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June 2009

Left Dodges Moral Debate on Ricci Case (RealClearPolitics.com)

It took the story of one firefighter to expose the tension between fairness and affirmative action.

The nation's four most prominent liberal justices ignored that tension Monday. By consequence, the liberal justices decided that equal outcome should trump equal opportunity, when the two values compete. And in that decision, supported by a chorus of liberal analysts, American liberalism continued decades of thinking that places diversity, not fairness, as its first principle.

In Depth: 7 Firsts in Supreme Court History

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The Supreme Court ruled Monday that white and Hispanic firefighters were unfairly discriminated against when the city of New Haven discarded a promotional exam because no blacks, or not enough minorities in the city’s view, earned a sufficient score to be promoted.

The ruling concludes one of the most widely debated discrimination cases of the past decade. Much of that attention is based on Supreme Court nominee Sonia Sotomayor's involvement in the case. Sotomayor, as an appellate judge, upheld the initial decision siding with New Haven.

In the end, the Court's conservative majority prevailed in yet another 5 to 4 vote. But it's the minority's dissent--a view supported by the Obama administration in its brief submitted to the Court--which stirs up liberalism's ongoing avoidance of affirmative action's "real-world" negative consequences.

The Court's united liberal view on affirmative action carries heightened resonance today. Democrats hope President Obama marks the beginning of an enduring political majority. A primary aim of either party, when seeking sustained dominance, is to shift the Court to their side. Had today's Court been left leaning, liberals should be troubled to know, it would have almost certainly upheld a policy that denied a promotion based on the color of those promoted.

The Ricci case gets to the core of the American ideal of "the pursuit of happiness" as an "inalienable right." This right was most egregiously denied to blacks through slavery. It was not until the 1960s that the nation finally confronted and outlawed discriminatory practices. Affirmative action was instituted to correct past inequality.

Nearly a half-century later, liberalism faces new questions. In the time of the first black president, when white men's unemployment rate increases at twice the rate of black women in this recession, liberal thought has remained hinged to an earlier era.

Title VII of the 1964 Civil Rights Act prohibited discrimination based on disparate treatment or disparate impact. In 1960s and 1970s America the tension between the two principles was mitigated by the need to right history.

The liberal opinion, written by Justice Ruth Bader Ginsburg on behalf of all four left-leaning justices, argued Monday that the "purpose" of Title VII's disparate-impact provision "is to ensure that individuals are hired and promoted based on qualifications manifestly necessary" and "do not screen out members of any race."

The liberal justices refused to reckon with instances when the desire for "manifestly necessary" skills creates an unequal racial outcome, as was the case in New Haven.

The conservative majority addressed this tension Monday. It decided New Haven's actions amounted to disparate treatment, what the rest of us call overt discrimination.

An Illiberal Argument

Liberals now find themselves bunkered down beneath illiberal logic. Conventional affirmative action supporters effectively back discrimination for the sake of diversity. The driving role that class and culture play in endemic inequality is ignored. Affirmative action has become an entitlement supported despite consequence or context.

Whites overwhelmingly support a move toward class-based affirmative action that would still disproportionately aid minorities. But liberals remain seemingly vested in defending affirmative action as it was conceived, in a time far different than today.

The liberal opinion on the Ricci case upheld the city's effort to find any means to hold fast to conventional affirmative action. The city, after extended deliberation, decided that it was legal to discard the test results if no one was promoted.

Ginsburg echoed earlier decisions when she wrote that the city policy was "race-neutral in this sense" because "‘[A]ll the test results were discarded, no one was promoted, and firefighters of every race will have [the opportunity] to participate in another selection process to be considered for promotion.'"

The liberal argument feels like the cold legal judgment opposed by Barack Obama, in his criteria for nominating new liberal justices.

"She understands that upholding the rule of law means going beyond legal theory to ensure consistent, fair, common-sense application of the law to real-world facts," the White House wrote when Sotomayor was nominated.

Consider the well known details of the case's lead plaintiff, Frank Ricci. He gave up a second job and spent a third to half of his days studying over a period of months. He paid an acquaintance more than $1,000 to read textbooks onto audiotapes to overcome his dyslexia. He passed the test. Earned the promotion. But he was denied that promotion because diversity took precedent over qualification.

As I wrote in an earlier article on Ricci and concepts of "white male privilege," Ricci personifies the negative impact of so-called "positive discrimination." It's precisely this impact that liberalism must confront. The liberal argument ignored issues of harm, the loss of time or additional income suffered by Ricci and his fellow plaintiffs.

Ginsburg wrote that the majority opinion ignores firefighters' "long history of rank discrimination against African-Americans." It's an important consideration. But Ginsburg ignored the decades of distance from that history.

The liberal opinion goes on to write of the city's "unlikely" desire to exclude white firefighters from promotion because "a fair test"--fair, in this sense, meaning equal outcome--"would undoubtedly result in the addition of white firefighters to the officer ranks."

This line of argument would have us believe that a "fair" system would promote some white applicants who passed the test while denying other white applicants who also passed. Ginsburg argues that the deliberate denial of some white men’s hard-won promotion because of their race is preferable to an inadvertent result in which no members of a minority group passed. This logic may be based on precedent. But it does a disservice to the brave fight for equality that liberals championed for decades.

The Ginsburg argument places disparate impact above disparate treatment. It argues, at best, that subtle discrimination is preferable over its more overt form. This is the inverse of our common hierarchy of justice. Common sense dictates that intentional harm is worse than accidental.

The test was created by a company specializing in employment exams and met legal requirements, such as a review by independent experts. But the liberal argument ignored the quality of the test and focused on the result. This logic is again based on civil rights era precedent and again faulty. It defines quality by demographic outcome. It consequently attempts to uphold the outdated use of quotas in that earlier era.

The city claimed that it trashed the test only because it was afraid of being sued for discrimination by the minority applicants. But practical consequences also matter in law, as Obama has said.

Liberals continue to argue today that affirmative action is the result of employers impeding the progress of minorities. But the Ricci case captures how affirmative action improves the position of minorities often by impeding the progress of whites. And it's the most vulnerable whites who often pay the price of affirmative action, those men who lost blue-collar jobs and know nothing of privilege.

Mistaking Cure for Disease

Sotomayor has commendably acknowledged that affirmative action played a critical role in her admittance to Ivy League universities. And to be sure, diversity has its practical benefits. One needs Spanish speaking social workers or black police officers patrolling black neighborhoods. Whites can be ill served by a homogenous education. But when diversity is emphasized solely for its own sake, the cure becomes the cause rather than the true cause--curing the disease of discrimination.

It has been suggested that New Haven could have certified the test results and found "alternative ways to deal with these issues in the future." Does this mean that every test that does not achieve the desired demographic result should be tossed out?

At some point, in some cases, the liberal argument places diversity above the skill level of a workforce. It is exactly this thinking that contributes to the decades of distance between Democrats and working and middle class whites.

For Sotomayor in particular, her role in the Ricci case is hardly radical. She upheld precedent. So-called "judicial activism" is not a tool exclusive to the right or left. Sotomayor's view on affirmative action was in the mainstream of liberal thought. But on this policy, liberal thought is not in the mainstream.

A Quinnipiac University poll recently detailed the Ricci case and found that seven in ten Americans, including 53 percent of blacks, believed the Court should compel "the city to promote" the firefighters even if no blacks "scored high enough to qualify."

Blacks overwhelmingly support affirmative action. But when given a specific example of the negative side of the policy, even a majority of blacks changed their mind.

Yet the liberal justices hid from these moral issues. The minority opinion sought to stay within the safe confines of precedent. It focused on defending the city's effort to avoid a civil rights lawsuit. The deeper issues that liberal justices ache to confront on other occasions, questions of fairness and equality, went ignored.

Imagine the opposite of the Ricci case. A test is tossed out because not enough whites earned a promotion and too many blacks did. Would liberals support the city's action then?

"We are not unsympathetic to the plaintiffs' expression of frustration," Sotomayor and her fellow appellate justices wrote last year. The Supreme Court liberal justices wrote in their opinion that the firefighters denied a promotion "understandably attract this Court's sympathy."

Sympathy is exhibited not in words but actions. The liberal justices sought sanctuary in the legalese of the case. They argued for the continued use of unequal actions to attain an equal outcome and thereby undercut the roots of liberalism, the right to equal opportunity. Those who once fought for equality, and stood on the shoulders of that fight, are reduced to justifying inequality to combat inequality. In this era of Obama, it's the measure of what remains unchanged that is sometimes most striking.

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Zelaya accused of drug ties (AP)

BOGOTA – The regime that ousted Manuel Zelaya in Honduras claimed Tuesday that the deposed president allowed tons of cocaine to be flown into the Central American country on its way to the United States.
"Every night, three or four Venezuelan-registered planes land without the permission of appropriate authorities and bring thousands of pounds ... and packages of money that are the fruit of drug trafficking," its foreign minister, Enrique Ortez, told CNN en Espanol.
"We have proof of all of this. Neighboring governments have it. The DEA has it," he added.
U.S. Drug Enforcement Administration spokesman Rusty Payne in Washington said he could neither confirm nor deny a DEA investigation.
Zelaya was traveling from New York to Washington and could not immediately be reached to respond to the allegations.
Honduras and other Central American nations have become major transshipment points in recent years for Colombian cocaine, particularly as Mexico's government cracks down on cartels.
The drugs arrive in Honduras on non-commercial aircraft from Venezuela and increasingly in speedboats from Colombia, according to the Key West, Florida-based Joint Interagency Task Force-South, which coordinates drug interdiction in region.
In its most recent report on the illicit narcotics trade, the U.S. State Department said in February of Honduras that "official corruption continues to be an impediment to effective law enforcement and there are press reports of drug trafficking and associated criminal activity among current and former government and military officials."
The report did not name names.
Drug-related violence appears to be up in Honduras.
Homicides surged 25 percent from some 4,400 in 2007 to more than 7,000 in 2008 while more than 1,600 people were killed execution-style, suggesting drug gang involvement, according to the Central American Violence Observatory.
In October, Zelaya proposed legalizing drug use as a way of reducing the violence, and doubling the country's police force, which reached 13,500 last year, up from 7,000 in 2005, according to the State Department report.

2 Williams sisters, 2 Russians reach Wimbledon SFs (AP)

WIMBLEDON, England – Her 19th consecutive victory at the All England Club already wrapped up, Venus Williams grabbed a seat and watched younger sister Serena win easily to reach the semifinals, too.
Afterward, Venus and Mom, Oracene Price, strolled out of Centre Court arm-in-arm, chatting and laughing.
Sure is fun to be a Williams at Wimbledon.
Five-time champion Venus beat No. 11-seeded Agnieszka Radwanska of Poland 6-1, 6-2, before two-time champion Serena defeated No. 8 Victoria Azarenka of Belarus 6-2, 6-3, a pair of overwhelming performances Tuesday that moved the siblings closer to another all-in-the-family final at Wimbledon.
"They are both playing super-well. They're playing 'The Williams Way,'" their father, Richard Williams, said. "And when you're playing 'The Williams Way,' it's very difficult for anyone to touch you."
Particularly at the grass-court Grand Slam tournament, where a Williams has won seven of the past nine championships.
If No. 3 Venus gets by No. 1 Dinara Safina of Russia in Thursday's semifinals, and No. 2 Serena eliminates No. 4 Elena Dementieva of Russia, the siblings would meet Saturday in their second consecutive final at the All England Club and fourth overall.
It also would be the eighth all-Williams Grand Slam championship match; Serena leads 5-2.
"I would love it to be a Williams final," Venus said, "and so would she."
They are competitors, of course, but also form a team in many ways: The sisters are sharing a house during this tournament, practice with each other and have reached the women's doubles quarterfinals together.
"We've got it all figured out at this point," Venus said.
She is trying to become the first woman since Steffi Graf in 1991-93 to win three consecutive Wimbledon titles; Serena wants to add to the trophies she earned in 2002-03 by beating her sister in the finals.
At least one person has no doubt there will be a rematch Saturday.
"It will be. I'll go home because I can't watch," their dad said. "I think they both definitely make it to the final."
First things first. If the 19-year-old Azarenka and 20-year-old Radwanska represented up-and-coming opponents with little experience on the sport's grandest stages — neither has reached a Grand Slam semifinal — Safina and Dementieva are far more accustomed to playing significant matches.
On the other hand, they're not nearly as accustomed to winning them as the Williams sisters are, of course: Serena owns 10 major titles, Venus seven; Safina and Dementieva have zero.
Safina, who lost in the final at three of the previous five Grand Slam events, overcame 15 double-faults and wore down 41st-ranked Sabine Lisicki of Germany 6-7 (5), 6-4, 6-1. Dementieva, twice a runner-up at major championships and a singles gold medalist at last year's Beijing Olympics, was never challenged by 43rd-ranked Francesca Schiavone of Italy and won their quarterfinal 6-2, 6-2.
Asked about her double-fault total, Safina replied with a smile: "15? I thought it was much more. Sometimes even I don't know what I'm doing with my serve."

As the younger sister of former No. 1 Marat Safin, who lost in the first round at what he vows was his last Wimbledon, Safina knows about sibling success. But after losing the French Open final a few weeks ago, she acknowledged cracking under the pressure of trying to win her first major.

Looking ahead to facing Venus, against whom she is 1-2, Safina said, "I cannot go on court thinking I lost already. No, definitely, I think I have a chance there."

Dementieva also sounded a brave tone, despite accumulating more unforced errors (18) than winners (13).

"I just want to see how tough I can be out there against her," said Dementieva, who lost to Venus in last year's Wimbledon semifinals and now takes on Serena. "Just looking for some good fight."

Radwanska and Azarenka failed to make things difficult for the Williams sisters, who were at their dominant best.

"Not perfect," Price said, "but pretty close." Radwanska was playing in her third Grand Slam quarterfinal, 27 fewer than Venus, and while she upset Maria Sharapova at the 2007 U.S. Open, a stunner of that magnitude never seemed a possibility Tuesday. Venus won the first five games and the last six, compiling a 29-6 edge in winners.

Pounding aces at up to 122 mph, Venus won 16 of 18 points on her serve in the first set on a steamy day, the temperature about 90 degrees and not a cloud overhead at Court 1.

"Her tennis is so powerful," Radwanska said. "Very hard to do anything."

It took all of 68 minutes, leaving Venus ample time to shower, change, do postmatch interviews and still make it into the guest box for Serena's match.

Azarenka hits the ball quite hard herself, letting out a grunt that sounds something like "Whoop!", but she couldn't keep up. She even felt compelled to clap after a couple of Serena's best strokes.

"She really showed the unbeatable Serena," Azarenka acknowledged.

Azarenka did break for a 3-2 lead in the second set, but Serena didn't let her win another game. When Serena smacked one last forehand winner, she jogged to the net, pumping her fists. Up in the stands, Venus stood and applauded.

"We definitely upped our level of game today," said Serena, who hit nine aces. "We had really tough opponents, so we had to."

On Thursday, two more opponents will try to slow a pair of sisters who began playing tennis twenty-something years ago in Compton, Calif., and have made the most famous grass courts in the world their personal playground.

One particular family will be hoping for an all-Williams final. One nation will be pulling for an all-Russian final.

Dementieva proposed a unique alternative, asking: "Can we play just two finals instead?"

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AP freelance writer Sandra Harwitt contributed to this report.

Analysis: US role in Iraq doesn't end just yet (AP)

WASHINGTON – U.S. troops are out of Iraq's cities but not its future.
Even a best-case scenario is likely to feature an American role there for years — militarily as well as diplomatically.
That does not mean a permanent large U.S. troop presence in Iraq. Under a security deal struck with the Bush administration, American forces are to be out by the end of 2011.
But it's no secret that Iraq's security forces are not fully ready to handle even a diminished insurgency on their own.
Some senior U.S. military officers say privately they anticipate Iraqi setbacks in coming months, particularly if the insurgents regroup. But by partnering with American forces, the Iraqis stand a good chance of succeeding. That is why a number of U.S. troops will remain in the cities to assist and advise.
But most were gone Tuesday as Iraqis marked National Sovereignty Day with military parades and marching bands in Baghdad. In a sobering reminder the violence was not over, a car bombing in a crowded food market in the northern city of Kirkuk killed at least 27 people.
It's not possible to know how long Iraq will need American help, but it could be well beyond President Barack Obama's current term. Much will depend on the pace of progress toward Iraqi political reconciliation. That is because the success of the Iraqi security forces depends as much, if not more, on their willingness to operate in a nonsectarian, evenhanded way as on their technical competence.
Diplomatically, the U.S. role will be less visible but still crucial. Even with declining levels of violence since 2007, progress toward political reconciliation among Sunnis, Shiites and Kurds has been minimal.
Obama made clear Tuesday that while he expects violence to persist, the final outcome is an Iraqi responsibility.
"Iraq's future is in the hands of its own people," he said at the White House. "And Iraq's leaders must now make some hard choices necessary to resolve key political questions" and to provide security.
There are still about 131,000 U.S. troops in Iraq. They won't be fighting in urban areas any more, unless the Iraqi government asks for their help. Instead they will focus on securing Iraq's borders, keeping insurgents on the run in rural areas and conducting training with Iraqi security forces.
Gen. Ray Odierno, the top U.S. commander in Iraq, said Tuesday he was hopeful, in part because Iraqis have embraced the U.S. urban withdrawal as a confidence booster.
"They're not ready for us to go yet, but they are ready for us to allow them to attempt to exercise their security responsibilities, and to me that's very encouraging," Odierno said.
Even in the most optimistic of circumstances in which Iraq muddles through its political and ethnic problems — and keeps chipping away at the insurgency — it will still need U.S. support. And the Obama administration has said it wants to build a long-term relationship with a key Arab state in a volatile region.
But if today's relative peace in Iraq unravels within the coming year, Obama will face tough choices, including whether to push back his announced timeline for ending the U.S. combat role in the country by September 2010.
Obama could not reinsert U.S. combat forces in Iraqi cities without Iraqi government permission, under terms of the security deal negotiated by the Bush administration last year. And he could not change the 2011 deadline for removing all U.S. troops from Iraq without renegotiating that deal.
Nor might he want to, even with the prospect of Iraq spinning into a new cycle of sectarian warfare. Obama came into office promising to end U.S. involvement in the war, arguing that Iraq's remaining problems are primarily of a political nature and cannot be solved by continued U.S. military force.
And more recently, Obama announced that his administration was refocusing on what he considers a bigger problem — increasing instability in Afghanistan and a growing insurgency in neighboring Pakistan. In that context, U.S. troop reductions in Iraq are a one-way ticket; once out, they are unlikely to return.

Qubad Talabani, son of Iraqi President Jalal Talabani and the Washington representative of the semiautonomous Kurdish regional government in northern Iraq, believes that if security deteriorates in coming months and hot-button political issues are not settled, the 2011 deadline should be renegotiated.

"Regardless of whether things go well or things deteriorate, there is going to be a strong connection between the United States and Iraq," Talabani said in an interview Tuesday. "The nature of that relationship will depend on whether things improve or deteriorate. The U.S. has invested too much in this effort just to walk away."

What would Obama do if Iraq reverted to major violence?

Stephen Biddle, an Iraq watcher at the Council on Foreign Relations, wrote in a recent analysis that a full-scale civil war could mean a civilian death toll in the range of 600,000 to more than two million.

"Given its role in precipitating the war in Iraq, the United States would bear special responsibility for such a catastrophe," Biddle wrote. He added that if the conflict spread beyond Iraq's borders it would risk a disruption of world oil markets and might derail prospects for successful Israel-Palestinian peace talks.

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EDITOR'S NOTE — Robert Burns has covered national security and military affairs for the AP since 1990.

Jackson family: Michael Jackson had a will (AP)

LOS ANGELES – The lawyer for Michael Jackson's family says a will for the late pop star has been presented and is to be filed in court.
Attorney L. Londell McMillan says his clients are now aware of the will, and the late singer's advisers are looking for additional documents.
A court filing is expected.
The existence of a will, and the likely appointment of an executor, could complicate a petition by Jackson's mother Katherine to become the administrator of his estate.
In documents filed in Superior Court, Jackson's parents say they believes their 50-year-old son died without a valid will.

Judge orders Allen Stanford jailed until trial (Reuters)

HOUSTON (Reuters) –
A federal judge on Tuesday ordered Texas financier Allen Stanford, accused of a $7 billion fraud, held without bail until trial.

U.S. prosecutors had argued that Stanford, who faces life in prison if convicted on all charges contained in a 21-count indictment, had the means and motive to flee.

"In total, the evidence proffered by the government is sufficient to weigh in favor of detention," U.S. District Judge David Hittner said in an order that revokes a $500,000 bond that a magistrate had granted Stanford on Thursday.

"We are very disappointed and we are going to appeal to the 5th Circuit," Dick DeGuerin, Stanford's lawyer said in a statement.

Stanford, who is more accustomed to jetting around the globe in his private planes, has been in custody since his arrest on June 18 in Virginia. He is currently being held in a federal detention center in a facility 40 miles north of Houston.

The government accuses the billionaire of leading a massive Ponzi scheme using the investor funds from certificates of deposit issued by his bank in Antigua.

Stanford sought to avoid detection by creating false accounting records, lying to investors and bribing a regulatory official in Antigua, according to prosecutors.

The case, filed in federal court in Houston, is United States of America v. Robert Allen Stanford H-09-342.

(Additional reporting by Bruce Nichols and Erwin Seba in Houston; editing by Carol Bishopric)

Pakistan army faces fight with end of Taliban deal (AP)

ISLAMABAD – A decision by Taliban militants to withdraw from a peace deal in a tribal region close to the Afghan border threatens to open a new front for the Pakistan army as it battles the insurgents in two other areas.
Militants close to the border are behind a spate of bombings that are destabilizing nuclear-armed Pakistan. They are also blamed for attacks on Western troops in Afghanistan, where violence is running at record levels eight years after the U.S.-led invasion.
The disintegration of the truce in North Waziristan was the latest failure of a government pact with local Taliban leaders. The agreements have been criticized abroad because they effectively cede space to the insurgents.
The current government offensive in the Swat Valley — which began after a peace deal there fell apart — and an artillery and air campaign in South Waziristan have been praised by the United States, which has been trying since the Sept. 11, 2001, attacks to get Islamabad to take military action against Taliban and al-Qaida fighters in the border region.
Militants in North Waziristan announced Monday that they had pulled out of a peace deal with the government dating back to early 2008, citing attacks by the army and missile strikes by the United States. The move followed a weekend ambush by insurgents on an army convoy in the region that killed at least 16 soldiers, among them three officers.
Army spokesman Maj. Gen. Athar Abbas vowed Tuesday to avenge the attack.
"There is now a new situation in North Waziristan," he said. "Lets see how we are going to handle this," he said, declining to elaborate.
The border region is a lawless, mountainous region where the central government has little control.
Pakistan began its offensive in the Swat Valley region in late May after militants there advanced on the capital, violating the terms of the peace deal. The military claims to have killed more than 1,000 fighters and has retaken much of the district, but most of the some 2 million people who fled the fighting have yet to return.
This month, the army began bombing targets in South Waziristan, saying it was softening up the region for an offensive targeting Baitullah Mehsud, the leader of Pakistan's major Taliban faction who has been blamed for many of the county's most deadly suicide attacks in recent years.
The scrapping of the accord to the north adds to the difficulties facing the army.
"The group they are trying to neutralize has become bigger, as has the area they will need to contain them," said Shahzad Chaudhry, the former deputy head of the Pakistani air force and a security analyst. "The attempt was to try and reduce the size of the opposing forces, but now it seems the army have a bigger problem at hand. It will have to be a long-haul fight now."
Details of the peace deal had not been made public, but it had appeared to cause a reduction in attacks on Pakistani military targets in North Waziristan compared to other parts of the border region. But U.S. and NATO commanders in Afghanistan said the region was being used by fighters there as a safe haven.
Since August, the United States has fired more than 40 missiles at suspected militant targets in the tribal regions in a sign of its frustration with Islamabad. The strikes have killed many militants but have also served as a rallying cry for the insurgents.
A spokesman for North Waziristan Taliban leader Hafiz Gul Bahadur cited those attacks when pulling out of the deal.
"This accord is being scrapped because of Pakistan's failure to stop the American drone attacks in North and South Waziristan," Ahmadullah Ahmadi told The Associated Press. "Since the army is attacking us in North and South Waziristan, we will also attack them."
The offensives against the militants have been broadly welcomed by most Pakistanis, but this support could waver as the campaign drags on. Pakistan has more than 100,000 troops in the region, but most are poorly trained for counterinsurgency.
The army offensive in the tribal region suffered another blow last week when gunmen assassinated Qari Zainuddin, a militant leader in South Waziristan who opposed Mehsud and was seen as close to the government. A Mehsud aide allegedly carried out the slaying.

The News, a leading English-language newspaper, said in an editorial that Sunday's ambush and the scrapping of the accord showed the tough fight ahead in the Waziristans, where the militants have had years to dig in and prepare their defenses.

"This is going to be no sweeping up of a few raggle-taggle remnants," it said. "This is going to be a hard-fought bitter battle against a force no less able, and perhaps better equipped, than our own."

Also Tuesday, a car bomb struck trucks taking supplies to Western troops in Afghanistan, killing four people in Pakistan's southwest, police said. No one claimed responsibility for the explosion in Baluchistan province, but militants have frequently targeted supply trucks for U.S. and NATO troops that travel through Pakistani territory.

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Associated Press Writer Abdul Sattar contributed to this report from Quetta.

Bone agent linked to problems in neck surgeries (AP)

CHICAGO – A bone growth agent used in thousands of spinal fusion surgeries for neck pain has been linked to complications and higher cost, according to the first nationwide study of the product. Safety questions arose last year about the protein product, BMP, when used in fusion surgeries in the neck region, a use not approved by federal regulators.
"Some of these complications are life-threatening because the neck is such a sensitive area," said lead author Dr. Kevin Cahill of Harvard-affiliated Brigham and Women's Hospital in Boston. The study appears in Wednesday's Journal of the American Medical Association.
Smaller studies have shown BMP promotes better healing of the bone and fewer repeat surgeries to fix failed spinal fusions. The product also makes it unnecessary to surgically harvest the patient's own bone from the shin or hip for a graft.
However, the powerful protein can make bone grow in unwanted places if it's incorrectly used. There are no official guidelines for its use.
Surgeons have rapidly adopted BMP since the Food and Drug Administration approved it in 2002 for back surgeries. Doctors used it in 17,623 spinal fusions in 2006, nearly 1 in 4 cases, the researchers found.
"It's a new product and use is taking off right now," Cahill said.
Last year, the FDA warned doctors about 38 reports of complications when the treatment was used in the neck region of the spine. For unknown reasons, some patients had swelling after surgery, and that caused problems with breathing and swallowing.
BMP is produced by two companies, Minneapolis-based Medtronic and Kalamazoo, Mich.-based Stryker.
Medtronic spokeswoman Marybeth Thorsgaard said that company added a label warning about neck complications in 2005. She said the company has a study under way that may help address how the product could be safely used in the neck region.
In an e-mailed statement, Stryker said doctors should use its BMP product only for approved uses, which do not include spinal fusions in the neck.
Spinal fusion is one option for people with back and neck pain, although some researchers have questioned how well it works.
In a spinal fusion, a surgeon removes the shock-absorbing disc between two vertebrae and replaces it with the patient's own bone, BMP or another product. Ideally, new bone grows and fuses the vertebrae into one piece, stabilizing the spine.
Medtronic's BMP is in a liquid solution, which is implanted on a collagen sponge in a titanium cage. Stryker's product has the consistency of wet sand.
For the new study, researchers looked at records of more than 325,000 spinal fusions from 2002 to 2006. When BMP was used in the front of the neck region of the spine, there were complications in 7 percent of patients before they left the hospital, a 50 percent higher rate compared to when the product wasn't used.
Elsewhere in the spine, however, BMP led to no more complications than other spinal fusion treatments.
In all spinal fusions, average hospital charges were higher when BMP was used, compared to when it wasn't. Without BMP, fusion surgeries in the neck region cost about $31,000; with BMP, the cost is roughly $46,000. The product itself costs between $3,600 and $5,200.
The study looked only at problems right after surgery, and didn't include repeat surgeries as complications.
"This paper doesn't address one of the biggest issues: Does BMP in fact improve fusion rates?" said neurosurgeon Dr. Allan Levi of University of Miami's Miller School of Medicine, who wasn't involved in the new study but has written about BMP.

Without large studies on fusion rates, surgeons should "think twice before using it, in recognition of the complications and costs," Levi said. "We have a product that probably works, but is very expensive."

The study was funded by the Brain Science Foundation.

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On the Net:

JAMA: http://jama.ama-assn.org

(AP)

MINSK, Belarus – U.S. lawyer imprisoned in Belarus on attempted espionage charge walks free after pardon.

Boy allegedly steals from ambulance as mom treated (AP)

ELIZABETHTON, Tenn. – A boy was arrested over the weekend on charges of stealing from an ambulance while paramedics were treating his mother. The Johnson City Press reported the boy, who was not named because he is a juvenile, was charged with stealing $5,000 in medical supplies. That includes an oxygen tank and an oxygen sensor machine.
He is also accused of stealing a purse belonging to one of the rescue workers and of breaking into a car several hours earlier and stealing credit cards, a cellular phone and a PlayStation portable video game.
The boy was taken to the Juvenile Detention Center in Johnson City.
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Information from: Johnson City Press, http://www.johnsoncitypress.com