America's hunger games

For all the talk about our slow climb out of the worst recession since the Great Depression, this past week brought some alarming news: The unemployment rate climbed to 7.9 percent, and in the fourth quarter of 2012 the US economy shrunk again.

Most distressing is the years-long trend that shows no sign of reversing: The middle class is disappearing. A 2012 study by economists at Duke University and the University of British Columbia found that nine out of every 10 jobs lost during the recession were mid-level and mid-paying — positions often eliminated due to technology.

Contestants on “The Job” beg for work at The Palm. Ryan is in the middle, Jann second from right.

Of the 3.5 million jobs that have been added since June 2009 — the official end of the Great Recession — only 2% were middle-class positions. By contrast, 70% of jobs added were in low-paying sectors and 28% were in high-level ones.

“The jobs that are going away,” MIT’s Andrew McAfee has said, “aren’t coming back.”

Into this tragic, intractable economy comes a new CBS reality show called “The Job.” Premiering Friday, it’s billed as a feel-good program, a show that seeks to match middle-class job seekers of varying desperation with some of America’s most prestigious corporations.

But for all of the exploitations reality TV has to offer — from on-camera sex to drunken hillbillies — “The Job” may be the most offensive in television history.

We live in a time when a having a middle-class job has mutated from the American Dream to a luxury, when even those lucky enough to still have one live in perpetual fear that they’ll be fired next.

“The Job” turns this massive human toll into spectacle, dangling the prospect of an unspecified mid-level position in front of desperate contestants, who degrade themselves by telling their most pathetic personal histories in the paradoxical quest to regain some dignity.

Yet its creators believe they are doing middle-class America a great service.

“I’ve grown very tired of reality TV that is exploitative,” says Michael Davies, co-producer of “The Job.” “Yes, I’ve got to deliver an hour of entertainment, no doubt. But I don’t think this is gladiatorial.”

As much as the reality TV genre reflects — and contributes to — an intractable chipping-away of our national character, it’s usually easy to consign most shows to the bin of frivolity: sozzled, emotionally stunted housewives with status anxiety; proudly uneducated young adults aggressively making poor life decisions; weekend warriors willing to ingest bugs and risk tropical diseases in pursuit of money and fame; the aspirant looking to become America’s next top pop singer, designer, model, chef, comic, etc.

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Hollywood cardiologist’s ties with St. Jude sales rep raises red flags

Mark Sabbota, a Hollywood cardiologist, regularly implants $5,000 pacemakers in patients at Memorial hospitals in South Broward — generating, last year alone, more than a half-million dollars in sales for a manufacturer called St. Jude Medical.

Sabbota, public records show, also happens to be partners with a St. Jude sales rep in two corporations that run frozen yogurt shops.

What’s yogurt got to do with healthcare?

Perhaps nothing. Perhaps a lot. The question is connected to an on-going lobbying battle in Washington over a pending disclosure policy intended to more clearly reveal financial ties between physicians and the healthcare industry — often-murky relationships that have produced a long history of whistle-blower lawsuits, federal investigations and fines.

Sabbota, in a brief interview, adamantly denied any conflict of interest. “There has been no wrongdoing at all,” he said.

Memorial spokeswoman Kerting Baldwin also said the hospital saw no problem with the yogurt arrangement. As a “community” doctor, not a staff employee, Baldwin said Sabbota can select from a list of pacemakers approved by the hospital but has no say over what companies made the list.

“As for why he prefers to use St. Jude, I won’t speak for him,’’ she said. “You’d have to ask him that.”

But several medical ethics experts said such relationships fall in a gray area. They raise what Kenneth Goodman, bioethics director at the University of Miami, called “red flags” about whether the doctor’s motivation in choosing a device “is something other than the best interests of the patient.”

“Maybe it’s just a good business arrangement that has nothing to do with the devices he chooses,” said Charles D. Rosen, a California physician who is co-founder of the Association for Medical Ethics. “But the issue is public disclosure and transparency. You as a patient should have the right to know about a doctor’s financial relationships with companies.”

Concerns about the relationship between doctors and healthcare companies have been simmering for years. Americans are so suspicious of doctors’ connections that, in a 2008 Pew Charitable Trusts survey, 86 percent of patients said doctors should not be allowed to get free dinners from drug makers and 70 percent said doctors shouldn’t even be allowed to get free notepads and pens.

The 2010 Affordable Care Act includes a provision intended to address some aspects of these often-cozy relationships. Starting Jan. 1, healthcare companies were supposed to publicly post how much they were paying doctors. But that provision has been held up in the White House by intense lobbying.

“I don’t know why the hold-up, except the intense opposition of the industry,” Rosen said. His group, including members of the Harvard Medical School and Cleveland Clinic, wrote a letter to the Obama administration last month protesting the delay.

The group complains that the healthcare industry is trying to soften the rules so that foreign subsidiaries and doctors engaged in clinical trials wouldn’t have to reveal payments. But even if the disclosure rules are implemented, a side deal like Sabbota’s yogurt company would not have to be revealed under the new law, Rosen said.

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At University of Miami, Justice Sonia Sotomayor gets real

From her days as a young girl in the Bronx being raised by her mother after the death of her father to becoming the first Hispanic on the highest judicial body in the country, U.S. Supreme Court Justice Sonia Sotomayor told the story of her journey before a captivated audience at the University of Miami on Friday night.

Sotomayor spoke with University of Miami President Donna E. Shalala at the BankUnited Center to University of Miami students, Coral Gables residents and perhaps a future Supreme Court justice about the inspiration behind her recently published memoir My Beloved World.

“Love and passion, that is the only way you do something well,” Sotomayor said. “Do a few things, but do them well.”

Sotomayor, 58, spoke of the many things that inspired her to share her story with the world, one of which was in responses to questions she hadn’t expected during her confirmation process, such as how children cope when a parent dies, especially if they don’t have a mother like hers.

“I began to understand that I couldn’t talk to every child in the country,” Sotomayor said. “I could give them the answers in a book.”

One child she did embrace and speak with on Friday evening was a young girl in the audience named Madeline. Madeline, who was introduced by Shalala, and Sotomayor turned out to have one thing in common: a love for Nancy Drew.

Sotomayor credits the lessons she learned from the fictional tales of a young girl detective as one of the motivations for her successful career.

“When she [Nancy Drew] was trying to solve people’s problems,” Sotomayor told Madeline, “she was trying to help people.”

“I think too many young lawyers forget that the law is the noblest profession you can enter,” Sotomayor said. “What you do is helping people.”

When asked what other profession she would have ever considered going into, Sotomayor said there was not one. “This fish found her pond, and she ain’t changing it,” Sotomayor said.

Shalala questioned Sotomayor about her life as a diabetic, which her memoir speaks of at great length.

“If you have diabetes and want to live a full life, you figure out how to have both things,” Sotomayor said.

She was diagnosed with juvenile diabetes at 8 and she credits living with the chronic illness with teaching her discipline. “Every moment of every day I am self-monitoring inside,” Sotomayor said.

That constant discipline, she said, teaches you to do things like monitoring diet, something she feels everybody should do.

With many students in the audience, she was asked about her scariest experience in law school.

“Being there,” Sotomayor chuckled. “If you think you are smart in college, you realize how dumb you are.”

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BlackBerry chooses more traditional route to drum up buzz over Super Bowl ad

TORONTO – After a week of massive hype for its new smartphones, BlackBerry has decided to remain secretive about its Super Bowl commercial in an effort to squeeze every bit of juice out of the pricey advertising campaign.

The Waterloo, Ont.-based company, formerly known as Research In Motion (TSX:RIM), released a single frame of the 30-second TV spot on Friday, without any explanation of what it was, or what it meant.

The move goes against the trend of unleashing Super Bowl ads on the Internet ahead of the big game in an effort to generate extra hype.

This year, smartphone competitor Samsung chose to release its commercial starring comedians Seth Rogan and Paul Rudd on Thursday. Other major companies like Mercedes and Coke have also put their ads online.

Recent statistics have shown that advertisers gain more traction from their Super Bowl TV spots if they’re released online before the event, which takes place on Sunday.

Last year, the Super Bowl ads uploaded to YouTube before the game were viewed 600 per cent more times, an average of 9.1 million views, compared to the ones that were put online after the game, according to the streaming video service owned by Google.

Going against the trend, the BlackBerry maker will keep smartphone users guessing about what their advertisement is about and who it might feature. Certainly the company’s publicity team carefully chose which frame to release as its sneak preview.

The frame shows an early 1980s Honda Accord is parked alongside a meter. Behind it, there’s a colourful explosion of powder in front of stairs leading up to apartment No. 437.

The clues would suggest harkening back to the birth of the IBM personal computer, introduced to the market in 1981 using the coding 437 as its original character set, or more simply, the appearance of its font on screen.

It may be a clue because BlackBerry chief executive Thorsten Heins has touted the launch of the new smartphones this week as a new era in mobile computing because the devices have nearly the same amount of processing power as a personal computer.

All of that won’t be proven true or false until the game on Sunday evening where the BlackBerry ad will air sometime after the third quarter, the company said.

The Super Bowl is the most-watched television event of the year, drawing 111.3 million U.S. viewers in 2012.

In Canada, last year’s broadcast drew a record 8.1 million viewers.

The event is also the most expensive event for advertisers, costing an average of $ 3.4 million for a 30-second spot on NBC last year, according to ratings firm Nielsen.

This year, estimates for how much CBS is charging for a 30-second spot vary wildly from between $ 3.6 million to $ 4 million. CTV declined to say how much it charges for Canadian airtime.

Also slated in the Super Bowl commercial lineup are advertisements from the Bank of Montreal (TSX:BMO), with different versions airing on both sides of the border.

In the U.S., the company has purchased airtime in the midwest where its banks have a strong presence under the BMO Harris Bank brand. In the commercial, dubbed “Dream Home,” a young couple ponders the possibilities of buying a home, before they’re surprised when a real estate agent throws up a “For Sale” sign right in front of them.

BMO has also bought airtime in Canada, though it will be showing a commercial that has already aired during prime time.

Last year, a Harris-Decima Canadian Press poll found that more Canadians planned to watch the Super Bowl ads than the football game itself.

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Brandi Glanville Talks Plastic Surgery and Says She's Done Talking About Eddie Cibrian and LeAnn Rimes

Brandi Glanville's new tell-all, Drinking and Tweeting: And Other Brandi Blunders, is chock-full of juicy stories about her ex husband Eddie Cibrian, but The Real Housewives of Beverly Hills star says that after promotion wraps on the book, she will no longer speak out about the actor and his wife LeAnn Rimes.

Pics: LeAnn Rimes Defends Self with Teeny Weeny Bikini Photos

"As soon the book tour is over, I'm done. I'm not gonna be talking about them publicly," vows Brandi of the topic that has gotten her into a bit of trouble in the past. "I won't be answering questions about them publicly, this is my final chapter. This is all my side of the story is in the book and then I'm done."

As Brandi's book tour has yet to conclude, Eddie is still fair game.

In Drinking and Tweeting, out February 12, Brandi reveals that she took revenge on her ex by sticking him with a $12,000 credit card bill for vaginal rejuvenation surgery after finding out about his extra-marital affair with LeAnn.

Related: LeAnn Rimes On Twitter War with Brandi Glanville

Now swearing off invasive surgeries, Brandi has found more inventive ways to look young. Instead, the RHOBH star has opted for a visit to Beverly Hills dermatologist Dr. Simon Ourian to get cosmetic fillers injected into her hands, which she says are starting to look "old."

Watch the video to follow Brandi during the procedure!

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9-year-old falls three stories in Bronx

A nine year-old child fell three stories from an apartment window on Featherbed Lane and Nelson Avenue at 6:30 p.m., cops said.

"He was laying on the floor without a t-shirt on. He wasn't moving but he was crying for his mommy. He was crying 'mommy! mommy!' He was bleeding from the chest and he was almost naked,” Wanda Simonetti,59, a neighbor on the second floor said.

The boy who lives with his mom, grandparents and two year-old sister, is known to run rampant around the building, a neighbor said.

"Sometimes they see him on the roof. He has no supervision. The mom was at work and nobody watches the kid. His grandparents are too old. He's always running around,” a concerned second floor resident, Gina Ortiz said.

The young boy suffered an arm injury and other possible trauma but is expected to survive, EMS officials said.

It wasn’t immediately clear if the child was pushed, fell or jumped out the window, cops said.

The investigation is ongoing, cops said.

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Healthcare experts see bumpy road ahead: “Shift happens”

The healthcare industry in South Florida, like the rest of the country, faces huge challenges in the year ahead as major federal reforms kick in, experts told about 700 people at a University of Miami conference on Friday.

“We are at a critical time in health policy,” said Mark McClellan, former head of the Centers for Medicare and Medicaid Services. “There are going to be some bumps along the way,” especially starting in 11 months, when the biggest changes in the Affordable Care Act kick in.

“Bumps may be understating what we may go through,” said Patrick Geraghty, chief executive of Florida Blue, the state’s largest health insurer.

They spoke at the conference on the Business of Healthcare Post-Election. The speakers accepted the federal reforms — often referred to as Obamacare — as not only inevitable but necessary. As Tom Daschele, a former Democratic U.S. senator from South Dakota, put it, “having 50 million uninsured is just unacceptable.”

But the reform act, signed into law in 2010, contains more than 2,000 pages, plus thousands of pages more of enabling regulations — details that will have major, and perhaps unexpected, impacts on the healthcare industry, which now makes up almost 20 percent of the nation’s economy.

In October, insurance exchanges will open for enrollment — groups that will allow individuals and small businesses to purchase policies with no exclusions for pre-existing conditions. Starting next January, virtually everyone will be required to have insurance, Medicaid will expand in many states, and businesses with more than 50 full-time equivalent employees will be required to provide insurance or pay fines.

“Jan. 1 is a very significant date,” said Steven Ullmann, director of health policy at the UM business school. He called reforms “a process” that will change over time.

“The one thing we know is that healthcare reform will be reformed,” said Chris Jennings, a Washington health policy advisor for the Clinton administration and three senators.

Karen Ignagni, president of America’s Health Insurance Plans, the insurers’ trade group, said she had strong ideas about tweaks that could minimize disruption. One arcane, but crucial provision of the law requires that an older person’s policy can be no more than three times as expensive as a young person’s.

The provision will mean huge increases in the policies of younger persons, to pay for the much higher costs of their elders. Insurers are asking for that policy to be postponed for two years, retaining the present maximum spread of about five to one, so that younger people could sign up for insurance without huge sticker shock.

For example, if a 25-year-old now pays $100 and a 60-year-old pays $500, the new rule would hike the younger person’s premium to $150 and cut the older person’s premium to $550 — a 50 percent increase for one and a 10 percent decrease for the other.

The thinking of lawmakers was that by lowering ratio, the costs of healthcare would be spread out and shared more equally by the population.

Anne Phelps, a healthcare principal with Ernst & Young, said she favored another change in the law, which now requires that next year a company with the equivalent of 50 employees to provide insurance for anyone working more than 30 hours a week or pay a fine. She thought the threshold should be raised to 32 or 34 hours.

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Under fire, Miami-Dade nursing home closing its pediatric unit

A Miami Gardens nursing home linked to the deaths of two youngsters is closing its 60-bed children’s unit, the epicenter of a bitter dispute over Florida’s system of care for profoundly sick and disabled children.

About a week ago, Golden Glades Nursing & Rehabilitation Center informed state health administrators of its plan to shut down the harshly criticized pediatric unit. The facility was housing about 30 children late last year, although the number had since dropped to 19, said Lori Weems, a lawyer for Golden Glades’ owners.

“We have been aware of the facility’s plan to close the pediatric wing for a few weeks. Various staff from the agency have been assisting them and our nurse care coordinators are working with families,” said Michelle Dahnke, spokeswoman for the state’s Agency for Health Care Administration (ACHA). “Ultimately the transition location for the child will be determined by the parent and we want to ensure they are fully informed.”

Florida’s decision to house hundreds of profoundly disabled children in institutions designed for elders has drawn fire of late, both from children’s advocates and the U.S. Justice Department, which has accused the state of cutting in-home care for frail children so deeply that parents often have no choice but to institutionalize their loved ones.

Golden Glades is one of six nursing homes in the state licensed to care for children. Its problems, highlighted in a series of Miami Herald stories, included two deaths and a series of state and federal fines totaling over $300,000.

The home, which changed ownership last June, has sought to streamline the transfer of children by donating a special bed with protective netting to the family of one child, allowing the boy to return home to his parents. The child, who suffered from frequent spasms and movements, requires the netting to prevent him from falling out of bed or injuring himself against metal railing.

“That child,” Weems said, “is getting to go home.”

The nursing home also is “raising private funds to construct a wheelchair ramp” — which was, like the special bed, not covered by Medicaid — “so that a wheelchair-bound child whose parents very much want to care for him can go home,” Weems said. Medicaid is the state’s insurer for needy and disabled people.

For several days, Weems said, social workers and administrators at the home have been working with ACHA to provide options to the parents or other caregivers of the children who had been living there. They arranged tours of group homes, medical foster homes and other nursing homes, and offered to help find services for families that wanted to bring their children home.

The state Department of Children & Families had several foster kids who were living at the nursing home, said Joe Follick, a spokesman for the agency. As of Monday, three of the DCF kids remained at Golden Glades; one was moved to a medical foster home Wednesday, another is scheduled to move to a medical foster home “shortly,” and a third will be moved under the oversight of a sister department, the Agency for Persons with Disabilities.

“We have been diligently working to find a different home for them, and every child in a skilled nursing facility,” Follick said.

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BSkyB to offer sports channels online for daily fee

LONDON (Reuters) – BSkyB will offer its popular sports channels online for a daily fee, seeking new customers to offset slowing growth at its core pay-TV service amid sluggish consumer spending.

Sky, Britain’s dominant pay-TV group which provides fixed-line telephony, TV and broadband to 10.7 million households, has adapted its strategy during the economic downturn after years of chasing new subscribers to its core TV offering.

The group added 25,000 subscribers to its pay-TV service in the three months to the end of December, well down on the more than 100,000 users it used to routinely add each quarter.

In response, it has focused on selling more products such as high definition TV and broadband to existing customers, and moving online to reach those not willing to sign up to a monthly contract. The approach has enabled the group to consistently post strong financial results and pay higher dividends.

“Although we expect the consumer environment in 2013 to remain challenging, we have a strong set of plans for the year ahead,” Chief Executive Jeremy Darroch said on Thursday.

Darroch said the group would offer its sports channels, which show everything from Premier League soccer to Formula One motor racing and cricket, on its new online service called Now TV in the next few months.

Viewers, who do not need to sign up to a contract, will be able to pay 9.99 pounds to watch all six Sky Sports channels for 24 hours. It has already shown movies via the online offering to 25,000 customers since its launch last year.

The new internet drive will help BSkyB compete with existing online services such as Lovefilm and with BT Vision, which has won the right to show its own sports content, but it is also having to bet that its existing customers will not downgrade to the cheaper online offering to save money.

CUSTOMER LOYALTY

The group’s performance in the first half of the year showed that, despite the pressures on consumer spending, customer loyalty had remained relatively solid, with subscribers spending on average 568 pounds a year, up 24 pounds on the year before.

“Net additions were slightly below our estimates reflecting the tough consumer environment,” analysts at Numis said. “(But) encouragingly, take up of new products continues to increase, driving customer satisfaction and loyalty.”

Those customers taking all three main services – TV, broadband and telephony – accounted for 33 percent of the user base, up 4 percentage points year on year.

The rise in customers helped the group to post first-half operating profit up 8 percent to 647 million pounds ($ 1 billion) against a forecast of 632 million pounds. Cost control helped the group pay an interim dividend up 20 percent to 11 pence.

“We believe the BSkyB investment case has evolved over the past year or so, with the challenging consumer environment making the addition of new households to the (pay-TV) service more difficult,” Numis said.

“The group has rightly prioritized the increased penetration of multiple products, notably HD and broadband, which drive average revenue per user and reduce churn over the medium/long term. We are supportive of investment in products such as Now TV which offer an attractive risk/return in our view.”

Shares in BSkyB were up 1 percent to 819 pence in mid-morning trade, following a 21 percent rise in the last 12 months, and valuing the group at 13.2 billion pounds.

(Reporting by Kate Holton; Editing by Rhys Jones and Mark Potter)

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E-Trade Baby Has the Time of His Life in Super Bowl Commercial

If this is how his life begins, we can't wait to see him in his prime!

PICS: Inside Beyonce's Super Bowl Rehearsals!

In the new E-Trade Super Bowl commercial, America's favorite talking toddler shows what an investor could do with all the money they could potentially save as an E-Trade client.

Check out the hilarious clip above to see photos of the perennial infant balling out of control at hip nightclubs and posh yachts, complete with bikini clad women.

For another look at E-Trade's big game spot, visit the E-Trade baby's Facebook page.

VIDEO: Rogen & Rudd's Ideas Stifled in Super Bowl Ad

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