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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'Evil visited this community today': 20 children killed in shooting

Twenty children died today when a heavily armed man invaded a Newtown,
Conn., elementary school and sprayed staff and students with bullets.

The gunman, identified as Adam Lanza, 20, was found dead in the school.

Lt. Paul Vance said 18 children died in the school and two more died
later in a hospital. Six adults were also slain, bringing the total to
26.

In addition to the casualties at the school, Lanza's mother Nancy Lanza
was killed in her home, federal and state sources told ABC News.

According to sources, Lanza shot his mother in the face, then left his
house armed with at least two semi automatic handguns, a Glock and a Sig
Sauer, and a semi automatic rifle. He was also wearing a bullet proof
vest.

Lanza drove to Sandy Hook Elementary School and continued his rampage,
killing 26 people, authorities said. He was found dead at the school. It
appears that he died from what is believed to be a self inflicted
gunshot wound. The rifle was found in his car.

In the early confusion surrounding the investigation, federal sources
initially identified the suspect as Adam's older brother Ryan Lanza, 24.
He is being questioned by police.

LIVE UPDATES: Newtown, Conn., School Shooting

"Evil visited this community today," Gov. Dan Malloy said at a news conference this evening.

First grade teacher Kaitlin Roig, 29, locked her 14 students in a class bathroom and listened to "tons of shooting" until police came to help.

"It was horrific," Roig said. "I thought we were going to die."

She said that the terrified kids were saying, "I just want Christmas…I don't want to die. I just want to have Christmas."

A tearful President Obama said there's "not a parent in America who doesn't feel the overwhelming grief that I do."

The president had to pause to compose himself after saying these were
"beautiful little kids between the ages of 5 and 10." As he continued
with his statement, Obama wiped away tears from each eye.

He has ordered flags flown as half staff.

CLICK HERE for more photos from the scene.

The alert at the school ended when Vance announced, "The shooter is deceased inside the building. The public is not in danger."

The massacre prompted the town of Newtown to lock down all its schools
and draw SWAT teams to the school, authorities said today. Authorities
initially believed that there were two gunmen and were searching cars
around the school, but authorities do not appear to be looking for
another gunman.

It is the second worst mass shooting in U.S. history, exceeded only by
the Virginia Tech shooting in 2007 when 32 were killed before the
shooter turned the gun on himself. Today's carnage exceeds the 1999
Columbine High School shooting in which 13 died and 24 were injured.

The Newtown shooting comes three days after masked gunman Jacob Roberts
opened fire in a busy Oregon mall, killing two before turning the gun
on himself.

Today's shooting occurred at the Sandy Hook Elementary School, which
includes 450 students in grades K-4. The town is located about 12 miles
east of Danbury.

State Police received the first 911 call at 9:41 a.m. and immediately
began sending emergency units from the western part of the state.
Initial 911 calls stated that multiple students were trapped in a
classroom, possibly with a gunman, according to a Connecticut State
Police source.

Lt. Paul Vance said that on-duty and off-duty officers swarmed to the
school and quickly checked "every door, every crack, every crevice" in
the building looking for the gunman and evacuating children.

A photo from the scene shows a line of distressed children being led out of the school.

Three patients have been taken to Danbury Hospital, which is also on lockdown, according to the hospital's Facebook page.

"Out of abundance of caution and not because of any direct threat
Danbury Hospital is under lockdown," the statement said. "This allows us
simply to focus on the important work at hand."

Newtown Public School District secretary of superintendent Kathy June
said in a statement that the district's schools were locked down because
of the report of a shooting. "The district is taking preventive
measures by putting all schools in lockdown until we ensure the safety
of all students and staff," she said.

State police sent SWAT team units to Newtown.

All public and private schools in the town were on lockdown.

"We have increased our police presence at all Danbury Public Schools due
to the events in Newtown. Pray for the victims," Newtown Mayor Boughton
tweeted.

State emergency management officials said ambulances and other units were also en route and staging near the school.

A message on the school district website says that all afternoon
kindergarten is cancelled today and there will be no midday bus runs.

Also Read

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NKorea still years away from reliable missiles

SEOUL, South Korea (AP) — After 14 years of painstaking labor, North Korea finally has a rocket that can put a satellite in orbit. But that doesn't mean Pyongyang is close to having an intercontinental ballistic missile.

Experts say North Korea is years from even having a shot at developing reliable missiles that could bombard the American mainland and other distant targets, though it did gain attention and the outrage of world leaders Wednesday with its first successful launch of a three-stage, long-range rocket.

A missile program is built on decades of systematic, intricate testing, something extremely difficult for economically struggling Pyongyang, which faces guaranteed sanctions and world disapproval each time it stages an expensive launch. North Korea will need larger and more dependable missiles, and more advanced nuclear weapons, to threaten U.S. shores, though it already poses a threat to its neighbors.

"One success indicates progress, but not victory, and there is a huge gap between being able to make a system work once and having a system that is reliable enough to be militarily useful," said Brian Weeden, a former U.S. Air Force Space Command officer and a technical adviser to the Secure World Foundation, a think tank on space policy.

North Korea's satellite launch came only after repeated failures and hundreds of millions of dollars. It is an achievement for young authoritarian leader Kim Jong Un, whose late father and predecessor, Kim Jong Il, made development of missiles and nuclear weapons a priority despite international opposition and his nation's poverty.

Kim said the achievement "further consolidated" the country's status "as a space power," the government's official Korean Central News Agency reported Thursday. It added that Kim personally issued a written launch order and "stressed the need to continue to launch satellites in the future."

South Korea's Defense Ministry said Thursday the satellite was orbiting normally at a speed of 7.6 kilometers (4.7 miles) per second, though it's not known what mission it is performing. North Korean space officials say the satellite would be used to study crops and weather patterns.

Though Pyongyang insists the project is peaceful, it also has conducted two nuclear tests and has defied international demands that it give up its nuclear weapons program.

A senior U.S. official said the satellite is tumbling in orbit and not acting as it should, but the official said that doesn't necessarily mean it is out of control. The official, who spoke on the condition of anonymity because of a lack of authorization to publicly discuss the U.S. analysis, said the important takeaway is that North Korea was able to successfully execute all three stages of the missile launch and get the satellite into space.

The U.N. Security Council said the launch violates council resolutions against the North's use of ballistic missile technology, and said it would urgently consider "an appropriate response."

"This launch is about a weapons program, not peaceful use of space," U.S. State Department spokeswoman Victoria Nuland said. Even the North's most important ally, China, expressed regret.

North Korea has long possessed the components needed to construct long-range rockets. Scientists in Pyongyang, however, had been trying and failing since 1998 to conduct a successful launch. Only this week — their fifth try — did they do so, prompting dancing in the streets of the capital.

North Korea's far more advanced rival, South Korea, has failed twice since 2009 to launch a satellite on a rocket from its own territory, and postponed two attempts in recent weeks because of technical problems.

Each advancement Pyongyang makes causes worry in Washington and among North Korea's neighbors. In 2010, U.S. Secretary of Defense Robert Gates warned that within five years the North could develop an intercontinental ballistic missile capable of reaching the United States.

But experts say the North must still surmount tough technical barriers to build the ultimate military threat: a sophisticated nuclear warhead small enough to mount on a long-range missile, something experts say will be the focus of future nuclear tests.

And despite Wednesday's launch, Pyongyang is also lacking the other key part of that equation: a reliable long-range missile.

"If in the future they develop a nuclear warhead small enough to put on a rocket, they are not going to want to put that on a missile that has a high probability of exploding on the launch pad," David Wright, a physicist with the Union of Concerned Scientists who has written extensively about North Korea's missile program, said in an email.

To create a credible missile program, experts say, North Korean technicians need to conduct many more tests that will allow them to iron out the wrinkles until they have a missile that works more often than it fails. Pyongyang's past tests have been somewhat scattershot, possibly because of the heavy international sanctions the rocket and nuclear tests have generated.

North Korea must build a larger missile than the one launched Wednesday if it wants to be able to send nuclear weapons to distant targets, analysts said.

The satellite North Korea mounted on the rocket weighs only 100 kilograms (220 pounds), according to the office of South Korean lawmaker Jung Chung-rae, who was briefed by a senior South Korean intelligence official. A nuclear warhead would be about five times heavier.

Other missing parts of the puzzle include an accurate long-range missile guidance system and a re-entry vehicle able to survive coming back into the atmosphere at the high speeds — 10,000 mph — traveled by intercontinental ballistic missiles, said Jonathan McDowell of the Harvard-Smithsonian Center for Astrophysics in Massachusetts.

Both are seen as being years off.

History also shows that first-generation, long-range missiles need dozens of test flights before they are accurate enough to be deployed.

The world's "ICBM club" has just four countries: the United States, Russia, China and France, according to Markus Schiller, an analyst with Schmucker Technologie in Germany and a leading expert on North Korean missiles.

If North Korea "really intended to become a player in the ICBM game, they would have to develop a different kind of missile, with higher performance," Schiller said. "And if they do that seriously, we would have to see flight tests every other month, over several years."

Wright said the Unha-3 rocket launched Wednesday has a potential range of 8,000 to 10,000 kilometers (4,970 to 6,210 miles), which could put Hawaii and the northwest coast of the mainland United States within range.

But even if North Korea builds a ballistic missile based on a liquid-fueled rocket like the 32-meter (105-foot)-tall Unha-3, it would take days to assemble and hours to fuel. That would make it vulnerable to attack in a pre-emptive airstrike. Solid-fueled missiles developed by the U.S. and Soviet Union are more mobile, more easily concealed and ready to launch within minutes.

Money is another problem for Pyongyang. A weak economy, chronic food shortages and the sanctions make it difficult to sustain a program that can build and operate reliable missiles.

"I don't think the young leader has any confidence that the home economy could afford a credible deterrent capability," said Zhu Feng, deputy director of the Center for International and Strategic Studies at Peking University.

Weeden said North Korea may want to create the perception that it poses a threat to the United States, but "I don't think that perception will be matched by the actual hard work and testing needed to develop and field a reliable, effective weapon system like the ICBMs deployed by the US, Russia and China."

North Korea already poses a major security threat to its East Asian neighbors. It has one of the world's largest standing armies and a formidable if aging arsenal of artillery that could target Seoul, the capital of South Korea. Nearly 30,000 U.S. forces are based in South Korea, a legacy of the 1950-53 Korean War that ended with an armistice, not a formal peace treaty.

The North's short-range rockets could also potentially target another core U.S. ally, Japan.

Daryl Kimball, executive director of the nongovernmental Arms Control Association, said those capabilities, rather than the North's future ability to strike the U.S., still warrant the most attention.

___

Pennington reported from Washington. Associated Press writers Liz Sidoti in Washington, Alexa Olesen in Beijing and Jenni Sohn in New York contributed to this report.

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Facebook, Google tell the government to stop granting patents for abstract ideas

Facebook (FB), Google (GOOG) and six other tech companies have petitioned the courts to begin rejecting lawsuits that are based on patents for vague concepts rather than specific applications, TechCrunch reported. The agreement, which was cosigned by Zynga (ZNGA), Dell (DELL), Intuit (INTU), Homeaway (AWAY), Rackspace (RAX), and Red Hat (RHT), notes the only thing these abstract patents do is increase legal fees and slow innovation in the industry. The companies claim that “abstract patents are a plague in the high tech sector” and force innovators into litigation that results in huge settlements or steep licensing fees for technology they have already developed on their own, which then leads to higher prices for consumers.

“Many computer-related patent claims just describe an abstract idea at a high level of generality and say to perform it on a computer or over the Internet,” the briefing reads. “Such barebones claims grant exclusive rights over the abstract idea itself, with no limit on how the idea is implemented. Granting patent protection for such claims would impair, not promote, innovation by conferring exclusive rights on those who have not meaningfully innovated, and thereby penalizing those that do later innovate by blocking or taxing their applications of the abstract idea.”

The companies conclude, “It is easy to think of abstract ideas about what a computer or website should do, but the difficult, valuable, and often groundbreaking part of online innovation comes next: designing, analyzing, building, and deploying the interface, software, and hardware to implement that idea in a way that is useful in daily life. Simply put, ideas are much easier to come by than working implementations.”

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One Direction named MTV's 2012 Artist of the Year

NEW YORK (AP) — They're platinum. They're fascinating. And now One Direction is MTV's 2012 Artist of the Year.

MTV says the fivesome is "the clear choice for the top spot" after a year that included two No. 1 albums, hits such as "What Makes You Beautiful" and a sold-out world tour.

One Direction's Louis (LOO'-ee) Tomlinson calls Thursday's honor "the icing on the cake."

MTV's team of music staffers chose Carly Rae Jepsen's "Call Me Maybe" as song as the year.

One Direction placed third on the U.K. version of "The X Factor" in 2010 and made their U.S. debut in March with the No. 1 album "Up All Night." Their sophomore album, "Take Me Home," was the year's third-highest debut.

The group also made Barbara Walters' most fascinating people of 2012 list.

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Study: People worldwide living longer, but sicker

LONDON (AP) — Nearly everywhere around the world, people are living longer and fewer children are dying. But increasingly, people are grappling with the diseases and disabilities of modern life, according to the most expansive global look so far at life expectancy and the biggest health threats.

The last comprehensive study was in 1990 and the top health problem then was the death of children under 5 — more than 10 million each year. Since then, campaigns to vaccinate kids against diseases like polio and measles have reduced the number of children dying to about 7 million.

Malnutrition was once the main health threat for children. Now, everywhere except Africa, they are much more likely to overeat than to starve.

With more children surviving, chronic illnesses and disabilities that strike later in life are taking a bigger toll, the research said. High blood pressure has become the leading health risk worldwide, followed by smoking and alcohol.

"The biggest contributor to the global health burden isn't premature (deaths), but chronic diseases, injuries, mental health conditions and all the bone and joint diseases," said one of the study leaders, Christopher Murray, director of the Institute of Health Metrics and Evaluation at the University of Washington.

In developed countries, such conditions now account for more than half of the health problems, fueled by an aging population. While life expectancy is climbing nearly everywhere, so too are the number of years people will live with things like vision or hearing loss and mental health issues like depression.

The research appears in seven papers published online Thursday by the journal Lancet. More than 480 researchers in 50 countries gathered data up to 2010 from surveys, censuses and past studies. They used statistical modeling to fill in the gaps for countries with little information. The series was mainly paid for by the Bill & Melinda Gates Foundation.

As in 1990, Japan topped the life expectancy list in 2010, with 79 for men and 86 for women. In the U.S. that year, life expectancy for men was 76 and for women, 81.

The research found wide variations in what's killing people around the world. Some of the most striking findings highlighted by the researchers: — Homicide is the No. 3 killer of men in Latin America; it ranks 20th worldwide. In the U.S., it is the 21st cause of death in men, and in Western Europe, 57th.

— While suicide ranks globally as the 21st leading killer, it is as high as the ninth top cause of death in women across Asia's "suicide belt," from India to China. Suicide ranks 14th in North America and 15th in Western Europe.

— In people aged 15-49, diabetes is a bigger killer in Africa than in Western Europe (8.8 deaths versus 1 death per 100,000).

— Central and Southeast Asia have the highest rates of fatal stroke in young adults at about 15 cases per 100,000 deaths. In North America, the rate is about 3 per 100,000.

Globally, heart disease and stroke remain the top killers. Reflecting an older population, lung cancer moved to the 5th cause of death globally, while other cancers including those of the liver, stomach and colon are also in the top 20. AIDS jumped from the 35th cause of death in 1990 to the sixth leading cause two decades later.

While chronic diseases are killing more people nearly everywhere, the overall trend is the opposite in Africa, where illnesses like AIDS, malaria and tuberculosis are still major threats. And experts warn again shifting too much of the focus away from those ailments.

"It's the nature of infectious disease epidemics that if you turn away from them, they will crop right back up," said Jennifer Cohn, a medical coordinator at Doctors Without Borders.

Still, she acknowledged the need to address the surge of other health problems across Africa. Cohn said the agency was considering ways to treat things like heart disease and diabetes. "The way we treat HIV could be a good model for chronic care," she said.

Others said more concrete information is needed before making any big changes to public health policies.

"We have to take this data with some grains of salt," said Sandy Cairncross, an epidemiologist at the London School of Hygiene and Tropical Medicine.

He said the information in some of the Lancet research was too thin and didn't fully consider all the relevant health risk factors.

"We're getting a better picture, but it's still incomplete," he said.

___

Online:

www.lancet.com

http://healthmetricsandevaluation.org

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Why Rice took her name off the list

Ambassador Susan Rice stunned Washington Thursday afternoon by withdrawing her name for consideration as secretary of State. President Obama accepted her decision.

Currently the US envoy to the United Nations, Ambassador Rice was widely seen as a top prospect to replace Secretary of State Hillary Rodham Clinton, who is retiring at the end of Mr. Obama’s first term. But her star was tarnished in September after she made erroneous statements on TV about the attack on the US consulate in Benghazi, Libya, which took the lives of four Americans, including Ambassador Christopher Stevens.

High-profile Republicans, including Sen. John McCain of Arizona, had promised a major fight if Obama had sent her name to the Senate for confirmation. By accepting her withdrawal, Obama has avoided expending political capital in trying to get her through the Senate, and also avoided refocusing the national spotlight on what went wrong in Benghazi.

RECOMMENDED: Five ways events overseas could shape Obama's second term

“If nominated, I am now convinced that the confirmation process would be lengthy, disruptive, and costly – to you and to our most pressing national and international priorities,” Rice wrote in a letter to Obama and obtained by NBC News. “That trade-off is simply not worth it to our country…. Therefore, I respectfully request that you no longer consider my candidacy at this time.”

The White House released a statement from the president indicating that he had spoken with Rice, and accepted her request to remove her name from consideration. He lauded her service as “an extraordinarily capable, patriotic, and passionate public servant.”

“While I deeply regret the unfair and misleading attacks on Susan Rice in recent weeks, her decision demonstrates the strength of her character, and an admirable commitment to rise above the politics of the moment to put our national interests first,” the president’s statement said.

At issue were her statements over what had precipitated the attack on the US mission in Benghazi. In a round of Sunday morning TV interviews five days after the Sept. 11 incident, she said it had resulted from spontaneous protests over an anti-Islamic video and was not a coordinated terrorist attack, possibly linked to Al Qaeda affiliates.

In late November, Rice acknowledged that her initial explanation was partially inaccurate, but that did not mollify her critics. She met on Capitol Hill with Senator McCain and Sens. Lindsey Graham (R) of South Carolina and Kelly Ayotte (R) of New Hampshire, but they did not back down in their opposition to her potential nomination as secretary of State.

McCain slammed the handling of Benghazi as either a coverup or incompetence. Fox News also kept up the drumbeat of pressure with in-depth coverage. The suggestion was that the Obama administration did not want to acknowledge a successful terrorist attack – one that led to the first killing of a US ambassador since 1979 – at the height of the presidential campaign.

In his statement, Obama indicated that Rice will remain as UN ambassador, and lauded her service.

“Already, she has secured international support for sanctions against Iran and North Korea, worked to protect the people of Libya, helped achieve an independent South Sudan, stood up for Israel’s security and legitimacy, and served as an advocate for UN reform and the human rights of all people,” Obama said.

“I am grateful that Susan will continue to serve as our ambassador at the United Nations and a key member of my cabinet and national security team, carrying her work forward on all of these and other issues.”

Now all eyes turn to Sen. John Kerry (D) of Massachusetts, another top prospect for secretary of State. Senator Kerry is an experienced foreign-policy hand, and has long been thought to want the job. But having him leave the Senate could cost the Democrats his seat.

Massachusetts’s other senator, Scott Brown (R), just lost reelection to Democratic firebrand Elizabeth Warren. But he remains popular in the Bay State and would be a strong candidate in a special election to replace Kerry. The Democrats don’t have an obvious choice – unless Gov. Deval Patrick (D) were to jump in.

Obama also must soon decide his nominee for another about-to-be-vacant post: secretary of Defense. News reports Thursday indicated that former US Sen. Chuck Hagel of Nebraska, a Republican, may have the edge to replace Leon Panetta, who has made clear his intention to step down.

RECOMMENDED: Five ways events overseas could shape Obama's second term

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NKorea hails launch despite risk of consequences

PYONGYANG, North Korea (AP) — North Korea, though struggling to feed its people, is now one of the few countries to have successfully launched a satellite into space from its own soil. But leaders in Washington, Seoul and Tokyo immediately pushed for consequences over a rocket launch widely seen as a test that takes the country one step closer to being capable of lobbing nuclear bombs over the Pacific.

The surprising, successful launch of a three-stage rocket — similar in design to a model capable of carrying a nuclear-tipped warhead as far as California — raises the stakes in the international standoff over North Korea's expanding atomic arsenal. As Pyongyang refines its technology, its next step may be conducting its third nuclear test, experts warn.

The U.N. Security Council, which has punished North Korea repeatedly for developing its nuclear program, condemned Wednesday's launch and said it will urgently consider "an appropriate response." The White House called the launch a "highly provocative act that threatens regional security," and even the North's most important ally, China, expressed regret.

In Pyongyang, however, pride over the scientific advancement outweighed the fear of greater international isolation and punishment. North Koreans clinked beer mugs and danced in the streets to celebrate.

"It's really good news," North Korean citizen Jon Il Gwang told The Associated Press as he and scores of other Pyongyang residents poured into the streets after a noon announcement to celebrate the launch by dancing in the snow. "It clearly testifies that our country has the capability to enter into space."

Wednesday's launch was North Korea's fifth bid since 1998. An April launch failed in the first of three stages, raising doubts among outside observers whether North Korea could fix what was wrong in just eight months, but those doubts were erased Wednesday.

The Unha rocket, named after the Korean word for "galaxy," blasted off from the Sohae launch pad in Tongchang-ri, northwest of Pyongyang, shortly before 10 a.m. (0100 GMT), just three days after North Korea indicated that technical problems might delay the launch.

A South Korean destroyer patrolling the waters west of the Korean Peninsula immediately detected the launch. Japanese officials said the first rocket stage fell into the Yellow Sea and a second stage fell into the Philippine Sea hundreds of kilometers (miles) farther south.

The North American Aerospace Defense Command confirmed that "initial indications are that the missile deployed an object that appeared to achieve orbit."

In an indication that North Korea's leadership was worried about the success of the launch, the plan was kept quiet inside North Korea until a special noon broadcast on state TV declared the launch a success. Pyongyang was much more open during its last attempt in April, and even took the unusual step of inviting scores of foreign journalists for the occasion, but that rocket splintered shortly after takeoff.

At one hotel bar Wednesday, North Koreans watched raptly, cheering and applauding at the close of the brief broadcast. As vans mounted with loudspeakers drove around the capital announcing the news, North Koreans bundled up in parkas ran outside to celebrate.

Pyongyang did not immediately release images of the launch, but hours later Associated Press reporters at the Pyongyang satellite command center viewed a playback showing the rocket blasting off against a snowy backdrop in the northwest. The white rocket was emblazoned with the name "Unha-3" and the North Korean flag.

Director Kim Hye Jin said the satellite was broadcasting "Song of Gen. Kim Il Sung" and "Song of Gen. Kim Jong Il" in space. He reiterated North Korea's intention to keep launching satellites in the future.

North Korean space officials say the satellite would be put into orbit to study crops and weather patterns.

But the launch could leave Pyongyang even more isolated and cut off from much-needed aid and trade.

The U.N. imposed two rounds of sanctions following nuclear tests in 2006 and 2009 and ordered the North not to conduct any launches using ballistic missile technology. Pyongyang maintains its right to develop a civilian space program, saying the satellite will send back crucial scientific data.

The White House condemned what National Security Council spokesman Tommy Vietor called "yet another example of North Korea's pattern of irresponsible behavior."

"The United States remains vigilant in the face of North Korean provocations and fully committed to the security of our allies in the region," Vietor said in a statement. "Given this current threat to regional security, the United States will strengthen and increase our close coordination with allies and partners."

Vietor said the international community must "send a clear message that its violations of U.N. Security Council resolutions have consequences."

China expressed its unhappiness but called for a moderate response from the United Nations.

"We express regret at (North Korea's) launch in spite of the extensive concerns of the international community," Foreign Ministry spokesman Hong Lei told reporters. He added that China "believes U.N. Security Council reaction should be prudent and moderate and conducive to maintaining stability and avoiding escalation of the situation."

Hong said dialogue and negotiations are the way forward.

North Korea's Foreign Ministry accused the U.S. of overreacting to the launch "out of hostile feelings."

"We hope that all countries concerned will use reason and remain cool so as to prevent the situation from developing to undesirable direction," the official Korean Central News Agency quoted a ministry spokesman as saying. The spokesman said the country will "continue to exercise our legitimate right to launch satellites."

But North Korea also defends its need to build nuclear weapons, citing the U.S. military threat in the region, and rocket tests are seen as crucial to advancing its technology.

Pyongyang is thought to have a handful of rudimentary nuclear bombs. It followed up a failed 2009 launch with a nuclear test, and announced it would begin enriching uranium, which would provide a second source of atomic material.

Experts believe the North lacks the ability to make a warhead small enough to mount on a missile that could threaten the United States, but Wednesday's launch marks a milestone in its decades-long effort to perfect a multistage, long-range rocket capable of carrying such a device.

This launch will help the North Koreans map out what kind of delivery vehicle they would need for a nuclear warhead, said retired Air Force Col. Cedric Leighton, a weapons expert and intelligence analyst.

There are concerns as well that Pyongyang may sell its technology to other nations such as Iran, which has rockets bearing a striking similarity to those made by North Korea, according to the James Martin Center for Nonproliferation Studies.

A senior Iranian military commander, Brig. Gen. Massoud Jazzayeri, congratulated North Korea on the successful launch on Wednesday, according to the semiofficial Fars News Agency.

Chae Yeon-seok, a rocket expert at South Korea's state-run Korea Aerospace Research Institute, said North Korea is now likely to focus on developing bigger rockets with heavier payloads. "Its ultimate aim will be putting a nuclear warhead on the tip."

For North Koreans, Wednesday's launch caps a heady year of milestones: the centenary of the birth of Kim Il Sung, the nation's founder, and the inaugural year of leadership under his grandson, Kim Jong Un. And on Dec. 17, North Korea will mark the anniversary of the death of leader Kim Jong Il.

"How happy would our General (Kim Jong Il) have been," Pyongyang resident Rim Un Hui said. "I'm confident that our country will be stronger and more prosperous under the leadership of Kim Jong Un."

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Associated Press writers Kim Kwang Hyon and Jon Chol Jin in Pyongyang, North Korea; Foster Klug, Hyung-jin Kim and Sam Kim in Seoul, South Korea; Peter Enav in Taipei, Taiwan; Matthew Pennington and Noel Waghorn in Washington, and Mari Yamaguchi and Elaine Kurtenbach in Tokyo contributed to this report.

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New Flickr iPhone app to compete with Instagram and Twitter with 16 filters

Hot on the heels of its email redesign, Yahoo (YHOO) announced on Wednesday that it has completely redesigned the Flickr iPhone app. The new app borrows heavily from Instagram and focuses on what makes Flickr special: photos and communities. Yahoo’s new Flickr app also includes 16 filters with their own fancy names to go head-on with Instagram and Twitter’s recently updated app that added eight filters. Users can now access the Flickr app with numerous accounts including Facebook (FB) and Google (GOOG) and photos can be shared to Facebook, Twitter, Tumblr or via email. The new Flickr app is available for free on iPhone but to our disappointment, there isn’t an iPad-optimized version.

Ellis Hamburger from The Verge penned an interesting editorial on how Twitter misses the mark by simply adding filters to its app without having the close community that makes Instagram so addictive. Led by CEO Marissa Mayer, Yahoo seems aware that mobile apps thrive on the communities that sprout up. The new Flickr app’s emphasis on how the images are displayed and shared in visually appealing and digestible thumbnails suggests Yahoo finally understands mobile.

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Music, comedy strike defiant tone at Sandy concert

NEW YORK (AP) — Music and comedy royalty struck a defiant tone in a benefit concert for Superstorm Sandy victims on Wednesday, asking for help to rebuild a New York metropolitan area most of them know well.

The sold-out Madison Square Garden show was televised, streamed online and aired on radio all over the world. Producers said up to 2 billion people could experience the concert live.

"When are you going to learn," comic and New Jersey native Jon Stewart said. "You can throw anything at us — terrorists, hurricanes. You can take away our giant sodas. It doesn't matter. We're coming back stronger every time."

Jersey shore hero Bruce Springsteen set a roaring tone, opening the concert with "Land of Hope and Dreams" and "Wrecking Ball." He addressed the rebuilding process in introducing his song "My City of Ruins," noting it was written about the decline of Asbury Park, N.J. before that city's renaissance over the past decade. What made the Jersey shore special was its inclusiveness, a place where people of all incomes and backgrounds could find a place, he said.

"I pray that that characteristic remains along the Jersey shore because that's what makes it special," Springsteen said.

He mixed a verse of Tom Waits' "Jersey Girl" into the song before calling New Jersey neighbor Jon Bon Jovi to join him in a rousing "Born to Run." Springsteen later returned the favor by joining Bon Jovi on "Who Says You Can't Go Home."

Adam Sandler hearkened back to his "Saturday Night Live" days with a ribald rewrite of the oft-sung "Hallelujah" that composer Leonard Cohen never would have dreamed. The rewritten chorus says, "Sandy, screw ya, we'll get through ya, because we're New Yawkers.

Sandler wore a New York Jets T-shirt and mined Donald Trump, Michael Bloomberg, the New York Knicks, Times Square porn and Jets quarterback Mark Sanchez for laugh lines.

The music lineup was heavily weighted toward classic rock, which has the type of fans able to afford a show for which ticket prices ranged from $150 to $2,500. Even with those prices, people with tickets have been offering them for more on broker sites such as StubHub, an attempt at profiteering that producers fumed was "despicable."

"This has got to be the largest collection of old English musicians ever assembled in Madison Square Garden," Rolling Stones rocker Mick Jagger said. "If it rains in London, you've got to come and help us."

In fighting trim for a series of 50th anniversary concerts in the New York area, the Stones ripped through "You've Got Me Rockin'" and "Jumping Jack Flash.

Jagger wasn't in New York City for Sandy, but he said in an interview before the concert that his apartment was flooded with 2 feet of water.

Eric Clapton switched from acoustic to electric guitar and sang "Nobody Knows You When You're Down and Out" and "Crossroads." New York was a backdrop for Clapton's personal tragedy, when his young son died after falling out of a window.

Roger Waters played a set of Pink Floyd's spacey rock, joined by Eddie Vedder for "Comfortably Numb." Waters stuck to the music and left the fundraising to others.

"Can't chat," he said, "because we only have 30 minutes."

The sold-out "12-12-12" concert was being shown on 37 television stations in the United States and more than 200 others worldwide. It was to be streamed on 30 websites, including YouTube and Yahoo, and played on radio stations. Theaters, including 27 in the New York region and dozens more elsewhere, were showing it live.

Proceeds from the show will be distributed through the Robin Hood Foundation. More than $30 million was raised through ticket sales alone.

The powerful storm left parts of New York City underwater and left millions of people in several states without heat or electricity for weeks. It's blamed for at least 125 deaths, including 104 in New York and New Jersey, and it destroyed or damaged 305,000 housing units in New York alone.

Other concert performers were to include Long Islander Billy Joel ("New York State of Mind") and New Yorker Alicia Keys ("Empire State of Mind"). Even Liverpool's Paul McCartney has a New York office, Hamptons home and a wife, Nancy Shevell, who spent a decade on the board of the agency that runs New York's public transit system.

E Street Band guitarist Steve Van Zandt said backstage that musicians are often quick to help when they can.

"Yes, it's more personal because literally the Jersey shore is where we grew up," he said. "But we'd be here anyway."

The concert came a day after the death of sitar master Ravi Shankar, a performer at the 1971 "Concert for Bangladesh" considered the grandfather of music benefits. That concert also was in Madison Square Garden.

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AP Music Writer Mesfin Fekadu in New York contributed to this report.

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