Archive for October, 2008

Porush Supports Status Quo in Yerushalayim – Including Shame Parade

Tuesday, October 28th, 2008

porush4.jpgJerusalem mayoral candidate Rav Meir Porush appeared on Channel 10 Television on Monday night, expressing his views on a number of issues on a news magazine program.

Regarding Har HaBayis, Porush denied that he ever stated the holy site should remain under control of the Arabs, stating it and other holy sites are not ours to give away, but he does support the ‘status quo’, meaning he favors the continued Arab Waqf control of Har HaBayis. He stated the Jews should continue running affairs at the Kosel and the Arabs on Har HaBayis.

Porush however pointed out the need to bring Jews back to Yerushalayim, explaining following the 1967 Six Day War, the Jews comprised 72% of Yerushalayim but today, that number is close to 60%. He warned that if we do not change the demographics, in 15 years, the Jews will no longer be a majority in the capital. Therefore he stated that he will work tirelessly to bring Jews back to Yerushalayim, non-religious, chareidi and dati leumi.

When asked to express his opinion regarding the to’eva parade, he stated “obviously I am against it but I realize the Supreme Court will compel the mayor to permit it.” Therefore he explained, he supports the status quo, to permit the current realities dictate future policy as well.

(Yechiel Spira – YWN Israel)

NYCHA to Spend $110 Million To Repair Elevators

Tuesday, October 28th, 2008

elevator1.jpgThe following article appeared in todays NY Daily News: Stung by a series of gruesome deaths blamed on faulty elevators, the city Housing Authority plans to spend millions to fix the lifts that often infuriate and injure its 406,000 residents.

NYCHA will spend $5 million to hire new elevator inspectors and maintenance teams. An additional $107 million will go to replace 630 of its 3,335 elevators over five years.

NYCHA is installing computerized tracking so managers can “see” elevators from remote locations to determine where they are and if they’re working properly.

The system, in place in some developments, sends a stream of data to a central computer to help flag problems before an elevator goes out of service.

An important new program will install new cameras and encourage residents to report vandalism, a leading cause of elevator failure. The moves are long overdue, and driven by public and political pressure.

Tomorrow, when NYCHA Chairman Tino Hernandez testifies before the City Council, he will surely be grilled about the tragic death of Jacob Neuman, a 5-year-old boy who recently fell to his death while trying to escape a stalled elevator in Brooklyn’s Taylor Wythe Houses.

He’ll probably also be asked about the death of Lillian Milan, an asthma sufferer who died trying to walk up 10 flights in the Bushwick Houses in September 2007.

On any given day, nearly 200 NYCHA elevators are out of service. A recent report by the Daily News I-Team showed repairs can often take weeks or months.

To his credit, Hernandez not only didn’t duck my questions – he invited me to spend part of yesterday poking around NYCHA’s “elevator university.”

It’s a sprawling setup in a converted Long Island City warehouse with a staggering number of training stations, complete with motors, pulleys, cables and several generations of elevators converted into simulators.

Under the direction of John Ashton, an elevator guru with nearly 30 years at NYCHA, an army of 400 mechanics, inspectors and assistants who service NYCHA elevators train on the equipment and get dispatched to handle the hundreds of elevator failures that happen each day.

All of that is a great start, but it doesn’t solve the underlying problem of NYCHA’s perennial budget deficits, estimated at around $200 million a year.

The bad news is that half the money for elevator repairs will come from other programs. That means more leaky roofs, broken pipes and furnaces that fail in winter.

Hernandez and his team are trying hard with not enough money, manpower or help from state and federal agencies.

The sad truth is that we won’t fix what ails NYCHA unless we give it the money it needs to do the job.

(LINK to NY Daily News)

Photos: Mehlman / Breiner Chasunah

Tuesday, October 28th, 2008

Click HERE to see photos taken at last nights Mehlman / Breiner Chasunah (Ateres Avrohom).

All photos taken by Shimon Gifter.

PHOTOS: Overturned Vehicle in Lakewood (Howell)

Tuesday, October 28th, 2008

10:25AM EST: (PHOTO LINK BELOW) Lakewood Hatzolah units are operating at the scene of an overturned vehicle on Squankum Road. The exact location of the accident is in Howell, NJ – just before the light at the entrance to I-195.

As of this posting YWN is being informed that there is only one injured person complaining of neck & back pain.

Expect traffic in the area.

PHOTO LINK: Click HERE for photos.

(YWN-55 / YWN-41)

Photos: 70 Years After Kristalnact, A Frum Wedding in Germany

Tuesday, October 28th, 2008

YW-Berlin Chasunah-016.jpg(PHOTO LINK BELOW) Kehilas Beis Zion, Berlin, Germany, was honoured to welcome HaRav HaGaon Rav Shraga Feivel Zimmerman, Mara D’Asra of Gateshead, to the community, on Sunday. He was invited to be Mesader Kiddushin for the chasuna of Dovid Geballe, a former bochur of Yeshivas Beis Zion, Berlin who later moved to Monsey where he became a close Talmid of Rav Zimmerman. The kallah, Rivka Schwarz was a student at the Lauder Midrasha, the girl’s seminary and sister school of the yeshiva.

Yeshivas Beis Zion opened its doors in the summer of 2000. It was the brainchild of Rabbi Joshua Spinner, founding Director of Lauder Yeshurun, a group of projects aimed at reviving Jewish life in Germany and catering to the large number of immigrants form the former Soviet Union.

HaRav Zimmerman recalled how his grandfather, the last Rov in Frankfurt before the war, was deported by the Nazis, ym’sh and told the guests how they could not possibly realise the enormity of the miracle of attending an authentic yiddishe chasuna in Berlin, almost exactly seventy years after Kristalnacht.

The Yeshivas newly appointed Rosh HaYeshiva, HoRav Yoel Smith, shlita was present and was immersed in halachic discussion with the esteemed guest for much of the evening. He plans to stay in Berlin until Tuesday, during which time he has a rigorous schedule of teaching to the various programs that make up this new vibrant makom Torah in Central Europe.

The chasuna is the latest of a string of simchas matching bochrim and seminary students in Berlin, which has seen the community balloon over the past two years. In addition to the yeshiva and the seminary, there is a kollel, a kindergarten, the recently opened primary school and ‘Am Echad’, the National Outreach division of Lauder Yeshurun.

PHOTO LINK: Click HERE for photos.

(Dovid Rose – YWN Germany)

Facebook, an Israel Intelligence Community Nightmare

Tuesday, October 28th, 2008

fcbk.jpgViolations of IDF security protocol by soldiers appear to have unintentionally compromised security. As was reported HERE by YWN, some soldiers have loaded photos of military installations and action scenes to their personal websites, and it appears Hamas has been busy searching for such photos, downloading them and giving them to experts to analyze.

One Israeli expert stated the lackadaisical attitude regarding security matters may carry a price in human life, that of IDF soldiers. Intelligence officials have located a Hamas site carrying dozens of such photos, most taken from Facebook, analyzing IDF abilities in a number of spheres, citing an example that it depicts the inside of a military jeep – with the website mentioning this marks the first time they obtain a real look inside.

Other photos depict military vehicles, some showing classified equipment like computers, while other soldiers show soldiers involved in other military activities. There are also photos of new weapons, and of soldiers engaged in training exercises to apprehend terrorists.

In one shocking photo, a member of a very elite unit is seen wearing an advanced camouflaged uniform shaking the hand of the IDF chief of staff, apparently at the end of a training event. This photo by the way was the only one that the soldier distorted the face of the soldier shaking the military commander’s hand, at least preventing the disclosure of his identity.

Other photos show military bases in detail, considerably facilitating efforts by terrorists to learn about the layout of a base should they plan an attack.

The webmaster of the Hamas forum also writes “If you wish names, email addresses and other information on soldiers, like where and when they hang out, I can instruct you how to obtain this information as well.”

Much of this information is revealed on private websites and Facebook pages of soldiers, who innocently provide more information to the public than they should.

(Yechiel Spira – YWN Israel)

Leading Industrialists Seeking to Avoid General Elections in Israel

Tuesday, October 28th, 2008

With growing economic concerns in Israel, senior members of the industrial community, including Izzy Borovich, the chairman of El Al, have appealed to President Shimon Peres in a letter to encourage the formation of a national unity government and avoid general elections, which they explain it too costly and will lead to additional instability in the marketplace.

Hundreds of high tech employees are being dismissed in Israel. Other high tech forms are having difficulties in raising capital as there is a drop in demand abroad for Israel’s high tech services. Amdocs Telecommunications for example is firing 500 employees worldwide, 200 from Israel. The firm employs 5,000 workers in Israel, 150  working in Yerushalayim.

(Yechiel Spira – YWN Israel)

Intruder Shot and Killed in Ben-Shemen Burglary

Tuesday, October 28th, 2008

A Ben-Shemen resident during the predawn hours on Tuesday shot and critically wounded a burglar who entered the home at about 4:30am. The intruder sustained critical injuries. He was transported to Assaf HaRofeh Hospital in Tzrifin where he died a short time later. Two other suspects succeeded in fleeing the scene.

The homeowner is reportedly a member of a security force, claiming the three tried to attack him, compelling him to use his weapon. Galei Tzahal (Army Radio) reported the man was shot about 20 meters from the entrance of the home, in a yard, sustaining wounds to his chest and back. Police are reporting that the preliminary evidence and statements does not prove without a doubt that the victim indeed attempted to break into the home.

The case brings to mind the Shai Dromi case, a farmer who shot and killed an intruder in his home about 18 months ago. He was eventually charged with manslaughter, prompting the Knesset to pass what is known as the Shai Dromi Law, exonerating someone who shoots at an intruder in the home, workplace, or agricultural field unless his actions are deemed totally unjustifiable.

(Yechiel Spira – YWN Israel)

Over 30 Bills Presented on Day 1 of the Knesset Winter Session

Tuesday, October 28th, 2008

While the 17th Knesset is nearing its end, lawmakers appear eager as ever to present new bills. On Monday, the opening day of the winter and final session of this Knesset, 30 new bills were introduced.

It is obvious the Knesset will not debate these new bills, but submitting them on Monday started the 45-day countdown timer that permits presenting the bills for a preliminary vote.

Bills include banning imports from Iran, removing taxes from life-saving pharmaceuticals currently not included in the national health basket, and banning imports of alcohol and cigarettes to anyone under 18.

(Yechiel Spira – YWN Israel)

Governor Paterson Says NY Deficit To Hit $47B Over 4 Years

Tuesday, October 28th, 2008

paterson3.jpgNew York Gov. David Paterson says the recession, overspending by the state and Wall Street’s meltdown will result in a record $47 billion deficit over the next four years.

He says the current budget’s shortfall is $1.5 billion and the next fiscal year beginning April 1 will include a $12.5 billion deficit. A month ago, the current deficit was estimated at $1.2 billion.

He says the projected shortfalls in revenue compared to spending and debt are worse than the state faced after the Sept. 11, 2001, terrorist attacks and require drastic action to reduce spending.

He notes the state budget has increased from about $62 million in the 1994-1995 fiscal year to more than $120 billion today.

(CBS2 HD)

Syria Halts Diplomacy After U.S. Military Strike

Tuesday, October 28th, 2008

Damascus largely froze high-level diplomatic efforts with the U.S. after an American strike inside the country, a move that threatens support for broader peace initiatives in the Middle East.

Syrian officials on Monday sent a demarche to the American Embassy in Damascus in response to what it claimed was a U.S. cross-border helicopter attack inside eastern Syria on Sunday that killed eight people.

President Bashar Assad’s government said it was largely freezing high-level diplomatic engagement with the Bush administration for its remaining three months in office.

(Wall Street Journal)

Nazi On Trial For Murdering 14 In Italy

Tuesday, October 28th, 2008

court hammer6.jpgA former German soldier is on trial in Munich for Nazi-era atrocities.

Josef Scheungraber, now 90, is charged with having ordered the murders of 14 villagers in June 1944 as a reprisal for partisans killing two of his men. Scheungraber was sentenced to life in prison by an Italian court in 2006, but since Germany does not extradite its citizens, a trial was initiated in Munich in September.

A witness in one of the last trials related to Nazi-era atrocities told the Munich court on Oct. 23 that his fellow German soldiers balked at massacring Italian villagers in Falzano, Tuscany, but followed orders. The next court date is Nov. 13.

Allegedly under Scheungraber’s command, four civilians were shot before Battalion 818 of the German Army mountain combat engineers was ordered to blow up a barn in which 11 other civilians had been confined. Only Gino Massetti, now 79, survived the explosion and fire, and he testified on Oct. 7 that former Wehrmacht officers called to testify have failed to recall details about the incident, according to news reports.

The latest witness, an 84-year-old former engineer with the battalion, said he did not know who had ordered the massacre. He only knew that he and his fellow soldiers were reluctant to carry out the orders.

In September, Scheungraber’s attorney told the court that the accused — who lives today in Ottobrunn, Bavaria — had not known about the massacre when it happened.

(Source: JTA / Jerusalem Post)

GM, Chrysler Ask for $10 Billion to Aid Merger

Tuesday, October 28th, 2008

General Motors and Cerberus Capital Management have asked the U.S. government for roughly $10 billion in an unprecedented rescue package to support a merger between GM and Chrysler, two sources with direct knowledge of the talks said on Monday.

The government funding would include roughly $3 billion in exchange for preferred stock in the merged automaker, according to one of the sources, who was not authorized to discuss the matter publicly.

The U.S. Treasury Department is considering a request for direct aid to facilitate the merger and a decision could come this week, sources familiar with the still-developing government response said earlier on Monday.

An injection of $3 billion in equity to support a GM acquisition of Chrysler would be roughly equivalent to the current, depressed value of the top U.S. automaker.

It would also give U.S. taxpayers a large stake in the turnaround of a struggling auto industry that employs over 350,000 American workers and is credited with supporting employment for another 4.5 million in related fields.

(CNBC)

Shas Leader Comes Out in a Scathing Attack Against Kadima

Tuesday, October 28th, 2008

It would appear that Shas leader Eli Yishai has had enough of the insults. He came out in a scathing attack against Kadima leader Tzipi Livni and senior party officials, labeling them “racist” for their derogatory remarks that “Shas tried to extort a deal” in coalition negotiations.

Yishai questions why the word “extortion” is not used in reference to the Labor Party, who did indeed sign a coalition deal, but not before receiving commitments amounting to NIS 1.5 billion.

In his remarks during a session of the Shas faction on Monday he stated, “regarding Shas, the Sephardim, they can speak this way… it appears extortionists have a certain look, with beards… the more that defame us the stronger we will become.”

In Yated Neeman, affiliated with Degel HaTorah, the newspaper warns the Livni campaign will undoubtedly refer to the “extortion of Shas” and this was the launching of her election campaign, quoting Livni as stating, “They will not succeed in extorting me.”

(Yechiel Spira – YWN Israel)

VIDEO & PHOTOS: A Unique Chol Hamoed Outing Part II

Tuesday, October 28th, 2008

55.jpg(VIDEO & PHOTO LINKS AT END OF ARTICLE) It was Chol HaMoed Sukkos, the buses in Flatbush, Lakewood, and Monsey were packed, and the children were looking forward to an action-packed day.

This was the Misaskim organization’s second time arranging a trip like this, and it sure turned out to be spectacular day! Lots of Siyata Dishmaya, weeks of intense planning and coordination by Misaskim ensured that nothing was not thought of.

The buses met at Brooklyn’s Floyd Benet Field – home to the NYPD’s Special Operations Division, and awaited security clearance to enter the restricted area. As soon as the buses unloaded, – each child was given their own camera to take their own photos – and the day began.
 
Lieutenant’s Jimmy Woods, and Scott Belford of the NYPD’s PBBS were on hand with megaphones directing everyone where to go, and explaining what was going to take place.
 
The crowd, numbering in the hundreds gathered behind a fenced-in area, and watched as the NYPD demonstrated how police K-9 dogs are trained and how they are used in tackling a gun-toting suspect. A total of 6 trained dogs were used, and the crowd was mesmerized at the high level of training that the dogs receive at their own NYPD academy.
 
Being that Floyd Benet Field has part of the Atlantic Ocean bordering it, the next event was feasible to be performed. It involved the NYPD’s Aviation, Air & Sea Rescue, and Harbor Units. A police officer was lowered into the water off of an NYPD boat, and pretended to be stranded in the ocean.
 
An NYPD Chopper quickly arrived on the scene, in mid-air, the doors of the chopper opened, and two officers fully decked-out in Scuba-diving gear jumped from the hovering helicopter into the waters to “rescue” the drowning victim.
 
A basket was lowered from the helicopter, and the drowning victim was assisted into the basket, hoisted up into the aircraft, and whisked away to dry land. The large crowd was then able to meet the heroic officers, and see the 200-pounds of gear that they need to wear while swimming on a rescue mission.
 
Following the water rescue, was the NYPD’s Bomb-Squad – who demonstrated their high-tech robot used in examining a highly suspicious package. A volunteer (child) was picked from the crowd, and with the assistance from NYPD Bomb-Squad Tech was allowed to maneuver the robot and lift up a “suspicious package”.
 
There were dozens of NYPD vehicles rarely seen by NYC residents on display for everyone to view and get a hands-on feel of what they are used for.
 
Dozens of SOD officers were on hand to explain what each tool is used for.
 
Also displayed was the NYPD “Mounted Units”, with multiple horses performing for the crowd.
 
When the NYPD show ended, everyone returned to the buses – but the day was far from over.
 
The buses proceeded to Ateres Chinka Chasuna Hall (The Cheder) on Elmwood Avenue – where a massive 4,200-square-foot Sukkah was waiting with a delicious, hot, gourmet Yom Tov Seuda catered  by Flatbush Takeout was waiting. The gathered crowd felt as if they were at a fancy Chasunah, with the tables and chairs looking their finest.
 
After everyone bentched, the crowd made their way into the wedding hall, where a six-piece band by the Neginah Orchestra was playing – accompanied by six singers from the Shira Choir.
 
Avrohom Fried opened up the Simchas Bais HaShoeva –singing and dancing with the children, while many Rabbonim arrived and danced and gave Brachos to each child and adult.
 
Rav Yecheskel Roth, the Spinka Rebbe, Rav Mendle Teitlebaum, Rav Shea Rubin, Rav Yaakov Horowitz, Rav Osher Kalmanowitz, Rav Leible Wulliger, were just some of the Rabbonim attending.
 
The next performer was none other then the King of Jewish music, Mordechai Ben David – who also sang and danced with everyone.

At least 8 clowns were on hand to keep the children on their toes, and two professional jugglers – Sam Jaccobs & Moshe Shertzer – preformed with fire and other mesmerizing devices. The famous “Dancing Dummies” did a spectacular performance as well.
 
After singing and dancing for more than three hours, the Simcha seen on the faces of the children was indescribable. It certainly was a day that they will remember forever.
 
Misaskim would like to publicly thank the NYPD for going above and beyond the call of duty on behalf of this great Mitzvah (deed). First and foremost, the Honorable NYPD Commissioner Raymond Kelly – who authorized the event requires utmost thanks. The man who helped coordinate the event at Floyd Bennet Field was Assistant Chief Charles Kammerdener. Misaskim told YWN that he worked on the schedule of the day – as if it were an actual emergency incident that he were to deal with.
 
An extra token of appreciation must be given to Brooklyn South Chief Fox Joseph Fox, (along with his dedicated staff) – who extended all resources at his disposal to ensure that everything ran smoothly.
 
Speaking with YWN, Misaskim says that all the preparation in the world for this event could have not been done without extra Siyata Dishmaya.

VIDEO & PHOTO LINK: Click HERE to watch an exclusive YWN video, and click HERE for photos. [To read about Chol Hamoed Part I, click HERE]

(Yehuda Drugestein – YWN Exclusive)

Bloomberg Endorses NJ Reformed Rabbi Running For Congress

Tuesday, October 28th, 2008

shulman.jpgNJ Democrat Dennis Shulman received a Big Apple of an endorsement this morning in his race against three-term Republican U.S. Rep. Scott Garrett in New Jersey’s 5th District.

New York City Mayor Michael Bloomberg has endorsed Shulman, 58, a legally-blind psychologist and reformed rabbi from Demarest, Bergen County, saying Shulman will make decisions based on “pragmatism, not ideology,” particularly on gun-control issues. “I am endorsing Dennis Shulman because I am impressed by his pragmatic, sensible approach” to fix the economy and keep guns out of hands of criminals, Bloomberg said in a press conference.

Shulman previously was endorsed in the campaign by New York Gov. David Paterson.

Garrett, 49, an attorney from Wantage, Sussex County, who is known as New Jersey’s most conservative congressman, has handily defeated prior Democratic challengers by double-digit margins. But Garrett is facing his toughest race yet in Shulman, who has been well financed and has relentlessly attacked Garrett on various fronts.

The 5th District House seat has long been a GOP seat. An endorsement by Bloomberg, who was elected as a Republican but switched to being an independent, may carry weight in Bergen County, which has the most votes in the 5th District and where Democrats have made large gains in voter registrations this year.

Rabbi Shulman’s pulpit is at Chavurah Beth Shalom in Alpine, NJ – a reformed Temple. Dennis Shulman is a frequent and popular lecturer at universities, psychoanalytic training institutes, synagogues and churches.

(Source: NJ Star Ledger)

Village of Kiryas Joel Has Yet to Submit Route 44 Plans

Tuesday, October 28th, 2008

rc.jpgThe following article appears in today’s Times Herald Record: County Route 44 remains shut after nearly two weeks as Orange County officials await plans from Kiryas Joel to replace an unauthorized wooden walkway that the village erected beside the road.

The county closed part of the Monroe-Woodbury thoroughfare on Oct. 15 and refuses to reopen it until Kiryas Joel secures or blocks a loosened guardrail and applies for a permit for a permanent sidewalk.

No application had been submitted as of mid-afternoon Monday. Village officials had told the county they expected to submit their proposal on Monday or Tuesday, according to County Executive Ed Diana’s spokesman, Rich Mayfield.

“We have to be satisfied that it’s safe and secure before the road is reopened,” Mayfield said.

Kiryas Joel Administrator Gedalye Szegedin and Mayor Abraham Wieder didn’t return calls for comment. Moses Witriol, the village’s public safety director, was out of town and couldn’t be reached for an update, according to a dispatcher for the public safety department.

The wooden boardwalk was built this month along a stretch of Route 44 that crosses through part of Kiryas Joel where hundreds of condominiums have been built within the last several years.

Village officials have been pressing to build sidewalks there for pedestrian safety and had tried unsuccessfully to take possession of that strip of Route 44. Instead, county legislators offered them an easement for the work.

Then, on Oct. 15, county workers discovered the boardwalk had been built without permission and concluded that 500 feet of guardrail had been loosened in the process.

The county declared the conditions unsafe for drivers and walkway pedestrians alike.

Motorists must now use a detour through the village.

Diana has vowed to fine Kiryas Joel $1,000 a day until the road reopens and charge roughly $5,000 for the time county employees have spent so far on the matter. He also wanted the walkway removed, although he later said it could remain temporarily if the village blocks it with concrete barriers.

ADL Slams Email Sent to Jewish Voters In Pennsylvania

Tuesday, October 28th, 2008

adl1.jpgMore than 75,000 Jews throughout the Keystone state got an email last Thursday from the “Republican Federal Committee of PA – Victory 2008” that compares a victory by Sen. Barack Obama, D-Ill., to Nazi victories before the Holocaust.

The e-mail suggested that a vote for Barack Obama would be a “tragic mistake,” and “Jewish Americans cannot afford to make the wrong decision,” adding that “many of our ancestors ignored similar warning signs in the 1930s and 1940s. Let’s not make a similar one this year!”

On Tuesday, the Associated Press reports that a former Pennsylvania Supreme Court justice is apologizing for signing the e-mail.

Sandra Schultz Newman says she regrets that she didn’t review the final draft more carefully before it was released.

Newman says “Some of the language was inappropriate and intemperate.” And she’s apologizing to anyone who was offended by what she describes as “this misguided e-mail.”

Meanwhile, Abraham H. Foxman, ADL National Director and a Holocaust survivor, issued the following statement:

Ugly, divisive personal attacks against a candidate for any political office should never be acceptable, and using Holocaust analogies is completely beyond the pale. 

Regardless of which candidate one supports, it is shocking and profoundly distressing that anyone would see fit to make such an odious, false and repugnant analogy.  Not only does it further debase the level of our political discourse, but it also diminishes and trivializes the virulent anti-Semitism and Nazi aggression that led to the slaughter of six million Jews and millions of others.

We hope that the signatories of this letter and those responsible for its dissemination will repudiate its message and apologize to both the candidate and the Jewish community.

(Moshe Altusky – YWN)

Cost of Diabetes Care Has Doubled

Tuesday, October 28th, 2008

The overall cost of drugs for type 2 diabetes almost doubled between 2001 and 2007, yet whether these newer drugs improve care and outcomes isn’t known, a new study finds.
In that time period, total spending went from $6.7 billion to $12.5 billion, say researchers from the University of Chicago and Stanford University.

In 2002, diabetes accounted for more than 10 percent of U.S. health-care expenditures, and that number is expected to increase as the number of people with type 2 diabetes grows, the researchers noted.

“We found dramatic changes in the treatment patterns for diabetes during the past decade,” said study author Dr. G. Caleb Alexander, an assistant professor of medicine at the University of Chicago. “This includes a remarkable change in drugs, as well as significant increases in costs.”
Whether these changes in diabetic care positively impact outcomes isn’t known, Alexander said.

“The jury is still out as to whether these changes are worth it,” he said. “The million dollar question is: Are these changes going to lead to overall significant improvement in the outcomes that matter to patients and their doctors?”

The report was published in the Oct. 27 issue of the Archives of Internal Medicine.

The dramatic increase in cost is due to the high cost of commonly prescribed newer drugs. For example, sitagliptin (Januvia) costs $160 per prescription and exenatide (Byetta) costs $210 per prescription. That’s eight to 11 times higher than older, generic drugs such as metformin, Alexander said.

These drugs are marketed as being more convenient and offering better control of blood sugar than the older medications. In addition, doctors are using these new drugs as an alternative to insulin, Alexander said. In fact, insulin use dropped from 38 percent in 1994 to 28 percent in 2007.

Another factor fueling higher costs of diabetes care is that an increasing number of people are being diagnosed. In 2004, 4 percent of the U.S. population were diabetics; that number is expected to increase to 7 percent by 2050, the researchers said.

In addition, diabetic patients are receiving more aggressive treatment. Diabetic patients are often prescribed more than one medication. In 1994, 82 percent of diabetics received one drug; by 2007, only 47 percent of patients were receiving just one drug, the researchers found.

Alexander admitted that many of the new drugs target different pathways of disease. “There are some real innovations here,” he said. “But we don’t know enough about the comparative effectiveness of these medicines compared with older medicines to make a final verdict.”

One of the concerns is that drugs are approved by the U.S. Food and Drug Administration before they have been tested on thousands of people, Alexander said. “All too often, physicians and patients may tend to adopt newer therapies without sufficient evidence of their superiority or benefits over older, less expensive, more time-tested alternatives,” he said.

Recently, the diabetes drug Avandia has been linked to an increased risk for heart attack resulting in the FDA’s adding a “black box” warning to the label.

Dr. Stuart Weiss, an endocrinologist at New York University Medical Center, thinks newer medications are more effective than the older ones, but they don’t replace the need for a healthful diet and exercise.

“Spending money is bad, and diet and exercise is the best thing we can do for our diabetic patients, but they are not very comfortable accepting diet and exercise as the treatment for diabetes,” Weiss said.

Using the older, generic medications is “good enough if your expectations are very low,” Weiss said. Diabetes is a progressive disease, and drugs such as metformin fail over time, he said. “The cheap drugs are not so good,” he said.

“The newer drugs have a very nice effect on the progression of disease in diabetes, and they don’t lose efficacy after a few years,” Weiss added. “I don’t know whether they are going to fail over time. There is no medication that can’t be overwhelmed by a bad diet.”

Saving money by not using the newer drugs is not the answer to the growing diabetes epidemic. Even the most expensive drugs are cheaper than untreated diabetes, Weiss said. “If people think that giving cheap drugs will be the solution to the growing problem — I think they are making a huge mistake.”

Representatives of the drug industry were unavailable for comment on Monday.

(Source: G. Caleb Alexander, M.D., assistant professor, medicine, University of Chicago; Stuart Weiss, M.D., endocrinologist, New York University Medical Center, and clinical assistant professor, NYU School of Medicine, New York City; Oct. 27, 2008, Archives of Internal Medicine)

Coastal Storm Batters Tri-State: Winter, Flood Advisories Issued Across NY, NJ, Conn

Tuesday, October 28th, 2008

weather.gifWCBSTV reports: Residents and commuters across the tri-state are waking up to shades of winter on this messy Tuesday morning.

A strengthening coastal storm is affecting conditions all over the northeast, with heavy rains and winds especially troubling in parts of New York City, Long Island, northern New Jersey, southwestern Connecticut and much of the lower Hudson Valley.

Rain intensity is fluctuating from light to heavy in the city. But parts of Sullivan and Ulster have not been as lucky, seeing heavier rains with even the possibility of snow.

CBS 2 HD Meteorologist John Elliot advises morning commuters to delay their start if possible. The flood advisory issued for parts of the tri-state is causing heavy delays on most roadways, including both highways and small side roads. But as Elliot points out, it will be the winds that pose the most danger for the tri-state on Tuesday. As the day progresses, the rain will slow down, but the winds will only strengthen.

Winter weather, winter storm, flood and wind advisories have been issued already for most of the tri-state.

Elliot says the conditions are reminiscent of a March day, with temperatures typical of a December day. Temperatures shouldn’t exceed a high of 45 degrees, with a low of 36 in the late evening hours.

The howling winds will continue though the evening. On the bright side however, the rains will have ended. But it will be quite chilly, with temps dipping into the mid 30′s in the city by day break on Wednesday.

The coastal storm will be centered well to our north by Wednesday morning, but the tri-state will still experience gusty winds. As the coldest air mass of the season continues to settle in we’ll have a tough time getting out of the 40s tomorrow.

(Source: CBS2 HD)