Hollywood cardiologist’s ties with St. Jude sales rep raises red flags

Mark Sabbota, a Hollywood cardiologist, regularly implants $5,000 pacemakers in patients at Memorial hospitals in South Broward — generating, last year alone, more than a half-million dollars in sales for a manufacturer called St. Jude Medical.

Sabbota, public records show, also happens to be partners with a St. Jude sales rep in two corporations that run frozen yogurt shops.

What’s yogurt got to do with healthcare?

Perhaps nothing. Perhaps a lot. The question is connected to an on-going lobbying battle in Washington over a pending disclosure policy intended to more clearly reveal financial ties between physicians and the healthcare industry — often-murky relationships that have produced a long history of whistle-blower lawsuits, federal investigations and fines.

Sabbota, in a brief interview, adamantly denied any conflict of interest. “There has been no wrongdoing at all,” he said.

Memorial spokeswoman Kerting Baldwin also said the hospital saw no problem with the yogurt arrangement. As a “community” doctor, not a staff employee, Baldwin said Sabbota can select from a list of pacemakers approved by the hospital but has no say over what companies made the list.

“As for why he prefers to use St. Jude, I won’t speak for him,’’ she said. “You’d have to ask him that.”

But several medical ethics experts said such relationships fall in a gray area. They raise what Kenneth Goodman, bioethics director at the University of Miami, called “red flags” about whether the doctor’s motivation in choosing a device “is something other than the best interests of the patient.”

“Maybe it’s just a good business arrangement that has nothing to do with the devices he chooses,” said Charles D. Rosen, a California physician who is co-founder of the Association for Medical Ethics. “But the issue is public disclosure and transparency. You as a patient should have the right to know about a doctor’s financial relationships with companies.”

Concerns about the relationship between doctors and healthcare companies have been simmering for years. Americans are so suspicious of doctors’ connections that, in a 2008 Pew Charitable Trusts survey, 86 percent of patients said doctors should not be allowed to get free dinners from drug makers and 70 percent said doctors shouldn’t even be allowed to get free notepads and pens.

The 2010 Affordable Care Act includes a provision intended to address some aspects of these often-cozy relationships. Starting Jan. 1, healthcare companies were supposed to publicly post how much they were paying doctors. But that provision has been held up in the White House by intense lobbying.

“I don’t know why the hold-up, except the intense opposition of the industry,” Rosen said. His group, including members of the Harvard Medical School and Cleveland Clinic, wrote a letter to the Obama administration last month protesting the delay.

The group complains that the healthcare industry is trying to soften the rules so that foreign subsidiaries and doctors engaged in clinical trials wouldn’t have to reveal payments. But even if the disclosure rules are implemented, a side deal like Sabbota’s yogurt company would not have to be revealed under the new law, Rosen said.

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At University of Miami, Justice Sonia Sotomayor gets real

From her days as a young girl in the Bronx being raised by her mother after the death of her father to becoming the first Hispanic on the highest judicial body in the country, U.S. Supreme Court Justice Sonia Sotomayor told the story of her journey before a captivated audience at the University of Miami on Friday night.

Sotomayor spoke with University of Miami President Donna E. Shalala at the BankUnited Center to University of Miami students, Coral Gables residents and perhaps a future Supreme Court justice about the inspiration behind her recently published memoir My Beloved World.

“Love and passion, that is the only way you do something well,” Sotomayor said. “Do a few things, but do them well.”

Sotomayor, 58, spoke of the many things that inspired her to share her story with the world, one of which was in responses to questions she hadn’t expected during her confirmation process, such as how children cope when a parent dies, especially if they don’t have a mother like hers.

“I began to understand that I couldn’t talk to every child in the country,” Sotomayor said. “I could give them the answers in a book.”

One child she did embrace and speak with on Friday evening was a young girl in the audience named Madeline. Madeline, who was introduced by Shalala, and Sotomayor turned out to have one thing in common: a love for Nancy Drew.

Sotomayor credits the lessons she learned from the fictional tales of a young girl detective as one of the motivations for her successful career.

“When she [Nancy Drew] was trying to solve people’s problems,” Sotomayor told Madeline, “she was trying to help people.”

“I think too many young lawyers forget that the law is the noblest profession you can enter,” Sotomayor said. “What you do is helping people.”

When asked what other profession she would have ever considered going into, Sotomayor said there was not one. “This fish found her pond, and she ain’t changing it,” Sotomayor said.

Shalala questioned Sotomayor about her life as a diabetic, which her memoir speaks of at great length.

“If you have diabetes and want to live a full life, you figure out how to have both things,” Sotomayor said.

She was diagnosed with juvenile diabetes at 8 and she credits living with the chronic illness with teaching her discipline. “Every moment of every day I am self-monitoring inside,” Sotomayor said.

That constant discipline, she said, teaches you to do things like monitoring diet, something she feels everybody should do.

With many students in the audience, she was asked about her scariest experience in law school.

“Being there,” Sotomayor chuckled. “If you think you are smart in college, you realize how dumb you are.”

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Sony Teases ‘The Future’ of PlayStation in Short #PlayStation2013 Video

Sony‘s CEO, Kazuo Hirai, said he would let Microsoft “make the first move” when it came to releasing a next-generation game console, according to IGN’s Daniel Krupa. But now the official PlayStation blog is teasing viewers with a video entitled “See the Future,” with the #PlayStation2013 Twitter hashtag.

Whatever the future is, it’s apparently got something to do with Feb. 20, the date mentioned in the video. But when it gets here, what will it be like?

PlayStation2013 probably isn’t the actual name

Previous rumors have suggested the next PlayStation console won’t be called the PlayStation 4, because the number 4 is associated with death in Japanese culture. If Sony’s willing to break with its numbering scheme because of tradition, it may be unlikely to tag the actual new PlayStation console itself with the number 13, which is regarded as unlucky in the United States.

Much more powerful hardware

This one’s a given. Unlike in the PC and tablet gaming world, where hardware is regularly updated and improvements tend to be incremental, video game consoles tend to wait years to update before leaping ahead — if you don’t count the two smaller redesigns the PS3 has had over the years while keeping the same performance, anyway, or the introduction of the PlayStation Move controller.

The PlayStation 3‘s big performance draw was its ability to play games on an HDTV, with an upgrade to graphics realism to match. A report by Kotaku’s Luke Plunkett last year suggests that the new PlayStation console may be able to play 3D games (on a 3D HDTV, that is) in 1080p resolution, or regular games in 4096×2160. The latter would basically require a TV as sharp as Apple’s Retina Display.

Far fewer games?

The same report, however, suggests that — as Sony eventually did with the PlayStation 3 — the “PlayStation 4″ may not be able to play any games from the previous generation of consoles.

The PlayStation 3 debuted with the ability to run PlayStation 2 games, but this required it to have both of the PS2′s processor chips inside it. This console-within-a-console design helped push the PS3′s launch price up to $ 599, and Sony soon dropped one of the chips before abandoning them completely. Today’s PlayStation 3 consoles can only play the handful of PS2 games that have been re-released digitally (and are bought separately) on the PlayStation Network.

No place like Home

If the new PlayStation console can’t run PS3 games, that may mean the end of PlayStation Home, Sony’s virtual world and social gaming platform in the style of Second Life (but with Facebook-style games). IGN’s Andrew Goldfarb notes that Sony recently filed a trademark on “BigFest,” however, which it describes as an “online player networking” service in similar terms as PlayStation Home.

Jared Spurbeck is an open-source software enthusiast, who uses an Android phone and an Ubuntu laptop PC. He has been writing about technology and electronics since 2008.

Linux/Open Source News Headlines – Yahoo! News

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Brandi Glanville Talks Plastic Surgery and Says She's Done Talking About Eddie Cibrian and LeAnn Rimes

Brandi Glanville's new tell-all, Drinking and Tweeting: And Other Brandi Blunders, is chock-full of juicy stories about her ex husband Eddie Cibrian, but The Real Housewives of Beverly Hills star says that after promotion wraps on the book, she will no longer speak out about the actor and his wife LeAnn Rimes.

Pics: LeAnn Rimes Defends Self with Teeny Weeny Bikini Photos

"As soon the book tour is over, I'm done. I'm not gonna be talking about them publicly," vows Brandi of the topic that has gotten her into a bit of trouble in the past. "I won't be answering questions about them publicly, this is my final chapter. This is all my side of the story is in the book and then I'm done."

As Brandi's book tour has yet to conclude, Eddie is still fair game.

In Drinking and Tweeting, out February 12, Brandi reveals that she took revenge on her ex by sticking him with a $12,000 credit card bill for vaginal rejuvenation surgery after finding out about his extra-marital affair with LeAnn.

Related: LeAnn Rimes On Twitter War with Brandi Glanville

Now swearing off invasive surgeries, Brandi has found more inventive ways to look young. Instead, the RHOBH star has opted for a visit to Beverly Hills dermatologist Dr. Simon Ourian to get cosmetic fillers injected into her hands, which she says are starting to look "old."

Watch the video to follow Brandi during the procedure!

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Elderly SI man fatally struck while crossing the street near his home

An elderly man was struck and killed crossing the street near his home in Staten Island, police said.

Bujar Hasimja, 72, and a woman, 64, were walking across Jefferson Avenue near Mason Avenue in Dongan Hills when a gray Nissan Armada making a left turn hit them about 7:30 p.m. yesterday, cops said.

EMS rushed the two pedestrians to Staten Island University Hospital, but Hasimja did not survive, authorities said. The woman was listed in stable condition.

The driver stayed on the scene, and no criminality is suspected, police added.

Hasimja lived near the scene of the accident.

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Healthcare experts see bumpy road ahead: “Shift happens”

The healthcare industry in South Florida, like the rest of the country, faces huge challenges in the year ahead as major federal reforms kick in, experts told about 700 people at a University of Miami conference on Friday.

“We are at a critical time in health policy,” said Mark McClellan, former head of the Centers for Medicare and Medicaid Services. “There are going to be some bumps along the way,” especially starting in 11 months, when the biggest changes in the Affordable Care Act kick in.

“Bumps may be understating what we may go through,” said Patrick Geraghty, chief executive of Florida Blue, the state’s largest health insurer.

They spoke at the conference on the Business of Healthcare Post-Election. The speakers accepted the federal reforms — often referred to as Obamacare — as not only inevitable but necessary. As Tom Daschele, a former Democratic U.S. senator from South Dakota, put it, “having 50 million uninsured is just unacceptable.”

But the reform act, signed into law in 2010, contains more than 2,000 pages, plus thousands of pages more of enabling regulations — details that will have major, and perhaps unexpected, impacts on the healthcare industry, which now makes up almost 20 percent of the nation’s economy.

In October, insurance exchanges will open for enrollment — groups that will allow individuals and small businesses to purchase policies with no exclusions for pre-existing conditions. Starting next January, virtually everyone will be required to have insurance, Medicaid will expand in many states, and businesses with more than 50 full-time equivalent employees will be required to provide insurance or pay fines.

“Jan. 1 is a very significant date,” said Steven Ulllmann, director of health policy programs at the UM business school. He called reforms “a process” that will change over time.

“The one thing we know is that healthcare reform will be reformed,” said Chris Jennings, a Washington health policy advisor for the Clinton administration and three senators.

Karen Ignagni, president of America’s Health Insurance Plans, the insurers’ trade group, said she had strong ideas about tweaks that could minimize disruption. One arcane, but crucial provision of the law requires that an older person’s policy can be no more than three times as expensive as a young person’s.

The provision will mean huge increases in the policies of younger persons, to pay for the much higher costs of their elders. Insurers are asking for that policy to be postponed for two years, retaining the present maximum spread of about five to one, so that younger people could sign up for insurance without huge sticker shock.

For example, if a 25-year-old pays $100 and a 60-year-old pays $500, the new rule would hike the younger person’s premium to $150 and cut the older person’s premium to $450 — a 50 percent increase for one and a 10 percent decrease for the other.

The thinking of lawmakers was that by lowering ratio, the costs of healthcare would be spread out and shared more equally by the population.

Anne Phelps, a healthcare principal with Ernst & Young, said she favored another change in the law, which now requires that next year a company with the equivalent of 50 employees to provide insurance for anyone working more than 30 hours a week or pay a fine. She thought the threshold should be raised to 32 or 34 hours.

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Feral cats to be trapped at federal wildlife refuges in Florida Keys

Efforts to protect native animals in Florida Keys wildlife refuges will trap feral cats and other unwanted "pests," say federal managers.

The "Final Integrated Pest Management Plan" for the Florida Keys National Wildlife Refuges, released this week, says U.S. Fish and Wildlife Service staff "will begin actively controlling and removing certain exotic animals from public lands within these refuges."

That includes national wildlife lands at Crocodile Lake on North Key Largo, National Key Deer Refuge based on Big Pine Key, and the Great White Heron and Key West refuges in the Lower Keys.

"They've been talking about this for several years but this is the first we've heard that they're actually going to begin implementation," said Jerry Dykhuisen, an officer of Forgotten Felines, a cat-rescue group in the Middle and Lower Keys.

Forgotten Felines and several other national animal groups oppose trapping feral cats, which often are considered unadoptable and put to death.

A number of conservation groups including the Sierra Club, National Wildlife Federation and the American Bird Conservancy support the plan, saying birds and local endangered species have few defenses against predatory cats that do not belong in Keys wild areas.

"In terms of influencing the Lower Keys marsh rabbit or Key Largo woodrats chance of persisting, the significance of cat predation exceeds other threats," says the management plan. "Cats impact a remarkable proportion of species in affected communities."

White-crowned pigeons and many other protected bird species "depend upon Keys habitats to sustain them before and after long, over-water migrations," said Audubon Florida's Julie Wraithmell in an FWS statement. "This management plan helps ensure a future for these species in the Florida Keys."

Phillip Hughes, an FWS biologist and acting manager at the Key Deer refuge, said the agency will not mount a large-scale trapping program, but will place traps in known areas where cats and wildlife may come together.

Cats captured will be taken to local animal shelters where staff "can use their expertise regard final disposition of the cats..."

That could include trying to place the cats with "responsible pet owners or placement in long-term cat care facilities on the mainland."

The county-contracted shelter closest to Big Pine Key is based in Marathon.

"When they were talking about this before, there was a no-kill shelter on Big Pine where people could go to get their pets back," Dykhuisen said. "Now there's no shelter at all, so that's a complicating factor."

Iguanas, also considered an unwanted exotic species that eats plants needed by native wildlife, also could be targeted under the plan.

When the draft Pest Management Plan was published in late 2010, the Fish and Wildlife Service received 9,614 comments. The final plan says "over 99 percent" of those were "Internet-generated letters with standard comments."

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How I learned to stop worrying and love Twitter

Is anything more uniquely American than our free-wheeling, 140-character missives?

Twitter is dead, you guys. Writers used to send pithy tweets across cyberspace, borne on the golden wings of Hermes. Now, as T.S. Eliot would say, “Our dried voices, when we whisper together are quiet and meaningless.” Twitter is so uncool, that even if we resurrected the spirits of Jim Morrison and Jimi Hendrix and got them to tweet never-before-heard song lyrics from the grave, they would have like, 20 followers, tops. And most of them would be spambots. Do you know what else is dead? Rock and roll. When I put on the Dead Weather or Jay-Z, my parents inform me that music used to be all about free love and sharing ideas and now, “Will you turn off that crap you’re hurting my ears.” There is no cool left for me. I must survive on the vapors of Lady Gaga‘s strange perfume and the shiny white veneer of Kim Kardashian‘s teeth. But it’s okay, it’s not like I can tell the difference.

Hi. I’m a twenty-something journalist. And unlike my colleague Matt K. Lewis, I like Twitter.

SEE MORE: Introducing Vine: Twitter’s 6-second video-sharing app

Now, I can see where Matt is coming from. The popularity of Twitter used to befuddle me. When I was in college, I had a private account (rookie mistake) and only followed my friends. My feed read something like an episode of Girls, except with more substance-abuse problems. Twitter did seem kinda like high school, and, as Matt says, was more prison than vision (although to this day, I love a good nonsensical midnight Twitter ramble. And Horse E-Books.) But a couple years later, once I was a working journalist, I started following an increasingly diverse set of people. And another cool thing happened: The Arab Spring. Citizen activists in countries like Egypt, Libya, and Yemen successfully organized revolutionary protests through the social network, and all of a sudden, I stopped viewing Twitter as a place where people just talked about their hangovers. 

Since then, I have been tasked with tweeting from the official accounts of several media organizations — I’m kind of a professional tweeter. By the end of today, I (and my colleagues) will have written and sent out about 70 tweets for Mother Jones — tweets that are (hopefully) informative, spelled correctly, promote our content, match the tone of the publication, and don’t accidentally include cat gifs or naked pictures. If anything should make one despise Twitter, it’s being required to tweet all day long. But instead, it’s only made me more fond of the damn thing.

SEE MORE: 10 famous first tweets from the Pope, Barack Obama, the Dalai Lama, and more

Every day, I get to hear from people, REAL LIVE PEOPLE, who are exercising their free speech rights about something my colleagues and I wrote with our free speech rights. How cool is that? What could be more American than a bunch of strangers conversing in real time about whether the Boy Scouts can constitutionally ban gay members, that great Local Natives album that just came out, and who is really the communist here? (Okay, fine. It’s me.) 

Another point in Twitter’s favor: Go to Facebook or (God forbid) the homepages of various news organizations, and you’re never going to easily or quickly find as many live updates of Hurricane Sandy, the Sandy Hook school shooting, or the 2012 presidential election as you would on Twitter. It’s the go-to place for lightning-quick, easily searchable information. (By contrast, if you need a live update of which color mason jars you should have at your wedding someday, Pinterest has so got you covered.)  

SEE MORE: Why I love Twitter

And unlike journalists exhausted by the troll-y nature of the beast, I like the free-wheeling accessibility of Twitter. The quality of my interactions are mostly positive, probably because I tend to only follow people I would be interested in speaking with in the real world. And just like the real world, sometimes some crazy guy who smells like whiskey and is probably on PCP will try to flash me on the Metro. But that just makes it kind of exciting, right? 

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Grammys Flashback: Maroon 5 2005

Maroon 5 dropped into the music industry with a splash. The band's debut album, Songs About Jane, peaked in the Top 10 on the charts and earned multiplatinum certifications around the world. It became so popular that it won an award over Grammy powerhouse Kanye West.

In the span of eight years, Kanye West has become one of the most nominated artists in Grammys history, which began at his very first Grammys. At the 2005 ceremony, West was nominated for a year-high ten Grammys for his debut album, The College Dropout.

PICS: Stars Set to Perform at Grammys

The rapper would go on to win three of his eighteen total Grammys, but Best New Artist wouldn't be one of them. That one went to Maroon 5.

"Kanye did win this. ... I feel like he had something to do with this," front man Adam Levine says of winning the award, tongue-in-cheek suggesting a conspiracy by West. "...I told him the other day...'Listen man, you're going to win like seven or eight [Grammys]; we could just take one."

VIDEO: Maroon 5 Reflects on 10 Years of Fame

The band didn't just receive an award at its first Grammys but was also part of an impressive opening number that included The Black Eyed Peas, Gwen Stefani, Los Lonely Boys, and Franz Ferdinand that spanned twelve minutes.

"We weren't sure how the hell we were going to do it or how we were going to pull it off at all," Levine says. "We were all kind of nervous...but eventually we loosened and started to put it together organically. I wound up getting really excited about. It was finely tuned and we pulled it off."

VIDEO: Grammys Flashback '05: Kanye Wins First of Many

Eight years later, Maroon 5 is set to perform once again at the Grammys with potential awards on the horizon to add to their three Grammys, this time for Best Pop Duo/Group Performance ("Payphone") and for Best Pop Vocal Album (Overexposed).

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Best Ed Koch quotes

WireImage

Former Mayor Ed Koch celebrates during the 2009 New York Yankees World Series Victory Parade on November 6, 2009.

A look at some of the famous lines over the years from former New York City Mayor Ed Koch:

—"How'm I doing?"

—"I'm not the type to get ulcers. I give them."

—"You punch me, I punch back. I do not believe it's good for one's self-respect to be a punching bag."

—"If you agree with me on 9 out of 12 issues, vote for me. If you agree with me on 12 out of 12 issues, see a psychiatrist."

FORMER MAYOR ED KOCH DEAD AT 88

PHOTOS: ED KOCH, 1924-2013

—"Have you ever lived in the suburbs? It's sterile. It's nothing. It's wasting your life." On the prospect of living in Albany, during his failed 1982 race for governor.

—"Whether I am straight or gay or bisexual is nobody's business but mine."

—"If they want a parade, let them parade in front of the oil drums in Moonachie." After the New York Giants, who play in New Jersey, asked for a permit to hold a parade in the city after winning the Super Bowl in 1987.

—"I was defeated because of longevity, not because Yusuf Hawkins was murdered six weeks before the election, although that was a factor. People get tired of you. So they decided to throw me out." After losing the 1989 mayoral primary.

—"It's not soaring, beautiful, handsome, like the George Washington or the Verrazano. It's rugged, it's hard working — and that's me." On the 59th Street Bridge being renamed for him in 2011.

—"I don't want to leave Manhattan, even when I'm gone. This is my home. The thought of having to go to New Jersey was so distressing to me." After purchasing a burial plot in Manhattan's Trinity Cemetery in 2008.

—"I know that nothing happens here on this Earth that wasn't ordained by God. I know that. You know that. And therefore, while I know that it was the people who elected me, it was God who selected me."

In 1985, during an Easter Sunday worship in Harlem explaining why he thought he was selected by God to be mayor. The next day, Koch stressed that it did not necessarily mean he was endorsed by God.

"Not that I was given approval by the Deity, but I am delighted I was given the opportunity by the Deity."

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