Butler upsets No. 1 Indiana 88-86 in OT


INDIANAPOLIS (AP) — The most unlikely player on the roster made a most unforgettable shot for Butler.


Walk-on Alex Barlow drove in for a spinning 6-foot jumper with 2.4 seconds left in overtime and the Bulldogs toppled No. 1 Indiana 88-86 Saturday for their first victory over a top-ranked team in school history.


Barlow, a sophomore, had scored only 12 points this season and just 18 points in his college career.


But the Bulldogs (8-2) put the ball in his hands with 19.3 seconds to go. As the clock ran down, Barlow slowly moved toward the lane, then took a couple of dribbles, stopped and put up a shot that hit the back of the rim and dropped in.


The Hoosiers (9-1) called timeout to set up a play but could only muster a half-court heave from Jordan Hulls. The shot went left of the basket and missed everything, ending one of this season's best college games.


Rotnei Clarke scored 19 points for Butler and Roosevelt Jones had 16 points, 12 rebounds and six assists before fouling out with 2:03 left in regulation.


Andrew Smith added 12 points and nine rebounds before fouling out with 1:46 to go in regulation. Butler had three players foul out overall, and overcame a seven-point deficit in the second half.


The Bulldogs, the two-time national runner-up, rejuvenated their image as America's mid-major with major aspirations. Butler has now beaten Marquette of the Big East and North Carolina of the ACC this season and now has back-to-back wins over Big Ten opponents — Northwestern and Indiana.


The Hoosiers were led by Cody Zeller, who had 18 points, including a layup to tie the score at 86 with 19.3 seconds left in overtime. Victor Oladipo also had 18 points.


This was not the same Indiana team that won its first nine games by an average of nearly 32 points and was shooting 51.5 percent from the field. On Saturday, in their second game in two weeks, the Hoosiers shot just 42.9 percent and had 13 turnovers, including a handful of costly miscues late in regulation and overtime.


Butler just never let the Hoosiers get away from them — even when Smith and Jones went to the bench with four fouls midway through the second half.


Coach Brad Stevens reinserted both players with 9 minutes to go in regulation and the Bulldogs trailing 57-50, and Butler responded. The Bulldogs used a 12-0 run to take a 66-59 lead with 4:31 to play.


Butler still led 71-64 when Jones fouled out, but the Hoosiers answered with five straight points from the free-throw line and tied the score on Yogi Ferrell's 3-pointer from the right wing with 6.1 seconds to go.


The Bulldogs had a chance to win it at the end of regulation, but Chase Stigall's 3 hit off the front of the rim and Zeller snatched the rebound to force overtime.


Down late, Indiana scored five straight points — all on free throws — to trim the deficit to 71-69 with 1:14 remaining.


Indiana controlled the early part of the overtime, taking an 84-80 lead on Zeller's layup with 2:12 to go. But the Bulldogs rallied with a 3 from Clarke, a steal from Barlow, another 3 from Stigall and Barlow's winner in the closing seconds.


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Fewer health care options for illegal immigrants


ALAMO, Texas (AP) — For years, Sonia Limas would drag her daughters to the emergency room whenever they fell sick. As an illegal immigrant, she had no health insurance, and the only place she knew to seek treatment was the hospital — the most expensive setting for those covering the cost.


The family's options improved somewhat a decade ago with the expansion of community health clinics, which offered free or low-cost care with help from the federal government. But President Barack Obama's health care overhaul threatens to roll back some of those services if clinics and hospitals are overwhelmed with newly insured patients and can't afford to care for as many poor families.


To be clear, Obama's law was never intended to help Limas and an estimated 11 million illegal immigrants like her. Instead, it envisions that 32 million uninsured Americans will get access to coverage by 2019. Because that should mean fewer uninsured patients showing up at hospitals, the Obama program slashed the federal reimbursement for uncompensated care.


But in states with large illegal immigrant populations, the math may not work, especially if lawmakers don't expand Medicaid, the joint state-federal health program for the poor and disabled.


When the reform has been fully implemented, illegal immigrants will make up the nation's second-largest population of uninsured, or about 25 percent. The only larger group will be people who qualify for insurance but fail to enroll, according to a 2012 study by the Washington-based Urban Institute.


And since about two-thirds of illegal immigrants live in just eight states, those areas will have a disproportionate share of the uninsured to care for.


In communities "where the number of undocumented immigrants is greatest, the strain has reached the breaking point," Rich Umbdenstock, president of the American Hospital Association, wrote last year in a letter to Obama, asking him to keep in mind the uncompensated care hospitals gave to that group. "In response, many hospitals have had to curtail services, delay implementing services, or close beds."


The federal government has offered to expand Medicaid, but states must decide whether to take the deal. And in some of those eight states — including Texas, Florida and New Jersey — hospitals are scrambling to determine whether they will still have enough money to treat the remaining uninsured.


Without a Medicaid expansion, the influx of new patients and the looming cuts in federal funding could inflict "a double whammy" in Texas, said David Lopez, CEO of the Harris Health System in Houston, which spends 10 to 15 percent of its $1.2 billion annual budget to care for illegal immigrants.


Realistically, taxpayers are already paying for some of the treatment provided to illegal immigrants because hospitals are required by law to stabilize and treat any patients that arrive in an emergency room, regardless of their ability to pay. The money to cover the costs typically comes from federal, state and local taxes.


A solid accounting of money spent treating illegal immigrants is elusive because most hospitals do not ask for immigration status. But some states have tried.


California, which is home to the nation's largest population of illegal immigrants, spent an estimated $1.2 billion last year through Medicaid to care for 822,500 illegal immigrants.


The New Jersey Hospital Association in 2010 estimated that it cost between $600 million and $650 million annually to treat 550,000 illegal immigrants.


And in Texas, a 2010 analysis by the Health and Human Services Commission found that the agency had provided $96 million in benefits to illegal immigrants, up from $81 million two years earlier. The state's public hospital districts spent an additional $717 million in uncompensated care to treat that population.


If large states such as Florida and Texas make good on their intention to forgo federal money to expand Medicaid, the decision "basically eviscerates" the effects of the health care overhaul in those areas because of "who lives there and what they're eligible for," said Lisa Clemans-Cope, a senior researcher at the Urban Institute.


Seeking to curb expenses, hospitals might change what qualifies as an emergency or cap the number of uninsured patients they treat. And although it's believed states with the most illegal immigrants will face a smaller cut, they will still lose money.


The potential impacts of reform are a hot topic at MD Anderson Cancer Center in Houston. In addition to offering its own charity care, some MD Anderson oncologists volunteer at a county-funded clinic at Lyndon B. Johnson General Hospital that largely treats the uninsured.


"In a sense we've been in the worst-case scenario in Texas for a long time," said Lewis Foxhall, MD Anderson's vice president of health policy in Houston. "The large number of uninsured and the large low-income population creates a very difficult problem for us."


Community clinics are a key part of the reform plan and were supposed to take up some of the slack for hospitals. Clinics received $11 billion in new funding over five years so they could expand to help care for a swell of newly insured who might otherwise overwhelm doctors' offices. But in the first year, $600 million was cut from the centers' usual allocation, leaving many to use the money to fill gaps rather than expand.


There is concern that clinics could themselves be inundated with newly insured patients, forcing many illegal immigrants back to emergency rooms.


Limas, 44, moved to the border town of Alamo 13 years ago with her husband and three daughters. Now single, she supports the family by teaching a citizenship class in Spanish at the local community center and selling cookies and cakes she whips up in her trailer. Soon, she hopes to seek a work permit of her own.


For now, the clinic helps with basic health care needs. If necessary, Limas will return to the emergency room, where the attendants help her fill out paperwork to ensure the government covers the bills she cannot afford.


"They always attended to me," she said, "even though it's slow."


___


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


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


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As Conn. story unfolds, media struggle with facts


NEW YORK (AP) — The scope and senselessness of the Newtown, Conn., school shooting challenged journalists' ability to do much more than lend, or impose, their presence on the scene.


Pressed with the awful urgency of the story, television, along with other media, fell prey to reporting "facts" that were often in conflict or wrong.


How many people were killed? Which Lanza brother was the shooter: Adam or Ryan? Was their mother, who was among the slain, a teacher at the school?


Like the rest of the news media, television outlets were faced with intense competitive pressures and an audience ravenous for details in an age when the best-available information was seldom as reliable as the networks' high-tech delivery systems.


Here was the normal gestation of an unfolding story. But with wall-to-wall cable coverage and second-by-second Twitter postings, the process of updating and correcting it was visible to every onlooker. And as facts were gathered by authorities, then shared with reporters (often on background), a seemingly higher-than-usual number of points failed to pan out:


— The number of dead was initially reported as anywhere from the high teens to nearly 30. The final count was established Friday afternoon: 20 children and six adults, as well as Lanza's mother and the shooter himself.


— For hours on Friday, the shooter was identified as Ryan Lanza, with his age alternatively reported as 24 or 20. The confusion seemed explainable when a person who had spoken with Ryan Lanza said that 20-year-old Adam Lanza, the shooter who had then killed himself, could have been carrying identification belonging to his 24-year-old sibling.


This case of mistaken identity was painfully reminiscent of the Atlanta Olympics bombing case in 1996, when authorities fingered an innocent man, and the news media ran with it, destroying his life. Such damage was averted in Ryan Lanza's case largely by his public protestations on social media, repeatedly declaring "It wasn't me."


— Initial reports differed as to whether Lanza's mother, Nancy, was shot at the school, where she was said to be a teacher, or at the home she shared with Adam Lanza. By Friday afternoon, it was determined that she had been shot at their home.


Then doubts arose about whether Nancy Lanza had any link to Sandy Hook Elementary. At least one parent said she was a substitute teacher, but by early Saturday, an official said investigators had been unable to establish any connection with the school.


That seemed to make the massacre even more confusing. Early on, the attack was said to have taken place in her own classroom and was interpreted by more than one on-air analyst as possibly a way for Adam Lanza to strike back at children with whom he felt rivalry for his mother's affection.


— At first, authorities said Lanza had used two pistols (a Glock and a Sig Sauer) in the attack and left a .223-caliber Bushmaster rifle in the trunk of a vehicle. But by Saturday afternoon, the latest information was that all the victims had been shot with the rifle at close range.


— There were numerous versions of what Lanza was wearing, including camouflage attire and black paramilitary garb.


With so many unanswered questions, TV correspondents were left to set the scene and to convey the impact in words that continually failed them.


However apt, the phrase "parents' worst nightmare" became an instant cliche.


And the word "unimaginable" was used countless times. But "imagine" was exactly what the horrified audience was helpless not to do.


The screen was mostly occupied by grim or tearful faces, sparing everybody besides law enforcement officials the most chilling sight: the death scene in the school, where — as viewers were reminded over and over — the bodies remained while evidence was gathered. But who could keep from imagining it?


Ironically, perhaps the most powerful video came from 300 miles away, in Washington, where President Barack Obama delivered brief remarks about the tragedy. His somber face, the flat tone of his voice, the tears he daubed from his eyes, and his long, tormented pauses said as much as his heartfelt words. He seemed to speak for everyone who heard them.


The Associated Press was also caught in the swirl of imprecise information. When key elements of the story changed, the AP issued two advisories — one to correct that Adam Lanza, not his brother, was the gunman, and another that called into question the original report that Lanza's mother taught at the school.


But TV had hours to fill.


Children from the school were interviewed. It was a questionable decision for which the networks took heat from media critics and viewers alike. But the decision lay more in the hands of the willing parents (who were present), and there was value in hearing what these tiny witnesses had to say.


"We had to lock our doors so the animal couldn't get in," said one little boy, his words painting a haunting picture.


In the absence of hard facts, speculation was a regular fallback. Correspondents and other "experts" persisted in diagnosing the shooter, a man none of them had ever met or even heard of until hours earlier.


CNN's "Piers Morgan Tonight" scored an interview with a former classmate of Lanza's — with an emphasis on "former."


"I really only knew him closely when we were very, very young, in elementary school together," she said.


Determined to unlock Lanza's personality, Morgan asked the woman if she "could have ever predicted that he would one day flip and do something as monstrous as this?"


"I don't know if I could have predicted it," she replied, struggling to give Morgan what he wanted. "I mean, there was something 'off' about him."


The larger implications of the tragedy were broached throughout the coverage — not least by Obama.


"We're going to have to come together and take meaningful action to prevent more tragedies like this, regardless of the politics," he said, which may have gladdened proponents of stricter gun laws.


But CBS correspondent Nancy Cordes noted, "There's often an assumption that after a horrific event like this, it will spark a fierce debate on the issue. But in recent years, that hasn't been the case."


Appearing on "The O'Reilly Factor" Friday night, Fox News correspondent Geraldo Rivera voiced his own solution.


"I want an armed cop at every school," he said.


___


EDITOR'S NOTE — Frazier Moore is a national television columnist for The Associated Press. He can be reached at fmoore(at)ap.org and at http://www.twitter.com/tvfrazier .


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Retailers hope shoppers pick up pace









Debbie Scarlati experienced a bit of anxiety when she realized that Christmas Day was just 11 days away.


"Truly, I was a whole week off," she said, holding three bags at Oakbrook Center on Friday. "I had a little bit of a panic attack, and now, I'm done."


The Downers Grove mom planned to cut her holiday spending this year but had trouble reining in herself.





"I really should be spending less," she said, "but I have this real fault that if I see it, and sometimes because you're under the gun and you have to get it, you just get it. You just buy it."


Scarlati's late start and weakness for shopping is what stores are counting on. Sales over Black Friday weekend soared to a record $59.1 billion, but they tapered off in the following weeks.


The number of shoppers and sales in stores during the first week of December lagged last year's, according to ShopperTrak. Consumers postponed their purchases and mild temperatures slowed sales of cold-weather gear.


Now, with 10 days to Christmas, businesses must get shoppers like Scarlati to spend.


On Friday, Wal-Mart took the rare step of slashing prices on some iPads and the latest iPhones. Kohl's has promised to pick up the tab for one shopper a day.


This weekend, Sears is rolling out another round of door-buster sales. And next weekend — just days before Christmas — Macy's will stay open for 48 hours straight and Toys R Us for 88 hours.


Experts expect prices to fall even further as Christmas approaches. Retailers, desperate to unload inventory, will offer steep percentage discounts. "This year, 40 percent is standard fare," said Wendy Liebmann, CEO of WSL Strategic Retail.


Discounts are likely to creep to 50 percent, she said, in part due to fierce competition with online merchants.


The sales not only appeal to frugal shoppers, but to people who probably shouldn't still be shopping at all. "Promotions at this late in the game are geared to get people to spend more than they intended," said Tom Compernolle, principal in Deloitte's retail practice.


Stores are also trying fancy promotions to gain shoppers' attention. Clothing store Banana Republic has touted airline tickets and Fiat car giveaways in an effort to grab market share.


Other big-name retailers such as Amazon, Target and Wal-Mart have engaged in price-matching wars. "No retailer wants to be outflanked, and when they see a competitor doing something, they want to match it," Compernolle said.


Retailers have plenty of people to win over. Nearly a fifth of consumers have yet to start holiday shopping, while another fifth plan to drop into stores again after taking a break, research firm NPD Group estimated.


With Christmas on a Tuesday, this year's shopping season has five weekends, not the typical four. There are two left.


"We might see the rush this weekend," said Suzanne Cook-Beres, Oakbrook Center's marketing manager.


This year, the mall is trying social media to reel in customers. People who take photos and post them on photo-sharing site Instagram are eligible to win a $20 gift card. "We looked at this to be a great opportunity to say … what will this do?" Cook-Beres said. To beat last week's lull, Oakbrook promised shoppers who spent $250 or more a $20 mall gift card that can be used at most stores.


At Northbrook Court, mall executives are focusing on entertainment, offering "pet night" on Monday evenings and a day at the "elf academy" for children, marketing manager Stacy Kolios said.


The question is whether shoppers will give in to special perks and lower prices.


Compernolle predicts they will, despite the looming "fiscal cliff," because "consumer confidence has climbed since September," he said.


But retail consultant Jeff Green isn't convinced.


Discounts will likely draw shoppers, but promotions, like Kohl's plan to pick up one shopper's tab every day until Christmas Eve, are a "little obscure for most people," Green said.


"If you're a power shopper you'll care, but the general public probably won't," he said.


Corilyn Shropshire is a Tribune reporter; Erin Chan Ding is a freelance writer. Tribune Newspapers' Shan Li contributed.


crshropshire@tribune.com


Twitter @corilyns





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Man kills 26 at Connecticut school, including 20 kids












A man opened fire Friday inside two classrooms at the Connecticut elementary school where his mother worked as a teacher, killing 26 people, including 20 children, as youngsters cowered in corners and closets and trembled helplessly to the sound of gunfire reverberating through the building.

The killer, armed with two handguns, committed suicide at the school and another person was found dead at a second scene, bringing the toll to 28, authorities said.









Police shed no light on the motive for the attack.

The rampage, coming less than two weeks before Christmas, was the nation's second-deadliest school shooting, exceeded only by the Virginia Tech massacre that left 33 people dead in 2007.

Panicked parents looking for their children raced to Sandy Hook Elementary School in Newtown, a community of about 27,000 residents 60 miles northeast of New York City. Youngsters at the kindergarten-through-fourth-grade school were told to close their eyes by police as they were led from the building.

Schoolchildren -- some crying, others looking frightened -- were escorted through a parking lot in a line, hands on each other's shoulders.

"Our hearts are broken today," a tearful President Barack Obama, struggling to maintain composure, said at the White House. He called for "meaningful action" to prevent such shootings.

Youngsters and their parents described teachers locking doors and ordering the children to huddle in the corner or hide in closets when shots echoed through the building. Authorities didn't say exactly how the shootings unfolded.

They also gave no details on the victim discovered at another scene, except to say that the person was an adult found dead by police while they were investigating the gunman.

A law enforcement official identified the gunman as 20-year-old Adam Lanza, the son of a teacher. A second law enforcement official said his mother, Nancy Lanza, was presumed dead.

Adam Lanza's older brother, 24-year-old Ryan, of Hoboken, N.J., was being questioned, the first official said. Earlier, a law enforcement official mistakenly identified Ryan as the shooter.

Both officials spoke on the condition of anonymity because they were not authorized to speak on the record about the unfolding investigation.

The gunman drove to the school in his mother's car, the second official said. Three guns were found -- a Glock and a Sig Sauer, both pistols, inside the school, and a .223-caliber rifle in the back of a car.

Lanza's girlfriend and another friend were missing in New Jersey, the official also said.

State police Lt. Paul Vance said 28 people in all were killed, including the gunman, and one person was injured.

Robert Licata said his 6-year-old son was in class when the gunman burst in and shot the teacher.

"That's when my son grabbed a bunch of his friends and ran out the door," he said. "He was very brave. He waited for his friends."

He said the shooter didn't utter a word.

Stephen Delgiadice said his 8-year-old daughter was in the school and heard two big bangs. Teachers told her to get in a corner, he said.

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Apple falls on lower shipment forecasts, muted China debut


(Reuters) - Apple Inc shares fell 3.9 percent on Friday after the iPhone 5 debuted in China to a cool reception and two analysts cut shipment forecasts.


Jefferies analyst Peter Misek trimmed his iPhone shipment estimates for the Jan-March quarter, saying that the technology company had started cutting orders to suppliers to balance excess inventory.


Shares of Apple suppliers Jabil Circuit Inc, Qualcomm Inc, Skyworks Solutions Inc, TriQuint Semiconductor Inc, Avago Technologies Ltd, and Cirrus Logic Inc also fell in early trading.


Apple shares have lost a quarter of their value since they hit a life high of $705.07 on September 21, as it faces increasing competition from phones using Google Inc's Android operating system.


Misek cut his first-quarter iPhone sales estimate to 48 million from 52 million and gross margin expectations for the company by 2 percentage points to 40 percent.


UBS Investment Research cut its price target on Apple stock to $700 from $780 on lower expected iPhone and iPad shipments for the March quarter.


The brokerage said it was modeling more conservative growth for the world's biggest technology company after making supply chain checks that revealed that fewer iPhones were being built.


"Some of our Chinese sources do not expect the iPhone 5 to do as well as the iPhone 4S," UBS analyst Steven Milunovich wrote in a note to clients.


Apple launched the iPhone 5 in China on Friday, a move widely expected to bring the Cupertino-based company some respite from a recent slide in market share in China, but early reports indicated that demand may not be as great as expected.


"The iPhone 5 China launch has been surprisingly muted but (we) are unsure how much weather (snow) or the required pre-ordering (to prevent riots) are factors," Misek said.


Apple shares fell as low as $508.50 in morning trading on the Nasdaq on Friday.


(Editing by Supriya Kurane)



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AP source: Suzuki, Yankees close in on $13M deal


NEW YORK (AP) — Ichiro Suzuki and the New York Yankees closed in Friday on a $13 million, two-year contract, according to a person familiar with the negotiations.


The sides still had to finalize language and the deal will be subject to a physical, the person said, speaking on condition of anonymity because the agreement was not complete. Suzuki will get $6.5 million a year.


Acquired from the Seattle Mariners on July 23, the 39-year-old Suzuki revived his career in New York. His batting average jumped from .261 with the Mariners, to .322 with the Yankees, with five homers, 27 RBIs and 14 steals.


A 10-time All-Star, Suzuki has 2,606 hits in 12 major league seasons.


Also Friday, New York finalized a $12 million, one-year contract with Kevin Youkilis, who is expected to start at third base during the first half of the season while Alex Rodriguez recovers from hip surgery scheduled for next month.


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Matt Damon fracking film in Berlin festival lineup






BERLIN (Reuters) – The Berlin film festival on Thursday announced the first movies of its 2013 lineup, and among the main competition entries will be U.S. director Gus Van Sant‘s drama starring Matt Damon and centering around the controversial shale gas industry.


“Promised Land” will have its international premiere at the annual cinema showcase, although it is scheduled to be launched first in the United States.






According to online reports, “The Bourne Identity” star Damon was originally down to direct the movie tackling the practice of hydraulic fracturing, or “fracking” for shale gas, which has raised concerns over its environmental impact.


The film reunites the actor and film maker after Van Sant directed Damon in the acclaimed 1997 drama “Good Will Hunting”.


Damon was nominated for a best actor Academy Award for his performance and won a screenplay Oscar along with co-writer Ben Affleck for a movie that helped launch their Hollywood careers.


Also in the main competition in Berlin is “Gloria”, directed by Chilean film maker Sebastian Lelio, Korean entry “Nobody’s Daughter Haewon” directed by Hong Sangsoo and Romanian picture “Child’s Pose” by Calin Peter Netzer.


There will be a world premiere for “Paradise: Hope”, the final installment of Austrian director Ulrich Seidl’s Paradise trilogy, while out of competition in Berlin is 3D animation film “The Croods”, featuring the voice of Nicolas Cage.


And under the Berlinale Special heading comes documentary “Redemption Impossible”.


The 63rd Berlin film festival runs from February 7-17.


(Reporting by Mike Collett-White, editing by Paul Casciato)


Movies News Headlines – Yahoo! News


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Fewer health care options for illegal immigrants


ALAMO, Texas (AP) — For years, Sonia Limas would drag her daughters to the emergency room whenever they fell sick. As an illegal immigrant, she had no health insurance, and the only place she knew to seek treatment was the hospital — the most expensive setting for those covering the cost.


The family's options improved somewhat a decade ago with the expansion of community health clinics, which offered free or low-cost care with help from the federal government. But President Barack Obama's health care overhaul threatens to roll back some of those services if clinics and hospitals are overwhelmed with newly insured patients and can't afford to care for as many poor families.


To be clear, Obama's law was never intended to help Limas and an estimated 11 million illegal immigrants like her. Instead, it envisions that 32 million uninsured Americans will get access to coverage by 2019. Because that should mean fewer uninsured patients showing up at hospitals, the Obama program slashed the federal reimbursement for uncompensated care.


But in states with large illegal immigrant populations, the math may not work, especially if lawmakers don't expand Medicaid, the joint state-federal health program for the poor and disabled.


When the reform has been fully implemented, illegal immigrants will make up the nation's second-largest population of uninsured, or about 25 percent. The only larger group will be people who qualify for insurance but fail to enroll, according to a 2012 study by the Washington-based Urban Institute.


And since about two-thirds of illegal immigrants live in just eight states, those areas will have a disproportionate share of the uninsured to care for.


In communities "where the number of undocumented immigrants is greatest, the strain has reached the breaking point," Rich Umbdenstock, president of the American Hospital Association, wrote last year in a letter to Obama, asking him to keep in mind the uncompensated care hospitals gave to that group. "In response, many hospitals have had to curtail services, delay implementing services, or close beds."


The federal government has offered to expand Medicaid, but states must decide whether to take the deal. And in some of those eight states — including Texas, Florida and New Jersey — hospitals are scrambling to determine whether they will still have enough money to treat the remaining uninsured.


Without a Medicaid expansion, the influx of new patients and the looming cuts in federal funding could inflict "a double whammy" in Texas, said David Lopez, CEO of the Harris Health System in Houston, which spends 10 to 15 percent of its $1.2 billion annual budget to care for illegal immigrants.


Realistically, taxpayers are already paying for some of the treatment provided to illegal immigrants because hospitals are required by law to stabilize and treat any patients that arrive in an emergency room, regardless of their ability to pay. The money to cover the costs typically comes from federal, state and local taxes.


A solid accounting of money spent treating illegal immigrants is elusive because most hospitals do not ask for immigration status. But some states have tried.


California, which is home to the nation's largest population of illegal immigrants, spent an estimated $1.2 billion last year through Medicaid to care for 822,500 illegal immigrants.


The New Jersey Hospital Association in 2010 estimated that it cost between $600 million and $650 million annually to treat 550,000 illegal immigrants.


And in Texas, a 2010 analysis by the Health and Human Services Commission found that the agency had provided $96 million in benefits to illegal immigrants, up from $81 million two years earlier. The state's public hospital districts spent an additional $717 million in uncompensated care to treat that population.


If large states such as Florida and Texas make good on their intention to forgo federal money to expand Medicaid, the decision "basically eviscerates" the effects of the health care overhaul in those areas because of "who lives there and what they're eligible for," said Lisa Clemans-Cope, a senior researcher at the Urban Institute.


Seeking to curb expenses, hospitals might change what qualifies as an emergency or cap the number of uninsured patients they treat. And although it's believed states with the most illegal immigrants will face a smaller cut, they will still lose money.


The potential impacts of reform are a hot topic at MD Anderson Cancer Center in Houston. In addition to offering its own charity care, some MD Anderson oncologists volunteer at a county-funded clinic at Lyndon B. Johnson General Hospital that largely treats the uninsured.


"In a sense we've been in the worst-case scenario in Texas for a long time," said Lewis Foxhall, MD Anderson's vice president of health policy in Houston. "The large number of uninsured and the large low-income population creates a very difficult problem for us."


Community clinics are a key part of the reform plan and were supposed to take up some of the slack for hospitals. Clinics received $11 billion in new funding over five years so they could expand to help care for a swell of newly insured who might otherwise overwhelm doctors' offices. But in the first year, $600 million was cut from the centers' usual allocation, leaving many to use the money to fill gaps rather than expand.


There is concern that clinics could themselves be inundated with newly insured patients, forcing many illegal immigrants back to emergency rooms.


Limas, 44, moved to the border town of Alamo 13 years ago with her husband and three daughters. Now single, she supports the family by teaching a citizenship class in Spanish at the local community center and selling cookies and cakes she whips up in her trailer. Soon, she hopes to seek a work permit of her own.


For now, the clinic helps with basic health care needs. If necessary, Limas will return to the emergency room, where the attendants help her fill out paperwork to ensure the government covers the bills she cannot afford.


"They always attended to me," she said, "even though it's slow."


___


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


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


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Owner of Rivera plane being investigated by DEA


PHOENIX (AP) — The company that owns a luxury jet that crashed and killed Latin music star Jenni Rivera is under investigation by the U.S. Drug Enforcement Administration, and the agency seized two of its planes earlier this year as part of the ongoing probe.


DEA spokeswoman Lisa Webb Johnson confirmed Thursday the planes owned by Las Vegas-based Starwood Management were seized in Texas and Arizona, but she declined to discuss details of the case. The agency also has subpoenaed all the company's records, including any correspondence it has had with a former Tijuana mayor who U.S. law enforcement officials have long suspected has ties to organized crime.


The man widely believed to be behind the aviation company is an ex-convict named Christian Esquino, 50, who has a long and checkered legal past. Corporate records list his sister-in-law as the company's only officer, but insurance companies that cover some of the firm's planes say in court documents that the woman is merely a front and that Esquino is the one in charge.


Esquino's legal woes date back decades. He pleaded guilty to a fraud charge that stemmed from a major drug investigation in Florida in the early 1990s and most recently was sentenced to two years in federal prison in a California aviation fraud case. Esquino, a Mexican citizen, was deported upon his release. Esquino and various other companies he has either been involved with or owns have also been sued for failing to pay millions of dollars in loans, according to court records.


The 43-year-old California-born Rivera died at the peak of her career when the plane she was traveling in nose-dived into the ground while flying from the northern Mexican city of Monterrey to the central city of Toluca early Sunday morning. She was perhaps the most successful female singer in grupero, a male-dominated Mexico regional style, and had branched out into acting and reality television.


It remained unclear Thursday exactly what caused the crash and why Rivera was on Esquino's plane. The 78-year-old pilot and five other people were also killed. Esquino was not on the plane.


The late singer's brother, Pedro Rivera Jr., said that he didn't know anything about the owner or why or how she ended up in his plane.


Esquino told the Los Angeles Times in a telephone interview from Mexico City that the singer was considering buying the aircraft from Starwood for $250,000 and the flight was offered as a test ride. He disputed reports that he owns Starwood, maintaining that he is merely the company's operations manager "with the expertise."


Esquino is no stranger to tangles with the law. He was indicted in the early 1990s along with 12 other defendants in a major federal drug investigation that claimed the suspects planned to sell more than 480 kilograms of cocaine, according to court records. He eventually pleaded guilty to conspiring to conceal money from the IRS and was sentenced to five years in prison, but much of the term was suspended for reasons that weren't immediately clear.


He served about five months in prison before being released.


Cynthia Hawkins, a former assistant U.S. attorney who handled the case and is now in private practice in Orlando, remembered the investigation well.


"It was huge," Hawkins said Thursday. "This was an international smuggling group."


She said the case began with the arrest of Robert Castoro, who was at the time considered one of the most prolific smugglers of marijuana and cocaine into Florida from direct ties to Colombian drug cartels in the 1980s. Castoro was convicted in 1988 and sentenced to life in prison, but he then began cooperating with authorities, leading to his sentence being reduced to just 10 years, Hawkins said.


"Castoro cooperated for years," she said. "We put hundreds of people in jail."


He eventually gave up another smuggler, Damian Tedone, who was indicted in the early 1990s along with Esquino and 11 others in a conspiracy involving drug smuggling in Florida in the 1980s at a time when the state was the epicenter of the nation's cocaine trade.


Tedone also cooperated with authorities and has since been released from prison. Telephone messages left Thursday for both Tedone and Castoro were not returned.


Esquino eventually pleaded guilty to the lesser offense of concealing money from the IRS.


Joseph Milchen, Esquino's attorney at the time, said Thursday the case eventually revolved around his client "bringing money into the United States without declaring it."


However, Milchen acknowledged that a plane purchased by Esquino was "used to smuggle drugs."


He denied his former client has ever had anything to do with illegal narcotics.


"The only thing he has ever done is with airplanes," Milchen said.


Court filings also indicate Esquino was sentenced to two years in federal prison after pleading guilty in 2004 to committing fraud involving aircraft he purchased in Mexico, then falsified the planes' log books and re-sold them in the United States.


Also in 2004, a federal judge ordered him and one of his companies to pay a creditor $6.2 million after being accused of failing to pay debts to a bank.


As the years passed, Esquino's troubles only grew.


In February this year, a Gulfstream G-1159A plane the government valued at $500,000 was seized by the U.S. Marshals Service on behalf of the DEA after landing in Tucson on a flight that originated in Mexico


Four months later, the DEA subpoenaed all of Starwood's records dating to Dec. 13, 2007, including federal and state income tax documents, bank deposit information, records on all company assets and sales, and the entity's relationship with Esquino and more than a dozen companies and individuals, including former Tijuana Mayor Jorge Hank-Rhon, a gambling mogul and a member of one of Mexico's most powerful families. U.S. law enforcement officials have long suspected Hank-Rhon is tied to organized crime but no allegations have been proven. He has consistently denied any criminal involvement.


He was arrested in Mexico last year on weapons charges and on suspicion of ordering the murder of his son's former girlfriend. He was later freed for lack of evidence.


The subpoena was obtained by the U-T San Diego newspaper.


A Starwood attorney listed on the subpoena, Jeremy Schuster, declined Thursday to provide details.


"We don't comment on matters involving clients," he said.


In September, the DEA seized another Starwood plane — a 1977 Hawker 700 with an insured value of $1 million — after it landed in McAllen, Texas, from a flight from Mexico.


Insurers of both aircraft have since filed complaints in federal court in Nevada seeking to have the Starwood policies nullified, in part, because they say Esquino lied in the application process when he noted he had never been indicted on drug-related criminal charges. Both companies said they would not have issued the policies had he been truthful.


Another attorney for Starwood has not responded to phone and email messages seeking comment, and no one was at the address listed at its Las Vegas headquarters. The address is a post office box in a shipping and mailing store located between a tuxedo rental shop and a supermarket in a shopping center several miles west of the Las Vegas Strip.


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Associated Press writers Elliot Spagat in San Diego and Ken Ritter in Las Vegas contributed to this report.


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