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Owner and Operator of Houston-Area Ambulance Service Convicted in Medicare Fraud Scheme

The owner and operator of a Houston-area ambulance company was convicted by a federal jury in Houston of multiple counts of health care fraud for submitting false and fraudulent claims to Medicare.



  • OPA Press Releases

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Owners and Supervisor of Ambulance Transportation Company Plead Guilty in Los Angeles for Role in Ambulance Fraud Scheme

The owners and supervisor of Alpha Ambulance Inc. (Alpha), a now-defunct Los Angeles-area ambulance transportation company, have pleaded guilty in connection with an ambulance fraud scheme.



  • OPA Press Releases

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Owner of Texas-based Ambulance Service Convicted of Health Care Fraud

A federal jury in Houston has convicted Gwendolyn Climmons-Johnson, 53, of multiple counts of health care fraud for submitting false and fraudulent claims to Medicare for ambulance services.



  • OPA Press Releases

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Chief of Bull Shoals, Ark., Police Department Arrested for Use of Excessive Force

Daniel Sutterfield, 35, Chief of the Bull Shoals Police Department, was arrested yesterday on charges related to his use of excessive force in the arrest of a Bull Shoals resident and a related false report.



  • OPA Press Releases

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Owners of Los Angeles Ambulance Company Sentenced for Medicare Fraud Scheme

The owners of Alpha Ambulance Inc. (Alpha), a now-defunct Los Angeles-area ambulance transportation company, have been sentenced in connection with a Medicare fraud scheme.



  • OPA Press Releases

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Statement from the Department of Justice and Office of Director of National Intelligence on the Declassification of Additional Documents Regarding the Collection of Bulk Telephony Metadata Under Section 215 of the USA Patriot Act

Today, the Department of Justice and Office of the Director of National Intelligence released, in redacted form, a previously classified series of Foreign Intelligence Surveillance Court filings and orders from 2009-2010 concerning the collection of bulk telephony metadata under Section 215 of the USA Patriot Act. These documents relate to a robust interaction that occurred between the Department of Justice and a telecommunications service provider that included the provider’s review of prior FISC applications, orders and opinions, regarding lawful compliance with those orders.



  • OPA Press Releases

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Houston Ambulance Operator Sentenced for Her Role in $2.4 Million Health Care Fraud Scheme

The owner and operator of a Houston area ambulance company was sentenced today to serve 97 months in prison for her role in a $2.4 million Medicare fraud scheme



  • OPA Press Releases

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Attorney General Holder Records Message for Cartoon Network’s “I Speak up” Campaign to Combat Bullying

The Justice Department announced Monday that Attorney General Eric Holder has recorded a video message as part of the Cartoon Network’s “I Speak Up” campaign to combat bullying. The project urges young people to speak up in order to help bring bullying situations to an end.



  • OPA Press Releases

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Ambulance Company Manager Pleads Guilty to $5.5 Million Medicare Fraud Conspiracy

The general manager of a Southern California ambulance company pleaded guilty yesterday in Los Angeles to conspiracy to commit Medicare fraud, conspiracy to obstruct a Medicare audit, and making materially false statements to law enforcement officers.



  • OPA Press Releases

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Author Correction: A structural model for microtubule minus-end recognition and protection by CAMSAP proteins




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Resurrecting a magic bullet

Heidelberg Pharma has resuscitated a long-dead ADC toxin with updated conjugation techniques, and its partner Roche has thrown the company a lifeline that could help validate the platform.




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Significant methane ebullition from alpine permafrost rivers on the East Qinghai–Tibet Plateau




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Fonts, fabulous fonts: How to use the @font-face rule with popular font services

Discover how to use the @font-face CSS rule to place real fonts on your website with popular font services.




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Massa in awe of Red Bulls

Felipe Massa admitted that Red Bull's dominant performance at the Hungarian Grand Prix had left his Ferrari team with "something to think about"




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Red Bull still favourites - Alonso

New championship leader Fernando Alonso believes Red Bull still has the advantage in the title race and is expecting the championship to go down to the wire at the final round in Abu Dhabi




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Renault chief accuses Red Bull of lies

Renault managing director Cyril Abiteboul has responded angrily to Adrian Newey's suggestion that the engine is the only thing holding Red Bull back in 2015




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FIA declares Red Bull and Ferrari front wings legal

The FIA's Jo Bauer on Sunday eased a burgeoning controversy about flexible front wings




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Hamilton leads McLaren 1-2 as Red Bulls self destruct

Lewis Hamilton led home team-mate Jenson Button for a McLaren 1-2 in the Turkish Grand Prix at Istanbul Park, capitalising on a collision between the Red Bulls of Mark Webber and Sebastian Vettel




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Hamilton delighted to 'take the battle to Red Bull'

A surprisingly subdued Lewis Hamilton said he hoped the McLaren 1-2 at the Turkish Grand Prix would give the team the push it needed to challenge the Red Bulls in the world championship




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Red Bull's Marko turns on Webber after accident

Red Bull's F1 bosses on Sunday backed Sebastian Vettel after the young German's crash with team-mate Mark Webber in the Turkish Grand Prix




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Red Bull aims to move on as McLaren looks to pounce

Red Bull has vowed to move on from its disastrous race in Turkey for the good of the team as it now faces a serious challenge from McLaren




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Red Bull drivers clear the air

Red Bull Racing drivers Mark Webber and Sebastian Vettel met with team boss Christian Horner, chief technician Adrian Newey and consultant Dr. Marko at the Red Bull Racing factory in further 'clear-the-air' talks on Thursday in the wake of the incident on




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Vettel was told to retire from Spanish GP by Red Bull

Sebastian Vettel has revealed he was asked to retire from the Spanish Grand Prix by his team but stayed out on track to finish third




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Vettel leads dominant Red Bull front-row lock out

Red Bull's Sebastian Vettel and Mark Webber silenced rivals' claims that the car was gaining an unfair advantage this season by locking out the front row of the grid in qualifying for the Chinese Grand Prix.




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Red Bull 'blown away' by competitors - Webber

Mark Webber has admitted that Red Bull was simply outclassed by its competitors at the wet Chinese Grand Prix




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Ricciardo on top after positive day for Red Bull

Daniel Ricciardo led the mileage count and the timing screen on the second day of this week's test in Barcelona as Red Bull recorded its most encouraging day of 2015 so far




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Button looking to capitalise on slow Red Bull starts

Jenson Button is looking to capitalise on Red Bull's slow starts to move through the field at the start of the Singapore Grand Prix and fight for a podium




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Red Bull's Marko wins €400 Vettel bet in Malaysia

Red Bull motorsport advisor Helmut Marko left the Malaysian Grand Prix €400 richer after an astute bet - on former protégé Sebastian Vettel winning the race in his Ferrari




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Red Bull anger aimed at Karthikeyan

Sebastian Vettel said that getting held up by a backmarker cost him victory in the United States Grand Prix




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Hamilton beats Red Bulls to fastest times

Lewis Hamilton lead the way in the afternoon practice session at Interlagos




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Webber leads Red Bull one-two in Brazil

Mark Webber took his first win of the season at the Brazilian Grand Prix as team-mate Sebastian Vettel struggled to second with a race-long gearbox problem




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Red Bull 'just quick everywhere' - Vettel

Sebastian Vettel played down suggestions Red Bull has opened a substantial gap on its rivals after securing its ninth pole position of the season




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Webber remains angry with Red Bull decision

Mark Webber was clearly still far from happy with his team at the end of a weekend which will end with major concerns over the relationship between him and Sebastian Vettel




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Red Bull keen to clear the air with Webber

Christian Horner has promised to have sit-down talks with Mark Webber and Sebastian Vettel after the relationship within the Red Bull team soured over the British Grand Prix weekend




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Prevalence and characteristics of surprise out-of-network bills from professionals in ambulatory surgery centers

       




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Helping the Roma in Bulgaria: Recommendations to the Board of the America for Bulgaria Foundation

The Roma people, the largest minority group in Europe and in many European countries, trail other ethnic groups in almost every characteristic that defines well-being. Perhaps of greatest importance, the Roma are less educated than other ethnic groups. But they also suffer from excess health problems, high unemployment, poverty, and political weakness. The Roma population of Bulgaria is certainly no less disadvantaged than the Roma in other countries. An especially poignant example of Bulgarian Roma disadvantage is that the death rate among children under age 1, a prime indicator of children’s health in any nation, is 25 per 1,000 for Roma children as compared with 9.9 for children of Bulgarian ethnic origin. The mathematics of death almost before life gets started is a symbolic indicator of the Roma burden in Bulgaria. Similarly, research conducted for UNICEF by the University of York shows that the poverty rate among Roma children in Bulgaria is 92 percent, perhaps the highest poverty rate for any ethnic group in Europe. By contrast, the poverty rate among children of Bulgarian heritage is less than half as high at 43 percent.

It is not surprising, then, that over at least the past decade, the European Union (EU) and most European governments, joined by the Open Society Foundation, the World Bank, and other organizations, have created important initiatives to address all these problems. It is possible to think that now is an historic moment in which European governments and dominant ethnic groups, after eight or nine centuries of the most pernicious types of discrimination against the Roma, are finally, albeit often reluctantly, admitting the problems facing their Roma populations and their own role in creating and sustaining these problems. Equally important, most of the Central and Eastern European (CEE) governments, where discrimination against the Roma has been and continues to be particularly intense, are gradually adopting policies to address the problems.

To the extent that the moment of Roma opportunity has arrived, perhaps the most important force moving Bulgaria and other CEE nations in the direction of integration and inclusion is the EU. In the period leading up to the ascension of Bulgaria and other CEE nations to membership in the EU, all the new member states were required to meet a host of conditions required by the EU as the price of admission. Among these conditions were laws outlawing discrimination and requiring equality of educational opportunity. The CEE nations complied with the EU directive to pass such laws, but implementation of the laws in Bulgaria and other nations has been something less than aggressive.

Nor is EU ascension the only force driving the CEE nations to reduce discrimination against the Roma and other minorities. The Open Society, the World Bank, and a number of other private organizations, including several Roma nongovernmental organizations (NGOs), have initiated a sweeping program to promote inclusion of the Roma in the civil society of the CEE nations. Called the “Decade of Roma Inclusion” (2005-2015) the initiative is notable for getting all the CEE nations (plus Spain) to participate, to commit themselves to activities designed to promote inclusion and nondiscrimination, and to make a financial commitment to a fund administered by the World Bank to promote the initiative. As a part of the initiative, Bulgaria and the other participating nations originated ten-year action plans. The Bulgarian action plan, the purpose of which is to create a set of goals and activities that will promote Roma integration, includes proposals for education, health care, housing, employment, discrimination and equal opportunity, and culture.

An important part of the Decade program was the establishment of the Roma Education Fund in 2005. Eight nations (Canada, Greece, Ireland, Netherlands, Slovenia, Sweden, Switzerland, and the UK), as well as several international agencies including the Open Society, pledged a total of 34 million Euros to support Fund activities during the Roma decade. The major goal of the fund is to “support policies and programs which ensure quality education for Roma, including the desegregation of education systems.”

By joining the EU, Bulgaria and the other CEE nations brought themselves into a well-developed culture of inclusion and a complex system of interlocking laws and agencies that not only outlaw exclusion and discrimination, but provide funds to implement inclusion policies and to monitor the extent to which EU nations are aggressively implementing these laws. The laws and directives include the EU Charter of Fundamental Rights, the European Commission against Racism and Intolerance, the Racial Equality Directive, and several others. It would be a mistake to conclude that every EU member, even the original 15 EU nations with relatively more advanced economies and longer histories as democracies than the CEE nations, faithfully implement every component of the various legal requirements of being an EU member. Even so, EU requirements and funds have initiated both profound legal changes and a host of programs to increase the social, economic, political, and cultural inclusion of the Roma as well as studies and evaluations that bring some light to the actual situation of the Roma and other minorities in member nations. Given the all but inevitable distance between the laws on inclusion and discrimination the CEE nations passed in order to join the EU and the actual implementation of those laws, studies commissioned by various EU agencies and NGOs illuminate the gaps between policies and implementation.

An excellent example of such illumination is a 2006 study commissioned by the Economic and Scientific Policy program of the European Parliament. The report is a hard-hitting assessment of the status of Roma throughout Europe with regard to their legal status and socio-economic conditions. The latter category includes assessments of Roma exclusion from employment, education, social services, health care, and community integration. The upshot of the report is that although there may be some progress in these important areas of integration, the Roma are still a second-class group throughout the CEE nations. Seemingly, good laws have not yet produced good results. Laws may be changed, but changing human behavior and culture takes longer.

CEE governments and their defenders are reluctant to admit the lamentable lack of progress in Roma integration. In part for this reason, the European Commission, based on extensive evidence from evaluations, surveys, and news reports of often ferocious discrimination against the Roma, felt the need to publish “An EU Framework for National Roma Integration Strategies up to 2020” in April 2011. The need for a new framework is a clear signal that the EU Commission believes the CEE governments in general and Bulgaria in particular are not achieving the results the EU hoped for when it approved these nations for EU membership and is therefore trying to push the governments of these nations into further action.

Following publication of the Framework, the Open Society released one of the most thorough and provocative reports on the situation faced by the Roma in Europe and strategies that should be adopted to attack the wide range of Roma disadvantages. Appropriately entitled “Beyond Rhetoric,” the Open Society report includes entire chapters on two issues that I will examine in more detail below.

First, the Open Society strongly recommends that nations collect ethnically disaggregated data. Logically enough, the report holds that it is impossible to document the effects of policy initiatives on the Roma and other groups unless outcome data, including measures of health, education, housing, employment, income, and death rates by age, are collected for individual ethnic groups. So important are ethnically disaggregated data that the report goes so far as to recommend that, if necessary, governments should change their statistical systems to “incorporate ethnic data components into regular statistical surveys.” A second recommendation that deserves special attention is the report’s emphasis on early childhood education and care. Virtually every report about the Roma emphasizes the vital importance of education in fighting Roma exclusion, but the Open Society report strongly recommends that nations implementing the EU Framework should “give urgent consideration” to establishing an early child development fund to “support innovative early development programs and allow for scale up of what works.”

Beyond these specific recommendations, the Open Society report emphasizes that the EU Commission stated explicitly in its Framework document that “member states do not properly use EU money for the purpose of effective social and economic integration of Roma. As if this judgment, which seems to represent the views of many EU agencies, the World Bank, the Open Society, and many Roma groups themselves, needed additional reinforcement, a United Nations expert on minority issues visited Bulgaria this summer and called upon the government to “turn its policies on Roma integration into concrete action.” She went on to give what seems to represent the views of all these groups on the flaws in the Bulgarian government’s approach to fighting Roma exclusion: “Many policies seem to remain largely only rhetorical undertakings aimed at external audiences – official commitments that are not fulfilled in practice.” The result, according to the UN expert, is that “all the evidence demonstrates that Roma remain in desperate circumstances at the very bottom of the socio-economic ladder.” In particular, she mentioned that the access of Roma children to quality education “remains overwhelmingly unfulfilled.”

If CEE nations are now entering a period in which governments will be working, often ineffectively or at a very modest pace, to improve the conditions of the Roma, judging by the efforts of other nations to reduce discrimination against minority groups and by the stately rate of progress so far in the CEE nations, it can be assumed that the fight for Roma equality in Bulgaria will be measured in decades. In the U.S., for example, the Civil Rights movement of the 1950s and 1960s was largely successful. By the mid-1960s, vital court decisions had dismantled major parts of the system of legal discrimination against blacks and the federal government had enacted programs to ensure voting rights and other fundamental rights to blacks. To enhance the legal war on poverty and discrimination, the federal government also initiated an army of social programs designed to boost the education, health, employment, housing, and political participation of the poor in general and blacks in particular. Yet today, nearly half a century after achieving legal rights and the initiation of large-scale government inclusion programs, blacks (and Hispanics) still trail whites by large margins in education, income, housing, poverty levels, and health. Although achieving significant progress against discrimination may require decades or generations, discrimination will not diminish until strong legal, economic, and social forces are mobilized against it. Expecting a long struggle cannot be a reason not to begin.

If the history of making substantial progress in overcoming ethnic discrimination in the U.S. can serve as a rough comparison to the situation of the Roma in CEE nations, several factors are going to be vital in the fight of the Roma to overcome discrimination and exclusion in Bulgaria and throughout Europe. These factors include an antidiscrimination plan, aggressive implementation of the plan by all levels of government, leadership by the Roma themselves, educational progress by Roma children and young adults, political activism by the Roma people, a media committed to accurate reporting and fairness, and a civil society that reflects underlying public opinion favoring integration and opposed to discrimination. Most of these factors appear to be present in Bulgaria, often in rudimentary and brittle form, but present and in many cases moving in the right direction nonetheless. The progress that is just now beginning can be greatly enhanced by the efforts of groups that have the resources, the will, and the vision to roll up their sleeves and help promote Roma inclusion.

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Modi’s speech to Congress: Bullish on India, bullish on the U.S.


Quoting Walt Whitman in his speech to a joint meeting of Congress last week, Indian Prime Minister Narendra Modi declared: “there is a new symphony in play.” He was referring to the relationship, but there were some new themes in his speech as well, in addition to a few familiar, predictable ones.

The old

Shared Democratic Values. Modi’s speech covered some of the same ground on shared democratic values as his predecessors. Referring to Congress as a “temple of democracy”—a phrased he’s used in the past for the Indian parliament—and to India’s constitution as its “real holy book,” he stressed that freedom and equality were shared beliefs. In a section that elicited laughter, he also commented that the two countries shared certain practices—legislatures known for bipartisanship and operating harmoniously. Also par for the course was Modi’s emphasis on India’s diversity. An implicit response to critics of India on human rights (including minority rights), freedom of the press, and tolerance of dissent, Modi noted that India’s constitution protected the equal rights of all citizens and enshrined freedom of faith. Echoing former prime minister Atal Bihari Vajpayee’s words on unity in diversity, he asserted “India lives as one; India grows as one; India celebrates as one.” 

Terrorism. Like Vajpayee and Manmohan Singh before him, Modi highlighted the challenge of terrorism, stressing it was globally the “biggest threat.” Acknowledging existing India-U.S. counter-terrorism cooperation, he called for more, including an approach “that isolates those who harbor, support and sponsor terrorists; that does not distinguish between ‘good’ and ‘bad’ terrorists; and that delinks religion from terrorism.” Like his predecessors, Modi did not explicitly mention Pakistan, but alluded to it. He asserted that while it was a global problem, terrorism was “incubated” in India’s neighborhood. In what seemed like a reference to the Congressional hold on the subsidized sale of F-16s to Pakistan, the Indian prime minister also lauded that body for “sending a clear message to those who preach and practice terrorism for political gains. Refusing to reward them is the first step towards holding them accountable for their actions.” 

The Indian Economy. From Jawaharlal Nehru onward, prime ministers have outlined their domestic objectives in speeches to Congress, highlighting the reforms they’ve undertaken. Modi did too, highlighting India’s growth rate and economic opportunities, while acknowledging that much remained to be done. And there were also subtle responses to criticisms of Indian economic policy: for example, the remark about legislative gridlock suggested that American policymakers should understand why some reforms in India are taking time; the quip about India not claiming intellectual property rights on yoga was a rejoinder to those who give India a hard time about intellectual property rights (especially in the pharmaceutical sector). He also noted that in the past “wagers were made on our failure,” and yet Indians have time and again found a way to survive and succeed.

The new

Anti-Declinism. For those promising to make America great again, Modi had a message: it already is. In a speech to the U.S.-India Business Council the day before, he exuded optimism—not just about India, but the United States as well, asserting that, to him, “America is not just a country with a great past; it is a country with an exciting future.” In his speech to Congress, he referred to the U.S. as “great” at least four times and spoke of its “innovative genius.” Recalling that he’d thus far visited half of all American states, he noted what he believed was the United States’ “real strength”: Americans’ ability to dream big and be bold. 

In an election year when the nature and extent of American engagement with the world is being debated, Modi acknowledged the country’s global contributions and called for a continued U.S. role in the world. He applauded—and led members of Congress in a round of applause—for “the great sacrifices of the men and women from ‘The Land of the Free and the Home of the Brave’ in service of mankind.” With the exception of Nehru, who paid his respects at the Tomb of the Unknown Soldier, Indian premiers have tended not to mention American troops—partly a result of differing views on the Korean, Vietnam, and Iraq wars. Modi, on the other hand, explicitly mentioned U.S. efforts in Afghanistan, where “the sacrifices of Americans have helped create a better life.” 

In a more challenging, complex, and uncertain world, he asserted that U.S.-Indian engagement could make an impact, by “promoting cooperation not dominance; connectivity not isolation; respect for global commons; inclusive not exclusive mechanisms; and above all adherence to international rules and norms.” (No prizes for guessing the country that went unnamed). 

The Open Embrace. Modi-Obama hugs have fueled many a tweet. But the speech signaled and reflected a much broader embrace—an India-U.S. one that has been in the works for at least the last 17 years but has become much more visible in the last two. In 2000, addressing Congress, Vajpayee called for the two countries to “remove the shadow of hesitation that lies between us and our joint vision.” Not all his compatriots will agree, but Modi declared: “Today, our relationship has overcome the hesitations of history” and recalled Vajpayee labeling the two as “natural allies.” Listing the ways the relationship had grown closer, he emphasized that this “remarkable story” was not a partisan effort: “[t]hrough the cycle of elections and transitions of administrations the intensity of our engagements has only grown.” He also talked about what the two countries could do together, and stressed that the relationship was good for India. While he’s previously called the United States “a principal partner in the realization of India’s rise as a responsible, influential world power,” he went further this time, stating: “In every sector of India’s forward march, I see the U.S. as an indispensable partner.” 

Not a Free-Rider. But throughout the speech, Modi asserted that this relationship benefited both countries “in great measure,” with a “positive impact on the lives” of people in each. Echoing Singh, he noted that many members of Congress indeed believed that “a stronger and prosperous India is in America’s strategic interest.” Modi made the case that India is not a free rider—that through its businesses, market, talent, and diaspora it is contributing to American economy and society. The day before, in his speech to business leaders, he stressed that India was also “poised to contribute as a new engine of global growth” (and made a pitch for support to such “democratic” engines).

Modi furthermore highlighted Indian contributions to global and regional peace and prosperity, noting, for example, that its “soldiers too have fallen in distant battlefields” for freedom and democracy (alluding to the millions that fought in the World Wars). He also highlighted India’s efforts in Afghanistan, its troop contribution to U.N. peacekeeping operations, its role in humanitarian assistance and disaster relief operations in Maldives, Nepal, and Sri Lanka, and its evacuation operations in Yemen in which it rescued Americans as well. In addition, Modi noted India’s contributions of ideas, whether yoga or non-violent protest. And he stressed that India would be a responsible stakeholder and security provider—one that, in partnership with the United States, could “anchor peace, prosperity and stability from Asia to Africa and from Indian Ocean to the Pacific. It can also help ensure security of the sea lanes of commerce and freedom of navigation on seas.” But he also called for international institutions to reflect this role and “the realities of today.”

Members of Congress, for their part, will look to see whether and how Modi’s rhetoric will translate into reality. The prime minister suggested that it won’t always be the way the United States would like. He didn’t use the term “strategic autonomy,” but talked of “autonomy in decision-making”—while noting that it, as well as “diversity in our perspectives,” weren’t bad things for the partnership. And, as is his preferred style, he came up with 3Cs to characterize the state of the relationship: “comfort, candor, and convergence.” Whether they remain characteristic of the partnership, and to what degree, will partly depend on who is the next U.S. president and how she or he sees the U.S. role in the world and India’s place in it.

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What Pike Place teaches us about place governance: A Q&A with John Turnbull


Editor's Note: This discussion with John Turnbull, director of asset management at the Pike Place Market Preservation and Development Authority, is the first in a series of Q&As with urban practitioners for the Anne T. and Robert M. Bass Initiative on Innovation and Placemaking.

Pike Place Market in Seattle is a leading example of how intentional governance can help vibrant urban spaces reach their potential as platforms for innovation. John Turnbull, director of asset management at the Pike Place Market Preservation and Development Authority, sat down for an interview to tell us more about the market and the role of the Preservation and Development Authority (PDA) in its operation.

People outside Seattle tend to know Pike Place as a fish market, but it offers so much more. What makes the market special?

The Pike Place Market is a beloved part of Seattle and really unlike any other place. It’s open 363 days a year and provides space for local farmers, artisan vendors, and small businesses to thrive. It offers a wide range of social services, including a food bank, a health clinic, a senior center, child care and preschool, and assisted living for the elderly. It’s also home to nearly 500 residents who live in a mix of rent-subsidized apartments, market-rate units, and luxury condos as well as a boutique hotel and a bed-and-breakfast—all within the four-block district. Our sense of place depends on the permeability of private/commercial/public spaces, and we make a great effort to ensure that the corresponding mix of activity creates space for personal interactions.

Public support has always been a key component of the market’s success. It was first established in 1907 in response to public demand for fresh produce at fair prices. Seattleites kept the market from the wrecking ball in the 1960s and 1970s and have consistently provided public funds for capital investments—even in the midst of the Great Recession.

The market’s focus on supporting local independent business and one-to-one relationships is unique enough to create both a community sense of identity—Seattle’s “soul”—and an attraction for tourists and visitors. This has been part of the market’s identity for more than a century and has continued under the PDA’s stewardship these last 40 years.

How does the market operate? Who’s in charge?

The market’s been around since the early 1900s but its current governance structure dates back to the 1970s, when the market was almost leveled in the name of urban renewal. A group called Friends of the Market formed to fight the city’s redevelopment plans and in 1971 ran a successful ballot measure campaign to save the market. That ballot measure established the Market Historic District and created the Pike Place Market Historical Commission to make decisions about future construction and capital investments.

Commissioners are appointed by the mayor, half from a list drawn up by community organizations and half from people who live, conduct business, and own property in the market district. The commission was created to keep city government from dismantling the market, so its decisions on use, design, and business management are final, not just advisory. Overturning a commission decision requires a court appeal—and even then, appeals can be based only on questions of fair process and/or failure to follow commission guidelines.

The commission reworked the urban renewal plan to preserve the architectural and social fabric of the market. To support these goals, the city created an independent Preservation and Development Authority to oversee financial operations, development, and day-to-day management of the market. The charter [document download] that established the PDA in 1973 continues to be a guiding force for us—we refer to it all the time. It defines the PDA’s specific powers and responsibilities, which include managing the properties in the Market Historic District, supporting local farmers and small-business owners, and providing social services for low-income residents and others in the market community. Funding for social services and programs is coordinated by the Pike Place Market Foundation, which is separate from the PDA. 

How are decisions made?

The PDA executive director and staff handle day-to-day business operations, but most decisions concerning contracts, tenant relations, budgets, and the like are finalized by the PDA Council, a group of 12 volunteers who are appointed for four-year terms by either the mayor, the Pike Place Market Constituency, or the PDA Council itself (each appoints four councilmembers).

The charter created the PDA as a public steward for the market that’s much more nimble than a governmental agency and much more accountable to the surrounding community. The charter requires unusual transparency, including public meetings to approve any expenditures over $10,000; bond issues; donations made by the PDA; and adoption of the annual budget and capital budget. Meanwhile, new businesses, changes in business ownership, and modifications to buildings require approval from the Market Historic Commission, which has regular biweekly meetings that include time for public comment. Nothing happens behind closed doors.

How does the PDA get its funds and how is that funding deployed?

Over 60 percent of our revenue comes from commercial tenants, with residential rents, daystall rents and fees, parking fees, and incomes from various programs and investments making up the rest. This year we expect total revenues over $18 million, which is more than $1 million more than we projected for 2015.

About three-quarters of budgeted expenses come from tenant services, which include everything from maintenance and security to insurance, utilities, and property management. Another 14 percent goes to PDA management and administration, and the last 10 percent goes toward marketing and other programmatic expenses.

The charter also gives the PDA bonding authority, which we used for the first time this past year. The $26 million in bonds will pay down existing debt and finance the new MarketFront expansion that’s slated to open next year.

The PDA Council operates the market as a business, but it doesn’t make decisions strictly based on profit. We think about return on investment in terms of social benefit to the community. The council looks at a whole host of qualitative measures that aren’t easily captured by quantitative metrics. For instance, how do you measure “local pride”? That’s why we end up referring to our charter so often—and also why we encourage our constituents to use the charter guidelines to measure our results. 

So through the council and the charter, we’ve created a form of community-oriented economics that keeps us accountable to our constituents and lets us reinvest earnings to provide social services and keep residential and commercial rents low.

Lots of places are looking to innovation as a way to drive sustainable economic growth. Do you see Pike Place Market as a place for innovation?

Innovation is an important aspect of what happens in the market, though it looks different from what you might see in other more tech-oriented innovation districts. We offer highly localized small business incubation that’s focused on building a strong local economy. By providing a supportive environment for new businesses and strictly limiting opportunities to new ventures that haven’t yet built a customer base, we’ve created an active laboratory for experimentation.

We have a history of providing a solid base for new businesses—especially ones that are food-related. Starbucks, Sur La Table, and a large number of specialty food businesses got their start in the market. And there are an equally large number of culinary ventures whose lead chefs look to the market as a central source of inspiration and community. We support economic growth by helping new ventures get established—which for many involves developing an international presence—while also attracting customers to spend money in our community.

Seattle has grown by leaps and bounds in recent years, thanks in large part to a vibrant tech sector. How has this affected Pike Place Market?

Over the last few years, we’ve seen some significant changes in shopping patterns. Lots of neighborhoods now have weekly farmers’ markets, and grocery stores have been moving toward a more market-like shopping experience, which has meant fewer people shopping for groceries at the market. We’re also seeing more millennials and a lot more tourists, especially in the summer.

These changes got us thinking about what the market needs to do to stay relevant. Bringing in new businesses and younger entrepreneurs is part of this strategy, as are initiatives like our pop-up Express Markets, which bring fresh produce to different locations throughout the city mid-June through September. This summer we’re starting a weekly evening market at Pike Place so that local customers can shop without having to wade through the weekend tourist crowds.

We’ll always be hyper-local and focused on building a strong community of market patrons and vendors. That emphasis on personal connection sets the market apart—it’s something you just can’t replicate with e-commerce. 

Authors

  • Jessica A. Lee
      
 
 




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Prevalence and characteristics of surprise out-of-network bills from professionals in ambulatory surgery centers

       




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Prevalence and characteristics of surprise out-of-network bills from professionals in ambulatory surgery centers

      




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Europe's Future in a Turbulent World


Event Information

May 26, 2011
9:00 AM - 3:00 PM EDT

Falk Auditorium
The Brookings Institution
1775 Massachusetts Ave., NW
Washington, DC

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The uprisings in the Arab world and the U.S.-European military intervention in Libya are currently driving transatlantic policy discussions. However, the ongoing Eurozone crisis and the fate of debt-laden countries remain issues of concern for both Europeans and Americans. Other critical challenges are also consuming Europe’s attention: reversing the economic slowdown and regaining competitiveness; dealing with rising populism and public opinion backlash against the influx of North African refugees; and forging a common foreign policy that can both respond to changing political and economic developments and enhance the European Union’s role in a new multipolar world.

On May 26, the Center on the United States and Europe at Brookings (CUSE) and the Heinrich Böll Foundation hosted experts and top officials from both sides of the Atlantic for the 2011 CUSE annual conference. Panelists explored critical issues shaping the future of transatlantic relations, from the euro crisis to how the United States and Europe can craft a common response to the wave of democratic uprisings in the Arab world.

After each panel, participants took audience questions.

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Turbulence in Turkey–Israel Relations Raises Doubts Over Reconciliation Process


Seven months have passed since Israel officially apologized to Turkey for the Mavi Marmara incident of May 2010, in which nine Turks were killed by Israeli fire. What seemed, at the time, to be a diplomatic breakthrough, capable of setting into motion a reconciliation process between America’s two greatest allies in the region, has been frustrated by a series of spiteful interactions.

The Turkish-Israeli alliance of the 1990s and first decade of the 2000s was viewed by senior U.S. officials as an anchor of stability in a changing region. The relationship between Ankara and Jerusalem served vital U.S. interests in the Eastern Mediterranean and the Middle East, and so it was therefore a U.S. priority to restore dialogue between the two former allies-turned-rivals. The Obama administration, throughout both terms, has made a continuous effort to rebuild the relationship and was ultimately successful in setting the stage for the Israeli apology and the Turkish acceptance of that apology. The U.S. was not the only party that stood to gain from reconciliation; both Turkey and Israel have many incentives for normalizing relations. For Turkey, the reestablishment of a dialogue with Israel has four main potential benefits: It would allow for greater involvement in the Israeli-Palestinian peace negotiations, it would provide greater opportunity for information sharing on the developments of the Syrian civil war allowing Turkey to have a more comprehensive perspective, it would also provide more economic opportunities for Turkey especially with regard to cooperation in the field of natural gas (following Israel's High Court of Justice recent ruling that paves the way toward exports of natural gas), and finally it would remove an irritant from Turkey's relations with the United States. In turn, Israel would benefit from the reestablishment of dialogue in three major ways: the rebuilding of relations between senior Turkish and Israeli officials would facilitate intelligence sharing and help to gain a more complete picture of the Syrian crisis, Israel would have the opportunity to contain delegitimization efforts in the Muslim and Arab worlds, and Israel may be able to rejoin NATO related activities and maneuvers.

Despite these enticements, in recent weeks a series of news stories and revelations have put the Turkish-Israeli relationship, yet again, in the international spotlight, raising doubts whether reconciliation between the two countries is at all possible at this time. As the Obama administration struggles to deal with the fallout of allegations that the NSA has tapped the office and cellular phones of Western European leaders and as it focuses on more pressing issues in the Middle East, namely the P5+1 negotiations with Iran, the Syrian crisis, Egypt and negotiations between Israel and the Palestinians, it finds itself with little time to chaperone the Turkish-Israeli reconciliation process. Nevertheless, despite tensions, direct talks are reportedly being held between senior Turkish and Israeli officials in an effort to reach a compensation agreement in the near future.

The Israeli apology and Turkish acceptance, orchestrated by Barack Obama during his trip to the region in March 2013, was an essential first step in a long process of reconciliation, aimed at normalizing relations between the two countries after a four year hiatus in their relationship. The next step was an agreement between the two sides in which Israel was to pay compensation to the families of the victims of the Mavi Marmara. Several rounds of talks between senior Turkish and Israeli representatives were reportedly held during the spring of 2013 in Ankara, Jerusalem and Washington, but to no avail. Disagreements over the amount of compensation to be paid by Israel were reported, but later, in July, Turkish Deputy Prime Minister Arinc clarified that money was not the issue. He stated that the problem lay in Israel’s refusal to acknowledge that the payment was a result of its “wrongful act.” Arinc added that another point of contention was Turkey's demand that Israel cooperate in improving the living conditions of the Palestinians in the Occupied Territories. Arinc emphasized that only when these two conditions were met could the countries move forward to discuss the specific amount of compensation.

The shadow cast over negotiations by Arinc’s comments was darkened by a string of comments made by Turkish Prime Minister Erdogan against Israel. First, he blamed the “interests lobby” – perhaps a reference to the so-called “Israel Lobby” -- for the large protests that took place against him and his government in Istanbul’s Taksim square and across Turkey in June. Then, in August, Erdogan accused Israel of backing the military coup in Egypt, citing comments made in 2011 by the French Jewish philosopher Bernard Henri-Levy, as proof of a long standing Israeli-Jewish plot to deny the Muslim Brotherhood power in Egypt. This drew sharp Israeli criticism, notably from former Israeli Foreign Minister, Avigdor Lieberman, who compared Erdogan to the Nazi Minister of Propaganda, Joseph Goebbels.

Despite these setbacks, bilateral trade between Turkey and Israel has expanded since the official apology and the number of Israeli tourists returning to visit Turkey has risen dramatically. Yet it is clear that with such harsh rhetoric it will be difficult to effectively advance a reconciliation process. Among American, Turkish and Israeli experts, the prevailing view is that Erdogan and the AKP government, mainly due to domestic political considerations, are not interested in normalizing relations with Israel, and that the only reason Erdogan accepted Israeli Prime Minister Netanyahu’s apology was to gain favor with U.S. President Obama.

At the end of August, as the plan for a U.S. military strike in Syria gained momentum, relative calm prevailed in the relations between Ankara and Jerusalem, both focusing on preparations and plans to address the fallout of such an attack. Yet, just when it seemed that tensions were reducing, and Turkish President Gul stated that negotiations "are getting on track," in a September interview with the Washington Post, a series of news stories and revelations injected a poisonous dimension to the already-strained ties.

In early October another round of Turkish-Israeli verbal attacks and counter-attacks was sparked by a Wall Street Journal profile of the Turkish Head of Intelligence, Hakan Fidan, which included a quote from an anonymous Israeli official stating, "It is clear he (Fidan) is not an enemy of Iran." Shortly after came the revelation by David Ignatius in the Washington Post that quoted reliable sources that pointed to Fidan as allegedly passing the names of 10 Iranians working for the Israeli Mossad on to the Iranian intelligence in early 2012. These ten people were later arrested by the Iranian authorities. Senior Turkish officials blamed Israel for leaking the story to Ignatius and the Turkish daily, Hurriyet, reported that Fidan was considering severing ties between Turkish and Israeli intelligence agencies. Reactions in Turkey and Israel to the Ignatius story were harsh and emotional. Turkish officials denied the report while Israeli officials refrained from any public comments. The Friday edition of Yediot's front page headline read, “Turkish Betrayal,” and former Foreign Minister Lieberman voiced his opposition to the apology made in March; he expressed his opinion that it weakened Israel’s stance and image in the region, and he attacked Erdogan for not being interested in a rapprochement.

In recent days Prime Minister Erdogan struck a more conciliatory tone, saying that if Israel is denying involvement in the leak then Turkey must accept it. Israeli media outlets reported over the weekend that Israeli and Turkish negotiators are again trying to reach a compensation agreement. Israeli experts, quoted in these reports, view November 6 as a possible target date to end negotiations over this agreement. The logic behind this being that former Israeli Foreign Minister Lieberman’s verdict is expected that day. If acquitted of corruption charges Mr. Lieberman will return to the Foreign Minister’s job and will likely try and block any attempt to reach an agreement. Turkish experts however assess that Turkey is simply not ready to move forward at this time due to domestic political constraints, as Prime Minister Erdogan and the AKP are bracing for Presidential and local elections in 2014.

Notwithstanding, the next few weeks will be crucial in determining whether Turkey and Israel can move forward and finally put the Marmara incident behind them. Turkey and Israel both have separate disagreements with the U.S. - Turkey over Syria, Egypt and the Turkish decision to build a missile defense system with a Chinese firm under U.S. sanctions; Israel over the Iran nuclear issue. However, the lingering Syrian crisis and reported progress on the Israeli-Palestinian track, in addition to economic considerations such as trade, tourism and above all potential cooperation on natural gas may entice both sides to proceed. Undoubtedly, a final deal will require strong U.S. support.

Authors

Image Source: © Osman Orsal / Reuters
      
 
 




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