Chrysler Pauses to Mark an Unlikely Comeback

Fabrizio Costantini for The New York Times

Chrysler introduced a new Grand Cherokee in Detroit on Monday.

DETROIT — While its hometown rivals struggle to regain momentum, Chrysler is accelerating its unlikely product revival.

The smallest of the American automakers kicked off the annual Detroit auto show on Monday with new versions of two Jeep models, the Grand Cherokee and Compass, that have helped turn the company around since its government bailout and bankruptcy in 2009.

Chrysler outperformed the industry last year with a 20.6 percent increase in domestic sales in a market that grew by 13.4 percent. By comparison, sales increased just 3.7 percent at General Motors and 4.7 percent at Ford.

Sergio Marchionne, the chief executive of both Chrysler and its Italian parent Fiat, said Monday he expected Chrysler’s upward sales trend to continue this year, particularly in pickup trucks and SUVs.

“I think there’s a general feeling that the U.S. market is in healthy shape,” Mr. Marchionne said in a meeting with reporters. “And we’re certainly going to improve in the market.”

Last year was a stellar one for Chrysler. Its bread-and-butter products like the Grand Cherokee and the Ram pickup had big gains, and new cars like the Dodge Dart began to mitigate the company’s traditional reliance on larger vehicles.

Now Mr. Marchionne is laying plans to build a new, entry-level Jeep at an underutilized Fiat plant in Italy – evidence of how the American company is shepherding its European parent company through difficult times.

Sales of Chrysler products now account for more than 60 percent of the total vehicles sold under the Fiat corporate umbrella, which also includes brands like Alfa Romeo and Maserati.

When Mr. Marchionne negotiated Fiat’s acquisition of Chrysler during its federal bailout, industry executives were skeptical that the American company could thrive after the failures of its previous owners, the German carmaker Daimler and the private-equity firm Cerberus.

Now, however, “it’s not Fiat saving Chrysler, it’s Chrysler saving Fiat,” said David Cole, a founder of the Center for Automotive Research in Ann Arbor, Mich.

Mr. Marchionne said a key part of Chrysler’s growth will come from its iconic Jeep brand, which has updated its rugged image with better fuel efficiency and improved quality.

The company showed off the first diesel-engine version of the Grand Cherokee on Monday, which officials said could get 30 miles per gallon in highway driving.

A new version of the Jeep Liberty is scheduled to be introduced later this year. Mr. Marchionne said. The compact Jeep will be built alongside a Fiat model in the Italian plant.

The plan helps solve Fiat’s glaring overcapacity issues in Europe, where vehicle sales have dropped to their lowest level in years. It also represents an aggressive step to grow the Jeep brand outside the United States.

“The brand needs an entry-level Jeep” that people can get at a lower price point, Mr. Marchionne said.

Chrysler was also close to finalizing plans to build Jeeps in China, he said.

Mr. Marchionne said it was important for Chrysler to expand its product lineup to help Fiat weather the European sales crisis, which is affecting most auto companies there.

He estimated that mass-market carmakers in Europe lost a combined 5 billion euros last year, mostly because demand fell well short of supply.

Automakers have so far announced a handful of plant closings to address the overcapacity issue. But Mr. Marchionne has consistently argued for a broader reduction in the number of factories throughout Europe.

“The gap is too large,” he said. “You can’t close a 5 billion euro gap in operating profit by tweaking the machine.”

Mr. Marchionne said that he was driving Chrysler to make up the difference in profits as Fiat falters and as comeback plans for Alfa Romeo take shape.

“We are living with the consequences of a collective inability to resolve the issue,” he said. “But this is not for the fainthearted.”

He said that overcoming the “threat of complacency” is Chrysler’s biggest issue. After the Ram pickup won the truck of the year award at the Detroit show, Mr. Marchionne cut short the celebratory mood at the company’s exhibit.

“Celebration is fine, I’m delighted,” he said. “But it’s over.”

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India Ink: Woman Raped by Seven Men in Punjab, India, Police Say

NEW DELHI — Police said Sunday that a  29-year-old woman had been raped by a bus driver, a bus conductor and five other men in the north Indian state of Punjab, in an incident that recalls the recent attack in Delhi that has caused widespread outrage.

The woman boarded a bus on Friday bound for Gurdaspur, to visit her in-laws, the police chief of Gurdaspur, Raj Jit Singh, said in a telephone interview. When she got off the bus, the driver offered her a ride on his motorcycle, perhaps to her in-laws village, the police said. Instead, he took her to a nearby village where he and six other men, including the bus conductor, raped her repeatedly through the night.

The next morning, the driver dropped her at her in-laws home, where the woman told her family members of the incident, and then reported it to the police, Mr. Singh said.

Six men, including the bus driver and conductor, have been arrested, he said. All of the men are their twenties.

Gurmesh Singh, the deputy superintendent of police for the  region, said it was unclear how or why the bus driver persuaded the woman to go with him on his motorcycle. She was in a state of distress during the bus ride, Mr. Singh said, and originally refused to get off of the bus when it reached its final destination.

The Press Trust of India reported that the bus driver did not stop at her stop when requested.

The gang-rape of a woman on a moving bus in New Delhi on Dec. 16, and her subsequent death from injuries sustained during the rape, has sparked widespread protests and calls for increased policing and tougher laws against sexual assault in India.

The case against five of the men arrested in that rape is being heard this month in a special fast-track court created just for incidents of sexual assault.

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Ryan's 2 TDs give Falcons 20-0 lead over Seattle

ATLANTA (AP) — The Falcons' defense made a fourth-down stop to set up Matt Ryan's second touchdown pass and then delivered another stop as the first half ended to preserve a 20-0 lead over Seattle in Sunday's NFC divisional playoff game.

Ryan threw a 47-yard touchdown pass to Roddy White in the second quarter to stretch the lead to 20-0.

The Falcons' defense then stiffened after Russell Wilson moved the Seahawks to a first down at the Atlanta 6. Wilson threw incomplete passes to Sidney Rice and Golden Tate as Seattle used all its timeouts. On third down from the 11, Wilson was sacked by Jonathan Babineaux and time expired before the rookie quarterback could attempt a fourth-down pass.

Ryan, who threw a 1-yard touchdown pass to Tony Gonzalez in the first quarter, threw deep over the middle to White for his second scoring pass. Cornerback Richard Sherman fell down while attempting to cover White, and safety Kam Chancellor was too late in providing help.

Falcons fans chanted "Roddy! Roddy!" as officials returned to the field following their review to announce the touchdown call was confirmed.

The long touchdown pass came after a fourth-down stop by the Falcons' defense deep in Atlanta territory.

Wilson completed a 34-yard pass to tight end Zach Miller and added a 16-yard pass to Tate to push the Seahawks deep into Atlanta territory in the second quarter.

Robert Turbin was stopped on third-and-1 from the Falcons 11. On fourth down, Wilson handed to fullback Michael Robinson, who was dropped by Falcons safety Charles Mitchell for a 1-yard loss.

The Falcons overcame an interception by Ryan by taking advantage of a fumble by Seattle's Marshawn Lynch.

Ryan's pass for Gonzalez was intercepted by Seahawks middle linebacker Bobby Wagner, giving Seattle possession at its 33 midway through the quarter.

On first down from the 50, Lynch fumbled when hit by linebacker Sean Weatherspoon. Babineaux recovered at the Atlanta 39 to set up the touchdown drive. Wagner was penalized for a horse-collar tackle on Turner, moving the Falcons to the Seattle 29.

Ryan completed a 16-yard pass to backup tight end Chase Coffman to the 1, setting up the touchdown pass to Gonzalez.

The Falcons held the ball for 11 plays on their opening drive, moving to the Seahawks 21. Ryan completed a 13-yard pass to White on the first third-down play of the drive. Sherman made a last-second deflection on Ryan's pass for White in the end zone on third down from the 21, setting up Matt Bryant's 39-yard field goal.

Atlanta had success running the ball on the drive with Michael Turner, who had a 15-yard gain on his first run, and Jacquizz Rodgers, who had runs of 7 and 6 yards.

The Seahawks trailed 14-0 before rallying in last week's 24-14 victory over Robert Griffin III and the Washington Redskins in the opening round of the playoffs.

Rodgers broke through the Seattle line for a 45-yard run, the longest of his career, on the final play of the first quarter. The 11-play drive stalled at the Seahawks 19, setting up a 37-yard field goal by Bryant for a 13-0 lead.

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Online: http://pro32.ap.org/poll and http://twitter.com/AP_NFL

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City Room: Cuomo Declares Public Health Emergency Over Flu Outbreak

With the nation in the grip of a severe influenza outbreak that has seen deaths reach epidemic levels, New York State declared a public health emergency on Saturday, making access to vaccines more easily available.

There have been nearly 20,000 cases of flu reported across the state so far this season, officials said. Last season, 4,400 positive laboratory tests were reported.

“We are experiencing the worst flu season since at least 2009, and influenza activity in New York State is widespread, with cases reported in all 57 counties and all five boroughs of New York City,” Gov. Andrew M. Cuomo said in a statement.

Under the order, pharmacists will be allowed to administer flu vaccinations to patients between 6 months and 18 years old, temporarily suspending a state law that prohibits pharmacists from administering immunizations to children.

While children and older people tend to be the most likely to become seriously ill from the flu, Mr. Cuomo urged all New Yorkers to get vaccinated.

On Friday, the Centers for Disease Control and Prevention in Atlanta said that deaths from the flu had reached epidemic levels, with at least 20 children having died nationwide. Officials cautioned that deaths from pneumonia and the flu typically reach epidemic levels for a week or two every year. The severity of the outbreak will be determined by how long the death toll remains high or if it climbs higher.

There was some evidence that caseloads may be peaking, federal officials said on Friday.

In New York City, public health officials announced on Thursday that flu-related illnesses had reached epidemic levels, and they joined the chorus of authorities urging people to get vaccinated.

“It’s a bad year,” the city’s health commissioner, Dr. Thomas A. Farley, told reporters on Thursday. “We’ve got lots of flu, it’s mainly type AH3N2, which tends to be a little more severe. So we’re seeing plenty of cases of flu and plenty of people sick with flu. Our message for any people who are listening to this is it’s still not too late to get your flu shot.”

There has been a spike in the number of people going to emergency rooms over the past two weeks with flulike symptoms – including fever, fatigue and coughing – Dr. Farley said.

Mayor Michael R. Bloomberg and Mr. Cuomo made a public display of getting shots this past week.

In a briefing with reporters on Friday, officials from the C.D.C. said that this year’s vaccine was effective in 62 percent of cases.

As officials have stepped up their efforts encouraging vaccinations, there have been scattered reports of shortages. But officials said plenty of the vaccine was available.

According to the C.D.C., makers of the flu vaccine produced about 135 million doses for this year. As of early this month, 128 million doses had been distributed. While that would not be enough for every American, only 37 percent of the population get a flu shot each year.

Federal health officials said they would be happy if that number rose to 50 percent, which would mean that there would be more than enough vaccine for anyone who wanted to be immunized.

Two other diseases – norovirus and whooping cough – are also widespread this winter and are contributing to the number of people getting sick.

The flu can resemble a cold, though the symptoms come on more rapidly and are more severe.

A version of this article appeared in print on 01/13/2013, on page A21 of the NewYork edition with the headline: New York Declares Health Emergency.

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Treasury Will Not Mint $1 Trillion Coin to Raise Debt Ceiling

WASHINGTON — The Treasury Department said Saturday that it will not mint a trillion-dollar platinum coin to head off an imminent battle with Congress over raising the government’s borrowing limit.

“Neither the Treasury Department nor the Federal Reserve believes that the law can or should be used to facilitate the production of platinum coins for the purpose of avoiding an increase in the debt limit,” Anthony Coley, a Treasury spokesman, said in a written statement.

The Obama administration has indicated that the only way for the country to avoid a cash-management crisis as soon as next month is for Congress to raise the “debt ceiling,” which is the statutory limit on government borrowing. The cap is $16.4 trillion.

“There are only two options to deal with the debt limit: Congress can pay its bills, or it can fail to act and put the nation into default,” Jay Carney, the White House press secretary, said in a statement. “Congress needs to do its job.”

In recent weeks, some Republicans have indicated that they would not agree to raise the debt limit unless Democrats agreed to make cuts to entitlement programs like Social Security.

The White House has said it would not negotiate spending cuts in exchange for Congressional authority to borrow more, and it has insisted that Congress raise the ceiling as a matter of course, to cover expenses already authorized by Congress. In broader fiscal negotiations, it has said it would not agree to spending cuts without commensurate tax increases.

The idea of minting a trillion-dollar coin drew wide if puzzling attention recently after some bloggers and economic commentators had suggested it as an alternative to involving Congress.

By virtue of an obscure law meant to apply to commemorative coins, the Treasury secretary could order the production of a high-denomination platinum coin and deposit it at the Federal Reserve, where it would count as a government asset and give the country more breathing room under its debt ceiling. Once Congress raised the debt ceiling, the Treasury secretary could then order the coin destroyed.

Mr. Carney, the press secretary, fielded questions about the theoretical tactic at a news conference last week. But the idea is now formally off the table.

The White House has also rejected the idea that it could mount a challenge to the debt ceiling itself, on the strength of the Fourteenth Amendment to the Constitution, which holds that the “validity of the public debt” of the United States “shall not be questioned.”

The Washington Post earlier published a report that the Obama administration had rejected the platinum-coin idea.

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Venezuela Governors Warned Not to Question Government’s Legitimacy

CARACAS, Venezuela — Top government officials are threatening to take action against opposition governors and issuing dark warnings about conspiracies against the government of President Hugo Chávez, who is ailing and remains incommunicado in Cuba.

At a large rally for the cancer-stricken Mr. Chávez on Thursday, the day designated for his inauguration, Vice President Nicolás Maduro sent a warning to government critics who had objected to a Supreme Court ruling that endorsed the indefinite postponement of the president’s swearing-in.

Many interpreted his words to be directed at Henrique Capriles, the governor of Miranda State who lost to Mr. Chávez in the presidential election in October. He is the most likely opposition candidate if a special election has to be held should Mr. Chávez die, resign or become too sick to continue in office.

“Some governors out there have come out to make declarations, playing with words,” Mr. Maduro said. “We say to them, ‘Stop the waffling.’ If you don’t recognize the legitimate government of President Chávez, we are evaluating legally very forceful actions, because if you don’t recognize me, I’m not obligated to recognize you. It’s that simple.”

He added: “Watch your words and your actions. Take care not to get involved in coups and destabilizing adventures.”

Before leaving for cancer surgery in Havana in early December, Mr. Chávez designated Mr. Maduro as his political heir and said that he wanted him to run for president if a special election became necessary.

It is not unusual for Venezuelan officials to threaten or lash out at the opposition, which they routinely characterize as an enemy bent on overthrowing Mr. Chávez’s revolution. But in recent days, amid an intense debate over the constitutionality of postponing the president’s swearing in, the tone has gotten harsher.

Later on Thursday, Mr. Capriles posted a reply on Twitter saying, “Threats from No. 2s make us laugh, let’s see if starting tomorrow they get back to work, Government in paralysis.”

Mr. Capriles added in another post: “What do you know, they didn’t let Al Capone speak, what happened?”

Vladimir Villegas, a former ambassador who is now critical of the government, said that in Mr. Chávez’s absence, Mr. Maduro and other officials were using the clash with the opposition to promote unity among their followers.

“They can’t live without an enemy,” Mr. Villegas said. “The confrontation with the opposition holds them together.”

The vice president is appointed by the president, and some in the opposition have argued that Mr. Maduro cannot continue to serve in the new term without being reappointed by Mr. Chávez. But the Supreme Court ruled that Mr. Maduro and other appointees could continue in their posts.

Mr. Capriles has pointed out repeatedly that although Mr. Maduro is now at the head of the government, he is not an elected official.

“He was not elected Oct. 7,” Mr. Capriles said last week, referring to the recent presidential election. “He shouldn’t come and talk to us about legitimacy.”

The front page of the newspaper Tal Cual on Friday showed a caricature of Mr. Maduro with the headline: “The Usurper.” Another newspaper opposed to the government, El Nacional, ran a front-page headline that said: “The new term starts with legality questioned.”

On Thursday, Mr. Maduro also said the government had uncovered a plot to destabilize the country, although he offered no evidence and was vague in his description of the conspiracy.

“There is a plan by sectors of the ultraright to find a cadaver, two cadavers and fill the streets of Venezuela with protests,” Mr. Maduro said, adding that the opposition was planning “a kind of sabotage and constant fires in the cities.”

“We alerted all the police security forces to be very careful of their actions because they are looking to stain the political life” of the country, Mr. Maduro said.

Also last week, the government said it was starting an administrative proceeding against Globovisión, a television station closely allied with the opposition, over its coverage of the constitutional controversy around Mr. Chávez’s swearing-in. The proceeding could result in a large fine or the temporary shutdown of the station.

The National Telecommunications Commission announced the proceeding on Wednesday, several hours after Diosdado Cabello, president of the National Assembly and a top Chávez ally, said in a speech that the station should be sanctioned for its coverage of the issue.

The director of the commission, Pedro Maldonado, said punishment could include a fine of up to 10 percent of the station’s gross revenue and a 72-hour shutdown.

Globovisión paid a fine of about $2.2 million last year for its coverage of a deadly prison riot in 2010. The government said its reporting threatened public order and fomented anxiety.

On Friday, Globovisión ran a short spot several times showing a section of the Constitution that defends free speech followed by Mr. Maldonado announcing the proceeding against the station. It ends with the words, “Censorship of the Constitution.”

Meanwhile, Mr. Maduro flew to Cuba on Friday to visit the president and his family and speak with his doctors.

Mr. Chávez has not been seen or heard from since his cancer surgery on Dec. 11 in Havana. Officials have said that he is fighting a severe lung infection. In past trips to Cuba for cancer treatment, starting in June 2011, Mr. Chávez stayed in the public eye, posting on Twitter, making phone calls to government-run television stations and on one occasion conducting a televised government meeting from Havana.

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“Storage Wars” porn lawsuit: alleged Brandi Passante video distributor found in contempt

LOS ANGELES (TheWrap.com) – “Storage Wars” star Brandi Passante has won a legal victory over the man accused of distributing a fake pornographic video of her on the Internet.

Or, at least, the alleged porn-monger has suffered a legal setback.

Federal judge James V. Selna of U.S. District Court in Central California found Hunter Moore, former operator of the website Is Anyone Up, in contempt of court on Tuesday. Selna ruled Moore failed to comply with a preliminary injunction ordering him to remove the images of Passante from the websites that he posted them to.

According to the order issued by Selna, if Moore has not “purged his contempt” (presumably, meaning “removed the images,” but feel free to supply your own mental imagery) by the time he has received the order, he will be fined $ 50 for each day that he fails to comply with the injunction.

After that, the fine increases to $ 100 per day, and a warrant for his arrest will be issued if he fails to comply after 14 days.

As reported earlier by TheWrap, Passante sued Moore in October, claiming that he published photos and video purporting to depict Passante in pornographic situations. (Passante claims that the images are fake.)

The suit says that Passante first became aware of the images when she received a tweet reading, “Love the pics” from Is Anyone Up’s Twitter account.

The complaint goes on to claim that Moore later posted the video to porn-friendly website Fleshbot.com, adding that when users clicked on the video, a virus immediately began to download onto their computers.

Since filing the suit, Passante has claimed to suffer further headaches due to Moore’s efforts. In November, the “Storage Wars” buyer and her attorney Linda S. McAleer filed declarations that Moore had violated a temporary restraining order by targeting the pair in a digital harassment campaign.

According to the declarations, Moore published a number of obscene tweets with Passante’s Twitter handle tagged, ensuring that she would see them.

In another instance, McAleer claimed, when she emailed a copy of the restraining order to Moore, he replied with a message asking “if brandi had missed this?” with a photo of himself naked from the waist down and in an aroused state.

(Pamela Chelin contributed to this report)

Internet News Headlines – Yahoo! News

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Armstrong to admit doping in Oprah interview

AUSTIN, Texas (AP) — Lance Armstrong will make a limited confession to doping during his televised interview with Oprah Winfrey next week, according to a person with knowledge of the situation.

Armstrong, who has long denied doping, will also offer an apology during the interview scheduled to be taped Monday at his home in Austin, according to the person who spoke on condition of anonymity because there was no authorization to speak publicly on the matter.

While not directly saying he would confess or apologize, Armstrong sent a text message to The Associated Press early Saturday that said: "I told her (Winfrey) to go wherever she wants and I'll answer the questions directly, honestly and candidly. That's all I can say."

The 41-year-old Armstrong, who vehemently denied doping for years, has not spoken publicly about the U.S. Anti-Doping Agency report last year that cast him as the leader of a sophisticated and brazen doping program on his U.S. Postal Service teams that included use of steroids, blood boosters and illegal blood transfusions.

The USADA report led to Armstrong being stripped of his seven Tour de France titles and given a lifetime ban from the sport.

Several outlets had reported that Armstrong was considering a confession. The interview will be broadcast Thursday on the Oprah Winfrey Network and oprah.com.

A confession would come at a time when Armstrong is still facing some legal troubles.

Armstrong faces a federal whistle-blower lawsuit filed by former teammate Floyd Landis accusing him of defrauding the U.S. Postal Service, but the U.S. Department of Justice has yet to announce if it will join the case. The British newspaper The Sunday Times is suing Armstrong to recover about $500,000 it paid him to settle a libel lawsuit.

A Dallas-based promotions company has threatened to sue Armstrong to recover more than $7.5 million it paid him as a bonus for winning the Tour de France.

But potential perjury charges stemming from his sworn testimony denying doping in a 2005 arbitration fight over the bonus payments have passed the statute of limitations.

Armstrong lost most of his personal sponsorship — worth tens of millions of dollars — after USADA issued its report and he left the board of the Livestrong cancer-fighting charity he founded in 1997. He is still said to be worth an estimated $100 million.

Livestrong might be one reason to issue an apology or make a confession. The charity supports cancer patients and still faces an image problem because of its association with its famous founder.

Armstrong could also be hoping a confession would allow him to return to competition in elite triathlon or running events, but World Anti-Doping Code rules state his lifetime ban cannot be reduced to less than eight years. WADA and U.S. Anti-Doping officials could agree to reduce the ban further depending on what new information Armstrong provides and his level of cooperation.

Armstrong met with USADA officials recently to explore a "pathway to redemption," according to a report by "60 Minutes Sports" aired Wednesday on Showtime.

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AP Sports Columnist Jim Litke contributed to this report.

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‘Bodega Clinicas’ Draw Interest of Health Officials

HUNTINGTON PARK, Calif. — The “bodega clinicas” that line the bustling commercial streets of immigrant neighborhoods around Los Angeles are wedged between money order kiosks and pawnshops. These storefront offices, staffed with Spanish-speaking medical providers, treat ailments for cash: a doctor’s visit is $20 to $40; a cardiology exam is $120; and at one bustling clinic, a colonoscopy is advertised on an erasable board for $700.

County health officials describe the clinics as a parallel health care system, serving a vast number of uninsured Latino residents. Yet they say they have little understanding of who owns and operates them, how they are regulated and what quality of medical care they provide. Few of these low-rent corner clinics accept private insurance or participate in Medicaid managed care plans.

“Someone has to figure out if there’s a basic level of competence,” said Dr. Patrick Dowling, the chairman of the family medicine department at the David Geffen School of Medicine at the University of California, Los Angeles.

Not that researchers have not tried. Dr. Dowling, for one, has canvassed the clinics for years to document physician shortages as part of his research for the state. What he and others found was that the owners were reluctant to answer questions. Indeed, multiple attempts in recent weeks to interview owners and employees at a half-dozen of the clinics in Southern California proved fruitless.

What is certain, however, is that despite their name, many of these clinics are actually private doctor’s offices, not licensed clinics, which are required to report regularly to federal and state oversight bodies.

It is a distinction that deeply concerns Kimberly Wyard, the chief executive of the Northeast Valley Health Corporation, a nonprofit group that runs 13 accredited health clinics for low-income Southern Californians. “They are off the radar screen,” said Ms. Wyard of the bodega clinicas, “and it’s unclear what they’re doing.”

But with deadlines set by the federal Affordable Care Act quickly approaching, health officials in Los Angeles are vexed over whether to embrace the clinics and bring them — selectively and gingerly — into the network of tightly regulated public and nonprofit health centers that are driven more by mission than by profit to serve the uninsured.

Health officials see in the clinics an opportunity to fill persistent and profound gaps in the county’s strained safety net, including a chronic shortage of primary care physicians. By January 2014, up to two million uninsured Angelenos will need to enroll in Medicaid or buy insurance and find primary care.

And the clinics, public health officials point out, are already well established in the county’s poorest neighborhoods, where they are meeting the needs of Spanish-speaking residents. The clinics also could continue to serve a market that the Affordable Care Act does not touch: illegal immigrants who are prohibited from getting health insurance under the law.

Dr. Mark Ghaly, the deputy director of community health for the Los Angeles County Department of Health Services, said bodega clinicas — a term he seems to have coined — that agree to some scrutiny could be a good way of addressing the physician shortage in those neighborhoods.

“Where are we going to find those providers?” he said. “One logical place to consider looking is these clinics.”

Los Angeles is not the only city with a sizable Latino population where the clinics have become a part of the streetscape. Health care providers in Phoenix and Miami say there are clinics in many Latino neighborhoods.

But their presence in parts of the Los Angeles area can be striking, with dozens in certain areas. Visits to more than two dozen clinics in South Los Angeles and the San Fernando Valley found Latino women in brightly colored scrubs handing out cards and coupons that promised a range of services like pregnancy tests and endoscopies. Others advertised evening and weekend hours, and some were open around the clock.

Such all-hours access and upfront pricing are critical, Latino health experts say, to a population that often works around the clock for low wages.

Also important, officials say, is that new immigrants from Mexico and Central America are more accustomed to corner clinics, which are common in their home countries, than to the sprawling medical complexes or large community health centers found in the United States. And they can get the kind of medical treatments — including injections of hypertension drugs, intravenous vitamins and liberally dispensed antibiotics — that are frowned upon in traditional American medicine.

The waiting rooms at the clinics reflected the everyday maladies of peoples’ lives: a glassy-eyed child resting listlessly on his mother’s lap, a fit-looking young woman waiting with a bag of ice on her wrist, a pensive middle-aged man in work boots staring straight ahead.

For many ordinary complaints, the medical care at these clinics may be suitable, county health officials and medical experts say. But they say problems arise when an illness exceeds the boundaries of a physician’s skills or the patient’s ability to pay cash.

Dr. Raul Joaquin Bendana, who has been practicing general medicine in South Los Angeles for more than 20 years, said the clinics would refer patients to him when, for example, they had uncontrolled diabetes. “They refer to me because they don’t know how to handle the situation,” he said.

The clinic physicians by and large appear to have current medical licenses, a sample showed, but experts say they are unlikely to be board certified or have admitting privileges at area hospitals. That can mean that some clinics try to treat patients who face serious illness.

Olivia Cardenas, 40, a restaurant worker who lives in Woodland Hills, Calif., got a free Pap smear at a clinic that advertises “especialistas,” including in gynecology. The test came back abnormal, and the doctor told Ms. Cardenas that she had cervical cancer. “Come back in a week with $5,000 in cash, and I’ll operate on you,” Ms. Cardenas said the doctor told her. “Otherwise you could die.”

She declined to pay the $5,000. Instead, a family friend helped her apply for Medicaid, and she went to a hospital. The diagnosis, it turned out, was correct.

Health care experts say the clinics’ medical practices would come under greater scrutiny if they were brought closer into the fold.

But being connected would mean the clinics’ cash-only business model would need to change. Dr. Dowling said the lure of newly insured patients in 2014 might draw them in. “To the extent there are payments available,” he said, “the legitimate ones might step up to the plate.”

This article was produced in collaboration with Kaiser Health News, an editorially independent program of the Kaiser Family Foundation.

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Aaron Swartz, Internet Activist, Dies at 26

Michael Francis McElroy for The New York Times

Aaron Swartz in 2009.

Aaron Swartz, a wizardly programmer who as a teenager helped to develop code that delivered ever-changing Web content to users and later became a steadfast crusader to make that information freely available, was found dead on Friday in his New York apartment, an apparent suicide.

 An uncle, Michael Wolf, said that Mr. Swartz had apparently hanged himself, and that Mr. Swartz’s girlfriend had discovered the body.

At 14, Mr. Swartz helped create RSS, the nearly ubiquitous software that allows users to subscribe to online information. Later, he became even more of an Internet folk hero, pushing to make many Web files free and open to the public. But in July 2011, he was indicted on federal charges of gaining illegal access to JSTOR, a subscription-only service for distributing scientific and literary journals, and downloading 4.8 million articles and documents, nearly the entire library.

Charges in the case, including wire fraud and computer fraud, were pending at the time of Mr. Swartz’s death, carrying potential penalties of up to 35 years in prison and $1 million in fines.

“Aaron built surprising new things that changed the flow of information around the world,” said Susan Crawford, a professor at Cardozo School of Law in New York who served in the Obama administration as a technology adviser. She called Mr. Swartz “a complicated prodigy,” and said “graybeards approached him with awe.”

 

Mr. Wolf, his uncle, said that he would remember Mr. Swartz as a young man who “looked at the world, and had a certain logic in his brain, and the world didn’t necessarily fit in with that logic, and that was sometimes difficult.”

The Tech, a newspaper of the Massachusetts Institute of Technology, reported Mr. Swartz’s death early Saturday.

Mr. Swartz led an often itinerant life that included dropping out of Stanford, forming companies and organizations, and becoming a fellow at Harvard University’s Edmond J. Safra Center for Ethics.

Mr. Swartz formed a company that merged with Reddit, the popular news and information site. He also co-founded Demand Progress, a group that promotes online campaigns on social justice issues — including a successful effort, with other groups, to oppose a Hollywood-backed Internet piracy bill known as SOPA, the Stop Piracy Act.

But he also found trouble when he took part in efforts to release information to the public that he felt should be freely available. In 2008, he took on Pacer — or Public Access to Court Electronic Records, the repository for federal judicial documents. The database charges 10 cents a page for documents; activists like Carl Malamud, the founder of public.resource.org, have long argued that such documents should be free since they are produced at public expense. Joining Mr. Malamud’s efforts to make the documents public by posting legally obtained files to the Internet for free access, he wrote an elegant little program to download 20 million pages of documents from free library accounts, or roughly 20 percent of the enormous database.

The government abruptly shut down the free library program, and Mr. Malamud feared that legal trouble might follow, even though he felt they had violated no laws. As he recalled in a newspaper account of the events, “I immediately saw the potential for overreaction by the courts.” He recalled telling Mr. Swartz, “You need to talk to a lawyer. I need to talk to a lawyer.”

Mr. Swartz recalled, “I had this vision of the feds crashing down the door, taking everything away.” He said he locked the deadbolt on his door, lay down on the bed for a while, and then called his mother.

When an article about his Pacer exploit was published in The New York Times, Mr. Swartz responded in a blog post in a typically puckish manner, announcing the story in the form of a personal ad: “Attention attractive people: Are you looking for someone respectable enough that they’ve been personally vetted by The New York Times, but has enough of a bad-boy streak that the vetting was because they ‘liberated’ millions of dollars of government documents? If so, look no further than page A14 of today’s New York Times.” In the Pacer exploit, the federal government investigated but decided not to prosecute.

In 2011, however, Mr. Swartz went beyond that, according to a federal indictment. In an effort to provide free public access to JSTOR, he broke into computer networks at the Massachusetts Institute of Technology by means that included breaking into a utility closet on campus and leaving a laptop that signed into the university computer network under a false account, federal officials said.

Mr. Swartz returned the hard drives with 4.8 million documents, and JSTOR declined to pursue the case. But United States attorney Carmen M. Ortiz pressed on, saying that “Stealing is stealing, whether you use a computer command or a crowbar, and whether you take documents, data or dollars.”

Ravi Somaiya contributed reporting.

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