Hospitals crack down on workers refusing flu shots


CHICAGO (AP) — Patients can refuse a flu shot. Should doctors and nurses have that right, too? That is the thorny question surfacing as U.S. hospitals increasingly crack down on employees who won't get flu shots, with some workers losing their jobs over their refusal.


"Where does it say that I am no longer a patient if I'm a nurse," wondered Carrie Calhoun, a longtime critical care nurse in suburban Chicago who was fired last month after she refused a flu shot.


Hospitals' get-tougher measures coincide with an earlier-than-usual flu season hitting harder than in recent mild seasons. Flu is widespread in most states, and at least 20 children have died.


Most doctors and nurses do get flu shots. But in the past two months, at least 15 nurses and other hospital staffers in four states have been fired for refusing, and several others have resigned, according to affected workers, hospital authorities and published reports.


In Rhode Island, one of three states with tough penalties behind a mandatory vaccine policy for health care workers, more than 1,000 workers recently signed a petition opposing the policy, according to a labor union that has filed suit to end the regulation.


Why would people whose job is to protect sick patients refuse a flu shot? The reasons vary: allergies to flu vaccine, which are rare; religious objections; and skepticism about whether vaccinating health workers will prevent flu in patients.


Dr. Carolyn Bridges, associate director for adult immunization at the federal Centers for Disease Control and Prevention, says the strongest evidence is from studies in nursing homes, linking flu vaccination among health care workers with fewer patient deaths from all causes.


"We would all like to see stronger data," she said. But other evidence shows flu vaccination "significantly decreases" flu cases, she said. "It should work the same in a health care worker versus somebody out in the community."


Cancer nurse Joyce Gingerich is among the skeptics and says her decision to avoid the shot is mostly "a personal thing." She's among seven employees at IU Health Goshen Hospital in northern Indiana who were recently fired for refusing flu shots. Gingerich said she gets other vaccinations but thinks it should be a choice. She opposes "the injustice of being forced to put something in my body."


Medical ethicist Art Caplan says health care workers' ethical obligation to protect patients trumps their individual rights.


"If you don't want to do it, you shouldn't work in that environment," said Caplan, medical ethics chief at New York University's Langone Medical Center. "Patients should demand that their health care provider gets flu shots — and they should ask them."


For some people, flu causes only mild symptoms. But it can also lead to pneumonia, and there are thousands of hospitalizations and deaths each year. The number of deaths has varied in recent decades from about 3,000 to 49,000.


A survey by CDC researchers found that in 2011, more than 400 U.S. hospitals required flu vaccinations for their employees and 29 hospitals fired unvaccinated employees.


At Calhoun's hospital, Alexian Brothers Medical Center in Elk Grove Village, Ill., unvaccinated workers granted exemptions must wear masks and tell patients, "I'm wearing the mask for your safety," Calhoun says. She says that's discriminatory and may make patients want to avoid "the dirty nurse" with the mask.


The hospital justified its vaccination policy in an email, citing the CDC's warning that this year's flu outbreak was "expected to be among the worst in a decade" and noted that Illinois has already been hit especially hard. The mandatory vaccine policy "is consistent with our health system's mission to provide the safest environment possible."


The government recommends flu shots for nearly everyone, starting at age 6 months. Vaccination rates among the general public are generally lower than among health care workers.


According to the most recent federal data, about 63 percent of U.S. health care workers had flu shots as of November. That's up from previous years, but the government wants 90 percent coverage of health care workers by 2020.


The highest rate, about 88 percent, was among pharmacists, followed by doctors at 84 percent, and nurses, 82 percent. Fewer than half of nursing assistants and aides are vaccinated, Bridges said.


Some hospitals have achieved 90 percent but many fall short. A government health advisory panel has urged those below 90 percent to consider a mandatory program.


Also, the accreditation body over hospitals requires them to offer flu vaccines to workers, and those failing to do that and improve vaccination rates could lose accreditation.


Starting this year, the government's Centers for Medicare & Medicaid Services is requiring hospitals to report employees' flu vaccination rates as a means to boost the rates, the CDC's Bridges said. Eventually the data will be posted on the agency's "Hospital Compare" website.


Several leading doctor groups support mandatory flu shots for workers. And the American Medical Association in November endorsed mandatory shots for those with direct patient contact in nursing homes; elderly patients are particularly vulnerable to flu-related complications. The American Nurses Association supports mandates if they're adopted at the state level and affect all hospitals, but also says exceptions should be allowed for medical or religious reasons.


Mandates for vaccinating health care workers against other diseases, including measles, mumps and hepatitis, are widely accepted. But some workers have less faith that flu shots work — partly because there are several types of flu virus that often differ each season and manufacturers must reformulate vaccines to try and match the circulating strains.


While not 100 percent effective, this year's vaccine is a good match, the CDC's Bridges said.


Several states have laws or regulations requiring flu vaccination for health care workers but only three — Arkansas, Maine and Rhode Island — spell out penalties for those who refuse, according to Alexandra Stewart, a George Washington University expert in immunization policy and co-author of a study appearing this month in the journal Vaccine.


Rhode Island's regulation, enacted in December, may be the toughest and is being challenged in court by a health workers union. The rule allows exemptions for religious or medical reasons, but requires unvaccinated workers in contact with patients to wear face masks during flu season. Employees who refuse the masks can be fined $100 and may face a complaint or reprimand for unprofessional conduct that could result in losing their professional license.


Some Rhode Island hospitals post signs announcing that workers wearing masks have not received flu shots. Opponents say the masks violate their health privacy.


"We really strongly support the goal of increasing vaccination rates among health care workers and among the population as a whole," but it should be voluntary, said SEIU Healthcare Employees Union spokesman Chas Walker.


Supporters of health care worker mandates note that to protect public health, courts have endorsed forced vaccination laws affecting the general population during disease outbreaks, and have upheld vaccination requirements for schoolchildren.


Cases involving flu vaccine mandates for health workers have had less success. A 2009 New York state regulation mandating health care worker vaccinations for swine flu and seasonal flu was challenged in court but was later rescinded because of a vaccine shortage. And labor unions have challenged individual hospital mandates enacted without collective bargaining; an appeals court upheld that argument in 2007 in a widely cited case involving Virginia Mason Hospital in Seattle.


Calhoun, the Illinois nurse, says she is unsure of her options.


"Most of the hospitals in my area are all implementing these policies," she said. "This conflict could end the career I have dedicated myself to."


__


Online:


R.I. union lawsuit against mandatory vaccines: http://www.seiu1199ne.org/files/2013/01/FluLawsuitRI.pdf


CDC: http://www.cdc.gov


___


AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner


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Wall Street knocked lower by debt limit worries, Apple

NEW YORK (Reuters) - U.S. stocks fell on Tuesday on worries over the debate brewing in Washington over raising the U.S. borrowing limit, while Apple's stock extended its fall on concerns of weaker demand for its products.


Economic data offset some of the negative tone after retail sales rose more than expected in December. But manufacturing activity in New York state contracted for the sixth month in a row in January.


On Monday, President Barack Obama rejected any negotiations with Republicans over raising the U.S. debt ceiling. The United States could default on its debt if Congress does not increase the borrowing limit.


Resolving the debt ceiling debate is more a question of how than if. Investors don't expect a U.S. default, but they are also wary of another eleventh-hour agreement like the one in August 2011.


"The concern is just the uncertainty and the negotiating going down to the last minute," said John Fox, co-manager of the FAM Value Fund, in Cobleskill, New York.


Apple fell for the third day in a row, weighing on the Nasdaq after reports on Monday of cuts to orders for iPhone parts. Apple was down more than 2 percent at $491.96. The stock fell below $500 for the first time in almost a year on Monday.


The Dow Jones industrial average <.dji> slipped 29.55 points, or 0.22 percent, to 13,477.77. The Standard & Poor's 500 Index <.spx> fell 4.35 points, or 0.30 percent, to 1,466.33. The Nasdaq Composite Index <.ixic> gave up 18.82 points, or 0.60 percent, at 3,098.68.


Although Tuesday's economic data was mostly positive, reaction in the market was likely to be limited since investors' attention centered on the negotiations over the debt ceiling and spending cuts, said Hugh Johnson, chief investment officer of Hugh Johnson Advisors LLC in Albany, NY.


"'Fiscal Cliff Two' is now the principal focus of investors," he said.


An expected lackluster earnings season also kept investors from taking aggressive bets. Analyst estimates for the quarter have fallen sharply since October. S&P 500 earnings growth is now seen up just 1.9 percent from a year ago, Thomson Reuters data showed.


Homebuilder Lennar reported a sharp rise in quarterly profit, but the stock fell 2.2 percent to $40.11 on worries that growth in orders was slowing.


Shares of Dell rose 3.1 percent to $12.67 the day after sources said the company is in talks with private equity firms on a potential buyout.


Facebook added 0.6 percent to $31.11 ahead of a major news event at its headquarters. The secretive nature of the event has triggered a guessing game about what the company could unveil.


(Editing by Kenneth Barry)



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China Allows Media to Report Alarming Air Pollution Crisis





BEIJING — The Chinese state news media on Monday published aggressive reports on what it described as the sickening and dangerous air pollution in Beijing and other parts of northern China, indicating that popular anger over air quality had reached a level where Communist Party propaganda officials felt that they had to allow the officially sanctioned press to address the growing concerns of ordinary citizens.




The across-the-board coverage of Beijing’s brown, soupy air, which has been consistently rated “hazardous” or even worse by foreign and local monitors since last week, was the most open display of coverage on the issue in recent memory. Since 2008, when Beijing made efforts to clean up the city before the Summer Olympics, the air has appeared to degrade in the view of many residents, though the official news media has often avoided addressing the problem.


The wide coverage on Monday appears to be in part a reaction to the conversation that has been unfolding on Chinese microblogs, where residents of northern China have been discussing the pollution nonstop in recent days.


The problem is so serious — the worst air quality since the United States Embassy began recording levels in 2008 — that hospitals reported on Monday a surge in patient admissions for respiratory problems, and Beijing officials ordered government cars off the road to try to curb the pollution, which some people say has been exacerbated by a weather phenomenon, called an inversion, that is trapping dirty particles.


“I’ve never seen such broad Chinese media coverage of air pollution,” said Jeremy Goldkorn, a business consultant in Beijing who tracks the Chinese news media. “From People’s Daily to China Central Television, the story is being covered thoroughly, without trying to put a positive spin on it.”


People’s Daily, the official party mouthpiece, published a front-page signed editorial on Monday under the headline, “Beautiful China Starts With Healthy Breathing.” “The seemingly never-ending haze and fog may blur our vision,” it said, “but makes us see extra clearly the urgency of pollution control and the urgency of the theory of building a socialist ecological civilization, revealed at the 18th Party Congress.”


The 18th Party Congress, a meeting of party elites held in Beijing last November, was part of a once-a-decade leadership transition. In a political report delivered on the first day, Hu Jintao, the president and departing party chief, said China must address environmental problems worsened by rapid development. The inclusion of sections in the report on the need for “ecological progress” could be opening the door for greater dialogue on such issues under the watch of Xi Jinping, the new party chief, and his colleagues on the Politburo Standing Committee.


Even before the congress, the official news media had some latitude to publish critiques of environmental policy and investigate environmental degradation, in contrast to strict limits on what they can say on “core interest” issues like Tibet and Taiwan. Nevertheless, the coverage unfolding now represents a new level of depth in addressing air pollution.


Bill Bishop, the editor of Sinocism, a daily online newsletter about news media coverage of China, wrote on Monday that “Chinese media is all over the story in a remarkably transparent contrast to today’s haze in Beijing.”


Mr. Bishop said: “Clearly it is impossible to pretend that the air is not polluted or that the health risks are not significant, so are the propaganda authorities just recognizing reality in allowing coverage? Or is there something more going on here, as perhaps the new government wants to both demonstrate a commitment to transparency and accountability as well as use this crisis to further the difficult reforms toward a more sustainable development model?”


China Youth Daily, a state-run newspaper, published a scathing signed commentary on Monday under the headline, “Lack of Responsive Actions More Choking Than The Haze and Fog.” The commentary questioned basic economic policies and the China growth model: “This choking, dirty and poisonous air forces the Chinese to rethink the widespread, messy development model.”


Global Times, a newspaper that often defends the party, said in an editorial that the government in the past had erred by releasing pollution information in a “low-key way.” It said: “In the future, the government should publish truthful environmental data to the public. Let society participate in the process of solving the problem.”


On Saturday, when an American Embassy Twitter feed rated the air in central Beijing an astounding 755 on an air quality scale of 0 to 500, China Central Television, the main state network, devoted a big part of its 7 p.m. newscast to the pollution. That night, the Beijing government reported alarming levels of a potentially deadly particulate matter called PM 2.5; in some districts, it exceeded 900 micrograms per cubic meter, on par with some of the worst days of the killer smog in London in the mid-20th century.


Under pressure from the existence of the embassy monitor and growing anger among prominent Chinese Internet users, Chinese officials have been releasing more data on PM 2.5 levels, in a sign of creeping transparency. Beijing began reporting PM 2.5 levels in January 2012. Xinhua, the state-run news agency, announced late last year that the Ministry of Environmental Protection had required 74 cities to start releasing PM 2.5 data. For years, Chinese officials had been trying to limit public information to data on PM 10 or other pollutants that are generally considered less deadly than PM 2.5, which is invisible and can lodge deep in the lungs.


“Last year, Chinese media began to report with regularity on air pollution, especially in Beijing and concerning PM 2.5 in particular,” Mr. Goldkorn said. “But the apocalyptic skies above the capital this last weekend seemed to have encouraged an even greater enthusiasm for reporting this story.”


Mia Le contributed research.



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RIM says 15,000 BlackBerry 10 apps submitted in under two days









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Kaley Cuoco Hits the Dance Floor at Golden Globes Afterparty









01/14/2013 at 10:45 AM EST







Hayden Panettiere and Kaley Cuoco


Stefanie Keenan/Getty


Just bust a move!

At the 14th Annual Warner Bros. and InStyle Golden Globes afterparty on Sunday, The Big Bang Theory star Kaley Cuoco was anything but shy on the dance floor.

After running over to Hayden Panettiere, the People's Choice Awards host looked the Nashville star up and down and exclaimed, "Gorgeous! Gorgeous!" about her blush, tiered strapless gown, an onlooker tells PEOPLE.

Grabbing each other's hands, Cuoco and Panettiere were engulfed in "animated conversation," but things got even more fun once the deejay played Madonna's "Like a Prayer."

Cuoco and pals hit the dance floor, where she clapped, swayed and "was twirled by a male," the source adds. Later when Bell Biv Devoe's 1990 hit "Poison" was played, Cuoco held up her long dress while showing off a few more moves.

The actress was dancing so much that she "left the party with her heels in hand!" the source adds.

– Dahvi Shira


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Flu more widespread in US; eases off in some areas


NEW YORK (AP) — Flu is now widespread in all but three states as the nation grapples with an earlier-than-normal season. But there was one bit of good news Friday: The number of hard-hit areas declined.


The flu season in the U.S. got under way a month early, in December, driven by a strain that tends to make people sicker. That led to worries that it might be a bad season, following one of the mildest flu seasons in recent memory.


The latest numbers do show that the flu surpassed an "epidemic" threshold last week. That is based on deaths from pneumonia and influenza in 122 U.S. cities. However, it's not unusual — the epidemic level varies at different times of the year, and it was breached earlier this flu season, in October and November.


And there's a hint that the flu season may already have peaked in some spots, like in the South. Still, officials there and elsewhere are bracing for more sickness


In Ohio, administrators at Miami University are anxious that a bug that hit employees will spread to students when they return to the Oxford campus next week.


"Everybody's been sick. It's miserable," said Ritter Hoy, a spokeswoman for the 17,000-student school.


Despite the early start, health officials say it's not too late to get a flu shot. The vaccine is considered a good — though not perfect — protection against getting really sick from the flu.


Flu was widespread in 47 states last week, up from 41 the week before, the Centers for Disease Control and Prevention said on Friday. The only states without widespread flu were California, Mississippi and Hawaii.


The number of hard-hit states fell to 24 from 29, where larger numbers of people were treated for flu-like illness. Now off that list: Florida, Arkansas and South Carolina in the South, the first region hit this flu season.


Recent flu reports included holiday weeks when some doctor's offices were closed, so it will probably take a couple more weeks to get a better picture, CDC officials said Friday. Experts say so far say the season looks moderate.


"Only time will tell how moderate or severe this flu season will be," CDC Director Dr. Thomas Frieden said Friday in a teleconference with reporters.


The government doesn't keep a running tally of adult deaths from the flu, but estimates that it kills about 24,000 people in an average year. Nationally, 20 children have died from the flu this season.


Flu vaccinations are recommended for everyone 6 months or older. Since the swine flu epidemic in 2009, vaccination rates have increased in the U.S., but more than half of Americans haven't gotten this year's vaccine.


Nearly 130 million doses of flu vaccine were distributed this year, and at least 112 million have been used. Vaccine is still available, but supplies may have run low in some locations, officials said.


To find a shot, "you may have to call a couple places," said Dr. Patricia Quinlisk, who tracks the flu in Iowa.


In midtown Manhattan, Hyrmete Sciuto got a flu shot Friday at a drugstore. She skipped it in recent years, but news reports about the flu this week worried her.


During her commute from Edgewater, N.J., by ferry and bus, "I have people coughing in my face," she said. "I didn't want to risk it this year."


The vaccine is no guarantee, though, that you won't get sick. On Friday, CDC officials said a recent study of more than 1,100 people has concluded the current flu vaccine is 62 percent effective. That means the average vaccinated person is 62 percent less likely to get a case of flu that sends them to the doctor, compared to people who don't get the vaccine. That's in line with other years.


The vaccine is reformulated annually, and this year's is a good match to the viruses going around.


The flu's early arrival coincided with spikes in flu-like illnesses caused by other bugs, including a new norovirus that causes vomiting and diarrhea, or what is commonly known as "stomach flu." Those illnesses likely are part of the heavy traffic in hospital and clinic waiting rooms, CDC officials said.


Europeans also are suffering an early flu season, though a milder strain predominates there. China, Japan, the West Bank, the Gaza Strip, Algeria and the Republic of Congo have also reported increasing flu.


Flu usually peaks in midwinter. Symptoms can include fever, cough, runny nose, head and body aches and fatigue. Some people also suffer vomiting and diarrhea, and some develop pneumonia or other severe complications.


Most people with flu have a mild illness. But people with severe symptoms should see a doctor. They may be given antiviral drugs or other medications to ease symptoms.


Some shortages have been reported for children's liquid Tamiflu, a prescription medicine used to treat flu. But health officials say adult Tamiflu pills are available, and pharmacists can convert those to doses for children.


___


Associated Press writers Dan Sewell in Cincinnati, Catherine Lucey in Des Moines, and Malcolm Ritter in New York contributed to this report.


___


Online:


CDC flu: http://www.cdc.gov/flu/index.htm


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Wall Street sags as demand worries hit Apple


NEW YORK (Reuters) - Wall Street fell on Monday as shares of Apple were hit by demand concerns, while investors faced a busy week for earnings in what is expected to be a lackluster quarter.


Apple slid more than 3 percent after a report that the tech company has cut orders for LCD screens and other parts for the iPhone 5 this quarter due to weak demand. The stock was down 3.5 percent at $502.30. [ID:nL2N0AJ14E] It was the biggest drag on the S&P 500 and Nasdaq composite indexes.


"They've had great growth, but the growth is going to slow because we have some formidable competitors we didn't have when the iPhone first came out," said Alan Lancz, president at Alan B. Lancz & Associates Inc in Toledo, Ohio


Apple suppliers Cirrus Logic tumbled 4.8 percent to $30.04 and Qualcomm lost 1.4 percent to $64. The S&P tech sector gave up 0.9 percent.


Earnings season picks up the pace this week with reports expected from companies including Goldman Sachs, Bank of America, Intel and General Electric.


Overall earnings are expected to grow by just 1.9 percent in this reporting period, according to Thomson Reuters data. Thirty-eight S&P 500 companies are due to report results this week.


"Expectations have been lowered from where they were a few weeks ago. Whether they're low enough is going to be the key question," said Lancz.


Analysts say the focus will be on what kind of guidance companies offer now that a deal has been reached on the "fiscal cliff."


Investors will be watching a news conference from President Barack Obama, scheduled for 11:15 a.m. (1615 GMT). Obama is expected to focus on looming budget and borrowing due dates, White House officials said.


Separately, Federal Reserve Chairman Ben Bernanke will be speaking on monetary policy, recovery from the global financial crisis and long-term challenges facing the American economy at 4 p.m. (2100 GMT).


The Dow Jones industrial average slipped 23.01 points, or 0.17 percent, to 13,465.42. The Standard & Poor's 500 Index fell 4.80 points, or 0.33 percent, to 1,467.25. The Nasdaq Composite Index gave up 15.57 points, or 0.50 percent, at 3,110.06.


Appliance and electronics retailer Hhgregg Inc cut its same-store sales forecast for the full year, sending its shares down 11 percent at $7.02.


Transocean Ltd has disclosed that billionaire activist investor Carl Icahn has acquired a 1.56 percent stake in the offshore rig contractor and is looking to increase that holding. Its shares rose 3.4 percent to $55.92.


The Dow fared better than the other two indexes as Hewlett-Packard rose 1.6 percent to $16.42 after JPMorgan raised its price target to $21 from $15.


(Editing by Kenneth Barry)



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Thousands of Russians Rally Against Adoption Ban





MOSCOW – Thousands of Russians marched on Sunday in condemnation of the Russian Parliament’s move to ban adoption of Russian children by American families, an event dubbed a “March Against Scoundrels,” where participants chanted, “Take your hands off children,” and carried posters showing the faces of lawmakers stamped with the word “Shame.”




Marchers flooded tree-lined boulevards for many blocks on a bitterly cold day. The police estimated the turnout for the march, which was sanctioned by city authorities, at 9,500; a group of activists who made a count told Interfax that there were about 24,000 participants.


The sight gags and clever slogans of last year’s anti-government rallies were gone Sunday, and many participants had emotional answers for why they came to march. Many questioned the moral principles of a ban on adoptions by Americans in a country with so many children in foster care or orphanages.


“Even I can’t afford to adopt, and I’m supposedly middle class,” Yekaterina Komissarova, 31, said, adding that perhaps the issue angered her so deeply because she was the mother of two children.


Another marcher, Tamara Nikolayeva, 62, raised her voice to a near-shout as she accused Russian leaders of using orphans as pawns.


“They have decided to settle a score by using children, and it’s shameful,” Ms. Nikolayeva said, as her friends gathered around, nodding their encouragement. “O.K., maybe at some point, it will be better not to give our children away; we should take care of them ourselves. But first you have to make life better for them here. Give them a chance to study. Give them a chance to get medical treatment.”


The adoption ban has underlined a growing division in Russian society, as the government has embraced conservative rhetoric tailored to voters in the heartland, and turned away from prosperous city-dwellers who have mobilized over the Internet. State-controlled television has regaled Russians with reports of American parents who abuse or neglect Russian children, and a top official derided the marchers as “child-sellers.”


“I am especially surprised to see people gather at such a large action in support of American business — because for them, our children, Russian children, are factually, let’s put it this way, an object of trade,” said Yekaterina Lakhova, the United Russia lawmaker who sponsored the ban, in an interview with Kommersant FM radio station shortly after Sunday’s march began.


“Economically developed countries – and we do not consider ourselves a third-world country, we are in the top 20 – do not give up their children to foreign adoption as much as we do,” she said. “Excuse me, but in the past years, we have given the United States a small city with a population of up to 100,000, that is how many children we have given up to foreign adoptions.”


President Vladimir V. Putin approved the adoption ban in late December, as part of a broader law retaliating against the United States for the so-called Magnitsky Act, an effort to punish Russian officials accused of human rights violations.


Russian leaders have complained bitterly for years about light sentences handed down in cases where American adoptive parents abused or neglected children adopted from Russia, and named the ban after Dmitri Yakovlev, a toddler who died of heatstroke in Virginia in 2008 after his adoptive father left him in a parked car for nine hours.


But the decision has proven divisive in Russia, even within government circles. More than 650,000 children live in foster care or orphanages in Russia, of whom about 120,000 are eligible for adoption. Many children in orphanages are sick or disabled, and most have little hope of finding permanent homes.


“We hope that these people, who came out to express their opinion, are aware of the plans of our nation’s leaders to bring order to the adoption process, and the implementation of a range of measures aimed to improve the lives of orphans,” Dmitri S. Peskov, the Kremlin press secretary, said.


The protesters on Sunday, however, were not likely to be convinced. One woman carried a sign that read, “Stop the repressions, you’re making revolutionaries out of us.” Many said they support the Magnitsky Act, which was passed by the American Congress late last year, as a way to hold Russian officials accountable for crimes that would otherwise never be punished.


“I truly think they have lost touch with society, and they use these laws to divert society’s anger toward ‘our enemies,’ the Americans,” said Boris Komberg, a physicist who was distributing a poem he had written about the adoption issue.


Yelena Rostova, 61, said anger over the ban had crystallized in the two weeks that followed its passage and caught the authorities by surprised.


“They expected that, as usual, we would swallow it, keep quiet,” Ms. Rostova said. “We have had two weeks to think about this law, and not everyone understood right away, but as time passed, people realized what it means to leave invalids, sick children, in Russia, where there is no help. Everyone knows what kind of medicine we have here.”


Because of the long winter holidays, there is little fresh public opinion data, but a survey released in December by the Public Opinion Foundation showed that 56 percent of Russians approved of banning adoptions by Americans.


Leonid Perlov, 58, a geography professor, cast an appraising eye back at the long line of marchers that filled the boulevard behind him. He then turned back, and said it would be foolish to expect political change any time soon.


“This is not the country,” he said. “This is Moscow. Believe me, there is a very big difference.”


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Why This Outdated Dating Manual Did Not Need a Social-Media Update






The Rules, a dating instruction manual of yore by two ladies named Ellen Fein and Sherrie Schneider (they know what they’re talking about ’cause they’re married!), should, by now, have gone the way of the cave drawing or the horse and buggy, as a relic of times past. It was initially published in 1995, nearly 20 years ago, and we don’t even want to calculate what that means in dog years. But alas, it’s still hanging around, lurking in the bookshelves of various bricks and mortar stores where such things are sold; lingering on Amazon.com and giving us coquettish looks; promising such things as actual, official answers in the ongoing struggle to win a man and make him put a ring on it (I’m paraphrasing, of course).


RELATED: Actual Wall Streeters Respond to Matchmaker’s Tips for Dating Them






Far from aging gracefully and going away, it’s been updated to bring it up to speed with the newfangled ways in which we do things, you know, on the Facebook and World Wide Web and whatnot. Of course, business-wise, this makes sense. It’s a best-seller! In fact, there’s a whole franchise of Rules books, described by Elle as “one of the best self-help books of all time.” So why wouldn’t Fein and Schneider and their publisher hope to make some more money with a new installment of the book that promises answers to pressing social media-dating questions like these: “How long should I wait to respond to his text message? Can I friend him on Facebook? Why did he ask for my number but never call me?” 


RELATED: Andrea Peyser Does Not Approve of This ‘Online Dating’


Well, they would. Grand Central Publishing released the book, Not Your Mother’s Rules, on January 8, and it’s ranked number 4 in dating books on Amazon. One would presume from the title and the pitch that the ladies behind it hope that the younger generations will lap this stuff up, just like their moms did. 


RELATED: Commuting to the Suburbs of Love


Of course, it’s a self-help book, so I am predisposed to dislike it. Self-help books, especially those about dating, often fall into a category that could be better described as, well, undermining. The problems with such books for me are multifold. One, they posit that human relationships can be commoditized; that there is one path that works for all in terms of getting what you want. (They also presume, in a stereotypical manner, that what we all want is the same, and, I think, infer there’s some ongoing battle between men, who want one thing, and women, who want the opposite.) I don’t think those messages are true, and I don’t think they’re particularly healthy or helpful, either.


RELATED: The Trials of Being a Married Olympian


Further, self-help books are published to make money. Those that say they’ll teach a reader how to get married or get the relationship they want do so by preying on the bewilderment, confusion, insecurity, and desires of women (and sometimes men, too). Sure, dating is hard. Sure, it’s difficult to find “the right person.” But the process should also to be fun, experiential, silly, weird, unique, and something we learn from. Figuring out what you want for yourself by doing it, that’s a great thing. Making dating about adhering to some code that a couple of people came up with and want to sell you so they can make money, well, that’s not so great. Women and men may read this stuff because they think it can’t hurt. Sometimes it feels good to believe that there are rules that can be followed to get what we want; it means we need only have the dedication and commitment to follow those rules, which is way easier than, for instance, thinking for ourselves deeply and making our own decisions, and having courage and believing in ourselves. 


RELATED: Old People Are Getting Better at Dating


Some of the advice in this book may not be categorically awful. Simplified to “don’t act like an obsessive”; “pause before you rush to do something you regret”; and “take care of yourself!” some instructions could actually be quite handy as a common-sense reminder. But categorizing it as stuff women need to follow to snag a man makes it highly problematic, even if the occasional tip is not so bad. And stuff like this, “New chapters include rules for text flirting: women under 30 wait 30 minutes to respond to a man’s text; older women should wait 4 hours,” as Pat Kiernan wrote today on his blog, is particularly disheartening, and inherently sort of woman-hating. Control your texting, The Rules ladies say. “Women shouldn’t take the first step to initiate any relationship — and that includes online dating,” they told the New York Daily News. Once you have a guy, ignore him, “at least for a little while.” And don’t sext until you’re married. That might save us from a few political scandals. But is this the kind of advice women need, in this day and age? 


If there was to be an excellent dating self-help book for the year 2013, I’d hope it would tell people to trust themselves. To behave as they see fit, according to the situation they’re in, regardless of age, because they are smart, lovely people who deserve the good things they put out into the world, and even if they make mistakes, they’ll find their way and do the right thing. That self-help book would tell women to stop reading dating self-help books, and instead to behave as though they knew they were wise enough to decide for themselves what they should do, to interpret the signs and make the right moves, or make the wrong ones and deal with that, too, instead of adhering to some rules that aren’t really the way we are at all. It would most of all tell everyone to be themselves, and stop pretending to be something else. Because The Rules, and those who follow them, create some weird perceptions among men and women. Suddenly anyone who does text someone right back is perceived somehow as needy or “too easy to get.” That’s especially odd given that a four-hour delay in a response, when you could respond quite easily, is actually rather rude. Would that we could rid the world of such descriptions as “hard to get” altogether, because more important than playing games or appearing a certain way (difficult to get?) is finding someone you care about and behaving a way that shows that you do. Why do we persist, instead, in making everything so convoluted and difficult?


We can only hope, I suppose, that as time progresses these tips will become as ancient and quaint-sounding as, for example, the instructions in Miss Leslie’s Behavior Book, published in the 1800s. Until then, a word of advice. Follow your instincts; if it feels right, it probably is; don’t believe everything you read in dating books, and maybe, do yourself a favor: Don’t read dating advice books at all. But DO read Miss Leslie’s, for snippets such as this: 


b40b1  8527d59c0385dddd0caa8a3261fe7dde 510x283 Why This Outdated Dating Manual Did Not Need a Social Media Update


Now, that’s helpful advice. 


Social Media News Headlines – Yahoo! News





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