Tax Deal Done - but How Can Obama Sign It?


Jan 2, 2013 6:29pm







ap obama ac 130102 wblog Vacationing Obamas Options to Sign Fiscal Cliff Deal Include Air Force Jet, Autopen

AP Photo/Charles Dharapak


Congress officially delivered the bill to avert the fiscal cliff to the White House this afternoon, House Speaker John Boehner’s office told ABC News.


Now the question is when will the President sign it?


The bill, passed late on New Year’s Day, expires tomorrow at 11:59 a.m. when the current session of Congress concludes. If President Obama doesn’t sign it by then, constitutionally the bill is dead.


But this evening, eighteen hours before the deadline, the President is on a golf course in Hawaii.  And the bill is in Washington at the White House.


Administration officials won’t say what they will do despite repeated inquiries from ABC News.


There seem to be two options:  1) An Air Force jet can deliver the bill to Hawaii (better leave quickly!) in time for the President to sign it before 11:59 Eastern Standard Time; or, 2) The White House can use a presidential “auto-pen.”


The simple mechanical device uses a template of the presidential signature to scrawl it on paper if activated by the White House at Obama’s direction.


But would an auto-pen – usually used to sign insignificant correspondence and photographs – pass constitutional muster?  We don’t know.  The question has never been tested by the courts.


A 2005 legal study commissioned by former President George W. Bush determined that use of the autopen is constitutional but acknowledged the possibility that its use could be challenged.  Bush never used the autopen, officials from his administration told ABC.


President Obama is only believed to have used the autopen once to sign a piece of major legislation — the 2011 extension of the Patriot Act — which reached his desk while he was on a diplomatic trip to Europe. Officials invoked national security concerns to justify the move.


Use of the autopen has been controversial.  Conservative groups alleged last summer that Obama used an autopen to sign condolence letters to the families of Navy SEALs killed in a Chinook crash in Afghanistan — a charge the White House disputed flatly as false.


In 2004, then-Secretary of Defense Donald Rumsfeld was criticized for using an autopen to sign condolence letters to the families of fallen troops.


And in 1992 then-Vice President Dan Quayle even got into some hot water over his use of the autopen on official correspondence during an appearance on “This Week with David Brinkley.” More HERE.


ABC News’ Ann Compton and Devin Dwyer contributed reporting.



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In-depth 2012: The best long reads of the year









































Read more: "2013 Smart Guide: 10 ideas that will shape the year"












Dig deeper, look closer and think harder – these are the goals of New Scientist's in-depth articles. Each one is perfect for saving in your favourite read-it-later app and curling up in front of a glowing tablet for a good long read.












These are our editors' picks of our best features of the year, and all are prime examples of the amazing breadth of big ideas that were ripe for the tackling in 2012. When you have finished digesting these readable meals, visit our in-depth articles archive if you're hungry for more.











Richard Webb: "You might not have heard of the algorithm that runs the world." I certainly hadn't, or that its mathematical foundations are starting to look a little wobbly. An eye-opening examination of how seemingly abstruse mathematics is in fact deeply embedded in modern life: "The algorithm that runs the world"












Sally Adee: Gastric bypass surgery is the best surgery you're not getting, said Dr Oz on his popular medical advice show in the US. Because of enthusiasm from people like him, this operation has become massively popular – but by whimsically hacking at our stomach, might we might be messing with a system far more complicated than anyone really understands? Samantha Murphy had the surgery and began to realise that losing 45 kilograms could come with some profound neurological trade-offs: "Change your stomach, change your brain"












Michael Le Page: Nowadays most people either haven't heard of the 1970 book The Limits to Growth, or believe – wrongly – that the research it was based on has been discredited. But the main message of Limits is perhaps more relevant than ever – that a delayed response to mounting environmental problems leads to catastrophe further down the line: "Boom and doom: Revisiting prophecies of collapse"












Richard Fisher: This is a simple story about a scientific mystery. Strange rumbles, whistles and blasts have been reported all over the world for centuries. In New York state, they are called "Seneca guns"; in the Italian Apennines they are described as brontidi, which means thunder-like; in Japan they are yan; and along the coast of Belgium they are called mistpouffers – or fog belches. Yet the cause is often unexplained – what on Earth could be behind them? "Mystery booms: The source of a worldwide sonic enigmaSpeaker"












Valerie Jamieson: It's been a sensational year for particle physics, but the Higgs boson isn't the only fascinating particle in town. Meet 11 more particles that change our understanding of the subatomic world: "11 particles for 11 physics puzzlesMovie Camera"












David Robson: What is the secret of the legendary "flow state" that seems to mark out genius in everyone from piano virtuosos to tennis champions? With the latest brain stimulation techniques, it may soon be within everyone's reach, and Sally Adee writes with panache as she describes her own use of the technology during a terrifying marksmanship training session. This has everything I want to read in a story – drama, a revolutionary idea and some practical advice for anyone to try at home: "Zap your brain into the zone: Fast track to pure focus"












Graham Lawton: The writer of this article, Christopher Kemp, is a self-confessed lover of marginalia – nooks and crannies of science that are often overlooked. But as this beautifully written story reveals, those nooks and crannies often contain rich and fascinating material. Material, in fact, like ambergris: "Heaven scent: The grey gold from a sperm whale's gut"












Ben Crystall: Many people may remember the wonder material Starlite from an episode of BBC TV's Tomorrow's World – it seemed to have a miraculous ability to withstand fire and heat. So what happened to it? In this feature Richard Fisher uncovers the strange tale of Starlite and its eccentric inventor Maurice Ward, and on the way reveals fascinating details about Ward and his creation. And though Ward is dead, the story may not be over – it now looks like Starlite could get a second chance… "The power of cool: Whatever became of Starlite?"












Clare Wilson: I enjoyed working on this feature the most this year because to me it truly represents the future of medicine. New Scientist often predicts that some new medicine or technology will be available in five years' time. When it comes to using gene therapies or stem cell therapies on babies in the womb – the subject of this feature – the timeline is probably more uncertain, yet I don't see how anyone can doubt that some day it will happen: "Fetal healing: Curing congenital diseases in the womb"



















































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New path for mid-career professionals to join accounting industry






SINGAPORE: Mid-career professionals in Singapore without accounting work experience or accounting-related qualifications can now be hired and trained as accounts or audit professionals.

This has been made possible by a new pilot programme, a result of a partnership between NTUC's Employment and Employability Institute (e2i) and professional accounting body CPA Australia.

Under the programme, e2i will provide participating employers training allowances and subsidise up to 70 per cent of course fees for successful candidates. Employers that hire candidates for professional accounting roles under this programme can apply for training support of up to S$8,450 per eligible employee.

Employers will commit to offer jobs to successful candidates on a permanent and full-time basis.

The candidates will also have starting salaries of at least S$2,000, and receive a basic salary increase of at least 15 per cent when they complete the programme.

During their training, candidates will enrol in the CPA Programme Foundation Level course, which will equip them with the necessary basic accounting knowledge. It also provides them with a direct pathway to advance to the Professional Level course, which will confer the globally-recognised CPA Australia professional accounting designation.

Candidates will also undergo six months of on-the-job training with participating employers.

Mr Gilbert Tan, acting CEO of e2i, said: "e2i creates employment and employability solutions for PMEs interested in developing their careers. This Place-and-Train programme for accounts and audit professionals was initiated to help address the manpower needs of the accounting sector, as well as provide a way for locals to tap into accounting or audit-related job opportunities."

Mr Melvin Yong, Singapore General Manager of CPA Australia, said: "As Singapore positions itself to become a global accountancy hub, this partnership between CPA Australia and e2i will provide an ideal doorway for those in mid-careers looking for an opportunity to join the accounting profession.

"For employers, this is a potential avenue to recruit experienced staff amidst Singapore's current tight labour market."

The programme is part of the labour movement's continuous outreach to professionals in the financial and business services cluster.

-CNA/ac



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Pa. gov. to sue NCAA over Penn State sanctions

HARRISBURG, Pa. Gov. Tom Corbett said Tuesday he plans to sue the NCAA in federal court over stiff sanctions imposed against Penn State University in the wake of the Jerry Sandusky child sexual abuse scandal.

The Republican governor scheduled a Wednesday news conference on the Penn State campus in State College to announce the filing in U.S. District Court in Harrisburg.

The sanctions, which were agreed to by the university in July, included a $60 million fine that would be used nationally to finance child abuse prevention grants. The sanctions also included a four-year bowl game ban for the university's marquee football program, reduced football scholarships and the forfeiture of 112 wins.

The governor's office announced the news conference late Tuesday afternoon. His spokesman did not respond to repeated calls and emails seeking to confirm a Sports Illustrated story that cited anonymous sources saying a lawsuit was imminent.

Corbett's brief statement did not indicate whether his office coordinated its legal strategy with state Attorney General-elect Kathleen Kane, who is scheduled to be sworn in Jan. 15.

Kane, a Democrat, ran on a vow to investigate why it took state prosecutors nearly three years to charge Sandusky, an assistant under former football coach Joe Paterno. Corbett was the attorney general when that office took over the case in early 2009 and until he became governor in January 2011.




6 Photos


Who's who in the Penn State child sex abuse scandal






Play Video


Pa. Atty Gen: Penn State officials showed "callous lack of concern"



State and congressional lawmakers from Pennsylvania have objected to using the Penn State fine to finance activities in other states. Penn State has already made the first $12 million payment, and an NCAA task force is deciding how it should be spent.

The NCAA, which did not respond to calls seeking comment Tuesday, has said at least a quarter of the money would be spent in Pennsylvania.

Republican U.S. Rep. Charlie Dent called that an "unacceptable and unsatisfactory" response by the NCAA to a request from the state's U.S. House delegation that the whole $60 million be distributed to causes within the state.

Last week, state Sen. Jake Corman, a Republican whose district includes Penn State's main campus, said he plans to seek court action barring any of the first $12 million from being released to groups outside the state.

The fine was just part of college sports' governing body's sanctions on Penn State for its handling of the abuse scandal involving Sandusky, who was convicted in June on charges he sexually abused 10 boys, some on campus. The landmark sanctions, though, didn't include a suspension of the university's football program, the so-called death penalty.

Sandusky, 68, was convicted on 45 counts. He's serving a 30- to 60-year state prison term.

Eight young men testified against him, describing a range of abuse they said went from grooming and manipulation to fondling, oral sex and anal rape when they were boys.

Sandusky did not testify at his trial but has maintained his innocence, acknowledging he showered with boys but insisting he never molested them.

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House Plans Up-or-Down Vote on 'Cliff' Deal













The Republican-dominated House of Representatives is taking an up-or-down vote on a bipartisan Senate deal to avert the "fiscal cliff."


House Republicans agreed to the up-or-down vote Tuesday evening, despite earlier talk of trying to amend the Senate bill with more spending cuts before taking a vote.


If House Republicans had tweaked the legislation, there would have been no clear path for its return to the Senate before a new Congress is sworn in Thursday.


The Senate passed the same bill by an 89-8 vote in the wee hours of New Year's Day.


Before deciding on the up-or-down vote in the House, GOP leaders had emerged from a morning conference meeting disenchanted by the legislative package devised by Senate Minority Leader Mitch McConnell, R-Mo., and Vice President Biden early this morning, with several insisting they could not vote on it as it stood.


"I do not support the bill," House Majority Leader Eric Cantor, R-Va., said as he left the meeting. "We're looking for the best path forward. No decisions have been made yet."


House Speaker John Boehner refused to comment on the meeting, but his spokesman said, "the lack of spending cuts in the Senate bill was a universal concern amongst members in today's meeting."






Bill Clark/Roll Call/Getty Images













'Fiscal Cliff' Negotiations: Congress Reaches Agreement Watch Video









Fiscal Cliff Countdown: Missing the Deadline Watch Video





"Conversations with members will continue throughout the afternoon on the path forward," Brendan Buck said in a statement.


As lawmakers wrestled with the legislation, the non-partisan Congressional Budget Office estimated that the bill's added spending combined with the cost of extending tax cuts for those making under $400,000 would actually add $3.9 trillion to the deficit over the next 10 years. The Joint Committee on Taxation reached a similar conclusion.


The impasse once again raised the specter of sweeping tax hikes on all Americans and deep spending cuts' taking effect later this week.


"This is all about time, and it's about time that we brought this to the floor," House Minority Leader Nancy Pelosi said after emerging from a meeting with Democrats.


"It was a bill that was passed in the U.S. Senate 89-8. Tell me when you've had that on a measure as controversial as this?" she said of the overwhelming vote.


Pelosi could not say, however, whether the measure had the backing of most House Democrats.


"Our members are making their decisions now," she said.


Biden, who brokered the deal with McConnell, joined Democrats for a midday meeting on Capitol Hill seeking to shore up support for the plan.


While Congress technically missed the midnight Dec. 31 deadline to avert the so-called cliff, both sides have expressed eagerness to enact a post-facto fix before Americans go back to work and the stock market opens Wednesday.


"This may take a little while but, honestly, I would argue we should vote on it today," said Rep. Tom Cole, R-Okla., who sits on the Budget Committee. "We know the essential details and I think putting this thing to bed before the markets is important.


"We ought to take this deal right now and we'll live to fight another day, and it is coming very soon on the spending front."






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The first half of 2012 will be remembered for the saga over whether or not to publish controversial research involving versions of the H5N1 bird flu virus engineered to spread more easily in mammals. In the end openness won out, and both contentious studies did finally see the light of day.












This was also the year that saw the battle to eradicate polio reach its crucial endgame – just as another problem, in the form of totally drug resistant tuberculosis, reared its head.












Away from infectious disease, 2012 brought us a theory on the link between Tutankhamun, epilepsy and the first monotheistic religion, and an insight into the perils of premature ageing in Italy's ominously named Triangle of Death. Here are 10 more of the year's memorable stories.












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N.Korea leader vows "radical" economic shift






SEOUL: North Korea's young leader Kim Jong-Un called for a "radical turnabout" in the impoverished country's economy in a rare New Year's address Tuesday that also urged improved relations with the South.

While the heart of his lengthy speech was devoted to turning the North into an "economic giant" and raising living standards, Kim stressed that military power remained a national priority.

"The military might of a country represents its national strength. Only when it builds up its military might in every way can it develop into a thriving country," he said in a voiced message broadcast on state television.

The address will be closely parsed for meaning in South Korea which just elected its first woman president, the conservative Park Geun-Hye, who has signalled a willingness for greater engagement with Pyongyang.

The voiced message was the first of its kind since Kim's grandfather, the North's founding president Kim Il-Sung, delivered one in 1994, the year of his death.

Kim's comments on the economy are likely to fuel speculation that he might be set to implement economic reforms that observers have been predicting since he came to power a year ago after the death of his father Kim Jong-Il.

The year 2013 will be a year of "great creations and changes in which a radical turnabout will be effected," Kim said, adding that "the building of an economic giant is the most important task" facing the country.

Praising the success of the North's space scientists in launching a long-range rocket last month, Kim said a similar national effort was required on the economic front.

"The entire Party, the whole country and all the people should wage an all-out struggle this year to effect a turnaround in building an economic giant and improving the people's standard of living," he said.

When Kim Jong-Il died, he left a country in dire economic straits -- the result of a "military first" policy that fed an ambitious missile and nuclear programme at the expense of a malnourished population.

Despite a rise in staple food output, daily life for millions of Koreans is an ongoing struggle with under-nutrition and a lack of vital protein and fat, according to a recent World Food Programme report.

Some observers had seen a glimmer of reformist hope in the handover of power to the Swiss-educated Kim Jong-Un, only in his late 20s.

Instead, Kim focused on consolidating his power base with a series of high-profile personnel changes, notably within the military elite, while at the same time pursuing Kim Jong-Il's missile programme.

Tuesday's address called for a "radical" increase in output across the board, from light and heavy industry to agriculture, as well as an improved transport infrastructure.

But it offered no specific policy directives for how this might be achieved by the isolated state which relies on its sole major ally China for 70 per cent of its foreign trade.

Kim's address came as the UN Security Council is still considering how to punish Pyongyang for its recent rocket launch, which most of the world saw as a disguised ballistic missile test.

The speech lauded the launch as a historic national achievement and stressed the need to develop more "sophisticated military hardware" in order to bring about a "fundamental change" in combat preparedness.

On South Korea, Kim sounded a conciliatory note and urged a scaling down of tensions on the Korean peninsula.

"An important issue in putting an end to the division of the country and achieving its reunification is to remove confrontation between the North and the South," Kim said.

"The past records of inter-Korean relations show that confrontation between fellow countrymen leads to nothing but war," he said.

South Korean president-elect Park Geun-Hye has distanced herself from outgoing President Lee Myung-Bak's hardline policy towards Pyongyang and spoken of the need for greater engagement with the North.

But in her first post-election victory policy statement, Park made it clear she still viewed Pyongyang as a serious threat and would put the South's national security before any trust-building programme.

-AFP/ac



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Biden pitches fiscal cliff deal to Democrats






STORY HIGHLIGHTS


  • Senate leaders cut a deal to avoid the fiscal cliff

  • Biden pitches the plan to Democrats late Monday

  • Obama says more work will be needed and chides Congress for dragging its feet

  • "Take the 84% of your winnings off the table," anti-tax crusader advises GOP




As the fiscal cliff looms, what's your New Year's message to Washington? Go to CNN iReport to share your video.


(CNN) -- Senate leaders and the White House struck a last-minute deal to avert the feared fiscal cliff Monday night, with Vice President Joe Biden headed to the Capitol Hill to pitch the plan to fellow Democrats.


"Happy New Year," Biden, who became the Democratic point man in the talks, told reporters. "Did you think we would be here New Year's Eve?"


A senior Democratic aide told CNN that if caucus meetings went well, a Senate vote could come "within the hour." But the House of Representatives went home long before midnight, meaning nothing will get through Congress before the combination of tax increases and spending cuts lawmakers have been scrambling to head off starts to kick in, at least on paper.


A source familiar with the deal told CNN that the Senate proposal would put off the cuts for two months and keep the expiring Bush-era tax cuts for individuals earning less than $400,000 or couples earning less than $450,000. President Barack Obama has long demanded that the threshold be set at $250,000.


Tax rates on income above those levels would go back to the Clinton-era rate of 39.6%, up from the current 35%, and itemized deductions would be capped at $250,000 for individuals and $300,000 for couples. That would generate an estimated $600 billion in additional revenue over 10 years.


Taxes on inherited estates will go up to 40% from 35%, but the exemption will be indexed to rise with inflation -- a provision the source said was added at the insistence of moderate Democrats.


Unemployment insurance would be extended for a year for for 2 million people, and the alternative minimum tax -- a perennial issue -- would be permanently adjusted for inflation. Child care, tuition and research and development tax credits would be renewed. And the "Doc Fix" -- reimbursements for doctors who take Medicare patients -- will continue, but it won't be paid for out of the Obama administration's signature health care law.


Biden had been in negotiations with Senate Minority Leader Mitch McConnell, R-Kentucky, since Sunday afternoon. Senate Majority Leader Harry Reid and House Minority Leader Nancy Pelosi, both Democrats, agreed to the plan in calls with President Barack Obama, a Democratic source said Monday night.


In the House, GOP sources said earlier Monday that there's little practical difference in settling the issue Monday night versus Tuesday. But if tax-averse House Republicans approve the bill on Tuesday -- when taxes have technically gone up -- they can argue they've voted for a tax cut to bring rates back down, even after just a few hours, GOP sources said. That could bring some more Republicans on board, one source said.


Economists warn the one-two punch of tax increases and spending cuts, known as "sequestration," could push the U.S. economy back into recession and drive unemployment back over 9% by the end of 2013. Obama had chided lawmakers for their last-minute scramble earlier Monday, hitting a nerve among several Republicans in the Senate.


Latest updates: Final fiscal cliff scramble


"They are close, but they're not there yet," he said. "And one thing we can count on with respect to this Congress is that if there is even one second left before you have to do what you're supposed to do, they will use that last second."


The president warned that if Republicans think they can get future deficit reduction solely through spending cuts "that will hurt seniors, or hurt students, or hurt middle-class families without asking also equivalent sacrifice from millionaires or companies with a lot of lobbyists ... they've got another think coming."


That irked Republican senators who have been grappling for a deal with the Democratic majority in that chamber. Sen. Bob Corker, R-Tennessee, called the president's comments "very unbecoming of where we are at this moment" and added, "My heart's still pounding."


"I know the president has fun heckling Congress," Corker said. "I think he lost probably numbers of votes with what he did."


Read more: Why your paycheck is getting smaller, no matter what


As Monday's deadline drew nigh, federal agencies were preparing for the possibility of furloughing workers. At the Pentagon, a Defense Department official said as many as 800,000 civilian employees could be forced to take unpaid days off as the armed services face an expected $62 billion in cuts in 2013 -- about 12% of its budget.


Those workers perform support tasks across the department, from maintaining aircraft and weapons systems to processing military payrolls and counseling families. The Pentagon believes it can operate for at least two months before any furloughs are necessary, but has to warn its civilian workforce that furloughs could be coming, the official said.


Read more: What if there's no deal on fiscal cliff


The White House budget office noted in September that sequestration was designed during the 2011 standoff over raising the federal debt ceiling as "a mechanism to force Congress to act on further deficit reduction" -- a kind of doomsday device that was never meant to be triggered. But Congress failed to substitute other cuts by the end of 2012, forcing the government to wield what the budget office called "a blunt and indiscriminate instrument."


In its place, the Senate plan would use $12 billion in new tax revenue to replace half the expected deficit reduction from the sequester and leave another $12 billion in spending cuts, split half-and-half between defense and domestic programs.


Read more: Medicare patients may suffer if country goes over fiscal cliff


Despite Obama's backing, one leading Senate Democrat warned a deal could run into trouble -- not only from House Republicans who have long opposed any tax increase, but also from liberals in the Senate who oppose allowing more high-income households to escape a tax increase.


"No deal is better than a bad deal, and this looks like a very bad deal the way this is shaping up," Sen. Tom Harkin, D-Iowa, said Monday morning. Late in the day, nothing had changed that would cause him to support the package.


Conservative lobbyist Grover Norquist, whose Americans for Tax Reform pushes candidates to sign a pledge never to raise taxes, said the plan "right now, as explained" would preserve most of the Bush tax cuts and wouldn't violate his group's pledge.


"Take the 84% of your winnings off the table," Norquist told CNN. "We spent 12 years getting the Democrats to cede those tax cuts to the American people. Take them off the table. Then we go back and argue about making the tax cuts permanent for everyone."


But Robert Reich, who served as labor secretary in the Clinton administration, said the $450,000 threshold "means the lion's share of the burden of deficit reduction falls on the middle class, either in terms of higher taxes down the road or fewer government services." In addition, he said, the plan does nothing to raise the federal debt ceiling just as the federal government bumps up against its borrowing limit.


And that, Arizona GOP Sen. John McCain told CNN, is likely to be "a whole new field of battle."


"We just added 2.1 trillion in the last increase in the debt ceiling, and spending continues to go up," McCain said. "I think there's going to be a pretty big showdown the next time around when we go to the debt limit."


CNN's Mike Pearson, Jessica Yellin, Dana Bash, Deirdre Walsh, Lisa Desjardins, Ted Barrett and Ashley Killough contributed to this report.






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Clinton's blood clot: Was concussion to blame?

Update: 10:20 P.M. EST -- Secretary of State Hillary Clinton's physicians released more information about her condition in a statement Monday afternoon:

"In the course of a routine follow-up MRI on Sunday, the scan revealed that a right transverse sinus venous thrombosis had formed. This is a clot in the vein that is situated in the space between the brain and the skull behind the right ear," Clinton's doctors Dr. Lisa Bardack of Mt. Kisco Medical Group, and Dr. Gigi El-Bayoumi of George Washington University, said in a statement. "It did not result in a stroke, or neurological damage. To help dissolve this clot, her medical team began treating the Secretary with blood thinners. She will be released once the medication dose has been established. In all other aspects of her recovery, the Secretary is making excellent progress and we are confident she will make a full recovery. She is in good spirits, engaging with her doctors, her family, and her staff."


Secretary of State Hillary Clinton remains hospitalized at New York-Presbyterian Hospital in Manhattan on Monday for a blood clot.

Clinton reportedly suffered a concussion Dec. 13 after falling and hitting her head after fainting from a stomach virus that caused serious dehydration. She hasn't been seen in public since, but was expected to return to work this week before being hospitalized for the blood clot.





Play Video


How serious is Hillary Clinton's condition?






Play Video


Hillary Clinton has blood clot in her head




"She is being treated with anti-coagulants and is at New York-Presbyterian Hospital so that they can monitor the medication over the next 48 hours," Spokesperson Philippe Reines said in a statement. There has been no announcement on the location of the clot, which was discovered during the course of a follow-up exam.

Doctors are expected to decide soon whether any further action is required, Reines said, adding that they will continue to assess Clinton's condition, "including other issues associated with her concussion."

A blood clot is a clump that occurs when blood hardens from a liquid to a solid.

Dr. Jack Ansell, chairman of the department of medicine at Lenox Hill Hospital in New York, who has no special knowledge of the secretary's case, tells CBSNews.com he suspects Clinton is either experiencing a clot that originated in a blood vessel in the brain, called cerebral venous thrombosis, or one that could have occurred in one of the veins in the leg, called deep venous thrombosis (DVT).

Ansell's field of study is thrombosis, which is the formation of a blood clot inside a vessel.

Where does Clinton's concussion come in?

Ansell said the brain is rich in substances that stimulate clotting, so in general, people with a brain injury may face a higher risk for having a blood clot. Therefore it's possible a clot could have originated in a nearby vessel in the brain. However, if someone is lying around recuperating following a concussion or stomach virus, that increase in inactivity could also raise risk for DVT, he said. A person who experiences this dangerous blood clot deep in the leg could be at risk if the clot travels to the lung, becoming what's called a pulmonary embolism.

Dr. Richard Figler, a primary care sports medicine specialist at the Cleveland Clinic, told CBSNews.com that he doesn't believe Clinton's head injury was a direct cause of the blood clot, but said timing and other factors could have contributed. He also suspects that Clinton may have rested more following the stomach virus and concussion than she typically does, and going from an active to sedentary lifestyle may have combined with other factors that can influence blood clotting, like age and genetics.

"I'd have a hard time blaming the concussion for the clot itself," he said.

Ansell said these types of clots are easily treatable and respond well to therapy, so while there is potential harm from complications, he would give the secretary a good prognosis. Patients typically receive anti-coagulant therapy for three to six months, he said, and are monitored up to every week with a blood test to ensure they aren't having any blood flow irregularities.

"I would expect her to recover and not have a problem," he said.




Play Video


How serious is Secretary Clinton's condition?




One potential complication from treatment with an anti-coagulant, such as Coumadin (warfarin), is an increased risk for bleeding. That presents a problem for head injury suffers, according to CBS News medical correspondent Dr. Jon LaPook, who is affiliated with the hospital where Clinton is receiving care but has no knowledge of her case.

LaPook says that it is unusual for someone to be given blood thinners after suffering a head injury, because more bleeding in the brain can be deadly.

"The reason is when somebody falls and hits their head, you're worried about bleeding into the skull, into the brain, like Natasha Richardson had, so the last thing you would want to do is thin their blood," he said. "At this point the reason to give anti-coagulation, blood thinner, would be to prevent another clot from forming," he said.

Actress Natasha Richardson hit her head while skiing in Quebec in 2009 and later died from bleeding underneath the skull. That type of clot in the brain is called a subdural hematoma.

LaPook said the doctors treating Clinton may be between a rock and a hard place.

"They want to thin her blood to prevent a further clot, on the other hand they're afraid to give her blood thinners because that could increase bleeding in somebody who's smacked their head recently, so they're going to observe her very closely in the hospital," he said. That observation could also rule out other potential causes for the blood clot, such as heart problems.

Figler said a brain bleed from a head injury is only a major risk within 48 hours of the initial injury, and if the blood clot originated in the secretary's leg, as some suspect, the anti-coagulant therapy shouldn't present a major risk.

Ansell said that while doctors may have balanced Clinton's underlying head injury initially, such as by waiting a few days to make sure brain tissues healed, he also said it's likely safe to treat her with anti-coagulants, adding that many patients with brain injuries or strokes take these types of medication and it's not even certain if the secretary's concussion caused bleeding in the brain.

"I don't think there's any concern for any special risks for bleeding in the brain," he said.

Both doctors also said that anti-coagulants are not typically prescribed for brain bleeds caused by head injuries.

To Figler, the fact that doctors separately diagnosed a clot in addition to the secretary's other recent health woes, speaks to the doctors' ability to find other potential symptoms of a blood clot, such as leg swelling or calf soreness.

"Some docs may say don't worry about it, it could be soreness," he said, noting that a leg ultrasound isn't a typical test given following a concussion. "To be honest, it takes an astute physician to figure those things out."

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Fiscal Cliff Deal Reached; Biden Pitches It to Dems













The so-called "fiscal cliff" came tonight -- but now there is a specific deal on the table to try to soften it after the fact, according to congressional sources.


Senate Majority Leader Harry Reid said the deal would get a vote in the Senate tonight. The House would not vote before Tuesday, having adjourned for the evening before word of the agreement spread.


"It is a compromise, so we don't love it," said a senior White House official. "But it is the right thing to do for the economy."


Vice President Joe Biden met this evening with Senate Democrats in order to convince them to support the proposal, which would extend Bush-era tax cuts permanently for people making less than $400,000 per year and households making less than $450,000, the sources said.


The steep "sequester" budget cuts scheduled to go into effect with the new year would be postponed two months, said sources. They said half the money would come from cuts elsewhere, and the other half from new revenue.


The deal also would affect taxes on investment income and estates, and extend unemployment benefits for a year, the congressional sources added.


Biden was asked to confirm the deal as he entered a meeting with Senate Democrats tonight, but only smiled and said, "Happy New Year." Senators later were seen leaving the meeting later, but made few comments.


"We're waiting to see how the vice president brings his party along," a McConnell aide said.


"The end is in sight," said a Democratic aide with the office of Senate Majority Leader Harry Reid, D-Nev. "If everyone cooperates, it's possible things can move pretty quickly."


After the midnight deadline passes, lawmakers could still prevent a tax hike by making retroactive any legislation that passes in the weeks ahead, experts said. The IRS said it has not yet advised employers to withhold more from their employees' paychecks, pending a deal.






Chip Somodevilla/Getty Images











'Fiscal Cliff': Lawmakers Scramble for Last-Minute Deal Watch Video









But the deal, if it can pass through Congress, does not entirely solve the problem of the "fiscal cliff." In fact, it could set up a new showdown over the same spending cuts in just two months that would be amplified by a brewing fight over how to raise the debt ceiling beyond $16.4 trillion. That new fiscal battle has the potential to eclipse the "fiscal cliff" in short order.


Earlier, during a midday news conference, Obama said he was optimistic about compromise.


"It appears that an agreement to prevent this New Year's tax hike is within sight, but it's not done," he said. "There are still issues left to resolve, but we're hopeful that Congress can get it done."


Congressional and White House negotiators worked out a tentative plan that, in addition to extending current tax rates for households making $450,000 or less, would raise the estate tax from 35 to 40 percent for estates larger than $5 million; and prevent the alternative minimum tax from hammering millions of middle-class workers, according to sources familiar with the talks.


Capital gains taxes would rise to 20 percent from 15, according to a senior White House official.


The deal would also extend for one year unemployment insurance benefits set to expire Tuesday, and avert a steep cut to Medicare payments for doctors, congressional sources said.


"I can report that we've reached an agreement on the all the tax issues," said Senate Minority Leader Mitch McConnell in an afternoon speech on the Senate floor.


At the time, McConnell said that federal spending cuts remained a sticking point. That hurdle later appeared to be cleared by postponing the debate two more months.


The White House had proposed a three-month delay of the cuts to allow more time to hash out details for deficit reduction, while many Senate Democrats wanted a flat one-year delay. Republicans insisted that some spending cuts should be implemented now as part of any deal.


"In order to get the sequester moved, you're going to have to have real, concrete spending cuts," said Rep. Mike Rogers, R-Mich. Without that, he said, "I don't know how it passes the House."


Some Republicans also said Obama unduly complicated progress toward an agreement by seeming to take a victory lap on taxes at his campaign-style event at the White House.


"Keep in mind that just last month Republicans in Congress said they would never agree to raise tax rates on the wealthiest Americans," Obama said, raising the ire of several Republicans. "Obviously, the agreement that's currently discussed would raise those rates, and raise them permanently."


Those words drew a sharp retort from Republican Sen. John McCain.


Rather than staging a "cheerleading rally," McCain said, the president should have been negotiating the finishing touches of the deal.


"He comes out and calls people together and has a group standing behind him, laughs and jokes and ridicules Republicans. Why?" said McCain.


Several Democrats also voiced disappointment with the president and the emerging deal.






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