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NHS will not fund some operations, patients told

York GPs offer to carry out minor surgical procedures for a fee in unprecedented step for NHS care GPs at a health centre in York have written to patients saying the NHS will no longer fund minor operations and instead offering to carry out the procedures for a fee, an unprecedented step in the health service. In a letter obtained by the website nhsmanagers.net, patients are advised that for a number of minor surgical procedures, such as ingrowing toenails, mole removal and chopping out warts and cysts, they would have to go private. It says: “We are holding your details on a list of patients who require a minor surgical procedure that is no longer paid for by the NHS.” The letter identifies four “local service providers who offer the procedure privately”, including HBG Ltd, which it admits is “a company that is wholly owned by the practice”. The price list of treatments range from £56 to remove a skin tag to £243 for lipomas. The letter from John McEvoy, managing partner at Haxby and Wigginton health centre, which serves more than 20,000 patients, claims the NHS will no longer fund some operations. “As a result I am writing to make you aware of some of the options that you have to have the procedure completed as a private patient.” Experts said this exposed a conflict of interest under the government’s NHS reforms. “This is a massive conflict of interest here. The GP is earning money potentially from referring the NHS patient to his own private practice,” John Appleby, chief economist at the King’s Fund, said. Appleby also questioned whether any GP could claim that the local primary care trust could have “a blanket ban” on procedures. “A GP can always challenge these things,” he said. “You cannot ban something – it has to be done on a case-by-case basis.” When contacted by the Guardian, McEvoy said that because the NHS was looking to save £20bn from its budget, the effect on the ground was that health trusts were no longer prepared to fund treatments – so patients had to reach into their own pockets or go without. “We waited for [the primary care trust] to tell us that the NHS would be funding these operations, but they said no it was over … so we have 30 patients who were waiting for surgery and decided to write to them explaining they could get it done privately. We were not promoting ourselves. Patients want this service.” He said little or no profit was made on the procedures offered by the GPs in their private clinic. Campaigners have long been concerned that as GPs are more involved in commissioning care under government reform plans, they would be able to reduce NHS provision to increase their private income. The PCT said it had not been seeking to cut operations to save money but merely asked GPs to make the clinical case for patients. It also said it had serious concerns over the case. Dr David Geddes, medical director of NHS North Yorkshire and York, said: “We have some concerns about the activities of the Haxby and Wigginton health centre in York and we will be discussing these issues with them directly as a matter of urgency. “These concerns are around possible breaches of the Data Protection Act and the accuracy of the information sent to patients. For example, of the eight procedures they list, three are routinely funded by NHS North Yorkshire and York and should be made freely available.” NHS Health Randeep Ramesh guardian.co.uk

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Amanda Knox arrives in Seattle after Meredith Kercher murder acquittal

American freed by Italian court gives brief but emotional press statement in Seattle thanking ‘everyone who believed in me’ Amanda Knox has arrived home in Seattle saying she is “overwhelmed” to be back in the US following her acquittal of the murder of Meredith Kercher. Visibly emotional and shaking, Knox, who spent four years in an Italian prison, spoke briefly to supporters at a news conference after alighting at Seattle-Tacoma international airport shortly after 5pm local time. “I’m really overwhelmed right now,” she said. “I was looking down from the airplane and it seemed like everything wasn’t real.” Knox, 24, and ex-boyfriend Raffaele Sollecito, 27, were cleared on appeal on Monday of the 2007 killing of Meredith Kercher in Perugia, Italy. Knox sobbed and held her mother’s hand as her lawyer Theodore Simon said her acquittal “unmistakably announced to the world” that she was not responsible for the killing. After her parents offered their thanks to Knox’s lawyers and supporters, Knox spoke briefly, saying: “They’re reminding me to speak in English, because I’m having problems with that.” “Thank you to everyone who’s believed in me, who’s defended me, who’s supported my family. “My family’s the most important thing to me so I just want to go and be with them, so thank you for being there for me.” Knox’s father, Curt, later spoke to reporters outside his house, where there was a small welcome home party but no sign of his daughter. He said Amanda “needed her space” and had not agreed to any media deals. “She has been in a concrete bunker for four years.” Curt Knox said Amanda would like to return to the University of Washington at some point to finish her degree, but for now “the focus simply is Amanda’s wellbeing and getting her reassociated with just being a regular person again”. He said he was concerned about what four years in prison may have done to his daughter. “What’s the trauma … and when will it show up, if it even shows up?” he said. “She’s a very strong girl but it’s been a tough time for her.” Theodore Simon described the Knox family’s situation as a “gruelling, four-year nightmarish marathon that no child or parent should have to endure”. “Meredith was Amanda’s friend. Amanda and the family want you to remember Meredith and keep the Kercher family in your prayers,” he said. On Tuesday the family of Meredith Kercher said that they were back to “square one.” Monday’s decision “obviously raises further questions”, her brother Lyle Kercher said. “If those two are not the guilty parties, then who are the guilty people?” Rudy Guede’s conviction for the murder of Meredith Kercher is the only one that still stands. His sentence was cut to 16 years in his final appeal. His lawyer has said he will seek a retrial. The prosecutor, Giuliano Mignini, has expressed disbelief at the appeal verdicts of Knox and Sollecito and said he will appeal to Italy’s highest criminal court after receiving the reasoning behind the acquittals, due within 90 days. “Let’s wait and we will see who was right. The first court or the appeal court,” Mignini said. “This trial was done under unacceptable media pressure.” Anne Bremner, a Seattle defence lawyer and spokesman for Friends of Amanda Knox, said Amanda was looking forward to having a backyard barbecue, being outside on the grass, playing football and seeing old friends. Amanda Knox Meredith Kercher United States Italy Lee Glendinning guardian.co.uk

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Amanda Knox arrives in Seattle after Meredith Kercher murder acquittal

American freed by Italian court gives brief but emotional press statement in Seattle thanking ‘everyone who believed in me’ Amanda Knox has arrived home in Seattle saying she is “overwhelmed” to be back in the US following her acquittal of the murder of Meredith Kercher. Visibly emotional and shaking, Knox, who spent four years in an Italian prison, spoke briefly to supporters at a news conference after alighting at Seattle-Tacoma international airport shortly after 5pm local time. “I’m really overwhelmed right now,” she said. “I was looking down from the airplane and it seemed like everything wasn’t real.” Knox, 24, and ex-boyfriend Raffaele Sollecito, 27, were cleared on appeal on Monday of the 2007 killing of Meredith Kercher in Perugia, Italy. Knox sobbed and held her mother’s hand as her lawyer Theodore Simon said her acquittal “unmistakably announced to the world” that she was not responsible for the killing. After her parents offered their thanks to Knox’s lawyers and supporters, Knox spoke briefly, saying: “They’re reminding me to speak in English, because I’m having problems with that.” “Thank you to everyone who’s believed in me, who’s defended me, who’s supported my family. “My family’s the most important thing to me so I just want to go and be with them, so thank you for being there for me.” Knox’s father, Curt, later spoke to reporters outside his house, where there was a small welcome home party but no sign of his daughter. He said Amanda “needed her space” and had not agreed to any media deals. “She has been in a concrete bunker for four years.” Curt Knox said Amanda would like to return to the University of Washington at some point to finish her degree, but for now “the focus simply is Amanda’s wellbeing and getting her reassociated with just being a regular person again”. He said he was concerned about what four years in prison may have done to his daughter. “What’s the trauma … and when will it show up, if it even shows up?” he said. “She’s a very strong girl but it’s been a tough time for her.” Theodore Simon described the Knox family’s situation as a “gruelling, four-year nightmarish marathon that no child or parent should have to endure”. “Meredith was Amanda’s friend. Amanda and the family want you to remember Meredith and keep the Kercher family in your prayers,” he said. On Tuesday the family of Meredith Kercher said that they were back to “square one.” Monday’s decision “obviously raises further questions”, her brother Lyle Kercher said. “If those two are not the guilty parties, then who are the guilty people?” Rudy Guede’s conviction for the murder of Meredith Kercher is the only one that still stands. His sentence was cut to 16 years in his final appeal. His lawyer has said he will seek a retrial. The prosecutor, Giuliano Mignini, has expressed disbelief at the appeal verdicts of Knox and Sollecito and said he will appeal to Italy’s highest criminal court after receiving the reasoning behind the acquittals, due within 90 days. “Let’s wait and we will see who was right. The first court or the appeal court,” Mignini said. “This trial was done under unacceptable media pressure.” Anne Bremner, a Seattle defence lawyer and spokesman for Friends of Amanda Knox, said Amanda was looking forward to having a backyard barbecue, being outside on the grass, playing football and seeing old friends. Amanda Knox Meredith Kercher United States Italy Lee Glendinning guardian.co.uk

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Russia and China veto UN resolution against Syrian regime

Anger from Europe and US as two security council powers insist implied threat of sanctions will not bring peace Russia and China have vetoed a European-backed UN security council resolution that threatened sanctions against the Syrian regime if it did not immediately halt its military crackdown against civilians. It would have been the first legally binding resolution adopted by the security council since President Bashar Assad’s military began using tanks and soldiers against protesters in mid-March. The UN estimates there have been more than 2,700 deaths. The European sponsors of the resolution had tried to avoid a veto by watering down the language on sanctions three times, to the point where the word “sanctions” was taken out. The eventual vote was 9-2 with four abstentions: India, South Africa, Brazil and Lebanon. It is the first double veto by Russia and China since July 2008 when they rejected proposed sanctions against Zimbabwe. In January 2007 they both vetoed a resolution against the Burmese regime. Russia’s UN ambassador, Vitaly Churkin, told the council after the vote that his country did not support the Assad regime or the violence but opposed the resolution because it was “based on a philosophy of confrontation”, contained “an ultimatum of sanctions” and was against a peaceful settlement. He complained that the resolution did not call for the Syrian opposition to disassociate itself from “extremists” and enter into dialogue. China’s ambassador, Li Bandong, said his country was concerned about the violence and wanted reforms but opposed the resolution because “sanctions, or threat of sanctions, do not help the situation in Syria but rather complicates the situation”. France’s UN ambassador, Gerard Araud, called the veto “a rejection of the extraordinary movement in support of freedom and democracy that is the Arab spring” and commended “all of those who fight against the bloodthirsty crackdown in Syria”. Britain’s UN ambassador, Mark Lyall Grant, said the veto “will be a great disappointment to the people of Syria and the wider region that some members of this council could not show their support for their struggle for basic human rights”. “By blocking this resolution the onus is now on those countries to step up their efforts and persuade the Syrian government to end the violence and pursue genuine reform,” he said. The US ambassador, Susan Rice, said: “The courageous people of Syria can now clearly see who on this council supports their yearning for liberty and human rights – and who does not.” “Those who oppose this resolution and give cover to a brutal regime will have to answer to the Syrian people – and, indeed, to people across the region who are pursuing the same universal aspirations. The crisis in Syria will stay before the security council and we will not rest until this council rises to meet its responsibilities.” Rice accused Russia and China of wanting to sell arms to the Syrian regime rather than stand with the Syrian people – an accusation vehemently denied by Russia. From the outset of the Syrian uprising the council has been split. Western members, backed by some African and Latin American nations, demanded an end to violence, and when it was not heeded they pushed for security council action, including the threat of sanctions. On the other side Russia and China along with Brazil, India and South Africa pressed for more time for the Assad government to implement reforms and for political dialogue with the opposition. It took four months of arguments between supporters and opponents of Assad’s regime for the security council to issue a presidential statement in August condemning the escalating violence. Britain, France, Germany and Portugal, backed by the US, then pressed for a council resolution calling for an immediate arms embargo and other sanctions. But Russia, China, India, South Africa and Brazil have argued the UN resolution authorising the use of force to protect civilians in Libya was misused by Nato to justify months of air strikes against Muammar Gaddafi’s regime. They expressed fear a new resolution might be used as a pretext for armed intervention in Syria. The final watered-down called for Syria to end all violence, respect rights and freedoms and let in the media and human rights investigators – or, after 30 days, the security council would “consider its options, including measures under article 41 of the charter of the United Nations”. Article 41 authorises the council to impose non-military measures such as economic and diplomatic sanctions. The defeated draft strongly condemned “the continued grave and systematic human rights violations and the use of force against civilians by the Syrian authorities” and called on all states “to exercise vigilance and restraint” in supplying weapons to Syria. Syria’s UN ambassador, Bashar Ja’afari, the last speaker after the vote, criticised “the prejudice in certain western capitals against our country” and insisted a comprehensive package of pro-democracy reforms was being implemented by the government. Without naming the US, Ja’afari said it had used its security council veto 50 times since 1945 to protect Israel and deny the Palestinians their rights. Therefore, he said, it could be considered a party to “genocide, as this language is tantamount to turning a blind eye and supporting the Israeli massacres in occupied Arab lands.” As he spoke, US diplomats led by Rice walked out of the council chamber. Syria Middle East United Nations Europe US foreign policy China Russia guardian.co.uk

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Bozell Column: Rick’s Rock vs. Reverend Wright

Is there a clumsier group of newspaper character assassins than the hit squads at The Washington Post? On October 2, the Post was back on the racist-Republican attack with a 3,000-word investigative treatise over a rock. Specifically, Gov. Rick Perry had leased a property where the N-word was painted on a rock, and then he had it painted over with white paint. But investigative genius Stephanie McCrummen could see a virtual Klan hood on Perry’s head. “As recently as this summer, the slablike rock — lying flat, the name still faintly visible beneath a coat of white paint — remained by the gated entrance to the camp.” Near the end, she underlined it again: “In the photos, it was to the left of the gate. It was laid down flat. The exposed face was brushed clean of dirt. White paint, dried drippings visible, covered a word across the surface. An N and two G's were faintly visible.” Three thousand words on this. Apparently, investigative reporting at the Post means staring at old rocks under paint (with a microscope?) to discern almost invisible letters – and suggesting this should ruin a presidential campaign. It resembles the Post feverishly fumbling through foreign-language dictionaries trying to find a racially defamatory definition for “macaca” to torpedo Sen. George Allen’s re-election in 2006. The “fact” that these Republicans are racist is never established. Two days after the rock “scoop,” a Post front-page article by Amy Gardner found Perry’s record on race was “complicated”…by the facts. Yes, Perry “appointed the first African American to the state Supreme Court and later made him chief justice” and oh yes, “One chief of staff and two of his general counsels have been African American.” But many “minority legislators [read: Democrats] say Perry has a long history — dating to his first race for statewide office more than 20 years ago — of engaging in what they see as racially tinged tactics and rhetoric to gain political advantage.” What kind of offensive tactics? Guess what’s listed first: “Black lawmakers have been particularly troubled by Perry’s recent embrace of the tea party movement.” By contrast, does anyone recall the Washington Post being the first investigative journalism outfit to reveal the racist and anti-American and anti-Semitic rantings of Rev. Jeremiah Wright in 2007? Of course not. That fastest-turtle award would go to ABC’s Brian Ross on March 13, 2008. By that late date, after all the investigators had finished their naps, 42 states and the District of Columbia had already voted for a nominee. That’s not to say the Post was unfamiliar with the scent of this scandalat Obama's own Trinity United Church of Christ. The news folks could have read Post columnist Richard Cohen denouncing Wright in a column on January 15, 2008 over how Trinity’s church magazine fulsomely praised anti-Semitic Louis Farrakhan. But the Post “news” hunters weren’t turning over that rock.

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Mika Brzezinski: ‘I Think Retirement is Going to Become a Thing of the Past for a Lot of People’

Click here to view this media While discussing The Huffington Post’s new hub for baby boomers on Morning Joe, the panel of Mika Brzezinski, Joe Scarborough, Arianna Huffington, Rita Wilson and Mike Barnicle basically turned the conversation into one big sales pitch for raising the retirement age to infinity. While I think it’s wonderful that Brzezinski is lucky enough to have both parents still apparently, happily working well into their eighties and that Wilson’s mother who’s approaching ninety is still doing well and independent, listening to all of them talk here left little doubt in my mind that all of them are certainly living in a different world than your average American out there who is doing any kind of physical labor for a living. And I’m sorry but using the example of Andy Rooney who just retired from his one day a week gig at 60 Minutes giving a few minute opinion piece at the end of the show as en example of someone who’s still “working” into their nineties is just ridiculous. Most Americans would consider what Rooney got paid to do for a living or what Brzezinski’s father does jetting around the world more like a vacation than anything you could rightfully describe as “work.” If Scarborough and Brzezinski think working into your old age is so great, I’d welcome her to come spend a little time along with her parents waiting on a few tables, or spending some time on a factory floor on an off shift, or maybe out digging some ditches with a construction crew, or perhaps answering an emergency call-out for some hot, filthy job at 3am in the morning. I have a feeling they’d reconsider their position after an hour or so if they lasted that long.

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Mika Brzezinski: ‘I Think Retirement is Going to Become a Thing of the Past for a Lot of People’

Click here to view this media While discussing The Huffington Post’s new hub for baby boomers on Morning Joe, the panel of Mika Brzezinski, Joe Scarborough, Arianna Huffington, Rita Wilson and Mike Barnicle basically turned the conversation into one big sales pitch for raising the retirement age to infinity. While I think it’s wonderful that Brzezinski is lucky enough to have both parents still apparently, happily working well into their eighties and that Wilson’s mother who’s approaching ninety is still doing well and independent, listening to all of them talk here left little doubt in my mind that all of them are certainly living in a different world than your average American out there who is doing any kind of physical labor for a living. And I’m sorry but using the example of Andy Rooney who just retired from his one day a week gig at 60 Minutes giving a few minute opinion piece at the end of the show as en example of someone who’s still “working” into their nineties is just ridiculous. Most Americans would consider what Rooney got paid to do for a living or what Brzezinski’s father does jetting around the world more like a vacation than anything you could rightfully describe as “work.” If Scarborough and Brzezinski think working into your old age is so great, I’d welcome her to come spend a little time along with her parents waiting on a few tables, or spending some time on a factory floor on an off shift, or maybe out digging some ditches with a construction crew, or perhaps answering an emergency call-out for some hot, filthy job at 3am in the morning. I have a feeling they’d reconsider their position after an hour or so if they lasted that long.

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Goodbye Kiss? Stephanie Miller Wonders How Many Christie Would Crush With His ‘Giant Fat [Butt]‘

New Jersey Gov. Chris Christie never threw his hat in the ring for president, but liberal talk radio hosts are already regretting they don't have Christie to kick around any more with fat jokes. Brian Maloney at the Radio Equalizer reported several liberal talkers thought Christie's fat made it too dangerous for him to run. On Monday, Stephanie Miller cracked that Christie would get killed by a rock if he stood next to those other Republican meanies. But that came after she worried about “how many people” Christie would “immediately crush to death with his giant fat ass.” This is why NPR feels so smug about being the brainy alternative: Can I just say that our audience in person on the phone emailing, the smartest funniest audience in the world. Mike writes, Steph, Chris Christie is just Rush Limbaugh in a fat suit. [Rim shot sound effect] That’s funny. Ha ha ha. All right, yes we discussed the morality of Chris Christie jokes or not on Saturday night because I,

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Congressional Priorities! Triple DOMA Defense Funds While Defunding NPR, Again

enlarge Congress is back with a triple serving of crazy. As I watch C-SPAN on one screen and Occupy Wall Street protests on another, it makes me wonder if this is what it feels to be on a bad acid trip. Do these Republicans actually ever look beyond their ideological blinders at what is going on in this country? Surely not. Here’s a shining example: Eric Cantor has declared he will not bring President Obama’s jobs bill up for a vote. Jobs, you know. That thing not enough people have and because they don’t have it, that thing that is pushing economic growth down. Those. And even though the jobs bill is just a dent in a very large bucket, it’s a jobs bill . It does things. Like repair roads and pay for teachers and things like that. So of course, Cantor wouldn’t bring it up for a vote. Why would he? But look at what they are voting on today! Defund Planned Parenthood and NPR – AGAIN IB Times: Republicans in the U.S. House of Representatives are again trying to defund Planned Parenthood and National Public Radio, this time through a draft bill to fund several departments and agencies. Planned Parenthood would be banned from receiving federal funds unless the organization certifies it will end abortion services under the House Appropriations Committee’s draft legislation released Thursday. The proposed spending bill would also cut all funding to a family planning program, known as Title X. Meanwhile, the proposal includes a provision preventing the Corporation for Public Boradcasting from using federal money to support NPR. Oh wait, there’s more: In addition to the Planned Parenthood and NPR provisions, there are other controversial measures included, such as blocking $8.6 billion from being used for Affordable Care Act programs and regulations from the National Labor Relations Board. Even more important to Republicans than jobs, they will also vote to raise the “lawyer fee ceiling” on their expensive DOMA defenders. Via Think Progress : Earlier this year, Speaker John Boehner’s (R) office announced that American taxpayers would pay former Bush Solicitor General Paul Clement to defend the unconstitutional Defense of Marriage Act — at a cost of $520 per hour of legal work . Clement’s original contract, however, included a $500,000 cap on the amount Clement could charge the United States to help protect discrimination. Less than six months later, Clement appears to have blown through that cap, and the House GOP now anticipates that he will take another $1 million from the American people : The [House of Representatives] agrees to pay [Clement's law firm] for all services to be rendered pursuant to this Agreement a sum not to exceed $750,000.00. It is further understood and agreed that, effective October 1, 2011, the aforementioned $750,000 cap may be raised from time to time up to, but not exceeding, $1.5 million , upon written notice of the [House] to the [firm]. I’m sorry. I must rant. Not about the Republican stupid in Congress, but about how this kind of thing lands in the news as “Washington.” NO. It’s not “Washington.” It’s REPUBLICAN wingnuts in our current Congress. As I watch the stupid reports today about Chris Christie and the iPhone 5 and how disappointed Republicans are in their choice of candidates for President it feels almost surreal to me. This idea of calling out “Washington,” as if everyone there is just sitting on their hands and doing nothing is ridiculous. When do names start being named? Is it any wonder that those kids out on Wall Street and around the country are furious? Why shouldn’t they be? They’re the victims (though not the only victims) of this, and instead of some honesty in how we talk about this it all gets mushed up into “Washington.” It’s not Washington. It’s Republican wingnuts doing wingnutty things. The sooner everyone figures that out, the better, though it may be too late by then.

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Kirsten Dunst: after the apocalypse

Melancholia won her an award at Cannes – and plunged her into controversy. The actor talks about Von Trier’s Nazi moment, her battle with depression – and Charlotte Gainsbourg’s breasts Melancholia begins with a wedding and ends with a funeral. Actually, the new film from Danish provocateur Lars von Trier ends with the apocalypse – a funeral for everyone, as a vast planet rears up on the near horizon, lighting up the lawn and setting the birds chattering. Watching the movie at this year’s Cannes film festival, Kirsten Dunst was surprised to find herself giggling, as if this was some sort of happy ending. “That’s one thing you can say for the end of the world,” she says. “It solves a lot of problems.” We’re drinking coffee in the basement of a London hotel, with embroidered snowflakes on the wallpaper and an Indian summer raging outside. The actor is attired as though for a night on the town – sheer black dress, jingling silver bracelet – even though it’s mid-morning and she has yet to eat breakfast. She confesses that she keeps staring at the snowflakes, her eyes glazing over, her mind zoning out. At lunchtime, she is due to board a flight home to New York, after which she has a clean slate for the rest of the year. You get the impression she can’t wait to put 2011 behind her. Certainly, Melancholia has been a torrid passage for its 29-year-old star: a typical Von Trier rollercoaster that places soaring triumph cheek-by-jowl with low-comedy disaster. On the upside is Dunst’s performance, a role that is worlds away from the studio fluff that has taken too much of her recent energies. She plays Justine, the brilliant, dark-eyed manic-depressive heroine, who stumbles through the worst wedding ceremony this side of Festen and then belatedly comes into her own as judgment day looms. It’s a devastating performance, and one that

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