TV drama captures public angst at “Made in Japan” decline

TOKYO (Reuters) – A Japanese electronics firm near bankruptcy, a ruthless Chinese rival and a laid-off engineer feature in a popular TV drama that is hitting a public nerve in a nation fretting over the decline of a once-admired manufacturing model.

A weaker yen due to Prime Minister Shinzo Abe‘s expansionary economic policies has lightened some of the gloom for exporters, but NHK public TV’s “Made in Japan” serial reflects a deep angst about an ailing manufacturing sector that was once key to Japan’s success and a source of national pride.

The 3-part drama, which ends on Saturday, covers a secret “restructuring” team’s race against a 3-month deadline to come up with a survival plan for “Takumi Electric” – the name means “artisan” in Japanese – before the bank pulls the plug.

Standing in their way are a Japanese engineer who goes to work in China after being laid off when his lithium-ion battery project was frozen – possibly taking proprietary technology with him – a clueless corporate president given his job by his founder father and a reporter desperate for a scoop.

All of which resonates for many Japanese as they watch once iconic electronics firms – Sony, Panasonic and Sharp come to mind – lose global share to South Korean and Chinese rivals, and wonder what will replace lost manufacturing jobs and drive future economic growth.

“During the period of rapid economic growth after World War Two and even after the bursting of the (1980s) asset bubble, manufacturing … was a source of economic strength,” said Hisao Inoue, a freelance journalist who advised NHK on its script.

“‘Monozukuri’ (‘the making of things’) was a source of pride for Japan,” he told Reuters. “But that has changed and Japan has lost self-confidence.”

BUSINESS BUZZ

The show has won more than respectable Saturday evening ratings of over 10 percent, and created a buzz among business executives and bankers, with some wondering if it cuts too close to the bone with its portrayal of a firm – however fictional – on the edge.

“The performance is a bit melodramatic, but in a sense, it reflects reality,” said one Japanese banker.

The program’s chief producer Ren Takahashi said the story turned out more realistic than imagined when NHK began work on it two years ago. “The economy was bad then, but we didn’t think the electronics industry would be in such trouble,” he told Reuters, adding “Takumi” was a composite of companies symbolizing Japan rather than being based on one firm.

“There’s no easy solution to the problems of ‘Made in Japan’ … but we want to end it in a way that gives hope.”

The day before last week’s second episode, government data showed employment in Japan’s manufacturing sector dropped below 10 million for the first time in half a century.

“Japanese have great anxiety about the huge shift in power in East Asia to China on both the security and economic level,” said Jeffrey Kingston, director of Asian Studies at Temple University’s Japan campus. “The (TV) drama is a window into Japan’s collective anxiety about its apparent economic decline.”

Behind the melodrama, the story raises a deeper question: just what is Japan’s famed “monozukuri” ethos and can it survive global competition and world-wide supply chains?

“Monozukuri” is a complex concept that implies craftsmanship and superb quality but with an undertone of rote learning of skills through repetition – a talent key during the era of mass manufacturing but one critics say is not conducive to the innovation Japan needs now.

“It’s been drilled into people for years and years that this is what got Japan back after World War Two,” said Philip Brasor, a media critic who often writes about Japanese society through the prism of TV.

“Inevitably, it all changed. But they still think they can recapture that.”

(Additional reporting by Emi Emoto; Editing by Ian Geoghegan)

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In Nigeria, Polio Vaccine Workers Are Killed by Gunmen

At least nine polio immunization workers were shot to death in northern Nigeria on Friday by gunmen who attacked two clinics, officials said.

The killings, with eerie echoes of attacks that killed nine female polio workers in Pakistan in December, represented another serious setback for the global effort to eradicate polio.

Most of the victims were women and were shot in the back of the head, local reports said.

A four-day vaccination drive had just ended in Kano State, where the killings took place, and the vaccinators were in a “mop-up” phase, looking for children who had been missed, said Sarah Crowe, a spokeswoman for the United Nations Children’s Fund, one of the agencies running the eradication campaign.

Dr. Mohammad Ali Pate, Nigeria’s minister of state for health, said in a telephone interview that it was not entirely clear whether the gunmen were specifically targeting polio workers or just attacking the health centers where vaccinators happened to be gathering early in the morning. “Health workers are soft targets,” he said.

No one immediately took responsibility, but suspicion fell on Boko Haram, a militant Islamist group that has attacked police stations, government offices and even a religious leader’s convoy.

Polio, which once paralyzed millions of children, is now down to fewer than 1,000 known cases around the world, and is endemic in only three countries: Nigeria, Pakistan and Afghanistan.

Since September — when a new polio operations center was opened in the capital and Nigeria’s president, Goodluck Jonathan, appointed a special adviser for polio — the country had been improving, said Dr. Bruce Aylward, chief of polio eradication for the World Health Organization. There have been no new cases since Dec. 3.

While vaccinators have not previously been killed in the country, there is a long history of Nigerian Muslims shunning the vaccine.

Ten years ago, immunization was suspended for 11 months as local governors waited for local scientists to investigate rumors that it caused AIDS or was a Western plot to sterilize Muslim girls. That hiatus let cases spread across Africa. The Nigerian strain of the virus even reached Saudi Arabia when a Nigerian child living in hills outside Mecca was paralyzed.

Heidi Larson, an anthropologist at the London School of Hygiene and Tropical Medicine who tracks vaccine issues, said the newest killings “are kind of mimicking what’s going on in Pakistan, and I feel it’s very much prompted by that.”

In a roundabout way, the C.I.A. has been blamed for the Pakistan killings. In its effort to track Osama bin Laden, the agency paid a Pakistani doctor to seek entry to Bin Laden’s compound on the pretext of vaccinating the children — presumably to get DNA samples as evidence that it was the right family. That enraged some Taliban factions in Pakistan, which outlawed vaccination in their areas and threatened vaccinators.

Nigerian police officials said the first shootings were of eight workers early in the morning at a clinic in the Tarauni neighborhood of Kano, the state capital; two or three died. A survivor said the two gunmen then set fire to a curtain, locked the doors and left.

“We summoned our courage and broke the door because we realized they wanted to burn us alive,” the survivor said from her bed at Aminu Kano Teaching Hospital.

About an hour later, six men on three-wheeled motorcycles stormed a clinic in the Haye neighborhood, a few miles away. They killed seven women waiting to collect vaccine.

Ten years ago, Dr. Larson said, she joined a door-to-door vaccination drive in northern Nigeria as a Unicef communications officer, “and even then we were trying to calm rumors that the C.I.A. was involved,” she said. The Iraq and Afghanistan wars had convinced poor Muslims in many countries that Americans hated them, and some believed the American-made vaccine was a plot by Western drug companies and intelligence agencies.

Since the vaccine ruse in Pakistan, she said, “Frankly, now, I can’t go to them and say, ‘The C.I.A. isn’t involved.’ ”

Dr. Pate said the attack would not stop the newly reinvigorated eradication drive, adding, “This isn’t going to deter us from getting everyone vaccinated to save the lives of our children.”

Aminu Abubakar contributed reported from Kano, Nigeria.

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Rosenthal: Chevrolet restores style to Impala name

Because a brand embedded in our subconsciousness can find a space in our garage, the Impala endures.

About 16 million Chevys named for an African antelope have hit the road since 1958. And even though the one you recently returned to the airport rental lot bore little resemblance the one whose "giddy-up" the Beach Boys sang of a half-century ago, General Motors is betting the bloodline still can claim hearts.

A revamped 10th-generation 2014 model is now on display at the just-opened 105th Chicago Auto Show as a prelude to its dealership debut in a few weeks, a bid to re-establish its good name.

"It's always been a great brand name," Russ Clark, director of Chevrolet marketing, said alongside one of the made-over Impalas on the Auto Show floor at McCormick Place. "In fact, when we did research on the name, we found Impala is one of the strongest in terms of consideration and favorable opinion of any name in the industry. A lot of that is heritage. A lot of it is the fact that people say, 'I know people who have had them, and everybody loved them.'"

The brand has been ubiquitous for decades, even if you don't remember the Beach Boys immortalizing the vintage growl of a "four-speed dual-quad Posi-Traction 409" or how Robert Blake's 1970s TV tough guy Baretta drove a rusted-out Impala from '66, the era when Chevrolet could move about 1 million Impala sedans and station wagons a year. My own first car was a four-door V-8 '72 Impala, a powerful and roomy hand-me-down whose weather-beaten body — like the brand's identity — clearly had seen better days by the late '70s and early '80s.

More recent Impalas have hardly been the stuff of song, and it's hard to imagine them inspiring nostalgia. They've been too dully utilitarian to be iconic.

Nonetheless, although sales have slowed, it has been the overall best-seller among big sedans. Three-quarters of those sales have been as fleet vehicles for corporate salespeople, government agencies and rental companies. That means the premium has been on space, reliability and keeping costs down rather than the kind of panache and extras that might foster pride of ownership.

The goal of this Impala overhaul in both four- and six-cylinder iterations — drafting on similar nameplate revivals for models such as Ford's Taurus, Dodge's Charger and Chrysler's 300 — is to flip that 75-25 ratio of fleet sales to retail on its head.

"It makes perfectly good sense on General Motors' part to finally put some style back in the Impala," auto industry analyst Art Spinella, president of CNW Research, explained. "If you have a great brand name, to almost toss it off, treat it as an orphan and send it off to the fleet sales department with bland styling and cheap interiors, that's a disgrace. What they've done is kind of salvage themselves with this.

"It's finally dawned on General Motors that you can sell a consumer car to fleets, but you can't sell a fleet car to consumers. You always keep fleet cars (looking) relatively obscure and you keep the price way down, and that's what General Motors had been doing for years to keep the (Impala sales) volume up. Now they're taking another look. I don't think they've necessarily gone far enough, but it's a step in the right direction."

To wander through the vast Auto Show, which runs through Feb. 18, is to be reminded of how deeply many of us connect to vehicles, starting as children playing with toy trucks and cars. There's a teenage rite of passage when car keys and a license expand the world. Certain makes and models mesh with what played on their radios, the places traveled in them, the stage of life they marked.

That emotional bond doesn't form so easily with a mere box with wheels.

"What was it that made us fall in love with cars in the first place?" Henrik Fisker, executive chairman and co-founder of high-end hybrid carmaker Fisker Automotive, asked the crowd at Thursday's Economic Club of Chicago luncheon. "It struck me that most of us, when we really start to get our heart pumping about cars, it's usually not the cars of today. It's usually the cars of the '50s and '60s."

Road salt, slush and rain were my old '72 Impala's kryptonite. In time, its front bench seat reclined like a La-Z-Boy whenever I hit the gas because the floor beneath had rusted through. Whatever my affection for the vehicle, I could see the road we were on — literally and figuratively — both looking ahead and glancing down.

Thirty years after I traded it in for a sporty red Pontiac with seats that reclined only how and when I wanted, I would not have expected my old flame to generate much heat.

Carmakers, like most marketers, know that even when a brand is disconnected from what it once represented, it still can resonate. The new Impala is neither the muscular car of old nor the generic conveyance of late. Yet Impala means something to would-be buyers, and good or bad, it gives them something to measure this latest version against.

"They have equity in the name and you never get rid of a brand that has a good reputation," Spinella said. "Some people will buy it because it's an Impala. Some people won't. But they'll look at it because it's an Impala and they remember the Impala. It's easier to reintroduce a name than to introduce a name nobody knows."

I can still remember driving around with my friends with no particular place to go, a song on the radio about a horse with no name. If there was a tune about a nameless car, I don't recall it.

philrosenthal@tribune.com

Twitter @phil_rosenthal

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Hawks nail Torres, and then drill Coyotes 6-2

GLENDALE, Ariz. — Jamal Mayers punched Raffi Torres in the face, then Patrick Kane punched the rest of the Coyotes in the gut.

It didn't take long for the Blackhawks to get their reprisal on Torres and not much longer to get the last laugh, too, as they drilled the Coyotes 6-2 on Thursday night at Jobing.com Arena.

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In Torres' first appearance against the Hawks since his 21-game suspension for an illegal hit that seriously injured Marian Hossa during the 2012 Stanley Cup playoffs ended, Mayers confronted the Coyotes veteran just 2 minutes, 35 seconds into the game.

Hossa watched from the bench as the two dropped the gloves and threw flurries of punches during the spirited bout. With that out of the way, it was time for Kane & Co. to get to work.

Kane had two goals and an assist — all in the first period — Jonathan Toews, Bryan Bickell and Viktor Stalberg each had a goal and an assist and Dave Bolland also scored as the Hawks remained unbeaten in regulation at 9-0-2.

"I realize what my job is at this point," Mayers said. "It still doesn't excuse what (Torres did) but give (him) credit that he was willing to go."

Said Torres: "(The Hossa incident) is in the past and part of the game but I understand that if I go out there and run around and throw some hits then I'm going to have to answer the bell sometimes. (Thursday night) was a perfect example."

Patrick Sharp added three assists and Ray Emery earned the victory in goal to help the Hawks move to 3-0-2 on their season-long, six-game trip. Martin Hanzal and Torres scored for the Coyotes and Mike Smith, who was yanked in the second period, suffered the loss.

"What Jamal did was great for the team and put that to rest," said Emery, who made 22 saves to up his record to 3-0-0.

"More important was to get the two points and stay focused, not let that whole situation get the best of us. I think we did that."

After the Mayer-Torres showdown, the Hawks exploded with four unanswered goals: one from Stalberg and two from Kane surrounding one from Bolland.

"We had a great start," Hawks coach Joel Quenneville said. "We had real good purpose to our game. … It was a great effort across the board. I was pleased with every aspect of our game, the contribution from each guy."

After Hanzal's goal early in the second, Toews and Bickell put the game out of reach.

Kane has eight goals and 10 assists in 11 games.

"It's always nice scoring goals when you're winning," Kane said. "Hopefully it's something I can continue and we can keep winning games."

ckuc@tribune.com

Twitter @ChrisKuc

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Ex-LA cop, murder suspect sent CNN anchor parcel

LOS ANGELES (AP) — Law enforcement officials are inspecting a package CNN’s Anderson Cooper received from a former Los Angeles police officer who allegedly killed three in a shooting spree.

CNN spokeswoman Shimrit Sheetrit said Thursday that a parcel containing a note, a DVD and a bullet hole-riddled memento were sent by Christopher Dorner and addressed to Cooper’s office.

LAPD Cmdr. Andrew Smith says LAPD robbery-homicide detectives will inspect the package for clues.

The package arrived Feb. 1, days before the first two killings Dorner is accused of.

It contained a note on it that read, in part, “I never lied.”

Dorner was fired from the LAPD in 2008 for making false statements.

A coin typically given out as a souvenir by the police chief was also in the package, and riddled with bullet holes.

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Well: Old Age and Motorcycles Are a Dangerous Mix

If you’re over 40 and planning to hop on a motorcycle, take care. Compared with younger riders, the odds of being seriously injured are high.

That is the message of a new study, published this week in the journal Injury Prevention, which found that older bikers are three times as likely to be severely injured in a crash as younger riders.

The percentage of older bikers on the road is quickly rising, and their involvement in accidents is a growing concern. Nationwide, from 1990 to 2003, the percentage of motorcyclists over age 50 soared from roughly 1 in 10 to about 1 in 4. At the same time, the average age of riders involved in motorcycle crashes has also been climbing. Injury rates among those 65 and older jumped 145 percent from 2000 to 2006 alone.

Because of the increase in motorcycle ridership among older Americans, the researchers, led by Tracy Jackson, a graduate student in the epidemiology department at Brown University, wanted a closer look at their injury patterns. So she and her colleagues combed through a federal database of motorcycle crashes that were serious enough to require emergency medical care. That yielded about 1.5 million incidents involving motorcyclists 20 or older from 2001 to 2008.

The researchers then split them into groups: those in their 20s and 30s, another group between 40 and 59, and those 60 and older.

Over all, the study showed that injury rates for all three groups were on the rise. But the rise was steepest for the oldest riders. Compared with the youngest motorcyclists, those who were 60 and older were two and a half times as likely to end up with serious injuries, and three times as likely to be admitted to a hospital. The riders who were middle age were twice as likely as their younger counterparts to be hospitalized.

For older riders, the consequences of a collision were also especially alarming. Older and middle-aged bikers were more likely to sustain fractures and dislocations, and they had a far greater chance of ending up with injuries to internal organs, including brain damage.

The researchers speculated that it was very likely that a number of factors played a role in older riders’ higher injury rates. For one, declines in vision and reaction time may make older riders more prone to mistakes that end up in collisions. Another theory is that older riders tend to ride bigger bikes, “which may be more likely to roll or turn over,” Ms. Jackson said.

Then there is the greater fragility that comes with age. Older riders may be involved in the same types of accidents as younger riders, Ms. Jackson said, but in some cases, a collision that a 20-year-old would walk away from might send a 65-year-old to the hospital.

“Your bones become more brittle, and you lose muscle mass as you get older,” she said. “It could just be a matter of aging and the body being less durable.”

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New cars at Chicago Auto Show sip gasoline

The 105th Chicago Auto Show, which opens Saturday at McCormick Place, will feature the latest high-tech innovations, screaming muscle cars and drool-worthy exotics.

But the biggest head-turner may be a small black-and-white number affixed to the windows of the impossibly polished vehicles — the estimated miles per gallon. After years of high gas prices, fuel efficiency is becoming as sexy as horsepower for many car buyers, and a priority for manufacturers.

Driven by increased consumer demand and a federal mandate for automakers to dramatically improve fuel efficiency, new cars are averaging an all-time high of 24.5 mpg, up nearly 20 percent since 2008, according to a recent University of Michigan study. Those increases are most evident in a plethora of new high-mileage small cars, a fast-growing segment for the Big Three and beyond. But they are also reflected in everything from sports cars to pickup trucks, many of which are now sipping fuel with noteworthy restraint.

"Fuel economy is the No. 1 consideration for most consumers," said Michelle Krebs, a senior analyst with Edmunds.com. "They still may be buying a pickup truck, but they want the best fuel economy."

The once-beleaguered auto industry was on a roll last year, selling 14.5 million new vehicles in the U.S., a 13.4 percent increase from 2011, according to Autodata Corp. Analysts project sales could top prerecession levels by 2014, on the way back to an all-time high of about 17 million units.

Fuel economy should be breaking records every year from now until 2025, when federal standards will require automakers to average 54.5 mpg for all cars and light trucks. The higher-mileage standards have been in the pipeline since 2009 and were finalized in August. The first major milestone is coming in 2016, when vehicles must average 35.5 mpg.

Automakers are further along the road than it may seem. The federal mileage standards, called Corporate Average Fuel Economy (CAFE), use a more lenient methodology that includes laboratory testing, weighted sales and a variety of adjustments and credits to measure a manufacturer's overall fuel efficiency.

Employing a similar methodology, University of Michigan researchers calculated the industry's unadjusted CAFE number for January at 29.8 mpg, meaning the federally adjusted number would be even higher. Getting to 35.5 mpg by 2016 seems well within reach, according to some experts.

Auto analyst Alan Baum said the number of high-mileage vehicles offered by manufacturers has doubled since 2009. The trend goes beyond hybrids and electrics, with diesel and more fuel-efficient gas engines lifting car lines across the board. Baum wasn't afraid to break down the chicken-and-egg question as to what's behind the industry improvement in mileage.

"Without the standards, it wouldn't have occurred," he said. "But they wouldn't be meeting the standards if there wasn't consumer demand."

Those mileage gains were on display at the auto show preview Thursday.

Ford is introducing a 1.0-liter EcoBoost engine to the U.S. this year in its 2014 Fiesta that is projected to top 40 mpg on the highway and will be "the most fuel efficient, nonhybrid vehicle in North America," according to Liz Elser, a Ford spokeswoman.

The current-model Fiesta is priced about $14,000 and has been doing well, Elser said.

"Buyers in this segment, the No. 1 purchase reason is fuel economy, and it's very important to them," she said. "We want to deliver that to our customers in the best way we can. If we're coming in at 40 right now, we want to be able to improve on that."

At the Chrysler display, full-size 300 sedans advertised 31 mpg in large print across the front windshields. But leading the high-mileage roster for the manufacturer is the 2013 Dodge Dart, which began rolling off the assembly line in Belvidere in May. Built on a Fiat platform, it is the first compact offering for Chrysler in nearly a decade, luring new buyers to showrooms with sticker prices less than $20,000 and fuel economy upward of 41 mpg on the highway.

The company sold more than 7,000 Darts in January, its best month to date, and momentum is building, according to Chrysler spokeswoman Kathy Graham.

"We are pleased with the pace of sales," Graham said. "We're not the top seller in the segment — there are others that have been established in the compact car segment that sell more — but we're making progress each month as more and more people become aware that Dodge has an offering in the compact car segment."

A bright red, all-new 2014 Chevrolet Corvette Stingray looked fast even as it spun slowly on a turntable. The next-generation Corvette — the model has been the quintessential American sports car for 60 years — lives up to its legacy, capable of doing 0 to 60 in less than 4 seconds. But it also delivers surprisingly good gas mileage, getting upward of 28 mpg on the highway, according to a General Motors spokesman.

While the Corvette lags behind the Chevrolet Cruze Eco, which gets 42 mpg on the highway, it nonetheless achieves improved fuel efficiency without sacrificing performance through the use of lighter materials and a number of design innovations. Cruising on the highway, for example, the Corvette shuts down half its eight cylinders, waiting to kick back in on command.

"When it's rolling along on the highway, it will go from 6.2-liter V-8 to a 3.1-liter four-cylinder," said James Bell, head of consumer affairs for GM. "But when you ask for a little more power, completely imperceptibly, the other cylinders come back to life."

Bell said that even Corvette buyers care about mileage, especially if they use it as a commuter vehicle. But he said the improvements in fuel efficiency are a direct result of the more stringent federal standards coming down the road.

"We've got CAFE regulations that need to be met," he said. "While we'd love to sell a ton of these, it has to contribute to that CAFE. We can't have a car like this that gets 10 miles per gallon."

rchannick@tribune.com

Twitter @RobertChannick

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Postal unions angry, customers unfazed about Saturday cut

Chicago Tribune reporter Rob Manker gathers some reactions to the recent news that the U.S. Postal Service plans to drop Saturday delivery of first-class mail by August. (Posted on: Feb. 6, 2013.)

The U.S. Postal Service's plan to end Saturday first-class delivery in August angered unions that stand to lose jobs and faces an uncertain fate in Congress.

But the decision, which the Postal Service says will save $2 billion a year, barely fazed a number of people interviewed at Chicago-area post offices.

"No one really sends letters anymore," said David Braunschweig, 63, who was at the Arlington Heights post office to mail a gift. "Putting away mail (both Saturday and Sunday), it won't kill anyone."

Hammered by competition that includes the Internet, the Postal Service lost nearly $16 billion last year and said doing away with first-class mail on Saturdays is essential to its recovery plan.

"It's an important part of our return to profitability and financial stability," Postmaster General and CEO Patrick Donahoe said at a news conference Wednesday in Washington. "Our financial condition is urgent."

The agency will continue delivering packages and filling post office boxes six days a week, and all offices that already were operating on Saturdays will continue to do so. Package volume is one bright spot for the Postal Service. It's up 14 percent since 2010, which officials attribute to the growth of online commerce.

The end of Saturday delivery would be the biggest change to mail service since the end of twice-daily delivery in the 1950s. Overall mail volume dropped by more than 25 percent from 2006 to 2011, which could explain the shrugs from several Chicago-area postal customers.

"I was accustomed to getting mail on Saturdays, but we will get accustomed to not getting it as well," Rich Klimczak, 74, said outside the Tinley Park post office. "The only thing I would not like to see is (postal workers) losing their jobs."

The move, which would take effect Aug. 5, aims to reduce the postal workforce by at least 20,000 more employees through reassignment and attrition. It would also significantly reduce overtime payments.

Local union officials estimated that 10,000 postal workers will have their workweek reduced because of the move. On Wednesday afternoon, the Chicago branch of the National Association of Letter Carriers called for Donahoe's resignation.

"USPS executives cannot save the Postal Service by tearing it apart," Cliff Guffey, president of the American Postal Workers Union, said in a statement. "These across-the-board cutbacks will weaken the nation's mail system and put it on a path to privatization."

The National Rural Letter Carriers' Association, which has about 1,500 members in the Chicago suburbs, said the elimination of Saturday service puts the Postal Service in a "death spiral."

Although the Postal Service no longer receives taxpayer money, it remains subject to oversight by Congress, which since 1983 has repeatedly passed measures requiring six-day delivery. Donahoe's announcement appeared to be an effort to force action in Congress after comprehensive postal reform legislation stalled last year.

While many members of Congress insist they would have to approve the cutback, Donahoe told reporters that the agency believes it can move forward unilaterally. The current mandate for six-day delivery is part of a government funding measure that expires in late March.

"There's plenty of time in there so if there is some disagreement" with lawmakers, "we can get that resolved," he said.

The divide among lawmakers on the issue does not break cleanly along party lines. Lawmakers who represent rural areas, who tend to be Republicans, generally have opposed service cutbacks. So have those with strong backing from postal labor unions, mostly Democrats.

Last year, the Senate approved a bill that would have allowed the Postal Service to end Saturday delivery after a two-year period to evaluate the potential effects. Similar legislation in the House never came up for a vote.

The Obama administration had included a proposal for five-day mail delivery in its 2013 budget plan. White House officials, however, had said they supported that change only in concert with other reforms. White House spokesman Jay Carney said Wednesday that officials had not yet studied the latest plan.

Sen. Tom Carper, D-Del., the new chairman of the Senate Homeland Security and Governmental Affairs Committee, expressed concern that the Postal Service's unilateral announcement could complicate his plans for overall reform.

However, he added, "It's hard to condemn the postmaster general for moving aggressively to do what he believes he can and must do to keep the lights on."

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Well: Think Like a Doctor: A Confused and Terrified Patient

The Challenge: Can you solve the mystery of a middle-aged man recovering from a serious illness who suddenly becomes frightened and confused?

Every month the Diagnosis column of The New York Times Magazine asks Well readers to sift through a difficult case and solve a diagnostic riddle. Below you will find a summary of a case involving a 55-year-old man well on his way to recovering from a series of illnesses when he suddenly becomes confused and paranoid. I will provide you with the main medical notes, labs and imaging results available to the doctor who made the diagnosis.

The first reader to figure out this case will get a signed copy of my book, “Every Patient Tells a Story,” along with the satisfaction of knowing you solved a case of Sherlockian complexity. Good luck.

The Presenting Problem:

A 55-year-old man who is recovering from a devastating injury in a rehabilitation facility suddenly becomes confused, frightened and paranoid.

The Patient’s Story:

The patient, who was recovering from a terrible injury and was too weak to walk, had been found on the floor of his room at the extended care facility, raving that there were people out to get him. He was taken to the emergency room at the Waterbury Hospital in Connecticut, where he was diagnosed with a urinary tract infection and admitted to the hospital for treatment. Doctors thought his delirium was caused by the infection, but after 24 hours, despite receiving the appropriate antibiotics, the patient remained disoriented and frightened.

A Sister’s Visit:

The man’s sister came to visit him on his second day in the hospital. As she walked into the room she was immediately struck by her brother’s distress.

“Get me out of here!” the man shouted from his hospital bed. “They are coming to get me. I gotta get out of here!”

His blue eyes darted from side to side as if searching for his would-be attackers. His arms and legs shook with fear. He looked terrified.

For the past few months, the man had been in and out of the hospital, but he had been getting better — at least he had been improving the last time his sister saw him, the week before. She hurried into the bustling hallway and found a nurse. “What the hell is going on with my brother?” she demanded.

A Long Series of Illnesses:

Three months earlier, the patient had been admitted to that same hospital with delirium tremens. After years of alcohol abuse, he had suddenly stopped drinking a couple of days before, and his body was wracked by the sudden loss of the chemical he had become addicted to. He’d spent an entire week in the hospital but finally recovered. He was sent home, but he didn’t stay there for long.

The following week, when his sister hadn’t heard from him for a couple of days, she forced her way into his home. There she found him, unconscious, in the basement, at the bottom of his staircase. He had fallen, and it looked as if he may have been there for two, possibly three, days. He was close to death. Indeed, in the ambulance on the way to the hospital, his heart had stopped. Rapid action by the E.M.T.’s brought his heart back to life, and he made it to the hospital.

There the extent of the damage became clear. The man’s kidneys had stopped working, and his body chemistry was completely out of whack. He had a severe concussion. And he’d had a heart attack.

He remained in the intensive care unit for nearly three weeks, and in the hospital another two weeks. Even after these weeks of care and recovery, the toll of his injury was terrible. His kidneys were not working, so he required dialysis three times a week. He had needed a machine to help him breathe for so long that he now had to get oxygen through a hole that had been cut into his throat. His arms and legs were so weak that he could not even lift them, and because he was unable even to swallow, he had to be fed through a tube that went directly into his stomach.

Finally, after five weeks in the hospital, he was well enough to be moved to a short-term rehabilitation hospital to complete the long road to recovery. But he was still far from healthy. The laughing, swaggering, Harley-riding man his sister had known until that terrible fall seemed a distant memory, though she saw that he was slowly getting better. He had even started to smile and make jokes. He was confident, he had told her, that with a lot of hard work he could get back to normal. So was she; she knew he was tough.

Back to the Hospital:

The patient had been at the rehab facility for just over two weeks when the staff noticed a sudden change in him. He had stopped smiling and was no longer making jokes. Instead, he talked about people that no one else could see. And he was worried that they wanted to harm him. When he remained confused for a second day, they sent him to the emergency room.

You can see the records from that E.R. visit here.

The man told the E.R. doctor that he knew he was having hallucinations. He thought they had started when he had begun taking a pill to help him sleep a couple of days earlier. It seemed a reasonable explanation, since the medication was known to cause delirium in some people. The hospital psychiatrist took him off that medication and sent him back to rehab that evening with a different sleeping pill.

Back to the Hospital, Again:

Two days later, the patient was back in the emergency room. He was still seeing things that weren’t there, but now he was quite confused as well. He knew his name but couldn’t remember what day or month it was, or even what year. And he had no idea where he was, or where he had just come from.

When the medical team saw the patient after he had been admitted, he was unable to provide any useful medical history. His medical records outlined his earlier hospitalizations, and records from the nursing home filled in additional details. The patient had a history of high blood pressure, depression and alcoholism. He was on a long list of medications. And he had been confused for the past several days.

On examination, he had no fever, although a couple of hours earlier his temperature had been 100.0 degrees. His heart was racing, and his blood pressure was sky high. His arms and legs were weak and swollen. His legs were shaking, and his reflexes were very brisk. Indeed, when his ankle was flexed suddenly, it continued to jerk back and forth on its own three or four times before stopping, a phenomenon known as clonus.

His labs were unchanged from the previous visit except for his urine, which showed signs of a serious infection. A CT scan of the brain was unremarkable, as was a chest X-ray. He was started on an intravenous antibiotic to treat the infection. The thinking was that perhaps the infection was causing the patient’s confusion.

You can see the notes from that second hospital visit here.

His sister had come to visit him the next day, when he was as confused as he had ever been. He was now trembling all over and looked scared to death, terrified. He was certain he was being pursued.

That is when she confronted the nurse, demanding to know what was going on with her brother. The nurse didn’t know. No one did. His urinary tract infection was being treated with antibiotics, but he continued to have a rapid heart rate and elevated blood pressure, along with terrifying hallucinations.

Solving the Mystery:

Can you figure out why this man was so confused and tremulous? I have provided you with all the data available to the doctor who made the diagnosis. The case is not easy — that is why it is here. I’ll post the answer on Friday.

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Rules and Regulations: Post your questions and diagnosis in the comments section below.. The correct answer will appear Friday on Well. The winner will be contacted. Reader comments may also appear in a coming issue of The New York Times Magazine.

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Penny Pritzker a candidate for Commerce secretary

Chicago businesswoman Penny Pritzker has been a prominent Barack Obama friend and supporter since his early days in politics and ran his 2008 campaign fundraising operation. (Zbigniew Bzdak, Chicago Tribune / April 8, 2011)

By Katherine Skiba and Christi Parsons




Washington bureau

7:30 p.m. CST, February 6, 2013

Chicago businesswoman Penny Pritzker has emerged as a leading candidate to serve in the administration of President Obama, for whom she has long been a campaign supporter and top fundraiser.

A senior administration official cautioned that no announcement is imminent and that Obama has made no decision. But Pritzker is under consideration to serve as Commerce secretary or perhaps in another senior position involving relations between Obama and business leaders, according to officials close to the process who spoke anonymously to comment on internal deliberations.

Pritzker is a member of the Chicago family behind the Hyatt Hotels Corp. She has been a prominent Obama friend and supporter since his early days in politics and ran his 2008 campaign fundraising operation.

 She is founder and CEO of PSP Capital Partners and the Pritzker Realty Group, as well as chair of the Artemis Real Estate Partners. She is also a member of the Chicago Board of Education and has had two White House appointments, serving on the President’s Council on Jobs and Competitiveness and the President’s Economic Recovery Advisory Board.

Forbes’ annual list of the world’s billionaires last March put Pritzker at No. 719 and said her hotels and investments were worth $1.8 billion.

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