Cease-Fire Between Israel and Hamas Takes Effect

CAIRO — Under intense Egyptian and American pressure, Israel and the Palestinian militant group Hamas halted eight days of bloody conflict on Wednesday, averting a full-scale Israeli ground invasion of the Gaza Strip without resolving the underlying disputes.

With Israeli forces still massed on the Gaza border, a tentative calm descended after the announcement of the agreement. The success of the truce will be an early test of how Egypt’s new Islamist government might influence the most intractable conflict in the Middle East.

The United States, Israel and Hamas all praised Egypt’s role in brokering the cease-fire as the antagonists pulled back from violence that had killed more than 150 Palestinians and five Israelis over the past week. The deal called for a 24-hour cooling-off period to be followed by talks aimed at resolving at least some of the longstanding grievances between the two sides.

Gazans poured into the streets declaring victory against the far more powerful Israeli military. In Israel, the public reaction was far more subdued. Many residents in the south expressed doubt that the agreement would hold, partly because at least five Palestinian rockets thudded into southern Israel after the cease-fire began.

The one-page memorandum of understanding left the issues that have most inflamed the tensions between the Israelis and the Gazans up for further negotiation. Israel demands long-term border security, including an end to Palestinian missile launching over the border. Hamas wants an end to the Israeli embargo.

The deal demonstrated the pragmatism of Egypt’s new Islamist president, Mohamed Morsi, who balanced public support for Hamas with a determination to preserve the peace with Israel. But it was unclear whether the agreement would be a turning point or merely a lull in the conflict.

The cease-fire deal was reached only through a final American diplomatic push: Secretary of State Hillary Rodham Clinton conferred for hours with Mr. Morsi and the United Nations secretary general, Ban Ki-moon, at the presidential palace here. Hanging over the talks was the Israeli shock at a Tel Aviv bus bombing — praised by Hamas — that recalled past Palestinian uprisings and raised fears of heavy Israeli retaliation. After false hopes the day before, Western and Egyptian diplomats said they had all but given up hope for a quick end to the violence.

Tellingly, neither Israel nor Hamas was represented in the final talks or the announcement, leaving it in the hands of a singular partnership between their proxies, the United States and Egypt.

There were immediate questions about the durability of the deal. Hamas, which controls Gaza, has in the past not fulfilled less formal cease-fires by failing to halt all missile fire into Israel by breakaway Palestinian militants.

Neither side retreated from threats to resume the conflict if the deal fell through, and both said they had only reluctantly agreed under international pressure. In a televised news conference, Prime Minister Benjamin Netanyahu of Israel declared that some Israelis still expected “a much harsher military operation, and it is very possible we will be compelled to embark on one.”

But he said that in a telephone conversation with Mr. Obama earlier in the evening, “I agreed with him that it is worth giving the cease-fire a chance.” He added that he had reached an undisclosed agreement with Mr. Obama to “work together against the smuggling of weapons” to Palestinian militants, for which Mr. Netanyahu blamed Iran.

Khaled Meshal, Hamas’s top leader, thanked Iran for its military support in a triumphal news conference in Cairo. “This is a point on the way to a great defeat for Israel,” he said. “Israel failed in all its objectives.”

He suggested that the West had come to Hamas and its Islamist allies in Egypt pleading for peace. “The Americans and the Europeans asked the Egyptians, ‘You have the ear of the resistance,’ ” he said, using the term Hamas prefers to describe itself and other Palestinian militants fighting the Israeli occupation. “Egypt did not sell out the resistance as some people have claimed. Egypt understood the demands of the resistance and the Palestinian people.”

David D. Kirkpatrick reported from Cairo, and Jodi Rudoren from Gaza. Reporting was contributed by Fares Akram from Gaza, Isabel Kershner and Ethan Bronner from Jerusalem, Mayy El Sheikh from Cairo, and Rick Gladstone from New York.

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Mayim Bialik and Michael Stone Divorcing

By Mike Fleeman

11/21/2012 at 05:00 PM EST

After "much consideration and soul-searching," Mayim Bialik announced Wednesday that she and husband Michael Stone are divorcing after nine years of marriage.

The Big Bang Theory star, who has sons Miles, 7, and Fred, 4, with Stone, cites "irreconcilable differences" for the split, which she revealed in a statement on her Kveller.com parenting blog.

"Divorce is terribly sad, painful and incomprehensible for children. It is not something we have decided lightly," she writes.

The former star of TV's Blossom, 36, also says that the split is not due to the attachment parenting she discusses in her book Beyond the Sling. "Relationships are complicated no matter what style of parenting you choose," she says.

"The main priority for us now is to make the transition to two loving homes as smooth and painless as possible," Bialik, 36, continues. "Our sons deserve parents committed to their growth and health and that’s what we are focusing on. Our privacy has always been important and is even more so now, and we thank you in advance for respecting it as we negotiate this new terrain."

She concludes by saying, "We will be ok."

The couple were married in August 2003 in Pasadena, Calif.

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Study finds mammograms lead to unneeded treatment

Mammograms have done surprisingly little to catch deadly breast cancers before they spread, a big U.S. study finds. At the same time, more than a million women have been treated for cancers that never would have threatened their lives, researchers estimate.

Up to one-third of breast cancers, or 50,000 to 70,000 cases a year, don't need treatment, the study suggests.

It's the most detailed look yet at overtreatment of breast cancer, and it adds fresh evidence that screening is not as helpful as many women believe. Mammograms are still worthwhile, because they do catch some deadly cancers and save lives, doctors stress. And some of them disagree with conclusions the new study reached.

But it spotlights a reality that is tough for many Americans to accept: Some abnormalities that doctors call "cancer" are not a health threat or truly malignant. There is no good way to tell which ones are, so many women wind up getting treatments like surgery and chemotherapy that they don't really need.

Men have heard a similar message about PSA tests to screen for slow-growing prostate cancer, but it's relatively new to the debate over breast cancer screening.

"We're coming to learn that some cancers — many cancers, depending on the organ — weren't destined to cause death," said Dr. Barnett Kramer, a National Cancer Institute screening expert. However, "once a woman is diagnosed, it's hard to say treatment is not necessary."

He had no role in the study, which was led by Dr. H. Gilbert Welch of Dartmouth Medical School and Dr. Archie Bleyer of St. Charles Health System and Oregon Health & Science University. Results are in Thursday's New England Journal of Medicine.

Breast cancer is the leading type of cancer and cause of cancer deaths in women worldwide. Nearly 1.4 million new cases are diagnosed each year. Other countries screen less aggressively than the U.S. does. In Britain, for example, mammograms are usually offered only every three years and a recent review there found similar signs of overtreatment.

The dogma has been that screening finds cancer early, when it's most curable. But screening is only worthwhile if it finds cancers destined to cause death, and if treating them early improves survival versus treating when or if they cause symptoms.

Mammograms also are an imperfect screening tool — they often give false alarms, spurring biopsies and other tests that ultimately show no cancer was present. The new study looks at a different risk: Overdiagnosis, or finding cancer that is present but does not need treatment.

Researchers used federal surveys on mammography and cancer registry statistics from 1976 through 2008 to track how many cancers were found early, while still confined to the breast, versus later, when they had spread to lymph nodes or more widely.

The scientists assumed that the actual amount of disease — how many true cases exist — did not change or grew only a little during those three decades. Yet they found a big difference in the number and stage of cases discovered over time, as mammograms came into wide use.

Mammograms more than doubled the number of early-stage cancers detected — from 112 to 234 cases per 100,000 women. But late-stage cancers dropped just 8 percent, from 102 to 94 cases per 100,000 women.

The imbalance suggests a lot of overdiagnosis from mammograms, which now account for 60 percent of cases that are found, Bleyer said. If screening were working, there should be one less patient diagnosed with late-stage cancer for every additional patient whose cancer was found at an earlier stage, he explained.

"Instead, we're diagnosing a lot of something else — not cancer" in that early stage, Bleyer said. "And the worst cancer is still going on, just like it always was."

Researchers also looked at death rates for breast cancer, which declined 28 percent during that time in women 40 and older — the group targeted for screening. Mortality dropped even more — 41 percent — in women under 40, who presumably were not getting mammograms.

"We are left to conclude, as others have, that the good news in breast cancer — decreasing mortality — must largely be the result of improved treatment, not screening," the authors write.

The study was paid for by the study authors' universities.

"This study is important because what it really highlights is that the biology of the cancer is what we need to understand" in order to know which ones to treat and how, said Dr. Julia A. Smith, director of breast cancer screening at NYU Langone Medical Center in New York. Doctors already are debating whether DCIS, a type of early tumor confined to a milk duct, should even be called cancer, she said.

Another expert, Dr. Linda Vahdat, director of the breast cancer research program at Weill Cornell Medical College in New York, said the study's leaders made many assumptions to reach a conclusion about overdiagnosis that "may or may not be correct."

"I don't think it will change how we view screening mammography," she said.

A government-appointed task force that gives screening advice calls for mammograms every other year starting at age 50 and stopping at 75. The American Cancer Society recommends them every year starting at age 40.

Dr. Len Lichtenfeld, the cancer society's deputy chief medical officer, said the study should not be taken as "a referendum on mammography," and noted that other high-quality studies have affirmed its value. Still, he said overdiagnosis is a problem, and it's not possible to tell an individual woman whether her cancer needs treated.

"Our technology has brought us to the place where we can find a lot of cancer. Our science has to bring us to the point where we can define what treatment people really need," he said.

___

Online:

Study: http://www.nejm.org/doi/full/10.1056/NEJMoa1206809

Screening advice: http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm

___

Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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A lifeline in Hollywood for young homeless people

Give thanks for the nearly new Nikes, left abandoned beneath the 101 Freeway overpass. They were just M.J.'s size. He had needed shoes, but had no money to buy them.

Give thanks for the tote bag, holding the Vienna sausages that Sam hands M.J. on Hollywood Boulevard. Sam is 4 1/2 months pregnant with her fifth child — their third together — and by April, when the baby is due, she and M.J. , both 26, hope to have a roof over their heads.

Give thanks especially for My Friend's Place, provider of the sausages and so much more.

The privately funded center perched above the Hollywood Boulevard exit is a haven where young homeless people can nurture fragile dreams.

It gives them what food it can afford. It gives them clothes, clean underwear and socks, toilet paper, toiletries and hot showers.

If and when they are ready, it gently helps them head toward self-sufficient lives off the street. In the meantime, it is their daily lifeline, which they huddle close by to grab.

It's easy on this still-sad stretch of the boulevard to notice only the garish come-ons: from Atomic Tattoo, No Limit Tobacco & Accessories, Liquor to Go, Original Tommy's burgers and Palms Thai Restaurant (where Thai Elvis sings).

But scan the sidewalk, and Sams and M.J.s are everywhere — skateboarding around the edges of a parking lot, clutching cardboard signs on offramps, buffered from cold winds by bus-stop glass.

On the south side of Hollywood and Bronson, the bus stop serves as an all-day gathering place, where a 22-year-old who calls himself Lone Ranger can rest before heading to an offramp to "fly a sign" that reads "Vision of a Taco." Where Rancid, who chose her nickname for the band, can puff on a joint and swap bracelets with Sam. (Rail thin, in the shortest shorts, she says she's legal now but ran away from her Hollywood Hills home when she was 9.) Where those who "spange" — or ask for spare change — can feel safe enough to count their coins.

Behind the bus stop is a self-storage business whose windowless, temperature-controlled bays would be luxury shelter for Sam and M.J. As the sun readies to set on this chilly night, they do not know where they will sleep.

They lived for a while in a tent under the overpass. Then Caltrans workers carted off the shelter and many of their belongings.

Before election day, they had earned some cash handing out condoms for the Yes on B campaign, and spent a week in a low-rent hotel room.

More recently, they've been spooning under a Harry Potter blanket in the hollow beneath a flight of stairs, at the lowest level of the parking garage at Hollywood & Highland. But on this morning, they were rousted from that spot — which, post-discovery, will no longer be available to them.

Give thanks that the clothes they have gotten at My Friend's Place are warm.

Sam wears brown wool dress pants and three layers on top — a thick, hooded sweater buttoned over the small swell of her belly, on top of a gray tank top and T-shirt. M.J. has on gray suit pants and a thick, royal blue sweat shirt with the letters "CHELSEA FC" stitched on the back. When the sunlight starts to slip away, he takes it off, zips Sam into it, and stands on the curb, crossing his thin arms for warmth.

Sam and M.J. met in Pennsylvania 10 years ago, around the time she ran away from the Pennsylvania Dutch couple who had adopted her. They took off for the California sun in 2008, and lasted here for more than two years — until they were picked up by police and sent home to do time for stealing a relative's car to make their getaway.

In October, they returned to Hollywood, leaving much in their wake.

M.J. has a 5-year-old daughter who lives with her mom in Pennsylvania. Sam's brother has her 7-year-old son. Her 5-year-old daughter lives with that child's father. Sam and M.J.'s 3-year-old son, born when they were last here, went into the system and was adopted. Their 1-year-old daughter is with a Pennsylvania foster family, who send photos of the chubby, smiling baby.

They know they've made many wrong turns — drinking, doing drugs, stealing to survive. They've filched liquor and sold it by the shot on Venice Beach. They've plucked basic necessities off store shelves.

But they want better.

So this week, when My Friend's Place served up a big Thanksgiving meal — with more than enough home-cooked turkey, mashed potatoes and pie to stuff all the young people who came through its doors — Sam and M.J. skipped the feast and headed to Santa Monica. Sam had an interview for a program that, if she gets in, will care for her through her pregnancy and the baby's first months, and then help them find housing.

"We're going to live in Venice Beach and we're going to have a nice little apartment. Like I said, it's going to be little," she said, hugging M.J. "But it will be ours, and we're going to have our son."

Give thanks for the way hope hangs on against the odds, and for all those who work to keep it alive.

nita.lelyveld@latimes.com

Follow City Beat on Twitter @latimescitybeat or at Los Angeles Times City Beat on Facebook.

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Toll Rises as U.S. Pushes for Israel-Hamas Truce

JERUSALEM — Efforts to agree on a cease-fire between Israel and Hamas intensified Tuesday, but the struggle to achieve even a brief pause in the fighting emphasized the obstacles to finding any lasting solution.

Tyler Hicks/The New York Times

An attack destroyed the suspected home of a Hamas official in Gaza City. The death toll from a week of fighting exceeded 130 in Gaza and rose to 5 in Israel.

Follow our Jerusalem bureau chief, Jodi Rudoren, reporting in Gaza, for updates on the conflict between Israel and Hamas.

On the deadliest day of fighting in the week-old conflict, Secretary of State Hillary Rodham Clinton arrived hurriedly in Jerusalem and met with Prime Minister Benjamin Netanyahu of Israel to push for a truce. She was due in Cairo on Wednesday to consult with Egyptian officials in contact with Hamas, placing her and the Obama administration at the center of a fraught process with multiple parties, interests and demands.

Officials on all sides had raised expectations that a cease-fire would begin around midnight, followed by negotiations for a longer-term agreement. But by the end of Tuesday, officials with Hamas, the militant Islamist group that governs Gaza, said any announcement would not come at least until Wednesday.

The Israelis, who have amassed tens of thousands of troops on the Gaza border and have threatened to invade for a second time in four years to end the rocket fire from Gaza, never publicly backed the idea of a short break in fighting. They said they were open to a diplomatic accord but were looking for something more enduring.

“If there is a possibility of achieving a long-term solution to this problem through diplomatic means, we prefer that,” Mr. Netanyahu said before meeting with Mrs. Clinton at his office. “But if not, I’m sure you understand that Israel will have to take whatever actions necessary to defend its people.”

Mrs. Clinton spoke of the need for “a durable outcome that promotes regional stability and advances the security and legitimate aspirations of Israelis and Palestinians alike.” It was unclear whether she was starting a complex task of shuttle diplomacy or whether she expected to achieve a pause in the hostilities and then head home.

The diplomatic moves came as the antagonists on both sides stepped up their attacks. Israeli aerial and naval forces assaulted several Gaza targets in multiple strikes, including a suspected rocket-launching site near Al Shifa Hospital. That attack killed more than a dozen people, bringing the total number of fatalities in Gaza to more than 130 — roughly half of them civilians, the Gaza Health Ministry said.

A delegation visiting from the Arab League canceled a news conference at the hospital because of the Israeli aerial assaults as wailing ambulances brought victims in, some of them decapitated.

The Israeli assaults carried into early Wednesday, with multiple blasts punctuating the otherwise darkened Gaza skies.

Militants in Gaza fired a barrage of at least 200 rockets into Israel, killing an Israeli soldier — the first military casualty on the Israeli side since the hostilities broke out. The Israeli military said the soldier, identified as Yosef Fartuk, 18, had died from a rocket strike that hit an area near Gaza. Israeli officials said a civilian military contractor working near the Gaza border had also been killed, bringing the number of fatalities in Israel from the week of rocket mayhem to five.

Other Palestinian rockets hit the southern Israeli cities of Beersheba and Ashdod, and longer-range rockets were fired at Tel Aviv and Jerusalem. Neither main city was struck, and no casualties were reported. One Gaza rocket hit a building in Rishon LeZion, just south of Tel Aviv, injuring one person and wrecking the top three floors.

Senior Egyptian officials in Cairo said Israel and Hamas were “very close” to a cease-fire agreement. “We have not received final approval, but I hope to receive it any moment,” said Essam el-Haddad, President Mohamed Morsi’s top foreign affairs adviser.

Foreign diplomats who were briefed on the outlines of a tentative agreement said it had been structured in stages — first, an announcement of a cease-fire, followed by its implementation for 48 hours. That would allow time for Mrs. Clinton to involve herself in the process here and create a window for negotiators to agree on conditions for a longer-term cessation of hostilities.

But it seemed that each side had steep demands of a longer-term deal that the other side would reject.

Khaled Meshal, the Hamas leader, said in Cairo that Israel needed to end its blockade of Gaza. Israel says the blockade keeps arms from entering the coastal strip.

Ethan Bronner reported from Jerusalem, and David D. Kirkpatrick from Cairo. Reporting was contributed by Jodi Rudoren and Fares Akram from Gaza; Isabel Kershner from Jerusalem; Peter Baker from Phnom Penh, Cambodia; David E. Sanger and Mark Landler from Washington; and Rick Gladstone from New York.

This article has been revised to reflect the following correction:

Correction: November 20, 2012

Because of an editing error, an earlier version of this article misspelled the family name of the Israeli soldier who was killed in a Palestinian rocket attack on Tuesday. He is Yosef Fartuk, not Yosef Faruk. 

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Eric Stonestreet Wasn’t Drunk, He Swears

We realize there’s only so much time one can spend in a day watching new trailers, viral video clips, and shaky cell phone footage of people arguing on live television. This is why every day The Atlantic Wire highlights the videos that truly earn your five minutes (or less) of attention. Today:

RELATED: What Happens When You Sing ‘All Night Long’ All Night Long

So if you were one of the few people watching the American Music Awards, (which no one watched) you may have seen Eric Stonestreet be a little tipsy. But that isn’t half as enjoyable as watching Eric Stonestreet watching himself be a little tipsy that night. (Also, wow, he’s sort of a bro.)

RELATED: Modern Family Is Scary

RELATED: ‘Seven Psychocats’ and the 50 Best Bond Moments in 007 Minutes

A few days ago we found out that Paul Rudd was in play called Grace on Broadway because … (wait for it) someone in the balcony puked on the audience members during the play. Four days late we can laugh at the whole thing. Mostly because we weren’t barfed on: 

RELATED: A ‘Mad Men’ Rickroll and the Man That Destroys Carnival Games

RELATED: A Video to Restore Our Faith in Humanity and a Glacier Tsunami

Here’s how to make some magic. What you’ll need: 

(1) Canadian newscaster with chubby fingers

(1) Technology

(1) Drunk piece of technology

Voila: 

And finally. Thanksgiving is upon us!  Today we’re thankful for squirrels who like to eat plastic: 

Wireless News Headlines – Yahoo! News

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The Voice: Top Eight Contestants Revealed

TV Watch

By Julia Haskins

11/20/2012 at 10:05 PM EST

From left: Adam Levine, Cee Lo Green, Christina Aguilera, Blake Shelton and host Carson Daly

Mark Seliger/NBC

Following what Blake Shelton called the "best episode of The Voice we've ever had", spirited group performances on Tuesday night's show kept the energy up and distracted viewers just long enough from the business at hand – impending eliminations.

Christina Aguilera brought the heat with her song "Let There Be Love." Rascal Flatts shared their hit "Changed." Later, Adam Levine performed a rendition of Queen's "Crazy Little Thing Called Love," followed by the contestants taking on Pat Benatar's "Hit Me with Your Best Shot."

But once again, the decisions about who would stay and who would go were completely up to the viewers. No input from the coaches could save contestants this time. Keep reading to find out which contestants will sing again next week ...

The first round of results turned out to be good news for Nicholas David and Cassadee, later joined by Dez Duron and Cody Belew in the top eight.

America also gave Terry McDermott, Melanie Martinez, Trevin Hunte and Amanda Brown another shot at superstardom.

That means Bryan Keith and Sylvia Yacoub won't be singing again on Monday night's episode.

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OB/GYNs back over-the-counter birth control pills

WASHINGTON (AP) — No prescription or doctor's exam needed: The nation's largest group of obstetricians and gynecologists says birth control pills should be sold over the counter, like condoms.

Tuesday's surprise opinion from these gatekeepers of contraception could boost longtime efforts by women's advocates to make the pill more accessible.

But no one expects the pill to be sold without a prescription any time soon: A company would have to seek government permission first, and it's not clear if any are considering it. Plus there are big questions about what such a move would mean for many women's wallets if it were no longer covered by insurance.

Still, momentum may be building.

Already, anyone 17 or older doesn't need to see a doctor before buying the morning-after pill — a higher-dose version of regular birth control that can prevent pregnancy if taken shortly after unprotected sex. Earlier this year, the Food and Drug Administration held a meeting to gather ideas about how to sell regular oral contraceptives without a prescription, too.

Now the influential American College of Obstetricians and Gynecologists is declaring it's safe to sell the pill that way.

Wait, why would doctors who make money from women's yearly visits for a birth-control prescription advocate giving that up?

Half of the nation's pregnancies every year are unintended, a rate that hasn't changed in 20 years — and easier access to birth control pills could help, said Dr. Kavita Nanda, an OB/GYN who co-authored the opinion for the doctors group.

"It's unfortunate that in this country where we have all these contraceptive methods available, unintended pregnancy is still a major public health problem," said Nanda, a scientist with the North Carolina nonprofit FHI 360, formerly known as Family Health International.

Many women have trouble affording a doctor's visit, or getting an appointment in time when their pills are running low — which can lead to skipped doses, Nanda added.

If the pill didn't require a prescription, women could "pick it up in the middle of the night if they run out," she said. "It removes those types of barriers."

Tuesday, the FDA said it was willing to meet with any company interested in making the pill nonprescription, to discuss what if any studies would be needed.

Then there's the price question. The Obama administration's new health care law requires FDA-approved contraceptives to be available without copays for women enrolled in most workplace health plans.

If the pill were sold without a prescription, it wouldn't be covered under that provision, just as condoms aren't, said Health and Human Services spokesman Tait Sye.

ACOG's opinion, published in the journal Obstetrics & Gynecology, says any move toward making the pill nonprescription should address that cost issue. Not all women are eligible for the free birth control provision, it noted, citing a recent survey that found young women and the uninsured pay an average of $16 per month's supply.

The doctors group made clear that:

—Birth control pills are very safe. Blood clots, the main serious side effect, happen very rarely, and are a bigger threat during pregnancy and right after giving birth.

—Women can easily tell if they have risk factors, such as smoking or having a previous clot, and should avoid the pill.

—Other over-the-counter drugs are sold despite rare but serious side effects, such as stomach bleeding from aspirin and liver damage from acetaminophen.

—And there's no need for a Pap smear or pelvic exam before using birth control pills. But women should be told to continue getting check-ups as needed, or if they'd like to discuss other forms of birth control such as implantable contraceptives that do require a physician's involvement.

The group didn't address teen use of contraception. Despite protests from reproductive health specialists, current U.S. policy requires girls younger than 17 to produce a prescription for the morning-after pill, meaning pharmacists must check customers' ages. Presumably regular birth control pills would be treated the same way.

Prescription-only oral contraceptives have long been the rule in the U.S., Canada, Western Europe, Australia and a few other places, but many countries don't require a prescription.

Switching isn't a new idea. In Washington state a few years ago, a pilot project concluded that pharmacists successfully supplied women with a variety of hormonal contraceptives, including birth control pills, without a doctor's involvement. The question was how to pay for it.

Some pharmacies in parts of London have a similar project under way, and a recent report from that country's health officials concluded the program is working well enough that it should be expanded.

And in El Paso, Texas, researchers studied 500 women who regularly crossed the border into Mexico to buy birth control pills, where some U.S. brands sell over the counter for a few dollars a pack. Over nine months, the women who bought in Mexico stuck with their contraception better than another 500 women who received the pill from public clinics in El Paso, possibly because the clinic users had to wait for appointments, said Dr. Dan Grossman of the University of California, San Francisco, and the nonprofit research group Ibis Reproductive Health.

"Being able to easily get the pill when you need it makes a difference," he said.

___

Online:

OB/GYN group: http://www.acog.org

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Fight between Riordan and unions upstages L.A. sales tax decision

A ferocious battle between former Los Angeles Mayor Richard Riordan and the city's police and civilian unions broke out at City Hall on Tuesday, overshadowing a City Council action to help stabilize municipal finances by putting a sales tax increase on the ballot.

The 82-year-old Riordan strode to the podium Tuesday morning, urging the council to refrain from putting a sales tax hike on the ballot until it exhausts other ways of repairing its chronically underfunded budget.

"What Los Angeles needs is more jobs, not more taxes," Riordan said shortly before the council voted 11 to 4 to place a half-cent sales tax increase before voters during the March 5 primary. "Enough is enough. More and more taxes will not be used properly to bail out our budget problems."

The subtext of the day, however, was taking place behind the scenes. Riordan's camp distributed copies of an email in which a union organizer called on members to sign "fake names/addresses" on a sweeping pension initiative ballot petition being circulated and bankrolled by Riordan.

If roughly 265,000 valid signatures are collected, the measure switching new city workers into 401(k)-style retirements instead of defined-benefit pensions would appear on the May 21 general city election ballot. Riordan called the email a "dirty trick" meant to thwart that effort.

In an interview with The Times, he said changes to the pension system are essential to keeping city government solvent, and that he's ready for a tough campaign.

"I am prepared to make it happen," the multimillionaire businessman said when asked about the potential cost of facing off with unions known to raise large amounts of money for city political campaigns. "A lot of other people will be chipping in. I have the advantage of having a lot of good contacts with a lot people who care about this city as I do and will help."

Signing fictitious names to a voter petition is a felony under the California Elections Code, according to Kimberly Briggs of the city's Election Division. At Riordan's request, Los Angeles County Dist. Atty. Steve Cooley has agreed to investigate the union email.

Later in the day, events compelled the Service Employees International Union Local 721 to take the embarrassing step of disavowing the organizer's email.

"SEIU 721 in no way recommends that its members or anyone else falsify signatures on any petition," said Ian Thompson, a union spokesman. "We are firmly against that kind of behavior. The email in question was sent without the knowledge of the union's leadership. The person who sent the email has been disciplined for his action." The sender was identified as four-year union employee Paul Kim, a worksite organizer.

The Los Angeles police officers' union in recent days got in its own swipe at Riordan, faulting him for failing to conduct an actuarial study of the potential costs or savings to the city should his pension measure pass. The Police Protective League contends 401(k)-type plans would cost the city even more than the current taxpayer-backed pensions.

Riordan shot that down, saying previous studies conducted in California and nationwide show that retirements that shift risk from the taxpayer, as in a defined benefit pension, to the public employee, as in a 401(k)-style contributory plan, make labor costs more predictable.

"We are doing another study right now mainly for political purposes because the opponents have thrown that at us," he said. "But it's clearly not true."

Meanwhile, a measure to increase the sales tax in the city by half a cent, hiking collections by $215 million a year, won final approval. The council majority has said 5,000 positions have already been cut, furloughs imposed and pensions trimmed to try to control costs.

Now, however, new revenue is needed to stabilize the budget. The only other possibility is more layoffs and service reductions in libraries, parks, street paving and police and fire budgets, some council members say.

Although the sales tax hike does not need support from Mayor Antonio Villaraigosa to appear on the ballot, the mayor declined to sign the measure, saying that the city should pursue additional workforce reductions before seeking a sales tax hike. The mayor also advocates privatizing the Los Angeles Zoo and the Los Angeles Convention Center, as well as consolidating some departments, to save money.

catherine.saillant@latimes.com

christine.maiduc@latimes.com

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Hamas Strengthens as Palestinian Authority Weakens

RAMALLAH, West Bank — In the daily demonstrations here of solidarity with Gaza, a mix of sympathy and anguish, there is something else: growing identification with the Islamist fighters of Hamas and derision for the Palestinian Authority, which Washington considers the only viable partner for peace with Israel.

“Strike a blow on Tel Aviv!” proclaimed the lyrics of a new hit song blasting from shops and speakers at Monday’s demonstration, in a reference to Hamas rockets that made it nearly to Israel’s economic and cultural capital. “Don’t let the Zionists sleep! We don’t want a truce or a solution! Oh, Palestinians, you can be proud!”

Pop songs everywhere are filled with bravado and aggression. But this one reflects a widespread sentiment that does not augur well for President Mahmoud Abbas and his Palestinian Authority, which is rapidly losing credibility, even relevance. The Gaza truce talks in Cairo, involving Egypt, Turkey and Qatar, offer a telling tableau. The Palestinian leader seen there is not Mr. Abbas, but Khaled Meshal, the leader of the militant group Hamas, who seeks to speak for all Palestinians as his ideological brothers in the Muslim Brotherhood rise to power around the region.

Israel is also threatening Mr. Abbas, even hinting that it may give up on him, as he prepares to go to the United Nations General Assembly on Nov. 29 to try to upgrade the Palestinian status to that of a nonmember state. The Israelis consider this step an act of aggression, and even some Palestinians say it is somewhat beside the point at this stage.

“His people are being killed in Gaza, and he is sitting on his comfortable chair in Ramallah,” lamented Firas Katash, 20, a student who took part in the Ramallah demonstration.

For the United States, as for other countries hoping to promote a two-state solution to this century-old conflict, a more radicalized West Bank with a discredited Palestinian Authority would mean greater insecurity for Israel and increased opportunity for anti-Western forces to take root in a region where Islamism is on the rise.

Since Hamas, which won parliamentary elections in 2006, threw the Fatah-controlled authority out of Gaza a year later, Mr. Abbas has not set foot there. Yet he will be asking the world to recognize the two increasingly distinct entities as a unified state.

Manar Wadi, who works in an office in Ramallah, put the issue this way: “What is happening in Gaza makes the Palestinian Authority left behind and isolated. Now we see the other face of Hamas, and its popularity is rising. It makes us feel that the Palestinian Authority doesn’t offer a path to the future.”

In Cairo on Monday, Mr. Meshal seemed defiant and confident in his new role, daring the Israelis to invade Gaza as a sixth day of Israeli aerial assaults brought the death toll there to more than 100 people, many of them militants of Hamas and its affiliates. Rockets launched from Gaza hit southern Israel, causing some damage and panic, but no casualties, leaving the death toll there at three.

“Whoever started the war must end it,” Mr. Meshal said at a news conference. “If Israel wants a cease-fire brokered through Egypt, then that is possible. Escalation is also possible.”

Officials in the authority have been holding leadership meetings, staying in close touch with the talks in Cairo and issuing statements of solidarity. They have also sent a small medical delegation to Gaza and argue that there is a new opportunity to forge unity between the two feuding movements. But they are acutely aware of their problem.

“The most dangerous thing is the fact that what we could not do in negotiations, Hamas did with one rocket,” one official said, speaking on the condition of anonymity. “The people had such excitement seeing the occupiers run in panic. It’s a very dangerous message.”

Mr. Abbas, whose popularity has been on the decline as the Palestinian Authority faces economic difficulty and growing Israeli settlements, also ran into trouble not long before the Gaza fighting began when he seemed to give up on the Palestinian demand of a right of return to what is now Israel.

Many Palestinians believe that Israel launched its latest operation in Gaza to block the Palestinian Authority’s United Nations plans by embarrassing it. Israeli officials say that is ridiculous: the operation’s purpose is to stop the growing number of rockets being fired at their communities, and Israelis interrupted their deliberations over the United Nations bid to wage the military campaign.

But Israel says anything that does not involve direct negotiations is a waste of time. The government of Prime Minister Benjamin Netanyahu has repeatedly threatened to take severe retaliatory steps against the Palestinian Authority, including cutting off badly needed tax receipts to Palestinian coffers, should Mr. Abbas go ahead at the United Nations.

In a speech here on Sunday night at a Palestinian leadership meeting, Mr. Abbas repeated his determination to go to New York and ask for a change in status to that of nonmember state. He has chosen the symbolically significant date of Nov. 29, when the General Assembly voted in 1947 to divide this land into two states, one Jewish and the other Palestinian Arab.

The United States has asked Mr. Abbas not to do so, but instead to resume direct negotiations with Israel, which have essentially been frozen since 2008.

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