Tolkien class at Wis. university proves popular

MILWAUKEE (AP) — The vast collection of J.R.R. Tolkien manuscripts initially sold senior Joe Kirchoff on Marquette University, so when the school offered its first course devoted exclusively to the English author, Kirchoff wanted in. The only problem: It was full and he wasn't on the literature track.

Undaunted, the 22-year-old political science and history major lobbied the English department and others starting last spring and through the summer and "kind of just made myself a problem," he said. His persistence paid off.

"It's a fantastic course," said Kirchoff, a Chicago native. "It's a great way to look at something that's such a creative work of genius in such a way you really come to understand the man behind it."

He and the 31 other students can now boast of their authority about the author who influenced much of today's high fantasy writing. The course was taught for the first time this fall as part of the university's celebration of the 75th anniversary of "The Hobbit" being published. And class wrapped up just before the film, "The Hobbit: An Unexpected Journey," was released Friday.

The class, which filled up fast with mostly seniors who had first dibs, looked at Tolkien as a whole, not just the popular "Lord of the Rings" and "The Hobbit." Students took their final exam this week, and the course was so well received, Marquette is considering more in the future.

"It's the best class I've had in 27 years here ... for student preparation, interest and enthusiasm," said English professor Tim Machan. "And I can throw out any topic and they will have read the material and they want to talk about the material."

Marquette is one of the main repositories of Tolkien's drafts, drawings and other writings — more than 11,000 pages. It has the manuscripts for "The Lord of the Rings" and "The Hobbit," as well as his lesser-known "Farmer Giles of Ham" and his children's book "Mr. Bliss." Marquette was the first institution to ask Tolkien for the manuscripts in 1956 and paid him about $5,000. He died in 1973.

Other significant collections are at the Bodleian Library at Oxford University in England and Wheaton College in Illinois.

Though Tolkien classes aren't unusual nationwide, Marquette students had the added bonus of being able to visit Tolkien's revisions, notes, detailed calendars, maps and watercolors on site at the school's archive. And they got a lesson from the school's archivist Bill Fliss.

"One of the things we wanted to impress upon the students was the fact that Tolkien was a fanatical reviser," said Fliss said. "He never really did anything once and was finished with it."

Chrissy Wabiszewski, a senior English major, described Tolkien's manuscripts as art.

"When you get down and look at just his script and his artwork in general, it all kind of flows together in this really beautiful, like, cumulative form," Wabiszewski said. "It's cool. It is just really cool to have it here."

The class also looked at Tolkien's poetry, academic articles and translations of medieval poems; talked about the importance of his writers' group, the Inklings; and explored what it meant to be a writer at that time.

"We've ... tried to think about continuities that ran through everything he did," Machan said. His students were also required to go to three lectures that were part of Marquette's commemoration.

"The Hobbit," a tale of homebody Bilbo Baggins' journey, is set in Tolkien's fictional realm of Middle-earth and takes place 60 years before "The Lord of the Rings." The movie released Friday is the first of the trilogy, with "The Hobbit: There and Back Again" set for release on Dec. 13, 2013, and a third film to come out in the summer of 2014.

Most of the students were just finishing elementary school when the first "Lord of the Rings" film was released 11 years ago.

Kirchoff said he started reading "The Hobbit" and the "Lord of the Rings" when he was in fourth grade, before the movies came out. He said the movies have introduced others to Tolkien's ideas, making his love for Tolkien's fantasy worlds more socially acceptable.

"The movies were fantastic enough and engaging enough to coexist in my mind with the literature I really do love," he said.

Wabiszewski said it's clear her classmates weren't just taking the class as a filler.

"I definitely expected the enthusiasm from everybody but just the knowledge that everybody brought into the class, it's cool," she said. "We really have a smart group of people in that class who have a lot to offer."

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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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Sherman can be followed on Twitter at https://twitter.com/chrisshermanAP .

Plushnick-Masti can be followed on Twitter at https://twitter.com/RamitMastiAP .

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With Rice out, is Kerry a lock for secretary of state?

So, it's official: Ambassador Susan Rice will not be Secretary of State — she's withdrawn and President Obama has accepted, and John McCain is twisting his face in pleasure somewhere. Which means... John Kerry, right? Well, yes, probably — all the conservatives just love him now. But speculation also puts some other options in front of the president between now and whenever Hillary Clinton steps down — including, but not limited to, her husband.

RELATED: Susan Rice Edges One Step Closer to Getting Hillary Clinton's Job

The Long Shot

Name: Richard Berman

RELATED: John Kerry Wants Hillary Clinton's Job

Credentials: 15 terms in Congress; served on important security committees; reputation for being discreet. 

RELATED: Huntsman: The Candidate Who Couldn't

Source of Speculation: A bunch of people talking about it to reporters. But not in a "we hear that Obama's thinking..." kind of way. Berman just lost re-election after his district in California was re-zoned, and the guy who beat him said he thought he might be good for the job — and so it went from there. 

RELATED: Why You Shouldn't Trust Gadget Rumors

Likelihood of Actually Getting It: Slim. Berman doesn't even have the kind of national profile necessary for such an international job, and no White House officials are leaking his name. It's all good-will consolation prize quotes from his teammates after he just lost his job. 

RELATED: John Kerry, Organic Food, and the Hair of Dorian Gray

The Really Long Shot

Name: Bill Clinton

Credentials: Served two terms as President; former Gov. of Arkansas; is insanely popular; Obama owes him a favor for helping to save his campaign with his legendary, mostly-improvised convention speech. 

Source of Speculation: Joe Nocera thinks it's a good idea, and a New York Post report from June said Clinton might be angling for the Secretary of State job under a potential Ander Cuomo Presidency if Hillary does decide not to run in 2016. "I think everyone who knows Bill Clinton knows he'd love to be secretary of state because he's so smart and because he knows so much about the world," an 'insider' told the Post.

Likelihood of Actually Getting It: Dream on.

The Fool-Me-Twice Shot

Name: Jon Huntsman

Credentials: Former Utah Gov, former Ambassador to China and Singapore, former Republican presidential candidate. 

Source of Speculation: An Associated Press report that said "officials" were looking at him for the job. 

Likelihood of Actually Getting It: Slim, for different reasons. Namely that he'd probably never accept the appointment. Huntsman was the Republican Obama's team was most scared of in the last election, and the President named him his Ambassador to China, so it's clear Obama thinks highly of him. But Huntsman has dreams of potentially running for the Big Job again, potentially against Hillary in 2016, and this would make it pretty hard — if not impossible — to get Republican support for that. 

The Safe Bet

Name: William Burns

Credentials: Current Deputy Secretary of State.

Source of Speculation: The same report that named Huntsman as a candidate. 

Likelihood of Actually Getting It: Good, if not great. He's Hillary's current number two, and he's getting good buzz with "insiders," apparently. The report that floated his name left things a bit unspectacular, though. Burns, "is a career diplomat who has no political baggage and would be unlikely to stir significant opposition among lawmakers." So, basically, he's an unsexy pick that wouldn't garner any headlines. 

The Safest Bet

Name: John Kerry

Credentials: He's getting it. 

Source of Speculation: He's getting it.

Likelihood of Actually Getting It: Guys, it's going to be Kerry. Just stop. 

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South Korea: NKorea's satellite orbiting normally

PYONGYANG, North Korea (AP) — A satellite North Korea launched aboard a long-range rocket is orbiting normally, South Korea said Thursday, following a defiant liftoff that drew a wave of international condemnation.

Washington and its allies are pushing for punishment over the launch they say is nothing but a test of banned ballistic missile technology.

The launch of the three-stage rocket — similar in design to a model capable of carrying a nuclear-tipped warhead as far as California — raises the stakes in the international standoff over North Korea's expanding atomic arsenal. As Pyongyang refines its technology, its next step may be conducting its third nuclear test, experts warn.

South Korea's Defense Ministry said the satellite launched by the rocket is orbiting normally at a speed of 7.6 kilometers (4.7 miles) per second, though it's not known what mission it is performing. North Korean space officials say the satellite would be used to study crops and weather patterns.

Defense Ministry Spokesman Kim Min-seok said it usually takes about two weeks to determine whether a satellite works succesfully after liftoff. He cited data from the North American Aerospace Defense Command.

The North American Aerospace Defense Command also said "initial indications are that the missile deployed an object that appeared to achieve orbit."

The U.N. Security Council, which has punished North Korea repeatedly for developing its nuclear program, condemned North Korea's action and said it will urgently consider "an appropriate response." The White House called the launch a "highly provocative act that threatens regional security," and even the North's most important ally, China, expressed regret.

In Pyongyang, however, pride over the scientific advancement outweighed the fear of greater international isolation and punishment. North Koreans clinked beer mugs and danced in the streets to celebrate.

"It's really good news," North Korean citizen Jon Il Gwang told The Associated Press as he and scores of other Pyongyang residents poured into the streets after a Wednesday noon announcement to celebrate the launch by dancing in the snow. "It clearly testifies that our country has the capability to enter into space."

In Seoul, about 100 people held a rally to protest the launch, and burned a stuffed doll of North Korean leader Kim Jong Un and a mock missile made of paper.

The rocket launch was North Korea's fifth bid since 1998. An April launch failed in the first of three stages, raising doubts among outside observers whether North Korea could fix what was wrong in eight months, but those doubts were erased Wednesday.

The Unha rocket, Korean for "galaxy," blasted off from a launch pad northwest of Pyongyang just three days after North Korea indicated that technical problems might delay the launch.

South Korean navy ships found what appears to be debris from the first stage rocket at Yellow Sea and were trying to retrieve them on Thursday, defense officials said. The debris is believed to be a fuel container of the first stage rocket.

The officials said South Korea has no plans to return it to North Korea because the launch violated U.N. council resolutions.

The launch could leave Pyongyang even more isolated and cut off from much-needed aid and trade.

The U.N. imposed two rounds of sanctions following nuclear tests in 2006 and 2009 and ordered the North not to conduct any launches using ballistic missile technology. Pyongyang maintains its right to develop a civilian space program, saying the satellite will send back crucial scientific data.

Pyongyang is thought to have a handful of rudimentary nuclear bombs, but experts believe the North lacks the ability to make a warhead small enough to mount on a missile that could threaten the United States.

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Associated Press writers Kim Kwang Hyon and Jon Chol Jin in Pyongyang, North Korea; Foster Klug, Hyung-jin Kim and Sam Kim in Seoul, South Korea contributed to this report.

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Google Maps makes its way back to the iPhone

(Reuters) – Google‘s navigation tool has returned to the iPhone, months after Apple‘s home-grown mapping service flopped, prompting user complaints, the firing of an executive and a public apology from Apple’s CEO.

The Google Maps app will be compatible with any iPhone or iPod Touch that runs iOS 5.1 or higher, the company said in a blog post. (http://link.reuters.com/jek64t)

Apple launched its own service in early September, and dropped Google Maps, when it launched the iPhone 5 and rolled out iOS 6, an upgrade to its mobile software platform.

Users complained that Apple’s new map service, based on Dutch navigation equipment and digital map maker TomTom’s data, contained errors and lacked features that made Google Maps popular.

In October, Scott Forstall, a long-time lieutenant of late Apple co-founder Steve Jobs, was asked to leave the company partly because of his refusal to take responsibility for the mishandling of the mapping software.

While Apple Maps offered soaring ‘flyover’ views of major cities, it had no public transit directions, limited traffic information, and obvious mistakes such as putting one city in the middle of the ocean.

This led to Apple chief executive Tim Cook apologizing to customers frustrated with the service and, in an unusual move for the U.S. consumer group, directed them to rival services such as Google’s Maps instead.

(Reporting by Tej Sapru and Ankur Banerjee in Bangalore; Editing by Chris Gallagher and Dan Lalor)

Gadgets News Headlines – Yahoo! News

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Familiar names line up for Golden Globe noms

BEVERLY HILLS, Calif. (AP) — A familiar lineup of Hollywood awards contenders are expected among Golden Globe nominations, whose prospects include past Oscar winners Daniel Day-Lewis, Helen Mirren, Robert De Niro and Sally Field.

Nominations come out Thursday morning for the 70th Globes ceremony, Hollywood's second-biggest film honors after the Academy Awards.

Among potential contenders are two-time Oscar winners Day-Lewis and Field for Steven Spielberg's Civil War saga "Lincoln," whose Globe possibilities also include past Oscar recipient Tommy Lee Jones.

Two-time Oscar winner De Niro is in the running for the lost-soul romance "Silver Linings Playbook," along with the film's lead performers, Bradley Cooper and Jennifer Lawrence.

The field of contenders is loaded with other Oscar recipients such as Mirren and Anthony Hopkins for "Hitchcock," Philip Seymour Hoffman for "The Master," Helen Hunt for "The Sessions," Marion Cotillard for "Rust and Bone," Russell Crowe for "Les Miserables" and Alan Arkin for "Argo."

One of the year's big action hits, the James Bond adventure "Skyfall," could bring the latest Globe nomination for past Oscar winner Javier Bardem, who elevates his super-villain role into one of the year's most entertaining performances.

Presented by the Hollywood Foreign Press Association, a relatively small group of about 90 reporters covering Hollywood for overseas outlets, the Globes sometimes single out newcomers to Hollywood's awards scene. Hilary Swank's Globe win for 1999's "Boys Don't Cry" helped put her on the map on the way to winning her first Oscar.

The possibilities this time include veteran French performers Emmanuelle Riva and Jean-Louis Trintignant, who star as an elderly couple in "Amour," and first-time actors Quvenzhane Wallis and Dwight Henry for the low-budget critical darling "Beasts of the Southern Wild."

Globe acting winners often go on to receive the same prizes at the Oscars. All four Oscar winners last season — lead performers Meryl Streep of "The Iron Lady" and Jean Dujardin of "The Artist" and supporting players Octavia Spencer of "The Help" and Christopher Plummer of "Beginners" — won Globes first.

The Globes have a spotty record predicting which films might go on to earn the best-picture prize at the Academy Awards, however.

The Globes feature two best-film categories, one for drama and one for musical or comedy. Last year's Oscar best-picture winner, "The Artist," preceded that honor with a Globe win for best musical or comedy.

But in the seven years before that, only one winner in the Globe best-picture categories — 2008's "Slumdog Millionaire" — followed up with an Oscar best-picture win.

Along with 14 film prizes, the Globes hand out awards in 11 television categories.

Jodie Foster, a two-time Oscar and Globe winner for "The Accused" and "The Silence of the Lambs," will receive the group's Cecil B. DeMille Award for lifetime achievement at the Jan. 13 ceremony.

Tina Fey, a two-time Globe TV winner for "30 Rock," and Amy Poehler, a past nominee for "Parks and Recreation," will host the show, which airs live on NBC.

Fey and Poehler follow Ricky Gervais, who was host the last three years and rubbed some Hollywood egos the wrong way with sharp wisecracks about A-list stars and the foreign press association itself.

With stars sharing drinks and dinner, the Globes have a reputation as one of Hollywood's loose and unpredictable awards gatherings. Winners occasionally have been off in the restroom when their names were announced, and there have been moments of onstage spontaneity such as Jack Nicholson mooning the crowd or Ving Rhames handing over his trophy to fellow nominee Jack Lemmon.

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Online:

http://www.goldenglobes.org

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Dozens sue pharmacy, but compensation uncertain

NASHVILLE, Tenn. (AP) — Dennis O'Brien rubs his head as he details ailments triggered by the fungal meningitis he developed after a series of steroid shots in his neck: nausea, vomiting, dizziness, drowsiness, blurred vision, exhaustion and trouble with his speech and attention.

He estimates the disease has cost him and his wife thousands of dollars in out-of-pocket expenses and her lost wages, including time spent on 6-hour round trip weekly visits to the hospital. They've filed a lawsuit seeking $4 million in damages from the Massachusetts pharmacy that supplied the steroid injections, but it could take years for them to get any money back and they may never get enough to cover their expenses. The same is true for dozens of others who have sued the New England Compounding Center.

"I don't have a life anymore. My life is a meningitis life," the 59-year-old former school teacher said, adding that he's grateful he survived.

His is one of at least 50 federal lawsuits in nine states that have been filed against NECC, and more are being filed in state courts every day. More than 500 people have gotten sick after receiving injections prepared by the pharmacy.

The lawsuits allege that NECC negligently produced a defective and dangerous product and seek millions to repay families for the death of spouses, physically painful recoveries, lost wages and mental and emotional suffering. Thirty-seven people have died in the outbreak.

"The truth is the chance of recovering damages from NECC is extremely low," said John Day, a Nashville attorney who represents several patients who have been sickened by fungal meningitis.

To streamline the process, attorneys on both sides are asking to have a single judge preside over the pretrial and discovery phases for all of the federal lawsuits.

This approach, called multidistrict litigation, would prevent inconsistent pretrial rulings and conserve resources of all parties. But unlike a class-action case, those lawsuits would eventually be returned to judges in their original district for trial, according to Brian Fitzpatrick, a law professor at Vanderbilt University Law School in Nashville.

Even with this approach, Fitzpatrick noted that federal litigation is very slow, and gathering all the evidence, records and depositions during the discovery phase could take months or years.

"Most of the time what happens is once they are consolidated for pretrial proceedings, there is a settlement, a global settlement between all the lawyers and the defendants before anything is shipped back for trial," he said.

A lawyer representing NECC, Frederick H. Fern, described the consolidation process as an important step.

"A Boston venue is probably the best scenario," Fern said in an email. "That's where the parties, witnesses and documents are located, and where the acts subject to these complaints occurred."

Complicating efforts to recover damages, attorneys for the patients said, NECC is a small private company that has now recalled all its products and laid off its workers. The company's pharmacy licenses have been surrendered, and it's unclear whether NECC had adequate liability insurance.

Fern said NECC has insurance, but they were still determining what the policy covers.

But Day says, "It's clear to me that at the end of the day, NECC is not going to have sufficient assets to compensate any of these people, not even 1 percent."

As a result, many attorneys are seeking compensation from other parties. Among the additional defendants named in lawsuits are NECC pharmacist and co-founder Barry Cadden; co-founder Greg Conigliaro; sister company Ameridose and its marketing and support arm, Medical Sales Management.

Founded in 2006 by Cadden and Conigliaro, Ameridose would eventually report annual revenue of $100 million. An NECC spokesman didn't respond to a request for the pharmacy's revenue.

While Federal Drug Administration regulators have also found contamination issues at Westborough, Mass.-based Ameridose, the FDA has said it has not connected Ameridose drugs to infection or illness.

Under tort law, a lawsuit has to prove a defendant has a potential liability, which in this case could be anyone involved in the medical procedure. However, any such suit could take years and ultimately may not be successful.

"I would not be surprised if doctors, hospitals, people that actually injected the drugs, the people that bought the drugs from the compounding company, many of those people will also be sued," said Fitzpatrick.

Plaintiffs' attorneys said they're considering that option but want more information on the relationships between the compounding pharmacy and the hundreds of hospitals and clinics that received its products.

Day, the attorney in Tennessee, said the clinics and doctors that purchase their drugs from compounding pharmacies or manufacturers could be held liable for negligence because they are in a better position to determine the safety of the medicine than the patients.

"Did they use due care in determining from whom to buy these drugs?" Day said.

Terry Dawes, a Michigan attorney who has filed at least 10 federal lawsuits in the case, said in traditional product liability cases, a pharmaceutical distributor could be liable.

"We are looking at any conceivable sources of recovery for our clients including pharmaceutical supply places that may have dealt with this company in the past," he said.

Ten years ago, seven fungal meningitis illnesses and deaths were linked to injectable steroid from a South Carolina compounding pharmacy. That resulted in fewer than a dozen lawsuits, a scale much smaller than the litigations mounting up against NECC.

Two companies that insured the South Carolina pharmacy and its operators tried unsuccessfully to deny payouts. An appellate court ruled against their argument that the pharmacy willfully violated state regulations by making multiple vials of the drug without specific prescriptions, but the opinion was unpublished and doesn't set a precedent for the current litigation.

The lawsuits represent a way for patients and their families recover expenses, but also to hold the pharmacy and others accountable for the incalculable emotional and physical toll of the disease.

A binder of snapshots shows what life is like in the O'Briens' rural Fentress County, Tenn., home: Dennis hooked up to an IV, Dennis in an antibiotics stupor, bruises on his body from injections and blood tests. He's had three spinal taps. His 11-day stay in the hospital cost over $100,000, which was covered by health insurance.

His wife said she sometimes quietly checks at night to see whether her husband of 35 years is still breathing.

"In my mind, I thought we were going to fight this and get over it. But we are not ever going to get over it," said Kaye O'Brien.

Marjorie Norwood, a 59-year-old grandmother of three who lives in Ethridge, Tenn., has spent just shy of two months total in the hospital in Nashville battling fungal meningitis after receiving a steroid injection in her back. She was allowed to come home for almost a week around Thanksgiving, but was readmitted after her symptoms worsened.

Family members are still dealing with much uncertainty about her recovery, but they have not filed a lawsuit, said their attorney Mark Chalos. He said Norwood will likely be sent to a rehabilitation facility after her second stay in the hospital rather than return home again.

Marjorie Norwood's husband, an autoworker, has taken time off work to care for her and they depend on his income and insurance.

"It doesn't just change her life, it changes everyone else's life around her because we care about her and want her to be happy and well and have everything that she needs," said her daughter, Melanie Norwood.

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Why more didn't die in Ore. mall shooting

Citizens' coolheadedness and individual preparation for coping with gunfire in public settings may have curtailed the casualty count from Tuesday's shooting at a Portland, Ore., shopping mall, law officers suggested on the day after the tragedy.

Two people died and one was critically wounded before the shooter, 22-year-old Jacob Tyler Roberts of Portland, killed himself a few minutes after running into the food court at the Clackamas Town Center mall. Officials say Mr. Roberts, wearing camouflage and a white hockey mask, had methodically fired "multiple" rounds from an assault-style rifle at random shoppers.

Most of the 10,000 Christmas shoppers at the mall appeared nearly as ready and able as police to deal with a gunman appearing suddenly in their midst, Clackamas County Sheriff Craig Roberts said on Wednesday.

"Many people have asked me why there were so few victims during this incident," said Sheriff Roberts. He listed the fact that Mr. Roberts's AR-15 semiautomatic rifle intermittently jammed and noted a well-practiced mall lockdown procedure. But he also credited "10,000 people in the mall who at one time kept a level head, got themselves out of the mall, helped others get out, secured themselves in stores.… It was really about a whole group of people coming together to make a difference."

RECOMMENDED: A Second Amendment quiz

Law officers said during a Wednesday press conference that they did not know whether any member of the public carrying a concealed weapon had counterattacked Roberts. But they said they are certain that Roberts died by his own hand after fleeing down a stairwell from the mall's upper level.

The death rate from mass shootings has ticked up slightly in recent years, even as deaths in single-victim incidents have decreased, according to a recent analysis of FBI crime data by the Huffington Post. The worst recent mass shooting came in July in Aurora, Colo., where a gunman killed 12 people and injured 58 during a midnight screening of a new "Batman" movie.

Gun-control advocates seized on the mall shooting as a possible result of the expiration in 2004 of a national ban on assault weapons.

"Santa Claus could have been shot in the mall," said Penny Okamoto, executive director of Ceasefire Oregon, in an interview with the Portland Tribune. "If you're sick of this, you should call your legislators to tell them to fix the laws so that assault weapons don't end up in the hands of felons."

Many versions of the AR-15 were banned under the assault weapons law, but it's not known if the gun used in the Clackamas mall shooting was one of them.

Police said Roberts had no criminal record and had stolen the AR-15 from "someone he knew."

Does the collected response by shoppers at the Clackamas Town Center indicate that Americans are becoming less daunted by senseless violence and, perhaps, better ready to react? Those who back broad gun rights under the Constitution's Second Amendment suggest a shift may be under way in people's readiness to respond.

In blocking Illinois's ban on concealed weapons, the last such law in the nation, Seventh US Circuit Court of Appeals Judge Richard Posner on Tuesday implied that self-defense readiness in public is not only protected by the US Constitution, but may be good social policy. An awareness "that many law-abiding citizens are walking the streets armed may make criminals timid," he wrote in his ruling.

"As far as a social shift, I think people are getting more intelligent and appropriate in their reactions to shooters," says Dave Kopel, research director at the Independence Institute, a libertarian-leaning think tank in Golden, Colo. "Police training has changed in significant ways since the Columbine [High School] shooting [in 1999], where they no longer wait for the SWAT team to arrive but go in immediately with … the army they have. There's also an awareness [among police and the public] that if you're trying to stop a gangster from robbing a liquor store, you may have a [heck] of a fight on your hands, but that these publicity-seeking guys with mental illness, they basically crumble at first opposition."

The upshot, says Mr. Kopel: "Lying down and cowering doesn't seem to work very well, so law enforcement has gotten smarter and civilians have gotten smarter."

In Clackamas County, Sheriff Roberts said local law-enforcement personnel had trained earlier this year for a shooting scenario at Clackamas Town Center, an exercise that involved both police and retailers. On Tuesday, arriving police, in keeping with evolving police tactics nationwide, formed small teams and quickly entered the mall to pursue the shooter. Police could not say Wednesday whether any officers saw the shooter before he killed himself.

Dennis Curtis, the mall's general manager, noted that police officers told him that they were amazed "how many stores were secured and people were locked in place" upon entering the mall to look for the shooter.

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China revokes new Shanghai Catholic bishop's title

BEIJING (AP) — In a fresh challenge to Vatican authority, China has revoked the title of a new Catholic bishop in Shanghai who outraged Chinese officials by immediately dropping out of the government agency that oversees the country's officially sanctioned church, religious officials said Wednesday.

Ma Daqin, who was jointly named for the post in a rare consensus between Beijing and the Vatican, has been confined to a seminary since he announced his intention to drop out of the Chinese Catholic Patriotic Association in front of a congregation during his July 7 ordination as auxiliary bishop.

The move by Ma, 44, was seen as challenging China's attempts to run the country's Catholic church independently of the Vatican.

A Shanghai church official, speaking on condition of anonymity because of the sensitivity of the matter, said the decision by Chinese officials to revoke Ma's title was announced at an internal meeting this week. He said no reason was given for the revocation.

The Rev. Jeroom Heyndrickx, of Belgium's Catholic University of Leuven, and the Rev. Bernardo Cervellera, editor-in-chief of AsiaNews, said Chinese colleagues had informed them of the development earlier this week.

The Chinese Catholic Patriotic Association and the Shanghai Diocese declined to comment.

Vatican spokesman the Rev. Federico Lombardi referred to recent comments by Cardinal Fernando Filoni, the head of the Vatican's missionary office, citing Ma's treatment in lamenting the worsening situation for Catholic prelates in China.

"Some bishops and priests are segregated or deprived of their freedom, as recently occurred in with the case of the Shanghai bishop Ma Daquin for having declared his desire to dedicate himself full-time to pastoral ministry, leaving jobs which, among other things, aren't even the competence of a pastor," Filoni told the Italian religious affairs magazine Tripod.

The Vatican does not formally recognize the association and says the Chinese church should take its orders directly from Rome. The selection of bishops has been one of the most contentious issues between the sides, with the Chinese association saying it has the right to make independent appointments in defiance of Rome's insistence that only it has that power.

Ma's announcement in July had been greeted with applause by hundreds of worshippers in Shanghai's Cathedral of St. Ignatius, the seat of one of China's largest, wealthiest and most independent dioceses. He was taken away by officials immediately after the service and has not been seen in public since, with the Shanghai diocese saying he is in retreat at the seminary at Sheshan, on the outskirts of Shanghai.

Days after Ma's announcement, the Patriotic Association issued a two-sentence statement saying it was investigating his ordination. Scores of priests and nuns were interviewed and seminary classes and other internal church activities either canceled or delayed.

Another Catholic website, ucanews, said Ma had been suspended from performing priestly duties for two years and would remain in the seminary indefinitely.

Ma's ordination, with the approval of both sides, had been seen as a hopeful sign that a China-Vatican dialogue that broke down in 2010 was back on track. The pope had issued the Vatican's approval of Beijing's selection of Ma to take over as auxiliary, giving him day-to-day control over the Shanghai diocese and placing him next in line after 97-year-old Shanghai Bishop Jin Luxian.

Cervellera said the Shanghai diocese had handed Ma's case to more hardline officials in Beijing, resulting in the harsh punishment. China's officially atheistic Communist Party wants not only the right to approve bishops, but also to fire those who get out of line, he said.

"The situation is very serious," Cervellera said.

Heyndrickx, who has traveled frequently to China over the past three decades, said that the action against Ma was "not conducive to dialogue," but that the situation would remain in flux until new Communist Party leader Xi Jinping consolidates his power. Concessions would likely be needed on both sides, such as China releasing detained underground priests, and the Vatican recognizing bishops appointed without its prior agreement, he said.

"Contact, communication and dialogue is the only way out of the current impasse," Heyndrickx said, adding that both sides would remain firm in their public statements, but that back-channel discussions would likely continue.

China has an estimated 8 million to 12 million Catholics, around half of whom worship in underground congregations. The Communist Party ordered Catholics to cut ties with the Holy See in the 1950s, and persecuted the church for years until restoring a degree of religious freedom and freeing imprisoned priests in the late 1970s.

The current tensions come five years after Pope Benedict XVI called for reconciliation between the underground and government-affiliated congregations in China. Beijing ultimately rejected the appeal as interference in its internal affairs.

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