Horror as hot air balloon catches fire in Egypt, killing 18 foreigners








LUXOR, Egypt — A hot air balloon flying over Egypt's ancient city of Luxor caught fire and crashed into a sugar cane field on Tuesday, killing at least 18 foreign tourists, a security official said.

It was one of the worst accidents involving tourists in Egypt and likely to push the key tourism industry deeper into recession. The casualties included French, British, Japanese nationals and nine tourists from Hong Kong, the official said.

Three survivors of the crash — two tourists and one Egyptian — were taken to a local hospital.

According to the Egyptian security official, the balloon carrying at least 20 tourists was flying over Luxor when it caught fire, which triggered an explosion in its gas canister, then plunged at least 300 meters (1,000 feet) from the sky.




It crashed into a sugar cane field outside al-Dhabaa village just west of Luxor, 320 miles south of Cairo, said the official, speaking on condition of anonymity because he was not authorized to talk to the media.

Bodies of the dead tourists were scattered across the field around the remnants of the balloon. An Associated Press reporter at the crash site counted eight bodies as they were put into body bags and taken away. The security official said all 18 bodies have been recovered.

The official said foul play has been ruled out. He also said initial reports of 19 dead were revised to 18 as confusion is common in the aftermath of such accidents.

In Hong Kong, a travel agency said nine of the tourists that were aboard the balloon were natives of the semiautonomous Chinese city. It did not say whether all nine were killed. The information was posted on the agency's website.

In Paris, a diplomatic official said French tourists were among those involved in the accident, but would give no details on how many, or whether French citizens were among those killed.

Speaking on condition of anonymity because he wasn't authorized to be publicly named according to government policy, the official said French authorities were working with their Egyptian counterparts to clarify what happened. French media reports said 2 French tourists were among the dead but the official wouldn't confirm that.

Hot air ballooning, usually at sunrise over the famed Karnak and Luxor temples as well as the Valley of the Kings, is a popular pastime for tourists visiting Luxor.

The site of the accident has seen past crashes. In 2009, 16 tourists were injured when their balloon struck a cellphone transmission tower. A year earlier, seven tourists were injured in a similar crash.

Egypt's tourism industry has been decimated since the 18-day uprising in 2011 against autocrat leader Hosni Mubarak and the political turmoil that followed and continues to this day.

Luxor's hotels are currently about 25 percent full in what is supposed to be the peak of the winter season.










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Miami medicine goes digital




















About 10 years ago, Dr. Fleur Sack quit her practice as a family physician to become a hospital department head. Spurring her decision was the need to switch from paper records to electronic ones to keep her private practice profitable. “At that time, it would have cost about $50,000,” Dr. Sack recalled. “It was too expensive and it was too overwhelming.”

But times and technologies changed, and last year, Dr. Sack left her hospital job to restart her medical practice with an affordable system for managing electronic patient records. She agreed to a $5,000 setup fee and a subscription fee of $500 per month for the system. Her investment also qualified her for subsidy money, which the federal government pays in installments, and to date, her subsidy income has paid for the setup fee and about two years of monthly fees. “So far, I’ve got my check for $18,000,” she said. “There’s a total of $44,000 that I can get.”

That kind of cash flow is one reason why so-called EHR software systems for electronic health records have been among the hottest-selling commercial products in the world of information technology. EHR system development is a growth industry in South Florida, too. Life sciences and biotechnology are among the high growth-potential sectors identified by the Beacon Council-led One Community One Goal economic development initiative unveiled in 2012; already, the University of Miami has opened a Health Science Technology Park while Florida International University has launched a program in its graduate school of business oriented toward biotechnology businesses.





For many young businesses in the area’s IT industry, government incentives are paving the way. The federal government is pushing doctors and hospitals to use electronic health records to cut wasteful spending and improve patient care while protecting patient privacy — sending digital information via encrypted systems, for example, rather than regular email.

Under a 2009 federal law known as the HITECH Act, maximum incentive payments for buying such systems range up to $44,000 for doctors with Medicare patients and up to $63,750 for doctors with Medicaid patients. Hospitals are eligible for larger incentive payments for becoming more paperless. The subsidy program isn’t permanent; eligible professionals must begin receiving payments by 2016. But by then, the federal government will be penalizing doctors and hospitals that take Medicare or Medicaid money without making meaningful use of electronic health records.

“What the government did is, they incentivized, and now they’re going to penalize,” said Andrew Carricarte, president and CEO of IOS Health Systems in Miami, one of the largest South Florida-based vendors of online software service for physician practices. He said insurance companies also may start penalizing physicians for failing to adopt electronic health records because “the commercial payers always follow Medicare and Medicaid.”

It’s all part of the growth story at IOS Health Systems, which has more than 2,000 physicians across the nation using its online EHR system. Carricarte said many of the company’s customers buy their second EHR system from IOS after their first one flopped. “Almost 40 percent of our sales come from customers who had systems and are now switching over to something else,” he said.





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Archbishop Wenski leads 90-mile motorcycle run




















After a blessing, motorcycles roared their engines and drove out of St. Richard Catholic Church in Palmetto Bay to participate in the first Motorcycle Poker Run organized by the Archdiocese of Miami.

Heading the bikers: Archbishop Thomas Wenski wearing a biker’s leather jacket and riding his black Harley-Davidson Street Glide motorcycle.

“Bikers are people that are accustomed to praying because if you’re going to ride a motorcycle, you should know how to pray,” said Wenski, who has been riding his motorcycle for about 10 years. “This is a way to bring some good attention, find financial support for St. Luke’s Center [Catholic Charity] and have a good time.”





Behind him, more than 60 other riders followed for about 90 miles through South Florida roads.

“Today he is not just my spiritual leader,” said Natacha Quiroz, the only woman driving a motorcycle on her own. “He is my road leader.”

At every stop, including Robert Is Here, the fruit and vegetable farm stand in Florida City, Cafe 27 in Weston, and Peterson’s Harley-Davidson in Miami Gardens, the contestants picked up a card, eventually collecting a complete poker hand.

The bikers were also able to interact with the archbishop and others while competing for the $500 Harley-Davidson gift card.

But Wenski’s favorite stop was at the Schoenstatt Center in Homestead, where riders were able to stop at the chapel, say a private prayer and enjoy refreshments.

“It’s always good to ride with good people,” said Bob Borges of Hollywood, who rode with his daughter. “The problem with a lot of other rides is that they all go from bar to bar to bar, and I don’t drink when I ride.”

The Chrome Knights Motorcycle Association and other groups helped the archdiocese organize the poker run and guided the inexperienced drivers. Volunteers from the organization also helped guide the riders and stop traffic at intersections.

For Quiroz, who had never experienced riding in a group, the privilege of riding with the archbishop was indescribable.

“My heart is pounding so hard,” said Quiroz, who took out her motorcycle from her garage for the fist time in more than a year. “My motorcycle is the tiniest among these huge machines, and if you see me I look like a butterfly among eagles. But to know that I’m the only girl makes me feel like an eagle, I am proud.”

The Poker Run, according to the Rev. Luis Rivero, was also a way to show others that following Christ can be fun.

“It’s a way for us to learn to use the tools of today, speak the language of the younger generations and bridge the gap between the ancient and the new,” said Rivero, who has been riding his three-wheeled Spyder for the past three years. “The archbishop makes fun of me and says that because I have three wheels I’m still in training.”

The proceeds of the run will go to programs that help people in the community recover from various types of addiction, and Wenski is hoping to establish the poker run as annual event to support St. Luke’s.

“Many people know I’ve been riding a motorcycle for some years now, so hopefully they’ll support it even if they don’t ride a motorcycle,” Wenski said. “I pray before, during and after I ride my bike.”





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Best Actress Winner Jennifer Lawrence Talks Oscar Fall

First the SAG Awards and now the Oscars!? Jennifer Lawrence isn't having the best of luck with her gowns this awards season.

After suffering an unfortunate fall at Sunday night's ceremony while accepting her Best Actress statuette for Silver Linings Playbook, a mortified Lawrence explained to the Academy Awards press room that she had (once again) fallen victim to her elaborate dress.

Pics: The 15 Best Oscar Dresses of All Time

"I tried to walk up stairs in this dress, that's what happened," the humiliated 22-year-old star said of her stumble moments before, laying the blame on her Dior gown's lengthy train. "I think I just stepped on the fabric and they waxed the stairs."

So what was Lawrence thinking when the embarrassing moment played out live to millions around the world?

Related: The Complete Oscars 2013 Winners List

"[I thought about] a bad word that I can't say [on TV]," she laughed, elaborating that the phrase 'starts with an 'F.'"

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Lawrence floored by Best Actress win; 'Argo,' Daniel Day-Lewis also take home Oscars








Chris Pizzello/Invision/AP


Actress Jennifer Lawrence stumbles as she walks on stage to accept the award for best actress in a leading role for "Silver Linings Playbook" during Sunday's Oscars ceremony.



It was the rise and fall and rise of a great young star.

Twenty-two-year-old “Silver Linings Playbook” star Jennifer Lawrence won the Oscar for Best Actress last night — but then took an embarrassing header on her way to accept her statue.





FilmMagic



Daniel Day-Lewis




John Shearer/Invision/AP



Anne Hathaway




Getty Images



Actor-producer-director Ben Affleck, winner of the Best Picture award for "Argo."





Lawrence sprawled on the stage steps at the Dolby Theatre after tripping over her flowing gown. It was another award-show faux pas — after her dress slipped on her way to accept a Screen Actor’s Guild award last month.

“Les Misérables” star Hugh Jackman tried to sprint to the rescue, but the red-faced beauty pulled herself up and made it up the steps.

“That’s really embarrassing,” she said, trying to make a joke of the tumble as she accepted her award. “You guys are just standing up because you feel bad that I fell,” she said to a standing ovation.

PHOTOS: OSCARS RED CARPET LOOKS

BEST ACTRESS BASKS IN GLOW

The 85th Academy Awards’ biggest prize, Best Picture, went to Ben Affleck’s “Argo. The Iran hostage thriller also won Best Adapted Screenplay and Film Editing. Affleck, one of the movie’s producers, had been snubbed in the Best Director category.

As he took the Best Picture award, he was magnanimous.

“You have to work harder than you think you possibly can, and you can’t hold grudges,” he said.

“It doesn’t matter how you get knocked down in life because that’s going to happen,” he added. “All that matters is that you gotta get up.”

In a surprise twist, the Best Picture award was presented to “Argo” by First Lady Michelle Obama, who opened the envelope via satellite from the White House.

“These nine movies took us back in time and all around the world,” she said of the nominees. “They taught us that love can endure against all odds.”

“Lincoln” star Daniel Day-Lewis made history by becoming the first person to win three Best Actor Oscars.

As he accepted the award from Meryl Streep — who won Best Actress last year playing British Prime Minister Margaret Thatcher — Day-Lewis turned his acceptance speech into a comedy routine.

“It’s funny, because three years ago, we agreed to do this swap. I had actually been committed to play Margaret Thatcher,” he quipped, adding: “Meryl was [director] Steven’s [Spielberg] first choice for Lincoln . . . I’d like to see that version.”

Ang Lee took home the directing prize for his magical lost-at-sea tale, “Life of Pi.”

The native of Taiwan poked fun at the fakery of Hollywood acceptance speeches. After thanking his lawyer and agent, he bluntly joked, “I have to do that.”

Anne Hathaway took home her first career Oscar last night, winning for Best Supporting Actress in “Les Misérables.”

The award for Best Supporting Actor went to Christoph Waltz for his role as a bounty hunter in the Quentin Tarantino flick “Django Unchained.”

Tarantino later won for Best Original Screenplay.

Oscar had a rare tie last night with “Skyfall” and “Zero Dark Thirty” sharing sound-editing honors. It was the first tie since 1994.










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The faces of Florida’s Medicaid system




















MEDICAID

MiamiHerald.com/healthcare

The tea party governor now says he wants to expand Medicaid. The Republican Legislature isn’t so sure.





Hanging in the balance?

Access to healthcare for 1 million or more poor Floridians.

Billions of dollars in federal money.

The state budget, which already pumps $21 billion a year into care.

Florida’s Medicaid system today serves more than 3 million people, about one in every six Floridians. The decision whether to expand the system by a full third will be made by men and women in suits in Tallahassee’s mural-filled chambers this spring.

But the impact is elsewhere, in children’s hospitals in Tampa and Miami, in doctors’ offices in New Port Richey and in the home of a woman who recently lost her full-time teaching job.

The Suddenly uninsured

This was not how she envisioned her 60s.

Jean Vincent dreamed of turning her five-bedroom home into a bed and breakfast. She painted murals on walls, created mosaics on floors and let her imagination guide the interior decorating. There is a “garden” room, a “bamboo” room and a “canopy” room.

In 2010, Vincent lost her full-time job teaching in Citra north of Ocala. Her mother became sick with cancer and needed around-the-clock care before dying in August. Then, doctors began prescribing Vincent costly medications to treat osteoporosis and early-onset diabetes.

“I started getting a little behind with my mortgage,” said Vincent, 61. “All of a sudden, I found out I had to have an emergency retina eye surgery.”

Today, Vincent is searching for roommates to move into her home and help pay the bills. She begs Gainesville’s Sante Fe Community College and City College to schedule her for as many classes as she can handle as an adjunct geography professor; this semester’s four is the most she’s ever had.

But her biggest worry? Not having comprehensive healthcare.

Vincent — who is too young for Medicare — is enrolled in CHOICES, a health services program the Alachua County government created for the uninsured. It covers preventative care like her flu shots and helps with her drug therapy. But if Vincent ever got so sick she needed to go to the hospital, she’d be on her own.

Under current Florida law, adults with no dependents are not eligible to participate in Medicaid no matter how little they make. Vincent’s four children are all grown, which means even as her income has dwindled she can’t become eligible for the health insurance program run jointly by the federal and state governments.

If Florida decides to expand the Medicaid system, people in Vincent’s position for the first time could be covered.

The expansion would allow any single adult making about $16,000 a year eligible for Medicaid.

On the matter, Vincent has become an activist. She joined with patient rights group Florida CHAIN and traveled to Tallahassee to lobby lawmakers.

“When I gave my testimony, that’s all I wanted them to do was see there were people out there that weren’t just trying to take advantage of the system,” she said.

This summer, she expects to only be assigned one class at Sante Fe. That will provide about $2,000 for her to live on for three months. Meanwhile, her retirement dreams are put on hold.





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Miami Dolphins hopeful on stadium referendum date




















The Miami Dolphins are hopeful the Miami-Dade County Commission will approve a May 14 date for a referendum on the $400 rehabilitation of their stadium, time enough to get South Florida in play for Super Bowl 50, a Dolphins spokesman said Saturday.

Spokesman Ric Katz said the language of the proposed referendum has yet to be decided, and ultimately the commission decides the date.

But, he said, “we’d be very happy with” May 14 because “that gives us a week to communicate to the NFL before they make the important decision of Super Bowl 50.”





NFL owners are slated to meet on May 22 to pick the site of the 2016 Super Bowl — seen as a tourist revenue prize for whichever host city gets the 50th anniversary contest.

Mayor Carlos Gimenez met Friday with Dolphins owner Stephen Ross and CEO Mike Dee to discuss the proposed stadium rehabilitation.

From the mayor’s side, there has been no agreement on a date and Gimenez does not plan to bring the proposed May 14 referendum to the commission at this time, said spokeswoman Suzy Trutie.

Friday’s was a “first meeting” at which “many things were discussed,” including the Dolphin’s preference for May 14.

But, “We continue negotiating with the Dolphins with regards to finances.”

One proposed financing plan would increase the bed tax in mainland Miami-Dade by 1 percent and increase the sales tax rebate the team already gets at the stadium in Miami Gardens. Ross had initially offered to pay at least $201 million in his financing plan. But Katz, a Miami publicist representing the team in the stadium campaign, said the two sides were still in negotiation on what the mayor would ask the commission to put to taxpayers in a referendum.

Trutie said the proposed referendum would gauge public opinion on increasing hotel taxes from 6 to 7 percent to fund the stadium renovations.

Of the commission, Katz said, “We do not take them for granted. They have the prerogative.”

Attorney Kendall Coffey did not return calls asking whether the Dolphins had hired him to write the ballot language.

Dolphins lobbyist Marcelo Llorente had said in recent weeks that the team was considering May 7 and 14 as possible referendum dates.

Any activity by the Florida Legislature would likely have to be undertaken before then. The regular session is slated to end May 3.

Miami Herald staff writers Patricia Mazzei and Doug Hanks contributed to this report.





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Oscar Pistorius's brother Carl faces homicide charges in 2010 car crash: report








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Carl Pistorius, older brother of tarnished athlete Oscar, faces homicide charges in a 2010 car crash, according to reports.



Oscar Pistorius’s older brother Carl also faces homicide charges in South Africa over a 2010 car crash, it was reported today.

Carl Pistorius allegedly struck and killed a female biker in the daytime crash, his lawyer told eNCA news, a South African TV channel.

Prosecutors accused Carl Pistorius of driving recklessly in the accident.

But his lawyer, Kenneth Oldwage, denies the charges and told the TV channel that Carl Pistorius was not drunk.




Oldwage says the woman died because she drove into Carl Pistorius’s car.

Carl Pistorius is charged with culpable homicide, a lesser charge than the premeditated murder case against his brother.

The charge carries a possible 15-year prison term.

Carl’s trial was supposed to begin on Thursday, the same day his Olympian brother was freed on bail.

But the case was postponed until next month.

Word of another Pistorius homicide case shocked South Africa.

“Looks like Carl & Oscar will keep each company in jail,” tweeted Johannesburg resident Rebecca Chiedza Goba.










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South Florida hospitals could lose $368 million from sequestration




















A detailed survey shows that South Florida hospitals could lose $368 million over 10 years in federal budget cuts starting next Friday, if the sequestration program kicks in as scheduled.

The Florida Hospital Association, using data from the American Hospital Association, estimates that over the next decade, sequestration would cause Miami-Dade hospitals to lose $223.9 million and Broward facilities $144.4 million under the Congress-mandated budget cuts that hit virtually all federal programs unless Republicans and Democrats can work out a compromise.

The New York Times and other national news organizations are reporting that sequestration, unlike the New Year’s fiscal cliff, seems virtually certain to take place.





The law requires across-the-board spending cuts in domestic and defense programs, with certain exceptions. Because healthcare represents more than one in five dollars of the federal budget, it will be a huge target for cuts.

For hospitals and doctors, the major impact will be felt in Medicare cuts, which according to the budget law are limited to 2 percent of Medicare payments. Medicaid, food stamps and Social Security are exempted from cuts, according to the Bipartisan Policy Center.

The FHA study calculates that over 10 years, Jackson Memorial Hospital stands to lose $30.6 million, Mount Sinai Medical Center on Miami Beach $27.3 million, Holy Cross in Fort Lauderdale $23.8 million and Memorial Regional Hospital in Hollywood $21.4 million.

“The problem with sequestration is that it just makes broad cuts across the board,” said Linda Quick, president of the South Florida Hospital and Healthcare Association. “The Affordable Care Act is looking at all sorts of intelligent ways to reduce costs,” including coordinated care that will stop duplicated tests and reduce hospital readmissions. “But sequestration takes an ax, and that doesn’t make any sense.”

FierceHealthcare, which produces trade publications, says sequestration cuts over the next decade will include $591 million from prescription drug benefits for seniors, $318 million from the Food and Drug Administration, $2.5 billion from the National Institutes of Health, $490 million from the Centers for Disease Control and $365 million from Indian Health Services.

The National Association of Community Health Centers estimates that 900,000 of its patients nationwide could lose care because of the cuts. The group said the cuts were “penny wise and pound foolish” because they would mean less preventive care while more and sicker patients would end up in emergency rooms.

Like the fiscal cliff, Republicans and Democrats agreed on a sequestration strategy, with the idea that the drastic measure would force the two sides to reach agreement on more deliberative budget adjustments. That hasn’t happened.

The White House reports that the law will mean that nondefense programs will be cut by 5 percent, defense programs by 8 percent. But since the first year’s cuts must be done over seven months, that means in 2013, nondefense programs need to be cut by 9 percent, defense programs by 13 percent.





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Miami police union challenges officer’s firing for fatal shooting




















The Fraternal Order of Police filed a lawsuit against the city of Miami on Friday, asserting that an officer who fatally shot an unarmed motorist in 2011 was improperly fired from the police department.

Officer Reynaldo Goyos shot and killed Travis McNeil as he sat in a car at a Little Haiti intersection. It was one of a string of seven deadly shootings of black men in the inner city by Miami police officers in 2010 and 2011.

Goyos was cleared of criminal wrongdoing by prosecutors in 2012. But he was terminated last month after the department’s Firearms Review Board concluded that the shooting was unjustified.





The police union lawsuit claims that the board violated state open-government laws by failing to open its meetings to the public.

Goyos “was improperly terminated by the city of Miami Police Department by a review board that violates the law,” union President Javier Ortiz wrote in a statement.

The lawsuit contends that Goyos should be reinstated.

City Attorney Julie O. Bru declined to discuss the specifics of the case. “We reviewed the allegations, and the city maintains that the board has operated consistent with the requirements of law,” she said.





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