Deadly deserts

Ralph Peters

Violence in Allah’s name in northern Africa won’t end in my lifetime — and probably not in yours. The core question is: To what extent can the savagery be contained?

From the Atlantic coastline to the Suez Canal, struggling governments, impoverished populations and frankly backward societies struggle to find paths to modernization and to compete in a ruthless global economy. Religious fanatics for whom progress is a betrayal of faith hope to block development.

Still, if the only conflict was between Islamist terrorists and those who want civilized lives, the situation could be managed over time. But that struggle forms only one level in a layer cake of clashing visions and outright civil wars bedeviling a vast region. Much larger than Europe, the zone of contention encompasses the Maghreb, the countries touching the Mediterranean, and the Sahel, the bitterly poor states stretching down across desert wastes to the African savannah.

AFP/Getty Images

Figthers of the Islamic group Ansar Dine

The Sahel is the front line not only between the world of Islam and Christian-animist cultures in Africa’s heart, but between Arabs and light-skinned tribes in the north, and blacks to the south. No area in the world so explicitly illustrates the late, great Samuel Huntington’s concept of “the clash of civilizations.”

If racial and religious differences were not challenge enough, in the Maghreb the factions and interest groups are still more complicated. We view Egypt as locked in a contest between Islamists and “our guys,” Egyptians seeking new freedoms. But Egypt’s identity struggle is far more complex, involving social liberals, moderate Muslims, stern conservative Muslims (such as the Muslim Brotherhood) and outright fanatics. The military forms another constituency, while the business community defends its selfish interests. Then there are the supporters of the old Mubarak regime, the masses of educated-but-unemployed youth and the bitterly poor peasants.

Atop all that there’s the question of whether the values cherished by Arab societies can adapt to a globalized world.

The path to Egypt’s future will not be smooth — yet Egypt’s chances are better than those of many of its neighbors. Consider a few key countries in the region:

Mali

Viva la France! (Never thought I’d write that in The Post.) Contrary to a lot of media nonsense, the effective French intervention in Mali demonstrates that not every military response to Islamist terror has to become another Afghanistan: The French are welcome.

As extremists invariably do, al Qaeda in the Islamic Maghreb (AQIM) and its allies rapidly alienated their fellow Muslims — after hijacking a local uprising. The local version of Islam is far more humane and tolerant than the Wahhabi cult imposed by Islamist fanatics. To the foreign extremists, the Malian love of Sufi mysticism, ancient shrines and their own centuries of religious scholarship are all hateful — as is the Malian genius for music that’s pleased listeners around the world.

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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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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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Elderly SI man fatally struck while crossing the street near his home

An elderly man was struck and killed crossing the street near his home in Staten Island, police said.

Bujar Hasimja, 72, and a woman, 64, were walking across Jefferson Avenue near Mason Avenue in Dongan Hills when a gray Nissan Armada making a left turn hit them about 7:30 p.m. yesterday, cops said.

EMS rushed the two pedestrians to Staten Island University Hospital, but Hasimja did not survive, authorities said. The woman was listed in stable condition.

The driver stayed on the scene, and no criminality is suspected, police added.

Hasimja lived near the scene of the accident.

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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 Ulllmann, director of health policy programs 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 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 $450 — 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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Feral cats to be trapped at federal wildlife refuges in Florida Keys

Efforts to protect native animals in Florida Keys wildlife refuges will trap feral cats and other unwanted "pests," say federal managers.

The "Final Integrated Pest Management Plan" for the Florida Keys National Wildlife Refuges, released this week, says U.S. Fish and Wildlife Service staff "will begin actively controlling and removing certain exotic animals from public lands within these refuges."

That includes national wildlife lands at Crocodile Lake on North Key Largo, National Key Deer Refuge based on Big Pine Key, and the Great White Heron and Key West refuges in the Lower Keys.

"They've been talking about this for several years but this is the first we've heard that they're actually going to begin implementation," said Jerry Dykhuisen, an officer of Forgotten Felines, a cat-rescue group in the Middle and Lower Keys.

Forgotten Felines and several other national animal groups oppose trapping feral cats, which often are considered unadoptable and put to death.

A number of conservation groups including the Sierra Club, National Wildlife Federation and the American Bird Conservancy support the plan, saying birds and local endangered species have few defenses against predatory cats that do not belong in Keys wild areas.

"In terms of influencing the Lower Keys marsh rabbit or Key Largo woodrats chance of persisting, the significance of cat predation exceeds other threats," says the management plan. "Cats impact a remarkable proportion of species in affected communities."

White-crowned pigeons and many other protected bird species "depend upon Keys habitats to sustain them before and after long, over-water migrations," said Audubon Florida's Julie Wraithmell in an FWS statement. "This management plan helps ensure a future for these species in the Florida Keys."

Phillip Hughes, an FWS biologist and acting manager at the Key Deer refuge, said the agency will not mount a large-scale trapping program, but will place traps in known areas where cats and wildlife may come together.

Cats captured will be taken to local animal shelters where staff "can use their expertise regard final disposition of the cats..."

That could include trying to place the cats with "responsible pet owners or placement in long-term cat care facilities on the mainland."

The county-contracted shelter closest to Big Pine Key is based in Marathon.

"When they were talking about this before, there was a no-kill shelter on Big Pine where people could go to get their pets back," Dykhuisen said. "Now there's no shelter at all, so that's a complicating factor."

Iguanas, also considered an unwanted exotic species that eats plants needed by native wildlife, also could be targeted under the plan.

When the draft Pest Management Plan was published in late 2010, the Fish and Wildlife Service received 9,614 comments. The final plan says "over 99 percent" of those were "Internet-generated letters with standard comments."

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Grammys Flashback: Maroon 5 2005

Maroon 5 dropped into the music industry with a splash. The band's debut album, Songs About Jane, peaked in the Top 10 on the charts and earned multiplatinum certifications around the world. It became so popular that it won an award over Grammy powerhouse Kanye West.

In the span of eight years, Kanye West has become one of the most nominated artists in Grammys history, which began at his very first Grammys. At the 2005 ceremony, West was nominated for a year-high ten Grammys for his debut album, The College Dropout.

PICS: Stars Set to Perform at Grammys

The rapper would go on to win three of his eighteen total Grammys, but Best New Artist wouldn't be one of them. That one went to Maroon 5.

"Kanye did win this. ... I feel like he had something to do with this," front man Adam Levine says of winning the award, tongue-in-cheek suggesting a conspiracy by West. "...I told him the other day...'Listen man, you're going to win like seven or eight [Grammys]; we could just take one."

VIDEO: Maroon 5 Reflects on 10 Years of Fame

The band didn't just receive an award at its first Grammys but was also part of an impressive opening number that included The Black Eyed Peas, Gwen Stefani, Los Lonely Boys, and Franz Ferdinand that spanned twelve minutes.

"We weren't sure how the hell we were going to do it or how we were going to pull it off at all," Levine says. "We were all kind of nervous...but eventually we loosened and started to put it together organically. I wound up getting really excited about. It was finely tuned and we pulled it off."

VIDEO: Grammys Flashback '05: Kanye Wins First of Many

Eight years later, Maroon 5 is set to perform once again at the Grammys with potential awards on the horizon to add to their three Grammys, this time for Best Pop Duo/Group Performance ("Payphone") and for Best Pop Vocal Album (Overexposed).

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Best Ed Koch quotes

WireImage

Former Mayor Ed Koch celebrates during the 2009 New York Yankees World Series Victory Parade on November 6, 2009.

A look at some of the famous lines over the years from former New York City Mayor Ed Koch:

—"How'm I doing?"

—"I'm not the type to get ulcers. I give them."

—"You punch me, I punch back. I do not believe it's good for one's self-respect to be a punching bag."

—"If you agree with me on 9 out of 12 issues, vote for me. If you agree with me on 12 out of 12 issues, see a psychiatrist."

FORMER MAYOR ED KOCH DEAD AT 88

PHOTOS: ED KOCH, 1924-2013

—"Have you ever lived in the suburbs? It's sterile. It's nothing. It's wasting your life." On the prospect of living in Albany, during his failed 1982 race for governor.

—"Whether I am straight or gay or bisexual is nobody's business but mine."

—"If they want a parade, let them parade in front of the oil drums in Moonachie." After the New York Giants, who play in New Jersey, asked for a permit to hold a parade in the city after winning the Super Bowl in 1987.

—"I was defeated because of longevity, not because Yusuf Hawkins was murdered six weeks before the election, although that was a factor. People get tired of you. So they decided to throw me out." After losing the 1989 mayoral primary.

—"It's not soaring, beautiful, handsome, like the George Washington or the Verrazano. It's rugged, it's hard working — and that's me." On the 59th Street Bridge being renamed for him in 2011.

—"I don't want to leave Manhattan, even when I'm gone. This is my home. The thought of having to go to New Jersey was so distressing to me." After purchasing a burial plot in Manhattan's Trinity Cemetery in 2008.

—"I know that nothing happens here on this Earth that wasn't ordained by God. I know that. You know that. And therefore, while I know that it was the people who elected me, it was God who selected me."

In 1985, during an Easter Sunday worship in Harlem explaining why he thought he was selected by God to be mayor. The next day, Koch stressed that it did not necessarily mean he was endorsed by God.

"Not that I was given approval by the Deity, but I am delighted I was given the opportunity by the Deity."

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Mompreneur jumps into the ‘Shark Tank’

It all started with a 4 a.m. email nearly a year ago: “Do you think a baby bib could change the world? I do...”

Then Susie Taylor included a link to her website, bibbitec.com, and off it went to Shark Tank, the popular ABC television show where entrepreneurs pitch their companies to investors on the show — and by extension, 7 million viewers.

Four months later, as the “mompreneur” was leaving her Biscayne Park home to pick up her kids from school, she got a call from the show asking her to pitch on the spot. Driving with her phone on her shoulder, she told the Bibbitec story.

Shark Tank bit. After a few more back and forths, her segment was filmed last summer.

Friday night, Taylor is scheduled to be on the show pitching Bibbitec’s main product, “The Ultimate Bib,” a patented generously sized, stain-resistant and fast-drying child’s bib made in the USA — Hialeah, to be exact. Bibbitec’s $30 bib can be a burp cloth, changing pad, breast feeding shield, full body bib, place mat, art smock and more, Taylor says.

We won’t be getting any details on what happens Friday night when she and her husband, Stephen Taylor, get into the tank with Daymond John, Mark Cuban and the other celebrity sharks; Taylor has been contractually sworn to secrecy. But whatever the outcome, she believes it will be worth it for the marketing pop.

Taylor was inspired to create her bib after a long and very messy plane ride with her two young sons and started Bibbitec in 2008. She and her team — her husband is CFO, her sister, Heather McCabe, handles sales and marketing, her uncle, Richard Page, is in charge of production, and her aunt, Marcia Kreitman, advises on design — have expanded the line to include The Ultimate Smock for older children and the Ultimate Mini for babies. Coming soon: a smock for adults.

Taylor already got a taste of what a national TV show appearance can do for sales. In September, Bibbitec’s sales jumped 40 percent after she was on an ABC World News "Made in America" segment. “Within 30 seconds, we started getting sales from all over the country and they didn’t even mention our name on the air,” Taylor says. She said that confirmed her belief that a Shark Tank appearance would be worth it.

Plus, Taylor has been hooked on Shark Tank since the first time she watched it in 2008 as she was developing her product. Trained in theater, she admits she didn’t know much about business and learned from the show. She would practice how she would answer the questions.

“I’m all about empowering women who are sitting on the couch watching, because that’s what I was four years ago,” says Taylor. “All I wanted to do was to be on Shark Tank because I believed if I got on Shark Tank the world will see what I am trying to do and that’s all I need. I know it’s a great product.”

Will that theater training come in handy Friday night? Stay tuned. Shark Tank airs at 9 p.m. on ABC and Taylor hopes viewers will join in on Twitter using the hashtag #sharkbib.

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