Fewer health care options for illegal immigrants

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Owner of Rivera plane being investigated by DEA

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

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

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

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

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

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

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

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

In response to an email from The Associated Press, Esquino said he did not want to comment. Calls to various phone numbers associated with him rang unanswered.

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

He served about five months in prison before being released.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Push for minimum wage hike intensifies

NEW YORK — Before the recession, Amie Crawford was an interior designer, earning $50,000 a year patterning baths and cabinets for architectural firms.

Now, she's a "team member" at the Protein Bar in Chicago, where she makes $8.50 an hour, slightly more than minimum wage. It was the only job she could find after months of looking. Crawford, now 56, says she needed to take the job to stop the hemorrhaging of her retirement accounts.

In her spare time, Crawford works with a Chicago group called Action Now, which is staging protests to raise the minimum wage in a state where it hasn't been raised since 2006.

"Thousands of workers in Chicago, let alone in the rest of the country, deserve to have a livable wage, and I truly believe that when someone is given a livable wage, that is going to bolster growth in communities," she said.

If it seems that workers such as Crawford are more prevalent these days, protesting outside stores including Wal-Mart, McDonald's and Wendy's to call for higher wages, it may be because there are more workers in these jobs than there were a few years ago.

Quiz: How much do you know about the 'fiscal cliff'?

Of the 1.9 million jobs created during the recovery, 43% of them have been in the low-wage industries of retail, food services and employment services, whose workforces include temporary employees who often work part time and without benefits or health insurance, according to a study by Annette Bernhardt, policy co-director of the National Employment Law Project in New York.

At the same time, many workers such as Crawford who have been displaced from their jobs are experiencing significant earnings losses after getting a new job. About one-third of the 3 million workers displaced from their jobs from 2009 to 2011 and then reemployed said their earnings had dropped 20% or more, according to the Bureau of Labor Statistics.

"What these protests are signaling are that working families are at breaking point after three decades of rising inequality and stagnant wages," Bernhardt said.

The rise of low-paying jobs in the recovery, experts said, has cut the spending power of workers who once worked in middle-class occupations. Construction workers who made $30 an hour, for example, during the housing boom may now find themselves working on a temporary basis.

"You see workers trading down their living standards," said Joseph Brusuelas, a senior economist for Bloomberg who studies the U.S. economy.

Now, Brusuelas said, there's an oversupply of workers and they're willing to take any job in a sluggish economy, even if they're overqualified. That includes temporary jobs without benefits, and minimum wage positions such as the one Crawford took.

Although the 2012 election might have brought the idea of income inequality to the forefront of voters' minds, efforts to increase wages for these workers are sputtering in an era of austerity when businesses say they are barely hiring, much less paying workers more.

The New Jersey state legislature handed Gov. Chris Christie a bill to raise the state's minimum wage to $8.50 an hour from the federal minimum of $7.25 this month, but he hasn't signed it and has signaled he might not. An earlier effort in New Jersey to tie the minimum wage to the consumer price index was vetoed by the governor.

Democratic lawmakers in Illinois are also trying to push a bill that would increase the minimum wage — an earlier effort this year failed. The Legislature last voted to raise its minimum wage in 2006, before the recession, and the governor agreed.

"A higher minimum wage means a person has to pay more for each worker," said Ted Dabrowski, vice president of policy at the Illinois Policy Institute, which opposes raising the minimum wage. "Companies have a few choices — increase prices, reduce the number of people they hire, cut employee hours or reduce benefits. When employees become too expensive, they have no choice but to reduce the number of workers."

The Center for Economic and Policy Research in Washington, D.C., however, says there is little indication from economic research that increases in the minimum wage lead to lower employment, and, because higher wages mean workers have more money to spend, employment can actually increase.

A bill to raise the federal minimum wage was introduced to the U.S. Senate by Tom Harkin (D-Iowa) in July and referred to committee, where it has sat ever since.

"Business lobbyists are aware of the campaign and are aggressively working to stop it," said Madeline Talbott, the former lead organizer of Chicago's Action Now. "We've had a hard time getting our legislature to approve it."

But Talbott and other advocates say that the protests that have spread throughout Illinois and the country in recent weeks might force the issue to its head.

"You saw it happening 18 months ago when Occupy started — workers are now realizing that they have rights too in the workplace," said Camille Rivera, executive director of United NY, one of the groups working to raise the minimum wage in New York. "It's a good time for us to be fighting these issues, when companies are making millions of dollars in profits."

The protests are bringing out people who might not usually participate, including Marcus Rose, 33. Rose, who has worked the grill at a Wendy's for 21/2 months, was marching outside that Wendy's in Brooklyn recently on a day of protests, responding as organizers shouted lines such as "Wendy's, Wendy's, can't you see, $7.25 is not for me."

"If you don't stand up for nothing, you can't fall for anything," he said.

Talbott, the Action Now organizer, says that people such as Rose may make a difference in whether lawmakers at the state and national level will listen to the protests. The Obama victory energized the working class to believe that they could fight against big-money interests and win, she said.

"It comes down to the traditional situation — whether the power is in the hands of organized money or of organized people," she said. "The organized money side tends to win, but it doesn't have to win. The more people you are, the more chance you have against money."

alana.semuels@latimes.com

ricardo.lopez2@latimes.com

Semuels reported from New York and Lopez from Los Angeles

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Smokestack victim's aunt: 'He was a very happy-go-lucky kid'

Chicago firefighter Kevin Krasneck talks about the rescue attempt of Nicholas Wieme, who died after falling down the Hotel Intercontinental's smokestack.

Nicholas Wieme loved making short films when he was growing up in a small town in Minnesota, a theatrical passion that would lead him to Chicago.

On Wednesday evening, the 23-year-old climbed onto the roof of the InterContinental Chicago hotel, with its famed onion-shaped dome, to take photographs when the night went terribly wrong.

Wieme fell into a smokestack and became wedged, beginning an elaborate, hourslong rescue attempt by firefighters that ultimately proved futile.

Friends and family mourned Thursday a young man they said was a creative force, an aspiring comedian and improv actor who had so impressed his coaches at iO Chicago, an improv theater, that they made him a regular on a team.

"He was a force to watch. He was a terrific artist," said Matt Higbee, Wieme's coach at iO Chicago for the last eight months.

Wieme, who lived on the North Side, had been dining with a friend at Michael Jordan's restaurant in the Michigan Avenue hotel when, police said, they decided to "explore" the building. Wieme and the woman took an elevator to the top floor and walked onto the rooftop deck, a restricted area, through an unsecured door, officials said.

Firefighters later learned that Wieme had fallen down the smokestack, according to Fire Department spokeswoman Meg Ahlheim.

Firefighters wrapped ropes around a structure in the roof dome and lowered a single man, a firefighter/paramedic, to Wierme's aid, and determined he was unconscious.

Crews used an electric handsaw to drill through the quarter-inch steel duct on the 39th floor, stirring up dust from insulation and soot from years of chimney buildup. They secured two wooden planks that would stop Wieme if he fell further, officials said.

"It turned very precarious because two feet after where we made the hole was a drop that would have went 42 floors to the basement," Special Operations Chief Michael Fox said. "So it took us a little time to cut the hole in the right spot and shore it up so when we brought him out he would not fall into the basement."

The paramedic in the chimney secured Wieme to a rescue board attached to a rope, and firefighters slowly lowered him to crews on the 39th floor. He was pulled out of the chimney just after 4:30 a.m. and taken to Northwestern Memorial Hospital. There, he was pronounced dead at 5:15 a.m. An autopsy will be conducted Friday.

Raymond Vermolen, general manager of the hotel, released a statement saying InterContinental "holds the safety, comfort and well-being of our guests and employees as our top priority and concern. Our thoughts and prayers are with the family and friends of the guest at this difficult time. The hotel staff will continue to cooperate fully with authorities in their investigation. All further questions should be directed to the Chicago Police Department."

Friends and family recalled Thursday how Wieme had long wanted to be a performer and later a director, and started making his own films when he was 16. Wieme grew up in Pipestone, Minn., a small town near the South Dakota border, the son of a radio announcer. There he worked in the town's movie theater.

"I think that's what sparked him," said his aunt, Linda Wieme, of Balaton, Minn.

Linda Wieme said his comedy reflected his character.

"He was a bubbly kid. I don't think I ever saw him upset," she said. "He always had some joke or something to lift your spirits. ... That's the reason he was a comedian, he was a very happy-go-lucky kid."

His brother Jamie Wieme said Nick "began taking up the hobby of stand-up comedy" while at Minnesota State University in Moorhead. Comedy led to acting, which led to Chicago and the improv scene, his brother said.

"Those that watched him perform often attested that Nick had a way of unintentionally stealing the show," his brother told the Minneapolis Star Tribune. Wieme had fierce loyalty to his family and friends and would do anything for anyone, he said.

Higbee said he first noticed Wieme when he was affiliated with iO as a student and saw him earn a coveted spot there as a performer.

"He had such a joyousness," Higbee added, "and you couldn't help but watch him."

Wieme is survived by his parents, two brothers, a sister-in-law and a niece.

Tribune reporter Jeremy Gorner and Minneapolis Star Tribune reporter Paul Walsh contributed.

ehirst@tribune.com csadovi@tribune.com pnickeas@tribune.com

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Exclusive: Softbank caps Sprint's Clearwire bid; investors want more

NEW YORK (Reuters) - Sprint Nextel Corp's $2.1 billion offer to buy out Clearwire Corp appeared to be running into trouble on Thursday, as some shareholders said they wanted more money while Softbank Corp set a cap on how much Sprint could pay.

Sprint, which owns 50.45 percent of Clearwire, offered $2.90 per share for the rest of the company and said it would also provide interim financing of $800 million to the cash-strapped company. Any deal would need approval by Softbank, which has agreed to buy 70 percent of Sprint for about $20 billion.

Clearwire shareholders, who together hold about 7.6 percent of the company, criticized the Sprint offer on Thursday, with some saying that the No. 3 U.S. wireless carrier should raise its bid to at least $5 per share. Holders of at least 24.8 percent of Clearwire's outstanding stock, other than Sprint, need to approve the deal.

Clearwire, which is reviewing the Sprint offer, saw its shares jump almost 15 percent on Thursday to $3.16, suggesting investors expected a higher price.

But Softbank has told Sprint that it would not consent to any Clearwire bid higher than $2.97 per share, two sources close to the matter said. The threshold is the same price that Sprint recently paid to buy a small stake from Clearwire founder Craig McCaw's Eagle River Holdings LLC.

Sprint, Clearwire and Softbank declined to comment on the details of these discussions.

For Clearwire, the deal is one of the few options it might have to survive in the long term. The company needs to raise more financing to upgrade its network and to keep the business afloat. It has said that it has enough money to last it until the third quarter.

Stabilizing Clearwire is also in Sprint's interest, which not only has a majority ownership of the company. The hurdles Sprint is running into highlight the complexities it faces in trying to take on its larger rivals, Verizon Wireless and AT&T Inc. A deal would also bolster Sprint's network and give the carrier full control of Clearwire's substantial spectrum.

The timing of Sprint's current negotiations with Clearwire is being driven by Clearwire's uncertain liquidity position, said the sources who asked not to be named because the discussions are private.

A third source close to the situation said Clearwire is also in talks about other strategic alternatives besides the Sprint offer. The person did not give details about what those alternatives were.

INVESTORS GRIPE, SOFTBANK SETS CAP

Several Clearwire shareholders on Thursday said they were dissatisfied with Sprint's offer.

Crest Financial, which owns more than 3 percent, said it "intends to take whatever actions it can" to protect Clearwire shareholders against "unfair dealing by Sprint and other parties."

Even before the Sprint offer was formally announced, Crest had filed a lawsuit on Tuesday against Clearwire and Sprint to try to thwart a deal after reports emerged about discussions between the companies.

Another shareholder, who declined to be named, told Reuters in an interview that an offer in the $5 per share to $8 per share range would be more acceptable to investors.

"This deal should happen. It's good for Clearwire. It's good for Sprint. $2.90 is not the right price," said the person who asked not to be named due to a lack of authorization to talk in public about investments.

Chris Gleason, a managing partner of Taran Asset Management, said "$5 to $7 is a fair range."

"You're at $5.30 before you start being real," said Taran, who owns about 3 million Clearwire shares.

But Softbank, which holds the key to the deal, is not willing to go that high, according to the sources.

Softbank founder Masayoshi Son's $2.97 per share threshold for the bid comes as Clearwire's shares have risen over the past couple of months on investor expectation of the deal.

The Eagle River purchase represented roughly a 130 percent premium to where Clearwire's stock had been trading before news of Softbank's deal with Sprint.

Moreover, if Sprint were to pay any other shareholder a higher price than the Eagle River deal, it would have to increase its payments to Eagle River to match the higher price.

The final outcome of the deal, however, remains unclear.

Clearwire's other minority shareholders include Intel Corp and Comcast Corp, which own about 12.4 percent between them.

Sprint has been in discussions with those companies about purchasing their shares, sources have said previously.

Intel said on Thursday that it was evaluating Sprint's offer, while Comcast declined to comment.

Analysts said Clearwire could also afford to hold out for a higher price.

"With a year of liquidity on the books and the alternative of raising additional equity or refinancing debt at this level, Clearwire is hardly without options, and we don't see why the company would necessarily jump at the $2.90 bid," JPMorgan analyst Philip Cusick said in a research note.

Pacific Crest analyst Michael Bowen said he believes that Sprint "should not pay more than $3" per share for Clearwire, but he added that the company may be pressured into eventually increasing its offer to $3.50 per share.

(Reporting by Nadia Damouni and Sinead Carew; Editing by Ken Wills and Paritosh Bansal)

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Eagles lead Bengals 13-10 at halftime

PHILADELPHIA (AP) — Nick Foles threw an 11-yard touchdown pass to Riley Cooper and the Philadelphia Eagles rallied from a 10-point deficit to take a 13-10 lead over the Cincinnati Bengals at halftime.

The Eagles snapped a drought of 22 quarters without a turnover by recovering two fumbles in the second. Both led to field goals by Alex Henery.

BenJarvus Green-Ellis scored on a 1-yard TD run in the first quarter for Cincinnati.

Coming off a 20-19 loss to Dallas on a last-second field goal, the Bengals (7-6) looked to rebound against another NFC East opponent.

But the inspired Eagles (4-9) weren't going to be pushovers.

The Bengals entered tied with the Pittsburgh Steelers for the last playoff spot in the AFC. Their game at Pittsburgh next week is far more important in the standings, however. Win or lose against the Eagles, the Bengals still get in by winning their last two games.

The Eagles are playing out the string in a lost season. They beat Tampa Bay on a last-second TD last week to snap an eight-game losing streak.

Foles, who threw for 381 yards to lead that comeback against the Bucs, hit Cooper for a score to cut it to 10-7. Foles connected with Jeremy Maclin on a 46-yard pass during the drive.

The Eagles then forced their first turnover since Nov. 5 against New Orleans. Brandon Graham sacked Andy Dalton, the ball popped loose and Trent Cole recovered at the Bengals 29.

An unnecessary roughness penalty on Adam "Pacman" Jones a few plays later gave the Eagles a first down at the 3, but Foles threw three straight incomplete passes. Henery kicked a 22-yard field goal to tie it at 10.

After the two-minute warning, Cullen Jenkins sacked Dalton and knocked the ball away. Darryl Tapp recovered and ran 4 yards to the Bengals 12. But the drive stalled at the 1 and Henery kicked a 20-yarder for the lead.

Foles made his fifth straight start for Michael Vick, who just returned to practice this week after sustaining a concussion on Nov. 11.

Just two plays in, the Eagles committed their league-leading 30th turnover. Maclin, who caught the winning TD against the Buccaneers, fumbled after a 6-yard catch. Carlos Dunlap recovered and the Bengals started at the Eagles 44. Green-Ellis ran 29 yards on first down and scored a few plays later for a 7-0 lead.

It got uglier for Philadelphia on the next possession. Mat McBriar punted into his own blocker, Daniel Herron picked it up and ran 3 yards to the Eagles 11. But Graham sacked Dalton and Cincinnati settled for Josh Brown's 24-yard field goal that made it 10-0.

The Eagles were again without running back LeSean McCoy and tight end Brent Celek also sat out. Both players also are recovering from concussions. McCoy missed his fourth straight game, but returned to practice this week with Vick.

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Follow Rob Maaddi on Twitter: https://twitter.com/RobMaaddi

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One Direction named MTV’s 2012 Artist of the Year

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

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

One Direction’s Louis (LOO’-ee) Tomlinson calls Thursday’s honor “the icing on the cake.”

MTV’s team of music staffers chose Carly Rae Jepsen‘s “Call Me Maybe” as song as the year.

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

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

Entertainment News Headlines – Yahoo! News

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Study: People worldwide living longer, but sicker

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Online:

www.lancet.com

http://healthmetricsandevaluation.org

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One Direction named MTV's 2012 Artist of the Year

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

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

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

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

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

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

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Illinois foreclosures up for 11th month

Foreclosure activity in Illinois posted the 11th straight year-over-year increase in November, but compared with a month earlier, filings are trending in the right direction, according to new data released Thursday.

RealtyTrac said the 13,520 properties within the state that received a foreclosure notice last month was a decrease of 9 percent from October but up 9 percent from November 2011. last month's activity, which equated to one out of every 392 homes in the state receiving a notice, gave Illinois the nation's third-highest state foreclosure rate, surpassed by only Florida and Nevada.

In the Chicago-area counties of Cook, DuPage, Kane, Kendall, Lake and Will, almost 11,000 homes received a foreclosure notice in November, a decrease of 10.5 percent from October's level of activity but up 1.6 percent from November 2011

Most of that activity was in Cook County, where about 2,299 homes received initial notices of default, another 2,651 homes were scheduled for court-ordered sales and 2,086 homes were repossessed by lenders.

Among the nation's metropolitan areas, Rockford and Chicago ranked 11th and 13th, respectively, in terms of their foreclosure rates.

Nationally, the number of homes that were repossessed by lenders and became bank-owned rose on a year-over-year basis for the first time  since October 2010, the company said. In November, more than 59,000 homes across the country were repossessed, an increase of 11 percent from October and 5 percent from November 2011.

"The drop in overall foreclosure activity in November was caused largely by a 71-month low in foreclosure starts for the month, more evidence that we are past the worst of the foreclosure problem brought about by the housing bubble bursting six years ago," said Daren Blomquist, a company vice president. "But foreclosures are continuing to hobble the U.S. housing market as lenders finally seize properties that started the process a year or two ago, and much longer in some cases."

mepodmolik@tribune.com | Twitter @mepodmolik

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