Chinese in Costa Rica set record for fried rice

SAN JOSE: Members of Costa Rica's Chinese community celebrated the the arrival of the Year of the Snake by setting the world record on Tuesday for the largest amount of fried rice ever cooked.

Briton Ralph Hannah, an inspector with the Guinness World Records, certified the win after putting the giant meal - enough to feed some 7,000 people - on a scale.

The official weight: 837 kilogrammes (1,845 pounds), which nearly doubles the previous record.

Armed with shovel-sized spoons, 52 cooks toiled over an enormous wok built especially for the event in San Jose's recently inaugurated Chinatown.

Some 735 kilogrammes of rice were used, along with 200 kilogrammes of chicken, 120 kilogrammes of ham, 20 kilogrammes of Chinese sausage, hundreds of eggs and vast amounts of chopped vegetables.

The Chinese Association of Costa Rica came up with the idea for the giant meal, said Godwin Pang, who helped coordinate the event.

Pang said the Chinese community wanted to mark the Year of the Snake, which began on Sunday, with a big event.

Most Chinese residents in Costa Rica are in the restaurant business. Chinese restaurants can be found even in small towns across this Central American country of 4.7 million.

Hannah, the Guinness representative for Latin America, said this was the first time that Costa Rica enters the world record book.

- AFP/de

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Most BJP legislators against dissolving House

BANGALORE: A majority of BJPMLAs, including ministers, are not in favour of dissolving the assembly early.

"Governor H R Bhardwaj has said he would act even if a single MLA resigns. As of now, 12 MLAs' resignations have been accepted and two are pending with speaker K G Bopaiah. By moving a vote of confidence, the CM will expose the fence-sitters. Because they will be disqualified if they defy the whip,'' sources said.

The party has worked out various strategies to win the vote. "We have wooed four Congress MLAs to vote in our favour. Two or three BJP MLAs, including a minister from north Karnataka, are waiting to jump the ship. But their going does not matter to the party,'' a BJP insider said.

Despite all these strategies, it is learnt the BJP will not be perturbed if it loses the trust vote. "Yeddyurappa will be blamed for weakening the government . The party has better a chance if elections are announced at the earliest, whereas Yeddyurappa favours them in May for him to consolidate the KJP,'' the sources said.

Meanwhile, the BJP is keeping its fingers crossed over the dates for elections to 208 civic bodies. The legislature on Tuesday passed a bill that makes it compulsory for the State Election Commission (SEC) to announce the poll dates in concurrence with the government. If the assembly is dissolved, the SEC can go ahead with the polls.

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Pope shows lifetime jobs aren't always for life

The world seems surprised that an 85-year-old globe-trotting pope who just started tweeting wants to resign, but should it be? Maybe what should be surprising is that more leaders his age do not, considering the toll aging takes on bodies and minds amid a culture of constant communication and change.

There may be more behind the story of why Pope Benedict XVI decided to leave a job normally held for life. But the pontiff made it about age. He said the job called for "both strength of mind and body" and said his was deteriorating. He spoke of "today's world, subject to so many rapid changes," implying a difficulty keeping up despite his recent debut on Twitter.

"This seemed to me a very brave, courageous decision," especially because older people often don't recognize their own decline, said Dr. Seth Landefeld, an expert on aging and chairman of medicine at the University of Alabama at Birmingham.

Age has driven many leaders from jobs that used to be for life — Supreme Court justices, monarchs and other heads of state. As lifetimes expand, the woes of old age are catching up with more in seats of power. Some are choosing to step down rather than suffer long declines and disabilities as the pope's last predecessor did.

Since 1955, only one U.S. Supreme Court justice — Chief Justice William Rehnquist — has died in office. Twenty-one others chose to retire, the most recent being John Paul Stevens, who stepped down in 2010 at age 90.

When Thurgood Marshall stepped down in 1991 at the age of 82, citing health reasons, the Supreme Court justice's answer was blunt: "What's wrong with me? I'm old. I'm getting old and falling apart."

One in 5 U.S. senators is 70 or older, and some have retired rather than seek new terms, such as Hawaii's Daniel Akaka, who left office in January at age 88.

The Netherlands' Queen Beatrix, who just turned 75, recently said she will pass the crown to a son and put the country "in the hands of a new generation."

In Germany, where the pope was born, Chancellor Angela Merkel, who is 58, said the pope's decision that he was no longer fit for the job "earns my very highest respect."

"In our time of ever-lengthening life, many people will be able to understand how the pope as well has to deal with the burdens of aging," she told reporters in Berlin.

Experts on aging agreed.

"People's mental capacities in their 80s and 90s aren't what they were in their 40s and 50s. Their short-term memory is often not as good, their ability to think quickly on their feet, to execute decisions is often not as good," Landefeld said. Change is tougher to handle with age, and leaders like popes and presidents face "extraordinary demands that would tax anybody's physical and mental stamina."

Dr. Barbara Messinger-Rapport, geriatrics chief at the Cleveland Clinic, noted that half of people 85 and older in developed countries have some dementia, usually Alzheimer's. Even without such a disease, "it takes longer to make decisions, it takes longer to learn new things," she said.

But that's far from universal, said Dr. Thomas Perls, an expert on aging at Boston University and director of the New England Centenarians Study.

"Usually a man who is entirely healthy in his early 80s has demonstrated his survival prowess" and can live much longer, he said. People of privilege have better odds because they have access to good food and health care, and tend to lead clean lives.

"Even in the 1500s and 1600s there were popes in their 80s. It's remarkable. That would be today's centenarians," Perls said.

Arizona Sen. John McCain turned 71 while running for president in 2007. Had he won, he would have been the oldest person elected to a first term as president. Ronald Reagan was days away from turning 70 when he started his first term as president in 1981; he won re-election in 1984. Vice President Joe Biden just turned 70.

In the U.S. Senate, where seniority is rewarded and revered, South Carolina's Strom Thurmond didn't retire until age 100 in 2002. Sen. Robert Byrd of West Virginia was the longest-serving senator when he died in office at 92 in 2010.

Now the oldest U.S. senator is 89-year-old Frank Lautenberg of New Jersey. The oldest congressman is Ralph Hall of Texas who turns 90 in May.

The legendary Alan Greenspan was about to turn 80 when he retired as chairman of the Federal Reserve in 2006; he still works as a consultant.

Elsewhere around the world, Cuba's Fidel Castro — one of the world's longest serving heads of state — stepped down in 2006 at age 79 due to an intestinal illness that nearly killed him, handing power to his younger brother Raul. But the island is an example of aged leaders pushing on well into their dotage. Raul Castro now is 81 and his two top lieutenants are also octogenarians. Later this month, he is expected to be named to a new, five-year term as president.

Other leaders who are still working:

—England's Queen Elizabeth, 86.

—Abdullah bin Abd al-Aziz al-Saud, king of Saudi Arabia, 88.

—Sabah al-Ahmad al-Jaber al-Sabah, emir of Kuwait, 83.

—Ruth Bader Ginsburg, U.S. Supreme Court associate justice, 79.

__

Associated Press writers Paul Haven in Havana, Cuba; David Rising in Berlin; Seth Borenstein, Mark Sherman and Matt Yancey in Washington, and researcher Judy Ausuebel in New York contributed to this report.

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Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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Fort Hood Hero Says Obama 'Betrayed' Victims

Three years after the White House arranged a hero's welcome at the State of the Union address for the Fort Hood police sergeant and her partner who stopped the deadly shooting there, Kimberly Munley says President Obama broke the promise he made to her that the victims would be well taken care of.

"Betrayed is a good word," former Sgt. Munley told ABC News in a tearful interview to be broadcast tonight on "World News with Diane Sawyer" and "Nightline."

"Not to the least little bit have the victims been taken care of," she said. "In fact they've been neglected."

There was no immediate comment from the White House about Munley's allegations.

Thirteen people were killed, including a pregnant soldier, and 32 others shot in the November 2009 rampage by the accused shooter, Major Nidal Hasan, who now awaits a military trial on charges of premeditated murder and attempted murder.

Tonight's broadcast report also includes dramatic new video, obtained by ABC News, taken in the immediate aftermath of the shooting, capturing the chaos and terror of the day.

WATCH Exclusive Video of Fort Hood's Aftermath

Munley, since laid off from her job with the base's civilian police force, was shot three times as she and her partner, Sgt. Mark Todd, confronted Hasan, who witnesses said had shouted "Allahu Akbar" as he opened fire on soldiers being processed for deployment to Afghanistan.

As Munley lay wounded, Todd fired the five bullets credited with bringing Hasan down.

Charles Dharapak/AP Photo

Leader Wants to Rehabilitate 'Misguided' Youth Watch Video

Despite extensive evidence that Hasan was in communication with al Qaeda leader Anwar al-Awlaki prior to the attack, the military has denied the victims a Purple Heart and is treating the incident as "workplace violence" instead of "combat related" or terrorism.

READ a Federal Report on the FBI's Probe of Hasan's Ties to al-Awlaki

Al-Awlaki has since been killed in a U.S. drone attack in Yemen, in what was termed a major victory in the U.S. efforts against al Qaeda.

Munley and dozens of other victims have now filed a lawsuit against the military alleging the "workplace violence" designation means the Fort Hood victims are receiving lower priority access to medical care as veterans, and a loss of financial benefits available to those who injuries are classified as "combat related."

READ the Fort Hood Victims' Lawsuit

Some of the victims "had to find civilian doctors to get proper medical treatment" and the military has not assigned liaison officers to help them coordinate their recovery, said the group's lawyer, Reed Rubinstein.

"There's a substantial number of very serious, crippling cases of post-traumatic stress disorder exacerbated, frankly, by what the Army and the Defense Department did in this case," said Rubinstein. "We have a couple of cases in which the soldiers' command accused the soldiers of malingering, and would say things to them that Fort Hood really wasn't so bad, it wasn't combat."

A spokesperson for the Army said its policy is not to comment on pending litigation, but that it is "not true" any of the military victims have been neglected and that it has no control over the guidelines of the Veterans Administration.

Secretary of the Army John McHugh told ABC News he was unaware of any specific complaints from the Fort Hood victims, even though he is a named defendant in the lawsuit filed last November which specifically details the plight of many of them.

"If a soldier feels ignored, then we need to know about it on a case by case basis," McHugh told ABC News. "It is not our intent to have two levels of care for people who are wounded by whatever means in uniform."

Some of the victims in the lawsuit believe the Army Secretary and others are purposely ignoring their cases out of political correctness.

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Pope's sudden resignation sends shockwaves through Church

VATICAN CITY (Reuters) - Pope Benedict stunned the Roman Catholic Church on Monday when he announced he would stand down, the first pope to do so in 700 years, saying he no longer had the mental and physical strength to carry on.

Church officials tried to relay a climate of calm confidence in the running of a 2,000-year-old institution, but the decision could lead to uncertainty in a Church already besieged by scandal for covering up sexual abuse of children by priests.

The soft-spoken German, who always maintained that he never wanted to be pope, was an uncompromising conservative on social and theological issues, fighting what he regarded as the increasing secularization of society.

It remains to be seen whether his successor will continue such battles or do more to bend with the times.

Despite his firm opposition to tolerance of homosexual acts, his eight year reign saw gay marriage accepted in many countries. He has staunchly resisted allowing women to be ordained as priests, and opposed embryonic stem cell research, although he retreated slightly from the position that condoms could never be used to fight AIDS.

He repeatedly apologized for the Church's failure to root out child abuse by priests, but critics said he did too little and the efforts failed to stop a rapid decline in Church attendance in the West, especially in his native Europe.

In addition to child sexual abuse crises, his papacy saw the Church rocked by Muslim anger after he compared Islam to violence. Jews were upset over rehabilitation of a Holocaust denier. During a scandal over the Church's business dealings, his butler was accused of leaking his private papers.

In an announcement read to cardinals in Latin, the universal language of the Church, the 85-year-old said: "Well aware of the seriousness of this act, with full freedom I declare that I renounce the ministry of Bishop of Rome, Successor of St Peter ...

"As from 28 February 2013, at 20:00 hours (1900 GMT) the See of Rome, the See of St. Peter will be vacant and a conclave to elect the new Supreme Pontiff will have to be convoked by those whose competence it is."

POPE DOESN'T FEAR SCHISM

Benedict is expected to go into isolation for at least a while after his resignation. Vatican spokesman Father Federico Lombardi said Benedict did not intend to influence the decision of the cardinals in a secret conclave to elect a successor.

A new leader of the world's 1.2 billion Roman Catholics could be elected as soon as Palm Sunday, on March 24, and be ready to take over by Easter a week later, Lombardi said.

Several popes in the past, including Benedict's predecessor John Paul, have refrained from stepping down over their health, because of the division that could be caused by having an "ex-pope" and a reigning pope alive at the same time.

Lombardi said the pope did not fear a possible "schism", with Catholics owing allegiances to a past and present pope in case of differences on Church teachings.

He indicated the complex machinery of the process to elect a new pope would move quickly because the Vatican would not have to wait until after the elaborate funeral services for a pope.

It is not clear if Benedict will have a public life after he resigns. Lombardi said Benedict would first go to the papal summer residence south of Rome and then move into a cloistered convent inside the Vatican walls.

The resignation means that cardinals from around the world will begin arriving in Rome in March and after preliminary meetings, lock themselves in a secret conclave and elect the new pope from among themselves in votes in the Sistine Chapel.

There has been growing pressure on the Church for it to choose a pope from the developing world to better reflect where most Catholics live and where the Church is growing.

"It could be time for a black pope, or a yellow one, or a red one, or a Latin American," said Guatemala's Archbishop Oscar Julio Vian Morales.

The cardinals may also want a younger man. John Paul was 58 when he was elected in 1978. Benedict was 20 years older.

"We have had two intellectuals in a row, two academics, perhaps it is time for a diplomat," said Father Tom Reese, senior fellow at the Woodstock Theological Center at Georgetown University. "Rather than electing the smartest man in the room, they should elect the man who will listen to all the other smart people in the Church."

Liberals have already begun calling for a pope that would be more open to reform.

"The current system remains an 'old boy's club' and does not allow for women's voices to participate in the decision of the next leader of our Church," said the Women's Ordination Conference, a group that wants women to be able to be priests.

"GREAT COURAGE"

The last pope to resign willingly was Celestine V in 1294 after reigning for only five months, his resignation was known as "the great refusal" and was condemned by the poet Dante in the "Divine Comedy". Gregory XII reluctantly abdicated in 1415 to end a dispute with a rival claimant to the papacy.

Lombardi said Benedict's stepping aside showed "great courage". He ruled out any specific illness or depression and said the decision was made in the last few months "without outside pressure". But the decision was not without controversy.

"This is disconcerting, he is leaving his flock," said Alessandra Mussolini, a parliamentarian who is granddaughter of Italy's wartime dictator. "The pope is not any man. He is the vicar of Christ. He should stay on to the end, go ahead and bear his cross to the end. This is a huge sign of world destabilization that will weaken the Church."

Cardinal Stanislaw Dziwisz, secretary to the late Pope John Paul, said the former pope had stayed on despite failing health for the last decade of his life as he believed "you cannot come down from the cross."

While the pope had slowed down recently - he started using a cane and a wheeled platform to take him up the long aisle in St Peter's Square - he had given no hint recently that he was considering such a dramatic decision.

Elected in 2005 to succeed the enormously popular John Paul, Benedict never appeared to feel comfortable in the job.

"MIND AND BODY"

In his announcement, the pope told the cardinals that in order to govern "... both strength of mind and body are necessary, strength which in the last few months, has deteriorated in me to the extent that I have had to recognize my incapacity to adequately fulfill the ministry entrusted to me."

Before he was elected pope, the former Cardinal Joseph Ratzinger was known as "God's rottweiler" for his stern stand on theological issues. After a few months, he showed a milder side but he never drew the kind of adulation that had marked the 27-year papacy of his predecessor John Paul.

U.S. President Barack Obama extended prayers to Benedict and best wishes to those who would choose his successor.

German Chancellor Angela Merkel said the pope's decision must be respected if he feels he is too weak to carry out his duties. British Prime Minister David Cameron said: "He will be missed as a spiritual leader to millions."

The Archbishop of Canterbury, leader of the worldwide Anglican communion, said he had learned of the pope's decision with a heavy heart but complete understanding.

CHEERS AND SCANDAL

Elected to the papacy on April 19, 2005, Benedict ruled over a slower-paced, more cerebral and less impulsive Vatican.

But while conservatives cheered him for trying to reaffirm traditional Catholic identity, his critics accused him of turning back the clock on reforms by nearly half a century and hurting dialogue with Muslims, Jews and other Christians.

After appearing uncomfortable in the limelight at the start, he began feeling at home with his new job and showed that he intended to be pope in his way.

Despite great reverence for his charismatic, globe-trotting predecessor -- whom he put on the fast track to sainthood and whom he beatified in 2011 -- aides said he was determined not to change his quiet manner to imitate John Paul's style.

A quiet, professorial type who relaxed by playing the piano, he showed the gentle side of a man who was the Vatican's chief doctrinal enforcer for nearly a quarter of a century.

The first German pope for some 1,000 years and the second non-Italian in a row, he traveled regularly, making about four foreign trips a year, but never managed to draw the oceanic crowds of his predecessor.

The child abuse scandals hounded most of his papacy. He ordered an official inquiry into abuse in Ireland, which led to the resignation of several bishops.

Scandal from a source much closer to home hit in 2012 when the pontiff's butler, responsible for dressing him and bringing him meals, was found to be the source of leaked documents alleging corruption in the Vatican's business dealings.

Benedict confronted his own country's past when he visited the Nazi death camp at Auschwitz. Calling himself "a son of Germany", he prayed and asked why God was silent when 1.5 million victims, most of them Jews, were killed there.

Ratzinger served in the Hitler Youth during World War Two when membership was compulsory. He was never a member of the Nazi party and his family opposed Adolf Hitler's regime.

(Additional reporting by James Mackenzie, Barry Moody, Cristiano Corvino, Alexandra Hudson in Berlin, and Dagamara Leszkowixa in Poland; Editing by Peter Graff)

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White House warns Republicans on Hagel, Brennan votes

WASHINGTON: The White House said Monday a top Republican was harming national security by delaying confirmation of new Pentagon and CIA chiefs in a row over the US consulate attack in Benghazi.

Republican Senator Lindsey Graham warned Sunday he would block Chuck Hagel's Senate confirmation as defence secretary and John Brennan's as CIA director, unless the White House offered more information on the September 11 assault.

Spokesman Jay Carney, however, said the White House had answered all questions about the militant strike, which killed four Americans, and accused critics of shifting goalposts after repeated testimony by officials about the incident.

"What is unfortunate here is the continuing attempt to politicise an issue... through nominees that themselves had nothing to do with Benghazi, and to do so in a way that only does harm to our national security interests," he said.

Senate Armed Services Committee chairman Senator Carl Levin said he would schedule a delayed vote to move Hagel's nomination to the full Senate on Tuesday.

The vote was put off last week, as Republicans assailed Hagel over his views on Iran, Israel and his stance on the war in Iraq.

Republicans on the committee had also demanded more details from Hagel on paid speeches he made between leaving the Senate in 2009 and his nomination to run the Pentagon during Obama's second term.

Graham has threatened to block Hagel until the White House was forthcoming about President Barack Obama's actions in response to the attack.

Under parliamentary rules, a single senator can prevent nominations from coming to a full Senate vote.

Carney argued that with more than 60,000 US troops still in Afghanistan, and other key international issues needing attention, it was detrimental to US national security for Obama's two nominees to be blocked.

"Senator Hagel, Mr Brennan, they need to be confirmed. They're highly qualified candidates for their posts. And we call on the Senate to act quickly to do just that," he said.

Graham warned on CBS television's "Face the Nation" that there would be "no confirmation without information" saying that president was "disengaged" on September 11 during the attack.

He demanded to know whether Obama had picked up the telephone to talk to Libyan leaders on that night and claimed that if he had, two of the four Americans killed that night could still be alive.

"I don't think we should allow Brennan to go forward for the CIA directorship, Hagel to be confirmed to secretary of defence until the White House gives us an accounting."

One of Graham's frequent Republican allies, Senator John McCain, said that though he was disappointed in Hagel's performance at a contentious confirmation hearing, the ex-senator had provided sufficient detail on his personal finances to the committee.

"I will not participate in any walkout of tomorrow's committee vote -- an action that would be disrespectful to Chairman Levin and at odds with the best traditions of the Senate Armed Services Committee," he said.

- AFP/jc

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Shiromani Akali Dal defends Rajoana clemency demand

CHANDIGARH: The Shiromani Akali Dal on Monday took on J&K chief minister Omar Abdullah for asking for the hanging of former Punjab CM Beant Singh's assassin Balwant Singh Rajoana, saying the convict's hanging would cause unrest in Punjab.

SAD general secretary Prem Singh Chandumajra said the Badal-led Punjab government would continue defending the commuting of Rajoana's death penalty. "We have earlier said that the party is against capital punishment," he said.

Chandumajra slammed Omar for asking the UPA government to treat Rajaona's case just like that of Parliament attack convict Afzal Guru and not be selective in executing those convicted of attacking symbols of democracy. "Omar should not speak out of turn," he said. "There's no doubt that the decision to hang Guru was political. It's better if he restricts his political comments to his state."

Omar had questioned the UPA government on why it was also not in a hurry to carry out the executions of the killers of Beant Singh and former prime minister Rajiv Gandhi.

Defending SAD's stand of asking for mercy for Rajoana, Chandumajra said it was only to avoid any possibility of community clashes in the state. Rajoana was awarded the death sentence by a Central Bureau of Investigation special court in July 2007 — along with another terrorist, Jagtar Singh Hawara — in the Beant Singh assassination case.

'Fear of Modi glory led to Afzal hanging'

SAD general secretary Chandumajra on Monday said the Congress took "remedial action" to hang Afzal Guru after becoming fearful of Gujarat chief minister Narendra Modi's increasing popularity as a national leader. "The decision to hang Guru was a political move by the Congress," he said. "They fear Modi's growing popularity among the masses." Chandumajra said his party would support the BJP if they chose Modi as the prime ministerial candidate for the 2014 Lok Sabha polls.

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Need surgery? Good luck getting hospital cost info

CHICAGO (AP) — Want to know how much a hip replacement will cost? Many hospitals won't be able to tell you, at least not right away — if at all. And if you shop around and find centers that can quote a price, the amounts could vary astronomically, a study found.

Routine hip replacement surgery on a healthy patient without insurance may cost as little as $11,000 — or up to nearly $126,000.

That's what researchers found after calling hospitals in every state, 122 in all, asking what a healthy 62-year-old woman would have to pay to get an artificial hip. Hospitals were told the made-up patient was the caller's grandmother, had no insurance but could afford to pay out of pocket — that's why knowing the cost information ahead of time was so important.

About 15 percent of hospitals did not provide any price estimate, even after a researcher called back as many as five times.

The researchers were able to obtain a complete price estimate including physician fees from close to half the hospitals. But in most cases, that took contacting the hospital and doctor separately.

"Our calls to hospitals were often greeted by uncertainty and confusion," the researchers wrote. "We were frequently transferred between departments, asked to leave messages that were rarely returned, and told that prices could not be estimated without an office visit."

Many hospitals "are just completely unprepared" for cost questions, said Jaime Rosenthal, a Washington University student who co-authored the report.

Most hospitals aren't intentionally hiding costs, they're just not used to patients asking. That's particularly true for patients with health insurance who "don't bother to ask because they know insurance will cover it," said co-author Dr. Peter Cram, a researcher at the University of Iowa's medical school.

But he said that's likely to change as employers increasingly force workers to share more health care costs by paying higher co-payments and deductibles, making patients more motivated to ask about costs.

The study was published online Monday in JAMA Internal Medicine. A California study published last year about surgery to remove an appendix found similar cost disparities.

Commenting on the study, American Hospital Association spokeswoman Marie Watteau said hospitals "have a uniform set of charges. Sharing meaningful information, however, is challenging because hospital care is unique and based on each individual patient's needs."

She said states and local hospital associations are the best source for pricing data, and that many states already require or encourage hospitals to report pricing information and make that data available to the public.

U.S. insurance companies typically negotiate to pay less than the billing price. Insured patients' health plans determine what they pay, while uninsured patients may end up paying the full amount.

The study authors noted that Medicare and other large insurers frequently pay between $10,000 and $25,000 for hip replacement surgery.

Sean Toohey, a grains broker at the Chicago Board of Trade, had hip replacement surgery last summer at Loyola University Medical Center in Maywood, Ill. An old sports injury had worn out his left hip, causing "horrendous" pain on the job, where he's on his feet all day filling orders.

Toohey, 54, said his health insurance covered most of the costs, and it didn't occur to him to ask about price beforehand. He was back at work two weeks later and is pain free. That's what matters most to him.

"I never really looked or paid attention" to the cost, he said.

He paid about $7,900, but wasn't sure what the total bill amounted to.

The average charge for hip replacement surgery at Loyola is about $42,000, before the negotiated insurance rates. The most expensive items on a typical hip replacement bill include about $11,000 for the hip implant, said Richard Kudia, Loyola's vice president of patient financial services

Kudia said some patients do ask in advance about costs of surgery and other medical procedures, and those questions require "a little bit of research" to come up with an average estimate. Costs vary from center to center because "there is no standard pricing among hospitals across the country. Each hospital develops its own pricing depending on its market," he said.

An editorial accompanying the hip replacement study said "there is no justification" for the huge cost variation the researchers found.

A few online sites provide price comparisons for common medical procedures, but the editorial said that kind of information "is of almost no value" without information on hospital quality.

A proposed federal measure that would have required states to force hospitals to make their charges public failed to advance in Congress last year but could be revived this year, the editorial says.

"It is time we stopped forcing people to buy health care services blindfolded," the editorial said.

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Online:

Journal: http://www.jamainternalmed.com

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Benedict XVI First Pope to Resign in 600 Years

Pope Benedict XVI's unexpected announcement today that he will step down for health reasons makes him the first pontiff to resign in nearly 600 years, even catching the Vatican by surprise and setting off a chain reaction that will end with a conclave to elect a new pope before the end of March.

"My first reaction was this is, it's very startling," Cardinal Donald Wuerl, Archbishop of Washington, said. "I was totally unprepared for it. The second reaction was we're going to have to now think a little differently. This will be the first time in modern history that we've had a pope resign. How do we work with all of that?"

Announcing his decision in Latin during a meeting of Vatican cardinals, Benedict, 85, said he will resign Feb. 28, explaining that his role requires "both strength of mind and body."

FULL COVERAGE: Pope Benedict XVI Resignation

"After having repeatedly examined my conscience before God, I have come to the certainty that my strengths due to an advanced age are no longer suited to an adequate exercise of the Petrine ministry," he said. "I am well aware that this ministry, due to its essential spiritual nature, must be carried out not only by words and deeds but no less with prayer and suffering."

Pope Benedict XVI was the oldest pope to be elected at age 78 on April 19, 2005. He was the first German pope since the 11th century and his reign will rank as one of the shortest in history at seven years, 10 months and three days.

RELATED: Pope Benedict XVI Resigns: The Statement

The last pope to resign was Pope Gregory XII, who stepped down in 1415.

Vatican officials said they've noticed that he has been getting weaker, while Benedict said he is aware of the significance of his decision and made it freely.

Pope Benedict XVI Resignation: Who Will Be Next? Watch Video

Pope Benedict XVI Never Aspired to Be Pope: Historian

Vatican Communications Director Greg Burke told ABC News that he was surprised but not shocked by the announcement, and cited an interview in which Benedict said a pope not only could resign, but should resign, if necessary.

"[Pope Benedict] is slowing a bit, and there's nothing immediately serious or grave," Burke said. "He has an older brother. He just thought the demands of the job were too much for his physical well being."

INTERACTIVE: Key Dates in the Life of Pope Benedict XVI

Benedict's brother, Monsignor Georg Ratzinger, had shared his concerns about the pope's health in September 2011, telling Germany's Bunte magazine that he should resign if health issues made the work impossible. More recently, Ratzinger has apparently cited his brother's difficulty in walking and his age, saying that Benedict had been advised by his doctor to cease transatlantic trips and that he had been considering stepping down for months, according to the German DPA news agency.

Among other ailments, the pope reportedly suffers from arthritis and arthrosis -- a debilitating joint-degeneration condition -- and his declining health drew attention about a year ago when he used a cane at the airport on his way to a trip to Mexico and Cuba.

Benedict has been a less charismatic leader than his predecessor, John Paul II, but tending to the world's roughly 1 billion Catholics still requires stamina Benedict seems to believe he now lacks.

PHOTOS: Pope Benedict XVI Through the Years

"Obviously, it's a great surprise for the whole church, for everyone in the Vatican and I think for the whole Catholic world," the Rev. John Wauck, a U.S. priest of the Opus Dei, told "Good Morning America" today. "But, at the same time, it's not completely surprising given what the pope had already written about the possibility of resigning.

"It's clear in terms of his mental capacity he's in excellent shape, he's very sharp, and so when he says he's making this official with whole freedom, it's clear that that's the case, that makes one believe that this is an act taken out of a sense of responsibility and love for the church."

It is a road that leads back to the 1930s.

Ratzinger started seminary studies in 1939 at the age of 12. In his memoirs, he wrote of being enrolled in Hitler's Nazi youth movement against his will when he was 14 in 1941, when membership was compulsory. In 1943, he was drafted into a Nazi anti-aircraft unit in Munich. He says he was soon let out because he was a priest in training.

He returned home only to find an army draft notice waiting for him in the fall of 1944.

As World War II came to an end, the 18-year-old Ratzinger deserted the army. In May 1945, U.S. troops arrived in his town and he was sent to a prisoner-of-war camp.

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Gunbattle rocks Gao after rebels surprise French, Malians

GAO, Mali (Reuters) - Islamist insurgents launched a surprise raid in the heart of the Malian town of Gao on Sunday, battling French and local troops in a blow to efforts to secure Mali's recaptured north.

Local residents hid in their homes or crouched behind walls as the crackle of gunfire from running street battles resounded through the sandy streets and mud-brick houses of the ancient Niger River town, retaken from Islamist rebels last month by a French-led offensive.

French helicopters clattered overhead and fired on al Qaeda-allied rebels armed with AK-47s and rocket-propelled grenades who had infiltrated the central market area and holed up in a police station, Malian and French officers said.

The fighting inside Gao was certain to raise fears that pockets of determined Islamists who have escaped the lightning four-week-old French intervention in Mali will strike back with guerrilla attacks and suicide bombings.

After driving the bulk of the insurgents from major northern towns such as Timbuktu and Gao, French forces are trying to search out their bases in the remote and rugged Adrar des Ifoghas mountains, far up in the northeast.

But with Mali's weak army unable to secure recaptured zones, and the deployment of a larger African security force slowed by delays and kit shortages, vast areas to the rear of the French forward lines now look vulnerable to guerrilla activity.

"They infiltrated the town via the river. We think there were about 10 of them. They were identified by the population and they went into the police station," said General Bernard Barrera, commander of French ground operations in Mali.

He told reporters in Gao that French helicopters had intervened to help Malian troops pinned down by the rebels, who threw grenades from rooftops.

Malian gendarme Colonel Saliou Maiga told Reuters the insurgents intended to carry out suicide attacks in the town.

SUICIDE BOMBERS

No casualty toll was immediately available. But a Reuters reporter in Gao saw one body crumpled over a motorcycle. Malian soldiers said some of the raiders may have come on motorbikes.

The gunfire in Gao erupted hours after French and Malian forces reinforced a checkpoint on the northern outskirts that had been attacked for the second time in two days by a suicide bomber.

Abdoul Abdoulaye Sidibe, a Malian parliamentarian from Gao, said the rebel infiltrators were from the MUJWA group that had held the town until French forces liberated it late last month.

MUJWA is a splinter faction of al Qaeda's North African wing AQIM which, in loose alliance with the home-grown Malian Islamist group Ansar Dine, held Mali's main northern urban areas for 10 months until the French offensive drove them out.

Late on Saturday, an army checkpoint in Gao's northern outskirts came under attack by a group of Islamist rebels who fired from a road and bridge that lead north through the desert scrub by the Niger River to Bourem, 80 km (50 miles) away.

"Our soldiers came under heavy gunfire from jihadists from the bridge ... At the same time, another one flanked round and jumped over the wall. He was able to set off his suicide belt," Malian Captain Sidiki Diarra told reporters.

The bomber died and one Malian soldier was lightly wounded, he added. In Friday's motorbike suicide bomber attack, a Malian soldier was also injured.

Diarra described Saturday's bomber as a bearded Arab.

Since Gao and the UNESCO World Heritage city of Timbuktu were retaken last month, several Malian soldiers have been killed in landmine explosions on a main road leading north.

French and Malian officers say pockets of rebels are still in the bush and desert between major towns and pose a threat of hit-and-run guerrilla raids and bombings.

"We are in a dangerous zone... we can't be everywhere," a French officer told reporters, asking not to be named.

One local resident reported seeing a group of 10 armed Islamist fighters at Batel, just 10 km (6 miles) from Gao.

OPERATIONS IN NORTHEAST

The French, who have around 4,000 troops in Mali, are now focusing their offensive operations several hundred kilometers (miles) north of Gao in a hunt for the Islamist insurgents.

On Friday, French special forces paratroopers seized the airstrip and town of Tessalit, near the Algerian border.

From here, the French, aided by around 1,000 Chadian troops in the northeast Kidal region, are expected to conduct combat patrols into the Adrar des Ifoghas mountains.

The remaining Islamists are believed to have hideouts and supply depots in a rugged, sun-blasted range of rocky gullies and caves, and are also thought to be holding at least seven French hostages previously seized in the Sahel.

The U.S. and European governments back the French-led operation as a defense against Islamist jihadists threatening wider attacks, but rule out sending their own combat troops.

To accompany the military offensive, France and its allies are urging Mali authorities to open a national reconciliation dialogue that addresses the pro-autonomy grievances of northern communities like the Tuaregs, and to hold democratic elections.

Interim President Dioncounda Traore, appointed after a military coup last year that plunged the West African state into chaos and led to the Islamist occupation of the north, has said he intends to hold elections by July 31.

But he faces splits within the divided Malian army, where rival units are still at loggerheads.

(Additional reporting by Tiemoko Diallo and Adama Diarra in Bamako; Writing by Joe Bavier and Pascal Fletcher; Editing by Kevin Liffey)

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