At War Blog: Remembering a Silent Success in Afghanistan

December in the mountains of southern Afghanistan greeted me and my men with strong and seemingly endless gusts of wind. The frigid temperatures were equally unforgiving. Our living quarters were constructed out of cardboard boxes and plastic sheeting, which didn’t create much of an escape. The highlight of my day, despite the obvious threat, was leading patrols as a squad leader. The physical activity kept me comfortably warm and allowed me to distance my mind from our frosty reality.

Despite daily patrols, it took me a few months to build rapport with the residents of Kunjak in Helmand Province. During the first month of my deployment in 2010, barely any villagers talked to me. This is when my interpreter, who we called H.B., suggested I start inviting the elders to our base for a meeting, or shura. He assured me this would build a mutual trust.

Soon, my Sunday mornings consisted of two to three hours of conversing with dozens of village elders. At 9 a.m., my interpreter and I would greet them as they climbed the steep and sandy hill to my remote outpost. To present a less hostile environment, I chose to meet them without my body armor or weapon.

We sat outside, suffering in the wind together. My interpreter would make chai, but I always brewed a pot of Starbucks coffee and offered some to my guests. Some liked it, some didn’t. I would like to think my generosity was appreciated.

The shuras were full of requests for new wells and mosques. But if there are two things Afghanistan has a plethora of, it’s those two things. I chose to propose something different, which thrilled them all.

We would build a school.

The Taliban had prevented them from being able to send their kids to school for years. With one suggestion, I had won over the villagers.

As the sun rose the following day, despite not having a school yet, I had over a dozen children waiting outside my base. Many had traveled from afar to attend what they thought was the first day of class. The last thing I wanted to do was send the children away. We invited them on the base, and H.B. taught them the Pashtu alphabet on our dry-erase board. It was on that Monday morning I realized I had to do something fast.

Our supplies were stored in a small tent at the back of our outpost, but I made the decision to move the tent to the base of our hill to serve as the school. By positioning it there, we could maintain its security, protecting it from Taliban attacks.

At 8:45 every morning, my Marines patrolled the school and used our metal detectors to sweep for improvised explosive devices. The safety of the children had to be paramount or our efforts would be for nothing. As the days passed, a growing number of children ranging in the age from 4 to 10 arrived for school. Within weeks we were teaching more than 40 boys and girls. During our time in Afghanistan, not a single child was injured at our school, and for the last four months of my deployment, the school was a giant success.

The Afghan National Police officers attached to my outpost did not participate much in the security of the school. In fact, many of them disapproved of it because it catered to girls as well as boys. I fear that as the American military presence draws down in Afghanistan, initiatives like our school will be abandoned by the Afghan government or destroyed by the Taliban. While the district mayor of Musa Qala knew of our efforts at the school, we received little to no local government support. Requests for a teacher, supplies and a permanent structure were either ignored or forgotten.

Stories like the one of our school tend to never make the limelight. Far too often the news is only about the horrors of war, or mistakes made by NATO troops, rather than their successes. It is easy to focus on the negative, especially as the United States plans to withdraw most of its forces by the end of 2014.

As I left Afghanistan in the spring of 2011, dozens of Afghans were attending our shuras, and they were full of varying requests. They no longer asked for wells and mosques. Now they wanted a community center and a larger school. I left before I could make those dreams come true for them. But I hoped the Marines who relieved me would be able to fulfill them.

I came home and listened and watched the news a lot. I kept hoping I would see or hear something good from Afghanistan. To no avail; the stories were depressing. After spending seven months in Afghanistan, I now knew good things were happening, but they just weren’t being shown.

I hope that my school wasn’t short-lived, and I would like to think that it is still operating safely. Whether it is or not, I still fondly remember our efforts. They led to one of the silent successes that have happened and, I believe, will continue to happen in Afghanistan.


Thomas James Brennan is a military affairs reporter with the Daily News in Jacksonville, N.C. Before being medically retired this fall, he was a sergeant in the Marine Corps stationed at Camp Lejeune, N.C. He served in Iraq and Afghanistan with the First Battalion, Eighth Marines, and is a member of the Military Order of the Purple Heart. Follow him on Twitter at @thomasjbrennan.

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Family Creates Bucket List for Dying 9-Month-Old Daughter















03/01/2013 at 12:00 PM EST







Quinn Linzer and her parents, Brett and Eileen Linzer



A Long Island family, facing the prospect of the death of their 9-month-old daughter, has created a bucket list of sorts to maximize her brief life.

Quinn Linzer suffers from Neimann-Pick Disease Type A, which causes the brain and body to regress. The family learned of Quinn's disease when she was just 3 months old, with doctors saying she is not expected to live past her first birthday.

So her family created Quinn's List, which includes up to 50 experiences for the little Lynbrook, N.Y. resident to complete, reports Long Island's News 12.

Among them are a visit to FAO Schwarz, a trip to Disney, tea at New York's Plaza Hotel and time spent swimming with dolphins.

Fundraisers have been held, online and elsewhere, to help the family of five, including Quinn's two brothers, raise enough money to make some of the dreams come true.

Even as the family's doctor had encouraged the Linzers to take Quinn home and give her love, saying nothing more could be done for her, the family was inspired to give their daughter the fullest life possible. Mom Eileen Linzer shared photos of the family enjoying time together with Quinn on a blog she created, called Team Linzer.

As it says on Quinn's List, her family is on a "mission to give her as wonderFULL a life as we could possibly give her."

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Lens Blog: Gustav Arvidsson's Photos of Landless Peasants in Colombia

Land is no small thing in Latin America. Dynasties flush with wealth and power have arisen from plantations and cattle ranches owned by a select few families. For those left on the margins, taking over a tiny, fallow plot long forgotten by its owners may be the only thing keeping their family alive.

Until someone pushes them out.

Gustav Arvidsson has been following the plight of landless peasants in Colombia, where bureaucracy, chicanery and deadly force have been used to dislodge entire villages of subsistence farmers. Where families once grew rice, cassava and other basic crops, large corporations have swept in with palm oil plantations, cattle ranches and mines. The result has been devastating, Mr. Arvidsson said, in a country where armed conflict and economic hardship have displaced four million people — the second-largest number of such internally displaced people after Sudan.

Resolving the complexities of land tenure in the developing world has been seen by some policy experts as critical to uplifting the most impoverished sectors of society. Hernando de Soto, the Peruvian economist, has long argued that finding ways to grant land titles to subsistence farmers and others can set them — and their country — on the path to stability and growth.

“A farmer once told me, ‘a farmer without land is not a farmer,’ ” Mr. Arvidsson said in a telephone interview from his native Sweden. “This is all about inequality.”

He started his project in 2010, when he was living in Bogotá while freelancing for Swedish publications. He read an article in The Guardian about a palm oil plantation whose owners had evicted 120 families from the land they had farmed for more than 10 years. Outcry over the eviction, which had been carried out by the police in riot gear, led the Body Shop cosmetics company to drop the firm as a supplier.

Soon, Mr. Arvidsson traveled to the area to track down the displaced families, who had moved to a spit of land along the Magdalena River, about an hour away on horseback. Where they once fed themselves, they had to rely on foreign relief groups for basic nourishment.

“It’s so tiny they can’t grow anything,” he said. “They don’t have space to grow their crops or be self-sufficient. To make it worse, they’re on this peninsula which gets flooded every year when the river rises and kills their crops.”

Mr. Arvidsson’s project has expanded in subsequent trips to look at other communities of displaced people. In the country’s western region he visited “peace villages,” settled by people who have declared their community off-limits to firearms and violence. Last August he went to a region where a huge open-pit coal mine is set to expand — but only after having to relocate several communities.

Even for long-established communities, convoluted contracts and bureaucracy have often made it difficult to sort out who the rightful owners are. And for those who acceded to pressure — either financial or physical — what they get in return often is never enough to make up for what they once had.

The Colombian government has passed legislation to help people who have been dislodged from their land. But human rights groups have voiced concern that the law is insufficient in its scope and benefits. People may get papers saying they own a particular plot, but that means little if those who pushed them out in the first place are still there, or nearby.

“If you want to be cynical, you can say this law was created to make all these land takeovers valid,” Mr. Arvidsson said. “People have papers, but many of them will be forced to sell the land anyway because they dare not return. Then everything gets validated.”


Mr. Arvidsson’s “A Fragile State” first came to our attention by way of fotovisura.

Follow @GustavArvidsson, @dgbxny and @nytimesphoto on Twitter. Lens is also on Facebook.

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Ben Affleck & More Oscar Nominees Then and Now









02/28/2013 at 12:30 PM EST








Jason Merritt/Getty; Jim Smeal/WireImage


The years may have passed, but the talent remains for Oscar nominees who have been there, done that and continue to look good doing it.

Denzel Washington, Robert De Niro, Helen Hunt, Sally Field, Alan Arkin and Tommy Lee Jones aren't strangers to the Academy Awards – all have taken home Hollywood's ultimate prize. This year, they all took that familiar red carpet walk again – with flair, grace and style.

It's an accomplishment not lost on young Hollywood. When this year's Best Supporting Actress winner Anne Hathaway accepted her Oscar, she gave a special shout out to former winners Hunt and Field as well as fellow nominees Jacki Weaver and Amy Adams.

"I look up to you all so much and it's just been an honor," she said in her acceptance speech.

See more photos of Oscar nominees then and now in the new issue of PEOPLE – including a special gallery and photos of Ben Affleck, Daniel Day-Lewis and Jamie Foxx (with his all-grown-up daughter Corinne!) in PEOPLE's coverage of the red carpet, parties and more!

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Medicare paid $5.1B for poor nursing home care


SAN FRANCISCO (AP) — Medicare paid billions in taxpayer dollars to nursing homes nationwide that were not meeting basic requirements to look after their residents, government investigators have found.


The report, released Thursday by the Department of Health and Human Services' inspector general, said Medicare paid about $5.1 billion for patients to stay in skilled nursing facilities that failed to meet federal quality of care rules in 2009, in some cases resulting in dangerous and neglectful conditions.


One out of every three times patients wound up in nursing homes that year, they landed in facilities that failed to follow basic care requirements laid out by the federal agency that administers Medicare, investigators estimated.


By law, nursing homes need to write up care plans specially tailored for each resident, so doctors, nurses, therapists and all other caregivers are on the same page about how to help residents reach the highest possible levels of physical, mental and psychological well-being.


Not only are residents often going without the crucial help they need, but the government could be spending taxpayer money on facilities that could endanger people's health, the report concluded. The findings come as concerns about health care quality and cost are garnering heightened attention as the Obama administration implements the nation's sweeping health care overhaul.


"These findings raise concerns about what Medicare is paying for," the report said.


Investigators estimate that in one out of five stays, patients' health problems weren't addressed in the care plans, falling far short of government directives. For example, one home made no plans to monitor a patient's use of two anti-psychotic drugs and one depression medication, even though the drugs could have serious side effects.


In other cases, residents got therapy they didn't need, which the report said was in the nursing homes' financial interest because they would be reimbursed at a higher rate by Medicare.


In one example, a patient kept getting physical and occupational therapy even though the care plan said all the health goals had been met, the report said.


The Office of Inspector General's report was based on medical records from 190 patient visits to nursing homes in 42 states that lasted at least three weeks, which investigators said gave them a statistically valid sample of Medicare beneficiaries' experiences in skilled nursing facilities.


That sample represents about 1.1 million patient visits to nursing homes nationwide in 2009, the most recent year for which data was available, according to the review.


Overall, the review raises questions about whether the system is allowing homes to get paid for poor quality services that may be harming residents, investigators said, and recommended that the Centers for Medicare & Medicaid Services tie payments to homes' abilities to meet basic care requirements. The report also recommended that the agency strengthen its regulations and ramp up its oversight. The review did not name individual homes, nor did it estimate the number of patients who had been mistreated, but instead looked at the overall number of stays in which problems arose.


In response, the agency agreed that it should consider tying Medicare reimbursements to homes' provision of good care. CMS also said in written comments that it is reviewing its own regulations to improve enforcement at the homes.


"Medicare has made significant changes to the way we pay providers thanks to the health care law, to reward better quality care," Medicare spokesman Brian Cook said in a statement to AP. "We are taking steps to make sure these facilities have the resources to improve the quality of their care, and make sure Medicare is paying for the quality of care that beneficiaries are entitled to."


CMS hires state-level agencies to survey the homes and make sure they are complying with federal law, and can require correction plans, deny payment or end a contract with a home if major deficiencies come to light. The agency also said it would follow up on potential enforcement at the homes featured in the report.


Greg Crist, a Washington-based spokeswoman for the American Health Care Association, which represents the largest share of skilled nursing facilities nationwide, said overall nursing home operators are well regulated and follow federal guidelines but added that he could not fully comment on the report's conclusions without having had the chance to read it.


"Our members begin every treatment with the individual's personal health needs at the forefront. This is a hands-on process, involving doctors and even family members in an effort to enhance the health outcome of the patient," Crist said.


Virginia Fichera, who has relatives in two nursing homes in New York, said she would welcome a greater push for accountability at skilled nursing facilities.


"Once you're in a nursing home, if things don't go right, you're really a prisoner," said Fichera, a retired professor in Sterling, NY. "As a concerned relative, you just want to know the care is good, and if there are problems, why they are happening and when they'll be fixed."


Once residents are ready to go back home or transfer to another facility, federal law also requires that the homes write special plans to make sure patients are safely discharged.


Investigators found the homes didn't always do what was needed to ensure a smooth transition.


In nearly one-third of cases, facilities also did not provide enough information when the patient moved to another setting, the report found.


___


On the Web:


The OIG report: http://1.usa.gov/VaztQm


The Medicare nursing home database: http://www.medicare.gov/NursingHomeCompare/search.aspx?bhcp=1&AspxAutoDetectCookieSupport=1


___


Follow Garance Burke on Twitter at —http://twitter.com/garanceburke.


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The Lede: Video of Pope Benedict’s Public Farewell

An English translation from the Vatican of Pope Benedict XVI’s last general audience before his formal resignation on Thursday.

As our colleagues, Rachel Donadio and Alan Cowell report, Pope Benedict XVI held his final general audience in St. Peter’s Square on Wednesday, a day before he withdraws from the public for a cloistered life of prayer and meditation.

Before tens of thousands of people gathered in the square, the pope acknowledged the difficulties he faced during his papacy, describing “moments of joy and light but also moments that were not easy.”

From the full text of his address:

When, almost eight years ago, on April 19th, [2005], I agreed to take on the Petrine ministry, I held steadfast in this certainty, which has always accompanied me. In that moment, as I have already stated several times, the words that resounded in my heart were: “Lord, what do you ask of me? It a great weight that You place on my shoulders, but, if You ask me, at your word I will throw out the nets, sure that you will guide me” – and the Lord really has guided me. He has been close to me: daily could I feel His presence.

[These years] have been a stretch of the Church’s pilgrim way, which has seen moments joy and light, but also difficult moments. I have felt like St. Peter with the Apostles in the boat on the Sea of Galilee: the Lord has given us many days of sunshine and gentle breeze, days in which the catch has been abundant; [then] there have been times when the seas were rough and the wind against us, as in the whole history of the Church it has ever been – and the Lord seemed to sleep. Nevertheless, I always knew that the Lord is in the barque, that the barque of the Church is not mine, not ours, but His – and He shall not let her sink. It is He, who steers her: to be sure, he does so also through men of His choosing, for He desired that it be so. This was and is a certainty that nothing can tarnish. It is for this reason, that today my heart is filled with gratitude to God, for never did He leave me or the Church without His consolation, His light, His love.

On Twitter, the pope’s account, @Pontifex, which has more than 1.5 million followers, posted:

Shortly after he announced his resignation, he asked on Twitter for people “to pray for me and for the church, trusting as always in divine providence.”

From St. Peter’s Square, people posted photographs from the crowd, including a shot of the pope arriving in the so-called popemobile, on his way to deliver his final farewell.

Pius Pietrzyk, a Dominican priest from the United States, shared multiple photos from the square on his blog, and wrote about his experience in the square and the words in the pope’s farewell address that touched him the most.

I followed what I could of the audience in Italian. (It is already available online.) A number of lines struck me, but more than anything else probably was when he said, “the Barque of the Church is not mine, it’s not ours, it’s His and he will not let it flounder.”

As my colleague, Laurie Goodstein reports, the church faces, among its many challenges as cardinals gather to select a new pope, the wounds caused by sexual abuse cases involving minors all over the world that have been mishandled for years.

In St. Peter’s Square, the pope also spoke briefly in English to the crowd.

The pope spoke in English, and asked Catholics to pray for both him and the new pope.

I offer a warm and affectionate greeting to the English-speaking pilgrims and visitors who have joined me for this, my last General Audience. Like Saint Paul, whose words we heard earlier, my heart is filled with thanksgiving to God who ever watches over his Church and her growth in faith and love, and I embrace all of you with joy and gratitude. During this Year of Faith, we have been called to renew our joyful trust in the Lord’s presence in our lives and in the life of the Church. I am personally grateful for his unfailing love and guidance in the eight years since I accepted his call to serve as the Successor of Peter. I am also deeply grateful for the understanding, support and prayers of so many of you, not only here in Rome, but also throughout the world.

The decision I have made, after much prayer, is the fruit of a serene trust in God’s will and a deep love of Christ’s Church. I will continue to accompany the Church with my prayers, and I ask each of you to pray for me and for the new Pope. In union with Mary and all the saints, let us entrust ourselves in faith and hope to God, who continues to watch over our lives and to guide the journey of the Church and our world along the paths of history. I commend all of you, with great affection, to his loving care, asking him to strengthen you in the hope which opens our hearts to the fullness of life that he alone can give. To you and your families, I impart my blessing. Thank you!

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Josh Brolin and Diane Lane's Split Was 'Mutual,' Says James Brolin















02/27/2013 at 12:30 PM EST



James Brolin said his son Josh is doing fine in the wake of his impending divorce from Diane Lane, calling their split "mutual."

Brolin – who accompanied wife Barbra Streisand as she performed at the Oscars Sunday night – said his son, 45, was watching the Academy Awards show at a party with famed film directors the Coen brothers and his daughter.

"He's great," Brolin said. "You know, everything is mutual. It's all okay."

Josh Brolin and Lane, 48, were introduced by Streisand at a 2002 party and were married in 2004 at the actor's California ranch. They were separated for some time before Lane signed divorce papers on Valentine's Day, a source tells PEOPLE.

"This was a hard decision for both of them to make," added the source. "The relationship just ran its course."

James Brolin said his son, who had been married before to Alice Adair and who has two children, was coping well. "Evidently he's doing well," said James of Josh. "Everything is fine."

Reporting by AILI NAHAS

For much more on this story, pick up the latest issue of PEOPLE, on newsstands now

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Vt. lye victim gets new face at Boston hospital


BOSTON (AP) — A Vermont nurse disfigured in a 2007 lye attack has received a new face at a Boston hospital.


Carmen Blandin Tarleton's full facial transplant at Brigham & Women's Hospital included transplanting a female donor's facial skin to Tarleton's neck, nose and lips, along with facial muscles, arteries and nerves.


Hospital officials say the 44-year-old Thetford, Vt., woman suffered burns on more than 80 percent of her body after her estranged husband attacked her.


Tarleton's sister said Wednesday she showed "great appreciation" for the gift she's been given.


The donor's family believes their loved one's spirit lives on in Tarleton.


Tarleton has undergone more than 50 surgeries. The latest took 15 hours and included a team of more than 30 medical professionals.


Tarleton once worked as a transplant nurse.


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S&P 500 rises more than 1 percent


NEW YORK (Reuters) - The S&P 500 rose more than 1 percent on Wednesday as Federal Reserve Chairman Ben Bernanke reaffirmed his support of the Fed's stimulus policy, while data on housing and durable goods added to bullish sentiment.


The Dow Jones industrial average <.dji> was up 123.12 points, or 0.89 percent, at 14,023.25. The Standard & Poor's 500 Index <.spx> was up 15.45 points, or 1.03 percent, at 1,512.39. The Nasdaq Composite Index <.ixic> was up 36.64 points, or 1.17 percent, at 3,166.28.


(Reporting by Caroline Valetkevitch; Editing by Chizu Nomiyama)



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India Ink: Image of the Day: Feb. 26

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