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NKorea denies Sony hack, calls it 'righteous deed'

Written By Unknown on Senin, 08 Desember 2014 | 00.52

SEOUL, South Korea — North Korea released a statement Sunday that clearly relished a cyberattack on Sony Pictures, which is producing an upcoming film that depicts an assassination plot against Pyongyang's supreme leader.

While denying responsibility for an attack last week that disrupted Sony's computer system and spewed confidential information onto the Internet, an unidentified spokesman for the North's powerful National Defense Commission acknowledged that it "might be a righteous deed of the supporters and sympathizers" of the North's call for the world to turn out in a "just struggle" against U.S. imperialism.

"We do not know where in America the Sony Pictures is situated and for what wrongdoings it became the target of the attack, nor (do) we feel the need to know about it," the statement carried in state media said. "But what we clearly know is that the Sony Pictures is the very one which was going to produce a film abetting a terrorist act while hurting the dignity of the supreme leadership of" North Korea.

North Korea has built a cult of personality around the Kim family, which has ruled for three generations, and sees any outside criticism or mockery of its leader as an attack on its sovereignty. It recently opened fire on anti-Pyongyang propaganda balloons that North Korean defectors in the South were floating across the border into the North.

The Sony movie in question, "The Interview," is a comedy starring Seth Rogen and James Franco, and its plot concerns an attempt on the life of leader Kim Jong Un.

Pyongyang is not amused.

The statement said the North's enemies, the United States and South Korea, had "groundlessly linked the hacking attack with" Pyongyang, but the denial also included a threat.

The United States should know that "there are a great number of supporters and sympathizers with (North Korea) all over the world as well as the 'champions of peace' who attacked the Sony Pictures," the statement said. "The righteous reaction will get stronger to smash the evil doings."

Some cybersecurity experts say they've found striking similarities between the code used in the hack of Sony Pictures Entertainment and attacks blamed on North Korea that targeted South Korean companies and government agencies last year.

Experts are divided, however, over the likelihood that North Korea or independent hackers were involved.


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The Ticker

Merck in talks to buy Lexington's Cubist

Merck & Co. is in talks to acquire Lexington-based Cubist Pharmaceuticals Inc., a maker of antibiotics, in a deal valued at more than $7 billion, a person familiar with the matter said.

Merck would pay about $100 a share, and an agreement could be announced as early as next week, the person said. An offer in that range would represent a 
34 percent premium over Cubist's closing share price Friday.

Cubist has said it plans to introduce four new drugs by 2020 to combat bacterial infections that are resistant to other treatments because of overuse.

TUESDAY

  • Commerce Department releases wholesale trade inventories for October.
  • Labor Department releases job openings and labor turnover survey for October.

L The Institute of Contemporary Art/Boston has announced the appointment of Eva Respini, left, as Barbara Lee Chief Curator. Respini is currently curator in the Department of Photography at The Museum of Modern Art, where she organized the critically acclaimed retrospectives of Cindy Sherman and Robert Heinecken. She will assume her new position at the ICA in March 2015.


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For US unemployed, job market hits a turning point

WASHINGTON — Look past the booming November job gain of 321,000 reported Friday — the best figure in three years in the strongest year for U.S. hiring since 1999.

The job market has reached a new milestone on its road to full health: For the first time since the Great Recession ended 5½ years ago, America's unemployed are now as likely to be hired as to stop looking for a job.

It means that employers have grown confident enough to fill more job vacancies. And it means the unemployed are now less likely to succumb to frustration.

The hiring surge owes much to solid consumer spending — on items like cars, electronics and restaurant meals. That, in turn, has given businesses the means to step up investment in machinery, computers and facilities. Thanks to such spending, the economy grew at a 4.3 percent annual pace from April through September — the healthiest six-month spurt since 2003. Employers have responded by adding a robust average of 241,000 jobs a month this year.

For each month, the government estimates the proportion of the unemployed who found work and the proportion who stopped looking. In November, 23 percent of people who were out of work the previous month found jobs, and the same percentage gave up looking. (The figures are three-month averages, intended to smooth out volatility.)

That was the highest percentage of the unemployed to find work in any month since the recession officially ended in June 2009. A year ago, fewer than 19 percent of the unemployed were finding jobs.

The increase marks the first such sustained improvement since the recession ended. This year's acceleration in hiring has been potent enough to finally soak up a significant proportion of the jobless. During the first four years of the recovery, businesses had hired at a rate that was merely enough to keep up with population growth.

The brightening picture has been a relief for people like Kersten Higgins, who had begun job hunting in July after graduating from law school. She didn't get a single interview until November, when she got four.

Two of the interviews produced offers. She's accepted a position at Mutual of Omaha, where she will help ensure that its insurance policies comply with federal rules. Higgins, 26, who lives in Omaha, Nebraska, starts Monday.

"I feel great," Higgins said. "This definitely fits into the category of jobs I hoped to get coming out of law school."

At the same time, the government's jobs figures illustrate how much improvement is still needed. Before the recession began in 2007, the unemployed were more likely to find work than to stop looking in every month dating to when record-keeping began in 1990. Since the recession ended, that's been true for only three months out of 65.

One sour note amid the improving outlook for the unemployed: The jobless are likelier now than before the recession to land only part-time work. Though the economy has regained all the jobs lost to the recession, there are still nearly 2 million fewer people with full-time work.

In other cases, the jobs the formerly unemployed have now pay less than those they had before.

One reason the unemployment rate declined early in the recovery was that hundreds of thousands of people grew frustrated with their job hunts and stopped looking. Once people stop looking for a job, they're no longer counted as unemployed. At that point, the unemployment rate can fall even if hiring is weak. But now, the number of such dropouts has plateaued.

The figures that show the unemployed are now as likely to get a job as to stop seeking one mean that fewer will end up jobless for prolonged periods. Research has shown that the longer people are unemployed, the more reluctant employers are to hire them.

"This is one of the most important indicators, because if this rate doesn't pick up, then long-term unemployment persists," said Aysegul Sahin, vice president for research at the Federal Reserve Bank of New York.

Companies are advertising the most jobs in nearly 14 years. And more Americans are quitting their jobs for better opportunities. That provides openings for others.

Employers hired just over 5 million people in September, the most in nearly seven years. That figure reflects total hiring. By contrast, November's 321,000 job gain is a net figure: Total hiring minus layoffs, quits and retirements.

Early in the recovery, each month's net job gain was driven more by fewer layoffs than by more hiring. That helped explain why the unemployed had such trouble finding work.

Landing a job remains much easier for those who have been unemployed only briefly. For those out of work for six months or less, 31 percent found jobs in October. For those unemployed for more than six months, the rate was just 14 percent.

"The long-term unemployed are still being left behind," said Claire McKenna, a policy analyst at the National Employment Law Project.

But there are signs of hope even for the long-term unemployed. Their prospects of finding a job over the course of a year are nearing pre-recession levels, according to research by the New York Fed.

Marcia Hauler of Atlanta began a job last month after eight months of searching. She took a position as an account executive with Concur Technologies, which manages businesses' expenses.

Her job search was a frustrating one: She had numerous interviews, including six with one company that ended up not hiring her.

But "toward the end of the summer, it seems like there were more jobs available," she said. "My story has a happy ending."

___

Contact Chris Rugaber at http://Twitter.com/ChrisRugaber


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Clearing up shifting opinions on transmission fluid

I recently purchased a 2008 Chevy Equinox with 81,000 miles. It has the non-GM Aisin AF33 five-speed transmission. The owner's manual states to use only T-IV automatic transmission fluid. I pointed this out to the shop when I had the transmission fluid changed. However, they used a machine to flush out the used T-IV fluid and replaced it with Dexron VI fluid. They told me that using Dexron VI is not a problem, but I read on several Internet blogs and forums that using Dexron VI can damage this transmission. I asked two Chevy dealers, an independent garage and another transmission shop and I'm getting conflicting information. I would appreciate it if you could get to the bottom of this.

Hey, if it's on the Internet it must be true, right? The T-IV automatic transmission fluid meets industry specification JWS3309. Here are several automatic transmission fluids that are listed as suitable for T-IV applications: Valvoline MaxLife Dex/Merc ATF, Mobil 1 Synthetic ATF, Castrol Trans-Max Synthetic ATF, Quaker State Ultimate Synthetic Multi-vehicle ATF, Pennzoil Multi-Vehicle Automatic Transmission Fluid — to name just a few. Mobil ATF 3309 is a JWS3309-spec transmission fluid engineered for this application.

Like you, I found conflicting information on Dexron VI compatibility with JWS3309-spec Type T-IV fluid. Part of the issue is Dexron VI's "backward compatibility," meaning it is suitable for transmissions using previous Dexron ATFs. Aisin specifically recommends against using Dexron III in the T-IV transmission.

Remember this: Transmission manufacturers do not manufacture or produce their own lubricants. Oil companies do. I believe we can trust the product information on specific lubricants and their compatibility with specific vehicle components. So as long as the fluid used to refill your transmission meets the JWS3309 specification — no worries.

My 1986 Corvette is doing some weird things. The other night after parking the car, a few minutes later I heard a strange noise in the garage. It was the electric radio antenna going up and down on its own. I had turned off the radio and the keys were in my pocket. How could the antenna motor still be running?

My first guess would be a stuck antenna motor relay, which is located under the lip at the back of the rear hatch on the left side. Perhaps water intruded from the hatch opening into the relay and caused it to rust and stick.

GM service bulletin No. 882099A from 1988 says a power interruption to the radio with the ignition on can cause the power antenna to malfunction, typically ending up stuck in the up position.

I'm betting on the relay.

I drive only around 3,000-4,000 miles a year. In the past I have done oil changes twice a year based on Acura's severe driving conditions recommendation. I now have a 2014 Acura TL that has a computer that tells me when an oil change is due. At the moment it says my oil is still 80 percent good, and I have been driving since the end of April and have only put 1,700 miles on the car. Should I continue to do oil changes twice a year or wait until the car computer tells me it's time?

My Alldata database shows Acura's recommended oil change intervals at 7,500 miles under normal conditions and 3,750 miles under severe conditions. Why not simplify the issue and change oil and filter once per year? That's what I do with my low-annual-mileage vehicles.

Is there anything I can spray on my brake rotors for rust protection when vehicles are stored for six months?

I spray Deep Creep on the brake rotors of my stored vehicles. Any light aerosol lubricant should do the job of protecting the rotors from serious rust for six-month storage. To satisfy the worrywarts reading this, flush and clean the rotors with aerosol brake cleaner before driving again.


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Holiday trees branch out

Christmas shoppers trying to keep a lid on gift-buying and contending with higher holiday meal prices don't have to worry about plunking down more money for Christmas trees this year.

A strong supply has kept prices down the past few years, and that's continuing this holiday season.

"Prices have been stable for the last four years," said Scott Wilson of Wilson Farm in Lexington. "They're very competitive … very good. Going back 10 years, trees were actually more money than they are now. They were anywhere from $10 to $20 more for the same size."

A premium balsam fir can be had for $30 to $40 for 
6- and 7-foot trees, respectively, while Fraser firs can run slightly higher, according to Wilson.

"Christmas trees are a true supply-and-demand item," he said. "And lately there's been more of a supply …which has turned the price down a little bit. There's more growers, and the growers that are there are growing more trees."

Massachusetts ranked 21st among U.S. states for the number of Christmas trees harvested at 52,188, according to the 2012 federal agriculture census — the latest report available. The state Department of Agricultural Resources' MassGrown site lists 83 Massachusetts farms where consumers can cut their own.

Lambert's Rainbow Fruit — which has Dorchester and Westwood locations and satellite lots in Hingham, Braintree and Pembroke — bought its trees from Canada up until this year, when it turned to North Carolina.

"Canada is going south," Bill Lambert said, referring to Sherbrooke, Quebec, growers. "They cut all the tips of the trees and put them in big piles. And they ended up ... with two to three feet of snow, and they couldn't dig them out."

Frazer firs have replaced balsams as the tree of choice locally, according to Lambert. "They hold their needles a little better, they're a little stronger," he said.

But Wilson Farm is trying some different varieties this year, including the Blue Dan, which Wilson describes as a Fraser-balsam fir mix, and the concolor fir, which has a citrusy smell. "Some of these other trees are more popular in Michigan or the Northwest and are getting more popular here," Wilson said.

The average time to grow a 6- to 7-foot Christmas tree is seven years.

"Most growers thought it was a very good growing season," said Jim Colburn of MerriHill Tree Farm in Merrimac. "In our area, it was a little too warm and dry, but overall I think it was ... pretty good."

MerriHill started selling its trees the day after Thanksgiving.

"We've had a good season so far," Colburn said. "And this weekend, providing the weather cooperates, is really the traditional busy weekend."


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Expert: Expect more TV programming blackouts

TV viewers in Boston should get used to programming blackouts caused by showdowns between networks and cable and satellite providers, a local expert says, as CBS and TV provider Dish Network announced yesterday they had reached an agreement that ends a dispute that affected thousands of Hub customers.

"We're likely to see more, rather than fewer, of these play out over time," said Daniel Lyons, a Boston College law and telecommunications professor.

The fees that providers pay networks to rebroadcast their copyrighted content, Lyons said, has become increasingly important for their bottom line due to thinning subscriber numbers.

"Cable companies are more price sensitive than they used to be," he said.

In the latest dispute, CBS had blocked Dish from carrying the local channels of CBS-owned TV stations for about 12 hours starting around 7 p.m. Friday. The 18 markets affected included New York, Chicago, Los Angeles, Dallas, Boston and Miami.

In a joint statement yesterday, the companies said they had ended their skirmish by reaching a deal that will allow Dish to carry CBS-owned TV stations nationwide as well as various cable channels.

"We are pleased to continue delivering CBS programming to our customers while expanding their digital access to Showtime content through Showtime Anytime," Warren Schlichting, a Dish senior vice president, said in a statement.

Ray Hopkins, president of television networks distribution for CBS, said the deal met the company's economic and strategic objectives.

"We look forward to having Dish as a valued partner for many years to come," he said.

The brief blackout was the latest skirmish between television companies that are seeking higher payments for their programming and the cable and satellite companies that distribute the programming and say the higher programming costs will lead to higher bills for their customers. Verizon and Cox Media Group, the owner of Fox 25, settled a similar dispute last week after Verizon Fios customers lost access to the Fox channel for several days.

The Associated Press contributed to this report.


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CBS, Dish Network strike deal after blackout

LOS ANGELES — Dish Network subscribers experienced a 12-hour blackout of CBS programming before the two companies made peace early Saturday, just in time for weekend football.

CBS and Dish Network agreed to a new carriage contract after marathon negotiations that went through the night. The accord ended the brief blackout of CBS-owned stations for millions of Dish subscribers around the country.

In the end, the two companies decided to play "Let's Make a Deal."

Financial details of the new arrangement were not disclosed, but CBS said it came away with the fee increases it had been looking for. CBS also won concessions from Dish about the deployment of Dish's controversial AutoHop ad-skipping digital recording device.

Dish agreed to disable the ad-skipping function for CBS prime-time shows for seven days after a show's initial airing on TV. The agreement covers prime-time programming that runs on CBS-owned television stations.

For its part, Dish secured new digital rights for some CBS programming, including video-on-demand content for the premium channel Showtime. However, Dish did not win permission to include Showtime in a new Internet streaming service that Dish is planning to roll out.

"We are pleased to continue delivering CBS programming to our customers," said Warren Schlichting, Dish's senior vice president for programming.

The two companies have been haggling nearly around-the-clock since earlier in the week when CBS said it would not grant any further contract extensions for a pact that expired Nov. 20.

The two sides had been making progress at the bargaining table, but talks broke down Friday. CBS wanted to hold Dish's feet to the fire, and demanded that Dish remove the signals of CBS' 26 television stations as of 7 p.m. EST Friday.

By early Saturday, the new agreement was in place. Dish was then authorized to retransmit the signals of CBS-owned stations to its customers in 14 markets, including Los Angeles, Sacramento, San Francisco, Denver, Dallas, Chicago and New York.

Dish, which is headquartered in suburban Denver, was under considerable pressure to end the blackout quickly. The satellite TV company didn't want to go the entire weekend without the programming of CBS, the nation's No. 1 network. CBS was scheduled Sunday to broadcast several NFL football games, including matchups featuring the Denver Broncos, Miami Dolphins, Pittsburgh Steelers and Arizona Cardinals.

"The people who get hurt the most are always the subscribers," Bobby Campbell, a longtime Dish subscriber who lives in Mound, Minn., said late Friday.

CBS was determined to come away with a hefty increase in the retransmission fees it charges Dish to carry the signals of CBS-owned stations.

"We are very pleased with this deal, which meets all of our economic and strategic objectives," said Ray Hopkins, president of television networks distribution for CBS.

TV companies have been grappling with changes in audience behavior, and CBS has aggressive goals to boost programming fees that pay-TV companies pay. The New York-based broadcasting company has been trying to diversify its revenue so it is less reliant on advertising.

However, the complexity of the agreement — CBS' proposed fee increase, digital rights and complications over Dish's controversial ad-skipping device — made reaching a deal a contentious proposition.

As a result of the accord, CBS and Dish said they have agreed to dismiss all pending lawsuits between the two companies, including a 2012 dispute over Dish's AutoHop ad-skipping feature.

———

©2014 Los Angeles Times

Visit the Los Angeles Times at www.latimes.com

Distributed by Tribune Content Agency, LLC

_____

Topics: t000382458,t000382464,t000002537,t000040350,t000002664,t000002674,t000382814,t000003086,t000381529,t000012821,t000049078,c000212563


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Father sues restaurant in son's choking death

GREENFIELD — A western Massachusetts Applebee's restaurant has been sued in a customer's 2011 choking death.

The Greenfield Recorder reports Saturday the father of 48-year-old John Kocak alleges an Applebee's in Greenfield mishandled his son's fatal food choking.

Michael Kocak's lawsuit says workers weren't trained to handle potential chokings and the restaurant didn't have a device to remove food from a victim's airway as required by state law for restaurants of its size. It also alleges an assistant manager who called 911 didn't tell a dispatcher John Kocak wasn't breathing and had no pulse.

The newspaper said local managers declined to comment and calls to corporate representatives weren't immediately returned.

The Kocaks were dining when the son went to the restroom and didn't return. His father found him unconscious. Emergency responders revived him but he later died.

___

Information from: The (Greenfield, Mass.) Recorder, http://www.recorder.com


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Mortgage-lending restrictions are finally easing

WASHINGTON — When it comes to buying a house, are you in the "no way I could possibly qualify" category? Not enough cash in the bank for a down payment or closing costs? Credit scores good, but not great? So much deferred student loan debt that you assume any lender would slam the door?

Join the crowd. Large numbers of Americans feel the same, in part because they read and hear that qualifying standards for mortgages are the strictest they've been in decades. A study based on a statistical sample of potential homebuyers conducted earlier in the year by the mortgage company loanDepot found that nearly 60 percent of people who say they want to buy a home aren't pursuing it because they think there's just no point — they are convinced their applications would be rejected. Three-quarters of them, however, concede that they haven't done a thing to check out current lender requirements.

But here's some good news for these folks: Changes are underway in the mortgage market that could give you a better shot at qualifying. Start with recent policy shifts at giant mortgage investors Fannie Mae and Freddie Mac, the two dominant funding sources for new loans. Late in November, both companies announced procedural changes that should encourage lenders to be less fearful that the mortgages they approve will be subject to costly "buy back" demands if borrowers go delinquent.

In a buy back, an investor such as Fannie Mae requires the lender who originated the mortgage to repurchase it because of alleged defects in underwriting that ultimately led to the borrower's non-payments. To avoid buy backs, lenders in recent years not only have ratcheted up their underwriting requirements, but have added extra fees — so-called "overlays" — that are designed to compensate them for losses on loans to borrowers who have below-average credit scores, small down payments and minimal assets in reserve.

Though the technical details of the recent changes would glaze most consumers' eyeballs, their intended net effect is important. They tell lenders: OK guys, you can loosen up a little on mortgage applicants, give some breaks on credit scores and other criteria that you wouldn't have previously. David Lowman, a Freddie Mac executive vice president, was explicit about the desired end result. The policy revisions "should encourage 'lenders' to serve a broader range of qualified borrowers," he said. His counterpart at Fannie Mae, Andrew Bon Salle, said he expected lenders to make "mortgages available to more borrowers."

Another big change in the wings: Fannie and Freddie plan to resume lending to buyers who can make down payments as low as 3 percent. Currently their minimum is 5 percent down. The Federal Housing Administration requires 3.5 percent down payment, but its insurance premiums often make its loans more expensive than Fannie's and Freddie's. So cutting the minimum back to just 3 percent could prove helpful for many cash-short borrowers, even if the two companies impose other requirements such as pre-purchase financial counseling.

Lenders and private mortgage insurers strongly support Fannie's and Freddie's recent moves to open the lid on the credit box a little wider. They want to make more mortgages, especially to qualified first-timers, but don't want to be penalized for doing so.

Major insurers such as MGIC are telling realty agents, banks and personal-financial advisers that they should get the word out to consumers who are sitting on the sidelines. Borrowers need to know that gifts can cover 100 percent of their down payment. They need to know that minimum credit score standards may no longer be as high as they feared. The average FICO score for all types of closed loans during October was 726, not the widely assumed 750-760, according to the software firm Ellie Mae. At FHA, the average for successful purchasers was just 683 during the same month. Vance Edwards, marketing program manager for MGIC, the large home loan insurer, said "there are many 'people' who can now afford to buy a home and qualify for a mortgage, but simply don't realize it."

The message here: Getting a mortgage can still be tough — you still have to be able to make the payments — but there is an easing process underway that you shouldn't ignore.


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Newly insured struggle to find primary physicians

MIAMI — When Olivia Papa signed up for a new health plan last year, her insurance company assigned her to a primary care doctor. The relatively healthy 61-year-old didn't try to see the doctor until last month, when she and her husband both needed authorization to see separate specialists.

She called the doctor's office several times without luck.

"They told me that they were not on the plan, they were never on the plan and they'd been trying to get their name off the plan all year," said Papa, who recently bought a plan from a different insurance company.

It was no better with the next doctor she was assigned. The Naples, Florida, resident said she left a message to make an appointment, "and they never called back."

The Papas were among the 6.7 million people who gained insurance through the Affordable Care Act last year, flooding a primary care system that is struggling to keep up with demand.

A survey this year by The Physicians Foundation found that 81 percent of doctors describe themselves as either over-extended or at full capacity, and 44 percent said they planned to cut back on the number of patients they see, retire, work part-time or close their practice to new patients.

At the same time, insurance companies have routinely limited the number of doctors and providers on their plans as a way to cut costs. The result has further restricted some patients' ability to get appointments quickly.

One purpose of the new health law was connecting patients, many of whom never had insurance before, with primary care doctors to prevent them from landing in the emergency room when they are sicker and their care is more expensive. Yet nearly 1 in 5 Americans lives in a region designated as having a shortage of primary care physicians, and the number of doctors entering the field isn't expected to keep pace with demand.

The Association of American Medical Colleges projects the shortage will grow to about 66,000 in little more than a decade as fewer residency slots are available and as more medical students choose higher-paying specialty areas.

For now, experts say most patients are receiving the care they need, even if they have to drive farther, wait longer or see a nurse practitioner or physician's assistant rather than a doctor.

More importantly, many are getting care for the first time. The surge also has forced many doctors to streamline their practice and rely more on mid-tier professionals instead of seeing every patient themselves.

"Family doctors are seeing a pretty significant increase in requests for appointments from new patients," said Dr. Wanda Filer, a primary care doctor in York, Pennsylvania, and president of the American Academy of Family Physicians.

In response, the academy of more than 115,000 doctors say they're adding new physicians to their practices, relying more on nurse practitioners and physician's assistants, adding evening and weekend appointments. Despite the demand, Filer said most patients can get same-day appointments with someone on their team.

Dr. Laura Byerly has seen a surge of more than 2,000 new patients since January at her chain of health clinics in Hillsboro, Oregon, about 30 minutes west of Portland. Many had sporadic or no medical care for many years.

She hired new primary care doctors, receptionists and nurses whose sole role is to see new patients and prepare the chart for the first visit with the doctor. They even opened a new clinic so patients who used to drive 45 minutes for a visit could now see a doctor five minutes from home.

"The new patients required a significant amount of work to understand just what medications they should be on, what are their active diagnoses, what studies are needed now, and just who they are and what their life is like," said Byerly, who is the medical director of the Virginia Garcia Memorial Foundation health clinics.

Dr. Jack Chou takes patients only during open enrollment. Otherwise, it's a six to nine-month wait at his Los Angeles-area practice, where most of the new patients were covered through Medicaid expansion.

"The initial visit takes much longer because we're trying to learn about patients who had fragmented care or no care at all," said Chou. Despite the staffing struggles, "it's actually a godsend for some of my patients."

While most doctors are successfully juggling the influx, there have been cases like that of the Papas, in which consumers call multiple doctors only to find they are not in network or the doctors are not taking new patients.

Insurance agent Anthony Halby heard similar complaints from his clients in Grass Valley, California, a Sierra foothill community about an hour east of Sacramento. He said half a dozen consumers wanted him to switch their health plans as soon as the second round of open enrollment started earlier this month. They told him the plan they chose last year made it extremely difficult to find primary care doctors.

Only two insurance companies in the Gold Rush-era town offer coverage through the state exchange, and just four or five primary care doctors out of about 135 signed up with one insurer.

The other insurer has more doctors, but most are considered out of network. That means patients who use them will pay 60 percent of the bill, he said.

"Coverage does not equal access," said Halby, who instead recommends his clients choose a plan off the exchange that has a much broader provider network but also will not come with the government premium subsidies given to most of those who buy insurance through the exchange. "I tell people this up front: The premiums are going to be higher because there's no subsidy. However, I'm going to guarantee you can keep your doctor."


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