Downton Abbey's Season 3 Finale: Shocking, Says PEOPLE's TV Critic

Downton Abbey

By Tom Gliatto

02/17/2013 at 10:00 PM EST

Downton Abbey season 3 cast

Carnival Film & Television/PBS

Downton Abbey's third season finale on PBS's Masterpiece was, to say the least, a spoiler's paradise. The episode, which saw the Granthams and servants going on holiday in the Scottish Highlands, started on a joyful note – Lady Mary was pregnant! – and ended with a shock that would have knocked the hat off Lady Violet wobbling head.

SPOLIER ALERT: Major plot points to be revealed immediately.

Cousin Matthew (Dan Stevens) died in a car accident. He was driving back to Downton, so happy he was practically whistling, just after Lady Mary (Michelle Dockery) had given birth to their son – the male Downton heir everyone has been so obsessed with since Season 1.

Many viewers probably saw this coming: For one thing, Stevens had said he was thinking of decamping before season 4 started shooting. And after the finale had its premiere broadcast in Britain in December, he blabbed all about it, including for an interview posted online by The New York Times.

Even so, the death was almost sadistically abrupt and arbitrary, especially after the soft tenderness and growing love between Mary and Matthew in recent episodes. Now we saw dead poor Matthew dumped on the cold mossy ground, eyes wide open.

You can never be sure Downton writer-creator Julian Fellowes won't pull some shameless stunt to kick-start a story – in season 2 Matthew, paralyzed during the war, suddenly leaped out of his wheelchair – but he seemed to want us to be sure that Matthew was 100% gone. I wouldn't have been surprised if the car backed over the corpse.

So ended a terribly sad season of Downton.

We already suffered the loss in childbirth of Lady Sybil (Jessica Brown Findlay). Her deathbed scene was unflinching and deeply moving as she gasped for breath and called for help. Her poor mother (Elizabeth McGovern) sobbed in despair, and the doctors couldn't agree on what to do.

Millions of viewers cried, too, and sighed for a long time afterward. Those who didn't are probably evil.

That scene was the heart of the season: Sybil was so beautiful and kind and gracious and spirited, and so different from her fractious sisters. It was if one were to discover a rare, transcendent soul among the Kardashians. Her death robbed the show of a lovely presence, and also brought out the best moments yet from McGovern and Maggie Smith, as Lady Violet.

It never ceases to annoy me, to be honest, that Lady Violet's feeble witticisms are treated as if they were Oscar Wilde one-liners on loan, like Harry Winston jewels. If you want real witticisms, try any contemporary American sitcom, including FX's Archer.

But this season, as Violet grieved, we saw how much depth Smith can invest in a single moment. At one point in the finale, she looked up as dinner was announced, and in her enormous eyes you saw a woman who wished she could just chuck the whole damn thing and dwell on her memories.

I wish I could say I will miss Matthew, but all in all an unattached Lady Mary is better than a married one. She was never sexier than in the first season, when she sneaked off to bed with velvety, sensual Mr. Pamuk, who unfortunately kicked the bucket while they made love.

Mary is a wonderful creation – the show's most original, complex character – capable of bouncing from romance to sorrow to sarcasm. You could say her love for Matthew transformed her, but it also had the potential to dull her.

Matthew was blandly handsome and good and patient and full of improving notions, but not terribly exciting. He was like a Bachelor from a much earlier period.

There isn't much else to say about the finale. Fellowes worked through a number of plots with his usual tangy glibness. The performances were all delightful, tart, full of emotion, humor and regret.

For now, we can look forward to Lady Mary at her most beautiful, because most woeful, in season 4.

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UN warns risk of hepatitis E in S. Sudan grows

GENEVA (AP) — The United Nations says an outbreak of hepatitis E has killed 111 refugees in camps in South Sudan since July, and has become endemic in the region.

U.N. refugee agency spokesman Adrian Edwards says the influx of people to the camps from neighboring Sudan is believed to be one of the factors in the rapid spread of the contagious, life-threatening inflammatory viral disease of the liver.

Edwards said Friday that the camps have been hit by 6,017 cases of hepatitis E, which is spread through contaminated food and water.

He says the largest number of cases and suspected cases is in the Yusuf Batil camp in Upper Nile state, which houses 37,229 refugees fleeing fighting between rebels and the Sudanese government.

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To ease veterans' return to civilian life, program offers purpose

When Eric Greitens visited his fellow Navy SEALs who had been wounded in Iraq, one of their worries about post-military life surprised him.

"Every single one of them said he wanted to find a way to continue to serve," Greitens said. "They needed to know that when they came home, we saw them as vital."

In the weeks after that 2007 visit to the military hospital in Bethesda, Md., Greitens founded the Mission Continues, a nonprofit helping military veterans make the often rocky transition to civilian life by placing them in six-month stints with nonprofit agencies that have a high sense of civic purpose.

Starting that summer, the St. Louis-based program, with Greitens as chief executive, chief fundraiser and spokesman, has placed 609 veterans with agencies from California to New York and beyond.

Some of the veterans have physical injuries. Most do not. But all have served since the 9/11 attacks, and all are apprehensive about reentering a civilian world so different from the highly structured, task-oriented life of the military.

"When you're in the military, you have a purpose. You're fighting for something," said Nathan Moore, 26, a former Marine corporal who served in Iraq and Afghanistan. "When you get out, you have to replace that sense of mission."

Moore — who was medically retired because of injuries he sustained during battle in Sangin, Afghanistan — has been assigned to a veterans program in Greenville, N.C.

The most common placements have been with Habitat for Humanity, Boys & Girls Clubs of America, the YMCA, the American Red Cross, Big Brothers Big Sisters and Girl Scouts of the USA. There also have been lesser known agencies: the Carolina Raptor Center, the Coalition for the Homeless of Central Florida and Breakthrough Miami, among others.

The goal, Greitens said, is to help veterans "begin to rebuild their own sense of purpose" and prepare for full-time employment, college or trade school.

"Lots of organizations give things to veterans," Greitens said. "We're an organization that expects things from veterans."

Veterans are returning to a society that knows little about the reality of military service and where many civilians pity all veterans, assuming they suffer from post-traumatic stress disorder and other woes. That pity can be a trap, Greitens warns.

"The most devastating thing that can happen is when somebody gives you an excuse," Greitens told a recent class of Mission Continues veterans at a meeting in Los Angeles. "As a generation of veterans, we could lean on those excuses for the next 20 to 30 years."

Greitens, 40, has a varied resume: He was a Rhodes scholar; has a doctorate from the University of Oxford; did volunteer work in humanitarian relief in Rwanda, Cambodia, Bosnia and other locations; won boxing awards; holds a black belt; and has written three books, including the bestselling "The Heart and the Fist: The Education of a Humanitarian, the Making of a Navy SEAL."

The Mission Continues has gained financial support from major corporations and financial houses, including Goldman Sachs, the Ford Foundation, Target, JPMorgan Chase and Home Depot. The program also received an approving nod from now-retired Adm. Michael Mullen, former chairman of the Joint Chiefs of Staff.

Among the program's supporters is producer and director J.J. Abrams, whose credits include "Star Trek" and "Mission Impossible" movies. Abrams met with Greitens last month to introduce him to other entertainment industry figures interested in the Mission Continues.

"This is my favorite kind of work," Abrams said. "It's solving two real problems in one fell swoop: providing the community with [veterans'] leadership and providing well-trained veterans with a purpose."

A 2011 Washington University follow-up study found that nearly three-quarters of Mission Continues participants went on to continue their educations, and 86% said the program helped them sharpen their leadership skills. Only three of the 609 veterans who have participated did not complete their six-month placements.

Each veteran selected for the program receives a stipend of $7,200 for the six months, during which they work 20 hours a week. Women make up slightly more than a quarter of the participants.

Of the latest group, about 30% are going to nonprofit organizations that provide services to veterans, although Mission Continues officials would like to decrease that in the future so participants can better acclimate to the civilian world.

"Veterans need to find something bigger than themselves," said Kathryn Hernandez, 25, who deployed to Iraq as a Marine and will soon join the Miami-based Veterans Ocean Adventures for six months.

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Dismissed as Doomsayers, Advocates for Meteor Detection Feel Vindicated

For decades, scientists have been on the lookout for killer objects from outer space that could devastate the planet. But warnings that they lacked the tools to detect the most serious threats were largely ignored, even as skeptics mocked the worriers as Chicken Littles.

Jim Watson/Agence France-Presse — Getty Images

Dr. Edward Lu, a former NASA astronaut and Google executive, has warned about space threats.

No more. The meteor that rattled Siberia on Friday, injuring hundreds of people and traumatizing thousands, has suddenly brought new life to efforts to deploy adequate detection tools, in particular a space telescope that would scan the solar system for dangers.

A group of young Silicon Valley entrepreneurs who helped build thriving companies like eBay, Google and Facebook has already put millions of dollars into the effort and saw Friday’s shock wave as a turning point in raising hundreds of millions more.

“Wouldn’t it be silly if we got wiped out because we weren’t looking?” said Edward Lu, a former NASA astronaut and Google executive who leads the detection effort. “This is a wake-up call from space. We’ve got to pay attention to what’s out there.”

Astronomers know of no asteroids or comets that pose a major threat to the planet. But NASA estimates that fewer than 10 percent of the big dangers have been discovered.

Dr. Lu’s group, called the B612 Foundation after the imaginary asteroid on which the Little Prince lived, is one team of several pursuing ways to ward off extraterrestrial threats. NASA is another, and other private groups are emerging, like Planetary Resources, which wants not only to identify asteroids near Earth but also to mine them.

“Our job is to be the first line of defense, and we take that very seriously,” James Green, the director of planetary science at NASA headquarters, said in an interview Friday after the Russian strike. “No one living on this planet has ever before been hurt. That’s historic.”

Dr. Green added that the Russian episode was sure to energize the field and that an even analysis of the meteor’s remains could help reveal clues about future threats.

“Our scientists are excited,” he said. “Russian planetary scientists are already collecting meteorites from this event.”

The slow awakening to the danger began long ago, as scientists found hundreds of rocky scars indicating that cosmic intruders had periodically reshaped the planet.

The discoveries included not just obvious features like Meteor Crater in Arizona, but wide zones of upheaval. A crater more than a hundred miles wide beneath the Yucatán Peninsula in Mexico suggested that, 65 million years ago, a speeding rock from outer space had raised enough planetary mayhem to end the reign of the dinosaurs.

Some people remain skeptical of the cosmic threat and are glad for taxpayer money to go toward urgent problems on Earth rather than outer space. But many scientists who have examined the issues have become convinced that better precautions are warranted in much the same way that homeowners buy insurance for unlikely events that can result in severe damage to life and property.

Starting in the 1980s and 1990s, astronomers turned their telescopes on the sky with increasing vigor to look for killer rocks. The rationale was statistical. They knew about a number of near misses and calculated that many other rocky threats whirling about the solar system had gone undetected.

In 1996, with little fanfare, the Air Force also began scanning the skies for speeding rocks, giving credibility to an activity once seen as reserved for doomsday enthusiasts. It was the world’s first known government search.

The National Aeronautics and Space Administration took a lead role with what it called the Spaceguard Survey. In 2007, it issued a report estimating that 20,000 asteroids and comets orbited close enough to the planet to deliver blows that could destroy cities or even end all life. Today, with limited financing, NASA supports modest telescopes in the southwestern United States and in Hawaii that make more than 95 percent of the discoveries of the objects coming near the Earth.

Scientists lobbied hard for a space telescope that would get high above the distorting effects of the Earth’s atmosphere. It would orbit the Sun, peering across the solar system, and would have a much better chance of finding large space rocks.

But with the nation immersed in two wars and other earthly priorities, the government financing never materialized. Last year, Dr. Lu, who left the NASA astronaut corps in 2007 to work for Google, joined with veterans of the space program and Silicon Valley entrepreneurs to accelerate the asteroid hunt.

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Beyoncé's Life Is But a Dream: The Best Moments

TV Watch

By Aaron Parsley

02/16/2013 at 11:05 PM EST

I am ... still singing!

Beyoncé's HBO documentary, Life Is But a Dream, aired Saturday night and it was a 90-minute whirlwind of music, dance and emotion. And though the singer, 31, has been everywhere recently (the Inauguration, the Super Bowl halftime show, Oprah's Next Chapter), the film was full of new and exciting moments. Here are my favorites:

Baby Bey: A home movie of Beyoncé as a little girl playing with bees made my jaw drop. The scene seems to prove what her fans believe: that she was born to be a superstar known as Queen B. I also loved seeing her singing – and being a typical, giggling teenager – with her sister Solange and Kelly Rowland.

The Heartbreak: From her frank discussion of firing her father as a manager to hearing "the saddest song" she's ever written after having miscarriage, the film – which Beyoncé produced and directed herself – had raw, emotional moments.

Mrs. Carter: Life is like a dream for Beyoncé and husband Jay-Z, who surprisingly shared intimate moments together – giddy over her pregnancy, singing Coldplay's "Yellow" to each other, enjoying solitude on a boat in an undisclosed, exotic location. You could feel the love when she toasted him on his birthday.

Blue Ivy: How cute is she?! When Beyoncé and Jay's baby girl, who turned 1 in January, appeared on the screen at the premiere of Life Is But a Dream at New York's Ziegfeld Theater, the crowd gasped and then let out a collective "aww." And I jammed my fingers on the TV screen the first time I watched, trying to pinch those cheeks. Seeing Beyoncé at home with a baby on her hip was a powerful reminder that the fierce superstar is human afterall.

The Music: Of course! Seeing her sing "Listen" with a gorgeously altered ending in a car convinced me of one thing: Beyoncé is definitely not human! I also loved seeing everything that went into her epic Billboard Music Awards performance of "Run the World (Girls)." I just wish I could do that dance. And is it me or does "Resentment" get grittier and angrier every time she performs it?

Praise Beysus and long live the Queen B!

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UN warns risk of hepatitis E in S. Sudan grows

GENEVA (AP) — The United Nations says an outbreak of hepatitis E has killed 111 refugees in camps in South Sudan since July, and has become endemic in the region.

U.N. refugee agency spokesman Adrian Edwards says the influx of people to the camps from neighboring Sudan is believed to be one of the factors in the rapid spread of the contagious, life-threatening inflammatory viral disease of the liver.

Edwards said Friday that the camps have been hit by 6,017 cases of hepatitis E, which is spread through contaminated food and water.

He says the largest number of cases and suspected cases is in the Yusuf Batil camp in Upper Nile state, which houses 37,229 refugees fleeing fighting between rebels and the Sudanese government.

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Candidates for South L.A. council seat weigh in on sales-tax hike

Five of the seven candidates seeking to represent a major portion of South Los Angeles on the City Council said Saturday they oppose the sales tax hike on the March 5 ballot, arguing it would disproportionately harm low-income residents.

Appearing at their first candidate forum, the contenders seeking to replace Councilwoman Jan Perry staked out positions on public safety, economic development and Proposition A, which would bring the city's tax rate to 9.5%, among the highest in the state.

Candidate David Roberts, a former aide to Councilman Bernard C. Parks, said Proposition A would hit a district already suffering from high unemployment. "Sales taxes are regressive and they will hurt this community far worse than anywhere else in the city," he said.

Deputy Police Chief Terry Hara, teacher Ron Gochez, community volunteer Manuel Aldana Jr. and Ana Cubas, a former aide to Councilman Jose Huizar, also came out against the measure. State Sen. Curren Price (D-Los Angeles), though, offered his support, saying it would provide much-needed money to pay for police.

"I'm not in favor of reducing the police presence in South L.A.," he said. "That's what would happen if this tax doesn't pass."

Price is backed by the Los Angeles County Federation of Labor, whose top official signed the ballot argument in favor of Proposition A. That group has spent about $43,000 on mailers and other materials promoting his council bid.

Assemblyman Mike Davis (D-Los Angeles), a seventh candidate in the race, responded to the tax question by saying he would make tough decisions on public safety and "not back down." After the forum ended, he told The Times he is still making up his mind on the measure.

The 9th District includes the eastern section of South Los Angeles, Staples Center and USC. The council redrew the district last year in a way that cut out much of downtown and its wealth. Perry is stepping down after 12 years and running for mayor.

Several candidates told the audience of roughly 200 that the district has not received its fair share of services, including sidewalk repairs and cleanup of illegal dumping. But whereas Price spoke against reduced police staffing, Gochez promised to scale back the L.A. Police Department's budget and use the proceeds to pay for expanded after-school programs, arts instruction and athletic activities to keep children away from crime.

Gochez, 31, said he would seek a $1 city fee on tickets to sporting events at Staples Center and USC and use the revenue to address homelessness in the district. And he promised not to accept the council's $179,000 salary, saying he would take only an amount equal to what he currently earns as a history teacher: $60,063 per year.

"The problem is, the people who have been in power here have used our resources and our tax dollars to fix downtown L.A. and not South-Central L.A.," he told the crowd.

Cubas, the former Huizar aide, said she opposes not only Proposition A but also any effort to increase rates at the Department of Water and Power. She vowed to make the district No. 1 in job creation, in part by attracting biomedical companies to vacant warehouses on Broadway and other nearby corridors.

"We're going to turn things around," she told the audience. "This is a movement. This is a revolution."

Cubas, 42, said she would be the first Salvadoran and, potentially, the only woman on the council. Aldana, in turn, promoted himself as the "hometown" candidate, pointing out that the vast majority of his opponents had only recently moved into the district.

Davis and Price talked up their experience in Sacramento, and Cubas and Roberts emphasized their work at City Hall. All four said they had done extensive work in the district.

Hara, for his part, said he spent three decades working in a number of local police divisions, including Newton, Southeast, Southwest and 77th.

"I put my life on the line on the streets of South L.A.," the 33-year LAPD veteran said.

david.zahniser@latimes.com

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The Saturday Profile: Mary Beard, Classics Professor, Battles Internet Attacks

JANUARY was a busy month for Mary Beard, a Cambridge academic who is the closest thing, if it exists, to a celebrity classics professor.

In just a few weeks, Ms. Beard, who has helped popularize the study of antiquity through television and a lively blog, “A Don’s Life,” turned 58; finished a draft of her book on Roman laughter; became an officer of the Order of the British Empire; and attended the funeral of a lifelong friend and editor, Peter Carson.

But little could have prepared her for the furor she faced after she appeared on a weekly BBC debate show last month and, while discussing immigration, expressed the unpopular view that Britain’s social services would not be overburdened when restrictions on Bulgarian and Romanian movement around Europe are lifted next year.

Her remarks, made on Jan. 17, unleashed a torrent of vicious, crude and personal online attacks, many targeting her unadorned style and her long, unkempt gray hair. Anonymous attackers also superimposed a picture of her face on a pornographic image. But rather than retire to her fainting couch (it is in her Newnham office, should she need it), or accept what happened as the cost of being a public figure in the Internet age, Ms. Beard decided to fight back.

Adopting what she said was a “high-risk strategy,” Ms. Beard reproduced on her blog some of the most unsavory remarks and the mocked-up image, which she has since removed.

“I wanted people to see how bad it is,” she said in an interview at Cambridge’s Newnham College, which she attended and where she has taught for nearly 30 years. “You never know what it’s like, because no mainstream paper will print it, nobody on the radio will let you say it, and so it came to look as if I was worried that they said I hadn’t done my hair.

“What was said was pornographic, violent, sexist, misogynist and also frightfully silly,” she said.

The comments would prove fatal for “Don’t Start Me Off,” an off-color online forum that became a bulletin board for her worst abusers. The site was eventually shuttered by its moderator, Richard White, who, in an about-face unexpected from an online provocateur, sent Ms. Beard a lengthy apology.

“I am genuinely sorry for any upset I may have caused you,” he wrote her privately. “I say this not because I’ve been ‘rumbled’ or because I think it’ll help my cause, but because it’s the right thing to do.”

Peter Stothard, the editor of The Times Literary Supplement, which publishes Ms. Beard’s blog, said her response was a quintessential case of “Mary being Mary.”

“She dealt with it in an extraordinary way,” Mr. Stothard said. “I don’t think it was necessarily bound to work, but it seems that it did. It’s a rare victory.”

The blog, which usually gets between 20,000 and 25,000 hits a week, drew about 85,000 visitors the week she addressed the controversy.

AT first glance, the professor is an unlikely candidate for such impassioned attention. Her gray hair, which she described as “mad,” hangs around her shoulders, which might be draped in a loose-fitting sweater or dress. She often uses tights to display a hint of her personality: on a recent Friday, they were black and adorned with shining plastic stars.

“I’ve chosen to be this way because that’s how I feel comfortable with myself,” Ms. Beard said. “That’s how I am. It’s about joining up the dots between how you look and how you feel inside, and I think that’s what I’ve done, and I think people do it differently.”

Ms. Beard first grew interested in classics as a precocious teenager with a talent for Latin and Greek and a taste for archaeological digs, where days spent excavating usually ended at the local pub, she said. But she would become a classics star at Cambridge, which was mostly male when she first showed up as a student in 1973. Now one of the university’s most high-profile professors, she extended her reach to a nation when “Meet the Romans with Mary Beard,” a short series, was first shown on BBC 2 last spring.

In three episodes, Ms. Beard appears as the viewer’s excitable and well-read guide to ancient Rome. She bikes around the city, perches atop ruins, pulls Roman artifacts out of storerooms and explains that a strange-looking tomb monument was built to recall a Roman bakery, a description that makes both bakeries and monuments seem fascinating.

“Classics isn’t about the ancient world. It’s partly about the ancient world, but it’s about our conversation. It’s how we try to talk to antiquity,” she said, elaborating on her mission to bring the subject to the masses. “A lot of people will always say, ‘I really know nothing about the ancient world.’ But there’s lots and lots of things people know. Partly they’ve been encouraged to think they’re ignorant about it. In some ways, the job to do is show people that they know much more than they’d like to admit.”

“Meet the Romans” showcased Rome, but it also put Ms. Beard’s appearance on display. When the show first aired, the Sunday Times critic A. A. Gill suggested she “really should be kept away from cameras altogether.” Since then, British columnists have debated whether her style is the result of laziness and inattention or unwillingness to conform to traditional standards of beauty.

NOT easily dissuaded, Ms. Beard is in talks for another Rome-based show. That is in addition to her typical agenda, filled with books to write, classes to teach and lectures to prepare.

Ms. Beard joined The Times Literary Supplement as its classics editor in 1992, eight years after writing her first book. She has since published more than a dozen; the most successful, “The Fires of Vesuvius: Pompeii Lost and Found,” was published in the United States in 2010. But Ms. Beard admits that the first time anyone ever heard of her was after the attacks of Sept. 11, 2001, when she wrote in The London Review of Books that some felt America “had it coming.”

The remarks drew global criticism. Though she does not regret them, Ms. Beard said she would choose different words now.

“Thinking back to then, what I wanted to say I would still want to say, which is that ghastly acts of terrorism are not unconnected to Western foreign policy,” in Britain as well as the United States, she said. “If I was making that point now, I wouldn’t write in those words; I would say something much more like what I just said.

“What politicians do is they never get the rhetoric wrong, and the price they pay is they don’t speak the truth as they see it,” she said. “Now, I will speak truth as I see it, and sometimes I don’t get the rhetoric right. I think that’s a fair trade-off.”

Ms. Beard is called “wickedly subversive” on her blog. It is a phrase routinely cited when she comes up in British newspapers, but, looking slightly embarrassed, she insists it was an editor’s choice, not hers.

“I’m always keen on understatement, you know?” she said with a laugh. “I’d just put ‘classicist.’”

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Molly Sims: I Nursed a Little Vampire!

Mom & Babies
Celebrity Baby Blog

02/15/2013 at 01:00 PM ET

Following the birth of her baby boy, Molly Sims was ready to sink her teeth into breastfeeding.

The only problem? Her son Brooks Alan had beaten her to it.

“Early on in the hospital, they really want you to breastfeed, so I’m trying everything,” the model mama, 39, shared during a Wednesday appearance on Anderson Live.

“And I’m like, ‘Gosh, this really, really hurts.’ And they’re like, ‘Oh, we know.’”

Determined to find the root of the pain, Sims went searching in her newborn’s mouth — and was shocked at her discovery.

“I’m like, ‘Is there any way a baby could be born with a tooth?’” she recalls. “And they went, ‘Oh sweetie, I know you’re a model, but … babies aren’t born with teeth!’”

She continues: “Come to find out, my baby was born with a tooth!”

Courtesy ANDERSON LIVE

Despite countless attempts to successfully nurse — “I did nipple shields, nipple guards, supplemental nursing system, it was horrible,” the new mom says — Sims eventually decided to call it quits.

“He was literally like a vampire on me for three months — it was unbelievable,” she says with a laugh. “Cut to I’m not breastfeeding and I’m proud of it.”

Now Brooks, 7 months, has moved on to other milestones — including crawling — and is already taking after his dad, Scott Stuber.

“He has the hairline of my husband. It’s like an Eddie Munster kind of hairline. It’s not so attractive, but [he'll] end up growing into it,” Sims says.

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States' choices set up national health experiment

WASHINGTON (AP) — President Barack Obama's health care overhaul is unfolding as a national experiment with American consumers as the guinea pigs: Who will do a better job getting uninsured people covered, the states or the feds?

The nation is about evenly split between states that decided by Friday's deadline they want a say in running new insurance markets and states that are defaulting to federal control because they don't want to participate in "Obamacare." That choice was left to state governments under the law: Establish the market or Washington will.

With some exceptions, states led by Democrats opted to set up their own markets, called exchanges, and Republican-led states declined.

Only months from the official launch, exchanges are supposed to make the mind-boggling task of buying health insurance more like shopping on Amazon.com or Travelocity. Millions of people who don't have employer coverage will flock to the new markets. Middle-class consumers will be able to buy private insurance, with government help to pay the premiums in most cases. Low-income people will be steered to safety net programs like Medicaid.

"It's an experiment between the feds and the states, and among the states themselves," said Robert Krughoff, president of Consumers' Checkbook, a nonprofit ratings group that has devised an online tool used by many federal workers to pick their health plans. Krughoff is skeptical that either the feds or the states have solved the technological challenge of making the purchase of health insurance as easy as selecting a travel-and-hotel package.

Whether or not the bugs get worked out, consumers will be able to start signing up Oct. 1 for coverage that takes effect Jan. 1. That's also when two other major provisions of the law kick in: the mandate that almost all Americans carry health insurance, and the rule that says insurers can no longer turn away people in poor health.

Barring last-minute switches that may not be revealed until next week, 23 states plus Washington, D.C., have opted to run their own markets or partner with the Obama administration to do so.

Twenty-six states are defaulting to the feds. But in several of those, Republican governors are trying to carve out some kind of role by negotiating with federal Health and Human Services Secretary Kathleen Sebelius. Utah's status is unclear. It received initial federal approval to run its own market, but appears to be reconsidering.

"It's healthy for the states to have various choices," said Ben Nelson, CEO of the National Association of Insurance Commissioners. "And there's no barrier to taking somebody else's ideas and making them work in your situation." A former U.S. senator from Nebraska, Nelson was one of several conservative Democrats who provided crucial votes to pass the overhaul.

States setting up their own exchanges are already taking different paths. Some will operate their markets much like major employers run their health plans, as "active purchasers" offering a limited choice of insurance carriers to drive better bargains. Others will open their markets to all insurers that meet basic standards, and let consumers decide.

Obama's Affordable Care Act remains politically divisive, but state insurance exchanges enjoy broad public support. Setting up a new market was central to former Republican presidential candidate Mitt Romney's health care overhaul as governor of Massachusetts. There, it's known as the Health Connector.

A recent AP poll found that Americans prefer to have states run the new markets by 63 percent to 32 percent. Among conservatives the margin was nearly 4-1 in favor of state control. But with some exceptions, including Idaho, Nevada and New Mexico, Republican-led states are maintaining a hands-off posture, meaning the federal government will step in.

"There is a sense of irony that it's the more conservative states" yielding to federal control, said Sandy Praeger, the Republican insurance commissioner in Kansas, a state declining to run its own exchange. First, she said, the law's opponents "put their money on the Supreme Court, then on the election. Now that it's a reality, we may see some movement."

They're not budging in Austin. "Texas is not interested in being a subcontractor to Obamacare," said Lucy Nashed, spokeswoman for Gov. Rick Perry, who remains opposed to mandates in the law.

In Kansas, Praeger supported a state-run exchange, but lost the political struggle to Gov. Sam Brownback. She says Kansans will be closely watching what happens in neighboring Colorado, where the state will run the market. She doubts that consumers in her state would relish dealing with a call center on the other side of the country. The federal exchange may have some local window-dressing but it's expected to function as a national program.

Christine Ferguson, director of the Rhode Island Health Benefits Exchange, says she expects to see a big shift to state control in the next few years. "Many of the states have just run out of time for a variety of reasons," said Ferguson. "I'd be surprised if in the longer run every state didn't want to have its own approach."

In some ways, the federal government has a head start on the states. It already operates the Medicare Plan Finder for health insurance and prescription plans that serve seniors, and the Federal Employees Health Benefits Program. Both have many of the features of the new insurance markets.

Administration officials are keeping mum about what the new federal exchange will look like, except that it will open on time and people in all 50 states will have the coverage they're entitled to by law.

Joel Ario, who oversaw planning for the health exchanges in the Obama administration, says "there's a rich dialogue going on" as to what the online shopping experience should look like. "To create a website like Amazon is a very complicated exercise," said Ario, now a consultant with Manatt Health Solutions.

He thinks consumers should be able to get one dollar figure for each plan that totals up all their expected costs for the year, including premiums, deductibles and copayments. Otherwise, scrolling through pages of insurance jargon online will be a sure turn-off.

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