunday that the Palestinians were finding the international community receptive to their efforts to pursue their interests at the U.N. because of the "impatience with the peace process, or the absence of one." The President warned that "the march to isolate Israel internationally — and the impulse of the Palestinians to abandon negotiations — will continue to gain momentum in the absence of a credible peace process. And for us to have leverage with the Palestinians, to have leverage with the Arab states and with the international community, the basis for negotiations has to hold out the prospect of success."
The smart money says that the coming months are more likely to see an escalation of the diplomatic confrontation than an outbreak of peace.


Read more: http://globalspin.blogs.time.com/2011/05/24/netanyahu-sets-out-his-peace-terms-but-is-unlikely-to-find-a-palestinian-taker/#ixzz1NJqhztxr