Fewer health care options for illegal immigrants

ALAMO, Texas (AP) — For years, Sonia Limas would drag her daughters to the emergency room whenever they fell sick. As an illegal immigrant, she had no health insurance, and the only place she knew to seek treatment was the hospital — the most expensive setting for those covering the cost.

The family's options improved somewhat a decade ago with the expansion of community health clinics, which offered free or low-cost care with help from the federal government. But President Barack Obama's health care overhaul threatens to roll back some of those services if clinics and hospitals are overwhelmed with newly insured patients and can't afford to care for as many poor families.

To be clear, Obama's law was never intended to help Limas and an estimated 11 million illegal immigrants like her. Instead, it envisions that 32 million uninsured Americans will get access to coverage by 2019. Because that should mean fewer uninsured patients showing up at hospitals, the Obama program slashed the federal reimbursement for uncompensated care.

But in states with large illegal immigrant populations, the math may not work, especially if lawmakers don't expand Medicaid, the joint state-federal health program for the poor and disabled.

When the reform has been fully implemented, illegal immigrants will make up the nation's second-largest population of uninsured, or about 25 percent. The only larger group will be people who qualify for insurance but fail to enroll, according to a 2012 study by the Washington-based Urban Institute.

And since about two-thirds of illegal immigrants live in just eight states, those areas will have a disproportionate share of the uninsured to care for.

In communities "where the number of undocumented immigrants is greatest, the strain has reached the breaking point," Rich Umbdenstock, president of the American Hospital Association, wrote last year in a letter to Obama, asking him to keep in mind the uncompensated care hospitals gave to that group. "In response, many hospitals have had to curtail services, delay implementing services, or close beds."

The federal government has offered to expand Medicaid, but states must decide whether to take the deal. And in some of those eight states — including Texas, Florida and New Jersey — hospitals are scrambling to determine whether they will still have enough money to treat the remaining uninsured.

Without a Medicaid expansion, the influx of new patients and the looming cuts in federal funding could inflict "a double whammy" in Texas, said David Lopez, CEO of the Harris Health System in Houston, which spends 10 to 15 percent of its $1.2 billion annual budget to care for illegal immigrants.

Realistically, taxpayers are already paying for some of the treatment provided to illegal immigrants because hospitals are required by law to stabilize and treat any patients that arrive in an emergency room, regardless of their ability to pay. The money to cover the costs typically comes from federal, state and local taxes.

A solid accounting of money spent treating illegal immigrants is elusive because most hospitals do not ask for immigration status. But some states have tried.

California, which is home to the nation's largest population of illegal immigrants, spent an estimated $1.2 billion last year through Medicaid to care for 822,500 illegal immigrants.

The New Jersey Hospital Association in 2010 estimated that it cost between $600 million and $650 million annually to treat 550,000 illegal immigrants.

And in Texas, a 2010 analysis by the Health and Human Services Commission found that the agency had provided $96 million in benefits to illegal immigrants, up from $81 million two years earlier. The state's public hospital districts spent an additional $717 million in uncompensated care to treat that population.

If large states such as Florida and Texas make good on their intention to forgo federal money to expand Medicaid, the decision "basically eviscerates" the effects of the health care overhaul in those areas because of "who lives there and what they're eligible for," said Lisa Clemans-Cope, a senior researcher at the Urban Institute.

Seeking to curb expenses, hospitals might change what qualifies as an emergency or cap the number of uninsured patients they treat. And although it's believed states with the most illegal immigrants will face a smaller cut, they will still lose money.

The potential impacts of reform are a hot topic at MD Anderson Cancer Center in Houston. In addition to offering its own charity care, some MD Anderson oncologists volunteer at a county-funded clinic at Lyndon B. Johnson General Hospital that largely treats the uninsured.

"In a sense we've been in the worst-case scenario in Texas for a long time," said Lewis Foxhall, MD Anderson's vice president of health policy in Houston. "The large number of uninsured and the large low-income population creates a very difficult problem for us."

Community clinics are a key part of the reform plan and were supposed to take up some of the slack for hospitals. Clinics received $11 billion in new funding over five years so they could expand to help care for a swell of newly insured who might otherwise overwhelm doctors' offices. But in the first year, $600 million was cut from the centers' usual allocation, leaving many to use the money to fill gaps rather than expand.

There is concern that clinics could themselves be inundated with newly insured patients, forcing many illegal immigrants back to emergency rooms.

Limas, 44, moved to the border town of Alamo 13 years ago with her husband and three daughters. Now single, she supports the family by teaching a citizenship class in Spanish at the local community center and selling cookies and cakes she whips up in her trailer. Soon, she hopes to seek a work permit of her own.

For now, the clinic helps with basic health care needs. If necessary, Limas will return to the emergency room, where the attendants help her fill out paperwork to ensure the government covers the bills she cannot afford.

"They always attended to me," she said, "even though it's slow."

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Sherman can be followed on Twitter at https://twitter.com/chrisshermanAP .

Plushnick-Masti can be followed on Twitter at https://twitter.com/RamitMastiAP .

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Conn. Shooter Adam Lanza: Quiet, Bright, Troubled

Adam Lanza, the 20-year-old who killed 20 kids and six adults at a Connecticut elementary school Friday, was very bright, say neighbors and former classmates, but he was also socially awkward and deeply troubled.

"[Adam] was not connected with the other kids," said family friend Barbara Frey. A relative told ABC News that Adam was "obviously not well."

READ full ABC News coverage of the Connecticut shootings.

On Friday morning, Lanza shot his mother Nancy in the face at the home they shared in Newtown, and then drove her car to Sandy Hook Elementary School. Dressed in black combat gear, he broke a window at the school, which had recently had a new security system installed, and within minutes had shot and killed six adults and 20 schoolchildren between the ages of five and 10.

The shooting stopped when Lanza put a bullet in his own head. Multiple weapons were found at the scene, including two semiautomatic handguns registered to his mother. A Bushmaster rifle registered to Nancy was discovered outside in the car.

Long before Lanza's spree, however, residents of Newtown had noticed that tall, pale boy was different, and believed he had some kind of unspecified personality disorder.

"Adam Lanza has been a weird kid since we were five years old," wrote aneighbor and former classmate Timothy Dalton on Twitter. "As horrible as this was, I can't say I am surprised."

In school, Lanza carried a black briefcase and spoke little. Every day, he wore a sort of uniform: khakis and a shirt buttoned up to the neck, with pens lined up in his shirt pocket.

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A former classmate in his 10th grade honors English class, Olivia DeVivo, says he "was always very nervous and socially awkward."

She told ABC News that "he didn't really want to be spoken to" and that when teachers would call on him "it appeared physically difficult for him to speak."

Lanza avoided public attention and had few, if any, friends. He liked to sit near the door of the classroom to make a quick exit.

He even managed to avoid having his picture in his high school yearbook. Instead of his portrait, the space reserved for Adam Lanza says "Camera Shy." And unlike most in his age group, he seems to have left little imprint on the internet – no Facebook page, no Twitter account.

Lanza's parents Peter and Nancy Lanza married in New Hampshire in 1981, and had two sons, Adam and his older brother Ryan, who is now 24 and lives in New Jersey.

The Lanzas divorced in 2009 after 28 years of marriage due to "irreconcilable differences." When they first filed for divorce in 2008, a judge ordered that they participate in a "parenting education program."

Adam was 17 at the time of the divorce. He continued to live in Newtown with his mother. His father now lives in his Stamford, Connecticut with his second wife.

Peter Lanza, who drove to northern New Jersey to talk to police and the FBI, is a vice president at GE Capital and had been a partner at global accounting giant Ernst & Young.

Adam's older brother Ryan Lanza, 24, has worked at Ernst & Young for four years, apparently following in his father's footsteps and carving out a solid niche in the tax practice. He too was interviewed by the FBI. Neither he nor his father is under any suspicion.

"[Ryan] is a tax guy and he is clean as a whistle," a source familiar with his work said.

Police had initially identified Ryan as the killer. Ryan sent out a series of Facebook posts saying it wasn't him and that he was at work all day. Video records as well as card swipes at Ernst & Young verified his statement that he had been at the office.

Two federal sources told ABC News that identification belonging to Ryan Lanza was found at the scene of the mass shooting. They say that identification may have led to the confusion by authorities during the first hours after the shooting.

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

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

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

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

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

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

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

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

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

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

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

DIPLOMACY

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

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

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

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

"We all ought to be working together."

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

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

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

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

DAMASCUS BATTLES

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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I'll answer crime questions in neutral country: McAfee

MIAMI: Anti-virus software pioneer John McAfee said in a TV interview Friday that he was willing to answer questions about the murder of his neighbor in Belize in a neutral country.

McAfee, who insists he is innocent, also admitted that he was worth "less than" US$5 million -- a day after saying he was broke -- though it was unclear how he would access that money.

"I've said in any neutral country I will meet and answer any questions you want," McAfee told the CNBC business TV network.

"I'm certainly not going to turn myself into the authorities who have been trying to lay their hands on me for months now. I will not go back to Belize," he said.

Authorities in Belize want to question McAfee about the death of Gregory Faull, a 52-year-old Florida expatriate who was found by his housekeeper with a 9-mm bullet in his head, lying in a pool of his own blood.

McAfee fled Belize to Guatemala with his 20 year-old girlfriend, but was then deported to the United States. He says he went on the run because he feared for his life, claiming corruption among Belizean police and politicians.

Belize has an extradition treaty with the United States, so if murder charges are filed he could be sent back to the Central American nation.

McAfee, who is staying in a popular Miami Beach hotel, has become a local attraction. A cloud of reporters and TV news crews follow his every step.

"If I am charged, of course, I'll go through the process, but they are not going to charge me. Let me be clear: I had nothing to do with the murder of Gregory Faull," McAfee said.

McAfee was evasive when CNBC asked him about his fortune, which was once estimated at more than US$100 million.

"My accountant may know what I'm worth. I have not asked him recently ... I'm 67 years old. I eat well and have enough money for food. And clothes. I really don't have a clue, sir," McAfee said.

When further pressed, McAfee said he was worth "less than US$5 million, certainly."

And where is that money?

"I believe it's in the pockets of the politicians in Belize now. I think they're in the process of doing an acquisition of my resources," he said.

On Thursday, McAfee told ABC television in Miami that he has "nothing now" beyond some clothes, shoes, and cash a friend dropped off for him.

McAfee, who says a book and a movie is in the works as he sells his life story, earlier told AFP his immediate focus was getting his girlfriend Sam and another friend, Amy, into the United States.

- AFP/jc

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Turban pride restores as Sikhs wins school turban ban case against France in UN

AMRITSAR: The UN Human Rights Committee (UNHRC) has ruled that France's ban on the wearing of "conspicuous" religious symbols in schools - introduced in a law adopted in March 2004 - violated a Sikh student's right to manifest his religion, protected by the International Covenant on Civil and Political Rights (ICCPR).

"The UNHRC has made our nine year wait for justice worthwhile, since the French law was passed against religious signs in public schools in 2004. The UNHRC has once again proved to be the beacon of light for the freedom of thought, conscience and religion by upholding that the Article 18 right under the ICCPR to manifest ones religion, cannot be overridden merely by pleading secularity without producing any evidence that the Sikh Turban would affect the right of other students or would affect order in the school," said Legal Director, United Sikhs, a Sikh NGO, Mejindarpal Kaur while talking to TOI over phone from Paris on Friday.

She said that in a decision that was sent out this week to the United Sikhs legal team, in relation to a complaint made by Bikramjit Singh in 2008, the Committee accepted that the wearing of a turban was regarded as a religious duty for a Sikh and was also tied in with his identity; and that France had not justified the prohibition on the wearing of the turban.

She further informed that the Committee accepted that the France was entitled to uphold the principle of secularism (laicite), a means by which a state party might seek to protect the religious freedom of all its population.

She informed that the Committee went on to express that France had "not furnished compelling evidence that by wearing his keski (small turban),Bikramjit would have posed a threat to the rights and freedoms of other pupils or to order at the school.Kaur informed that less than a year ago, the UNHRC had also concluded that France had violated the religious freedom of 76 year old Ranjit Singh when he was asked to remove his turban for his ID photograph. "A UN decision is still awaited for Shingara Singh, whose passport has not been renewed by France because he refused to remove his turban for his ID photograph" said she.

Quotes President of the Delhi Sikh Gurdwara Management Committee, Paramjit Singh Sarna said Bikramjit Singh is an Indian national and it should have been the responsibility of the Indian government to protect his religious freedom abroad so that he and other Sikhs were not banned from wearing the turban in French public schools:

"Religion and politics are two wheels that balance civil society. If one wheel comes off, society ceases to be stable. Laicite or secularity is the oil that ensures that the two wheels keep moving. Sikhs do not see laicite as the enemy. We see it as our friend to help us be good citizens. United Sikh's France Director Shingara Singh.

"Our stand for the turban will not only benefit France but the whole world Gurdial Singh of the Turban Action Committee of France, who has been defending campaign relentlessly.

The Turban is not a sign of oppression. It's a practice of freedom," said Mejinderpal Kaur quoting Bikramjit Singh, who after being expelled from school, completed his education privately and is now a project engineer with an engineering firm in Paris.

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APNewsBreak: Texas cancer probe draws NCI scrutiny

AUSTIN, Texas (AP) — The federal National Cancer Institute says it's taking a fresh look at a troubled $3 billion cancer-fighting effort already being scrutinized by prosecutors and lawmakers in Texas.

The U.S. government's cancer research agency confirmed Friday that upheaval within the Cancer Prevention and Research Institute of Texas caught its attention. NCI spokeswoman Aleea Farrakh Khan told The Associated Press that officials are "evaluating recent events" at CPRIT.

CPRIT is on an exclusive list of NCI-approved funding entities, which includes the American Cancer Society. The designation is a federal seal-of-approval that signals high peer review standards and conflict of interest policies.

Khan says NCI has made no decisions about CPRIT or contacted the agency directly.

Prosecutors are investigating CPRIT following an $11 million award to a private company that bypassed review.

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More Than 20, Mostly Kids, Killed at Grade School

More than two dozen people, mostly elementary school children, were shot and killed at a Newtown, Conn., elementary school this morning, federal and state sources tell ABC News.

The massacre involved two gunmen at a Connecticut school this morning, prompting the town of Newtown to lock down all of its schools and draw SWAT teams to the school, authorities said today.

State Police confirm that one shooter is dead. A second gunman is apparently at large. Car-to-car searches are underway.

It's unclear how many people have been shot, but 25 people, mostly children are dead, multiple federal and state sources tell ABC News. That number could rise, officials said.

It is the worst shooting in a U.S. elementary school in recent memory.

The shooting comes just three days after masked gunman Jacob Roberts opened fire in a busy Portland, Ore., mall killing two before turning the gun on himself.

Today's shooting occurred at the Sandy Hook Elementary School in Newtown, about 12 miles east of Danbury.

Watch State Police News Conference Live at 1 p.m. at ABCNews.com

State Police received the first 911 call at 9:41a.m. and immediately began sending emergency units from the western part of the state. Initial 911 calls stated that multiple students were trapped in a classroom, possibly with a gunman, according to a Connecticut State Police source.

Shannon Hicks/The Newtown Bee

Connecticut School Shooting: 3 Victims Hospitalized Watch Video

Connecticut School Shooting: 1 Gunman Confirmed Dead Watch Video

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

LIVE UPDATES: Newtown, Conn., School Shooting

While some students have been reunited with their parents on the school's perimeter, one group of students remains unaccounted for, according to a source with a child in the school.

The school is kindergarten through fourth grade.

CLICK HERE for more photos from the scene.

Three patients have been taken to Danbury Hospital, which is also on lockdown, according to the hospital's Facebook page.

"Out of abundance of caution and not because of any direct threat Danbury Hospital is under lockdown," the statement said. "This allows us simply to focus on the important work at hand."

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

State police sent SWAT team units to Newtown.

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

"We have increased our police presence at all Danbury Public Schools due to the events in Newtown. Pray for the victims," Newtown Mayor Boughton tweeted.

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

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

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Russia says Syrian rebels might win

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

BACK TO THE WALL

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

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

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

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

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

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

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

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

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

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

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

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

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Golf: US 2014 Ryder Cup captain Watson wants Tiger on team

NEW YORK: Eight-time major golf champion Tom Watson, named on Thursday to be captain of the 2014 US Ryder Cup squad by the PGA of America, said that he sees Tiger Woods being on that team.

Citing the 14-time major champion's hunger for victory, Watson said a healthy Woods would be a certainty on the 12-man US lineup by virtue of a captain's selection even if he is unable to qualify on points.

"I want him on my team," Watson said. "Tiger is maybe the best player in history. If he's not on the team, he's going to be number one in my picks."

Watson, who at 63 is the oldest captain in US Ryder Cup history, had been critical of Woods in the aftermath of his infamous sex scandal.

But Watson said he admires Woods for his determination to win and Woods was among the first to applaud Watson's appointment.

"I would like to congratulate Tom Watson on his selection as Ryder Cup captain," Woods said in a statement. "I think he's a really good choice. Tom knows what it takes to win and that's our ultimate goal.

"I hope I have the privilege of joining him on the 2014 United States team."

Watson, a five-time British Open champion, was selected in hopes of ending an American slump in the biennial golf showdown. Europeans have won five of the past six Ryder Cup matches, including at Medinah near Chicago last September.

"It's going to be a great journey. I hope that we will change the tide," Watson said.

The prior US Ryder Cup captain age mark belonged to Sam Snead, who was 57 when he guided the Americans in 1969.

Watson called the tension of the Ryder Cup as huge as any golf event.

"The pressure is incredibly strong," he said. "The pressure of playing in the Ryder Cup is greater or as great as in any event. My job is to help them deal with that pressure.

"I've lived for that pressure and lived underneath that pressure all my career."

Watson will be 65 when the next Ryder Cup is contested in 2014 at Gleneagles in Scotland. Having won his first major title in Scotland at Carnoustie in 1975 and taken four major crowns on Scottish soil, Watson said he knew he wouldn't have the crowd in 2014.

"They are going to be cheering against me," he said.

Watson first served as the US captain in 1993, the last time a US squad won a Ryder Cup on European soil.

"I really wanted the challenge to do it again," Watson said. "I was waiting for about 20 years to get the call.

"I loved it the first time. It's just a great honor to be able to do it again.

"This time we need 14 1/2 points."

Watson becomes the first repeat US Ryder Cup captain since 1987, when Jack Nicklaus guided the Americans at his Muirfield Village home course but the Americans suffered their first defeat on US soil.

Brandt Snedeker, like Woods a member of this year's losing squad, backed Watson as well.

"Obviously they were looking outside the box, given our recent failures," Snedeker said in a posting on the tour website.

"They wanted to get a guy who has had success and commands respect. I think that's why they went this way: to get the US to rally around him as a way to rejuvenate the American side.

"Tom is one of the best competitors of all time. He's going to bring that fire and unwillingness to lose and mental strength that has defined his career."

Saying he hoped to bring the "Watson luck" to the US side, Watson said his role was inspirational and informational more than motivational.

"They don't need to be motivated. My job is to maybe inspire a little bit," Watson said. "The most important thing is to be there to help them out."

Among the lessons Watson cited was arriving early to allow bodies time to adjust to time changes before tinkering with stroke mechanics.

PGA of America president Ted Bishop said there was no problem selecting Watson despite him not having played full-time on the PGA circuit in 14 years.

"We're just tired of losing Ryder Cups," Bishop said, explaining that Watson's appointment was in large part due to that "weariness".

Watson, who won 39 PGA titles - the last at the 1998 Colonial, had no worries about age differences, citing contact with several top players and his playing in a few events alongside many of today's stars, including the Masters and British Open.

"I deflect that very simply by saying we play the same game," Watson said.

-AFP/ac

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Killing of fishermen: Italy summons Indian ambassador

ROME: Italy has summoned India's ambassador to insist that India's Supreme Court issue a decision soon concerning two Italian naval guards detained since February for the deaths of two Indian fishermen mistaken for pirates.

Italy maintains the shooting occurred in international waters and that as a result, Rome should have jurisdiction.

India claims the ship was in Indian territorial waters. The Indian Supreme Court is to decide on Italy's petition to try the sailors at home.

In a statement Thursday, the foreign ministry said it was "profoundly bewildered" why the court hasn't ruled even though arguments ended three months ago. It asked for a decision before Christmas.

The sailors were providing security on a cargo ship when they allegedly shot the fishermen. The dispute has strained diplomatic relations.

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