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Following the recent ECA series of articles on capital disregards, David Coldrick of Wrigleys Solicitors tackles a 'pseudo' disregard – under Section 55 Health & Social Care Act 2001.
The 'deferred payment agreement' has some similarity to the NA(AR) Regs disregards. It is not a capital disregard contained within the NA(AR)Regs. It is a loan facility, available to residents from local authorities, and a creature of statute.
A decision will often need to be taken as to whether or not to take advantage of the loan facility at the same stage as considering whether or not the capital disregards apply to a resident's capital. It seems appropriate, therefore, to address it in the same general context.
What is a deferred payment agreement?
The explanatory notes provided as the Health & Social Care Act 2001(HSCA 2001) progressed through Parliament, stated: "The effect of this clause [Section 55 HSCA] is to make it possible for people going into care to defer selling their homes in order to pay for their care until after they leave the care home or when they die. In practice, the local authority makes a loan to the resident and recovers the money from the estate when the person dies or leaves the care home."
Government spin in the general media suggested, contrary to this formal explanation, that residents would no longer need to sell their homes to obtain long-term care provision. In fact, as the explanatory notes make clear, all Section 55 does is cause a delay in the local authority making a recovery of fees it agrees to pay in the meantime.
Section 55 of the HSCA 2001 is headed: "Power for local authorities to take charges on land instead of contributions."
When a means-test assessment has been completed and it has been determined that a resident does not have enough income and capital, excluding their main/only home, to meet their care-home fees (that is, they are below the upper capital limit) then deferred payments may be offered by a local authority.
The difference between what a resident is assessed as being able to pay from their means-tested income and capital, including the former residence, and the amount the resident would be assessed as being able to contribute if their main or only home was not taken into account is deferred.
To assist local authorities, central government makes an annual, ring-fenced grant, which is intended to rise gradually as the facility is taken up. The aim is for local authorities to reach equilibrium of costs and repayments at an unspecified date in the future.
When does the possibility of obtaining a deferred payment agreement become relevant?
Under the NA(AR)Regs and the CRAG interpretation of them, it is clear that:
This combination of mandatory disregards means that a pre-emptive assessment of the residence should not occur. A person with a short-term need should not be threatened with an assessment for care fees based upon the value of the family home.
If a person becomes a permanent resident, because it transpires that they need long-term care, subject to the relevant disregards, their former residence will generally need to be sold. That will often be when the temporary 12-week residential property disregard contained within NA(AR) Regs Schedule 4 paragraph 1A expires.
can be entered into after the expiry of the mandatory disregards.
There will usually be little point in the resident leaving their former home vacant, at least after expiry of the disregards. The former residence will be subject to rapid dilapidation and depreciation, and a vacant property is a high insurance risk. Only if it can be let out at a good rate, or if the property market is booming, might it be appropriate to retain it. Letting out a former residence does not trigger any capital disregard.
While letting a property is an option, it can be problematic, especially if it needs bringing up to modern standard. Letting is also subject to increasingly complex regulation. Letting agents, who are practically essential especially for the inexperienced landlord, charge for their services. A resident who is a landlord will also be liable to both make appropriate tax returns and pay tax upon net rental. Good tenants are sometimes hard to find. Bad tenants are easy to find and can ruin a property.
For most residents the psychological importance of keeping on the family home itself ends when they finally go into care and accept their situation. However, the importance of the family home itself converts into the importance of protecting its value for the resident's heirs. The deferred payment agreement does not achieve that. It is simply an interest-free repayable loan.
So when might a deferred payment agreement be relevant? In some cases, where a person lived with the resident, who is not one whose occupancy gives rise to a disregard of the resident's former residence, then the facility may have some value. It relieves the pressure upon the occupant to find new accommodation. However, the relief given to the third party may only prove to be temporary until the 'exempt period' ends. That is when the resident dies. After that, the local authority can enforce its interest in the property unless some other arrangement has been made, which was contained within the terms of the specific deferred payment agreement. It remains to be seen whether or not local authorities will be flexible.
Terms of the deferred payment agreement
A form of deferred payment agreement, which local authorities may consider using, is referred to in the CRAG paragraph 7.018. The CRAG itself offers no advice on the application of the agreements. The CRAG also indicates that: "The use of this draft legal agreement is not obligatory, and that the agreement only applies to the placing of a legal charge."
The draft may be obtained from the specific Department of Health website address stated in the CRAG at paragraph 7.018 (the address is subject to change, and therefore not listed here).
Despite the comments in the CRAG, any local authority choosing to depart from the suggested draft would need to ensure it had a very good reason for doing so. But on the positive side, it indicates that flexibility is important.
Advice to be given to the resident by the local authority prior to entering into a deferred payment agreement
The draft agreement issued by the Department of Health states that: "The resident has been advised by the Council to seek independent legal and financial advice before signing."
I consider that inadequate. As a matter of professional ethics, the local authority solicitors must ensure that the resident has not only been given an opportunity to seek independent legal advice, but has actually done so. There is a serious potential conflict of interest between the local authority and the resident. That is not resolved by the mere opportunity to take independent legal advice. Local authority solicitors acting in such a conflicts situation are likely to face disciplinary action by the Law Society if they fail to ensure that a resident has taken appropriate independent legal advice.
Specialist independent financial advice is also a sensible prerequisite before a resident enters into a deferred payment agreement. Neither the resident nor the legal adviser can be certain that rounded financial advice, covering all other possible means of payment apart from a deferred payment agreement, could not have created an improved financial situation for the resident.
Department of Health Advance Notice: September 2001 observed that:
The detailed provisions of HSCA 2001 Section 55
HSCA 2001 Section 55(1) states:
"(1) Where a person ('the resident'):
(a) is availing himself of Part III accommodation provided by a local authority, or is proposing to do so, and;
(b) is liable, or would be liable, to pay for the accommodation (whether at the full standard rate determined in accordance with section 22(2) or 26(2) of the 1948 Act or at any lower rate),
the local authority may enter into a deferred payment agreement with the resident."
HSCA 2001 Section 55 (2) states:
"(2) The relevant authority may by directions require local authorities, where:
(a) they provide or are to provide Part III accommodation for a person falling within subsection (1) ('the resident'), and;
(b) any conditions specified in the directions are satisfied; to enter into a deferred payment agreement with the resident."
HSCA 2001 Section 55(3) states:
"A 'deferred payment agreement' is an agreement whereby:
(a) during the exempt period the resident will not be required to make payment to the authority of any relevant contributions in respect of periods (or parts of periods) falling within the exempt period, but;
(b) the total amount of the relevant contributions shall become payable to the authority on the date on which the exempt period ends, and;
(c) the resident will grant the authority a charge in their favour in respect of any land specified in the agreement in which he has a beneficial interest (whether legal or equitable) for the purpose of securing the payment to the authority of the total amount payable to them as mentioned in paragraph (b)."
HSCA Section 55 (5) states:
"The provisions of any deferred payment agreement and any such charge as mentioned in (3)(c):
(a) shall be determined by the authority in accordance with any directions given by the relevant authority; but;
(b) shall secure that the agreement and any such charge may be determined by notice given to the authority by the resident on payment of the full amount which he is liable to pay, as mentioned in sub-section (3)(a) down to the date of the payment."
A number of points may be made arising from the wording of the statute:
1. Accommodation provided by a local authority. On the face of it, this only applies to council-owned homes where the local authority is truly 'providing' the accommodation but by virtue of HSCA 2001 Section 59(3) it covers provision paid for through a local authority. However, under that same section, it is limited to cases where the local authority has the power to make such provision in the first place;
2. The local authority may enter into. The facility is not compulsory for either the local authority or the resident. Some local authorities may possibly choose to ignore its existence. HSCA 2001 Section 55(2) may however be used to make it compulsory upon the local authority;
3. The arrangement is to be an 'agreement' between the parties. Either party, again subject to the possible operation of HSCA 2001 Section 55(2), may not wish to enter into an agreement. It is therefore not compulsory for the resident to agree to any proposed facility put to them by the local authority. Any suggestion of compulsion or of care only being available upon agreement to the facility should be rejected and probably a formal complaint should be issued against the local authority. The meeting of a resident's assessed care needs cannot be made contingent upon such an agreement;
4. HSCA 2001 Section 55(1) refers to the agreement being made 'with the resident'. A person acting under a registered enduring power of attorney or as the resident's receiver may agree to effect an agreement on the resident's behalf. The authority of the Court of Protection is necessary in cases involving receiverships. An attorney and possibly a receiver may possibly be held liable to account for any loss if a more appropriate course of action should have been considered. They must take independent advice to avoid this potential problem.
5. The references to the resident 'availing himself of Part III accommodation' restricts the availability of the facility to residents who are applying for local authority assistance. The deferred payment facility is not available to a privately funding resident. An interest free loan from a local authority, based upon the value of an unsold property, might otherwise be an attractive payment option.
That is subject to the negative considerations referred to above relating to vacant properties. In effect, until a resident has run out of cash or other investments, and is just left with the value of his property, the deferred payment scheme is not available;
6. Under HSCA 2001 Section 55(2) the Secretary of State for Health can issue directions to require local authorities to provide the deferred payment facility. That is where the local authority is responsible to fund/part fund a resident's care, if the 'conditions' specified in the directions are met. This indicates that some local authorities might be reluctant to offer the deferred payment facility. Perhaps they might prefer the 'collection' route offered by Section 22.HASSASSA 1983 charges instead? Perhaps they might not want the administrative hassle of the scheme? Perhaps local authorities never liked the idea in principle?
7. The 'conditions' referred to in HSCA 2001 Section 55(2)(b) relate to the willingness of the parties to agree terms in relation to a particular property. The property would need to amount to suitable security. However, the conditions may also perhaps operate as a useful 'opt out' for any local authority faced with somehow 'unreasonable' demands for deferred payment. That might, for example, arise if unsuitable security is offered. It should be noted that the 'conditions specified' are those within the directions and not amid any terms a local authority might seek to impose as, for example, a 'standard contract'. Thus any adviser who feels his client would benefit here will need to familiarise himself with the directions;
8. The definition of a deferred payment agreement restricts it to the making of loans fully secured upon interests in land. It is also restricted to land owned by the resident. The resident must be capable of granting a charge to the local authority. It cannot be granted by a resident over a trust interest or other interest, which does not amount to their own property, which they cannot charge of their own volition. In cases where there is net equity but another charge exists arising from a mortgage or other lender, the local authority will need to check the situation very carefully and bear in mind the rate of interest that the commercial lender will be charging. That will be a first charge upon the property;
9. The issue of associated legal costs is clouded. The Department of Health Guidance (Advance Notice, September 2001) and the draft deferred payment agreement both note that local authorities may ask residents to cover the costs of land registry searches and other such legal expenses. There is no clear statutory authority for this, and I suggest that this should be resisted. The words 'may ask' suggest uncertainty on the part of the draftsman;
10. 'Relevant contributions' referred to in HSCA 2001 Section 55(3) means properly assessed contributions in accordance with the NA(AR) Regs (see also HSCA Section 55(7)). The resident's adviser should ensure that no client with a deferred payment agreement has a charge imposed upon them for an amount above that which may be properly assessed. If, for example, the net equity within the charged property falls towards the upper capital threshold for assessment purposes, then the local authority will need to be informed. That is to stop the fees covered by the charge inadvertently eating into the capital below the lower capital limit that the resident can retain. Advisers should also bear in mind that interest accruals on any mortgage or other debt secured upon the property may have the same effect;
11. The 'exempt period' when no repayment has to be made to the local authority is defined in HSCA 2001 Section 55(4). That is: "…the period beginning with the time when the agreement takes effect and ending:
(a) 56 days after the date of the resident's death, or;
(b) with any earlier date which, in accordance with the agreement, the resident has specified in a notice given by him to the authority for the purposes of sub-section 5(b)."
No repayment is thus due while the agreement applies when the resident is alive and until 56 days after death. The period of 56 days after death does not mean that there is no liability at death for probate purposes. It just provides a further 56-day interest-free period. After the 56 days are up, the local authority may start to press the personal representatives for repayment. The 56-day window will not generally be enough to allow a sale to take place. It is however an improvement on the original 28 days contemplated as the HSCA started its passage through Parliament. Personal representatives will need to take account of interest accruing in their calculations of payments due in the administration. It is a good reason to ensure a speedy resolution of that administration;
12. Cancellation of a deferred payment agreement and observations on contractual breaches. The resident can cancel the deferred payment agreement by way of repayment. The draft agreement indicates that they may also do so by way of notice but that: "The council is not allowed to terminate the agreement, so there is no provision in the agreement for this," (Note 1.5 to the draft deferred payment agreement). The possible inability of the resident to cancel the agreement, except by way of repayment, if the particular agreement signed does not encapsulate a termination provision may make the resident feel rather 'stuck' with whatever the local authority provides by way of care. But the normal principles of care choices still apply. The binding nature of the agreement must also be subject to any breach of contract action in relation to the terms of the agreement and the care package supplied. Any care aspect of the overall agreement that is not fulfilled by the local authority may well create a payment-free and interest-free interlude or a fee reduction to be accounted for appropriately. This amounts to a potential source of leverage against the local authority in the hands of the resident. If there is a breach of contract on the part of the local authority, I would suggest that the resident cannot be expected to pay for the services offered as part of the overall 'deal'. In particular the resident should not pay for the element that is not actually provided. If the contract is breached more fundamentally, then although the agreement may end as a result of that, without any action by the resident interest should not run on the outstanding debt. As a result of the local authority's action or inaction, the contract is at an end but the 'exempt period' has not ended because the criteria of HSCA Section 55(4)b have not been fulfilled. The resident did not end the contract – the local authority did. There is no stated end to the exempt period in those circumstances. The aim of both parties may be to re-instate the agreement, but negotiations may save the resident – or more likely their heirs – some money in the longer term;
13. Interest is not usually payable by the resident. HSCA Section 55(6) relates to interest upon the deferred payment:
(a) no interest shall accrue at any time on or before the date on which the exempt period ends in respect of any sum that he is liable to pay as mentioned in sub-section (3)(a); but
(b) as from the day after that date, any such sum shall bear interest at such reasonable rate as the relevant authority may direct or, if no such directions are given, as the authority may determine;
and accordingly any charge granted in pursuance of sub-section (3)(c) shall secure payment to the authority of any interest falling due by virtue of paragraph (b) above."
Note that interest charges after death can eat into the capital value, which would have been protected as being under the capital threshold while the resident was alive. So I would reiterate the point that the administration of the estate of a deceased resident with a deferred payment agreement should be dealt with as quickly as possible. David Coldrick is a partner in charge of the Sheffield office of Wrigleys Solicitors. He can be contacted at firstname.lastname@example.com
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There has been a growing trend with Tulane's offense.
Give Green Wave freshman running back Orleans Darkwa the football, and good things happen, such as chunks of yardage and points.
Darkwa, a 5-foot-11, 200-pound freshman tailback, impressed his Tulane teammates and coaching staff after fall camp. Now he's starting to put it all together on game day, and he will enter Saturday's game against Rice in the Superdome looking for his fourth consecutive game of more than 100 yards rushing.
The light came on for Darkwa three weeks ago when he rushed for 114 yards on 21 carries, including two touchdowns, in a win at Texas-El Paso. He followed that with 196 yards rushing against SMU on 26 carries. And last week, he was a force on the ground again, as he scampered for 138 yards and two scores on 27 carries against Southern Mississippi.
Andre Anderson (2008) and Mewelde Moore (2000) were the last two Tulane players to have three consecutive games of 100 or more rushing yards. Darkwa's latest performance prompted quite a few compliments from Tulane Coach Bob Toledo and offensive coordinator Dan Dodd.
"I think he's a heck of a player, " Toledo said. "He's one of the best freshman running backs in this conference, maybe in the country. He's pretty special. He does a lot of good things."
Said Dodd: "He's a special kid, and he's going to be a great player at Tulane. He's a real good player right now. He's an attention-to-detail guy. He's a bright guy. (The Southern Miss game) was some of the first time we ran him in the Pelican things (Wildcat formation) and let him work. There's a development that's going on with him. That's going to lead to in the final analysis into a really good Division-I running back."
Darkwa has 618 yards rushing, averaging 5.4 yards per carry, and eight touchdowns in his first eight college games. Darkwa has twice as many touchdowns than the next-closest teammates, with wide receiver Casey Robottom and tight end Cody Sparks, with four scores each.
The increased production comes on the heels of an increased workload for Darkwa. He only carried the ball 38 times for 173 yards and four touchdowns through his first five games. He has compiled more than twice as many carries through the last three games than he did in his first five, with 77 carries for 445 yards and three touchdowns.
"The offensive line is able to make those holes bigger for me, " Darkwa said. "I'm able to read defenses better. (Running back) Coach (Greg) Davis (Jr.) is helping me to read defenses better and what to look for throughout this whole season.
"I can tell that I'm progressing in reading defenses and reading linebackers and defensive ends. I'm knowing what to do more. It's really good coaching by Coach Davis and really listening to those veteran running backs on the team."
No one may be enjoying the potent running game more than quarterback Ryan Griffin.
"He's a stud, " Griffin said. "There's no doubt about it. When he's back there, it's a little bit more relaxing for me, because if they bring something late and I'm not able to check or it's a blown-up play, I've got confidence that he'll make something out of nothing. He's just a playmaker. We could definitely use more guys like him."
Because of Darkwa, the Green Wave's offense found balance against UTEP and Southern Miss.
"One week, I think we threw for 400 (yards), and then another week, we almost ran for 300 (yards), " Griffin said. "You can't be one-dimensional, and with him, you're not. He makes us a lot more dangerous on offense. That's why we're able to move the ball."
Through all of the impressive stats the past three games for Darkwa, Tulane left two of those three games with losses. That, says Darkwa, keeps his performances in perspective.
"Stats don't mean anything if you don't get the wins, " Darkwa said. "I just push (the personal performances) to the side."

subset: commoncrawl


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BUENA VISTA TWP. -- A rollover accident in the southbound lanes of Interstate 75 that occurred in Buena Vista Township about noon is blocking traffic and state police were still at the scene near milemarker 151 about 3 p.m. state police representatives said.
The circumstances that lead to the crash, as well as the passengers' conditions, are unknown at this time.


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AKRION, Ohio — Kenny Kaminski's shoulders are big enough, so hop on for the ride. But the Medina big man will be the first to admit he can't go it alone.
With plenty of help from his teammates down the stretch, the Bees continued their magical ways as they outlasted conference rival Elyria in overtime, 46-41, on Thursday night in a Division I regional semifinal at the University of Akron's Rhodes Arena. The Bees (10-15) will gladly continue in their underdog role as they return to the regional finals for the first time since 1983 to take on Toledo Whitmer (22-2) here on Saturday night at 7:30.
"I'm starting to get back into it," said the 6-8 Kaminski, who missed all of the regular season with a right shoulder injury. "I played the whole game and was all right after I got winded early. Guys are doing a lot more than they are asked."
The 260-pound Michigan State recruit totaled a game-high 23 points, 17 coming in the first half when Medina built a 29-19 lead. But after the Pioneers (14-10) went on a 13-0 run to turn this one into a nail-biter, 5-9 junior guard Dillon Wiesler and senior forward Mason Schreck came up with big plays at both ends of the floor.
Wiesler tied up Elyria's Isaiah Walton for a jump ball with 4.7 seconds left in regulation to maintain a 39-39 tie. In overtime, he took an offensive charge by Elyria sharpshooter Kody Bender with 45 seconds left and Medina in front, 42-41.
"We tried to keep the ball away from Isaiah and Bender and limit their shots," said Wiesler, who finished with six points. "I just tried to keep Bender from going to his right."
Forced to foul, the Pioneers put Medina junior Logan Winkler at the line for a one-and-one. Just as you are taught in practice, Schreck was quick to rebound the missed attempt and fought his way through for a put-back basket and a 44-41 advantage.
"I just worked to the ball," said Schreck, who finished with 14 points and 12 rebounds. "Getting those rebounds are a spark."
The Bees held a huge edge at the line, going 19-for-23. While he was only 4-for-13 from the field, Kaminski went 12-for-13 on free throws and had 11 rebounds.
Schreck came through to tie the game at 39 as he hit two from the line with 38 seconds left in regulation. Medina was limited to 28 percent shooting, going 11-for-38 from the field.
"This was not easy because I was playing one of my best friends," said Medina coach Anthony Stacey, referring to Elyria coach Brett Larrick. "Nobody expected Medina here or Elyria here. But it's not about me or Brett."
The teams split during Northeast Ohio Conference play, with Medina winning when they met on Feb. 17, 55-46.
"There were a couple calls at the end, but they are not going to agree with them and neither would we," said Larrick, whose team was 7-for-11 on free throws and 4-for-19 on 3-pointers. "We had our chances. We missed a couple bunnies and a couple free throws with the lead. We did a good job of slowing Kenny down."
After seven lead changes and three ties, the Bees made their move by closing out the first half with an 11-1 run for the 29-19 advantage.
To reach this Plain Dealer reporter: email@example.com, 216-999-5168
On Twitter: @JoeMaxse


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Oak Harbor School District examines teacher evaluation
The Oak Harbor school board will begin a more than year-long process Tuesday evening as they discuss the Teacher Principal Evaluation Project. The workshop begins at 6:30 p.m. June 12 at the Oak Harbor School District building.
The meeting is changed from its regular Monday time due to high school graduation.
The Legislature called for a change to the evaluation system for teachers and principals, which will go into effect for the 2013/2014 school year.
The state has created three models for a new system and the school board will begin looking at these models at the workshop.
In the future, they will also discuss training teachers and principals to use the new system.
In order for the community to participate in the discussion, they should think about "how to know if a good teacher's good and how to know if a good principal's good," said Superintendent Rick Schulte.
"What do you want as community members, parents as a good teacher or principal for your child?" Schulte said.
The workshop Tuesday is just the beginning of the process, Schulte said.
"Most of next year will go to choosing the model and training with the selection. Next year, we'll spend the entire year working to define it better," Schulte said.
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About the Data
Where do the data come from?
Most of the data in this report come from health care facility claim records. Health care facilities (facilities for short) in this report include Utah hospital and freestanding ambulatory surgery centers. Utah facilities are required by law to submit a standard set of information about each inpatient who spends at least 24 hours in the facility and about each outpatient who spends up to 24 hours in the facility to the Office of Health Care Statistics, Utah Department of Health, for the Utah Hospital Discharge Database. The Agency for Healthcare Research and Quality (AHRQ), a federal agency in charge of quality of care, provided national information. For further information visit the AHRQ Web site….
Have the data been verified by others?
Yes. Utah facilities review the data for accuracy during a review period of at least 30 days while the report is being developed. They also review the completed report before it is released. Facilities may submit comments to be posted online as part of the report.
Why use these indicators/measures?
SB 132 mandates that the comparison reports use nationally recognized quality standards. A federal agency charged with overseeing health care quality, the Agency for Healthcare Research and Quality (AHRQ), developed the Inpatient Quality Indicators (IQIs). The IQIs allow comparison among Utah facilities with similar patients nationwide. This report shows one IQI for inpatient laparoscopic gallbladder removal. Read more information on the AHRQ IQIs.
The IQIs are designed to be used for inpatients, so outpatients are not included in the report's IQI table. Based on research in the 1990s, AHRQ includes rate of laparoscopic gallbladder removal among its quality indicators, as higher rates indicate adoption of a new procedure that is usually less expensive and less traumatic to patients than open gallbladder removal. However, many experts now suggest that 100% laparoscopic gallbladder removal should not be a goal for optimal health care. For some patients, laparoscopic gallbladder removal is not possible or is too risky. Such patients require more extensive procedures, such as open gallbladder removal. This report includes the IQI for laparoscopic gallbladder removal as a utilization measure.
The measure for average charge is an All Patient Refined Diagnosis Related Group (APR-DRG) for similar, though not identical, conditions and procedures among inpatients. For outpatients, the measure is the ICD-9-CM procedure code 51.23, as outpatients do not have APR-DRGs.
What are the limitations of utilization comparisons in the report?
Many factors affect a facility's performance on utilization measures. Such factors include the facility's size, the number of gallbladder patients treated, available specialists, teaching status and especially the medical history of the facility's patients and how ill those patients are. Facilities that treat high-risk (very ill) patients may have higher percentages of open surgeries than facilities that transfer these patients. Facilities also may report patient diagnosis codes differently, which could impact the comparison of utilization measurement among facilities. Utilization indicators adjust for how ill each facility's patients are, but the adjustment may not capture the full complexity of the patient's condition. The Utah Hospital Discharge Database includes up to nine diagnoses and up to six procedures for each patient. Some patients have additional diagnoses and procedures that are not included in this database. As a result, the measures of inpatient illness may not be complete.
Higher-risk gallbladder removal patients are usually inpatients. Lower-risk gallbladder removal patients are often outpatients. See Glossary and Technical Document.
What are the limitations of the charge comparisons in the report?
The average charge shown in this report differs from "costs," "reimbursement," "price" and "payment." Different payers have different arrangements with each facility for payment. Many factors will affect the cost of your facility stay, including whether you have health insurance, the type of insurance and the billing procedures at the facility. This report excludes outlier (unusually high) charge cases and length of stay cases from the calculation of average charge for inpatients. It does not exclude outlier charge for outpatients (see Glossary). While APR-DRGs do consider levels for each inpatient's severity of illness, these levels may not completely reflect the complexity of the inpatient's condition.
Outpatients do not have levels for severity of illness, whereas inpatients do have levels for severity of illness.


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|Yale-New Haven Teachers Institute
The Fellows set out to explore methods for understanding culture and society through art, and specifically to engage with the challenges and rewards of teaching from original objects in museum collections. A major focus lay in the development of skills in the description and critical analysis of images – not through the use of art history jargon, but through visual and contextual analysis. We worked together to discover and refine ways in which the analysis of works of art can enable students, from kindergarten to twelfth grade, to understand history and make a more direct connection with the experience of historical individuals. More generally, the aim of looking at works of art and developing critical thinking is to encourage students to be more discerning in their approach to the plethora of images that surround us today.
The seminar proceeded historically, and was focused on the "long" nineteenth century, from the American Revolution to World War I, 1776-1914. These areas are rich in holdings in the two Yale art museums, the Yale Center for British Art and the Yale University Art Gallery. While one emphasis for the Fellows, all of whom teach in New Haven public schools, was on how to utilize the collections in site visits with classes, all paintings and many of the works on paper owned by the Yale University Museums are now available free of charge in good quality digital images from the museum Web sites, so the Fellows' curriculum units could be adopted for use anywhere with access to the same corpus of images (see http://britishart.yale.edu/collections/search and http://ecatalogue.art.yale.edu/search.htm).
At the beginning of the seminar, Fellows were asked to consider the following questions when confronting an image, and to consider whether or how the same questions could be addressed in the classroom:
- ·What do you see?
- ·What do you think were the artist's intentions?
- ·Who was the image intended to appeal to/who were the audience or patrons?
- ·What does this image tell us about society at the time?
- ·Are there parallels with concerns in our contemporary world?
- ·How does the artist represent differences of gender/class/race?
Every meeting began with a session of 40 minutes discussing a small number of works – three or four paintings at most – hanging on the walls of the galleries. This intense exposure to works of art proved stimulating, and every member of the group offered considered and often inspiring responses to the work of art. In many cases, the Fellows drew on their own expertise, in history, literature or studio art practice, to illuminate the work we were examining. We also discussed how one might address a painting with groups of students of different ages – and here I as seminar leader learned a huge amount from the expertise of the Fellows. We agreed that technical terminology – "impasto," "chiaroscuro," "perspective," etc – could be off-putting, and that such ideas could well be explained using more straightforward language – "thick layer of paint, contrast of dark and light, representation of space." While the analysis and description of works of art can be a significant means of developing language and analytical skills, and inferential thinking and reasoning, it can also be portal to unlocking a student's creativity. Mary Elmore's curriculum unit ("The Stories Art Work Tells"), designed for third-grade classes, offers an example of how new skills can be acquired while also positioning works of art as "wonderful tools to evoke a child's curiosity and creative spirit."
Although we moved chronologically through the nineteenth century, beginning with American works from the Revolutionary period, the seminar also encouraged Fellows to engage with recent art-historical thinking, and to consider how these ideas could percolate into classroom teaching practice with students at various stages. We opened the seminar with a lively discussion of John Berger's provocative book Ways of Seeing (1972) with screening of part of one of the original TV programs on which the book was based. Berger, we agreed, still has the power to make us re-examine our assumptions and look at the work of art in a more vivid, sometimes political, fashion. Throughout the seminar, our thinking was structured around three main themes, which represent three major schools of thought in recent art-historical writing:
- A. Gender and Society (informed by feminist scholarship in art history)
- B. Class and Society (informed by the 'social history of art')
- C. Race and Society (informed by recent thinking in African American studies and post-colonial theory).
These themes emerged gradually and were interwoven with each other as we moved chronologically through the materials and through the readings assigned to the Fellows. The Fellows were encouraged to pursue research interests and develop curriculum unit proposals based on the works of art discussed during the seminars. Many of the topics emerged organically from conversations that began in front of a particular painting.
The nineteenth century is notable for the diversity of its visual productions; the period is characterized by work in many genres and media, of hugely differing sizes and costs to the purchaser. We began by looking at figures in the landscape in British art c.1770, in the work of Arthur Devis and Thomas Gainsborough, to form a notion of the world before the three revolutions – the Industrial Revolution, the American Revolution, and the French Revolution – that shaped the last quarter of the eighteenth century. Work from this early period can be vividly harnessed for teaching students at as early a stage as the third grade: Caterina Salamone harnesses Philippe Mercier's rococo series of the Five Senses (1745, Yale Center for British Art) to encourage students to explore the full extent of their own sensorium and to write creatively as if exploring the scene one sense at a time. Patricia Sorrentino employs a close viewing of Joseph Wright's The Blacksmith's Shop (1771, Yale Center for British Art) as a case study for encouraging inductive thinking and literacy skills in under-credited and overage students who fall below their reading/writing grade levels. By describing features of the painting and explaining "how you know," important skills can be developed.
The Fellows also examined art of a more explicitly ideological nature, noting how artists such as John Trumbull forged a new art for a new nation, the United States, but also observing that in the work of John Singleton Copley and in the decorative arts of the period – silverware, ceramics, furniture – British colonial models still remained the target for American emulation. Leszek Ward uses Trumbull's The Battle of Bunker's Hill, June 17, 1775 (1786, Yale University Art Gallery) as the starting point for an innovative study of the relationship between poetry and battle-painting intended to encourage students in grades 9-12 to think across boundaries of discipline and medium, between history, literature and art. The violence of the Revolutionary War, as depicted in Trumbull's series of history paintings of battle scenes, forms a basis for John Tarka's course unit that focuses on the theme of conflict. His carefully-prepared discussion plans, intended to foster language skills of students returning to education who have little or no preparation in history or art, make an excellent case for the immediate contemporaneity of these issues.
Striking, even violent, changes were underway in the economy of Great Britain, and the issue of class formation, the making of the new English working class, dominated our discussions of the Industrial Revolution, based on images such as JMW Turner's Leeds (in the Yale Center for British Art) and Phillippe Jacques de Loutherbourg's Coalbrookdale by Night, 1801 (digital image from the Science Museum, London). Landscape paintings form a backbone of Yale's collection of British and American Art, including masterworks such as JMW Turner's Staffa: Fingal's Cave and Albert Bierstadt's Yosemite Valley. We spent considerable time discussing how students might be encouraged to enter the landscape, perhaps by writing imaginary dialogue texts for the figures depicted; perhaps by art projects in which they respond to the landscape around them, or by describing a journey through the landscape depicted in a work of art. For students of all ages (including Yale undergraduates) the challenge of accurate and imaginative descriptive writing is a considerable one, and the task of looking closely at a painting and describing what you see – apparently a simple task, but deceptively so – is an essential educational exercise.
Portraiture is a key genre in British and in American art of the nineteenth century. It is easy to allow discussion of the biography of the sitter to overwhelm debate about the visual construction of the image – and about the choices the sitter made in self-fashioning. Jennifer Lee's curriculum unit assembles a diverse collection of portraits that speak to issues of women's identity and women artists, beginning with Joshua Reynolds's seductive portrayal of Mrs. Abington (1772, Yale Center for British Art) and ending in the contemporary moment with a powerful representation of a contemporary African American painter, Unititled by Kerry James Marshall (2009, Yale University Art Gallery). Jennifer Ports enshrines portraiture at the heart of her unit, "Teaching Colonial American Society through Visual Art," but also moves beyond the image to look at material culture, the decorative arts and architecture, as a way of bringing alive a period that seems remote from the contemporary experience of many students.
Questions of race and representation are central issues in today's media environment, and an understanding of the history of these tropes and conventions is an important preparation for adult life. Children and teenagers are adept users of image technologies, and the history of photography offers immediate parallels with the kinds of image manipulation familiar to all today through digital software. The combination of powerful racial politics and the visual politics of the camera underpinned our discussions of the Civil War, instantiated through the work of photographers such as Matthew Brady and Timothy O'Sullivan, as well as painters and engravers including Winslow Homer. Kristin Wetmore's curriculum unit for AP art history tellingly juxtaposes an O'Sullivan photograph of the Civil War with a Trumbull painting of the Revolutionary War, drawing into lively comparison the two conflicts and the two visual media. Nancy Bonilla, who teaches fifth- and sixth-graders learning English, turns to representations of African American and Hispanic American figures in the first century of the history of the United States and to Jamaica, a colony of the British Empire at this period.
Representations of family life and labour in Victorian Britain and America of the same period (c.1830-1900) provided a basis for lively discussions of issues of gender. Referring to texts by John Ruskin and Thomas Carlyle, we looked at conventions of masculinity and femininity in nineteenth-century art, the 'separate spheres' of men and women as conventionally depicted at that time. Much thought was given to how, in a classroom setting, attention could be drawn to the constructed nature of gendered identities, both in the past and today. Elizabeth Johnson's unit was prepared with the special intention of reaching young men – in grades 9-12. Her unit on historical and contemporary constructions of masculinity discusses the issues of how to "be a man," both in nineteenth-century Britain and America, and in today's globalized world.
Overall, the Fellows demonstrated that while looking closely at art can be a constructive and creative exercise in and of itself, looking at history through art adds a further dimension of immediacy, excitement and pedagogical value.
Timothy J. Barringer


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Port Authority CEO Steve Bland ousted
Chelsa Wagner says Rich Fitzgerald wants to control boardUPDATED 12:59 PM EST Feb 01, 2013
The Port Authority board says Steve Bland is out immediately and chooses an interim CEO. Allegheny County's top fiscal watchdog says this has nothing to do with what's best for mass transit: "What you're seeing is a factor of absolute control."
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The Bak-Pak Pre-skimmer fits around the powerhead and skims water from the surface of the aquarium where wastes accumulate. The Pre-skimmer makes the Bak-Pak even more efficient.
CPR Inflow Kit (3/4"). Four feet of 3/4" I.D. vinyl tubing, U-tube and two hoseclamps.
From the large Aquaculture industry to the home hobbyist, Bio-BaleTM is the filter medium of choice for professionals. Simple in concept, Bio-BaleTM owes its extreme effectiveness to its high surface area versus volume and its uni...
CPR Overflow Sponge For CS90, 100, 102. Replacement filter sponge for CPR overflow boxes.
CPR-REPLACEMENT INLET Includes: Complete inlet assembly with gasket Replacement for BakPak, Dual BakPak, all hang on AquaFuges
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text:
This is a heart shaped lemon cake with raspberry filling iced with buttercream and topped with fondant.
Buttercream accents are piped on to match the Christening grown.
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|[TowerTalk] Re: [AMPS] True Or Not True #2
|firstname.lastname@example.com (Barry Kirkwood)
|Fri, 7 Sep 2001 08:24:51 +1200
By definition, from psychophysics, 1dB is the increase or decrease in signal strength that can be discerned by an average observer on 50% of occasions. A 2dB increase should be discernible by an average observer at any signal level. cheers end Barry Kirkwood PhD ZL1DD Signal Hill Homestay 66 Cory Road Palm Beach Waiheke Island 1240 NEW ZEALAND www.waiheke.co.nz/signal.htm ----- Original Message ----- From: Colin Lamb <firstname.lastname@example.com> To: 2 <email@example.com>; AMPS <email@example.com>; at towertalk <email@example.com> Sent: Friday, 07 September, 2001 7:19 AM Subject: Re: [AMPS] True Or Not True #2 > > Rich asked "On HF/MF skywave, is a 58% increase in power out (2db) noticable > at the > Rx end?" > > That all depends upon how you define noticeable. If your s-meter is sitting > at S-9, and assuming that 6 db per s-unit is the standard, that would mean > the s-meter would change from 54 db to 56 db - or 2 db over S-9. If the > variation in signal strength is greater than that due to reflection, then it > would be difficult to detect a 2 db change and not noticeable. > > However, if the signal was at or near the noise level, then 2 db increase > could make the signal more easily read. A 2db increase is like Christmas to > someone using a single yagi for moonbounce. > > 73, Colin K7FM > > > > -- > FAQ on WWW: http://www.contesting.com/FAQ/amps > Submissions: email@example.com > Administrative requests: firstname.lastname@example.com > Problems: email@example.com > > List Sponsored by AN Wireless: AN Wireless handles Rohn tower systems, Trylon Titan towers, coax, hardline and more. Also check out our self supporting towers up to 96 feet for under $1500!! http://www.anwireless.com ----- FAQ on WWW: http://www.contesting.com/FAQ/towertalk Submissions: email@example.com Administrative requests: firstname.lastname@example.com Problems: email@example.com
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There's a reason so many top bass pros live in Alabama.
And for most, it's spelled G-u-n-t-e-r-s-v-i-l-l-e.
"It's not only maybe the world's best bass lake, it's a great place to live," says 2012 Bassmaster Classic champ Chris Lane, who moved here from Florida a few years back.
"You've got every type of water here, from shallow grass to rocky points to deep ledge and hump fishing, to frogging, topwater--you can practice any technique that works anywhere in the country at some time here on Guntersville, so it's a perfect place for a bass pro to live," says Lane. "Plus, you're right in the middle of the other lakes the Tour visits every year, which saves a lot on those extra-long drives."
And, says Lane, the fact that the famed lake draws anglers from all over the nation is also the reason he founded his business, Chris Lane Tackle and Guide Service there, with the new shop recently opened at the junction of 431 and Wyeth Drive on the south side of town, almost in casting distance of the Spring Creek boat ramp.
Elite pros Lane, Casey Martin, Kevin Hawk, Randy Howell, Jamie Horton and Gerald Swindle plus FLW pros Jonathan Hery and Pat Snellings all took a few days off from their pro angler duties this week to assist Kay Donaldson, director of the Alabama Bass Trail, in beginning the run-up for the 2014 Bassmaster Classic, to be fished here next February.
Joined by a number of noted outdoors writers, the crew overnighted at the spectacular Dream Ranch Resort and Hunt Preserve (www.dreamranch.org ) south of Guntersville and headed out to area boat ramps each day to show the quality of bassing here to the visiting media.
Despite a bit of rain and a north wind, Guntersville didn't fail to produce.
"The thing about this lake is there are so many types of habitat that you can always find fish biting on something somewhere," Gerald Swindle told me. He proceeded to find several dozen bass bedded around boat docks in a quiet cove, and over the next hour teased and prodded nearly every one of them to eat the soft plastic crawfish he presented repeatedly.
"The bass here get a lot of pressure from a lot of good anglers, but if you're persistent and find the right tactic, you can always catch them," said Swindle. "Of course, sometimes they're not quite as big as you'd hope, but this lake puts out a lot of monsters, too."
One tactic a lot of bed fishermen overlook, he said, is using a drop-shot rig for finesse presentations--using a spinning rod and 7-pound-test fluorocarbon, he proceeded to snatch a 4-pounder out from under a gnarly old dock where it looked like 65-pound-test braid would have been overmatched.
He said the spawn is likely to continue for several more weeks, and anglers who prowl the protected coves and keep a sharp eye out while wearing glare-reducing polarized glasses can readily spot the active nests.
"A bed with fish on it here is usually about 2 to 3 feet across and surrounded by white or yellow sand, with some exposed shell or gravel in the middle," says Swindle. "Even if you don't see fish on a spot like that, pull back and watch it and a lot of times they'll swim back in after a few minutes and you can catch them."
The Alabama Bass Trail includes not only Guntersville but 10 other great Alabama lakes. For complete details, visit www.alabamabasstrail.org. For details on the upcoming Classic, visit www.bassmaster.com.


text:
All in all, it was a pretty good season for the position prospects in the Cubs organization. 8 of the top 9 had on-base percentages over .340 (Brett Jackson is the lone exception at .338), Javier Baez became one of the Top 25 prospects in all of baseball, Matt Szczur completely changed his approach, and Dan Vogelbach showed that he's more than just power and his #4 pre-season ranking might not have been too aggressive after all.
It looks like the 2013 Cubs could have as many as four of these players in the opening day starting lineup; those being Anthony Rizzo, Welington Castillo, Brett Jackson, and Josh Vitters. Jackson and Vitters are still pretty big question marks, in my opinion, but both Rizzo and Castillo look like they could be everyday contributors for a long time.
We've gotten a taste of Brett Jackson's game. Strikeouts, walks, occasional hit. It's the last part that will determine his future. I think if he can hit .220-.230, he'll be a productive player. I'm just not sure he can hit .220.
The most important success story to the 2012 Cubs has to be Anthony Rizzo. His numbers in the big leagues are coming down and fans might be expecting a bit much from him because of his hot start, but I think the Cubs found their 1B of the future. I'm not sure he has any All Star years in him, but I think he'll be a solid producer for the next 5 or 6 season.
Javier Baez killed the ball in Peoria, but struggled against more advanced pitchers in Daytona. He'll be in most Top 25 lists in the 2013 rankings. His defense received good reviews and while the thinking is still that he'll end up moving to 3B, there is a better chance to stick at shortstop than we thought in April. He has an aggressive approach, which is my one worry about him.
Dan Vogelbach is a full two levels behind Baez, so while his numbers were more impressive, the competition was not. I like the fact that he didn't strike out too much, and was able to walk an above average amount of walks. Shows he's got a good approach. He's going to need to keep hitting at every level before he's given much respect as a prospect, but I like what I see so far.
The biggest surprise to me was the year Matt Szczur had in High A Daytona. Yes, he was a bit old for the league, but the increase in walks was nice to see. I still think he's a fourth outfielder, but he's got an interesting skill set and a much higher ceiling than a Dave Sappelt (another guy I see as a fourth outfielder) because of his tools.
The most underrated player on this list is Welington Castillo. It's not common to find a capable everyday catcher and I think the Cubs have one here. He has a good arm, he takes walks, he can hit some home runs.
A couple more surprises, Josh Vitters and Junior Lake. Neither player will give you much on defense, so the bats will have to hit for them to be productive. Neither player walks much, they swing a lot, and have pretty high ceilings, but the chances either of these guys reaching that ceiling is slim due to their approach. A year ago I wasn't sure if either of these players would ever be a major leaguer, now, I'm thinking they are both at least utility players.
Although it was a step back from 2011, Jeimer Candelario's season was pretty good for an 18 year old kid and will likely rise a little on next years list.
Marco Hernandez is probably the biggest disappointment on the season. The Cubs were aggressive with him by starting him in Peoria, but it didn't work out.
Reggie Golden had a wasted year and will likely be back in Peoria (Kane County?) next year.
Ronald Torreyes started slow but turned it on in the second half, putting up an .811 OPS as one of the youngest players in the league….a personal favorite of mine.
Finally, Jedi's favorite, Dave Sappelt. After two excellent seasons, he put up his worst in 2012. There was a dip in power, walk rate, and strikeout rate. His career will likely be a constant battle of trying to hang on to a reserve outfielder spot.


text:
UNESCO and NOKIA hold workshop on mobile technologies for teachers
Mobile technologies have great potential to helping teachers, both in and out of the classroom. They can provide access to useful curricular materials, strengthen collaboration between educators and encourage exchanges about pedagogical approaches
UNESCO and Nokia are preparing to launch four pilot projects to explore how mobile technologies can be used to support teachers in Mexico, Nigeria, Pakistan and Senegal.
To finalize the project action plans, the Organization is organizing a workshop, "Mobile Technologies and Teacher Development", in partnership with Nokia at its Paris headquarters on 29 and 30 March. Representatives from the four target countries will participate, along with international experts in mobile learning.
The workshop aims to ensure that the projects address the needs of teachers and advance Education for All goals in each country; to plan the main activities for each project and discuss implementation; to share mobile resources and applications that can help meet project goals; foresee the development of new resources and discuss evaluation methods.
<- Back to: Education


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Deputy Premier Merlino is the Member for Monbulk and was elected to Parliament in 2002. He was the Minister for Sport, Recreation and Youth Affairs from December 2006-December 2010, Minister Assisting the Premier on Multicultural Affairs from August 2007-December 2010 and Minister for Police and Minister for Corrections from October-December 2010.
Minister Herbert has been heavily involved in education and training for nearly 30 years.
He qualified as a teacher in 1977 and taught at secondary schools including technical schools in the northern suburbs. Steve's interest in politics, both Australian and international, led to him serving in a number of advisory roles to Victorian and Commonwealth Parliamentarians, including as Chief of Staff to the late Lynne Kosky, Minister for Education from 1999-2002.
Steve was first elected to the seat of Eltham in 2002 and shortly after was appointed Chair of the Parliamentary Education and Training Committee. He became the Parliamentary Secretary for Environment in December 2006 after the re-election of the Bracks Government. In August 2007, Minister Herbert was appointed Parliamentary Secretary for Education and served in that role until the election in 2010.
During his time in Opposition, Steve was Opposition Spokesman for Higher Education, Training and Skills. In 2014, he stood for the seat of Northern Victoria and was successfully elected on 28 November.
His extensive knowledge and understanding of the vocational education and training system led to Steve's appointment to the position of Minister for Training and Skills following the election of the Andrews Government in November 2014.
Steve is committed to building a stable and secure training system which supports all Victorian's to gain the skills required by industry to gain meaningful employment or up skill throughout their lives.
Minister Mikakos is also the Minister for Youth Affairs, and was elected to the Victorian Parliament in 1999 as the Member for Jika Jika province. Following reforms to Legislative Council, she was elected as Member for Northern Metropolitan Region. Ms Mikakos was previously Parliamentary Secretary for Justice from December 2002-August 2007 and Parliamentary Secretary for Planning from August 2007-December 2010.


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The 2013 Australian Open Chess Championships took place from 2-13 January at the Norths Chess Club in Cammeray.
The competition was an 11-round Swiss with over 100 players taking part and the winner was 15-year old Bobby Cheng (pictured).
Bobby is the youngest ever player to win the Australian Open title!
The former under-12 World Champion scored a tremendous 9½/11, beating GM Igor Khenkin (2659 Elo) along the way.
The time control was 90 minutes for 40 moves, followed by 30 minutes for remaining moves, with an increment of 30 seconds per move from the start.
The top finishers
More information is available at the official website.
Is there any news on possible norms that he achieved during this event?
Wow, I'm thirteen and would love to be that good in two years...not happening though.
Actually, I was wrong anyway . I've corrected it now. I was kind of hoping that the comments would be more about the excellent result for Bobby Cheng...
Pyrta you're wrong, the increment is added after 30 moves.
So, why didnt you say "11 moves in 90 min with a 30 sec increment"? It would be the same. After 11 moves are completed you have whatever time have left plus 30 sec increment. There must be some additional time after 30 moves.
Aha, I understand now. So no increment till 30. OK.
@ MSC157 - that's it. After 30 moves are completed you have whatever time you have left plus 30 seconds increment per move
I don't understand this:
"The time control was 30 moves in 90 minutes with a 30 second increment."
And then?
di DanielRensch - 30 ore fa
di PeterDoggers - 37 ore fa
di RLH2 - 2 giorni fa
di PeterDoggers - 2 giorni fa
di PeterDoggers - 4 giorni fa
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Ever fumble it up with a beautiful girl? You set one eye on her and instantly were dumbstruck, or thunderstruck – or hey, you gave it a shot and just plain struck out? It's unbelievably common. Most men are unsure how to act around a girl they consider to be really, really valuable.
Right off the bat, there are two problems there: the first is that the guy is unsure how to act. If you've been reading our articles here, you should have a good idea of how to act, for sure; but we'll do a quick refresher here for convenience's sake.
The second problem is less obvious: that the man considers a woman really, really valuable just from looking at her. He laid eyes on her and said, "Wow, she's gorgeous; I want her more than anything right now." So what's happened? What's happened is, he has no idea if she's a cool person. He has no idea if she's fun to hang out with. He has no idea if she has interesting conversation. He has no idea if he has anything to learn by spending time with her.
He only wants her for her looks.
Imagine it from her perspective. Let's say you're a multimillionaire, and EVERYONE knows it. Once you get over the initial fun phase of enjoying your new windfall and the attention it brings you, you begin losing trust in people. So many men and women around you only want to be close to you because they know you have money – they only care about what they can GET from you. They don't actually care about you at all. All they see is the benefit to themselves from being around you. So they chase after you, blindly pursuing the guy with a big bank account because they're hypnotized by the idea of how happy they'll be once they can bask in the pleasure and protection of your wealth. After all, money cures all, right? That's what they think, anyway.
And that's how it is for beautiful women. They're hounded by men who know nothing about them and care nothing about them, who only want to be around them because they have a pretty face or a killer body. They're hounded by women who want to be around them for the halo effect, hoping the perfect ten girl's attention and Red Sea-parting ways will rub off on them, or who view them as dangerous competition and try to undermine them at every turn. Despite outward appearances, the world is often a very lonely place for the most beautiful women.
If you're like most guys, you naturally are most attracted to the most attractive women. Something you may want to keep in mind, just to keep everything in perspective: a handful of recent studies have found that the more beautiful someone is considered, the more AVERAGE (mathematically speaking) her face actually is. That is to say, if you took photographs of a thousand random women off the street and averaged them all out, the final photograph you'd be left with is a very beautiful woman. So what your brain really is looking for is not the most exceptional – it's actually looking for the closest to its idea of what a prototypical woman looks like. Boston University has a related study right here.
What's the point? The point is to get you to see beauty in slightly more realistic terms. It's not some mythological, mystical, inexplicable force in the universe. Pretty girls are just girls with the most normal-looking faces. And great bodies are a combination of a good hip-to-waist ratio and general overall shape (working out regularly, being firm and toned).
So how's that going to help you make a perfect ten your girl? Well, now that we've disarmed beauty as anything strange or wonderful or majestic, let's take it down a notch in your head. Here's what I want you to do:
First, if you rate girls according to looks, stop. No more "perfect tens". When you rate anything on a scale, you naturally tell yourself that some are better than others, and you place yourself on that scale too. If a ten is "perfect", you've just placed an unreasonable amount of pressure on yourself to succeed with this perfect girl. Still possible to do good with her? It certainly is. Are you handicapping your ability to do good with her by placing her on a pedestal? You certainly are. No more looks scales. Or, if you must use a scale, use the 1 to 3 scale: ones are girls you're totally uninterested in, twos are girls you'd do stuff with if it's easy to get or convenient, and threes are girls you'll work hard to get.
Next, start policing your thoughts and language. May sound silly, but this is where your opinions are formed. Every time you catch yourself seeing a girl and going, "Whoa!" or "Oh my god, she's so hot!" stop yourself. Develop a cultured, mature appreciation for beauty that doesn't rely on being surprised, amazed, or overwhelmed by it, and you'll have a healthy and enabling way of viewing attractive women.
Finally, talk to everyone. Be a social person in general, and be flirtatious with all kinds of women: older women, unattractive women, you name it. No need to go out on a limb or lead them on, but just being generally sexy and cool are what you want to do. Picture any ladies man you can think of; now ask yourself if he treats ordinary women any different from attractive women. He doesn't, does he? He might pursue an attractive woman much more aggressively, sure; but he is still fun and likeable and flirtatious with ordinary women too. That's almost one of the most glaring differences between a man who does well with women and one who doesn't: the man who continually runs into problems is dismissive of less attractive women. He doesn't treat them well, and it bleeds into his interactions with beautiful women too, to his detriment. Treat all women well and you'll receive a much warmer welcome from the most beautiful women.
That's general advice. Now how about some specific advice? Here are a few tactical / technical tips to get you started on getting perfect ten girls (and all very beautiful girls in general):
Be warm. Many guys try to be cold and aloof around very beautiful women because those women often come off (at least at first) as cold and aloof. I know the saying, "Fight fire with fire," but this isn't a competition. Meeting a new girl is an outreach program – you want to get to know her, and help her get to know you. Being a warm, genuine, sincere guy makes you come off as more trustworthy and likely to be an ok person than all the people who walk up to her every day trying to be too cool for school.
Be challenging. Just because you're a genuine guy doesn't mean you ease up on challenging. You should challenge her just as much, in a very friendly way. This is key for all challenging, and I never hear about it: women will respond far more positively to your challenges if you address them in a non-confrontational way. Screen her (find out if she has the qualities you look for in a girl – i.e., "Are you an artistic person? What kind of art do you do?" or "Have you traveled, or would you like to? Where have you been that you loved most? / Where would you most like to visit?"), qualify her (sincerely compliment her on things she says or does that you genuinely like), make small compliance demands of her (tell her to look at an item you have on and tell her a small story about it, or take her hand and tell her you're moving to a quieter part of the bar or you're heading over to the coffee shop next door). One thing to be aware of is that just because she's very beautiful doesn't necessarily mean you need to challenge her more than an ordinary-looking girl. Oftentimes men go overboard trying to prove how choosy they are and make outrageous demands on women that blow the poor girls out. Adapt how you are with her to how she is with you.
Be well-dressed and well-groomed. A man doesn't need to look like a million bucks, but he does absolutely need to stand out, look different, and be unique. Find some items that are a little different – a cool coat, a good pair of fashionable boots, an interesting necklace or bracelet or some other piece of jewelry. Hit up some outlet stores and look for bargains on designer clothes. Go shopping with a girlfriend who has great taste in men's clothes, or a male friend who dresses well in a style you like. Make sure clothes fit you well (hug your body tight); even if you have a gut, tight-fitting clothes make you look more attractive than oversized, baggy clothes (which kind of make a man look like a big kid – not a woman's ideal image of sexy and desirable!). Go to a top salon and ask for a sexy, fashionable haircut and have them explain to you how to style it properly on your own. This is big for attractive women. Just from a practical standpoint, it's tough for her to see herself with a man who doesn't dress well or groom himself properly – he won't fit in with her life or her friends. So address your dress as soon as you can.
Handle posture, eye-contact, and tonality. Can never hammer this one home enough, but SO important. Back straight, chest out, chin parallel to the ground. Train your voice to be LOUD but not too harsh. Practice holding eye contact with other people if you normally avert your eyes too quickly. Look at the space between their eyes for piercing, "right-through-you" eye contact. Walk like a male model going down the runway. Think it's silly? Ask yourself what's sexier, the woman swaying her hips as she walks down the street, or the woman who's walking straight and un-feminine. Uh-huh, thought so. Want women to think you're sexy? Learn how to hold yourself by watching men they find sexy.
Know where you're going. Why are you talking to her? Is it because you really want to find out what she does for a living? Of course not. What you're really after is you'd like to get a date with her. Or you'd like to have her come sit and talk with you for a while. Or you'd like to take her home with you. All valid things to want, but you have to KNOW that you want what you want. Otherwise, conversation can turn directionless fast and you'll find yourself hanging in space. Beautiful women will lose interest faster, on average, with men who fail to lead from the outset. You should be leading from almost the beginning – getting her to do stuff or comply with you or give you more of her attention. 99.5% of the time, girls will not lead the interaction. They're responding to YOU and waiting for YOU to lead. So know where you're going, and take them there.
Let her see other women like you. This one is often very big with the most beautiful of women. When they see other women talking to you, smiling, touching you, leaning in, etc., they instantly feel relieved. They know that, at the minimum, you're a guy who will be easy to talk to and other women feel comfortable around. If there is a cute girl near the beautiful girl you want to meet, and you meet her first and she responds well to you, very often when you start talking to that perfect ten girl she'll receive you more warmly than had she not seen you talking to anyone prior. A similar effect appears (though a little less strong) if she sees you engaged in deep conversation with a very cool-looking guy – so it's important to have cool guy friends!
Be comfortable. This one can come from experience, or just from having enough exposure on a certain outing – once you've gone out and talked to a fair amount of women in a given day / night, you'll generally be more laid back and casual about it. The first girl of the day is always the hardest to meet. Most men are tense when they meet beautiful women, so if you can get to the point where you are COMFORTABLE around them, you stand out like a sore thumb (in a good way). The more beautiful the girl, the more a relaxed, comfortable guy is attractive to her. Why? Because she's so used to guys placing pressure on themselves to not mess up with her that it's nice to meet a guy who can just treat her like a normal human being – and not like some kind of big test.
There are tons more things to do and be conscious of, of course, but these are the some of the MOST important points. To get perfect ten girls, you need to act and look like a perfect ten guy. Which isn't close to as impossible as it sounds. What it really means is take care of yourself, mind your appearance, avoid getting freaked out / overexcited by beauty, and treat beautiful women like you do all other women, except with a grain more assertiveness, desire, and determination. Follow these steps, and you'll get gorgeous girls coming into your life.
Chase Amante
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Eyes deceiving from the distance
Aye Chase! So on talking to any girl. How far would you go on being flirtatious, fun, and likeable. Theres been times, when I've seen a girl from far away. When I got closer and approached them. That weren't as attractive as I thought; and I just happen to carry the conversation too far.
Lau'Ren'Tay Walker
Was this a good play or did I strike out?
Hey Chase, I had an interesting experience at Wrigley Field yesterday. I showed up buzzed off half-priced martinis with three of my friends. We sit down, and I find myself sitting right next to a beautiful blonde college student. We begin talking and flirting a bit. She is there with her friends and it is obvious some guys further down the row seemed to be interested in the girls as well. I start talking to this girl, let's call her Nicole (not her real name). We exchange information about where we are from and grew up, school, work, etc etc. She seems like a genuinely interesting person. Anyway, the topic of drinking comes up and she tells me she is a "beer girl" or a girl who generally prefers beer over other kinds of booze. She finishes the beer she has and I offer to buy her another beer since I still needed my first. She said "sounds like a good plan".
One of my friends who came with me to the game pulls me aside and claims I made a huge mistake offering to buy her a beer at the game because she was simply "using" me, and any other guy sitting next to her would have done what I did. I looked at it as a good gesture of kindness and to show interest. Despite his criticism I still had a great conversation with Nicole and we had some good laughs. We had things in common. I mentioned where we were going after the game and I got her number. She asked me to text her where we were going to because we were leaving the game before it ended (the Cubs are terrible). As I left Wrigley, I texted her the name of the bar and also that I had a nice time meeting her and hoped to see her later. She said "lol ok". She did not text me back after that, nor did I text her again. I figure she is not interested or maybe she was but since she was with her friends they had other plans. Whatever it may be, I have two questions:
1. Do I call her and see if maybe she wants to hang out?
2. Was I right in buying her a beer at the game even though we had just met?
I hope to hear from you soon,
Law School
Hey Chase,
I'm in law school and I am dying to make a move on this insanely beautiful (and smart) girl in my class. We sit next to each other in a class and I brought her in on my study group so we've been hanging quite a bit, but I don't know what my next move is. I know she thinks I'm a cool guy but I'm still not sure how to breach that friend zone. I know that if I have any shot at all I'm in pretty good position but I obviously don't want to make it weird if she isn't down. Any advice?
Barney Stinson doesn't follow
Barney Stinson doesn't follow this rules and he's had over 200 women. And probably HIV too.
hello i need help pleeze
im a very hot guy and everyone are telling me this,but i just dont know how to approach a woman,i dont have self confidence,how do i improve my inner game.
Hey so there is this girl at
Hey so there is this girl at my school and she is amazingly beautiful, We havent talked at all and we dont have many friends in common. What should I do?
I'm a stud, and I hookup with
I'm a stud, and I hookup with girls, but I can't seem to build a relationship, like girls wanna bang but not date? WTF
Seriously, dude? Are you
Seriously, dude? Are you kidding me or is this real?
OK...assuming this is real and not a troll, I'll try to help you out since no one replied, although you asked this question a year ago.
First, you call yourself a "stud" and say that you "hook up" with girls but can't seem to build a relationship. This is part of the problem. Maybe the girls you meet can sense that you're a player and they don't want to be used, hence the reason they "wanna bang" but not date you or have a relationship with you. They don't want to be hurt or have their hearts broken.
The law of attraction definitely applies in this situation...what you put out, is what you will receive in return. If you want a relationship beyond sex, change has to come from within. I am a woman in her early 30's. Not sure how old you are, but trust me...if you want a quality girl, you have to be a quality guy.
When I say "quality", I'm not talking about looks or money or even power. I'm talking about maturity. It's great to have plenty of sex and random hook-ups, but you admit to wanting something deeper, an emotional connection. And this shows that there is hope for you...if you are willing to change your lifestyle and focus on becoming the man you want to be.
Try getting to know a girl for who she is, her interests, hobbies, etc. Share some of your own interests with her so she can get to know you better. Just be cool and try not to expect too much...if a relationship is meant to happen, it will happen. Enjoy each other's company.
Finally, most women don't want a "stud". Bad boys are fun for short-term flings and relationships but they don't always stand the test of time. Yes, some might consider them to be "alpha males" but as women mature, we tend to want guys that offer stability and loyalty...not somebody who is with a different girl all the time.
Further from the truth.
The real problem is that today's women mature later than their ancestors from the 1940s,50s,and perhaps even 60s did. Today, female enrollment in colleges is often higher than male. And many women are actually looking for flings and sex, they _don't_ want to commit to a guy. This makes it harder for the men these days. Of course, there are always the assholes who go for women just for sex, and for women who don't want any kind of commitment, it's the best thing for them since sliced bread with nutella on top.
Your article simply makes sense. Thanks Chase, it was a great read - and super enlightening. :D
Getting Models
Hi Chase. I feel like you could probably write a whole article on just this subject, But what would you say is the difference between a perfect 10 and a model as far as picking up goes?
I am a model (I get work but i'm broke) and I live in Santiago Chile. The way it works down here a lot of the gigs you have to go to castings, where these models are.. But these woman are not lonely I can assure you, most of them live in modeling housing with 5-10 other models. Most of them are too stuck up for me to bother, but every now and then I find some that I really like. And generally I get their numbers. I have yet to get a date with these woman though, mainly because I don't know WTF to do with them. All I see on thier facebook pages is high class weekend get aways, dinner parties, modeling shoots. And while my reputation is growing, I'm new here and i don't have much money, or connections. Which puts me at a distinct disadvantage.... I THINK. and of course a lot of them date other models. I feel like i'm doing everything you've listed here... Shit i'm texting one of them right now. But i just don't know how I should approach going out with them. I know I shouldn't worship the ground they walk on, but i feel like they have different expectations than your average girl. Normally my looks and personality are enough to get me where I want to be, but I just came out of a year and half relationship, so i'm a little rusty. However, money is just out of my hands at the moment.... I guess i'm asking if I should even bother?
Thanks brother,
Perfect 10
For me its impossible. Its 9. Its great enough. Just saying that No such thing as perfect.


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NEW PROVIDENCE — There have been fundraisers of all sorts for 4-year-old Brooke Healey since she was diagnosed in January with diffuse intrinsic pontine glioma, an inoperable brain tumor.
At 8 p.m. on Monday, Aug. 5, there will be a candlelight vigil for Brooke at Our Lady of Peace soccer field, which is located between the tennis courts, pool and the parking lot of Our Lady of Peace Church, 99 South St., New Providence.
Brook's parents, Stefani Elefante Healey and Steve Healey, grew up in New Providence, are graduates of New Providence High School and still live here today.
The vigil is being organized by Maria Mazzone, a childhood friend of Michelle, Stefani's younger sister. She said she got the idea after reading a post by Stefani on their website for Brooke about the family's encounter with Brother Paul, who visited them and prayed for healing for Brooke on a couple of occasions.
Mazzone said she read the journal entry and was inspired to hold the vigil for Brooke and the family.
People are asked to bring a candle and/or flashlight. Those who can't attend are asked to show their support for Brooke and her family by placing a candle in a window or on a doorstep.
Father Bill will lead the group in prayer at the event, which is expected to last from 8 to 8:45 p.m.
The rain date is Monday, Aug. 12.
More Union County news: NJ.com/Union • Twitter


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Extremely Skilled at Fillers! - Sterlin Height, MI
A year ago I had fat transfer to the face during my facelift and it didn't last past a month. I've had fillers from a number of physicians since then and either the fillers didn't last or the physician did not administer them to my satisfaction. Dr. Berkowitz was amazing! The artefill should... READ MORE


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Note: This story has been corrected to say the defendant is facing a misdemeanor charge, not a felony.
LANSING, MI - Police were justified in arresting a Grand Rapids-area man who did not have his medical marijuana card with him, but he cannot be prosecuted criminally unless there is proof that he violated the law in some other way, the Michigan Court of Appeals has ruled.
The 3-0 opinion released Wednesday - another in a line of appellate decisions interpreting the state's 2008 medical marijuana law - involves James Nicholson.
He was a passenger in a vehicle parked near the Grandville Water Treatment Plant in May 2011 when a police officer walked up.
Nicholson, who had 1 ounce of marijuana in a baggy near his groin, told the officer that he had been approved to use the drug medically, but did not have paperwork with him. He said it was in his own car at his residence.
Nicholson was arrested and charged with marijuana possession, a misdemeanor that carries up to a year in prison.
State law says patients who "possess" a registry ID card cannot be arrested.
The appeals court said because Nicholson did not have the equivalent of an ID card in a "reasonably accessible" location, he could be arrested.
He produced a card in an Ottawa County district court, however, barring him from facing criminal charges, the court ruled. The only way Nicholson can be prosecuted, the court said, is if there is evidence that his marijuana possession violated the medical marijuana statute in some other way.
The court sent the case back to a lower court to consider that issue.
Judges Joel Hoekstra, William Whitbeck and David Sawyer wrote the opinion.
Email David Eggert at email@example.com and follow him on Twitter @DavidEggert


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The World Chess Candidates Tournament to be Held in London
PRESS RELEASE: London, January 15, 2013 – FIDE and AGON – the World Chess Federation's commercial partner – are pleased to announce the players, dates and venue of the 2013 Candidates Tournament. The London Candidates will be the strongest tournament of its kind in history. The Prize Fund to be shared by the players totals €510,000.
The winner of the Candidates will become the Challenger to Viswanathan Anand who has reigned as World Champion since 2007.
Dates: March 14, 2013 - April 1, 2013.
Format: The Candidates is a double round-robin tournament with four rest days.
Venue: The IET at 2 Savoy PlaceAddress: 2 Savoy Place, London WC2R 0BLFor further information: www.worldchess.com/candidates/london (now http://worldchess.com/candidates/tickets.html)Tickets will be available on the website and at the venue.
For further information: www.worldchess.com/candidates/players (now amended to http://london2013.fide.com/en/players)World Chess Web Site: www.worldchess.comFIDE Web Site: www.fide.com
Kirsan Ilyumzhinov, the president of FIDE, said: "FIDE is happy that this major tournament will take place in London and that UK chess fans will be able to see the greatest chess players live. We support AGON's efforts to bring important chess events to the great cities of Europe."
Andrew Paulson, the founder of AGON, said: "I am pleased to confirm that the 2013 Candidates Tournament will take place in a great venue on the banks of the River Thames and be broadcast online to a global audience."
@ geographybuff - dammit, I'll have to think of something else now!
Seeing Ivanchuk there is very nice. Finally having a cycle without Topalov is also a huge relief. I hope he and his evil manager slowly but surely fade away from the chess world.
It's going to be a great competition with elites like Kramnik, Aronian, Carlsen, and a heavy weight like Gelfand who can reach the highest level on his best. Can't wait!
Caruana and Karjakin should really be there...
The last day is on April 1. I am sure that the news will report something like that Magnus Carlsen had to forfeit all his games on cheating accusations.
@ lifesnotfair:
Anand Vs Carlsen.
It would be one of the best fields but that Kasparov is not playing. He not Topalov should have had a rematch.
I look forward to this tournament. My money is on Carlsen, my hope is on Kramnik, and my dream is on Radjabov!
Finally at least no Topalov
The average Jan rating of players in this tournament is 2784.3....which is makes it strongest tournament ever may be......
No Caruana? No Nakamura? How is this field determined?
i believe just in Kramnik and Radjabov
One of the best fields you could think of.
Ivanchuk is taking part, at least !
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Results tagged ' Kyle Drabek '
Os/Jays lineups and pregame tidbits
*Touted prospect Kyle Drabek will make his Major League debut tonight as the Orioles go for the sweep…
*Brian Roberts is back in the lineup after taking a day to rest his right knee, which was struck by a pitch in his eighth inning at-bat on Monday night. Luke Scott is at first so just manager Buck Showalter can get another look at him there, and have Corey Patterson in the lineup.
*Jake Arrieta will throw a bullpen on Saturday and depending on how that goes, could make his next start in Boston. The original thought was he would be shut down after last night's start, but the Orioles want him to pitch in Fenway Park, since he has yet to do that. Actually, technically he has pitched at Fenway, facing Pawtucket while with Triple-A Norfolk. But, you get the gist.
*Brian Matusz felt good playing some long toss with Jeremy Guthrie today and said he's on track to make his next start, which would be Monday at Boston. Matusz took yesterday off after leaving Monday's start with a left triceps contusion.
*Julio Lugo, who is suffering from sinus isuses and headaches, will see an ENT on Friday afternoon and won't be available for the week. Lugo and the Orioles hope to know more after that appointment.
Brian Roberts 2B
Nick Markakis RF
Ty Wigginton 3B
Luke Scott 1B
Felix Pie LF
Adam Jones CF
Matt WIeters C
Corey Patterson DH
Cesar Izturis SS
Brad Bergesen RHP
DeWayne Wise RF
Yunel Escobar SS
Jose Bautista 3B
Vernon Wells CF
Lyle Overbay 1B
Aaron Hill 2B
Adam Lind DH
John Buck C
Travis Snider LF
RHP Kyle Drabek
On the farm: Britton outduels Drabek
Double-A Bowie's Zach Britton allowed just one run – a homer – off five hits over six innings in Friday's 5-1 win over New Hampshire. Britton outshined mound counterpart and highly touted right-hander Kyle Drabek, who currently leads the Eastern League with 48 strikeouts.
Britton improved to 3-3 on the year, lowering his ERA to 3.88 in the process.
One of the Orioles top pitching prospects, Britton has made improving his changeup a focal point of this season. The lefty has said previously that using the pitch with more frequency, and inducing a higher rate of ground balls on his sinker are two components that will be key in having success at the higher levels.
"My changeup has come a long way," Britton said in a press release. "Me and [pitching coach Pitching Coach Kennie Steenstra], we try to break it down like with my slider, when I had it in Delmarva, it was one of those pitchers where I'd throw a good one and I couldn't repeat throwing it for a strike. Now, I can throw it for a strike pretty much when I want to. So, the changeup's starting to get to that place where I'm throwing it for strikes, but I'm not repeating it every time I throw it."
"Once I mix in those three pitches, I think I'm gonna be fine. The ERA is a little bit higher than where I want it to be, but I think I'm throwing the ball pretty well."
The Baysox lit up Drabek for a season-high 10 hits, holding him to just three strikeouts, which was his lowest total since April 9.


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COLUMBUS, Ohio -- The Detroit Red Wings' injury situation continues to get worse just two games into the season.
Oft-injured defenseman Carlo Colaiacovo hurt his shoulder early in the third period of Monday's 4-3 shootout win over the Columbus Blue Jackets ay Nationwide Arena and is out for an undetermined amount of time.
"Losing Colo isn't good news for us, but it's all part of the process,'' coach Mike Babcock said.
Asked if it appears Colaiacovo will be out for weeks, Babcock said, "Yeah, it doesn't look like it's any time soon.''
General manager Ken Holland said Colaiacovo will see a doctor in the morning to determine the extent of the injury.
The Red Wings already are missing defensemen Jonathan Ericsson (shoulder) and Jakub Kindl (groin). Babcock said he didn't know if Ericsson would be able to play in Tuesday's home opener against Dallas. Kindl is slated to return Friday at home vs. Minnesota.
The Red Wings got a solid performance Tuesday out of Brian Lashoff, who was recalled from the Grand Rapids Griffins. Lashoff will remain in the lineup through at least Tuesday's game.


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Midnight release parties for the fifth and final installment of the Twilight Saga on DVD and Blu-ray are now officially on the way.
The Twilight Saga: Breaking Dawn - Part 2's home entertainment release will indeed follow in the tradition of its predecessors and by being ushered into marketplaces with midnight festivities.
The Official Breaking Dawn - Part 2 website has been updated with a midn…
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