US Air Force keeps fleet of aging warhorses flying

TOKYO (AP) — For decades, the U.S. Air Force has grown accustomed to such superlatives as unrivaled and unbeatable. These days, some of its key combat aircraft are being described with terms like geriatric, or decrepit.

The aging of the U.S. Air Force, a long-simmering topic in defense circles, made a brief appearance in the presidential debates when Republican nominee Mitt Romney cited it as evidence of the decline of U.S. military readiness. His contention that the Navy is the smallest it's been since 1917 got more attention, thanks to President Barack Obama's quip that the Navy also has fewer "horses and bayonets."

But analysts say the Air Force has a real problem, and it will almost certainly worsen no matter who wins Tuesday's election. It was created in part by a lack of urgency in the post-Cold War era, and by design glitches and cost overruns that have delayed attempts to build next-generation aircraft.

Looming budget cuts limit the force's ability to correct itself, they argue, as China's rise as a world power heightens its need to improve. And though the world's most formidable air force never had much use for bayonets, it's got more than its share of warhorses.

___

IKE'S LEGACY — THE KC-135 STRATOTANKER

The U.S. probably couldn't have fought the air wars over Iraq, Afghanistan and Libya without the KC-135 Stratotanker, the Air Force's main aerial refueler, which allows fighter jets to remain airborne on long flights.

America has President Eisenhower to thank for that.

The KC-135 came into service during his watch in 1956. The newest of the roughly 400 Stratotankers in service started flying nearly half a century ago, in 1964.

"We are in unknown territory," said Lt. Col. Brian Zoellner, who has been flying the KC-135 for 15 years and is head of operations for 909th Air Refueling Squadron at Kadena Air Base on Japan's southwestern island of Okinawa. "The unknown is at what point does the KC-135 become unusable."

The KC-46A refueling tanker is being developed as a replacement, but probably won't start delivery for another five years. If Congress has its way, some Stratotankers could still be taking off well into the 2040s.

THAT '70s SHOW — THE F-15, F-16 AND A-10

The F-15, America's workhorse warplane since the Vietnam War, was designed to have a service life of about 5,000 flight hours. The Air Force has more than tripled that, to 18,000 hours.

The F-16, another key fighter, has been in use since 1979. The Air Force began retiring the oldest ones two years ago.

Another '70s-era fighter is the A-10 Thunderbolt, which provides close air support for ground troops. It's now being rewinged because its old ones were riddled with cracks. The General Accounting Office estimates the cost of upgrading and refurbishing the aircraft will be $2.25 billion through 2013.

The Air Force is revamping its fighter fleet with the stealthy F-22 Raptor and F-35 Joint Strike Fighter, but production of the F-22 was cut short after its price tag swelled to nearly half a billion dollars a pop. Delays and escalating costs have also dogged the F-35, which is now the most expensive Department of Defense procurement program ever.

SPY PLANES FROM THE '50s — THE U-2

The fabled U-2 "Dragon Lady" spy plane is still being used to keep watch over North Korea and other hot spots. The first U-2 flew in 1955, and the legendary Skunk Works aircraft became a household name for its role in the Cuban missile crisis, not to mention the propaganda bonanza the Soviet Union got by shooting one down in 1960 and capturing its CIA pilot, Francis Gary Powers.

Many analysts argue the unmanned Global Hawk could do the job more effectively, but Congress has nixed that idea for now. More than $1.7 billion has been invested in upgrading the U-2.

MAJOR KONG'S FAVORITE BOMBER — THE B-52

Iconic, yes. State-of-the-art, no. The venerable B-52, remembered by movie fans for its starring role in the 1964 Cold War comedy "Dr. Strangelove," remains the backbone of the Air Force's strategic bomber force. It dates to 1954 and was already losing its edge by the end of the Vietnam War, but nearly 100 B-52s remain in service.

The Air Force developed the B-1 in the 1970s as the B-52's replacement. President Jimmy Carter killed it, President Ronald Reagan brought it back, and none have been delivered since 1988.

Next up was the stealth B-2 Spirit, which first flew in 1989. Because only 21 were built, they ended up costing a prohibitive $2 billion each. The Air Force is now hoping to upgrade with what it calls the Long Range Strike Bomber, but it's not clear when it will be ready.

___

To be sure, all of these aircraft have undergone massive overhauls and updates, and most experts agree the U.S. Air Force remains the best-equipped in the world. Its aircraft aren't likely to soon start falling out of the sky, either, thanks to intensive, and expensive, maintenance.

Zoellner, the KC-135 pilot, bristled at the idea his Stratotankers aren't safe. He said they "fly like a champ."

But Loren Thompson, of the Lexington Institute, a conservative think tank, said the graying Air Force is evidence of how Washington has failed to keep its eye on the ball.

"The reason the fleet is so decrepit is because for the first 10 years after the Cold War ended, policymakers thought the United States was in an era of extended peace," he said. "Then it spent the next 10 years fighting an enemy with no air force and no air defenses. So air power was neglected for 20 years, and today the Air Force reflects that fact."

Former Air Force Col. Robert Haffa, a senior fellow at the Center for Strategic and Budgetary Assessments, added that although ground forces were the primary concern in Iraq and Afghanistan, air power will be a key to future security requirements as the United States turns its attention to the Pacific and a strengthening China.

Unlike America's more recent adversaries, China has a credible air force that could conceivably strike U.S. bases in the region, requiring a deterrent force that is based farther away, out of range. America's bases in Japan — and possibly Guam — also are within striking distance of a North Korean missile attack.

"As the nation looks to increased focus in the Pacific, these long-range strike platforms will be especially important," Haffa said. "Planes like the B-52 simply cannot survive."

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Apple sells 3 million iPads since Friday

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MTV to air fundraiser for devastated Jersey shore

NEW YORK (AP) — MTV, home of the "Jersey Shore" reality show, plans to air a fundraising special to help rebuild New Jersey's devastated shoreline.

The one-hour program will air Nov. 15 from MTV's Times Square studio in New York City. It will feature the cast of "Jersey Shore" along with other guests.

The network said Monday the program will solicit contributions for the rebuilding of Seaside Heights, the heart of the Jersey shore and the principal setting for the "Jersey Shore" series.

For this effort, MTV will be partnering with Architecture for Humanity, a non-profit organization that provides design and construction services to communities in need.

Seaside Heights was among numerous coastal areas devastated by Sandy last week.

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Surgery seems best for heart disease in diabetics

LOS ANGELES (AP) — New research shows that people with diabetes and several clogged heart arteries fare better with bypass surgery instead of having stents placed to prop open their blood vessels.

Doctors compared the treatments in a study of 1,900 diabetics and looked five years later to see how many had suffered a heart attack, stroke or death. Only 19 percent of the bypass group had, versus 27 percent of those given stents.

People like this represent about one-fourth of all heart disease patients.

Results were discussed Sunday at an American Heart Association conference and published by the New England Journal of Medicine.

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China's Communists endorse Bo Xilai's expulsion

BEIJING (AP) — China's ruling Communist elite have endorsed the expulsion of former high-flying politician Bo Xilai and approved final preparations for the party's upcoming congress.

The closed-door meeting of the Central Committee that ended Sunday was the last before Communist Party leader Hu Jintao and others in his government begin to cede power to Vice President Xi Jinping and others at the congress, which opens Thursday.

The Central Committee said in a statement by the official Xinhua News Agency that it endorsed decisions to expel Bo and former Railways Minister Liu Zhijun from the Communist Party. Bo is accused of a range of misdeeds including covering up his wife's murder of a British businessman. Liu faces corruption charges.

Xinhua said Hu presided over the meeting and delivered a work report. It said Xi introduced a report of the current five-year session and an amendment to the party charter, both of which will be discussed at the congress. It gave no details.

Xinhua said delegates agreed that the past five years had been "extraordinary" because China had faced a difficult international environment as well as arduous tasks of reform, development and stability.

It also said the economy had grown stably and rapidly, there had been major progress on reform and opening-up, and people's living conditions had improved remarkably.

The policy-setting committee also promoted two generals to the party commission that oversees the military: air force Gen. Xu Qiliang and Gen. Fan Changlong, a career soldier who runs the Jinan Military Area Command and took part in relief efforts after the Sichuan earthquake in 2008.

The Central Committee is comprised of about 370 people from the upper ranks of the party, government and military.

Bo's ouster earlier this year widened rifts within a leadership that likes to project an image of unity. It also complicated the bargaining over the roster of new leaders.

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Foxx, Wonder among stars honoring Eddie Murphy

LOS ANGELES (AP) — However riotous the Eddie Murphy stories from Arsenio Hall, Tracy Morgan, Adam Sandler and Russell Brand, the highlight of Spike TV's tribute to Eddie Murphy was the comedian's duet with Stevie Wonder.

Murphy joined the subject of one of his most classic impressions for a rousing rendition of Wonder's 1973 hit "Higher Ground" during the taping of the Spike TV special "Eddie Murphy: One Night Only," which is set to air Nov. 14. The Roots served as the house band.

Jamie Foxx, Tyler Perry, Martin Lawrence, Chris Rock and Keenan Ivory Wayans were also among those paying tribute to Murphy Saturday at the Saban Theater.

Accompanied by a pretty blonde, Murphy beamed throughout the two-hour program Saturday, saying he was touched by the tribute.

"I am a very, very bitter man," he said with a beguiling smile. "I don't get touched easily, and I am really touched."

Morgan called Murphy "my comic hero" and came onstage wearing a replica of Murphy's red leather suit from his standup show "Delirious."

"He set the tone for the whole industry a long time ago," Morgan said before Saturday's tribute. "He inspired me in a fearless way."

Sandler said he was still in high school when he first saw "Delirious," which he described as "one of the most legendary standup specials of all time."

"Everybody on the planet wanted to be Eddie," he said. "He funnier than us. He's cooler than any of us."

Samuel L. Jackson said Murphy "changed the course of American film history" by giving Jackson his first speaking role on the big screen, in 1988's "Coming to America."

"If it weren't for Eddie, we might not have all the wonderful films that I've made," Jackson said.

"He is a true movie star," Jackson continued, lauding Murphy's performance in "48 Hours" and "Beverly Hills Cop." ''You became an inspiration for all young African-American actors."

The program featured clips of Murphy's standup shows, his film appearances in "Shrek" and "Nutty Professor" and his work on "Saturday Night Live."

Murphy insisted before the tribute that he is retired.

"I'm just a retired old song and dance man," he said, adding that he only makes rare appearances these days. "That's what you do when you're retired: You come out every now and then and talk about the old days."

The 51-year-old entertainer took the stage at the conclusion of the tribute to say that he was moved by the honor.

"This is really a touching moving thing, and I really appreciate it," he said. "You know what it's like when you have something like this? You know when they sing happy birthday to you? It's like that for, like, two hours... and I am Eddied out."

___

Follow AP Entertainment Writer Sandy Cohen on Twitter at www.twitter.com/APSandy.

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Floods render NYC hospitals powerless

NEW YORK (AP) — There are few places in the U.S. where hospitals have put as much thought and money into disaster planning as New York. And yet two of the city's busiest, most important medical centers failed a fundamental test of readiness during Superstorm Sandy this week: They lost power.

Their backup generators failed, or proved inadequate. Nearly 1,000 patients had to be evacuated.

The closures led to dramatic scenes of doctors carrying patients down dark stairwells, nurses operating respirators by hand, and a bucket brigade of National Guard troops hauling fuel to rooftop generators in a vain attempt to keep the electricity on.

Both hospitals, NYU Langone Medical Center and Bellevue Hospital Center, were still trying to figure out exactly what led to the power failures Thursday, but the culprit appeared to be the most common type of flood damage there is: water in the basement.

While both hospitals put their generators on high floors where they could be protected in a flood, other critical components of the backup power system, such as fuel pumps and tanks, remained in basements just a block from the East River.

Both hospitals had fortified that equipment against floods within the past few years, but the water — which rushed with tremendous force — found a way in.

"This reveals to me that we have to be much more imaginative and detail-oriented in our planning to make sure hospitals are as resilient as they need to be," said Irwin Redlener, director of the National Center for Disaster Preparedness at Columbia University's Mailman School of Public Health.

The problem of unreliable backup electricity at hospitals is nothing new.

Over the first six months of the year, 23 percent of the hospitals inspected by the Joint Commission, a health care facility accreditation group, were found to be out of compliance with standards for backup power and lighting, according to a spokesman.

Power failures crippled New Orleans hospitals after Hurricane Katrina. The backup generator failed at a hospital in Stafford Springs, Conn., after the remnants of Hurricane Irene blew through the state in 2011. Hospitals in Houston were crippled when Tropical Storm Allison flooded their basements and knocked out electrical equipment in 2001.

When the Northeast was hit with a crippling blackout in 2003, the backup power at several of New York City's hospitals failed or performed poorly. Generators malfunctioned or overheated. Fuel ran out too quickly. Even where the backup systems worked, they provided electricity to only some parts of the hospital and left others in the dark.

Afterward, a mayoral task force recommended upgrading testing standards for generators and requiring backup plans for blood banks and health care facilities that provide dialysis treatment.

Alan Aviles, president of New York City's Health and Hospitals Corp., which operates Bellevue, said that after a scare last summer when Hurricane Irene threatened to cause flooding, Bellevue put its basement-level fuel pumps in flood-resistant chambers.

It still isn't clear whether water breached those defenses, but when an estimated 17 million gallons of water rushed through loading docks and into the hospital's 1-million-square-foot basement, the fuel feed to the generators stopped working. The floodwaters also knocked out the hospital's elevators.

For two days, National Guardsmen carried fuel to the generators, but conditions inside the hospital for patients and staff deteriorated anyway. The generators were designed to supply only 30 percent of the usual electrical load at the hospital, leaving a lot of equipment and labs hobbled. The hospital also lost all water pressure on Tuesday. Nearly 700 patients had been evacuated by Thursday afternoon.

"The precautions we had taken to date had served us well," Aviles said. "But Mother Nature can always up the stakes."

NYU Langone Medical Center had also tried to armor itself against floods.

All seven of the generators providing backup power to the parts of the hospital involved in patient care are only a few years old and are on higher floors. The fuel tank is in a watertight vault. New fuel pumps were installed just this year in a pump house upgraded to withstand a high flood, said the hospital's vice president of facilities operation, Richard Cohen.

"The medical center invested quite a bit of money to upgrade the facility," he said.

The pump house remained "bone dry," Cohen said. But water shoved aside plastic and plywood defenses and infiltrated the fuel vault, where sensors detected the potentially damaging liquid and shut the generators down. "The force of the surge that came in was unbelievable. It dislodged our additional protection and caused a breach of the vault as well," Cohen said.

The power at NYU went out in a flash, leaving the staff scrambling to evacuate 300 patients with no notice.

Dr. Robert Berg, an obstetrician, said that when he lost power in his apartment, he went to the hospital to charge his cellphone and was stunned to find it in chaos.

"It didn't really occur to me that the hospital was going to be in trouble," he said. Even after finding the lobby dark, "I thought, 'We'll have power upstairs. We're an operating room.'"

He wound up carrying two patients down flights of stairs on a "med sled."

"There was a Category 1 outside and a Category 4 inside," he said. "I can't say that they were very well prepared for it."

That has left only one hospital, Beth Israel Medical Center, functioning in the southern third of Manhattan. It is also on backup power, but brought in two huge new generators Thursday, just in case.

Aviles said Bellevue might be out of commission for at least two more weeks. NYU Langone's generators are operating again, but the hospital is waiting for Consolidated Edison to restore its power before it starts taking patients again. That could happen in a matter of days.

Flooding may pose less of a danger to the hospital's power supply in the future. Construction is under way on a new power plant, at a cost of more than $200 million, that will run on natural gas and supply all the hospital's power needs.

"It's a tremendous facility, with a lot of hardening built into it," Cohen said.

___

AP Medical Writer Mike Stobbe contributed to this report.

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The abortion politics of Campaign 2012: Something that God intended?

Happy birthday, abortion! You’ve bedeviled philosophers, politicians and doctors for 25 centuries! That’s right: Since around the 5th-century B.C., when the Hippocratic Oath for physicians first contained a clause about abortion, we’ve driven ourselves insane over the implications of a simple, common, ancient medical procedure.

As the explosion of abortion punditry in Campaign 2012 made clear, the issue exerts a radioactive fascination. Millions of temples and keyboards began pounding in August after Todd Akin, the Republican candidate for Senate in Missouri, engaged in some pseudoscientific theorizing on the impossibility of pregnancy after a “legitimate rape.” And the number must have reached Carl Sagan proportions after Richard Mourdock, the Republican candidate for Senate in Indiana, uttered this line: “Even when life begins in that horrible situation of rape, that it is something that God intended to happen.”

Yikes. Did Mourdock say rape is divinely inspired? Not exactly. Journalists sensitive to religious cosmologies like Amy Sullivan of the New Republic explained that Mourdock had seen God’s intention only in the life conceived during rape, not the rape itself.

That clarification was useful. It spared Mourdock from the gruesome charge that his God advocates rape—or is Himself the rapist’s accomplice. The Sullivan exegesis put these distracting and chilling questions to rest, more or less.

But Mourdock’s comment still managed to throw into relief an intense disagreement between atheists and religious people. And by “religious people,” I mean everyone from Buddhists to evangelicals to plain-old “everything happens for a reason” American optimists.

This disagreement concerns the mind-consuming question of whether the full catastrophe of existence—including the fact of violent crime, or Hurricane Sandy, or the next president of the United States—might be said to reflect something like “God’s will” or “the order of things” or even “the spiritual perfection of the moment.”

You think abortion makes people squeamish? Try the idea, common to many contemplative traditions, that everything in reality, however painful, is exactly the way it’s supposed to be. Some people feel liberated beyond all understanding by this notion. Others feel sickened, crippled, outraged, disempowered.

But if that’s Mourdock’s logic, we might hold him to it—for consistency’s sake, if nothing else. If conception during forced copulation reflects God’s will, in other words, and if rape itself might even reflect that inscrutable will (since it too is part of reality), then abortion—common and legal as it is in the United States—also reflects God’s will.

And this is where the tension surrounding abortion has always resided. Is the art of medicine—the protection and promotion of life and health—best practiced by allowing or prohibiting abortion?

I’ve found that this tension is thoroughly resolved in the Hipprocratic Oath, of all places. Back at the start. We need not visit Roe v. Wade or the teachings of Operation Rescue. In the ancient oath, the Apollo-worshiping internist vows above all to protect “health and life.” He then specifically says that, toward this end, he won’t perform euthanasia; he won’t perform abortion; and he won’t remove kidney stones and gallstones.

Does that mean these procedures are in themselves immoral? Far from it—as anyone who has had gallstones removed might agree. Rather, these three procedures, we are made to understand, require both philosophical and manual work for which early physicians, trained in medicine but not abdominal surgery, were not qualified. The gallstone sufferer needs a surgeon trained specifically in the art of cutting for stones, says the oath. For a generic medicine man to undertake it would be to risk doing harm—the signal crime against the art of medicine.

The would-be suicide, on the same logic, should administer poison to himself, or have a trusted and willing friend aid him. A physician is not qualified to determine the wishes of a euthanasia candidate, and thus might again betray his oath by doing harm.

Finally, those early non-surgical doctors, are not qualified to perform abortions because they don’t have the manual skills or the philosophical ones. Internists are not qualified to determine when this surgery, which is prima facie harmful, favors the life of the patient, as stone-removal does.

Every pregnancy, in every woman, under every circumstance, affects her “health and life.” And “health and life” are the very ideals that physicians all first pledge to protect. If a woman doesn’t want to be pregnant or bear a child, she has a complaint that’s deeply psychological and deeply physical—at least as physical as gallstones. If medical men and women don’t feel qualified to gauge the distress and seriousness of a woman presenting with pregnancy and asking for an abortion, they should refer her to someone—a gynecological practice, Planned Parenthood—that is qualified to assess the patient and treat her.

There should be a comparable oath for all politicians. (Would that we had drawn it up four years ago. There’s still time for Campiagn 2016!) Some topics should be left to experts and avoided by male politicians with neither philosophical nor medical training, nor firsthand appreciation of the effects of pregnancy and childbirth on health and life.

Richard Mourdock may have just been voicing an armchair view of an age-old medico-philosophical issue that’s consistent with his religious beliefs. But to present outlandish views on the subject of abortion,
without the qualifications to do so—as too many politicians and pundits have done over the past three months—is to do harm.

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