Treasury Will Not Mint $1 Trillion Coin to Raise Debt Ceiling





WASHINGTON — The Treasury Department said Saturday that it will not mint a trillion-dollar platinum coin to head off an imminent battle with Congress over raising the government’s borrowing limit.


“Neither the Treasury Department nor the Federal Reserve believes that the law can or should be used to facilitate the production of platinum coins for the purpose of avoiding an increase in the debt limit,” Anthony Coley, a Treasury spokesman, said in a written statement.


The Obama administration has indicated that the only way for the country to avoid a cash-management crisis as soon as next month is for Congress to raise the “debt ceiling,” which is the statutory limit on government borrowing. The cap is $16.4 trillion.


“There are only two options to deal with the debt limit: Congress can pay its bills, or it can fail to act and put the nation into default,” Jay Carney, the White House press secretary, said in a statement. “Congress needs to do its job.”


In recent weeks, some Republicans have indicated that they would not agree to raise the debt limit unless Democrats agreed to make cuts to entitlement programs like Social Security.


The White House has said it would not negotiate spending cuts in exchange for Congressional authority to borrow more, and it has insisted that Congress raise the ceiling as a matter of course, to cover expenses already authorized by Congress. In broader fiscal negotiations, it has said it would not agree to spending cuts without commensurate tax increases.


The idea of minting a trillion-dollar coin drew wide if puzzling attention recently after some bloggers and economic commentators had suggested it as an alternative to involving Congress.


By virtue of an obscure law meant to apply to commemorative coins, the Treasury secretary could order the production of a high-denomination platinum coin and deposit it at the Federal Reserve, where it would count as a government asset and give the country more breathing room under its debt ceiling. Once Congress raised the debt ceiling, the Treasury secretary could then order the coin destroyed.


Mr. Carney, the press secretary, fielded questions about the theoretical tactic at a news conference last week. But the idea is now formally off the table.


The White House has also rejected the idea that it could mount a challenge to the debt ceiling itself, on the strength of the Fourteenth Amendment to the Constitution, which holds that the “validity of the public debt” of the United States “shall not be questioned.”


The Washington Post earlier published a report that the Obama administration had rejected the platinum-coin idea.


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James' spending in mayor's race far outpaces fundraising









Kevin James, the sole Republican among the main contenders in the Los Angeles mayor's race, raised a little more than $42,000 in the final quarter of 2012, but spent more than four times that amount, largely on high-priced political consultants.


James, an attorney and former talk radio host who has never held elected office, spent $178,595 in the fourth quarter, a few thousand shy of top-tier candidate and key rival Wendy Greuel, according to campaign finance documents filed with the City Ethics Commission on Thursday. Greuel has vastly outpaced James in fundraising, raising roughly $630,000 more than James in the same period.


The biggest beneficiaries of James' spending are political consultants, including John Weaver, a top national GOP operative who was a senior advisor to the short-lived presidential campaign of Jon Huntsman in the 2012 presidential campaign. Weaver's firm, the Network Companies, billed James for $78,000 for work in the final three months of the year, and a total of $88,000 for all of 2012.





For the entire campaign, James' expenses also included $122,160 for Thomas Partners Strategies, $68,493 for the Prise Group, $40,175 for Capital Campaigns, $25,586 for Crummitt & Associates, $18,011 for Midnite Oil Media and $10,000 for Venture Strategic.


James' representatives said these expenditures represented a strategic decision to build a robust campaign.


"These investments will lead him to victory and get him into the runoff," campaign manager Jeff Corless said. "He has a professional team that has helped him achieve great success thus far in the campaign."


He added that a fundraising lull at the end of 2012 was to be expected because of the holidays and political fatigue. The campaign has seen a surge in fundraising in recent weeks and planned to start reaching out to voters Monday, Corless said.


In heavily Democratic Los Angeles, James is a long-shot candidate. But his outsider message has attracted attention, and some see a path for him earn a top-two spot in the March primary, advancing him to a May runoff. To do so, James must make sure Republicans turn out while also siphoning support of conservative Democrats, notably in the San Fernando Valley, from Greuel.


Greuel's campaign said James' spending showed that his effort will be futile, not only because of the rate of spending, but because of what he is spending his resources on.


"Kevin James is quickly burning a hole in his pocket, and if he keeps up his anemic fundraising pace, soon he'll be flat broke and in the hole," said Rose Kapolczynski, Greuel's campaign manager.


James' saving grace could rest on the success of an independent committee formed to support his candidacy that can collect unlimited donations.


"It's been fairly clear for a while now that if James is going to make a race of it, it's going to come predominantly through outside spending. The amount he's raised and spent on his own campaign is less relevant," said Dan Schnur, director of the Jesse M. Unruh Institute of Politics at USC and a former GOP political operative. "James can't get elected solely on the strength of Super PAC money but a well-funded outside campaign can do significant damage to the other candidates."


But Schnur said the amount the Super PAC has collected so far, $200,000 is not sufficient.


Fred Davis, the GOP ad specialist who is running the group, Better Way L.A., said that he remains confident.


"The frustrating thing was the holidays. We really didn't get started until Jan. 4 and 5. It just was a tough time," he said. "But over the last week, we've been on daily conference calls. Things look good . It will be a race down the wire, we still think we'll make it into the runoff."


seema.mehta@latimes.com


Times staff writer Maeve Reston contributed to this report.





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Student Appeals Suspension for Refusing to Wear RFID Tracker











A Texas high school student on Friday asked a federal appeals court to overturn a lower court’s order upholding her school suspension for refusing to wear around her neck an RFID-chip student ID she claims is the “Mark of the Beast.”


The Northside Independent School District in San Antonio began issuing the RFID-laden student-body cards when the semester began in the fall. The ID badge has a bar code associated with a student’s Social Security number. The chip monitors pupils’ movements on campus, from when they arrive until when they leave.


Sophomore Andrea Hernandez was notified in November by the Northside Independent School District in San Antonio that she would not be able to continue attending John Jay High unless she wears the badge around her neck like all students. The district said the girl, who objects largely on religious grounds, would have to attend another high school that does not employ the RFID tags.


The devout Christian sued, and on Tuesday a Texas federal judge concluded the 15-year-old’s right of religion was not breached. That’s because the district, the court ruled, eventually agreed to accommodate the girl and allow her to remove the RFID chip while still demanding that she wear the identification like the other students.


U.S. District Judge Orlando Garcia’s ruling gave the girl and her family until Jan. 18 to decide whether to go to a different school or comport. She appealed Friday, arguing that adorning herself with the ID card, even one without an RFID chip, amounted to discriminating against her “sincerely held beliefs.”


“To Andrea, this ‘accommodation’ is similar to allowing a religious adherent who must eat a pork-free diet to have his pork-free diet, but to require him to wear a shirt advocating pork,” the girl’s attorney, Jerry Lynn Ward of the Rutherford Institute, wrote the New Orleans-based appeals court. (.pdf) The lower court’s decision, Ward added, “unquestionably constitutes a substantial burden upon her free exercise of religion.”




David Kravets is a senior staff writer for Wired.com and founder of the fake news site TheYellowDailyNews.com. He's a dad of two boys and has been a reporter since the manual typewriter days.

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Follow @dmkravets and @ThreatLevel on Twitter.



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“Gangster Squad” takes $650K in midnight showings, battle with “Zero Dark Thirty” awaits






NEW YORK (TheWrap.com) – Warner Bros.’ “Gangster Squad” grossed $ 650,000 in midnight showings Thursday night, a strong start to what should be a weekend-long fight for the box-office crown.


Ruben Fleischer’s tale of cops and organized crime in mid-20th century Los Angeles will duke it out with Kathryn Bigelow’s “Zero Dark Thirty,” the Oscar contender that expands to almost 3,000 screens this weekend.






Box office experts projected “Zero Dark Thirty” would eke out the win before the weekend began, though it remains a close race with both movies looking at openings of about $ 20 million.


“Gangster Squad,” which stars Josh Brolin, Ryan Gosling, Emma Stone and Sean Penn, has a breezy action feel, and runs under two hours. Despite a strong cast, reviewers have not responded warmly to the film, which charts at 43 percent on Metacritic and 34 percent on Rotten Tomatoes.


The Academy rewarded “Zero Dark Thirty” with five Oscar nominations on Thursday buffeting its pursuit of viewers despite its two hour and 37 minute length.


Warner Bros. did not immediately respond to TheWrap’s request for comment.


Movies News Headlines – Yahoo! News




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No Jail Time for Doctor, 85, Convicted of Drug Charge





The former doctor sat in courton Friday waiting to be sentenced for a crime that breached every tenet of his professional code. He had run his house in Staten Island like a drug mill, selling the prescription painkiller oxycodone to all comers — including undercover federal agents. The guideline sentence for his crimes was up to six years.




But just by the look of the defendant, Felix Lanting, it seemed likely that he would never serve that much time. Frail and hunched-over at 85, he could only hope to live that long. And with a wife even frailer who depends on him for care, he posed a special challenge for the sentencing judge, Roslynn R. Mauskopf.


A lawyer for Mr. Lanting, James R. Froccaro, asked that his client receive no jail time at all.


“I’m agonizing about what to do,” said Judge Mauskopf, who presided over the case in United States District Court for the Eastern District.


Mr. Lanting’s crimes are typically committed by men a generation younger. A 2010 investigation by the Federal Bureau of Investigation found that in seven months, Mr. Lanting wrote and sold more than 3,000 prescriptions for oxycodone, an average of 15 per day, seven days a week.


Neighbors complained about the foot traffic. A relative of someone who overdosed on the pills attacked the front door of Mr. Lanting’s house with an ax. Mr. Lanting hired bouncers to protect his growing business, but they did not stop the undercover agents. When F.B.I. agents arrested him, they found $37,000 in cash and 100 solid silver bars. Eighty thousand dollars more turned up in a safe-deposit box.


In court on Friday, Mr. Lanting, who lost his medical license, stood and pleaded for his life and that of his wife. “I beg the court not to put me in jail because my wife will die,” he said. “I am the only one who is taking care of her.”


He began to cry. “I’m very sorry. I made a mistake. If I could undo it, I would. I’m begging you please.” Judge Mauskopf called a five-minute recess to think.


“If there ever were a case that cried out for mitigation, it is this one, based on the defendant’s age and based on the responsibilities to his wife,” Judge Mauskopf said when she returned. But she said she wanted to punish him.


She sentenced him to six months of house arrest, five years of probation and a $25,000 fine. She said Mr. Lanting might have to get someone else to take his wife to her medical visits.


“You need to feel the restrictions on your liberty,” she said. “The fine is meant to hurt and to punish you for what you did.”


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DealBook: Wells Fargo's Mortgage Gains May Be Unsustainable

8:40 p.m. | Updated

Wells Fargo has turned its mortgage business into an enormous profit machine. The San Francisco-based bank posted earnings of $5.1 billion in the fourth quarter, a 24 percent increase from the previous year.

But its strong gains may not be sustainable, unless interest rates drop significantly or the housing market recovers substantially. Both are long shots.

“Rates really don’t have to go up very much to discourage a whole swath of people from returning to the housing market,” said Lance Roberts, chief economist at StreetTalk Advisors, an investment advisory firm.

In recent years, Wells Fargo has aggressively expanded its mortgage business, a strategy that has helped drive record profits. The company reported net income of $18.9 billion in 2012, up 19 percent from 2011. Revenue rose 6 percent in the same period.

“We saw robust growth across the entire bank, proving that there is a lot of value in a strong, diversified business,” said Timothy J. Sloan, chief financial officer of Wells Fargo.

But after 12 consecutive quarters of rising profits, Wells Fargo may find it difficult to keep up the pace.

The bank’s recent mortgage profits largely reflect the government’s efforts to stimulate the economy, rather than a robust recovery in the housing market.

As the Federal Reserve has cut interest rates, millions of borrowers have refinanced their home loans to reduce costs. Refinancing accounted for 72 percent of Wells Fargo’s mortgage origination in the fourth quarter.

That business has been especially lucrative of late.

Banks pass on most of their mortgages to government entities like Fannie Mae and Freddie Mac, which guarantee that the loans will be repaid. With the guarantee attached, banks sell the mortgages to bond investors and book a financial gain.

Profits have ballooned with the government intervention. The Fed has been a big buyer of mortgage bonds in an effort to drive down interest rates. But banks have not cut ordinary borrowers’ rates by the same amount.

That means the difference, or spread, between the rates increased last year. Wells Fargo’s gains from this activity totaled $10.3 billion in 2012, more than double the previous year.

Those gains may be hard to beat.

While the Fed has promised to purchase more mortgage bonds, interest rates may not fall much further. If mortgage rates stagnate or rise, fewer borrowers are likely to refinance or buy a house. And if the mortgage bond market weakens, banks will make less of a gain when selling the mortgages.

Already, refinancing activity appears to be slowing. In the fourth quarter, Wells Fargo handled $125 billion of mortgage originations, up 4 percent from the previous year. But loan production was higher earlier in the year, peaking at $139 billion in the third quarter.

At the same time, the Fed’s low rates are actually hurting other parts of the business. An important measure of a bank’s overall lending profitability, the net interest margin, has eroded. In the fourth quarter, Wells Fargo’s net interest margin dropped slightly to 3.56 percent, from 3.89 percent a year earlier.

Investors shrugged off the strong profits because of such concerns. Wells Fargo’s shares fell slightly on Friday, to $35.10, a 0.85 percent drop.

In an effort to assuage investors’ concerns about the refinancing business, Mr. Sloan, the chief financial officer, said in a conference call on Friday that he saw “billions of dollars in refinancing opportunities.”

Housing market numbers support his optimism. Over 70 percent of mortgages had interest rates above 4 percent in the fall, according to CoreLogic, a housing data firm. Some of those borrowers would benefit financially from refinancing, given that the interest rate on fixed, 30-year loans is 3.4 percent.

If the refinancing boom does sputter, a significant increase in new mortgages could help fill the void. That depends largely on the health of the housing market. While house prices posted annual gains last year, the recovery is far from robust.

Wells Fargo’s servicing business, in which the bank collects payments from homeowners, could also soften the blow. In the fourth quarter, the company reported $926 million in fees from that activity, up 6 percent from a year earlier.

Wells Fargo can also rely on other businesses to pick up some of the slack. In an interview on Friday, Mr. Sloan said that strong loan growth throughout the bank, including in autos and credit cards, reflected potential opportunity.

The bank reported gains in its wealth management business, where profit increased 13 percent, to $351 million. It has also been focusing on its brokerage business as regulations have curbed profits in other areas.

Cost-cutting could be another option. In the past, the bank has shown it can be aggressive on that front.

Recently, Wells Fargo has been developing its online and mobile banking operations so that it can trim staffing costs in its branches. It has also refocused on core businesses and sold units like H. D. Vest Financial Services, which it put on the auction block in 2011.

The company has also cleaned up much of the costly legal mess stemming from the mortgage crisis, striking several deals with federal regulators over the last year. This week, Wells Fargo was among the 10 banks that agreed to an $8.5 billion settlement with the Comptroller of the Currency and the Federal Reserve over claims of shoddy foreclosure practices, including sloppy paperwork used in home seizures and botched loan modifications. Separately, the bank has allotted $1.2 billion to prevent foreclosures.

With the settlement, Wells Fargo puts an end to an expensive foreclosure review that was mandated by regulators. The review cost the bank an estimated $125 million each quarter.

“By putting these issues behind us, we can focus more of our resources on serving our customers,” the bank’s chief executive, John G. Stumpf, told analysts on Friday.

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Irvine City Council overhauls oversight, spending on Great Park









Capping a raucous eight-hour-plus meeting, the Irvine City Council early Wednesday voted to overhaul the oversight and spending on the beleaguered Orange County Great Park while authorizing an audit of the more than $220 million that so far has been spent on the ambitious project.


A newly elected City Council majority voted 3 to 2 to terminate contracts with two firms that had been paid a combined $1.1 million a year for consulting, lobbying, marketing and public relations. One of those firms — Forde & Mollrich public relations — has been paid $12.4 million since county voters approved the Great Park plan in 2002.


"We need to stop talking about building a Great Park and actually start building a Great Park," council member Jeff Lalloway said.





The council, by the same split vote, also changed the composition of the Great Park's board of directors, shedding four non-elected members and handing control to Irvine's five council members.


The actions mark a significant turning point in the decade-long effort to turn the former El Toro Marine base into a 1,447-acre municipal park with man-made canyons, rivers, forests and gardens that planners hoped would rival New York's Central Park.


The city hoped to finish and maintain the park for years to come with $1.4 billion in state redevelopment funds. But that money vanished last year as part of the cutbacks to deal with California's massive budget deficit.


"We've gone through $220 million, but where has it gone?" council member Christina Shea said of the project's initial funding from developers in exchange for the right to build around the site. "The fact of the matter is the money is almost gone. It can't be business as usual."


The council majority said the changes will bring accountability and efficiencies to a project that critics say has been larded with wasteful spending and no-bid contracts. For all that has been spent, only about 200 acres of the park has been developed and half of that is leased to farmers.


But council members Larry Agran and Beth Krom, who have steered the course of the project since its inception, voted against reconfiguring the Great Park's board of directors and canceling the contracts with the two firms.


Krom has called the move a "witch hunt" against her and Agran. Feuding between liberal and conservative factions on the council has long shaped Irvine politics.


"This is a power play," she said. "There's a new sheriff in town."


The council meeting stretched long into the night, with the final vote coming Wednesday at 1:34 a.m. Tensions were high in the packed chambers with cheering, clapping and heckling coming from the crowd.


At one point council member Lalloway lamented that he "couldn't hear himself think."


During public comments, newly elected Orange County Supervisor Todd Spitzer chastised the council for "fighting like schoolchildren." Earlier this week he said that if the Irvine's new council majority can't make progress on the Great Park, he would seek a ballot initiative to have the county take over.


And Spitzer angrily told Agran that his stewardship of the project had been a failure.


"You know what?" he said. "It's their vision now. You're in the minority."


mike.anton@latimes.com


rhea.mahbubani@latimes.com





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Top U.S. General Says Stopping a Syrian Chemical Attack Is 'Almost Unachievable'



If Syrian dictator Bashar Assad decides to use his chemical weapons, there won’t be a thing the U.S. military can do to stop him, America’s top military officer conceded on Thursday. Nor will the U.S. step into a “hostile” atmosphere, with or without Assad, to keep those chemicals under control.


It’s been a month since U.S. intelligence learned that Assad’s forces were mixing some of their precursor chemicals for sarin gas, as Danger Room first reported. The Syrian military even loaded aerial bombs with the deadly agent. Assad hasn’t used the weapons — yet. Should he change his mind, there’s little chance the U.S. would know it before it’s too late to stop the first chemical attack in the Mideast in over 20 years.


“The act of preventing the use of chemical weapons would be almost unachievable,” Gen. Martin Dempsey, the chairman of the Joint Chiefs of Staff, told reporters at the Pentagon. “You would have to have such clarity of intelligence, persistent surveillance, you’d have to actually see it before it happened. And that’s unlikely, to be sure.”


That explains the emphasis the Obama administration has given, from President Obama and Defense Secretary Leon Panetta on down, to publicly warning Assad that using his chemical weapons would cross a “red line.” Dempsey said that “messaging” seeks to establish a deterrent, since Assad might think it would prompt outright U.S. or international intervention leading to his downfall. But that’s different from preemption.


American officials began strategizing months ago for how it should operate in a post-Assad Syria. And that includes scoping out plans for disposing of Assad’s stockpiles of nerve and mustard agents.


Today, however, Panetta shot down a related preventive step: sending U.S. troops into the chaos of the Syrian civil war to secure the chemical stocks.



U.S. military officials have previously speculated that an intervention to take hold of an estimated 500 tons of chemical precursors would require 75,000 troops, a force larger than the one currently in Afghanistan. Panetta said the international community needs to establish a “process and procedure” for keeping the stockpiles under control — but only after Assad falls, which is an uncertain proposition. U.S. intervention to lock down the chemicals, Panetta said, would depend on the establishment of new regime willing to invite the U.S. military in — another uncertain proposition.


“We’re not working on options that involve boots on the ground,” Panetta said. If there’s a “peaceful transition,” then the U.S. might consider a request that a friendly successor government might make to secure the chemical stocks. “But in a hostile situation, we’re not planning for that.” It’s looking likely that the 400 U.S. soldiers sent to Turkey to man Patriot missile batteries could be the only uniformed troops that the Pentagon openly sends to handle the Syrian crisis.


The U.S. public has little appetite for throwing exhausted U.S. soldiers and marines into yet another bloody Mideastern conflict. But Panetta and Dempsey’s concession underscores the massive risks that the Syrian civil war poses for either the use or black market proliferation of chemical weapons. The revolution has  already claimed the lives of 60,000 Syrians. The longer it goes on, the greater the pressure Assad may feel to unleash his unconventional arms. Alternatively, various Syrian factions might be either unwilling or unable to secure the stocks, should they prevail, nor is there any guarantee they will give up the chemical weapons once victorious.


There is confusion about how long the sarin gas will remain usable once its precursors combine. Nerve agents are inherently unstable, but U.S. government sources have told Danger Room that Syrian sophistication with chemical weaponry may leave the combined, weaponized sarin deadly for up to a year. Dempsey and Panetta, however, believe that they’ll break down after 60 days. “That’s what the scientists tell us,” Dempsey said. “I’d still be reluctant to handle it myself.”


Disposing of (or “demilitarizing”) chemical weapons is extraordinarily difficult under any circumstances; Iraq’s former chemical bunkers are still toxic nearly  than a decade after Saddam’s overthrow, and the U.S. recently said it won’t be done disposing of its Cold War chemical weapon arsenal until 2023. Assad’s nerve agents will be no exception.


One of sarin’s main precursors – methylphosphonyl difluoride, or DF – can be turned into a somewhat non-toxic slurry, if combined properly with lye and water. The problem is that when DF reacts with water, it generates heat. And since DF has an extremely low boiling point — just 55.4 degrees Celsius — it means that the chances of accidentally releasing toxic gases are really high. “You could easily kill yourself during the demil,” one observer told Danger Room during the fall. That would explain Dempsey’s reluctance to touch it.


Naturally, this process could only begin once the DF and the rubbing alcohol (sarin’s other main precursor) was gathered up from Assad’s couple dozen storage locations. Then, they’d have to be carted far, far out into the desert — to make sure no bystanders could be hurt — along with the enormous stirred-tank reactors needed to conduct the dangerous chemistry experiments. And when it was all done, there would the result would be a whole lot of hydrofluoric acid, which is itself a poison.


It’s an operation that will take many months, many men, and many millions of dollars. No wonder the leaders of America’s overtaxed military won’t commit to the job until the Syrian civil war is done.


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ABC Chief Says Network Needs Hits, Will Abandon “All-Star” Format for “Dancing”






NEW YORK (TheWrap.com) – ABC entertainment president Paul Lee summed up his fall season by saying his network has “a lot to shout about, and we also have a lot to do.”


Lee’s network finished the fall in fourth place in the key 18-49 demographic and third place in total viewers. He lamented the fall’s lack of any “big breakout hits on broadcast on any of the networks and on ABC in particular.”






NBC, which passed ABC and its other rivals to become fall’s top-rated network in 18-49, might dispute that: It has touted the new drama “Revolution” as a hit.


Lee assessed his network’s fall at a Television Critics Association panel on Thursday. He said he was particularly disappointed not to see better numbers for reality standby “Dancing With the Stars,” which adapted an “all-star” format in the fall and brought back former contestants. He said that for its spring cycle, the show would go back to recruiting fresh talent, in hopes of drawing a younger audience.


Looking for a positive spin on the disappointing ratings for the show – which still averages 16 million total viewers per episode – he said the dancing this fall may have been too good.


“It turns out people like to have bad dancing as much as they do good dancing,” he said.


TV News Headlines – Yahoo! News




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Fatally Ill, and Making Herself the Lesson





SOUTH HADLEY, Mass. — It was early November when Martha Keochareon called the nursing school at Holyoke Community College, her alma mater. She had a proposal, which she laid out in a voice mail message.




“I have cancer,” she said after introducing herself, “and I’m wondering if you’ll need somebody to do a case study on, a hospice patient.”


Perhaps some nursing students “just want to feel what a tumor feels like,” she went on. Or they could learn something about hospice care, which aims to help terminally ill people die comfortably at home.


“Maybe you’ll have some ambitious student that wants to do a project,” Ms. Keochareon (pronounced CATCH-uron) said after leaving her phone number. “Thank you. Bye.”


Kelly Keane, a counselor at the college who received the message, was instantly intrigued. Holyoke’s nursing students, like most, learn about cancer from textbooks. They get some experience with acutely ill patients during a rotation on the medical-surgical floor of a hospital. They practice their skills in the college’s simulation lab on sophisticated mannequins that can “die” of cancer, heart attacks and other ailments. But Ms. Keochareon, 59, a 1993 graduate of Holyoke’s nursing program, was offering students something unique: an opportunity not only to examine her, but to ask anything they wanted about her experience with cancer and dying.


“She is allowing us into something we wouldn’t ever be privy to,” Ms. Keane said.


So it was that a few weeks later, two first-year nursing students, Cindy Santiago, 26, and Michelle Elliot, 52, arrived at Ms. Keochareon’s tiny house, a few miles from the college. She was bedbound, cared for by a loyal band of relatives, hospice nurses and aides. Both students were anxious.


“Sit on my bed and talk to me,” Ms. Keochareon said. The students hesitated, saying they had been taught not to do that, to prevent transmission of germs. What they knew of nursing in hospitals — “I’m here to take your vitals, give you your medicine, O.K., bye,” as Ms. Santiago put it — was different, after all.


They had come with a list of questions. Ms. Keochareon was suffering from pancreatic cancer, and they had researched the disease ahead of time. They were particularly curious about why she had survived for so long. She had lived with her illness for more than six years — an extraordinary span for pancreatic cancer, which often kills within months after diagnosis.


Why, the students asked, had she managed to keep eating and keep on weight? What was she taking for the pain? How long had it taken for doctors to give her a diagnosis?


“They ask good questions,” Ms. Keochareon said one morning, her lips stained red from the liquid oxycodone she was sipping frequently between doses of other drugs. “I forget half the stuff I learned as a nurse, but I remember everything about pancreatic cancer. Because I’m living it.”


For Ms. Keochareon, this was a chance to teach something about the profession she had found late and embraced — she became a nurse at 40, after raising her daughter and working for years on a factory floor.


“When I was a nurse, it seemed like most of the other nurses were never too happy having a student to teach,” she said, lying in her bedroom lined with pictures of relatives, friends, and herself in healthier times. “I loved it.”


A Last Project


Now, her disease had left her passing the days watching Animal Planet, reading a book about heaven and calling friends — so much that her cordless phone never left her side. She also was planning meticulously for her death, down to the green wool cardigan and embroidered shirt she would be buried in. But Ms. Keochareon wanted more as she prepared to die. The project she envisioned would be not just for students, but also for her — a way to squeeze one more chapter out of life.


Spending time with the dying is not fundamental to nurse training, partly because there are not enough clinical settings to provide the experience. The End-of-Life Nursing Education Consortium, a project of the American Association of Colleges of Nursing, has provided training in palliative care to some 15,000 nurses and nursing instructors around the nation since 2000, focusing not just on pain management but also on how to help terminally ill patients and their families prepare for death.


In addition, some students do rotations with hospice nurses, said Pam Malloy, the project’s director. But Ms. Malloy said that nursing schools still do not focus on end-of-life care nearly as much as they should. “We live in a death-denying society, and that includes nursing,” she said. “People have begun to understand it’s important, but we’re nowhere where we need to be at this point.”


In their conversations with Ms. Keochareon, the students learned that her symptoms had included a burning sensation after eating, for which doctors prescribed an acid blocker. Then came wrenching abdominal pain, which she said doctors dismissed as psychosomatic. She also developed diabetes, another potential sign of pancreatic cancer, and itchiness, possibly from blocked bile ducts.


In 2006, after she had felt sick for several years, a doctor finally ordered a CT scan, and the cancer was diagnosed. Ms. Keochareon was 53 and working at a hospital in Charleston, S.C. She was told that she would probably die within a year or two.


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