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BMA rejects NHS reforms

Doctors at emergency debate vote to demand government scraps ‘unmandated’, ‘damaging’ and ‘unjustified’ top-down shakeup of NHS Doctors have voted to call on the government to scrap its plans for overhauling the NHS. The health secretary, Andrew Lansley, is coming under increasing pressure over his reforms, which involve the abolition of more than 150 organisations and moving 80% of the NHS budget into the hands of GPs. Some doctors support the content of the health and social care bill, currently going through parliament, but many have been voicing opposition to parts of it, including increasing the role of private companies in delivering healthcare. Today the British Medical Association (BMA) held an emergency meeting attended by almost 400 doctors to debate the plans. Doctors voted in favour of calling on Lansley to withdraw the bill entirely and for a “halt to the proposed top-down reorganisation of the NHS”. They said the government should act on criticisms from those who are opposed to the bill and accept there is “no electoral mandate” for the plans. The bill’s proposals were not part of the election manifesto of either the Conservatives or the Liberal Democrats, doctors said. The meeting comes after Liberal Democrat delegates rejected the shakeup at the party’s spring conference, with members voting not to support the “damaging and unjustified” reforms. Responding to the vote, the shadow health secretary, John Healey, said: “First the Lib Dems, now the BMA – this is quickly turning into David Cameron’s worst NHS week. His damaging plans for the health service are descending into chaos.” Doctors also accused Lansley of using “inaccurate and misleading information to denigrate the NHS”, by comparing UK cancer and heart disease rates with those in Europe. Doctors also voted for the government to recognise that primary care trusts, which face abolition, are losing staff and risk collapse, and for the government not to undermine their current functions. At the meeting, the BMA chairman, Dr Hamish Meldrum, said the reforms could have “irreversible consequences” and would damage patient care. He said the NHS was potentially facing the biggest reorganisation of its 63-year history. “The government’s proposed reforms have far-reaching and potentially irreversible consequences for how the NHS is run and the way we deliver care to our patients.” He added that it was difficult to argue against some of the government’s claimed objectives, including greater involvement of clinicians in decision-making and more information for patients, “but, as on so many occasions, it’s the reality not the rhetoric that counts and it’s the reality that is causing all the problems”. Meldrum added: “Because what we have seen is an often contradictory set of proposals, driven by ideology rather than evidence, enshrined in ill-thought-through legislation and implemented in a rush during a major economic downturn.” The reforms also face strong opposition from other unions, including Unite and the Royal College of Nursing. Labour has tabled amendments to the bill, designed to protect the NHS against the introduction of a full-blown competitive market, which the party warned would undermine care, increase bureaucracy and put the future of hospitals at risk. The shadow health secretary, John Healey, said the amendments would strike out proposals to allow healthcare regulator Monitor to apply the full force of competition law to NHS contracts. The bill, as drafted, would give Monitor the same powers as the Office of Fair Trading to impose fines of up to 10% of turnover for anti-competitive practices, he said. And he predicted that private firms would use the measures to mount persistent challenges to deals struck by GP consortiums to commission services from local hospitals or hospices. Even discussions between GPs and hospitals on the best way to deliver services to patients could be construed as anti-competitive practices, leading to fines or legal action through the domestic and European courts, Healey said. GP consortiums and NHS hospitals could be forced to spend large sums on lawyers to protect themselves against possible action. Labour put forward its amendments on Tuesday in the committee stage of the bill, and has called an Opposition Day debate on the issue in the chamber tomorrow. Healey accused Lansley of keeping quiet about the implications of the competition measures and challenged him to “stand up and defend these changes”. “The more that people see of the changes and look at the risks, the more concerned they become,” said Healey. “I am concerned that private companies with big legal departments are going to cause havoc with the ability to plan and run services. “They could challenge the decisions GPs make to commission services from local hospitals. They could put hospitals at risk. They could prevent the links that we want to see between commissioners and providers of services.” Health NHS Doctors Health policy Andrew Lansley Healthcare industry Public finance Public services policy Labour Conservatives Liberal Democrats GPs guardian.co.uk

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Nikkei Slides 11 Percent on Radiation Fears

Japan’s Nikkei stock index nose-dived nearly 11 percent on Tuesday as the earthquake-shattered country faced an unfolding nuclear crisis after a radiation leak was detected at a crippled power plant. Other Asian markets tumbled. (March 15)

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Usher

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Usher

Watch Usher Sex tape Wife Tameka Foster Video lil wayne and usher, he is a problem! Tameka Foster and Usher Sex Tape Video For Sale Exclusive The Usher Sex Tape — Spoiler Alerts!!! | TMZ.com We’ve got details about that Usher sex tape being shopped around town — but remember … this could have been much, much worse. Anyone wanna see the Alf… TMZ Live: Usher's Sex Tape & Harvey's 'Best Night' | TMZ.com Can Usher prevent the release of the alleged sex tape he made with ex-wife Tameka Foster ? Plus, Harvey does it His Way … with Paul Anka ! It’s all on… Spiritual Guidance: Patch 4.1 to usher in big Chakra and Atonement … Spiritual Guidance: Patch 4.1 to usher in big Chakra and Atonement healing changes; Weekly Podcast Roundup: March 7-13, 2011; Blood Pact: Questioning Drain Life’s position in the affliction spec; Choose My Adventure Live: Level 25-29 … Tameka Foster Tweets Confirmation of Usher Sex Tape – The … Tameka Foster isn’t denying that she boinked Usher on tape. But she is making a good point: we were married at the time. Usher sex tape released – Musicrooms.net It is thought that a video stolen in 2009 is being touted around media outlets of the star and his ex wife. GriffinWWC says: I gotta hear usher burn on the radio right now. How do I call 92.1 request?

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Tamtampamela

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Tamtampamela

Tamtampamela: Coming Clean The user formerly known as tamtampamela tamtampamela = Troll? Japan deserved this” – Christian YouTube Maniac “ TamtamPamela … In a recent video blog, the teenager freak who posts under the moniker TamTamPamela equated Friday’s natural disasters that rocked southeast Asia to the fact that the Japanese are Atheist and God was punishing them. … TamTamPamela « INFOtainment! “In her latest video, infamous Poe’s law invoker TamTamPamela has raised the bar for religious extremists and religious extremism spoofers alike by thanking God for shaking Japan awake from the slumber of secularism.” … milowent: tamtampamela (God is so Good!) is a HOAX people! YouTuber “ tamtampamela ” is rising up the charts due to her recently posted video, GOD IS SO GOOD!!! (March 13, 2011, currently 421329 views), where she praises God for the Japanese earthquake/tsunami as sending a message to atheists. … Queer Iv: YouTube Hate: Tamtampamela Thanks God for the Atheist … YouTube Hate: Tamtampamela Thanks God for the Atheist-Killing Tsunami. This is why some people should never procreate, and why sometimes abortion is an option when you look at what you are about to bring into the world. … ” Tamtampamela ” Thanks God for Japanese Tragedy, Hopes America is … The internet helped swiftly spread news of the tragedy in Japan, but along with it came a heap of dumb Americans making stupid comments. No, it was not caused by Godzilla. No, it was not karmic r… Continue reading Tamtampamela Thanks … sedgewick says: Great video about # tamtampamela made 3/5/11 that outs her as a serious hardcore very committed troll. So awesome. @thatsthecatch

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4 in the Morning: Times Square Gaga

Twice each day we scan our YouTube metrics as well as websites on the cutting edge of internet culture to discover the most buzzed about videos. Times Square Hack Born This Way NYC Gaga Surprise Students Wreck Car Is it real? Is it fake? Is it a viral ad for an unknown product? These the questions circulating with this popular video, purporting to show some hi-tech trickery in Times Square. As seen on BoingBoing . His performance of Katy Perry in an Apple Store drew nearly a million views. Now, Steve Kardynal’s Lady Gaga on the NYC subway is getting a lot of attention. As seen on High Definite . Speaking of Lady Gaga, surprise performances, and “Born This Way,” another video drawing a lot of attention is this impromptu performance by the singer at a club in Dallas. As seen on Idolator . Warning: Foul Language! This clip, which claims to show SUNY Albany students destroying a car in their revelry, is causing a stir. As seen on Jalopnik .

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A Manhattan mom is suing a preschool for scotching her 4-year-old daughter’s chances of getting into an Ivy League university. The mother complains that the $19,000-a-year York Avenue Preschool failed to prepare the toddler for a test used for admission at top private elementary schools and sometimes put her…

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Germany blocks plans for Libya no-fly zone

G8 talks stall after Germans refuse to support military intervention backed by Britain and France Germany has again blocked Anglo-French plans for the imposition of a no-fly zone over Libya. Reports from talks held by G8 ministers in Paris said German objections, backed by Russia, meant the communique from the meeting would make no mention of a no-fly zone. Speaking during the meeting, Germany’s foreign minister, Guido Westerwelle, said his country remained “very sceptical” about the prospect of a no-fly zone. He recommended instead more “political pressure” against the Libyan leader, Muammar Gaddafi. He said Germany did not want “to get sucked into a war in north Africa”. “We need to send a clear signal … Gaddafi must stop his civil war against his own people, he must be held responsible for his crimes. The security council must take action.” But Westerwelle also made clear Germany would not support military intervention. His comments echoed the German chancellor, Angela Merkel, who told an EU summit last week that the no-fly zone idea was potentially dangerous. “What is our plan if we create a no-fly zone and it doesn’t work? Do we send in ground troops?” she said. “We have to think this through. Why should we intervene in Libya when we don’t intervene elsewhere?” The EU summit failed to endorse a no-fly zone. So, too, did a meeting last week of Nato defence ministers. Earlier, the French foreign minister, Alain Juppé, suggested European countries had left it too late to assist the rebels. He said he had so far been unable to convince G8 colleagues to back a no-fly zone. “If we had used military force last week to neutralise some airstrips and the several dozen planes that they have, perhaps the reversal taking place to the detriment of the opposition wouldn’t have happened,” Juppé told Europe-1 radio. “But that’s the past. What is happening today shows us that we may have let slip by a chance.” Libya’s opposition has appealed for the international community to set up a no-fly zone , warning that “half a million” people could die if Benghazi, the rebel stronghold, fell to Gaddafi’s forces. The Arab League has also asked the UN security council to authorise a no-fly zone. But many countries, including the US, are reluctant to get involved and suggest a no-fly zone would not make much difference on the ground. The G8 meeting was expected to recommend fresh measures to be included in a possible new UN security council resolution on Libya. They range from tighter sanctions and a maritime blockade to the threat of a no-fly zone at some future date. The outcome of the G8 meeting was another blow for British policy. William Hague, the foreign secretary, says the time for decisive action is approaching. He said during Tuesday’s talks: “There is a common appetite for further discussion at the UN security council. We are clear here at the G8 that there is a need for further measures, a need to respond urgently.” Hague admitted that participants did not see eye to eye on a no-fly zone. Speaking in the Commons on Monday, David Cameron said a Gaddafi victory could create a pariah state on Europe’s doorstep, threatening the interests and security of all EU states. Libya G8 Germany Middle East Muammar Gaddafi Europe Simon Tisdall guardian.co.uk

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Japan nuclear plant hit by fire and third blast

Radiation around Fukushima Daiichi plant has reached levels damaging to health Japan is facing the world’s biggest nuclear crisis for decades as engineers struggle to regain control of the Fukushima plant following another explosion and a fire that caused a spike in radiation to harmful levels. Amid growing fears that the situation is heading for catastrophe, 70 technicians are still battling to cool reactors at the Fukushima Daiichi facility but non-essential personnel have been ordered to leave and the Kyodo news agency reported that radiation levels have become too high for staff to remain in control rooms. The government has already called in international help in tackling the spiralling crisis. Early on Tuesday, the power plant in the country’s stricken north-east was rocked by an explosion at the No 2 reactor, the third blast at the site in four days. That was followed by a fire that broke out at the No 4 reactor unit, which appeared to be the cause of today’s radiation leaks. That reactor was shut down for maintenance before the earthquake, but its spent fuel rods are stored in a pool at the site. The fire was later extinguished but Kyodo reported that the pool was subsequently boiling, with the water level falling. If the water boils off there is a risk that the fuel could catch fire, sending a plume of radiation directly into the atmosphere. Radiation levels at one location on the site reached 400 millisieverts (mSv) an hour after the fire – four times the level that can lead to cancer – the chief cabinet secretary, Yukio Edano, said. But levels had lowered dramatically by the end of the day, according to the International Atomic Energy Authority. The government ordered any inhabitants remaining within the 12-mile (20km) radius exclusion zone to leave immediately, told those between 12 miles and 19 miles away to stay indoors and imposed a 19-mile no-fly zone. Experts backed their assessment that health risks beyond that area were minimal at present. The news was a fresh blow for a region already reeling from the impact of Friday’s magnitude 8.9 earthquake and devastating tsunami. At midday Tuesday, Japan’s national police agency said 2,475 people were confirmed dead and 3,611 were missing, while NHK reported 3,000 dead with 15,000 unaccounted for. Emergency broadcasts on NHK television underscored the near-apocalyptic scenario that was unfolding at Fukushima. “For those in the evacuation area, close your windows and doors. Switch off your air conditioners. If you are being evacuated, cover yourself as much as possible and wear a facemask. Stay calm.” Fears of fresh contamination are an extra concern for refugees across the region. Water, food and fuel are in desperately short supply in Ishinomaki, one of the cities worst affected by the disaster. According to the deputy mayor, Etsuro Kitamura, 40,000 refugees in evacuation centres are having to live on just one rice ball a day. For Hiroko Kodo, news of the nuclear explosion was a rude return to the world of mass communications. Since Friday she had been cut off from television, internet and mobile phone networks. But the Red Cross provided her with a radio among an emergency kit it distributed to all the refugees. “When I turned it on, I heard about the radiation. It is terrifying. I’m afraid now to drink the water from the mountains in case it is contaminated.” Workers at the Fukushima plant have been struggling since Friday to avert a disaster after cooling systems failed in the aftermath of the quake. Hundreds of thousands of people have already been evacuated from areas within 12 miles of the facility as a precaution. Readings in parts of the facility hit levels indicating an immediate risk of damage to people without protective gear, Edano said. The prime minister, Naoto Kan, asked people to remain calm in a televised address but warned: “Radiation has spread from these reactors and the reading of the level seems high … There’s still a very high risk of further radioactive material coming out.” He added that workers were “putting themselves in a very dangerous situation” to try to contain the problems. With confidence diminishing in the ability of the plant owner, the Tokyo Electric Power Company (Tepco), to handle the crisis, Kan had already said he would personally lead a new joint response headquarters. According to Kyodo, the prime minister called executives at the power company to demand “what the hell is going on?” Tokyo has asked the UN nuclear watchdog for expert help and the US nuclear regulatory commission for equipment. Officials have also begun to distribute potassium iodide, which can help inhibit the uptake of radioactive iodide by the thyroid, to evacuation centres. Officials said the explosion at the No 2 unit appeared to have damaged the reactor’s containment structure, which prevents radioactive materials from leaking in the event of meltdown. That is of particular concern because the building housing the reactor was damaged by the hydrogen blast at neighbouring unit No 3, experts told the news agency. Edano told reporters that workers were continuing to inject water to cool units 1 to 3. The No 2 reactor was not as stable as the others, but the water injection was working “to a certain level”, he added. Tepco admitted for the first time that there was a possibility of partial meltdown, Kyodo reported. Officials have already gauged that as a “high possibility”. Edano told reporters that beyond the 12-mile radius the level should be reduced to one where harm to human health would be minimal or non-existent, although that would depend on wind speed and direction. He said a “minimal amount” of radioactive material might spread to metropolitan areas, but not at harmful levels, adding: “We want you to keep calm. We can continue with our daily lives.” In Tokyo, the metropolitan government said radiation reached around 20 times normal levels in the capital on Tuesday morning but said governor Shintaro Ishihara said the levels would “not immediately cause health problems”. R Prof David Hinde, head of the department of nuclear physics at the Australian National University, said it was the worst nuclear accident since the Chernobyl disaster in 1986, but stressed it was on a far smaller scale. The maximum radiation level was “very, very serious” for workers on site, who would only be able to remain there for the briefest periods. But the risk to those outside the exclusion zone was very small, particularly when seen in the context of their situation as a whole. “Compared to the risk of being on a plain near the sea it’s negligible … no one is looking at the black smoke from the fires and wondering where those carcinogens are going,” he said. An expert told the broadcaster NHK that the situation was “very grave”, warning that without protective gear a level of 100mSv could be enough to cause male infertility in a short time. He also said those in the 12-mile to 19-mile zone should dust off their hair and clothes before entering their building, including brushing off the soles of their shoes. Once inside they should close windows and turn off air conditioning. Any laundry hanging out should be left outside. Japan’s central bank pumped billions more dollars into the economy as stocks plunged more than 10% on the back of the news, following a major injection on Monday. Japan earthquake and tsunami Japan Natural disasters and extreme weather Nuclear power Jonathan Watts Tania Branigan guardian.co.uk

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Mountain Archive Home to Bogart, Bieber

A mountainside in Virginia, just outside Washington, is home to a vast collection of movies, TV shows and recordings, everyone from Humphrey Bogart to Justin Bieber. The AP’s Lee Powell gets a tour not open to the public. (March 15)

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Radiation Soars After Japan Nuclear Plant Fire

Residents within 30 kilometers (19 miles) of a stricken Japanese nuclear power plant have been ordered indoors when radiation levels soared after a fire there. Officials said a fuel storage pond at Unit 4 had been burning. (15 March 2011)

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