A question of access? Mental health and gun violence

As President Obama faces opposition from gun rights advocates over his recent proposals to combat gun violence, the challenge he faces of fixing flaws in the mental health care system may prove just as difficult a battle.

Mr. Obama outlined plans aimed at preventing mass shootings and reducing broader gun violence in the United States last week, while signing 23 executive actions that did not require Congressional approval. Alongside proposed changes to gun laws including universal background checks, a stronger ban on assault weapons and new restrictions on ammunition and magazines, mental health emerged as a core feature of the president's plan to prevent further tragedies like the Dec. 14 shooting in Newtown, Conn.

The executive actions related to mental health included:

• A letter to health care providers clarifying that no federal law prohibits them from reporting threats of violence to law enforcement authorities
• Incentives for schools to hire school resource officers
• A letter to state health officials clarifying the scope of mental health services that Medicaid plans must cover
• Finalization of regulations clarifying essential health benefits and parity requirements within health insurance exchanges
• A commitment to finalizing mental health parity regulations
• The launch of a national dialogue led by the departments of Health and Human Services and Education on mental health
• A Presidential Memorandum directing the Centers for Disease Control to research the causes and prevention of gun violence
• Clarification that the new health care law does not prohibit doctors from asking their patients about guns in their homes

Noting that it was the first of its kind to focus on mental health since 2007 -- and long overdue -- Iowa Sen. Tom Harkin chaired a hearing of the Senate Health, Education, Labor and Pensions Committee Thursday.

Harkin laid out that while Newtown has brought the issue to the forefront of discussion, mental illness only accounts for a small proportion of violent crimes.

Experts estimate only a small percentage of violent crimes -- less than 5 percent -- are caused by mentally ill people.

"People with mental illness are much more likely to be the victims of violent crimes than perpetrators of violence," said Harkin, who called mental health care's shortcomings a public health problem.

A common theme throughout the hearing was to avoid stigmatizing people with mental illness while discussing gun violence and problems facing mental health care.

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Mental health expert: "We can and must intervene early"

Pamela S. Hyde, administrator for the government's Substance Abuse and Mental Health Services Administration (SAMHSA) laid out the scope of the mental health care problem during the hearing (video at left). Of the 45 million U.S. adults suffering from mental illness, only 38.5 percent receive the treatment they need, she said. For children, only one in five receive necessary treatment for diagnosable mental disorders. Despite showing symptoms, many children and adults experience significant delays getting into treatment. Hyde argues that if the system shifts to a focus on early intervention, more people can be helped.

"Cost, access and recognition of the problems are the primary reason this treatment is not received. However it doesn't have to be this way," said Hyde. "For most of these conditions, prevention works, treatment is effective and people do in fact recover."

Mental health care spending has been dramatically cut in recent years. A 2011 report from the National Alliance on Mental Health that looked at state-by-state mental health budgets reported $1.6 billion in state funding cuts from 2009 through 2012. Medicaid cuts at this time also negatively affected mental health care, the report showed. States are mulling increases in funding in light of the Newtown shooting.

And the health care system may only become more burdened in the near future: A July 2012 study by the Institute of Medicine, an advisory medical organization to the government, found an aging baby boomer population could cause a mental health care crisis by 2030, when the number of U.S. seniors is expected to double and necessary resources will be woefully lacking.

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The dangerous stigma of mental illness

Dr. Jeffrey Lieberman, chairman of psychiatry at Columbia University Medical Center in New York City, told CBS News senior correspondent John Miller in December that mental health care is a societal problem because the U.S. has not taken on the treatment of mental illness as effectively as it could.

"I think mental health is a big issue," Lieberman said at the time. "It's definitely related to the frequency of these seemingly senseless and wanton killings that occur. And the way it relates is that unfortunately, individuals who have specific forms of mental illness, if untreated, can be more prone to act in a way which is socially destructive and results in harm or killing like we saw happen."

Lieberman said a person who needs treatment for mental illness often faces barriers such as insurance coverage and accessibility to care, in addition to stigma -- while people getting treated for a disease like cancer face fewer "disincentives" to getting the best care.

Following the president's announcement, Lieberman told CBSNews.com that the new proposals are "on the right track" in terms of addressing issues in the mental health system, but much work remains to clarify how these actions will be implemented.

By getting more people with mental illness, impulse disorders and substance abuse issues into constant treatment, he said, they may be prevented from ever getting to a point where they are showing symptoms of mental illness -- and acting on violent impulses.

"Trying to say we should only do something when they get dangerous is very late in the process," said Lieberman.

Details on the president's proposals still need to be worked out, said Lieberman, who is also president-elect of the American Psychiatric Association. For example, the Mental Health Parity Act, which the president wanted to finalize in his executive actions, requires that mental health benefits are covered by insurance, similar to non-psychiatric health care benefits. However, the rules to determine what services are covered, how people become reimbursed and other stipulations have not been established, he said. The president also asked for clarification on Medicaid mental health services, which now typically covers people who have severe forms of mental illness. Lieberman argues policymakers may find that these services are not adequate, and broader services are needed.

Right now, doctors cannot provide mental health care services in what Lieberman refers to as a "financially viable way." He explains that patients seeking help for mental health may require a lot of support, not only from a doctor who may provide medication, but from therapists, case managers and social and vocational rehabilitation counselors who need to be more actively involved in the patient's lives. These team-based "multi-element treatment approaches" have been shown in studies to be effective, however these types of paid services just aren't available for people suffering from mental health problems. Meanwhile, a person with heart disease may see a cardiologist, a surgeon, a different doctor about stent management, a nutritionist for lifestyle tips, and other providers all covered by insurance.

"In mental health care it's the same thing -- you can't just see a psychiatrist and get a prescription," he said. "This is not just throwing different services at the problem, there's good evidence that these things work."

Dr. Jeffrey Swanson, a professor of psychiatry and behavioral sciences at Duke University School of Medicine, who has published several research papers on gun violence and mental health for more than a decade, agrees the current mental health system represents a complex public health problem facing the United States.

"The mental health system in the country, if you can call it that, is fragmented and grossly under-resourced," Swanson told CBSNews.com in an email. "It needs a lot of things, and more research into how to fix it -- at a time when there are more mentally ill people incarcerated than in hospitals -- is one of the needed things," he said.

A 2011 paper by Swanson published in Psychiatric Services examines the lack of data available on firearm use against strangers, and how it is impossible to reliably predict which specific individuals would engage in the most serious acts of violence.

But even if more CDC research stemming from the president's proposals strengthens the available data pool, Swanson argues these egregious acts of violence may still be impossible to predict.

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Can a mental disorder make someone violent?

"I think more access to evidence-based treatment and less access to guns, taken together, would have an impact on gun violence, at least on the margins. But prevent mass shootings? That's hard to say," Swanson said. "Those are almost inherently unpredictable, and often perpetrated by people with no gun-disqualifying mental health or criminal record -- until it's too late. Most of the measures in the President's proposal, even if enacted and implemented perfectly, would not necessarily have prevented the shootings in Tucson, Aurora, or Newtown."

While concerns persist on how the president's proposals will be implemented, the announcement was supported by various health organizations that had previously submitted recommendations to Vice President Joe Biden's White House Task Force on Gun Violence Prevention.

"NAMI applauds the President's plan for its significant provisions to strengthen and expand mental health services," Michael Fitzpatrick, executive director of the National Alliance on Mental Illness said in a statement following the proposals. "The mental health care system has long been broken. The challenge is not to fix it, but to build it anew, focusing on early screening, diagnosis, treatment and prevention. The President's plan takes important steps toward meeting that challenge."

Dr. Dilip V. Jeste, president of the American Psychiatric Association, added in statement, "We are heartened that the Administration plans to finalize rules governing mental health parity under the 2008 Mental Health Parity and Addiction Equity Act, the Affordable Care Act, and Medicaid. "We are glad that the President has clarified that doctors are not prohibited from asking their patients about guns in their homes. The APA has consistently advocated for such a position."

The American Academy of Pediatrics also offered its support.

"In addition to addressing firearm regulations, we must improve access to quality mental health care both to help prevent violent acts and to assist victims of trauma," AAP President Dr. Thomas K. McInerny, said in a statement following the proposals. "The AAP agrees with the President that we must improve the identification of mental illnesses through increased screening, address inadequate insurance coverage and high out-of-pocket costs that create barriers to access, strengthen the overall quality of mental health access, and improve and expand the Medicaid reimbursement policy to include mental health and developmental services.

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Feinstein Proposes Assault Weapons Ban

Manuel Balce Ceneta/AP Photo

With an AR-15 and nine other guns on her left, Sen. Dianne Feinstein, D-Calif., introduced a bill today that would ban assault weapons and high capacity ammunition clips.

The bill comes nearly 20 years after the first assault weapons ban was signed into law.

“I remain horrified by the massacre committed at Sandy Hook Elementary School in Newtown, Conn., and I’m also incensed that our weak gun laws allow these mass killings to be carried out again and again and again,” said Feinstein, who was joined by senators, representatives, mayors, police officials and victims of gun violence. “Military-style assault weapons have but one purpose, and in my view that’s a military purpose, to hold at the hip, possibly, to spray fire to be able to kill large numbers.”

“Assault weapons were designed for and should be used on our battlefields, not on our streets,” Sen. Charles Schumer, D-N.Y., said. “We know that there is no inalienable right to own and operate 100-round clips on AR-15 assault rifles.”

Feinstein’s proposed plan, which she will formally introduce on the Senate floor this afternoon, will ban the sale, transfer, manufacturing and importation of 158 semi-automatic weapons with at least one military feature. It would also ban fixed magazines that are capable of holding more than 10 rounds.

The newly bill differs from the 1994 assault weapons ban in that it does not have a sunset provision. Feinstein said the bill will protect over 2,200 makes of hunting and sporting rifles and shotguns, and the bill will subject existing or grandfathered weapons to background checks if they are sold or transferred.

“We have tried to learn from the bill. We have tried to recognize legal hunting rights. We have tried to recognize legal defense rights. We have tried to recognize the right of a citizen to legally possess a weapon. No weapon is taken from anyone. The purpose is to dry up the supply of these weapons over time. Therefore, there is no sunset on this bill,” Feinstein said.

Feinstein acknowledged the difficulty lawmakers face in passing this bill through Congress.

“Getting this bill signed into law will be an uphill battle, and I recognize that,  but it’s a battle worth having,” Feinstein said. “We must balance the desire of a few to own military-style assault weapons with the growing threat to lives across America.”

The National Rifle Association said Feinstein’s plan infringes on second amendment rights and neglects to address other issues spurring gun violence.

“Senator Feinstein has been trying to ban guns from law-abiding citizens for decades. It’s disappointing but not surprising that she is once again focused on curtailing the Constitution instead of prosecuting criminals or fixing our broken mental health system. The American people know gun bans do not work and we are confident Congress will reject Senator Feinstein’s wrong-headed approach,” Andrew Arulanandam, spokesman for the NRA, told ABC News.

Feinstein’s office told ABC News that the senator worked with U.S. Capitol Police and Washington Metro Police to ensure the display of weapons at the press conference complied with the rules.

An ABC News-Washington Post poll released last week found that 65 percent of those polled supported banning high capacity ammunition magazines while 58 percent favored banning the sale of so-called assault weapons.

Last week, President Obama introduced his gun policy agenda, which called for the banning of some assault-style weapons and high capacity magazines holding over ten rounds.  The president’s plan included 23 executive actions on gun violence that would not require congressional approval, which included a directive for national agencies to strengthen the criminal background check system.

A new ABC News-Washington Post poll out today showed 53 percent find the president’s gun control plan to be favorable while 41 percent view it unfavorably.

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North Korea to target U.S. with nuclear, rocket tests

SEOUL (Reuters) - North Korea said on Thursday it would carry out further rocket launches and a nuclear test that would target the United States, dramatically stepping up its threats against a country it called its "sworn enemy".

The announcement by the country's top military body came a day after the U.N. Security Council agreed to a U.S.-backed resolution to censure and sanction North Korea for a rocket launch in December that breached U.N. rules.

North Korea is not believed to have the technology to deliver a nuclear warhead capable of hitting the continental United States, although its December launch showed it had the capacity to deliver a rocket that could travel 10,000 km (6,200 miles), potentially putting San Francisco in range, according to an intelligence assessment by South Korea.

"We are not disguising the fact that the various satellites and long-range rockets that we will fire and the high-level nuclear test we will carry out are targeted at the United States," North Korea's National Defence Commission said, according to state news agency KCNA.

North Korea is believed by South Korea and other observers to be "technically ready" for a third nuclear test, and the decision to go ahead rests with leader Kim Jong-un, who pressed ahead with the December rocket launch in defiance of the U.N. sanctions.

China, the one major diplomatic ally of the isolated and impoverished North, agreed to the U.S.-backed resolution and it also supported resolutions in 2006 and 2009 after Pyongyang's two earlier nuclear tests.

Thursday's statement by North Korea represents a huge challenge to Beijing as it undergoes a leadership transition, with Xi Jinping due to take office in March.

China's Foreign Ministry called for calm and restraint and a return to six-party talks, but effectively singled out North Korea, urging the "relevant party" not to take any steps that would raise tensions.

"We hope the relevant party can remain calm and act and speak in a cautious and prudent way and not take any steps which may further worsen the situation," ministry spokesman Hong Lei told reporters at a regular press briefing.

North Korea has rejected proposals to restart the talks aimed at reining in its nuclear capacity. The United States, China, Russia, Japan and the two Koreas are the six parties involved.

"After all these years and numerous rounds of six-party talks we can see that China's influence over North Korea is actually very limited. All China can do is try to persuade them not to carry out their threats," said Cai Jian, an expert on Korea at Fudan University in Shanghai.

Analysts said the North could test as early as February as South Korea prepares to install a new, untested president or that it could choose to stage a nuclear explosion to coincide with former ruler Kim Jong-il's Feb 16 birthday.

"North Korea will have felt betrayed by China for agreeing to the latest U.N. resolution and they might be targeting (China) as well (with this statement)," said Lee Seung-yeol, senior research fellow at Ewha Institute of Unification Studies in Seoul.

U.S. URGES NO TEST

Washington urged North Korea not to proceed with a third test just as the North's statement was published on Thursday.

"Whether North Korea tests or not is up to North Korea," Glyn Davies, the top U.S. envoy for North Korean diplomacy, said in the South Korean capital of Seoul.

"We hope they don't do it. We call on them not to do it," Davies said after a meeting with South Korean officials. "This is not a moment to increase tensions on the Korean peninsula."

The North was banned from developing missile and nuclear technology under sanctions dating from its 2006 and 2009 nuclear tests.

A South Korean military official said the concern now is that Pyongyang could undertake a third nuclear test using highly enriched uranium for the first time, opening a second path to a bomb.

North Korea's 2006 nuclear test using plutonium produced a puny yield equivalent to one kiloton of TNT - compared with 13-18 kilotons for the Hiroshima bomb - and U.S. intelligence estimates put the 2009 test's yield at roughly two kilotons

North Korea is estimated to have enough fissile material for about a dozen plutonium warheads, although estimates vary, and intelligence reports suggest that it has been enriching uranium to supplement that stock and give it a second path to the bomb.

According to estimates from the Institute for Science and International Security from late 2012, North Korea could have enough weapons grade uranium for 21-32 nuclear weapons by 2016 if it used one centrifuge at its Yongbyon nuclear plant to enrich uranium to weapons grade.

North Korea has not yet mastered the technology needed to make a nuclear warhead small enough for an intercontinental missile, most observers say, and needs to develop the capacity to shield any warhead from re-entry into the earth's atmosphere.

North Korea gave no time-frame for the coming test and often employs harsh rhetoric in response to U.N. and U.S. actions that it sees as hostile.

The bellicose statement on Thursday appeared to dent any remaining hopes that Kim Jong-un, believed to be 30 years old, would pursue a different path from his father, Kim Jong-il, who oversaw the country's military and nuclear programs.

The older Kim died in December 2011.

"The UNSC (Security Council) resolution masterminded by the U.S. has brought its hostile policy towards the Democratic Peoples Republic of Korea (North Korea) to its most dangerous stage," the commission was quoted as saying.

(Additional reporting by Christine Kim in SEOUL, Ben Blanchard and Sui-Lee Wee in Beijing; Writing by David Chance; Editing by Raju Gopalakrishnan and Ron Popeski)

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Oil prices rise on strong economic indicators

NEW YORK: Oil prices jumped Thursday on greater economic optimism following strong economic indicators in the US, China and Europe.

A barrel of US benchmark West Texas Intermediate futures for delivery in March settled at US$95.95 a barrel on the New York Mercantile Exchange, up 72 cents.

In London, Brent North Sea crude for March delivery ended at US$113.28 a barrel, up 48 cents from Wednesday.

"The economic news from China looked pretty good and this is adding to ... reports suggesting that the global recession is nearing an end, and that is making people more bullish about oil demand," said Michael Lynch of Strategic Energy and Economic Research.

Oil prices have steadily risen since mid-December, gaining more than 12 per cent since Dec. 10.

Figures from British bank HSBC showed China's manufacturing activity in January hitting a two-year high.

"China has been a main driver of oil demand growth for the last decade and (if there is) strong growth, that is a very bullish indicator for the market," said Lynch.

Also Thursday, US jobless claims came in well below expectations, an unexpectedly strong result for the second week in a row.

In Europe, a purchasing managers index, an indicator of manufacturing and services activity, in January reached its highest level in 10 months.

"It is too soon to call this the turn in the European economy, but some are bound to see it that way," said analyst Chris Low of FTN Financial.

The greater optimism came as weekly data from the US Department of Energy pointed to a larger build of oil stockpiles than expected.

The results showed a gain of 2.8 million barrels, whereas analysts had predicted an increase of 1.7 million barrels.

- AFP/jc

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Twitter is loopy for Vine videos

Thursday's CNET Update is longer than six seconds:

Twitter is loopy for Vine videos

Today's tech news roundup explains why Apple's latest earnings report of record revenue and sales has disappointed investors. Tim Cook also had little to say about an Apple television and fixes to the Maps app.

Netflix surprised analysts with reported profit and growth. Netflix will push out it's own TV series, "House of Cards," on Feb. 1, and new episodes of Arrested Development are arriving in May.

Hundreds of AT&T U-verse customers have had to live without TV, Internet or phone service for several days. Those hit by the outage in 13 states may be getting a refund.

Wolfram Alpha enhanced its Facebook analytics tool. Users can find statistics about their network of friends. Because I'm sure your life will feel more complete once you create a map of the married friends in your network.

A new app called Vine lets users create 6-second looping video clips. Twitter owns Vine, but you don't have to use Twitter to share the videos.

Watch CNET Update in the video above, or subscribe to the podcast via the links below.

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Deep freeze to last into weekend in eastern U.S.

Updated 4:02 PM ET

PORTLAND, Maine A teeth-chattering cold wave with sub-zero temperatures was expected to keep its icy grip on much of the eastern U.S. into the weekend before seasonable temperatures bring relief.

A polar air mass that's been blamed for multiple deaths in the Midwest moved into the Northeast on Wednesday, prompting the National Weather Service to issue wind chill warnings across upstate New York and northern New England.

In northern Maine, the temperature dipped to as low as 36 below zero Wednesday morning. The weather service was calling for wind chills as low as minus-45.

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Frigid weather could precede Northeast snowstorm

Keith Pelletier, the owner of Dolly's Restaurant in Frenchville, said his customers are dressed in multiple layers of clothing, and they keep their cars running in the parking lot while eating lunch. It's so cold that even the snowmobilers are staying home, he said.

"You take the wind chill at 39 below and take a snowmobile going 50 mph, and you're about double that," he said. "That's pretty cold."

The Canadian air mass also has forced schools to close, delayed commuter trains and subways and kept plumbers busy with frozen pipes. A ski resort in New Hampshire shut down on Wednesday and Thursday because of unsafe ski conditions — a predicted wind chill of 48 degrees below zero.

The coldest temperatures were expected Wednesday and Thursday, after which conditions should slowly moderate before returning to normal levels, said John Koch, a meteorologist with the National Weather Service regional headquarters in Bohemia, N.Y. For the most part, temperatures have been around 10 to 15 degrees below normal, with windy conditions making it feel colder, he said.

For Anthony Cavallo, the cold was just another in a litany of big and small aggravations that began when Superstorm Sandy swept through his Union Beach, N.J., neighborhood and flooded his one-story house with 4 1/2 feet of water.

Still waiting for the go-ahead to rebuild, Cavallo and his family have been living in a trailer they purchased once it became clear they couldn't afford to rent.

Wednesday's frigid temperatures temporarily froze the trailer's pipes, which Cavallo's 14-year-old daughter discovered when she tried to take a shower at 4:30 a.m. Cavallo spent the morning thawing out the pipes and stuffing hay under the trailer to help insulate them.

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Deadly freeze grips Midwest

"Every day it's something, whether it's frozen pipes or getting jerked around for two months by insurance companies," the 48-year-old security system installer said. "I just kind of want to wake up one day and have no surprises."

In New York City, food vendor Bashir Babury contended with bone-numbing cold when he set up his cart selling coffee, bagels and pastries at 3 a.m. Wednesday. On the coldest of days, he wears layers of clothing and cranks up a small propane heater inside his cart.

"I put on two, three socks, I have good boots and two, three jackets," he said. "A hat, gloves, but when I'm working I can't wear gloves."

In New Jersey, some residents at a Jersey City apartment have complained about the lack of heat and hot water. One person told 1010 WINS' Steve Sandberg: "My apartment is terrible for this very cold. I have three heaters. It's terrible."

Another tenant commented: "If it's not one thing, it's the other. They cut out the gas then there's no hot water, if there's hot water, but then there's no heater. It's horrible."

In Pottsville, Pa., letter carrier Cheryl Vandermeer was stoic as she walked her route Wednesday with temperatures in the teens and wind chill in the single digits. She thankful she had a job that kept her moving, even if it was outside.

"I'm not just standing around," she said. "So for me it's cold, but it's not intolerable."

A little cold air couldn't keep Jo Goodwin, 64, of Bridgewater, N.H., off the slopes at Sugarloaf ski resort in Carrabassett Valley, Maine, where she was skiing Wednesday with her husband and her sister. The snow conditions were great and there were no lift lines.

To keep warm, she uses a toe warmer, a hand warmer, a face mask, extra underwear and an extra wool sweater. She was told the wind chill was minus 30 midway up the mountain and 50 below zero near the top.

"Sometimes," she said, "it's better not to know."

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Pentagon to Allow Women in Combat

Defense Secretary Leon Panetta will lift a long-standing ban on women serving in combat, according to senior defense officials. The ensuing administrative process could mean women will serve in front line combat roles, but not until 2016.

The move, first reported by the Associated Press, was not expected this week, although there has been a concerted effort by the Obama administration to further open up the Armed Forces to women.

The Joint Chiefs of Staff unanimously recommended in January to Secretary Panetta that the direct combat exclusion rule should be lifted.

"I can confirm media reports that the secretary and the chairman are expected to announce the lifting of the direct combat exclusion rule for women in the military," said a senior Defense Department official. "This policy change will initiate a process whereby the services will develop plans to implement this decision, which was made by the secretary of defense upon the recommendation of the Joint Chiefs of Staff."

Chairman of the Joint Chiefs Gen. Martin Dempsey sent Panetta earlier this month entitled "Women in Service Implementation Plan."
"The time has come to rescind the direct combat exclusion rule for women and to eliminate all unnecessary gender-based barriers to service."

"To implement these initiatives successfully and without sacrificing our warfighting capability or the trust of the American people, we will need time to get it right," he said in the memo, referring to the 2016 horizon.

Women have been officially prohibited from serving in combat since a 1994 rule that barred them from serving in ground combat units. That does not mean they have been immune from danger or from combat.

Adek Berry/AFP/Getty Images

As Martha Raddatz reported in 2009, women have served in support positions on and off the frontlines in Iraq and Afghanistan, where war is waged on street corners and in markets, putting them at equal risk. Hundreds of thousands of women deployed with the military to those two war zones over the past decade. Hundreds have died.

Read that 2009 report HERE.

Panetta's decision will set a January 2016 deadline for the military service branches to argue that there are military roles that should remain closed to women.

In February 2012 the Defense Department opened up 14,500 positions to women that had previously been limited to men and lifted a rule that prohibited women from living with combat units.

Panetta also directed the services to examine ways to open more combat roles to women. However the ban on direct combat positions has remained in place.

Advocates for equality in the services will be pleased. On Capitol Hill today retired Chief Master Sergeant Cindy McNally, a victim of sexual assault in the military, said placing women in combat roles would help equalize the services and actually cut down on sexual assaults, which have emerged as a major problem in the military.

"For larger solutions we need to look at integrating women completely into the armed force," she said. "Remove the combat exclusion policy. Then we will be a fully integrated force. Being able to do the job should be the standard, not whether you are male or female. I believe that as leaders we took our eye off the ball. We enabled a climate where our troops became vulnerable."

But the move is not universally popular among women in uniform who cite real-world concerns about the physical requirements that could be required to be a female front-line service member.

A female Army officer who spoke with ABC News on condition on anonymity pointed out that senior leaders feel compelled to open job positions to show how progressive they are. However this officer noted, "every female troop I know (over the age of 25) says publicly, 'Sure, open them up!' And privately, 'But not for me personally' - I know I don't have the brute strength required and I would be crushed to let down my colleagues - so no way, no thanks."

In September 2011 the Obama administration ended the "don't ask, don't tell" policy that had prohibited gays and lesbians from serving openly in the military after Congress repealed the Don't Ask, Don't Tell Law in December, 2010.

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Cameron promises Britons vote on EU exit

LONDON (Reuters) - Prime Minister David Cameron promised Britons a vote on quitting the European Union, rattling London's biggest allies and some investors by raising the prospect of uncertainty and upheaval.

Cameron announced on Wednesday that the referendum would be held by the end of 2017 - provided he wins a second term - and said that while Britain did not want to retreat from the world, public disillusionment with the bloc was at "an all-time high".

"It is time for the British people to have their say. It is time for us to settle this question about Britain and Europe," Cameron said in a speech, adding that his Conservative party would campaign for the 2015 parliamentary election on a promise to renegotiate the terms of Britain's EU membership.

"When we have negotiated that new settlement, we will give the British people a referendum with a very simple in or out choice to stay in the European Union on these new terms; or come out altogether. It will be an in-out referendum."

A referendum would mark the second time British voters have had a direct say on the issue. In 1975, they decided by a wide margin to stay in, two years after the country had joined.

Most recent opinion polls have shown a slim majority would vote to leave amid bitter disenchantment, fanned by a hostile press, about the EU's perceived influence on the British way of life. However, a poll this week showed a majority for staying.

Cameron's position is fraught with uncertainty. He must come from behind to win the next election, secure support from the EU's 26 other states for a new British role, and hope those countries can persuade their voters to back the changes.

He also avoided saying exactly what he would do if he failed to win concessions in Europe, as many believe is likely.

Critics, notably among business leaders worried about the effect on investment, say that for years before a vote, Britain may slip into a dangerous and damaging limbo that could leave it adrift or effectively pushed out of the EU.

The United States, a close ally, is also uneasy about the plan, believing it will dilute Britain's international clout. President Barack Obama told Cameron last week that Washington valued "a strong UK in a strong European Union" and the White House said on Wednesday it believed Britain's membership of the EU was mutually beneficial.

Some of Britain's European partners were also anxious and told Cameron on Wednesday his strategy reflected a selfish and ignorant attitude. However, Angela Merkel, the leader of EU paymaster Germany, was quick to say she was ready to discuss Cameron's ideas.

FRENCH "NON"

French Foreign Minister Laurent Fabius was less diplomatic: "If Britain wants to leave Europe, we will roll out the red carpet," he quipped, echoing words Cameron used recently to urge France's rich to escape high taxes and move to Britain.

French President Francois Hollande repeated his refusal of special deals: "What I will say, speaking for France, and as a European, is that it isn't possible to bargain over Europe to hold this referendum," he said. "Europe must be taken as it is.

"One can have it modified in future but one cannot propose reducing or diminishing it as a condition of staying in."

Italian Prime Minister Mario Monti was more positive. He said he agreed with Cameron on the need to make the EU more innovative and welcomed the idea of a British referendum, saying he thought Britons would ultimately vote to stay in the bloc.

Billed by commentators as the most important speech of Cameron's career, his referendum promise ties him firmly to an issue that has bedeviled a generation of Conservative leaders.

In the past, he has been careful to avoid bruising partisan fights over Europe, an issue that undid the last two Conservative prime ministers, John Major and Margaret Thatcher.

His speech appeared to pacify a powerful Euroskeptic wing inside his own party, but deepen rifts with the Liberal Democrats, the junior partners in his coalition. Their leader, Deputy Prime Minister Nick Clegg, said the plan would undermine a fragile economic recovery.

Sterling fell to its lowest in nearly five months against the dollar on Wednesday as Cameron was speaking.

"BREXIT"?

Cameron said he would take back powers from Brussels, saying later in parliament that, when it came to employment, social and environmental legislation, "Europe has gone far too far".

But such a clawback - still the subject of an internal audit to identify which specific powers he should target for repatriation to London - is likely to be easier said than done.

If Cameron wins re-election but then fails to renegotiate Britain's membership of the EU, a 'Brexit' could loom.

Business leaders have warned that years of doubt over Britain's EU membership would damage the $2.5 trillion economy and cool the investment climate.

"Having a referendum creates more uncertainty and we don't need that," Martin Sorrell, chief executive of advertising giant WPP, told the World Economic Forum in Davos. "This is a political decision. This is not an economic decision.

"This isn't good news. You added another reason why people will postpone investment decisions."

Cameron has been pushed into taking such a strong position partly by the rise of the UK Independence Party, which favors complete withdrawal from the EU and has climbed to third in the opinion polls, mainly at the expense of the Conservatives.

"All he's trying to do is to kick the can down the road and to try and get UKIP off his back," said UKIP leader Nigel Farage.

Euroskeptics in Cameron's party, who have threatened to stir up trouble for the premier, were thrilled by the speech.

Conservative lawmaker Peter Bone called it "a terrific victory" that would unify 98 percent of the party. "He's the first prime minister to say he wants to bring back powers from Brussels," Bone told Reuters. "It's pretty powerful stuff".

Whether Cameron holds the referendum remains as uncertain as the Conservatives' chances of winning the election. They trail the opposition Labour party in opinion polls, and the coalition is grappling with a stagnating economy as it pushes through unpopular public spending cuts to reduce a large budget deficit.

Labour leader Ed Miliband said on Wednesday his party did not want an in-or-out referendum.

EU REFORM

Cameron said he would campaign for Britain to stay in the EU "with all my heart and soul", provided he secured the reforms he wants. He made clear the Union must become less bureaucratic and focus more on free trade.

It was riskier to maintain the status quo than to change, he said: "The biggest danger to the European Union comes not from those who advocate change, but from those who denounce new thinking as heresy," he said.

Asked whether, if he did not succeed in his renegotiation strategy, would recommend a vote to take Britain out, he said only: "I want to see a strong Britain in a reformed Europe.

"We have a very clear plan. We want to reset the relationship. We will hold that referendum. We will recommend that resettlement to the British people."

Cameron said the euro zone debt crisis was forcing the bloc to change and that Britain would fight to make sure new rules were fair to the 10 countries that do not use the common currency, of which Britain is the largest.

Democratic consent for the EU in Britain was now "wafer thin", he said:

"Some people say that to point this out is irresponsible, creates uncertainty for business and puts a question mark over Britain's place in the European Union. But the question mark is already there: ignoring it won't make it go away."

A YouGov opinion poll on Monday showed that more people wanted to stay in the EU than leave it, the first such result in many months. But it was unclear whether that result was a blip.

Paul Chipperfield, a 53-year-old management consultant, said he liked the strategy: "Cameron's making the right move because I don't think we've had enough debate in this country," he said.

"We should be part of the EU but the EU needs to recognize that not everybody's going to jump on the same bandwagon."

Asked after the speech whether other EU countries would agree to renegotiate Britain's membership, Cameron said he was an optimist and that there was "every chance of success".

"I don't want Britain to leave the EU," he told parliament later. "I want Britain to reform the EU."

In the 1975 referendum, just over 67 percent voted to stay inside with nearly 33 percent against.

(Additional reporting by Paul Taylor in Davos, Alexandra Hudson in Berlin, Brenda Goh in London, Jeff Mason in Washington and James Mackenzie in Rome; Editing by Guy Faulconbridge, David Stamp and Alastair Macdonald)

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US oil price slumps after pipeline cutback

NEW YORK: US crude oil prices closed sharply lower Wednesday, dragged down by news that a key pipeline had cut capacity due to a bottleneck.

New York's main contract, West Texas Intermediate, for delivery in March, tumbled US$1.45 from Tuesday's close to settle at US$95.23 a barrel.

In London trade, meanwhile, Brent North Sea crude for delivery in March settled at US$112.80 a barrel, an increase of 38 cents.

The New York market, which had been trading slightly lower for most of the session, dived after the operator of the Seaway pipeline told shippers that capacity had been reduced because of an unexpected problem at a delivery point.

"When that headline came out, the WTI immediately came under a significant amount of pressure," said Andy Lipow, an independent oil analyst.

The Seaway carries crude stocked in Cushing, Oklahoma, the main oil terminal in the world's biggest crude consumer, to refineries in the Gulf of Mexico.

Lacking sufficient pipeline capacity to bring oil to refineries, Cushing stockpiles have swollen recently to new record highs, weighing on futures prices.

Traders were keenly awaiting the US Department of Energy's latest weekly report on petroleum stockpiles. The data will be published Thursday, one day later than normal, due to a public holiday on Monday.

"Traders now expect upcoming US government oil inventory data to show crude-oil stocks dropped 2.3 million barrels last week," ETX Capital markets analyst Ishaq Siddiqi said.

Siddiqi said there had been a "bit of profit taking in crude following four sessions of gains, with many (traders) expecting refiners to start seasonal maintenance that will reduce crude oil demand."

- AFP/jc

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British scientists developing bomb-proof train

The 7/7 bombings, a series of suicide blasts that took place on London's public transport system on July 7, 2005, were among the deadliest terrorist attacks of the post-9/11 world. Since then, efforts have been made to mitigate the possible damage of future attacks on public transit, and a group of British engineers from Newcastle University is doing its part by designing blast-proof trains.

SecureMetro, a collaborative project funded by the European Union, launched three years ago with the goal of developing blast-resistant and fire-proof above-ground and underground metro trains that minimize death and injury in the event of a bomb attack.

The video below shows the progress on the project. First you'll see a decommissioned train, highlighting the potential collateral damage exploding trains can cause. Doors, windows, and pieces of the carriage fly through the air. The interior of the train is also demolished, as furniture and ceiling panels prevent any survivors from easily escaping the carriage.

SecureMetro's prototype, shown second, absorbs the blast more cleanly. The windows are covered with a specially designed coating that ablates the blast, causing the ripple effect seen in the video. Additionally, the doors and interior of the train are designed to reduce collateral damage as much as possible.

These blast-resistant trains would likely reduce casualties in the event a train was bombed in a station. Any survivors would have an easier path to the outside as well.

"A bomb on a train is always going to be devastating, but what we are trying to do is find a way in which the vehicle itself can help to mitigate the impact of an attack," Conor O'Neill, Newcastle University engineer and leader of the project, told U.K. newspaper The Telegraph. "There are all low-cost, simple solutions that can be put on existing trains which could not only save lives but also reduce the attractiveness of our railways for potential terrorist attacks."

Developing blast-resistant trains

This story originally appeared on CBSNews.com.

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