A collection that identifies California as a world apart









PALO ALTO — Something was unusual about the 1663 map of the Western Hemisphere.


Yes, much of the North and South American coasts followed contours geographers would recognize today. And in California, Santa Catalina, Santa Barbara and Point Reyes were clearly marked. But wait! What was that body of water marked Mare Vermiglio, or Red Sea, separating California from the mainland? And why was California a big carrot-shaped island?


That geographic oddity caught the attention of Glen McLaughlin, an American businessman who was browsing through antique maps at a shop in London in 1971. He bought it — and began pursuing a quirky and expensive passion that would lead him to devote an entire room in his San Jose-area home to what is believed to be the largest private collection of such maps.





"It was not a very pretty map, but it had the concept that California was a very different place, a special place," McLaughlin recalled about that first purchase.


Four decades later, his collection of 800 maps, all showing California as an island, is making a splash in academia. And to both California lovers and haters, it promotes the sentiment that the state, even if not a physical island, remains a cultural and political one.


McLaughlin recently turned his collection over to Stanford University's Branner earth sciences library in an arrangement that was part sale, part donation. It is thought to be worth $2.1 million.


An Oklahoman who found a new home and success as a Silicon Valley venture capitalist, McLaughlin became intrigued with 17th and 18th century depictions of California as a mysterious island of riches and, he said, "hope for the future."


From early exploration to Gold Rush days to the current high-tech era, California has been a kind of island of freedom and innovation, he said. "There is enormous tolerance for different points of view. So inventors, who might be called kooks or nuts someplace else were embraced here and encouraged," said McLaughlin, a hearty 77. It is, he added, "the grandest place on Earth."


The maps and an online repository are expected to enrich scholars' knowledge of the first California experiences by European explorers. Spurred in part by imaginary descriptions in an early 16th century novel, Spanish travelers originally searched for an island supposedly populated by cannibalistic Amazons with plentiful jewels and gold. It took two more centuries to refute that and other island theories.


The collection shows "layer upon layer of history," said Julie Sweetkind-Singer, a Stanford map librarian. "It shows the perceptions of the times and the idea of exploration and finding new worlds." In their day, the maps excited people the way images from the Hubble Space Telescope do today, she added.


Among the first to study the maps intensively will be author and geography expert Rebecca Solnit, whose 2010 book, "Infinite City: A San Francisco Atlas," mapped that city for such things as Native American place names, contemporary murders and coffeehouses. She soon will start a six-month fellowship at Stanford with the goal of writing a book based on the McLaughlin collection.


Although the maps are technically wrong, their symbolism remains powerful, she said.


"California is not an island and doesn't have an east coast and no Vermilion Sea. But it is so separate from other parts of the United States, economically, culturally and even spatially," Solnit said. With mountains and deserts isolating California, and its agriculture, high-tech and entertainment industries so well developed, "who's to say we are not this magical, amazing place?"


The maps, she added, "show this weird kind of dance between imagination and desire on the one hand and exploration and fact on the other."


McLaughlin said he has cartography in his DNA. His great-grandfather was a surveyor, his father once won a school contest in drawing maps, and McLaughlin himself was an Air Force pilot trained in navigation. He fell in love with Northern California when stationed there in the late 1950s and returned as a civilian to its high-tech and finance industries. Among other positions, he was a co-founder of Greater Bay Bancorp, a large bank that was acquired by Wells Fargo.


Not a golfer or one for the party circuit, he fell into his map habit as quiet relief from the financial minutiae of his work and the stress of dealing with the computer world's "bits and bytes."


It also gave him entree to the rarefied world of scholars and collectors, where the mistaken island images, like misprinted postage stamps, "always draw more attention than the run of the mill," said McLaughlin, an unexcitable man who recounts his map acquisitions like a retired professor recalling good students of the past.


The growing size of his collection sometimes exasperated his wife, Ellen. At first he stored them under a bed, but that made them difficult to protect from the family cat. He then acquired architects' cases and eventually moved them to a dedicated study in a 10-room house in Saratoga. With part-time helpers, he produced well-regarded essays and catalogs on his collection and UC Berkeley's.


Recently, he and his wife moved to a smaller home nearby, pared their possessions and arranged the transfer to Stanford. The collection is expected to move across campus in 2014 to a center that will be created at the university's main Green Library; the space will be named after David Rumsey, a real estate developer who is donating his immense collection of 18th and 19th century Western Hemisphere maps and atlases.


McLaughlin's maps, carefully stored in Mylar sleeves or framed behind glass, display beautiful curiosities. His first, in English and Latin, shows sea monsters and galleons in the oceans. A 1656 French one gives "Californie Isle" a foot-like northern coast with five peninsula toes. A 1670 Dutch version shows angels on top and below a bare-chested Native American chief with snakes and bars of gold.





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IHT Rendezvous: China Calls for 'No Delay' on Gun Controls in U.S.

HONG KONG — The state news agency in China, the official voice of the government, has called for the United States to quickly adopt stricter gun controls in the aftermath of the shooting rampage in Connecticut that left 28 people dead, including 20 schoolchildren.

According to the state medical examiner who was overseeing autopsies of the children, all of them had been hit multiple times. At least one child had been shot 11 times.

All of the children were in the first grade.

“Their blood and tears demand no delay for U.S. gun control,” said the news agency, Xinhua, which listed a series of shootings this year in the United States.

“However, this time, the public feels somewhat tired and helpless,” the commentary said. “The past six months have seen enough shooting rampages in the United States.”

China suffered its own school tragedy on Friday — a man stabbed 22 children at a village elementary school in Henan Province. An 85-year-old woman also was stabbed.

There were no fatalities, although Xinhua reported that some of the children had had their fingers and ears cut off. The attacker, a 36-year-old man, was reportedly in custody. There was no immediate explanation for his possible motives.

China experienced a spate of attacks on schoolchildren in 2010, with almost 20 deaths and more than 50 injuries. In the fourth of the assaults, a crazed man beat five toddlers with a hammer, then set himself on fire while holding two youngsters.

In another of those attacks in 2010, Zheng Minsheng, 42, stabbed and killed eight primary school students in Fujian Province. Five weeks later, after a quick trial, he was executed.

My colleague Michael Wines reported at the time: “Some news reports stated that Mr. Zheng had mental problems, but most state media said no such evidence existed. Mental illness remains a closeted topic in modern China, and neither medication nor modern psychiatric treatment is widely used.”

“Most of the attackers have been mentally disturbed men involved in personal disputes or unable to adjust to the rapid pace of social change in China,” The Associated Press reported Saturday, adding that the rampages pointed to “grave weaknesses in the antiquated Chinese medical system’s ability to diagnose and treat psychiatric illness.”

Private ownership of guns — whether pistols, rifles or shotguns — is almost unheard of in China. Handgun permits are sometimes (but rarely) given to people living in remote areas for protection against wild animals.

The Chinese school assaults were carried out with knives, kitchen cleavers or hammers, the usual weapons of choice in mass attacks in China. As a precaution before the recent Communist Party Congress in Beijing, the sale of knives was banned in the central area of the capital.

Dr. Ding Xueliang, a sociologist at the University of Science and Technology in Hong Kong, speaking about the Chinese tragedy, told CNN that “the huge difference between this case and the U.S. is not the suspect, nor the situation, but the simple fact he did not have an effective weapon.

“In terms of the U.S., there’s much easier availability of killing instruments — rifles, machine guns, explosives — than in nearly every other developed country.”

In a blog on the Web site of The New Yorker, the magazine’s China correspondent, Evan Osnos, wrote:

It takes a lot to make China’s government — beset, as it is, by corruption and opacity and the paralyzing effects of special interests — look good, by comparison, in the eyes of its people these days. But we’ve done it.

When Chinese viewers looked at the two attacks side by side, more than a few of them concluded, as one did that, “from the look of it, there’s no difference between a ‘developed’ country and a ‘developing’ country. And there’s no such thing as human rights. People are the most violent creatures on earth, and China, with its ban on guns, is doing pretty well!”

Japan, too, has a near-total ban on private gun ownership, and the infrequent mass attacks there — which included a tragic rampage at a primary school in 2001— typically have involved knives.

“Almost no one in Japan owns a gun,” said Max Fisher, writing in The Atlantic in July. “Most kinds are illegal, with onerous restrictions on buying and maintaining the few that are allowed. Even the country’s infamous, mafia-like Yakuza tend to forgo guns; the few exceptions tend to become big national news stories.”

In 2006, Japan had two gun-related homicides. “And when that number jumped to 22 in 2007,” Mr. Fisher said, “it became a national scandal.”

“East Asia, despite its universally restrictive domestic gun policies, hosts some of the world’s largest firearm exporters and emerging industry giants: China, South Korea and Japan,” according to GunPolicy.org, a comprehensive global database maintained by the Sydney School of Public Health at the University of Sydney.

In recent weeks, Chinese police officials in Jiangsu Province seized more than 6,000 illegal guns from two underground workshops and warehouses; a retired prison guard in Hong Kong was jailed for 18 months for keeping an arsenal of guns, silencers, grenades and thousands of rounds of ammunition in his public-housing apartment; and 17 suspected gun smugglers went on trial in Shanghai as part of a joint investigation with U.S. law enforcement officials.

In the Shanghai case, more than 100 semiautomatic handguns, rifles, shotguns and gun parts were express-mailed to China from the United States. One of the masterminds on the American end was Staff Sgt. Joseph Debose, 30, a soldier with a Special Forces National Guard unit in North Carolina. He pleaded guilty to federal charges in September.

“The defendant traded the honor of his position in the National Guard for the money he received for smuggling arms to China,” said Loretta E. Lynch, U.S. Attorney for the Eastern District of New York. “In blatant disregard for everything he was sworn to uphold, the defendant placed numerous firearms into a black market pipeline from the United States to China.”

What’s your view? Would the United States do well to emulate China and Japan, with their comprehensive bans on guns? Or is America a special case because of its Constitutional protections of gun ownership? And apropos of the Fujian attack described above, would you support similarly speedy trials and the death penalty for mass murderers of children?

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RIM shows how BlackBerry 10 touch screen keys could rival even its traditional keyboards [video]






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Donald Faison Marries Cacee Cobb















12/15/2012 at 08:25 PM EST







Cacee Cobb and Donald Faison


Dr. Billy Ingram/WireImage


It's official!

After six years together, Donald Faison and Cacee Cobb were married Saturday night at the Los Angeles home of his Scrubs costar Zach Braff.

Cobb's friend Jessica Simpson was a bridesmaid. Sister Ashlee Simpson also attended.

"What a happy day," Tweeted groomsman Joshua Radin, a singer, who posted a photo of himself with Faison and Braff in their tuxedos.

The couple got engaged in August 2011. At the time, Faison Tweeted, "If you like it then you better put a Ring on it," and Cobb replied, "If she likes it then she better say YES!!"

Since then, the couple had been hard at work planning their wedding. On Nov. 12, Faison, who currently stars on The Exes, Tweeted that they were tasting cocktails to be served on the big day.

"Alcohol tasting for the wedding!" he wrote, adding a photo of the drinks. "The [sic] Ain't Say It Was Going To Be Like This!!!"

This is the first marriage for Cobb. Faison was previously married to Lisa Askey, with whom he has three children. (He also has a son from a previous relationship.)

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Experts: No link between Asperger's, violence


NEW YORK (AP) — While an official has said that the 20-year-old gunman in the Connecticut school shooting had Asperger's syndrome, experts say there is no connection between the disorder and violence.


Asperger's is a mild form of autism often characterized by social awkwardness.


"There really is no clear association between Asperger's and violent behavior," said psychologist Elizabeth Laugeson, an assistant clinical professor at the University of California, Los Angeles.


Little is known about Adam Lanza, identified by police as the shooter in the Friday massacre at a Newtown, Conn., elementary school. He fatally shot his mother before going to the school and killing 20 young children, six adults and himself, authorities said.


A law enforcement official, speaking on condition of anonymity because the person was not authorized to discuss the unfolding investigation, said Lanza had been diagnosed with Asperger's.


High school classmates and others have described him as bright but painfully shy, anxious and a loner. Those kinds of symptoms are consistent with Asperger's, said psychologist Eric Butter of Nationwide Children's Hospital in Columbus, Ohio, who treats autism, including Asperger's, but has no knowledge of Lanza's case.


Research suggests people with autism do have a higher rate of aggressive behavior — outbursts, shoving or pushing or angry shouting — than the general population, he said.


"But we are not talking about the kind of planned and intentional type of violence we have seen at Newtown," he said in an email.


"These types of tragedies have occurred at the hands of individuals with many different types of personalities and psychological profiles," he added.


Autism is a developmental disorder that can range from mild to severe. Asperger's generally is thought of as a mild form. Both autism and Asperger's can be characterized by poor social skills, repetitive behavior or interests and problems communicating. Unlike classic autism, Asperger's does not typically involve delays in mental development or speech.


Experts say those with autism and related disorders are sometimes diagnosed with other mental health problems, such as depression, anxiety, bipolar disorder or obsessive-compulsive disorder.


"I think it's far more likely that what happened may have more to do with some other kind of mental health condition like depression or anxiety rather than Asperger's," Laugeson said.


She said those with Asperger's tend to focus on rules and be very law-abiding.


"There's something more to this," she said. "We just don't know what that is yet."


After much debate, the term Asperger's is being dropped from the diagnostic manual used by the nation's psychiatrists. In changes approved earlier this month, Asperger's will be incorporated under the umbrella term "autism spectrum disorder" for all the ranges of autism.


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AP Writer Matt Apuzzo contributed to this report.


___


Online:


Asperger's information: http://1.usa.gov/3tGSp5


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Decision on gay conversion ban depends on other rulings









The fate of a new California law that would prohibit doctors and therapists from trying to change a minor's sexual orientation depends in part on rulings in other cases in which the government tried to restrict physicians' communications with their patients.


Will the law be viewed as similar to a federal policy that prevented doctors from recommending marijuana to their patients? If so, the law perishes. Or is California's ban on so-called conversion therapy akin to a regulation upheld by the Supreme Court that required doctors to tell patients about the possibly detrimental effects of abortion?


The dispute is before the U.S. 9th Circuit Court of Appeals, which is expected to decide within the next several days whether to put the law on hold before it takes effect Jan. 1. A ruling could take months.








The ban on trying to change a minor's sexual orientation, the first of its kind in the nation, has divided the lower courts. A federal judge in Sacramento appointed by President Obama found that the law did not violate free speech rights; her colleague, appointed by the first President Bush, concluded that it did.


Legal scholars also have conflicting assessments of whether the law will be overturned on 1st Amendment grounds.


UC Berkeley constitutional law scholar Jesse Choper said the law faces "a steep uphill battle" on free speech grounds.


"It is very hard to silence speech generally," Choper said.


But UC Irvine Law School Dean Erwin Chemerinsky said the law was constitutional because it banned an ineffective and harmful therapy.


Communications between professionals and their clients generally have less 1st Amendment protection than other forms of speech. A lawyer or doctor who negligently gives bad advice may be found liable for malpractice, and licensing requirements for professionals may be restrictive.


"The fact that it is speech doesn't immunize it from liability or punishment," Chemerinsky said.


California's law subjects doctors and therapists to discipline by their licensing boards for practicing the therapy known as "sexual orientation change efforts," or conversion therapy.


Treatments include psychoanalysis, behavioral therapy and religious and spiritual counseling. In the past, some licensed therapists have practiced aversion therapy, using nausea-inducing drugs to combat sexual impulses, and hormone treatments.


Therapists seeking to change a patient's orientation also have encouraged men to spend more time with heterosexuals, participate in sports and avoid members of the opposite sex, except for romantic contact.


One of the plaintiffs in the lawsuit now before the 9th Circuit is a 15-year-old boy who has been undergoing the therapy for 15 months.


Mathew Staver, the lead lawyer in that lawsuit, said the boy is receiving standard cognitive behavioral therapy. Shock treatment and aversion techniques are no longer used, he said.


"According to what I know, he has stopped experiencing same-sex attraction," said Staver, founder of Liberty Counsel, a nonprofit group that advocates for conservative Christian views.


Psychological efforts to change sexual orientation were once grounded in a 1952 classification of homosexuality as a mental disease in the Diagnostic and Statistical Manual of Mental Disorders.


But that classification was removed in 1973, and most psychological associations now recommend against the therapy, calling it ineffective and potentially harmful. A task force report by the American Psychological Assn. in 2009 said conversion therapy could trigger depression, suicide and substance abuse.


"Same-sex sexual attractions, behavior, and orientations per se are normal and positive variants of human sexuality — in other words, they do not indicate either mental or developmental disorders," the report said.


It said that there was no study demonstrating that therapy affected sexual orientation of children and teenagers, and that the prospect of effecting an enduring change in a person's sexual orientation was "unlikely."


But the report also said research on the therapy was too sketchy to draw conclusions about safety and efficacy and noted that some people said they had benefited from the counseling.


Initially, the bill that created the law was opposed by the California Psychological Assn., California Assn. for Licensed Professional Clinic Counselors, California Psychiatric Assn. and California Assn. of Marriage and Family Therapists. After the bill was amended, the associations of psychologists and family therapists supported the bill and the others withdrew their opposition. Organizations with religious viewpoints continued to oppose it.


In one of two lawsuits filed to block the law, a group of therapists, minors and parents said the ban prevented even the mention of possible therapy to change an undesired sexual orientation. The state countered that the law banned only a therapy, not the discussion of ways to change sexual orientation or the ability to refer patients to out-of-state therapists who practice the methods.


U.S. District Judge Kimberly J. Mueller, ruling for the state, said the law prohibits a form of conduct — therapy that uses pain or discomfort to combat sexual arousal and efforts to alter thought patterns, including hypnosis.


"Plaintiffs in this case do not have a fundamental right to receive a therapy that California has deemed harmful and ineffective," Mueller wrote.


But in a similar lawsuit brought by two therapists and a man who underwent conversion therapy, U.S. District Judge William B. Shubb blocked the state from enforcing the law on the three plaintiffs.


"Protecting an individual's First Amendment rights outweighs the public's interest in rushing to enforce an unprecedented law," Shubb wrote.


maura.dolan@latimes.com





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Microsoft, Motorola file to keep patent case details private






SEATTLE (Reuters) – Microsoft Corp and Google Inc‘s Motorola Mobility unit have requested a federal judge in Seattle to keep secret from the public various details from their recent trial concerning the value of technology patents and the two companies’ attempts at a settlement.


Microsoft and Motorola, acquired by Google earlier this year, are preparing post-trial briefs to present to a judge as he decides the outcome of a week-long trial last month to establish what rates Microsoft should pay Motorola for use of standard, essential wireless technology used in its Xbox game console and other products.






The case is just one strand of litigation in an industry-wide dispute over ownership of the underlying technology and the design of smartphones, which has drawn in Apple Inc, Samsung Electronics Co Ltd, Nokia and others.


In a filing with the Western District of Washington federal court in Seattle on Friday, Microsoft and Motorola asked the judge to allow them to file certain parts of their post-trial submissions under seal and redact those details in the public record.


The details concern terms of Motorola‘s licenses with third parties and Microsoft‘s business and marketing plans for future products. During the trial, which ran from November 13-20, U.S. District Judge James Robart cleared the court when such sensitive or trade secret details were discussed.


“For the same compelling reasons that the court sealed this evidence for purposes of trial, it would be consistent and appropriate to take the same approach in connection with the parties’ post-trial submissions,” the two companies argued in the court filing.


The judge has so far been understanding of the companies’ desire to keep private details of their patent royalties and future plans, although that has perplexed some spectators who believe trials in public courts should be fully open to the public.


In addition, Motorola asked the judge to seal some documents relating to settlement negotiations between the two companies, arguing that keeping those details secret would encourage openness in future talks and make a settlement more likely.


Judge Robart is not expected to rule on the case until the new year.


The case in U.S. District Court, Western District of Washington is Microsoft Corp. vs. Motorola Inc., 10-cv-1823.


(Reporting by Bill Rigby; Editing by Richard Chang)


Tech News Headlines – Yahoo! News


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Gunman's Father and Brother Are 'in Shock,' Says a Source









12/14/2012 at 08:50 PM EST







State police personnel lead children to safety away from the Sandy Hook Elementary School


Shannon Hicks/Newtown Bee/Reuters/Landov


The father and older brother of the gunman who was blamed for the Connecticut school shooting are being questioned by authorities but are not suspects, a law enforcement source tells PEOPLE.

The Associated Press reports that the gunman has been identified as 20-year-old Adam Lanza.

His unidentified father, who lives in New York City, and his older brother, Ryan, 24, of Hoboken, N.J., are "in shock," the law enforcement source tells PEOPLE.

They were being questioned by the FBI in the Hoboken police station but "are not suspects, they have no involvement," the source says.

"Imagine the 24 year old – he's lost his mother. Imagine the father, his son killed 20 kids," the source says."   

As for Adam, "It looks like there's mental history there," the law enforcement source says.

Adam Lanza died at the scene of the shooting that killed 20 children and six adults at the Sandy Hook Elementary School in Newtown, Conn.

His mother, Nancy Lanza, was found dead at her home, according to CNN.

The source describes the weapons used by Lanza as "legitimate." According to CNN, Lanza used two hand guns that were registered to his mother and a rifle.

Adam's parents were no longer together, the source says.   

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Fewer health care options for illegal immigrants


ALAMO, Texas (AP) — 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."


___


Sherman can be followed on Twitter at https://twitter.com/chrisshermanAP .


Plushnick-Masti can be followed on Twitter at https://twitter.com/RamitMastiAP .


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L.A. schools react after Sandy Hook massacre









By all accounts, the grade school in Newtown, Conn., had strict security procedures, tightened earlier this year in an effort to make sure the campus was as safe as possible. A letter had been sent out to all parents, alerting them to the upgrade.


But on Friday, it was all quickly defeated when a gunman opened fire inside Sandy Hook Elementary in the deadliest campus shooting since the Virginia Tech rampage in 2007. In all, 26 people were fatally shot at the school — 20 of them children — before the attacker killed himself.


In the wake of the carnage, school officials and experts said they expect — and understand — that a deluge of concerns and questions from parents lies ahead. They also remained firm that despite episodes of extreme violence such as the incident in Connecticut, campuses are generally safe and remain a haven for students.





"School remains one of the safest places for children to be," said Long Beach Unified Supt. Christopher J. Steinhauser. 


In the years since the 1999 mass shooting at Columbine High School in Colorado, schools nationwide have bolstered security measures. The biggest trends have been placing more police officers — rather than security guards — on campus, installing metal detectors and adding sophisticated locking systems on buildings.


Schools have also worked on developing robust emergency plans and have trained educators on how to respond to crises on campus, said Sonayia Shepherd, an analyst at Safe Havens International, a nonprofit that advises thousands of K-12 schools on safety and security.


Elementary schools in particular have focused heavily on crisis management, Shepherd said. "They understand that they have the most vulnerable populations — they have the young kids," she said.


At the grade school in Newtown, visitors are required to ring a doorbell to alert office staff, who have a video monitor for the front entrance. The entrance is locked at 9:30 a.m., at which point visitors must go to the office and sign in with identification.


But the gunman at the grade school — identified by authorities as 20-year-old Adam Lanza — was the son of a woman who worked at Sandy Hook and allegedly opened fired after arguing with a school official. Authorities said Lanza killed his mother at home before driving to the campus and committed suicide after the massacre.


Security measures at schools across the nation vary widely, and some experts, such as Cleveland-based school security consultant Ken Trump, worry that attention to safety has diminished in the years since Columbine or has buckled under the weight of budget cuts.


At a typical L.A. Unified School, the first person a visitor would greet is a parent volunteer or part-time worker stationed just inside the main entrance. That person manages a sign-in sheet, issues a visitor's pass and asks where the visitor is going. Sometimes, the gatekeeper will get permission from the office before allowing entry. At other times, the monitor will simply provide directions.


Yet in the minutes before and after school, it's easier to walk onto campus in the crush of students.


Most school systems don't employ their own police force, relying instead on local law enforcement.


L.A. Unified employs more than 200 police officers, but they are spread thin across more than 1,000 campuses and virtually never patrol elementary schools. Instead, they are trained to converge on a trouble spot when something happens. The district also employs unarmed security aides and relies on local law enforcement for assistance.


On Friday, the district's police force and law enforcement partners increased patrols around campuses to ease fear and anxiety stemming from the shooting, the district said.


For students in L.A. Unified and many other districts, Friday marked the last day of classes before winter break, which creates special circumstances, said UC Berkeley Professor Frank Worrell, the director of the university's School Psychology program.


"Many schools are closing [for the break], which means they may not have a chance to deal with the grieving process as a community. It's hugely important for children and adults to express grief," he said.


Desiree Manuel, principal at Huerta Elementary in Los Angeles, sent students home with a letter to parents and also put out an automated phone alert to families that the school is aware of the shooting and that parents could feel confident that all measures were being taken to keep children safe.


The template was quickly put together by the Partnership for Los Angeles Schools, a nonprofit that manages about 15 campuses in conjunction with the Los Angeles Unified School District.


"As you know, this sort of tragedy can be terribly upsetting to children," the prepared message states. "… We encourage you to be alert to your child's potential anxieties as a result of this terrible incident, and please do not hesitate to talk with your child about this shooting: Let them express their fears and concerns and gently reassure them that their school and environment are safe."


At Huerta Elementary, the front gate is open only from 7:20 a.m. to 7:55 a.m. and under staff supervision. Afterward, all visitors must enter by the office, where they sign in and receive a visitor's badge. A part-time security aide helps supervise the playground. As a new campus, Huerta also has a secure faculty garage with a video monitor.


In addition, Manuel invested in extra walkie-talkies for teachers in classrooms farthest from the office. They'll be able to coordinate with each other even if phone lines and power go down.


The South L.A. school's rituals include a lockdown drill. Students are taught to go to the safest, nearby, supervised room when the alarm sounds. And they also know a code phrase signifying that all is clear.


"We talk about safety every day," Manuel said. Her goal is to make sure that "our school is the safest place in the community."


stephen.ceasar@latimes.com


howard.blume@latimes.com





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