— With former Sen. Chuck Hagel's nomination as Defense secretary imminent, conservatives denounced his views on Israel and Iran as out of step with mainstream foreign policy, underscoring the difficulty he is likely to face winning Senate confirmation.
An administration official said Sunday that Hagel — a decorated Vietnam veteran, a Republican and a former two-term senator from Nebraska — would be nominated Monday to succeed Leon E. Panetta. The official spoke on the condition of anonymity to discuss internal White House planning.
The nomination is likely to set up a bruising confirmation fight. Critics on all sides already have been complaining about Hagel, with Republicans leading the charge.
Speaking on CNN's "State of the Union" on Sunday, Sen. Lindsey Graham (R-S.C.) predicted that Hagel would be "the most antagonistic secretary of Defense toward the state of Israel in our nation's history" and called it an "in-your-face nomination."
Fox News senior political analyst Brit Hume described the choice as "very peculiar," saying on "Fox News Sunday" that Hagel did not have "a particularly distinguished record."
And Senate Minority Leader Mitch McConnell (R-Ky.), while promising Hagel would get a "fair hearing," said on NBC's "Meet the Press" that he would get "tough questions" in a confirmation process.
Hagel is viewed with suspicion by many in his party for past comments he has made calling on Israel to negotiate with Palestinians and for his opposition to some sanctions aimed at Iran. Since his possible nomination was floated late last year, he has come under attack by conservatives.
He also has been criticized on the left for a remark he made in 1998 that a Clinton administration nominee for ambassador was "openly, aggressively gay." Hagel recently apologized for that comment and pledged support for lesbian and gay military families.
Hagel, an Army veteran with two Purple Hearts, said in a recent interview with the history magazine Vietnam: "I'm not a pacifist. I believe in using force, but only after a very careful decision-making process. ... I will do everything I can to avoid needless, senseless war."
In the Senate, Hagel voted to give the George W. Bush administration authority to go to war in Afghanistan and Iraq, but later he harshly criticized the conduct of both wars, irritating fellow Republicans and making him popular with Democrats critical of those wars.
Critics have focused on his calls for direct negotiations with Hamas, the Palestinian militant group that the U.S. and Israel refuse to deal with directly, and his votes against some Iran sanctions.
And Hagel rankled many with comments he made in a 2006 interview with author and former State Department Mideast peace negotiator Aaron David Miller. "The Jewish lobby intimidates a lot of people up here," Hagel said, but "I'm a United States senator. I'm not an Israeli senator."
Graham told CNN on Sunday, "Quite frankly, Chuck Hagel is out of the mainstream of thinking, I believe, on most issues regarding foreign policy."
He added, "This is an in-your-face nomination by the president to all of us who are supportive of Israel."
Miller, who had interviewed Hagel for a book he was writing on Mideast peace negotiations, wrote recently that attempts to use his comment about the "Jewish lobby" to paint Hagel as anti-Semitic were "shameful and scurrilous." He noted that in the same interview, Hagel emphasized "shared values and the importance of Israeli security."
Backers say Hagel showed his support for Israel by voting repeatedly to provide it with military aid and by calling for a comprehensive peace deal with Palestinians that should not include any compromise regarding Israel's Jewish identity and that would leave Israel "free to live in peace and security."
They note that he also supported three major Iran sanctions bills: the Iran Missile Proliferation Sanctions Act of 1998, the Iran Nonproliferation Act of 2000 and the Iran Freedom Support Act of 2006.
When Hagel left the Senate four years ago, McConnell praised his "clear voice and stature on national security and foreign policy," ABC's George Stephanopoulos reminded the Senate minority leader on "This Week."
But McConnell declined to reiterate that view Sunday.
"He's certainly been outspoken in foreign policy and defense over the years," he said. "The question we will be answering, if he's the nominee, is: Do his views make sense for that particular job? I think he ought to be given a fair hearing, like any other nominee, and he will be."
matea.gold@latimes.com
Christi Parsons in the Washington bureau contributed to this report.
Our good friends at Google run a daily puzzle challenge and asked us to help get them out to the geeky masses. Each day’s puzzle will task your googling skills a little more, leading you to Google mastery. Each morning at 12:01 a.m. Eastern time you’ll see a new puzzle posted here.
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Ken is a husband and father from the San Francisco Bay Area, where he works as a civil engineer. He also wrote the NYT bestselling book "Geek Dad: Awesomely Geeky Projects for Dads and Kids to Share."
PALM SPRINGS, Calif. (AP) — The Award Season Express made its first stop of the new year in the middle of the desert a couple hours east of Hollywood at the annual Palm Springs International Film Festival gala.
A blast of Golden Globe nominees and Oscar hopefuls walked the press gauntlet Saturday night, including Naomi Watts (“The Impossible”), Helen Hunt and John Hawkes (“The Sessions”), Ben Affleck (“Argo”) and “Arbitrage” star Richard Gere, who received the night’s so-called Chairman’s Award.
“Great,” Gere noted with more than a touch of sarcasm. “That’s better than the Governors Award?” he inquired with a chuckle. “What’s the pecking order of these awards? I want to know. Am I getting the best award? I’m not going in unless I’m getting the best award!”
Though the 63-year-old Gere has never received an Oscar nomination, there were previous Academy Award winners aplenty at the Palm Springs gala. Among them, Sally Field, the night’s honoree for career achievement, including her hard-won role of Mary Todd in director Steven Spielberg’s “Lincoln.”
“I still can’t believe I got the role,” Field replied, cracking a smile. “Did I get it.”
Turning serious, Field told the black-tie audience she was proud to be part of the film and happy to still be working. “I’m very lucky. … Next year it’ll be 50 years that I’ve been in the business as a professional. It’s been a wild ride,” she said.
This upcoming week, the Awards Season Express has a bit of a wild ride itself, with the People’s Choice show, two critics awards ceremonies and Thursday morning’s Oscar nominations.
So how does the phrase “Oscar nominee Bradley Cooper” sound to the “Silver Linings Playbook” actor?
“That would be incredible,” Cooper answered, explaining that he just may sleep through the pre-dawn nomination announcements. “Yeah, I’m sure I’ll get up, but maybe I’ll be asleep. I don’t know.”
And just three days after the Oscar nominations, it’s the 70th annual Golden Globe Awards — a “much, much friendlier” show, exclaimed “Hitchcock” nominee Helen Mirren.
“And it has to do with those tables in still quite a small room,” she added. “They haven’t allowed it to get enormous. … Everybody table jumps and chats. It’s always slightly naughty. The hosts are always naughty. I can’t wait to have Tina Fey and Amy Poehler doing it. That’s going to be such fun.”
___
Complete list of 2013 Palm Springs International Film Festival honorees:
__”Argo’s” Ben Affleck, Alan Arkin and Bryan Cranston received the Ensemble Performance Award.
__Bradley Cooper, the actor Desert Palm Achievement Award for “Silver Linings Playbook.”
__Naomi Watts, the actress Desert Palm Achievement Award for “The Impossible.”
__Helen Hunt, Spotlight Award for “The Sessions.”
__Helen Mirren, International Star Award for “Hitchcock.”
__Mychael Danna, the Frederick Loewe Award for Film Composing for “Life of Pi.”
__Richard Gere, Chairman’s Award for “Arbitrage.”
__Robert Zemeckis, Director of the Year Award for “Flight.”
__Sally Field (“Lincoln”), Career Achievement Award.
__Tom Hooper, the Sonny Bono Visionary Award for “Les Miserables.”
___
Online:
http://www.psfilmfest.org/index.aspx
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TEHRAN — Already battered by international threats against their nation’s nuclear program, sanctions and a broken economy, Iranians living here in the capital are now trying to cope with what has become an annual pollution peril: a yellowish haze that engulfs Tehran this time of year.
For nearly a week, officials here and in other large cities have been calling on residents to remain indoors or avoid downtown areas, saying that with air pollution at such high levels, venturing outside could be tantamount to “suicide,” state radio reported Saturday.
On Sunday, government offices, schools, universities and banks reopened after the government had ordered them to shut down for five days to help ease the chronic pollution. Tehran’s normally bustling streets were largely deserted.
Residents who dare to go outside cover their mouths and noses with scarves or surgical masks, but their eyes tear up and their throats sting from the mist of pollutants, which a report by the municipality of Tehran says is made up of a mixture of particles containing lead, sulfur dioxins and benzene.
“It feels as if even God has turned against us,” Azadeh, a 32-year-old artist, said on a recent day as she looked out a window in her apartment that often offers a clear view of Tehran, a sprawling city that is home to millions. But on this day, Azadeh, who did not want her full name used, saw only the blurred outlines of high-rise buildings and the Milad communications tower in the distance. The setting sun was reduced to a yellowish coin by the thick blanket of smog.
The haze of pollution occurs every year when cold air and windless days trap fumes belched out by millions of cars and hundreds of old factories between the peaks of the majestic Alborz mountain range, which embraces Tehran like a crescent moon.
Iran is prominently represented in the World Health Organization’s 2011 report on air quality and health, with three of its provincial towns among the organization’s list of the world’s 10 most-polluted cities. According to the report, Tehran has roughly four times as many polluting particles per cubic meter as Los Angeles. Many cities known for their poor air quality, like Mexico City, Shanghai and Bangkok, are cleaner than Tehran.
But since 2010, when American sanctions on Iranian imports of refined gasoline began to bite, the situation has grown worse, according to the report by the municipality of Tehran.
Faced with possible fuel shortages, Iran surprised outsiders by quickly making up for the loss of imports by producing its own brew of gasoline. While the emergency fuel kept vehicles running, local experts warned that it was creating much more pollution.
A recently released report by Tehran’s department of air quality control contained blank spaces where there should have been information about levels of benzene and lead — components of gasoline — in the capital’s air. But the report did state that while Tehran experienced more than 300 “healthy days” in 2009, in 2011 there were fewer than 150.
Iran’s Health Ministry has reported a rise in respiratory and heart diseases, as well as an increase in a variety of cancers that it says are related to pollution.
The state newspaper Resalat on Saturday called the pollution a continuing crisis, and it urged the authorities to act. “Why is it that when the winds pick up, this problem is again quickly forgotten?” an editorial asked. Another newspaper, Donya-e-Eqtesad, which is critical of the government, pressed for an improvement in gasoline standards.
The pollution caused by the use of the emergency fuel concoction has been a taboo subject here, as officials try to portray each measure to counter the economic sanctions as a success that should not to be criticized by the local news media.
On state television, several officials have denied that the yellow haze has anything to do with the locally produced gasoline.
In an interview on Saturday, Ali Mohammad Sha’eri, the deputy director of Iran’s Environmental Protection Organization, strongly denied that the pollution was linked to gasoline. However, he said that only 20 percent of the emergency fuel was up to modern standards. “Hopefully in three months that level will be 50 percent,” he said.
Meanwhile, the government has imposed strict traffic regulations in Tehran, Isfahan and other major population centers. An odd-even traffic-control plan based on the last digit of vehicle license plates keeps about half of the approximately three and a half million cars in Tehran off the streets on a daily basis.
Other plans to combat the pollution have been less realistic, analysts say. President Mahmoud Ahmadinejad has long advocated a plan to move civil servants from Tehran to reduce overpopulation in the capital. In 2010, the governor of Tehran Province ordered crop-dusters to dump water on the smog in an effort to dissipate it. There have also been plans for placing air purifiers in the city, but experts say they will not work in open spaces.
For those living in Tehran and unable to leave town for a vacation home on the Caspian Sea, waiting for the winds to pick up seems to be the only option.
“My head hurts, and I’m constantly dead tired,” said Niloufar Mohammadi, a university student. “I try not to go out, but I can smell the pollution in my room as I am trying to study.”
Azadeh, the artist, said the pollution forced her to stay indoors, adding to her sense of isolation. Step by step her world was being curtailed, she said. The Western sanctions imposed on Iran make her feel like a pariah, she explained. The government’s mismanagement of the economy and the resulting inflation have left her with little purchasing power, she said; she has stopped shopping for everything but essential items. And last week, security officers removed her illegal satellite dish from her roof.
“The pollution is the last straw for me,” she said. “We should wait helpless for winds to pick up and clean the air before we can safely leave our houses. It shows we have lost all power to control our lives.”
ECONOMIC REPORTS Data to be released this week includes consumer credit for November (Tuesday); weekly jobless claims and wholesale trade inventories for November (Thursday); and the trade deficit for November and import prices for December (Friday).
CORPORATE EARNINGS Companies scheduled to release quarterly earnings reports include Monsanto and Alcoa (Tuesday); Constellation Brands (Wednesday); and Wells Fargo (Friday).
IN THE UNITED STATES On Tuesday, the Consumer Electronics Show begins in Las Vegas and will run through Friday, and the JPMorgan Health Care Conference starts in San Francisco and will take place through Thursday.
On Thursday, Herbalife executives will respond to accusations by the investor William A. Ackman that their company operates a pyramid scheme.
On Friday, the Agriculture Department will issue its monthly crop report.
OVERSEAS On Tuesday, the European Union statistics office will report on euro area unemployment.
On Thursday, the European Central Bank and the Bank of England will issue decisions about interest rates, and the United Nations will release its global food price index for December.
An alleged maternity hotel operating out of a hilltop mansion in Chino Hills has apparently shut down after city officials obtained a temporary restraining order against its owners.
The mansion allegedly housed women from China who traveled to California to give birth to American citizen babies.
In a Dec. 7 court filing, Chino Hills officials describe a seven-bedroom house divided into 17 bedrooms and 17 bathrooms, with mothers and their babies staying in 10 of the rooms. The owners did not obtain permits to remodel the property, nor were they allowed to operate a business in a residential zone, the complaint stated.
Neighbors on Woodglen Drive complained of cars speeding in and out of the mansion's driveway. In September, about 2,000 gallons of raw sewage spilled down the hill because of an overloaded septic system.
Last month, a group called Not in Chino Hills staged a protest against the facility.
City officials who inspected the alleged hotel said conditions inside were dangerous, with exposed wiring, missing smoke alarms and holes in the bedroom floors. They found brochures titled "USA Los Angeles Hermas International Club Guidance on How to Have an American Baby," according to the Dec. 7 complaint. One woman said she paid $150 a day for her room. A receipt from another guest totaled $27,000 for a stay of several months, the complaint said.
So-called birth tourism is widespread in the San Gabriel Valley, with Chinese-language websites advertising rooms in single-family homes or luxury apartment complexes. The women typically enter the country on tourist visas and stay for about a month after giving birth. The child has the option of returning to the U.S. for schooling, and the parents may petition for a green card when the child turns 21.
The practice does not violate federal immigration laws, but some maternity hotels have run afoul of local ordinances.
On Dec. 27, San Bernardino County Superior Court Judge Ben Kayashima granted Chino Hills' request for a temporary restraining order. A hearing is scheduled for Jan. 17 to determine whether the order should be extended.
The Woodglen Drive house now appears to be unoccupied, city spokeswoman Denise Cattern said Thursday.
Hai Yong Wu, one of the owners, could not be reached for comment.
"It's about time. This thing should have shut down a long time ago," said Rossana Mitchell, a founder of Not in Chino Hills. "I'm glad to hear it."
Author’s note: Most people don’t realize that we knew in the 1920s that leaded gasoline was extremely dangerous. And in light of a Mother Jones story this week that looks at the connection between leaded gasoline and crime rates in the United States, I thought it might be worth reviewing that history. The following is an updated version of an earlier post based on information from my book about early 10th century toxicology, The Poisoner’s Handbook.
In the fall of 1924, five bodies from New Jersey were delivered to the New York City Medical Examiner’s Office. You might not expect those out-of-state corpses to cause the chief medical examiner to worry about the dirt blowing in Manhattan streets. But they did.
To understand why you need to know the story of those five dead men, or at least the story of their exposure to a then mysterious industrial poison.
The five men worked at the Standard Oil Refinery in Bayway, New Jersey. All of them spent their days in what plant employees nicknamed “the loony gas building”, a tidy brick structure where workers seemed to sicken as they handled a new gasoline additive. The additive’s technical name was tetraethyl lead or, in industrial shorthand, TEL. It was developed by researchers at General Motors as an anti-knock formula, with the assurance that it was entirely safe to handle.
But, as I wrote in a previous post, men working at the plant quickly gave it the “loony gas” tag because anyone who spent much time handling the additive showed stunning signs of mental deterioration, from memory loss to a stumbling loss of coordination to sudden twitchy bursts of rage. And then in October of 1924, workers in the TEL building began collapsing, going into convulsions, babbling deliriously. By the end of September, 32 of the 49 TEL workers were in the hospital; five of them were dead.
The problem, at that point, was that no one knew exactly why. Oh, they knew – or should have known – that tetraethyl lead was dangerous. As Charles Norris, chief medical examiner for New York City pointed out, the compound had been banned in Europe for years due to its toxic nature. But while U.S. corporations hurried TEL into production in the 1920s, they did not hurry to understand its medical or environmental effects.
In 1922, the U.S. Public Health Service had asked Thomas Midgley, Jr. – the developer of the leaded gasoline process – for copies of all his research into the health consequences of tetraethyl lead (TEL).
Midgley, a scientist at General Motors, replied that no such research existed. And two years later, even with bodies starting to pile up, he had still not looked into the question. Although GM and Standard Oil had formed a joint company to manufacture leaded gasoline – the Ethyl Gasoline Corporation - its research had focused solely on improving the TEL formulas. The companies disliked and frankly avoided the lead issue. They’d deliberately left the word out of their new company name to avoid its negative image.
In response to the worker health crisis at the Bayway plant, Standard Oil suggested that the problem might simply be overwork. Unimpressed, the state of New Jersey ordered a halt to TEL production. And because the compound was so poorly understood, state health officials asked the New York City Medical Examiner’s Office to find out what had happened.
In 1924, New York had the best forensic toxicology department in the country; in fact,, it had one of the few such programs period. The chief chemist was a dark, cigar-smoking, perfectionist named Alexander Gettler, a famously dogged researcher who would sit up late at night designing both experiments and apparatus as needed.
It took Gettler three obsessively focused weeks to figure out how much tetraethyl lead the Standard Oil workers had absorbed before they became ill, went crazy, or died. “This is one of the most difficult of many difficult investigations of the kind which have been carried on at this laboratory,” Norris said, when releasing the results. “This was the first work of its kind, as far as I know. Dr. Gettler had not only to do the work but to invent a considerable part of the method of doing it.”
Working with the first four bodies, then checking his results against the body of the last worker killed, who had died screaming in a straitjacket, Gettler discovered that TEL and its lead byproducts formed a recognizable distribution, concentrated in the lungs, the brain, and the bones. The highest levels were in the lungs suggesting that most of the poison had been inhaled; later tests showed that the types of masks used by Standard Oil did not filter out the lead in TEL vapors.
Rubber gloves did protect the hands but if TEL splattered onto unprotected skin, it absorbed alarmingly quickly. The result was intense poisoning with lead, a potent neurotoxin. The loony gas symptoms were, in fact, classic indicators of heavy lead toxicity.
After Norris released his office’s report on tetraethyl lead, New York City banned its sale, and the sale of “any preparation containing lead or other deleterious substances” as an additive to gasoline. So did New Jersey. So did the city of Philadelphia. It was a moment in which health officials in large urban areas were realizing that with increased use of automobiles, it was likely that residents would be increasingly exposed to dangerous lead residues and they moved quickly to protect them.
But fearing that such measures would spread, that they would be forced to find another anti-knock compound, as well as losing considerable money, the manufacturing companies demanded that the federal government take over the investigation and develop its own regulations. U.S. President Calvin Coolidge, a Republican and small-government conservative, moved rapidly in favor of the business interests.
The manufacturers agreed to suspend TEL production and distribution until a federal investigation was completed. In May 1925, the U.S. Surgeon General called a national tetraethyl lead conference, to be followed by the formation of an investigative task force to study the problem. That same year, Midgley published his first health analysis of TEL, which acknowledged a minor health risk at most, insisting that the use of lead compounds,”compared with other chemical industries it is neither grave nor inescapable.”
It was obvious in advance that he’d basically written the conclusion of the federal task force. That panel only included selected industry scientists like Midgely. It had no place for Alexander Gettler or Charles Norris or, in fact, anyone from any city where sales of the gas had been banned, or any agency involved in the producing that first critical analysis of tetraethyl lead.
In January 1926, the public health service released its report which concluded that there was “no danger” posed by adding TEL to gasoline…”no reason to prohibit the sale of leaded gasoline” as long as workers were well protected during the manufacturing process.
The task force did look briefly at risks associated with every day exposure by drivers, automobile attendants, gas station operators, and found that it was minimal. The researchers had indeed found lead residues in dusty corners of garages. In addition, all the drivers tested showed trace amounts of lead in their blood. But a low level of lead could be tolerated, the scientists announced. After all, none of the test subjects showed the extreme behaviors and breakdowns associated with places like the looney gas building. And the worker problem could be handled with some protective gear.
There was one cautionary note, though. The federal panel warned that exposure levels would probably rise as more people took to the roads. Perhaps, at a later point, the scientists suggested, the research should be taken up again. It was always possible that leaded gasoline might “constitute a menace to the general public after prolonged use or other conditions not foreseen at this time.”
But, of course, that would be another generation’s problem. In 1926, citing evidence from the TEL report, the federal government revoked all bans on production and sale of leaded gasoline. The reaction of industry was jubilant; one Standard Oil spokesman likened the compound to a “gift of God,” so great was its potential to improve automobile performance.
In New York City, at least, Charles Norris decided to prepare for the health and environmental problems to come. He suggested that the department scientists do a base-line measurement of lead levels in the dirt and debris blowing across city streets. People died, he pointed out to his staff; and everyone knew that heavy metals like lead tended to accumulate. The resulting comparison of street dirt in 1924 and 1934 found a 50 percent increase in lead levels – a warning, an indicator of damage to come, if anyone had been paying attention.
It was some fifty years later – in 1986 – that the United States formally banned lead as a gasoline additive. By that time, according to some estimates, so much lead had been deposited into soils, streets, building surfaces, that an estimated 68 million children would register toxic levels of lead absorption and some 5,000 American adults would die annually of lead-induced heart disease. As lead affects cognitive function, some neuroscientists also suggested that chronic lead exposure resulted in a measurable drop in IQ scores during the leaded gas era. And more recently, of course, researchers had suggested that TEL exposure and resulting nervous system damage may have contributed to violent crime rates in the 20th century.
Images: 1) Manhattan, 34th Street, 1931/NYC Municipal Archives 2) 1940s gas station, US Route 66, Illinois/Deborah Blum
NEW YORK (Reuters) – “Amour,” European director Michael Haneke‘s sensitive depiction of an aging couple’s battle with declining health, was named the year’s best film by the National Society of Film Critics on Saturday, with star Emmanuelle Riva winning best actress and Haneke taking the prize for best director.
The group, made up of 60 prominent movie critics from newspapers, magazines and other media outlets nationwide, chose Daniel Day-Lewis as best actor for his acclaimed performance in the title role in “Lincoln.”
Best supporting actor went to Matthew McConaughey for the male stripper film “Magic Mike,” while Amy Adams won best supporting actress for “The Master.”
In choosing “Amour” for its top prize, the critics were more in line with European honors such as the Cannes Film Festival which awarded it the Palme D’Or, than with earlier U.S. awards, many of which went to presumed Oscar frontrunner “Zero Dark Thirty.”
In the film, Riva plays a woman who suffers a stroke, challenging her and her husband, played by Jean-Louis Trintignant, who becomes her caretaker. Isabelle Huppert plays the couple’s daughter.
The stars are among France’s most revered actors, while German-born Haneke has been honored for many previous films such as “The White Ribbon” and “The Piano Teacher,” with a canon that often hews more towards the bleak, brutal and disturbing than the overtly sensitive.
In other awards, the critics gave the nonfiction, or documentary prize, to “The Gatekeepers,” which looks at the Israeli security agency Shin Bet, while Tony Kushner won best screenplay for “Lincoln.” Best cinematography went to “The Master.”
“This Is Not a Film” took the experimental film prize, while the critics gave two special film heritage honors to Laurence Kardish, senior film curator at the Museum of Modern Art, and to Milestone Film and Video for its ongoing Shirley Clarke project.
The critics’ awards are among the last handed out in the run-up to the Oscar nominations, which will be announced on Thursday in Los Angeles, with the Academy Awards gala slated for February 24.
“Amour” is Austria’s official submission for the best foreign language film category.
(Editing by Chris Michaud)
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Health insurance companies across the country are seeking and winning double-digit increases in premiums for some customers, even though one of the biggest objectives of the Obama administration’s health care law was to stem the rapid rise in insurance costs for consumers.
Bob Chamberlin/Los Angeles Times
Dave Jones, the California insurance commissioner, said some insurance companies could raise rates as much as they did before the law was enacted.
Particularly vulnerable to the high rates are small businesses and people who do not have employer-provided insurance and must buy it on their own.
In California, Aetna is proposing rate increases of as much as 22 percent, Anthem Blue Cross 26 percent and Blue Shield of California 20 percent for some of those policy holders, according to the insurers’ filings with the state for 2013. These rate requests are all the more striking after a 39 percent rise sought by Anthem Blue Cross in 2010 helped give impetus to the law, known as the Affordable Care Act, which was passed the same year and will not be fully in effect until 2014.
In other states, like Florida and Ohio, insurers have been able to raise rates by at least 20 percent for some policy holders. The rate increases can amount to several hundred dollars a month.
The proposed increases compare with about 4 percent for families with employer-based policies.
Under the health care law, regulators are now required to review any request for a rate increase of 10 percent or more; the requests are posted on a federal Web site, healthcare.gov, along with regulators’ evaluations.
The review process not only reveals the sharp disparity in the rates themselves, it also demonstrates the striking difference between places like New York, one of the 37 states where legislatures have given regulators some authority to deny or roll back rates deemed excessive, and California, which is among the states that do not have that ability.
New York, for example, recently used its sweeping powers to hold rate increases for 2013 in the individual and small group markets to under 10 percent. California can review rate requests for technical errors but cannot deny rate increases.
The double-digit requests in some states are being made despite evidence that overall health care costs appear to have slowed in recent years, increasing in the single digits annually as many people put off treatment because of the weak economy. PricewaterhouseCoopers estimates that costs may increase just 7.5 percent next year, well below the rate increases being sought by some insurers. But the companies counter that medical costs for some policy holders are rising much faster than the average, suggesting they are in a sicker population. Federal regulators contend that premiums would be higher still without the law, which also sets limits on profits and administrative costs and provides for rebates if insurers exceed those limits.
Critics, like Dave Jones, the California insurance commissioner and one of two health plan regulators in that state, said that without a federal provision giving all regulators the ability to deny excessive rate increases, some insurance companies can raise rates as much as they did before the law was enacted.
“This is business as usual,” Mr. Jones said. “It’s a huge loophole in the Affordable Care Act,” he said.
While Mr. Jones has not yet weighed in on the insurers’ most recent requests, he is pushing for a state law that will give him that authority. Without legislative action, the state can only question the basis for the high rates, sometimes resulting in the insurer withdrawing or modifying the proposed rate increase.
The California insurers say they have no choice but to raise premiums if their underlying medical costs have increased. “We need these rates to even come reasonably close to covering the expenses of this population,” said Tom Epstein, a spokesman for Blue Shield of California. The insurer is requesting a range of increases, which average about 12 percent for 2013.
Although rates paid by employers are more closely tracked than rates for individuals and small businesses, policy experts say the law has probably kept at least some rates lower than they otherwise would have been.
“There’s no question that review of rates makes a difference, that it results in lower rates paid by consumers and small businesses,” said Larry Levitt, an executive at the Kaiser Family Foundation, which estimated in an October report that rate review was responsible for lowering premiums for one out of every five filings.
Federal officials say the law has resulted in significant savings. “The health care law includes new tools to hold insurers accountable for premium hikes and give rebates to consumers,” said Brian Cook, a spokesman for Medicare, which is helping to oversee the insurance reforms.
“Insurers have already paid $1.1 billion in rebates, and rate review programs have helped save consumers an additional $1 billion in lower premiums,” he said. If insurers collect premiums and do not spend at least 80 cents out of every dollar on care for their customers, the law requires them to refund the excess.
As a result of the review process, federal officials say, rates were reduced, on average, by nearly three percentage points, according to a report issued last September.
IN 1972, I was a 30-year-old American traveling in India, with the smell of incense in my hair and mantras repeating in my ears. Back then, if you had told me that I would someday be training employees of corporate America to apply contemplative practices to help them become more successful, I would have said you’d been standing too long in India’s hot noonday sun.
Nancy Palmieri for The New York Times
Mirabai Bush is a co-founder and senior fellow at the Center for Contemplative Mind in Society, which offers meditation techniques to organizations.
Yet not long ago, I was standing in front of employees at Google in Mountain View, Calif. They were dutifully following my instructions to feel the sensations of their breath as it passed in and out of their nostrils, and learning how to send e-mail mindfully, by taking three deep breaths before hitting “send.”
I am a co-founder of the Center for Contemplative Mind in Society, a nonprofit organization that is now 16 years old, and we have undertaken a daunting task: to convince people in their workplaces that the simple meditation techniques developed 2,500 years ago by the Buddha might help increase productivity, reduce absenteeism and inspire greater creativity. We have introduced contemplative exercises that can reduce stress and heart rate and increase attention and awareness of self and others. We teach what we call “mindful listening,” so that a speaker is fully heard.
For our first project, we chose a large corporation in the Midwest whose C.E.O. knew one of our board members. We created a three-day, mostly silent retreat off site.
I encountered workers who were exhausted, overworked and stressed. They were curious whether these practices could help, but also skeptical. Before the retreat, several people said, in effect: “Stress got me where I am. I don’t want to lose my edge.”
I thought to myself: This won’t be easy; maybe they won’t even attend.
But they all showed up. First, I asked them to lie on the floor for a deep-relaxation exercise. They didn’t balk; instead, they followed my instructions to let go and relax their bodies. We also introduced mindfulness meditation, which we believe builds attention and insight and helps people become more kind and loving. We taught the practice of bringing our minds to our breath, noticing our breath, and returning to our breath each time the mind wanders off — a task that’s tougher than it sounds.
“This is the hardest thing I’ve ever done,” said the C.E.O., who had a brilliant mind and thousands of employees. But the participants learned how to bring their minds to a place that was calm and clear, a great place to begin thinking and making decisions. When it was over, all felt that it was helpful.
SINCE that first foray into the corporate world, we have worked with many other organizations. For a small group, we have had a big reach, working with high-profile organizations like Yale Law School, Hearst Publications and the Army. We’ve offered programs as diverse as one-hour introductions, four-day intensive retreats, and courses with six weekly sessions.
At first, resistance was everywhere, but so were the possibilities. A litigation lawyer thought that if he became more compassionate toward the opposition in his cases, he couldn’t be a zealous advocate for clients. But he found that being calm, clear and compassionate gave him better insights and better timing.
An environmental leader thought that if others knew he practiced meditation, they wouldn’t take him seriously — and would write him off as a tree-hugger without scientific rigor. Instead, he found that he became more resilient, and less overwhelmed by climate-change predictions, and that he collaborated better with colleagues.
Magazine editors thought that they would miss deadlines; in fact, they learned to focus on priorities and work better in teams to meet the deadlines in new ways. Data-driven Google engineers questioned the value of developing capacities that can’t be quantified, but many of them learned better ways to communicate. One engineer told me his wife had noticed a change in the way he listened to her. She asked him: “What happened to you?”
As we continue exploring the benefits of mindfulness for work, scientists are researching the effects of the practices on the brain. Neuroscientists have confirmed much of what we were experiencing: that meditation improves attention, reduces stress hormones, increases appreciation and compassion for others and helps us recover faster from negative information.
Personally, this work has made me feel more connected to the world. Watching the responses of so many people — from an economics professor to Army soldiers — I’ve come to believe that it’s a basic human need to be calm and clear, to be aware of ourselves and others, to be kind and collaborative, to be fully present in each moment.
It turns out that people work better when they are happy and feel aligned with their work. I know I do.
