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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'Active Shooter' Reported at CT Elementary School

A shooting at a Connecticut elementary school this morning prompted the town of Newtown to lock down all of its schools and drew SWAT teams to the school, authorities said today.

A gunman has been killed, authorities told ABC News.

The shooting occurred at the Sandy Creek Elementary School in Newtown, about 12 miles east of Danbury.

A photo from the scene shows a line of distressed children being led out of the school.

Shannon Hicks/The Newton Bee

Newton Public School District secretary of superintendent Kathy June said in a statement that the district's school were locked down because of the report of a shooting. "The district is taking preventive measures by putting all schools in lockdown until we ensure the safety of all students and staff."

State police sent SWAT team units to Newtown.

All public and private schools in the town are on lockdown.

State emergency management officials said ambulances and other units were also en route and staging near the school.

A message on the school district website says that all afternoon kindergarten is cancelled today and there will be no mid-day bus runs.

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U.S., rebels urge gloomy Moscow to help oust Assad

BEIRUT (Reuters) - Syria's rebel leadership and the United States seized on Russian pessimism over President Bashar al-Assad's future to urge Moscow to help push its ally into ceding power and end the battles closing in around his capital.

"We want to commend the Russian government for finally waking up to the reality and acknowledging that the regime's days are numbered," the U.S. State Department spokeswoman said after a senior Kremlin envoy conceded publicly on Thursday that Assad's opponents could win the 20-month-old civil war.

"The question now is, will the Russian government join those of us in the international community who are working with the opposition to try to have a smooth democratic transition?" U.S. spokeswoman Victoria Nuland added in Washington.

In Marrakech, where his new coalition won recognition from other international powers as the legitimate leadership of Syria, rebel political leader Mouaz al-Khatib said he believed Russia, ally and arms supplier to the Assad dynasty since Soviet times, was looking for ways out of its support for a lost cause.

"I believe that the Russians have woken up and are sensing that they have implicated themselves with this regime, but they don't know how to get out," al-Khatib told Reuters. He held them "particularly responsible" for helping Assad with arms but said Moscow need not "lose everything" in Syria if it changed tack.

Under President Vladimir Putin, wary since last year's Libyan war of what Russia sees as a Western drive to use the United Nations to overthrow national leaders it dislikes, Russia has blocked U.N. efforts to squeeze Assad, who has also had strong support from his long-time sponsor Iran.

But Mikhail Bogdanov, a deputy foreign minister and the Kremlin's special envoy for Middle East affairs, was quoted as saying in Moscow: "One must look the facts in the face."

"Unfortunately, the victory of the Syrian opposition cannot be ruled out." The Syrian government, he said, was "losing control of more and more territory" and Moscow was preparing to evacuate Russian citizens if necessary.

Nuland said Bogdanov's comments demonstrated that Moscow now "sees the writing on the wall" on Syria and said Russia should now rally behind U.N. efforts to prevent a wider bloodbath.

"They can withdraw any residual support for the Assad regime, whether it is material support (or) financial support," she said. "They can also help us to identify people who might be willing, inside of Syria, to work on a transitional structure."

DIPLOMACY

International envoy Lakhdar Brahimi, who has met Russian and U.S. officials twice in the past week, is seeking a solution based on an agreement reached in Geneva in June that called for the creation of a transitional government in Syria.

But Russia has repeated warnings that recognition of al-Khatib's coalition, notably by the United States, is undermining diplomacy, and rejected U.S. contentions that the Geneva agreement sent a clear message that Assad should step down.

Nuland said the Brahimi meetings could lay the framework for a political structure to follow Assad:

"We've said all along to the Russians that we are concerned that the longer that this goes on, and the longer it takes us to get to an alternative political path for Syria, the only path is going to be the military one and that is just going to bring more violence.

"We all ought to be working together."

Bogdanov, whose government has suggested that Assad himself should be allowed to see through a transition he has promised, suggested the rebels and their allies were set on a military solution and he gave little hint of detente with Washington.

"The fighting will become even more intense and (Syria) will lose tens of thousands and, perhaps, hundreds of thousands of civilians," Bogdanov was quoted as saying. "If such a price for the removal of the president seems acceptable to you, what can we do? We, of course, consider it absolutely unacceptable."

The head of NATO, Anders Fogh Rasmussen, said elsewhere: "I think the regime in Damascus is approaching collapse."

A U.S. official said: "Assad probably still believes that Syria is his and illusions can die hard. But Assad and those closest to him have got to be feeling the psychological strain of fighting a long war that is not going their way."

DAMASCUS BATTLES

But Al-Khatib, who played down Western concerns of sectarian Sunni Islamists in rebel ranks, warned that the fighting was far from over, even as it has begun to rattle the heart of Assad's power in Damascus. On Wednesday, a car bomb killed at least 16 people in a nearby town which is home to many military families.

"The noose is tightening around the regime," al-Khatib said.

"(But) the regime still has power. People think that the regime is finished, but it still has power left, but it is demoralized and however long it lasted its end is clear."

Day and night, Damascenes can hear the thunderous sound of bombardment aimed at rebel-held and contested neighborhoods.

The city's streets have now turned into a labyrinth of checkpoints and road blocks, with several major roads permanently closed off to traffic by concrete barriers.

"We escape from one place and trouble follows," said one grandmother, Um Hassan, as she described to Reuters her family's flight from one neighborhood to another as fighting seeps into the capital. "I don't know where we can keep running to."

Nonetheless, al-Khatib played down demands for their allies to provide heavier weaponry - a request long resisted by governments wary of anti-aircraft missiles and other hardware reaching Islamist rebels who might turn them against the West.

"The Syrian people ... no longer need international forces to protect them," he said, not specifying whether he meant a no-fly zone, arms supplies or other military support.

The opposition chief said he was willing to listen to proposals for Assad to escape with his life - "The best thing is that he steps down and stops drinking the blood of the Syrian people" - and outlined three scenarios for a change of power:

Al-Khatib ruled out the Russian proposal suggesting Assad hand over power to a transitional government while remaining president, saying it was "disgraceful for a slaughtered nation to accept to have a killer and criminal at its head".

The British-based Syrian Observatory said war planes bombed rebel-held eastern suburbs of Damascus on Thursday and artillery was hitting Daraya and Moadamiyeh, southwestern areas near the centre where rebels have been fighting for a foothold.

Syria has relied on war planes and helicopters to bombard rebel districts but Damascus denied accusations by U.S. and NATO officials that it had fired Scud missiles in recent days. The foreign ministry said the long-range missiles were not used against "terrorist groups," a term it uses for the rebels.

At least 40,000 people have been killed in Syria's uprising, which started in March 2011 with street protests which were met with gunfire by Assad's security forces, and which spiraled into the most enduring and destructive of the Arab revolts.

(Additional reporting by Steve Gutterman in Moscow and Andrew Quinn in Washington; Writing by Alastair Macdonald; Editing by Michael Roddy) For an interactive look at the uprising in Syria, please click on http://link.reuters.com/rut37s

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MICE organisers reeling from rising rentals and wages

SINGAPORE : It is a mixed bag for Singapore's Meetings, Incentives, Conventions and Exhibitions (MICE) sector. Exhibition venues are raking in the cash, but event organisers have said they are reeling from rising rentals and wages.

Resorts World Sentosa (RWS) said attractions such as its Marine Life Park are luring in customers.

RWS will pull in 600,000 delegates for 3,000 events this year - 20 per cent more than last year. And it is convinced there is more upside.

Noel Hawkes, vice president of Attraction Sales at Resorts World Sentosa Singapore, said: "2013 is going to be an interesting year. The world economy is a bit shaky at the moment, but we are cautiously optimistic that we will continue to grow our business. And we can definitely see a growth of at least 10 per cent in our MICE business.

To keep up with competition, RWS said it must not "rest on its laurels" and has to continuously find new products to excite customers.

Visitors can expect a new "Sesame Street" ride to be unveiled at Universal Studios in the first quarter of next year.

In this business, the old adage "you have got to spend money to make money" rings true.

Suntec Singapore will close its doors for six months for wide-scale renovations, and it is convinced the facelift will give it an edge over the competition.

Arun Madhok, CEO of Suntec Singapore, said: "Our entire building is re-modelled to deliver a high level of flexibility. This will allow us to meet the volume needs of customers.

"We are improving our food production techniques and service style. We are adding a whole range of technology into the building to actually assist us in delivering the perfect experience for our customers."

But it isn't rosy for everyone.

Event organisers like Conference & Exhibition Management Services said they are in a fix.

Edward Liu, managing director of Conference & Exhibition Management Services, said: "Most of the venues that we make use of...tend to increase their rental rates every couple of years.

"Their rationale is that they are also facing cost challenges due to manpower costs, maintenance and so forth. So obviously, they are passing the higher charges to the hirers of their facilities."

Mr Liu added that event organisers now need to secure about 1,500 square metres of exhibition space, or about 150 booths in order to breakeven. That is an increase of 15 per cent in 10 years.

The organisers warn if they do not fill their event calendars, the rising cost of rentals and wages will squeeze their margins.

- CNA/ms

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Yeddyurappa looking at image makeover

MYSORE: Former CM B S Yeddyurappa is seeking an image makeover. On Thursday as he toured Mysore and Mandya districts, he visited Gumbaz, the mausoleum that houses tombs of Mysore rulers Tipu Sultan and Hyder Ali, held a convention of minorities at Muslim majority area in Mysore and said he is a changed man.

At the minorities meet, he said he will not allow injustice to be meted out to Muslims and will stand by them. As he arrived at Srirangapatna, he visited Nimishamba Temple and checked into the Gumbaz located next to the temple. He also paid a visit to a Jain site in the temple town before he arrived at Mysore to a grand welcome.

In a freewheeling interaction with the reporters, Yeddyurappa, in his trademark white safari, looked relaxed and insisted he is a changed man. "I'll not try to remember my days in my former party. I'm looking ahead," he said. " I've severed all my previous ties," he said when asked whether about his RSS background. I'm a new man now.

Recollecting his days when he was a member of Shikaripur local body, he said he used to cycle around the town during early mornings and would go to the office later in the day. "I've always done what I've set for," he said even as he admitted that he was not sure whether he should float new political party. Referring to emergence of regional parties as dominant forces in states like Uttar Pradesh, Bihar, West Bengal and Tamil Nadu, he said there is need for a strong political alternative to national parties in Karnataka. "I've not formed KJP out to vengeance," he asserted. Asked about his views about the move by the BJP government to ban cow slaughter, he said he supports it. Muslims have not asked to ban cow slaughter, he replied to a question.

With leaders from Mysore and Chamarajnagar districts in tow, the former CM looked confident to take on both BJP and Congress but was soft towards the latter. "Illa, illa, illa (no, non, no)," he said when asked whether Congress has given him supari to weaken BJP as alleged by JD(S) leader H D Kumaraswamy. Why are you dragging Congress into my political fight, he replied.

During his visit, he logged one of the staunch supporters of Siddaramaiah. The former ZP president B M Ramu joined KJP at the minorities meet.

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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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Royal Hoax Nurse Hanged Herself, Left 3 Notes

Jacintha Saldanha, the London nurse who killed herself after she answered a radio-station prank call about Kate Middleton, was found hanging from the neck, and left three notes, according to the coroner's officer.

The 46-year-old nurse who worked at London's King Edward VII Hospital was discovered Dec. 7 hanging by a scarf from a wardrobe in her bedroom, Coroner's Officer Lynda Martindill told a British inquest.

The wife and mother of two also had injuries to her wrists, according to police detective chief inspector James Harman.

Harman told the coroner's inquest that two notes were found at the scene and a third was discovered among Saldanha's belongings.

He did not release the contents of the notes.

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There is no suspicion of foul play in Saldanha's death, Harman said. Investigators are still trying to piece together exactly what led to her suicide, and are now interviewing her friends, family and co-workers to find more information, Harman said.

Saldanha was found dead Friday morning after police were called to an address near the hospital to "reports of a woman found unconscious," according to a statement from Scotland Yard.

Saldanha had worked at the hospital for more than four years.

DJs Mel Greig and Michael Christian of 2Day FM in Sydney called the hospital Dec. 5 pretending to be Queen Elizabeth and Prince Charles, looking to speak to Middleton, who was being treated at the hospital for acute nausea related to her pregnancy. The duo were able to obtain information about the duchess' condition.

When the royal impersonators called the hospital, Saldanha put them through to a second nurse who told the royal impersonators that Kate was "quite stable" and hadn't "had any retching."

The radio station, along with Greig and Christian, has apologized for the prank call, and the Australian Communications and Media Authority has now launched an investigation into the incident.

Coroner Fiona Wilcox has adjourned the inquest into Saldanha's death until March 26.

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Russia says Syrian rebels might win

MOSCOW/BEIRUT (Reuters) - Syrian rebels are gaining ground and might win, Russia's Middle East envoy said on Thursday, in the starkest such admission from a major ally of President Bashar al-Assad in 20 months of conflict.

"One must look the facts in the face," Russia's state-run RIA quoted Mikhail Bogdanov as saying. "Unfortunately, the victory of the Syrian opposition cannot be ruled out."

Bogdanov, a deputy foreign minister and the Kremlin's special envoy for Middle East affairs, said the Syrian government was "losing control of more and more territory" and Moscow was preparing to evacuate Russian citizens if necessary.

Syria has relied on war planes and helicopters to bombard rebel districts but Damascus denied accusations by U.S. and NATO officials that it had fired Scud missiles in recent days.

The foreign ministry said the long-range missiles were not used against "terrorist groups," a term it uses for the rebels, who now hold an almost continuous arc of territory from the east to the southwest of Damascus.

The head of NATO said he thought Assad's government was nearing collapse and the new leader of Syria's opposition told Reuters the people of Syria no longer needed international forces to protect them.

"The horrific conditions which the Syrian people endured prompted them to call on the international community for military intervention at various times," said Mouaz al-Khatib, a preacher who heads Syria's National Coalition.

"Now the Syrian people have nothing to lose. They handled their problems by themselves. They no longer need international forces to protect them," he added in the interview on Wednesday night, accusing the international community of slumbering while Syrians were killed.

He did not specify whether by intervention he meant a no-fly zone that rebels have been demanding for month, a ground invasion - which the opposition has warned against - or arms.

He said the opposition would consider any proposal from Assad to surrender power and leave the country, but would not give any assurances until it saw a firm proposal.

In the latest blow to the government, a car bomb killed at least 16 men, women and children in Qatana, a town about 25 km (15 miles) southwest of Damascus where many soldiers live, activists and state media said.

The explosion occurred in a residential area for soldiers in Qatana, which is near several army bases, said Rami Abdelrahman, head of the pro-opposition Syrian Observatory for Human Rights.

He put the death toll as 17, including seven children and two women. State news agency SANA said 16 people had died.

State television showed soldiers walking by a partly collapsed building, with rubble and twisted metal on the road.

The pro-government Al-Ikhbariya TV said a second car bomb in the Damascus suburb of al-Jadideh killed eight, most of them women and children.

Apart from gaining territory in the outskirts of Damascus in recent weeks, rebels have also made hit-and-run attacks or set off bombs within the capital, often targeting state security buildings or areas seen as loyal to Assad, such as Jaramana, where twin bombs killed 34 people in November.

The Pakistani Foreign Office said security concerns had prompted it to withdraw the ambassador and all Pakistani staff from the embassy in the central suburb of East Mezzeh, a couple miles from the Interior Ministry.

BACK TO THE WALL

With his back to the wall, Assad was reported to be turning ever deadlier weapons on his adversaries.

"I think the regime in Damascus is approaching collapse," NATO Secretary-General Anders Fogh Rasmussen said on Thursday.

Human Rights Watch said some populated areas had been hit by incendiary bombs, containing flammable materials such as napalm, thermite or white phosphorous, which can set fire to buildings or cause severe burns and respiratory damage.

The British-based Syrian Observatory said war planes were bombing rebel-held eastern suburbs of Damascus on Thursday and artillery was hitting Daraya and Moadamiyeh, southwestern areas near the centre where rebels have been fighting for a foothold.

At least 40,000 people have been killed in Syria's uprising, which started in March 2011 with street protests which were met with gunfire by Assad's security forces, and which spiraled into the most enduring and destructive of the Arab revolts.

The United States, European powers and Arab states bestowed their official blessing on Syria's newly-formed opposition coalition on Wednesday, despite increasing signs of Western unease at the rise of militant Islamists in the rebel ranks.

Western nations at "Friends of Syria" talks in Marrakech, Morocco rallied around a new opposition National Coalition formed last month under moderate Islamist cleric al-khatib.

Russia, which along with China has blocked any U.N. Security Council measures against Assad, criticized Washington's decision to grant the coalition formal recognition, saying it appeared to have abandoned any effort to reach a political solution.

Bogdanov's remarks were the clearest sign yet that Russia is preparing for the possible defeat of Assad's government.

"We are dealing with issues of preparations for an evacuation. We have mobilization plans and are clarifying where our citizens are located," Bogdanov said.

A British Foreign Office spokesperson said the Russian position remained largely unchanged but the situation on the ground gave Moscow an interest in finding an agreed solution, even if the chances of such a solution remained slim.

"If Russia's position on Syria had been a brick wall, it is now a brick wall with a crack in it," the spokesperson said.

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Ukrainian MPs brawl in parliament as PM re-appointed

KIEV: The Ukrainian parliament Thursday voted to reinstate its prime minister after dozens of opposition and pro-government lawmakers brawled for a second day in the chamber notorious for its fisticuffs.

Newly-elected world boxing champion Vitali Klitschko sought to stand above the fray by staying well out of the fighting that came just before parliament voted to re-appoint Prime Minister Mykola Azarov.

Deputies in suits and shirtsleeves climbed on tables, shouted and grappled with opponents in an angry protest against lawmakers pressing electronic buttons to vote for absentee colleagues.

While lawmakers are legally obliged to vote in person, many of them run around pressing buttons for absent colleagues.

Opposition politicians rose to their feet and rushed to blockade the speaker's tribune, while being pushed back by pro-government lawmakers.

Amid angry shouts and calls for calm, some clambered on desks from where they dealt blows and jumped down on opponents.

At least one opposition lawmaker had a bruised face after being thrown to the floor and receiving punches and kicks from ruling party lawmakers, the Interfax news agency reported.

The towering boxing champion Klitschko, whose opposition party UDAR, or punch, has won 42 seats in the parliament, refrained from joining the skirmishes and could be seen seated, watching the fight calmly.

"You could call the fists of a world champion a nuclear weapon. I don't think we will use this weapon yet," Klitschko said, quoted by his party press service.

But he added: "We do support the blockading of the tribune."

After a break, the parliament managed to restore calm and hold a vote to reappoint prime minister Azarov that had been postponed from Wednesday.

A total of 252 deputies out of 450 in the single-chamber parliament supported Azarov's return to office, including President Viktor Yanukovych's ruling Regions Party, the Communists and several independents.

Three opposition factions - Batkivshchyna (Fatherland) party close to jailed ex-prime minister Yulia Tymoshenko, the UDAR party of Klitschko and the Svoboda nationalist movement - did not back Azarov.

"The politics of the Regions Party of which Azarov is a representative is anti-Ukrainian, anti-social and anti-democratic," said comments from Svoboda.

It remained unclear why Azarov, 64, took the dramatic step of resigning earlier this month, with the presidency saying at the time that Yanukovych had accepted his request to give up his post and become an MP.

Azarov called on the parliament to leave behind the "confrontation" to "face together outside challenges" including the global economic crisis that is already hurting Ukraine.

The parliament's opening session on Wednesday had earlier seen fighting erupt between opposition lawmakers and deputies whom they accused of defecting to the pro-government camp.

In a typically raucous session, feminist group Femen also staged a topless anti-corruption protest outside the entrance to the parliament wearing only black pants.

The brawls were an ugly start to a new parliament apparently still controlled by Yanukovych's Regions Party, which claims to have won a majority in legislative elections on October 28.

The October polls were widely criticised by the international community, coming as Tymoshenko continues to serve a seven-year prison term for abuse of power that she argues is politically motivated.

The Ukrainian parliament is often the scene of scuffles with lawmakers throwing eggs and letting off smokebombs.

Two years ago several opposition deputies were badly injured in a bloody brawl prompted by the opening of a criminal probe into Tymoshenko that saw punches thrown and chairs hurled.

- AFP/de

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SC verdict on Mulayam's plea against probe in DA case on Thursday

NEW DELHI: The Supreme Court will pronounce tomorrow its verdict on Samajwadi Party supremo Mulayam Singh Yadav and his family members' plea for review of its order for CBI probe against them for allegedly amassing disproportionate assets.

A bench of Chief Justice Altamas Kabir and Justice H L Dattu, which had reserved its order on February 17 last year, will pronounce the verdict on review petition filed by Yadav, his sons Akhilesh and Prateek and daughter-in-law Dimple.

The apex court had ordered a CBI inquiry on March 1, 2007 into the alleged accumulation of disproportionate assets by Yadav family, on a public interest litigation (PIL) by an advocate, Vishwanath Chaturvedi, reportedly a Congress leader.

Deviating from the precedent of hearing review petitions in the judges' chambers, the bench had heard the petition in open court at Yadavs' request.

Seeking review of the apex court order, Yadav and his family members had submitted that there was no evidence against them who are being harassed by political adversaries.

They assailed the apex court's earlier order claiming it would "set a dangerous precedent" of allowing political opponents to file "false and frivolous" petitions against their detractors.

During the arguments, the Centre, while refraining from going into the merits of the allegations against the Yadavs, had cited a number of judicial pronouncements to drive home the point that the apex court has powers to order a CBI inquiry in "exceptional cases."

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