Shorter hospital stays don’t mean worse care: study

NEW YORK (Reuters Health) – U.S. Veterans Affairs hospitals were able to reduce their patients’ length of stay without increasing the number of people who needed to be readmitted later on, according to a new study.

“As hospitals became more efficient there was this growing concern that we were discharging patients – as some would say – sicker and quicker,” said the study’s lead author Dr. Peter Kaboli.

“In fact, we found just the opposite,” said Kaboli, who works at the Iowa City VA Health Care System.

According to the researchers, who published their findings in the Annals of Internal Medicine, hospitals are under pressure to cut the amount of time their patients spend there.

It’s a goal that benefits everyone, they write, because getting patients out of the hospital faster reduces the risk of infection and also cuts costs.

But some worry that discharging patients earlier increases the chance they will return to the hospital for additional care. Such readmissions cost the U.S. Medicare program an estimated $ 17 billion every year, according to a 2009 study.

What’s more, on October 1 of this year, the Centers for Medicare and Medicaid Services started using readmission rates and patient outcomes as a way to determine how much money hospitals should be paid.

For the new study, Kaboli and his colleagues, wanted to see if shorter stays throughout the VA’s 129 centers meant more patients returned to the hospital within 30 days of discharge.

Using the VA’s electronic medical records, the researchers analyzed over 4 million patients’ records from between 1997 and 2010.

They found the average hospital stay decreased from about 5.5 days at the beginning of the study to about 4 days at the end.

As for the number of patients who returned to the hospital within 30 days of their discharge, the researchers found that rate fell by 3 percentage points, from 16.5 percent in 1997 to 13.8 percent in 2010.

“I felt going into this that (length of stay) wouldn’t make a difference, but showing that it reduces readmission was a positive and reassuring find,” said Kaboli.

QUALITY MEASURES

The researcher found, however, that there was a point where a short length of stay was linked to more patients being readmitted. Hospitals with lengths of stay at least one day shorter than the average ended up seeing an increase in readmissions.

There were also concerns that some of the patients died at home instead of returning to the hospital. But the researchers found that the number of people dying within 90 days of leaving the hospital also decreased during those 14 years.

“For patients, we’ve been able to take care of them more efficiently, with better quality and reducing mortality rates all at the same time,” said Kaboli.

But Morris Weinberger, of Duke University, and Dr. Eugene Oddone, of the University of North Carolina at Chapel Hill question whether readmission rates are a good measure of a hospital’s quality.

They write in an editorial accompanying the new study that a number of factors outside of a typical doctor’s control can influence the risk of a person being readmitted to the hospital.

In October, a study suggested that a person’s employment status, living situation and education are all linked to their risk of being readmitted to the hospital (see Reuters Health article of October 19, 2012 here: http://reut.rs/Z7uCy9).

Dr. Manesh Patel, an assistant professor of cardiology at Duke University in Durham, told Reuters Health that this study shows that the VA system improved in areas that patients care about.

“The good news here is that there seems to be a linkage… Some of these measures that we’re using might be reasonable measures,” said Patel, who was not involved in the new research but has studied hospital readmissions.

Kaboli added that it’s also important to not just focus on getting patients out of the hospital. It’s also important to respect their wishes.

“This is a team effort. (Patients) need to communicate their goals and wishes, and have these conversations with the nurse and doctors so everyone is working toward a common goal,” he said.

SOURCE: http://bit.ly/SLWzwm and http://bit.ly/SMrvg5 Annals of Internal Medicine, online December 17, 2012.

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NBC’s Engel, TV crew escape abduction in Syria

BEIRUT (AP) — NBC‘s chief foreign correspondent Richard Engel said Tuesday he and members of his network crew escaped unharmed after five days of captivity in Syria, where more than a dozen pro-regime gunmen dragged them from their car, killed one of their rebel escorts and subjected them to mock executions.

Appearing on NBC’s “Today” show, an unshaven Engel said he and his team escaped during a firefight Monday night between their captors and rebels at a checkpoint. They crossed into Turkey on Tuesday.

NBC did not say how many people were kidnapped with Engel, although two other men, producer Ghazi Balkiz and photographer John Kooistra, appeared with him on the “Today” show. It was not confirmed whether everyone was accounted for.

Engel said he believes the kidnappers were a Shiite militia group loyal to the Syrian government, which has lost control over swaths of the country’s north and is increasingly on the defensive in a civil war that has killed 40,000 people since March 2011.

“They kept us blindfolded, bound,” said the 39-year-old Engel, who speaks and reads Arabic. “We weren’t physically beaten or tortured. A lot of psychological torture, threats of being killed. They made us choose which one of us would be shot first and when we refused, there were mock shootings,” he added.

“They were talking openly about their loyalty to the government,” Engel said. He said the captors were trained by the Iranian Revolutionary Guard and allied with Hezbollah, the Lebanese Shiite militant group, but he did not elaborate.

There was no mention of the kidnapping by Syria’s state-run news agency.

Both Iran and Hezbollah are close allies of the embattled Syrian government of President Bashar Assad, who used military force to crush mostly peaceful protests against his regime. The crackdown on protests led many in Syria to take up arms against the government, and the conflict has become a civil war.

Engel said he was told the kidnappers wanted to exchange him and his crew for four Iranian and two Lebanese prisoners being held by the rebels.

“They captured us in order to carry out this exchange,” he said.

Engel and his crew entered Syria on Thursday and were driving through what they thought was rebel-controlled territory when “a group of gunmen just literally jumped out of the trees and bushes on the side of the road.”

“There were probably 15 gunmen. They were wearing ski masks. They were heavily armed. They dragged us out of the car,” he said.

He said the gunmen shot and killed at least one of their rebel escorts on the spot and took the hostages into a waiting truck nearby.

Around 11 p.m. Monday, Engel said he and the others were being moved to another location in northern Idlib province.

“And as we were moving along the road, the kidnappers came across a rebel checkpoint, something they hadn’t expected. We were in the back of what you would think of as a minivan,” he said. “The kidnappers saw this checkpoint and started a gunfight with it. Two of the kidnappers were killed. We climbed out of the vehicle and the rebels took us. We spent the night with them.”

Engel and his crew crossed back into neighboring Turkey on Tuesday.

The network said there was no claim of responsibility, no contact with the captors and no request for ransom during the time the crew was missing.

NBC sought to keep the disappearance of Engel and the crew secret for several days while it investigated what happened to them. Major media organizations, including The Associated Press, adhered to a request from the network to refrain from reporting on the issue out of concern it could make the dangers to the captives worse. News of the disappearance did begin to leak out in Turkish media and on some websites on Monday.

Syria has become a danger zone for reporters since the conflict began.

According to the Committee to Protect Journalists, Syria is by far the deadliest country for the press in 2012, with 28 journalists killed in combat or targeted for murder by government or opposition forces.

Among the journalists killed while covering Syria are award-winning French TV reporter Gilles Jacquier, photographer Remi Ochlik and Britain’s Sunday Times correspondent Marie Colvin. Also, Anthony Shadid, a correspondent for The New York Times, died after an apparent asthma attack while on assignment in Syria.

The Syrian government has barred most foreign media coverage of the civil war in Syria. Those journalists whom the regime has allowed in are tightly controlled in their movements by Information Ministry minders. Many foreign journalists sneak into Syria illegally with the help of smugglers and travel with rebel escorts or drivers.

Engel joined NBC in 2003 and was named chief foreign correspondent in 2008. He previously worked as a freelance journalist for ABC News, including during the U.S. invasion of Iraq. He has lived in the Middle East since graduating from Stanford University in 1996.

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Cannibalization concerns ‘overblown’ as half of iPad mini sales go to new buyers

It has been widely reported that Apple’s (AAPL) iPad mini is cannibalizing sales of the company’s full-sized iPad. According to a new survey, however, nearly half of all recent iPad mini buyers are new to the platform, AppleInsider reported. The data comes from Katy Huberty of Morgan Stanley, who said that while the smaller tablet is clearly cannibalizing some sales of the larger iPad, concerns are “overblown.” The analyst’s opinion echoes previously statements shared by Apple CEO Tim Cook, revealing that the company does not “worry about cannibalization of our own product,” adding that “it’s much better for us to do that than for somebody else to do it.” Huberty also notes that the iPad mini is a “key demand driver” and has accounted for 34% of planned iPad purchases.

[More from BGR: New BlackBerry 10 images show off home screen UI, notifications and key apps]

[More from BGR: Apple loses its shine]

The survey did find that the iPad 4 is attracting slightly more new users than the iPad mini, however, 56% compared to 47%. The analyst notes that these numbers indicate that the company’s cannibalization risk factor with the iPad mini is “manageable.” Apple’s tablet install base continues to grow faster than any other company and its retention rate of 81% is the strongest in the industry. Better yet, 36% of consumers who do not own a tablet have said they plan to buy an iPad in the future.

This article was originally published by BGR

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Channing Tatum, Jenna Dewan-Tatum expecting baby

NEW YORK (AP) — The Sexiest Man Alive will soon be a sexy dad.

Actor Channing Tatum and his wife Jenna Dewan-Tatum are expecting their first child in 2013, their reps confirm.

The news was first reported by People.com, which named Tatum the Sexiest Man Alive in November.

The couple, who recently co-starred in the film “10 Years,” met on the 2006 dance film “Step Up,” and wed in 2009.

Besides a baby, the new year will be a busy year for the parents-to-be. Tatum has at least four movies in the works while Dewan-Tatum appears on this season of “American Horror Story: Asylum” and has a TV movie called “She Made Them Do It” premiering Dec. 29 on Lifetime.

___

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http://jennadewanunwrapped.com/

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Many have ovary surgery even with negative gene test

NEW YORK (Reuters Health) – Many women who test negative for gene mutations that heighten the risk of ovarian cancer still get their ovaries removed despite a lack of evidence that it reduces the risk of dying, says a new study.

“A higher number than expected went through with the surgery, and it probably has to do with doctors in the community not having enough information on their patients’ risk levels,” said Dr. Gabriel Mannis, the study’s lead author.

According to Mannis and his colleagues, who published their study in the Archives of Internal Medicine on Monday, the average woman’s risk of developing ovarian cancer is about 2 percent, but women with BRCA1 and BRCA2 gene mutations have a 40 percent and 20 percent risk, respectively.

For women that test positive for the gene mutations, the American Congress of Obstetricians and Gynecologists (ACOG) says, if they choose to have their ovaries removed, it should be when they are done having children and near 40 years old.

There are no guidelines, however, on ovary removal and screening for women whose blood tests don’t show the gene mutations but who may still be at an increased risk of cancer based on their family’s medical history.

“We don’t have a clear sense of what their risk level is, or what the role of screening should be,” said Mannis, of the division of oncology at the University of California, San Francisco.

For the new study, the researchers surveyed women at two hospitals about 4 years after they were tested for the gene mutations to see if they decided to be screened or have their ovaries removed.

Of 1,077 women surveyed, about 19 percent tested positive for a BRCA mutation, about 10 percent had no mutation, and the rest had unclear results.

The researchers found that about 70 percent of the women who tested positive for a mutation had their ovaries removed by the time they took the survey.

But, despite a lack of evidence that they should have their ovaries removed, about 12 percent of the women with unclear results still had the surgery.

OVARIAN CANCER SCREENING

The researchers also found that despite the U.S. Preventive Services Task Force recommending against screening for ovarian cancer in women without the gene mutations, about 20 percent of women whose test results didn’t clearly show the mutations still ended up getting screened in the year before taking the survey.

In a previously published study, women screened annually for ovarian cancer were no less likely to die from the disease than those who didn’t get regular screening (see Reuters Health article of Sep. 10, 2012. http://reut.rs/QAmMdk).

Aside from not being shown to help, the tests are also imperfect, said Dr. Jed Delmore, chair the Gynecologic Oncology Sub-committee for ACOG.

“I can simply say that as of today we don’t have a good screening,” said Delmore, of the University of Kansas School of Medicine in Wichita.

“At this point if doctors are going to proceed with screening in this group of women, there needs to be a conversation that we don’t really know if this will prevent you from dying sooner of ovarian cancer or that it may come back as a false positive,” said Mannis.

In that previous study, about one in ten screened women had a false positive result, and of those a third had one or both ovaries removed.

That means some women had both ovaries removed even though they were not at an increased risk for cancer, which needlessly put them in danger of a complication and forced them into menopause.

Plus, the removing an ovary can cost over $ 3,000.

Delmore told Reuters Health that it seems like an intermediate ground has been reached with a majority of BRCA-positive women having surgery to reduce their risk, and fewer BRCA-negative women having it.

He agreed with Mannis that doctors need to be honest with their patients about the limitations of today’s screenings and treatments.

“We have pretty solid information for women who are BRCA positive and clearly BRCA negative,” he said. “It’s just that group in the middle.”

Mannis told Reuters Health that the next step would be to identify that group’s risk levels, but both he and Delmore said that won’t be easy.

SOURCE: http://bit.ly/WiwDtv Archives of Internal Medicine, online December 17, 2012.

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Hopes rise for “fiscal cliff” deal as Obama, Boehner meet

WASHINGTON (Reuters) – President Barack Obama and top Republican John Boehner met at the White House on Monday as hopes rose that Washington will be able to head off steep tax hikes and spending cuts that could push the economy into recession next year.

Aides from both parties said they were optimistic that a deal could be reached in the coming days to avert the “fiscal cliff,” as lawmakers set the stage for action before a year-end deadline.

“There’s been too much progress at this point and neither guy wants to go over the cliff,” a senior Republican aide said.

Although both sides still had major differences, investors were cheered by signs of progress. The Standard & Poor’s 500 index was up 0.72 percent in late afternoon.

“I think there’s a lot of expectation that a fiscal cliff deal of some sort does get done,” said Joseph Benanti, managing director of Rosenblatt Securities in New York.

Senate Democratic leader Harry Reid said his chamber will wrap up work on the issue after Christmas.

“It appears that we’re going to be coming back the day after Christmas to complete work on the fiscal cliff,” he said on the Senate floor.

Boehner, the speaker of the Republican-controlled House of Representatives, has edged closer to Obama’s demand to raise taxes on the wealthiest Americans. In return, Obama is considering a measure that would slow the rate of growth of Social Security retirement benefits by changing the way they are measured against inflation, according to a Senate Democratic aide.

GETTING CLOSER ON TAXES

In a step toward an agreement, Boehner has put forward a tax increase for those earning over $ 1 million annually, while Obama wants that threshold set at $ 250,000. Republicans could probably stomach a tax hike on incomes above $ 500,000, a Republican aide said.

The two sides face a deadline of December 31, when $ 600 billion in across-the-board spending cuts and tax hikes are due to begin kicking in, a jolt to the economy that could throw it back into recession.

Boehner’s latest proposal calls for $ 1 trillion in new tax revenue, which would come from raising rates and limiting deductions that the wealthiest can take. That is $ 400 billion less than the White House wants, but the gap between the two sides has narrowed by half in recent weeks.

Boehner could float the broad outlines of a deal with rank-and-file members on Tuesday. If there are no strong objections, he could try to finalize the deal on Wednesday, the Republican aide said.

A Democratic aide said that if a deal is reached by Saturday night, votes could be held in Congress next week.

Both sides declined to say what Boehner and Obama discussed at the meeting, which was also attended by Treasury Secretary Timothy Geithner.

The White House said Boehner’s latest proposal doesn’t meet its standards.

“Thus far the president’s proposal is the only proposal that we have seen that achieves the balance that is so necessary,” White House spokesman Jay Carney said at a news briefing.

Republicans understand that the clock is ticking and they are confident that Boehner will get a deal they can support in the coming days, a senior House Republican aide said.

Boehner “won’t sign off on a deal that doesn’t have enough votes to get through,” the aide said.

Republicans want substantial spending cuts in return for increased tax revenue, but any proposal to trim popular benefit programs like the Medicare health insurance plan for seniors will face fierce resistance from liberal Democrats, whose votes will be needed to get a deal passed.

Obama could also face strong opposition from Democrats if he agrees to Boehner’s proposal to slow the growth of Social Security benefits by changing the way the cost-of-living increases are measured against inflation, an approach that could save $ 200 billion over 10 years.

Obama also wants to head off another confrontation over the government’s debt limit, which will need to be raised in the coming months. Republicans insist that any increase in the government’s $ 16.4 trillion borrowing authority must be paired with an equal reduction in spending.

(Additional reporting by Thomas Ferraro, Mark Felsenthal and Jeff Mason in Washington and Gabriel Debenedetti and Angela Moon in New York; Writing by Andy Sullivan; Editing by Alistair Bell and Eric Beech)

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N. Korea displays Kim Jong Il a year after death

PYONGYANG, North Korea (AP) — North Korea unveiled the embalmed body of Kim Jong Il, still in his trademark khaki jumpsuit, on the anniversary of his death Monday as mourning mixed with pride over a recent satellite launch that was a long-held goal of the late authoritarian leader.

Kim lies in state a few floors below his father, national founder Kim Il Sung, in the Kumsusan mausoleum, the cavernous former presidential palace. Kim Jong Il is presented lying beneath a red blanket, a spotlight shining on his face in a room suffused in red.

Wails echoed through the chilly hall as a group of North Korean women sobbed into the sashes of their traditional Korean dresses as they bowed before his body. The hall bearing the glass coffin was opened to select visitors — including The Associated Press — for the first time since his death.

North Korea also unveiled Kim’s yacht and his armored train carriage, where he is said to have died. Among the personal belongings featured in the mausoleum are the parka, sunglasses and pointy platform shoes he famously wore in the last decades of his life. A MacBook Pro lay open on his desk.

North Koreans paid homage to Kim and basked in the success of last week’s launch of a long-range rocket that sent a satellite named after him to space.

The launch, condemned in many other capitals as a violation of bans against developing its missile technology, was portrayed not only as a gift to Kim Jong Il but also as proof that his young son, Kim Jong Un, has the strength and vision to lead the country.

The elder Kim died last Dec. 17 from a heart attack while traveling on his train. His death was followed by scenes of North Koreans dramatically wailing in the streets of Pyongyang, and of the 20-something son leading ranks of uniformed and gray-haired officials through funeral and mourning rites.

The mood in the capital was decidedly more upbeat a year later, with some of the euphoria carrying over from last Wednesday’s launch. The satellite bears one of Kim Jong Il’s nicknames, Kwangmyongsong, or “Lode Star,” a moniker given to him at birth according to the official lore.

Cameras were not allowed inside the mausoleum, and state media did not release any images of Kim Jong Il’s body.

With the death anniversary came a hint that Kim Jong Un himself might soon be a father.

His wife, Ri Sol Ju, was seen on state TV with what appeared to be a baby bump as she walked slowly next to her husband at the mausoleum, where they bowed to statues of Kim’s father and grandfather.

There is no official word from Pyongyang about a pregnancy. In addition, Ri is shown wearing a billowing traditional Korean dress in black that makes it difficult to know for sure.

North Koreans are reluctant to discuss details of the Kim family that have not been released by the state. Still there are rumors even in Pyongyang about whether the country’s first couple is expecting.

To honor Kim’s father, North Koreans stopped in their tracks at midday and bowed their heads as the national flag fluttered at half-staff along streets and from buildings.

Pyongyang construction workers took off their yellow hard hats and bowed at the waist as sirens wailed across the city for three minutes.

Tens of thousands of North Koreans gathered in the frigid plaza outside, newly transformed into a public park with lawns and pergolas. Geese flew past snow-tinged firs and swans dallied in the partly frozen moat that rings the vast complex in Pyongyang’s outskirts.

“Just when we were thinking how best to uphold our general, he passed away,” Kim Jong Ran said at the plaza. “But we upheld leader Kim Jong Un. … We regained our strength and we are filled with determination to work harder for our country.”

Speaking outside the mausoleum, renamed the Kumsusan Palace of the Sun, the military’s top political officer, Choe Ryong Hae, said North Korea should be proud of the satellite, calling it “a political event with great significance in the history of Korea and humanity.”

Much of the rest of the world, however, was swift in condemning the launch, which was seen by the United States and other nations as a thinly disguised cover for testing missile technology that could someday be used for a nuclear warhead.

The test, which the U.N. Security Council said violated a ban on launches using ballistic missile technology, underlined Kim Jong Un’s determination to continue carrying out his father’s hardline policies even if they draw international condemnation.

Washington said Monday it has no option but to seek to isolate Pyongyang further.

“What’s left to us is to continue to increase pressure on the North Korean regime and we are looking at how to best to do that, both bilaterally and with our partners going forward until they (North Korea) get the message. We are going to further isolate this regime,” U.S. State Department spokeswoman Victoria Nuland said.

Some outside experts worry that Pyongyang’s next move will be to press ahead with a nuclear test in the coming weeks, a step toward building a warhead small enough to be carried by a long-range missile.

Despite inviting further isolation for his impoverished nation and the threat of stiffer sanctions, Kim Jong Un won national prestige and clout by going ahead with the rocket launch.

At a memorial service on Sunday, North Korea’s top leadership not only eulogized Kim Jong Il, but also praised his son. Kim Yong Nam, president of the Presidium of North Korea’s parliament, called the launch a “shining victory” and an emblem of the promise that lies ahead with Kim Jong Un in power.

The rocket’s success also fits neatly into the narrative of Kim Jong Il’s death. Even before he died, the father had laid the groundwork for his son to inherit a government focused on science, technology and improving the economy. And his pursuit of nuclear weapons and the policy of putting the military ahead of all other national concerns have also carried into Kim Jong Un’s reign.

In a sign of the rocket launch’s importance, Kim Jong Un invited the scientists in charge of it to attend the mourning rites in Pyongyang, according to state media.

The reopening of the mausoleum on the anniversary of the leader’s death follows tradition. Kumsusan, the palace where his father, Kim Il Sung, served as president, was reopened as a mausoleum on the anniversary of his death in 1994.

___

Associated Press writers Hyung-jin Kim in Seoul, South Korea, and Matthew Pennington in Washington contributed to this report. Follow Jean Lee, AP’s bureau chief for Pyongyang and Seoul, at www.twitter.com/newsjean.

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Art for Wealth’s Sake: Art Basel Paints a Picture of Miami’s Separate and Unequal Worlds

It’s 10 p.m. on a Friday night. A naked girl is splashing about in the swimming pool at the Standard Hotel Miami. She is from New York and runs a nonprofit for homeless teens. We’ll call her Liz: “You’re so boring!” she yells from the middle of the pool.

It was a common refrain here during Art Basel Miami Beach—now the world’s largest contemporary art fair—where many of earth’s most privileged humans gather for a week of champagne and gawking at art (and at each other) in the sun.

The poolside celebration was for Terry Richardson, a fashion photographer known for his sexually charged (or sexually abusive, depending on your source) shoots. A cell phone company, HTC, spent $ 100,000 to sponsor the party, a book release for Richardson. This is a typical event, one of hundreds that occur during what is commonly referred to as “Basel.”

MORE: Scenes From a Class War (VIDEOS)

Basel is now 11 years old. It’s gone from a decent sized art fair to an international marketing and branding orgy with few parallels. Because all the big collectors fly down private, and scores of cool young New Yorkers file in on JetBlue, luxury brands rush in to hit both their “target demos” and “tastemakers” in one shot.

In terms of tourism dollars, Basel is Miami’s highest grossing week. Hotels on South Beach were demanding thousands per night for rooms. The fair’s main sponsor was the honorable UBS, the very same Swiss bank that just settled a billion dollar fraud case with international authorities. UBS not only robs the world and stashes terrorist/dictator cash, it sponsors art fairs too—cool guys.

Most Miamians don’t care about Art Basel. The city is only 11 percent white (far and away the primary Basel target demographic), and most of the 40 percent Hispanic and 20 percent black populations live far from the South Beach glam, many in poverty. Miami has the second widest gap between rich and poor in America, after New York. Blacks make an average of $ 15,000 a year. Whites double that, at $ 37,000. But at $ 19,000, the city’s majority Hispanics aren’t doing so well either.

Disparity defines the art world too, with its hungry artists and rich collectors and patrons. So it’s fitting that the largest contemporary art fair in the world happens in Miami.

Few people are more detached from the short-end reality of income disparity than the global art tribe. These arbiters of the cultural elite fly around the world to various openings and fairs then retreat to galleries, museums and studios in their home cities before heading out again. Of course, there are exceptions. Some artists at Basel retain a socio-politico aesthetic. A good example is Barbara Krueger, whose text-orientated pieces mocking consumerism and political power were selling for $ 200,000 to $ 500,000 and became the talk of the fair.

Bearing many hallmarks of a third world city, Miami breaks down into two distinct populations. The rich live across Biscayne Bay on beautiful beaches and gated islands. The poor are stretched across downtown’s grid, where every block headed west from the bay is worse than the one before it. The city has few economically diverse neighborhoods.

The two Miamis can easily be visited on the same day. Last week. Alex “A-Rod” Rodriguez, the New York Yankee third baseman with the largest sports contract in history, was having a party in his $ 30 million modernist manse.

I skipped A Rod’s soiree, mainly because I hate the Yankees, to hang out with Dee, a 22-year-old drug dealer who lives on west 20th Street downtown. All he wanted was customers: “Man, who down here needs anything? I’m fucking broke. I live in the projects with my aunt. Gotta get out.”

Dee said he’d take any job—as in, “I’ll work at Chick-fil-A, man!” Saddled with a criminal record, he’s never been hired anywhere.

We cruised over to 75th Street, the main drag in Little Haiti, where public housing is painted lime green and similarly awesome pastel paint jobs cover buildings advertising W.I.C and Western Union.

“There are no banks here,” Dee tells me. “We don’t have enough money.”

UBS—where are you?

The South Beach Basel crowd hosted quite a few Hurricane Sandy benefits. But I didn’t find one art world benefit for Miami’s poor. There is a definite willful ignorance in plopping your billionaires down at dinners and six-figure parties in the name of “culture” while ignoring masses of people who are in dire need of said culture and are readily at hand: The impoverished residents of Miami.

Back in New York, I catch up with Liz, the naked pool gal. She’s in Tompkins Square Park, the epicenter of Manhattan’s Lower East Side. Stella is smiling. Her art world disdain has clearly dried off.

“I have no idea why I was in Miami,” she says. “Who were those people? Why are they so boring, and why did that one guy in the black suit keep saying Le Baron over and over again?”

Around the same time I get a text from Dee. “You know anyone still down here? Tryna get that $ .”

I inform Lee that Le Baron is a Parisian disco that does a chic party every night of Basel.

Lee receives this information as she’s handing out clean needles and Narcan to the local crust punk populace, all of whom she knows by name.

“Do these people really care?” she asks.

Sadly, Basel people do seem to express more concern about French discos and wearing aggressive outfits than they do about the inequality in America—maybe best seen in Miami’s two worlds.

I have an idea for Art Basel next year. In the process of exchanging all those millions for bought and sold visions, try and help some of the people from Miami.

Are wealthy visitors obligated to alleviate some of the local misery when they party in the midst of poverty? Take a position in COMMENTS.

These are solely the author’s opinions and do not represent those of TakePart, LLC or its affiliates.

Related Stories on TakePart:

• Dispatch From Morocco: ‘Excuse Me, Aren’t We About to Start a War Here?’

• America, Syria and the State of Child Soldiering 2012

• Census Shows Sharp Increase in U.S. Poor

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Ray LeMoine was born in Boston and lives in New York. He’s done humanitarian work in Iraq and Pakistan and has written for various media outlets, including the New York Times, New York Magazine and the Awl.

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Actor Depardieu puts Paris house up for sale

PARIS (Reuters) – French actor Gerard Depardieu, accused of trying to escape the taxman by buying a house just over the border in Belgium, has put his sumptuous Parisian home up for sale.

Depardieu, the latest wealthy Frenchman to seek shelter from government tax hikes, is selling a vast early 19th-century manor house in the Saint Germain district of the capital, playground of writers, jazz musicians and art dealers over the decades.

His real estate agent declined to say how much he was asking for a property that is on a list of protected national monuments and, as well as the main house, has a swimming pool, landscaped gardens and an ultramodern annex that once served as a theatre.

News of the Parisian sale plan came a day after French Prime Minister Jean-Marc Ayrault described Depardieu’s behavior as “pathetic” and unpatriotic at a time when the French are being asked to pay higher taxes to reduce a bloated national debt.

An angry member of parliament has proposed that France adopt a U.S.-inspired law that would force Depardieu or anyone trying to escape full tax dues to forego their nationality.

The 63-year-old “Cyrano de Bergerac” star recently bought a house in Nechin, a Belgian village a short walk from the border with France, where 27 percent of residents are French nationals, local mayor Daniel Senesael told French media on Sunday.

Depardieu also enquired about procedures for acquiring Belgian residency, he said.

The move comes three months after Bernard Arnault, chief executive of luxury giant LVMH and France’s richest man, caused an uproar by seeking to establish residency in Belgium – a move he said was not for tax reasons.

Belgian residents do not pay wealth tax, which in France is now levied on those with assets over 1.3 million euros ($ 1.7 million). Nor do they pay capital gains tax on share sales.

Socialist President Francois Hollande is pressing ahead too with plans to impose a 75-percent supertax on income over 1 million euros.

While Depardieu’s real estate agents did not comment on the price being sought for the Paris property, a local newspaper suggested it could be in the region of 50 million euros.

At average prices quoted on the Internet, a property of that size would command upwards of 20 million, without the additional status of a national monument, celebrity appeal or the artwork renovation commissioned by Depardieu when he bought it in 2003.

Depardieu’s agents declined to comment.

(Reporting by Brian Love and Gerard Bon; editing by Andrew Roche)

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Workplace Bullying Common, Could Lead to Medication Use

Dec 16, 2012 7:00am

If you’ve ever felt bullied at work, you’re not alone. A new study suggests workplace bullying is common, and so is the need for medical intervention.

The survey-based study of more than 6,000 Finns found that one in eight men and one in five women reported being bullied at work. And self-reported bullying victims were more likely to use of antidepressants, sleeping pills and sedatives.

“A potentially unexpected finding is that the results were somewhat stronger for men than women,” study author Dr. Tea Lalluka of the University of Hilsinki said, explaining that bullied men were slightly more likely to use medications than bullied women.

The study was published Thursday in the journal BMJ.

Even witnessing bullying can have health effects, according to the study. Men and women who observed workplace bullying were one and a half to two times as likely to need similar medications, reflecting true, medically confirmed mental problems.

“We’ve all seen it go on,” said Dr. Nadine Kaslow, vice chair of psychiatry at Emory University in Atlanta, who was not involved with the study. “It’s that bystander effect; nobody wants to do anything about it.”

The study was unable to examine the length or intensity of bullying among surveyed employees. But experts say preventing workplace bullying might help prevent serious mental health problems.

“There are employee assistance programs and wellness programs available to people,” Kaslow said. “I would encourage people to take advantage of those. Get support — social support, self care, exercise, eat well — whatever it is, make connections with people at work.”

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