Campaigning for victory, Romney speeches shift

NEWINGTON, N.H. (AP) — From an airport runway on a cold New Hampshire morning, Republican Mitt Romney faced 2,000 supporters and delivered the same speech he had given the day before — three times on the day before, actually.

"I won't just represent one party, I'll represent one nation," the presidential candidate declared Saturday for the fourth time in 36 hours as swing-state Republicans cheered, most of them hearing his pledge for the first time.

The Romney stump speech, like that of his opponent, is a carefully crafted 15 minutes that opens a window into the strategy behind his second presidential bid. And for Romney, it is a constantly evolving tool that has shifted sharply in recent weeks to appeal to the political center.

Let there be no doubt that Romney, who once described himself as "severely conservative," is aggressively courting the narrow slice of undecided voters — largely women and moderates — who have yet to settle on a candidate.

From central Florida to central Iowa, the stories Romney tells in daily campaign stops have changed to include intimate personal details. The emphasis on his business career has been forgotten. And while he repeatedly jabs President Barack Obama, he devotes as much time to an optimistic vision for an America that would "come roaring back" under a Romney administration.

"Come walk with me. Walk together to a better place," Romney said Saturday with the confidence of a man who has used the line several times before.

The year before, Romney launched his presidential campaign in New Hampshire with a very different message. At the time, he referenced his 25-year business career in almost every speech, suggesting he was uniquely qualified to repair the nation's ailing economy.

It was all economy, all the time.

"This, for me, is not about the next step in my political career," the former Massachusetts governor who also ran for president in 2008 told a New Hampshire audience in September 2011. "I don't have a political career. I spent 25 years in business."

But three days before Election Day, Romney the businessman had completed the journey to becoming Romney the politician.

He drew heavily from his experience in Massachusetts, devoting just a few sentences to his business career. He cited his work to cut taxes, create jobs, cut the deficit, improve education. And above all, he emphasized his ability to work with the Democrats who dominated state politics.

"Instead of attacking each other, we went to work to try to solve our problems," Romney said.

While heavily scripted, the daily stump speech also offers the occasional insight. Romney often slips dry humor into his speeches along with awkward words that sometimes raise eyebrows. He loves to begin sentences with, "In the final analysis," references "quartiles," and often proclaims, "Wow!"

On Saturday he joked that his New Hampshire supporters should "harangue" his friends. Later Saturday in Iowa, he noted that Sen. Chuck Grassley recently hit a deer with his car and asked, "Was it delicious?"

Romney has never possessed the same charm at the podium that allowed successful campaigners in the past — Ronald Reagan, Bill Clinton and Barack Obama among them — to connect with voters. But, in the speeches themselves, Romney has tried to address that weakness. This week he has repeatedly declared that "talk is cheap."

He also uses his speeches to address the regular criticism that he's not offering enough specifics. In virtually every rally since late summer, he outlines a five-point plan to get the nation's economy going. It's a general list of talking points that is largely in line with Obama's, albeit with different focuses.

First, Romney says he'd push an energy agenda that focuses on oil, gas and coal. He'd then adopt a trade policy that opens markets in Latin America and cracks down on China. The Republican also supports training and education programs that work around teachers unions. He'd also get the nation "on track" to a balanced budget. And finally, he would "champion small business."

Perhaps most striking is the shift in the personal stories he tells to help connect with voters.

For several months, on a near-daily basis, he shared underdog stories of oilmen and food industry magnates. In recent weeks, he has spoken instead about Boy Scouts who watched a space shuttle explosion, talked of a sister who has raised a child with Down syndrome and devoted a special mention to single mothers.

"I think of all the single moms who are scrimping and saving to make sure they have a good meal on the table at the end of the day for their children," he said this week. "We're a nation of people with great hearts who care very deeply about things bigger than ourselves."

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Roadside bomb kills Afghan district police chief

KABUL, Afghanistan (AP) — Officials say a roadside bombing in southern Afghanistan has killed a district police chief, as the insurgents increasingly target Afghan security forces amid the drawdown of foreign troops.

Ahmadulah Nazik, who is the administrator of Dand district in Kandahar province, said Rahmatullah Khan died Saturday while trying to reach a police outpost under Taliban attack.

The killing comes a day after four policemen were shot dead in southern Helmand province by their own colleagues. Taliban spokesman Qari Jusuf Ahmedi said the killers fled and joined the guerrillas.

The U.S.-led NATO coalition is continuing its drawdown toward a planned withdrawal of the majority of combat troops in 2014. Insider and other attacks have thrown doubt on the capabilities of the Afghans to maintain control after the transition.

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Songs offer messages of hope at Sandy benefit show

NEW YORK (AP) — From "Livin' on a Prayer" to "The Living Proof," every song Friday at NBC's benefit concert for superstorm Sandy victims became a message song.

New Jersey's Jon Bon Jovi gave extra meaning to "Who Says You Can't Go Home." Billy Joel worked in a reference to Staten Island, the decimated New York City borough. The hourlong event, hosted by Matt Lauer, was heavy on stars and lyrics identified with New Jersey and the New York metropolitan area, which took the brunt of this week's deadly storm. The telethon was a mix of music, storm footage and calls for donations from Jon Stewart, Tina Fey, Whoopi Goldberg and others.

The mood was somber but hopeful, from Christina Aguilera's "Beautiful" to Bon Jovi's "Livin' on a Prayer" and a tearful Mary J. Blige's "The Living Proof," her ballad of resilience with the timely declaration that "the worst is over/I can start living now." Joel rocked out with "Miami 2017 (Seen the Lights Go Out on Broadway)," a song born from crisis, New York City's near bankruptcy in the 1970s, while Jimmy Fallon endured a faulty microphone and gamely led an all-star performance of the Drifters' "Under the Boardwalk" that featured Joel, Bruce Springsteen and Steven Tyler. The Aerosmith frontman then sat behind a piano and gave his all on a strained but deeply emotional "Dream On." Sting was equally passionate during an acoustic, muscular version of The Police hit "Message In a Bottle" and its promise to "send an SOS to the world."

The show ended, as it only could, with Springsteen and the E Street Band, tearing into "Land Of Hope and Dreams."

"God bless New York," Springsteen, New Jersey's ageless native son, said in conclusion. "God bless the Jersey shore."

The stable of NBC Universal networks, including USA, CNBC, MSNBC, E! Entertainment, The Weather Channel and Bravo, aired the concert live from the NBC studios in Rockefeller Center in midtown Manhattan, several blocks north of where the city went days without power. Millions of people for whom the benefit was organized couldn't watch the event because they had no electricity.

NBC Universal invited other networks to televise the event, but not everyone signed on.

That might have something to do with network rivalries.

In the wake of the Sept. 11 terrorist attacks, the networks organized a benefit together behind the scenes and it was televised on more than 30 networks simultaneously, including all the big broadcasters.

After Hurricane Katrina, NBC televised its own benefit before the other broadcasters, one that became best known for Kanye West's off-script declaration that "George Bush doesn't care about black people." The other broadcasters cooperated on their own telethon a week later, and NBC televised that one, too.

Also this year, NBC organized and scheduled a telethon and gave others the chance to air it.

Others declined to televise Friday's telethon, even though ABC parent Walt Disney Co. said it would donate $2 million to the American Red Cross and various ABC shows will promote a "Day of Giving" on Monday. The CBS Corp., Viacom Inc., parent of "Jersey Shore" network MTV, Fox network owner News Corp. also announced big donations to the Red Cross.

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Floods render NYC hospitals powerless

NEW YORK (AP) — There are few places in the U.S. where hospitals have put as much thought and money into disaster planning as New York. And yet two of the city's busiest, most important medical centers failed a fundamental test of readiness during Superstorm Sandy this week: They lost power.

Their backup generators failed, or proved inadequate. Nearly 1,000 patients had to be evacuated.

The closures led to dramatic scenes of doctors carrying patients down dark stairwells, nurses operating respirators by hand, and a bucket brigade of National Guard troops hauling fuel to rooftop generators in a vain attempt to keep the electricity on.

Both hospitals, NYU Langone Medical Center and Bellevue Hospital Center, were still trying to figure out exactly what led to the power failures Thursday, but the culprit appeared to be the most common type of flood damage there is: water in the basement.

While both hospitals put their generators on high floors where they could be protected in a flood, other critical components of the backup power system, such as fuel pumps and tanks, remained in basements just a block from the East River.

Both hospitals had fortified that equipment against floods within the past few years, but the water — which rushed with tremendous force — found a way in.

"This reveals to me that we have to be much more imaginative and detail-oriented in our planning to make sure hospitals are as resilient as they need to be," said Irwin Redlener, director of the National Center for Disaster Preparedness at Columbia University's Mailman School of Public Health.

The problem of unreliable backup electricity at hospitals is nothing new.

Over the first six months of the year, 23 percent of the hospitals inspected by the Joint Commission, a health care facility accreditation group, were found to be out of compliance with standards for backup power and lighting, according to a spokesman.

Power failures crippled New Orleans hospitals after Hurricane Katrina. The backup generator failed at a hospital in Stafford Springs, Conn., after the remnants of Hurricane Irene blew through the state in 2011. Hospitals in Houston were crippled when Tropical Storm Allison flooded their basements and knocked out electrical equipment in 2001.

When the Northeast was hit with a crippling blackout in 2003, the backup power at several of New York City's hospitals failed or performed poorly. Generators malfunctioned or overheated. Fuel ran out too quickly. Even where the backup systems worked, they provided electricity to only some parts of the hospital and left others in the dark.

Afterward, a mayoral task force recommended upgrading testing standards for generators and requiring backup plans for blood banks and health care facilities that provide dialysis treatment.

Alan Aviles, president of New York City's Health and Hospitals Corp., which operates Bellevue, said that after a scare last summer when Hurricane Irene threatened to cause flooding, Bellevue put its basement-level fuel pumps in flood-resistant chambers.

It still isn't clear whether water breached those defenses, but when an estimated 17 million gallons of water rushed through loading docks and into the hospital's 1-million-square-foot basement, the fuel feed to the generators stopped working. The floodwaters also knocked out the hospital's elevators.

For two days, National Guardsmen carried fuel to the generators, but conditions inside the hospital for patients and staff deteriorated anyway. The generators were designed to supply only 30 percent of the usual electrical load at the hospital, leaving a lot of equipment and labs hobbled. The hospital also lost all water pressure on Tuesday. Nearly 700 patients had been evacuated by Thursday afternoon.

"The precautions we had taken to date had served us well," Aviles said. "But Mother Nature can always up the stakes."

NYU Langone Medical Center had also tried to armor itself against floods.

All seven of the generators providing backup power to the parts of the hospital involved in patient care are only a few years old and are on higher floors. The fuel tank is in a watertight vault. New fuel pumps were installed just this year in a pump house upgraded to withstand a high flood, said the hospital's vice president of facilities operation, Richard Cohen.

"The medical center invested quite a bit of money to upgrade the facility," he said.

The pump house remained "bone dry," Cohen said. But water shoved aside plastic and plywood defenses and infiltrated the fuel vault, where sensors detected the potentially damaging liquid and shut the generators down. "The force of the surge that came in was unbelievable. It dislodged our additional protection and caused a breach of the vault as well," Cohen said.

The power at NYU went out in a flash, leaving the staff scrambling to evacuate 300 patients with no notice.

Dr. Robert Berg, an obstetrician, said that when he lost power in his apartment, he went to the hospital to charge his cellphone and was stunned to find it in chaos.

"It didn't really occur to me that the hospital was going to be in trouble," he said. Even after finding the lobby dark, "I thought, 'We'll have power upstairs. We're an operating room.'"

He wound up carrying two patients down flights of stairs on a "med sled."

"There was a Category 1 outside and a Category 4 inside," he said. "I can't say that they were very well prepared for it."

That has left only one hospital, Beth Israel Medical Center, functioning in the southern third of Manhattan. It is also on backup power, but brought in two huge new generators Thursday, just in case.

Aviles said Bellevue might be out of commission for at least two more weeks. NYU Langone's generators are operating again, but the hospital is waiting for Consolidated Edison to restore its power before it starts taking patients again. That could happen in a matter of days.

Flooding may pose less of a danger to the hospital's power supply in the future. Construction is under way on a new power plant, at a cost of more than $200 million, that will run on natural gas and supply all the hospital's power needs.

"It's a tremendous facility, with a lot of hardening built into it," Cohen said.

___

AP Medical Writer Mike Stobbe contributed to this report.

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Bloomberg cancels marathon amid outcry

RT @YahooSportsNBA: Jeremy Lin and James Harden are the NBA’s best backcourt. Do not argue. http://t.co/zsGlGTgp via @YahooBDL
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Japan protests another US troop-related incident

TOKYO (AP) — A U.S. airman is suspected of assaulting a young boy Friday on the southern Japanese island of Okinawa, authorities said. The incident comes just two weeks after a curfew was imposed on all 52,000 U.S. troops in Japan after the arrest of two Navy sailors for allegedly raping a local woman.

Authorities on Okinawa said the 24-year-old airman was suspected of entering an apartment and punching the 13-year-old boy before breaking a TV set and trying to escape through a third-floor window. The airman — whose name has not been released — fell and was taken to a military hospital.

Japan's Foreign Ministry said the government had lodged a formal complaint with U.S. Ambassador John Roos.

"Let me be absolutely clear: I am very upset — it's an understatement to say I'm very upset — with the reported incident in Okinawa," Roos said after meeting Japanese officials. "It is incredibly unfortunate that the purported actions of a few reflect badly on thousands of young men and women here in Japan, away from their homes, that are here for the defense of Japan."

Defense Minister Satoshi Morimoto called the incident "unforgivable."

Military-related crime is an emotional issue on Okinawa, and all U.S. troops in Japan were put under a curfew from 11 p.m. to 5 a.m. after the sailors were arrested for the alleged rape there on Oct. 16. Friday's incident is believed to have occurred at about 1 a.m.

The airman reportedly had been drinking in a bar on the building's first floor. He was being treated at a military hospital for possible broken bones and internal injuries, according to a statement by Kadena Air Base, where he is stationed.

"It is extremely regrettable when an alleged incident like this occurs," said Col. Brian McDaniel, the vice commander of Kadena's 18th Wing. "We are fully cooperating with Okinawan authorities on this investigation to ensure justice is served."

Local opposition to the U.S. bases over noise, safety and crime flared into mass protests after the 1995 rape of a schoolgirl by three American servicemen. The outcry eventually led to an agreement to close a major Marine airfield, but the plan has stalled for more than a decade over where a replacement facility should be located.

More than half of all U.S. troops in Japan are stationed on Okinawa, and the recent incidents have further inflamed tensions and distrust.

About 1,300 people held a protest earlier this week over the alleged October rape and the deployment of the Marine Corps' MV-22 Osprey to a base there. Many Okinawans believe the aircraft isn't safe to operate over their crowded cities.

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Apple rolls out iPad mini in Asia to shorter lines

SYDNEY (Reuters) - Apple fans lined up in several Asian cities to get their hands on the iPad mini on Friday, but the device, priced above rival gadgets from Google and Amazon.com, attracted smaller crowds than at the company's previous global rollouts.


Apple Inc's global gadget rollouts are typically high-energy affairs drawing droves of buyers who stand in line for hours. But a proliferation of comparable rival devices may have sapped some interest.


About 50 people waited for the Apple store in Sydney, Australia, to open, where in the past the line had stretched for several blocks when the company debuted new iPhones.


At the head of Friday's line was Patrick Li, who had been waiting since 4:30 am and was keen to get his hands on the 7.9-inch slate.


"It's light, easy to handle, and I'll use it to read books. It's better than the original iPad," Li said.


There were queues of 100 or more outside Apple stores in Tokyo and Seoul when the device went on sale, but when the company's flagship Hong Kong store opened staff appeared to outnumber those waiting in line.


The iPad mini marks Apple's first foray into the smaller-tablet segment, and the latest salvo in a global mobile-device war that has engulfed combatants from Internet search leader Google Inc to Web retailer Amazon.com Inc and software giant Microsoft Corp.


Microsoft's 10-inch Surface tablet, powered by the just-launched Windows 8 software, went on sale in October, while Google and Amazon now dominate sales of smaller, 7-inch multimedia tablets.


POSITIVE REVIEWS


Unveiled last week, the iPad mini has won mostly positive reviews, with criticism centering on a screen considered inferior to rivals' and a lofty price tag. The new tablet essentially replicates most of the features of its full-sized sibling, but in a smaller package.


"Well, first of all it's so thin and light and very cute - so cute!" said iPad mini customer Ten Ebihara at the Apple store in Tokyo's upscale Ginza district.


At $329 for a Wi-Fi only model, the iPad mini is a little costlier than predicted but some analysts see that as Apple's attempt to retain premium positioning.


Some investors fear the gadget will lure buyers away from Apple's $499 flagship 9.7-inch iPad, while proving ineffective in combating the threat of Amazon's $199 Kindle Fire and Google's Nexus 7, both of which are sold at or near cost.


Also on Friday, Apple rolled out its fourth-generation iPad, with the same 9.7-inch display as the previous version but with a faster A6X processor and better Wi-Fi. Both devices were going on sale in more than 30 countries.


Apple will likely sell between 1 million and 1.5 million iPad minis in the first weekend, far short of the 3 million third-generation iPads sold last March in their first weekend, according to Piper Jaffray analyst Gene Munster.


"The reason we expect fewer iPad minis compared to the 3rd Gen is because of the lack of the wireless option and newness of the smaller form factor for consumers," Munster said in a note to clients. "We believe that over time that will change."


Reviewers have applauded Apple for squeezing most of the iPad's features into a smaller package that can be comfortably manipulated with one hand.


James Vohradsky, a 20 year-old student who previously queued for 17 hours at the Sydney store to buy the iPhone 5, only stood in line for an hour and a half this time.


"I had an iPad 1 before, I kind of miss it because I sold it about a year ago. It's just more practical to have the mini because I found it a bit too big. The image is really good and it's got the fast A5 chip too," Vohradsky said.


The iPad was launched in 2010 by late Apple boss Steve Jobs and since then it has taken a big chunk out of PC sales, upending the industry and reinventing mobile computing with its apps-based ecosystem.


A smaller tablet is the first device to be added to Apple's compact portfolio under Cook, who took over from Jobs just before his death a year ago. Analysts credit Google and Amazon for influencing the decision.


Some investors worry that Apple might have lost its chief visionary with Jobs, and that new management might not be able to stay ahead of the pack as rivals innovate and encroach on its market share.


(Additional reporting by Mariko Lochridge in Tokyo, Stefanie McIntyre in Hong Kong and Miyoung Kim in Seoul; Writing by Noel Randewich and Edwin Chan in San Francisco; Editing by Phil Berlowitz and Alex Richardson)


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Blake Shelton pulls off surprise win at CMAs

NASHVILLE, Tenn. (AP) — Winning the Country Music Association Awards' entertainer of the year is a top honor and always counted as a career high point. But for Blake Shelton it wasn't even the most memorable moment of an amazing Thursday night.

"The Voice" star took home three trophies, including his third straight male vocalist victory, but nothing compared to sharing song of the year with wife Miranda Lambert. The pair wrote "Over You," about the death of Shelton's brother Richie in a car wreck 15 years ago. He said that trophy will always have a special place in their Oklahoma home.

"For me as a songwriter that is as personal as I can get," Shelton said. "So that songwriter award, song of the year award, it will have its own shelf. It will have spotlights on it and an alarm and everything. Trip wires and there will be a land mine if you walk towards it. It is a real big deal to Miranda and I."

Shelton's entertainer win was the biggest surprise of a night full of them. Even he couldn't believe he'd won the award in a field that included Taylor Swift, Jason Aldean, Kenny Chesney and Brad Paisley.

"I didn't think about that tonight. I was thinking there's Taylor Swift right there," he said of the two-time entertainer of the year. "Really, this is pretty dumb that there's anyone else even nominated."

The reality, though, is Shelton capped one of the most impressive career reboots in country music history with the win. About three years ago, he was searching for a hit or a gimmick that might return him to the top of the charts, without much luck. He scored a novelty hit with Trace Adkins called "Hillbilly Bone," began a run of hits and then joined "The Voice" in a move that made him an instant celebrity outside the country world.

He hasn't sold as many records as Swift, whose "Red" just moved 1.2 million copies in its first week, or as many concert tickets as Chesney or Aldean. But his leading-man looks, wicked sense of humor, Twitter presence and mellow baritone have made him one of country's top stars.

While Shelton didn't give himself much of a shot, Lambert — who also won her third straight female vocalist of the year award — thought he fit the definition of entertainer of the year after doing a little research.

"I realized that it just meant not only touring numbers, not only ticket sales or how much production you have, but the way that you represent country music within a year," Lambert said. "The media that you do and the work that you do and the TV shows that you are on and how you represent yourself and how you speak out about country music. When you think about it that way, Blake Shelton deserved to win that trophy tonight."

Shelton's victory was just one of many surprises during the awards. Quartet Little Big Town joined Lambert with two wins apiece, taking home vocal group and single of the year for "Pontoon." And Thompson Square's Shawna and Keifer Thompson won vocal duo of the year, ending Sugarland's five-year run in that category.

"Y'all, this has been a 13-year journey," Karen Fairchild said as members of the group fist-pumped, jumped up and down and shouted on stage. "We're living proof that if you work really hard and chase your dream, all the good stuff happens and it follows you. Nashville, you made us your band. Thank you for letting us do this."

Like fellow outsiders LBT, Eric Church felt the love from the CMA's voters for the first time. He won the prestigious album of the year for his breakthrough record "Chief," signaling the North Carolina native's complete acceptance by the country music community.

"I spent a lot of my career wondering where I fit in — too country, too rock," Church told the crowd. "I want to thank you guys for giving me somewhere to hang my hat tonight."

The awards went off-script early, and not just for Little Big Town. Thompson Square won in a category that's been locked up by either Sugarland or Brooks & Dunn 19 of the last 20 years.

"Ever since I was 5 years old, I used to practice in the kitchen with one of my Meemaw's Mason jars for this moment here," Shawna Thompson said.

Hunter Hayes won new artist of the year, while Chesney and Tim McGraw won musical event of the year for "Party Like a Rock Star" and Toby Keith won video of the year for "Red Solo Cup."

Church helped kick off the show by combining forces with Aldean and Luke Bryan. Playing with a large American flag behind them, the trio of performers teamed up on Aldean's new single "The Only Way I Know" from his new album "Night Train" and earned a standing ovation. Each returned later to play singles, showing how large a market share they now own in country music.

Most of country's top stars were on hand at Nashville's Bridgestone Arena for the celebration, with many slated to perform. Swift performed her somber new single "Begin Again" on a set with a picture of the Eiffel Tower and falling leaves in the background. She received an ovation of her own.

Shelton, McGraw and wife Faith Hill, Lady Antebellum and Keith Urban joined together to salute lifetime achievement winner Willie Nelson, ending with a group sing-along of his iconic "On the Road Again."

Little Big Town performed their winner "Pontoon," a song that was something of a departure for Fairchild, Kimberly Schlapman, Jimi Westbrook and Phillip Sweet. Produced by Jay Joyce, the song has a sharper groove than LBT's previous efforts.

In a coincidence, Joyce also produced Church's "Chief." The hard edge he brought to both paid off all around.

Church said album of the year, arguably the CMA's second most prestigious award, was a win that fit right in with his and Joyce's philosophy.

"I still think in this day and time the only way to really get a fan base is you've got to give them more than one chapter of a book," Church said. "They've got to read the whole book."

___

AP writer Kristin M. Hall in Nashville contributed to this report.

___

Online:

http://cmaworld.com

http://abc.go.com/shows/cma-awards

___

For the latest country music news from the Associated Press: http://twitter.com. Follow AP Music Writer Chris Talbott: http://twitter.com/Chris_Talbott.

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Floods render NYC hospitals powerless

NEW YORK (AP) — There are few places in the U.S. where hospitals have put as much thought and money into disaster planning as New York. And yet two of the city's busiest, most important medical centers failed a fundamental test of readiness during Superstorm Sandy this week: They lost power.

Their backup generators failed, or proved inadequate. Nearly 1,000 patients had to be evacuated.

The closures led to dramatic scenes of doctors carrying patients down dark stairwells, nurses operating respirators by hand, and a bucket brigade of National Guard troops hauling fuel to rooftop generators in a vain attempt to keep the electricity on.

Both hospitals, NYU Langone Medical Center and Bellevue Hospital Center, were still trying to figure out exactly what led to the power failures Thursday, but the culprit appeared to be the most common type of flood damage there is: water in the basement.

While both hospitals put their generators on high floors where they could be protected in a flood, other critical components of the backup power system, such as fuel pumps and tanks, remained in basements just a block from the East River.

Both hospitals had fortified that equipment against floods within the past few years, but the water — which rushed with tremendous force — found a way in.

"This reveals to me that we have to be much more imaginative and detail-oriented in our planning to make sure hospitals are as resilient as they need to be," said Irwin Redlener, director of the National Center for Disaster Preparedness at Columbia University's Mailman School of Public Health.

The problem of unreliable backup electricity at hospitals is nothing new.

Over the first six months of the year, 23 percent of the hospitals inspected by the Joint Commission, a health care facility accreditation group, were found to be out of compliance with standards for backup power and lighting, according to a spokesman.

Power failures crippled New Orleans hospitals after Hurricane Katrina. The backup generator failed at a hospital in Stafford Springs, Conn., after the remnants of Hurricane Irene blew through the state in 2011. Hospitals in Houston were crippled when Tropical Storm Allison flooded their basements and knocked out electrical equipment in 2001.

When the Northeast was hit with a crippling blackout in 2003, the backup power at several of New York City's hospitals failed or performed poorly. Generators malfunctioned or overheated. Fuel ran out too quickly. Even where the backup systems worked, they provided electricity to only some parts of the hospital and left others in the dark.

Afterward, a mayoral task force recommended upgrading testing standards for generators and requiring backup plans for blood banks and health care facilities that provide dialysis treatment.

Alan Aviles, president of New York City's Health and Hospitals Corp., which operates Bellevue, said that after a scare last summer when Hurricane Irene threatened to cause flooding, Bellevue put its basement-level fuel pumps in flood-resistant chambers.

It still isn't clear whether water breached those defenses, but when an estimated 17 million gallons of water rushed through loading docks and into the hospital's 1-million-square-foot basement, the fuel feed to the generators stopped working. The floodwaters also knocked out the hospital's elevators.

For two days, National Guardsmen carried fuel to the generators, but conditions inside the hospital for patients and staff deteriorated anyway. The generators were designed to supply only 30 percent of the usual electrical load at the hospital, leaving a lot of equipment and labs hobbled. The hospital also lost all water pressure on Tuesday. Nearly 700 patients had been evacuated by Thursday afternoon.

"The precautions we had taken to date had served us well," Aviles said. "But Mother Nature can always up the stakes."

NYU Langone Medical Center had also tried to armor itself against floods.

All seven of the generators providing backup power to the parts of the hospital involved in patient care are only a few years old and are on higher floors. The fuel tank is in a watertight vault. New fuel pumps were installed just this year in a pump house upgraded to withstand a high flood, said the hospital's vice president of facilities operation, Richard Cohen.

"The medical center invested quite a bit of money to upgrade the facility," he said.

The pump house remained "bone dry," Cohen said. But water shoved aside plastic and plywood defenses and infiltrated the fuel vault, where sensors detected the potentially damaging liquid and shut the generators down. "The force of the surge that came in was unbelievable. It dislodged our additional protection and caused a breach of the vault as well," Cohen said.

The power at NYU went out in a flash, leaving the staff scrambling to evacuate 300 patients with no notice.

Dr. Robert Berg, an obstetrician, said that when he lost power in his apartment, he went to the hospital to charge his cellphone and was stunned to find it in chaos.

"It didn't really occur to me that the hospital was going to be in trouble," he said. Even after finding the lobby dark, "I thought, 'We'll have power upstairs. We're an operating room.'"

He wound up carrying two patients down flights of stairs on a "med sled."

"There was a Category 1 outside and a Category 4 inside," he said. "I can't say that they were very well prepared for it."

That has left only one hospital, Beth Israel Medical Center, functioning in the southern third of Manhattan. It is also on backup power, but brought in two huge new generators Thursday, just in case.

Aviles said Bellevue might be out of commission for at least two more weeks. NYU Langone's generators are operating again, but the hospital is waiting for Consolidated Edison to restore its power before it starts taking patients again. That could happen in a matter of days.

Flooding may pose less of a danger to the hospital's power supply in the future. Construction is under way on a new power plant, at a cost of more than $200 million, that will run on natural gas and supply all the hospital's power needs.

"It's a tremendous facility, with a lot of hardening built into it," Cohen said.

___

AP Medical Writer Mike Stobbe contributed to this report.

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Gas stations scramble in Sandy's aftermath

NEW YORK (AP) — There's plenty of gasoline in the Northeast — just not at gas stations.

In parts of New York and New Jersey, drivers lined up Thursday for hours at gas stations that were struggling to stay supplied. The power outages and flooding caused by Superstorm Sandy have forced many gas stations to close and disrupted the flow of fuel from refineries to those stations that are open.

At the same time, millions of gallons of gasoline are sitting at the ready in storage tanks, pipelines and tankers that can't unload their cargoes.

"It's like a stopped up drain," said Tom Kloza, Chief Oil Analyst at the Oil Price Information Service.

For people staying home or trying to restart a business, the scene wasn't much brighter: Millions were in the dark and many will remain so for days. As of Thursday, 4.5 million homes were without power, down from a peak of 8.5 million. The New Jersey utility Public Service Electric & Gas said it will restore power to most people in 7 to 10 days. Consolidated Edison, which serves New York City and Westchester County, said most customers will have power by Nov. 11, but some might have to wait an additional week or longer.

Superstorm Sandy found a host of ways to cripple the region's energy infrastructure. Its winds knocked down power lines and its floods swamped electrical substations that send power to entire neighborhoods. It also mangled ports that accept fuel tankers and flooded underground equipment that sends fuel through pipelines. Without power, fuel terminals can't pump gasoline onto tanker trucks, and gas stations can't pump fuel into customers' cars.

The Energy Department reported Thursday that 13 of the region's 33 fuel terminals were closed. Sections of two major pipelines that serve the area — the Colonial Pipeline and the Buckeye Pipeline — were also closed.

Thousands of gas stations in New Jersey and Long Island were closed because of a lack of power. AAA estimates that 60 percent of the stations in New Jersey are shut along with up to 70 percent of the stations in Long Island.

Thursday morning the traffic to a Hess station on 9th Avenue in New York City filled two lanes of the avenue for two city blocks. Four police officers were directing the slow parade of cars into the station.

A few blocks away, a Mobil station sat empty behind orange barricades, with a sign explaining it was out of gas.

Taxi and car service drivers were running dry — and giving up, even though demand for rides was high because of the crippled public transit system. Northside Car Service in Williamsburg, Brooklyn has 250 drivers available on a typical Thursday evening. Today they had just 20. "The gas lines are too long," said Thomas Miranda, an operator at Northside.

Betty Bethea, 59, waited nearly three hours to get to the front of the line at a Gulf station in Newark, but she brought reinforcements: Her kids were there with gas cans, and her husband was behind her in his truck.

Bethea had tried to drive to her job at a northern New Jersey Kohl's store on Thursday morning, only to find her low-fuel light on. She and her husband crisscrossed the region in search of gas and were shooed away by police at every closed station she encountered.

"It is crazy out here — people scrambling everywhere, cutting in front of people. I have never seen New Jersey like this," Bethea said.

But relief appeared to be on the way, even as the lines grew Thursday. The Environmental Protection Agency lifted requirements for low-smog gasoline, allowing deliveries of gasoline from other regions. Tanker trucks sped north from terminals in Baltimore and other points south with fuel.

A big delivery of fuel was on its way south to Boston from a Canadian refinery. Ports and terminals remained open in Connecticut, Rhode Island, and Pennsylvania, and portions of the Colonial and Buckeye pipelines are expected to re-open on Friday. Kinder Morgan Energy Partners expects to open its three terminals in New Jersey and New York over the next two days after bringing in backup generators.

And the U.S. Coast Guard opened the Port of New York and New Jersey to tankers Thursday.

Logistical problems will remain, though, for days. Barges can now visit terminals up the Hudson River and into Long Island Sound, but many of the major fuel hubs and terminals near the New York and New Jersey ports still can't offload fuel. They need to get electricity back, pump water out of flooded areas, and inspect equipment before starting operations again.

And gas stations won't be able to open up until they have power, either.

That means tanker trucks will have to travel further to deliver fuel to stations, and customers will have to drive further to find open stations.

It does not mean, however, that the region will run out of gasoline. OPIS's Kloza suspects the long lines are partly a result of panic-buying.

"This is not the Arab Oil Embargo again," he said. "There are moments when hysteria is warranted, and moments it's not. Right now, it's not."

Prices shouldn't spike like they did in the 1970s — or even as they did before Hurricane Isaac slammed the Gulf Coast this summer. There may be a short-term increase, but gas prices should resume what has been a 6-week slide. Gasoline demand is very low at this time of year, and there's enough fuel to go around — as soon as it can get around.

The national average gasoline price fell a penny to $3.51 per gallon Thursday, according to AAA, OPIS and Wright Express. Six weeks ago the price was $3.87.

Patrick DeHaan of GasBuddy.com, which collects gasoline prices from thousands of drivers, said prices weren't spiking in New York and New Jersey on Thursday. It was just a matter of finding stations that were open and had fuel.

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Samantha Henry and Michael Rubinkam contributed to this story from Newark, N.J.

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Follow Jonathan Fahey on Twitter at http://twitter.com/JonathanFahey .

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