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."

Read More..

Fiscal Cliff Deal Reached; Biden Pitches It to Dems













The so-called "fiscal cliff" will come at midnight with no congressional fix in place -- but now there is a specific deal on the table to try to soften it after the fact, according to congressional sources.


"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 must still convince Senate Democrats 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.


A vote could come tonight or Tuesday in the Senate, and likely Tuesday in the House, which has adjourned for the evening.


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.


Biden was asked to confirm the deal as he entered a meeting with Senate Democrats tonight, but only smiled and said, "Happy New Year."


"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 its possible things can move pretty quickly."






Chip Somodevilla/Getty Images











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









Even before news of the specifics of a deal emerged, Congress appeared likely to miss a midnight deadline to avert the cliff even as President Obama and Senate Republicans agreed in principle to avert year-end tax hikes on 98 percent of Americans.


After the 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.


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, 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 GOPers. "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 emerging deal.






Read More..

2012 review: The year in health science









































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











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.












Babies are born dirty, with a gutful of bacteria
Far from being sterile, babies come complete with an army of bacteria. The finding could have implications for gut disorders and our health in general












Forensic failure: 'Miscarriages of justice will occur'
Our survey of UK forensic scientists reveals that many are concerned that closure of the Forensic Science Service will lead to miscarriages of justice












Scandal of an underfunded and undertreated cancer
Lung cancer in those who have never smoked is on the rise – but they face the same stigma as their smoking counterparts












Ovarian stem cells discovered in humans
Stem cells capable of forming new eggs could promise limitless eggs for IVF treatments, and the rejuvenation of older eggs












Paralysis breakthrough: spinal cord damage repaired
An implant helping paralysed people stand unaided suggests the spinal cord is able to recover function years after severe damage












A real fMRI high: My ecstasy brain scan
Graham Lawton reports the highs, lows and psychedelic purple doors involved in taking MDMA while having his brain scanned












You may carry cells from siblings, aunts and uncles
Male cells found in the umbilical cord blood of baby girls with older brothers suggests fetal cells cross between mother and baby more than once thought












Can we deter athletes who self-harm to win?
The Paralympics may encourage a debate on a dangerous practice – and potential ways to prevent it












First non-hormonal male 'pill' prevents pregnancy
A non-hormonal drug that temporarily reverses male fertility appears to have few side effects in mice












Mining MRSA genetic code halts superbug outbreak
Whole genome sequencing of an MRSA outbreak has identified the person who unwittingly spread the bacteria around a hospital, stopping further infection

















































If you would like to reuse any content from New Scientist, either in print or online, please contact the syndication department first for permission. New Scientist does not own rights to photos, but there are a variety of licensing options available for use of articles and graphics we own the copyright to.




































All comments should respect the New Scientist House Rules. If you think a particular comment breaks these rules then please use the "Report" link in that comment to report it to us.


If you are having a technical problem posting a comment, please contact technical support.








Read More..

Electricity tariffs to be lowered






SINGAPORE: Electricity tariffs will be reduced by an average 3.7 per cent from January to March 2013.

SP Services attributed the reduction to lower costs of electricity generation, largely due to lower fuel prices compared to the previous quarter.

Non-fuel costs of power generation have also been adjusted.

The average monthly electricity bill for families living in four-room HDB flats will go down by S$3.83.

Tariffs were also reduced by 2.9 per cent in the fourth quarter of this year and 2.5 per cent in the third quarter.

- CNA/al



Read More..

Opinion: 12 lessons

















What we learned in 2012


What we learned in 2012


What we learned in 2012


What we learned in 2012


What we learned in 2012


What we learned in 2012


What we learned in 2012


What we learned in 2012


What we learned in 2012


What we learned in 2012








STORY HIGHLIGHTS


  • Dean Obeidallah: You are smarter today than 365 days ago

  • Obeidallah: You probably learned a few Korean words like "Gangnam Style"

  • He says we found out poultry can be a political tool and some people talk to chairs

  • Obeidallah: The good news is that we'll soon forget the inane lessons of 2012




Editor's note: Dean Obeidallah, a former attorney, is a political comedian and frequent commentator on various TV networks including CNN. He is the editor of the politics blog "The Dean's Report" and co-director of the upcoming documentary, "The Muslims Are Coming!" Follow him on Twitter: @deanofcomedy


(CNN) -- You are smarter today than 365 days ago. You know more than you did at the end of 2011.


And here's the kicker, you may not even be aware of how much you learned this past year. It's analogous to how you're affected by the hit songs of boy bands. No matter how much you might try to avoid them, you can't, because these songs are everywhere. Consequently, the words are subtly drilled into your head and the next thing you know, you find yourself unconsciously singing along to the songs when they play on the radio.


So regardless if you were paying attention or not, there's a lot of new information from this past year trapped inside your brain. Here are just some of the things we collectively learned in 2012:



Dean Obeidallah

Dean Obeidallah




1. Mitt Romney had binders full of women


During the second presidential debate, Romney shared with us that when he was governor of Massachusetts, he had binders filled with information about women he was considering hiring. (When I was a teenager, I, too, had binders full of women. But mine I hid under my bed so my mom wouldn't find them.)


2. We picked up some Korean


We're not fluent yet, but thanks to the Korean pop singer PSY and his song "Gangnam Style," we all learned a few Korean words. And because of the song's ubiquitous music video -- which broke the record as the first video to get more than 1 billion views on YouTube -- some of us even have a vague idea of how to do his famous "horse dance."


3. Women love to read "porn"


The runaway hit book, "Fifty Shades of Grey," created a sensation across the country as women -- many over 30 years old -- bought this sexually provocative book, thus coining the term "mommy porn." In contrast, most men are waiting for the movie because we are more traditional in our "porn" tastes.


4. Poultry can be a political tool


Fast food chain Chick-fil-A went from just serving chicken to serving a political message as the head of the company announced publicly that he opposed marriage equality. Consequently, ordering a chicken sandwich at this chain came with a side dish of right-wing politics.


5. Some people talk to chairs


Clint Eastwood taught us at this year's Republican National Convention that you can have a full conversation on national television with your furniture. Hey, Clint made it OK for you to have a conversation with your couch or end table.


6. "James Bond" met the "The Real Housewives"


CIA Director David Petraeus resigned from his job because his extramarital affair was discovered. This is especially shocking because Petraeus' job as the nation's top spy chief was to keep secrets.


7. Cliffs are not just in nature


As we get closer to a precipitous "fiscal cliff" -- a term more overexposed than "Gangnam Style," it seems -- we have all learned that Congress has truly earned its low approval rating -- any lower and certain infectious diseases may become more popular than Congress.


8. What's the big deal with silver?


U.S. Olympian McKayla Maroney made it clear at the London Olympics that she was not impressed by winning the silver medal with her famous "I'm not impressed" face.


9. The way to reduce gun violence is more guns


At least this is what we were told by NRA's Vice President Wayne LaPierre in December as he called for armed guards to be placed in each of the roughly 100,000 public schools in the country.


10. Reality stars are not just for dysfunctional adults


Child star Alana "Honey Boo Boo" Thompson proved that children can be just as self-absorbed and horribly demanding as adult reality show stars.


11. Calendars are not always reliable


The fact you're reading this means that the Mayan apocalypse did not come to pass. That's good news. The bad news is that I now have to pay late fees on the credit cards I didn't pay because I thought there was a chance the Mayans were right.


12. America is the best democracy money can buy


This year's presidential election saw roughly $2 billion spent by the two campaigns and their supporters. That's more than the annual GDP of numerous countries.


You probably recalled more of these things than you guessed you would. While old acquaintances should not be forgot, the good news is that we will likely soon forget the details of the more inane lessons of 2012. Of course, the bad news is that they may be replaced by even more ridiculous ones in 2013.


Follow us on Twitter @CNNOpinion


Join us on Facebook/CNNOpinion


The opinions expressed in this commentary are solely those of Dean Obeidallah.






Read More..

Nine killed in Oregon tour bus crash

Updated 9:09 p.m. ET



LA GRANDE, Ore. A tour bus careened through a guardrail along an icy Oregon highway and several hundred feet down a steep embankment Sunday, killing nine people and injuring more than 20 others, authorities said.

The charter bus carrying about 40 people lost control around 10:30 a.m. on the snow- and ice-covered lanes of Interstate 84, according to the Oregon State Police.

The bus came to rest at the bottom of a snowy slope. More than a dozen rescue workers descended the hill and used ropes to help retrieve people from the wreckage in freezing weather. The bus driver was among the survivors, but had not yet spoken to police because of the severity of the injuries the driver had suffered.

Lt. Greg Hastings said the bus crashed along the west end of the Blue Mountains, and west of an area called Deadman Pass. Stretches of highway in the rural and agricultural area of east Oregon tend to be icy in winter months.

The bus slid down the hill and landed upright, with little or no debris visible around the crash site.

St. Anthony Hospital in Pendleton treated 26 people from the accident, including some who were treated and then transported to other medical facilities, said hospital spokesman Larry Blanc.

In addition to the people who were transferred from St. Anthony to La Grand and Hermiston, Ore., and Walla Walla, Wash., Hastings said. Others were taken directly to hospitals further away, including Boise, Idaho, and Portland, Ore.

I-84 is a major east-west highway through Oregon that follows the Columbia River Gorge.

Umatilla County Emergency Manager Jack Remillard said the bus was owned by Mi Joo travel in Vancouver, B.C., and state police said the bus was en route from Las Vegas to Vancouver.

A woman who answered the phone at a listing for the company confirmed with The Associated Press that it owned the bus and said it was on a tour of the Western U.S. She declined to give her name.

A bus safety website run by the U.S. Department of Transportation said Mi Joo Tour & Travel has six buses, none of which have been involved in any accidents in at least the past two years.

The bus crash was the second fatal accident in Oregon on Sunday morning due to icy conditions. A 69-year-old man died in a single-vehicle rollover accident. CBS affiliate KOIN-TV in Portland reports both the 26-year-old driver, who is expected to survive, and the deceased passenger were wearing safety restraints.

Read More..

Hillary Clinton Hospitalized With Blood Clot


Dec 30, 2012 8:11pm







gty hillary clinton jt 121209 wblog Hillary Clinton Hospitalized With Blood Clot

(MICHAL CIZEK/AFP/Getty Images)


Secretary Hillary Clinton was hospitalized today after a doctors doing a follow-up exam discovered a blood clot had formed, stemming from the concussion she sustained several weeks ago.


She is being treated with anti-coagulants and is at NewYork-Presbyterian Hospital so that they can monitor the medication over the next 48 hours, Deputy Assistant Secretary Philippe Reines said.


Her doctors will continue to assess her condition, including other issues associated with her concussion. They will determine if any further action is required, Reines said.


Clinton, 65, originally fell ill from a stomach virus following a whirlwind trip to Europe at the beginning of the month, which caused such severe dehydration that she fainted and fell at home, suffering a concussion. No ambulance was called and she was not hospitalized, according to a state department official.


The stomach virus had caused Clinton to cancel a planned trip to North Africa and the United Arab Emirates, and also her scheduled testimony before Congress at hearings on the attack on the U.S. consulate in Benghazi, Libya.


According to a U.S. official, the secretary had two teams of doctors, including specialists, examine her after the fall.  They also ran tests to rule out more serious ailments beyond the virus and the concussion. During the course of the week after her concussion, Clinton was on an IV drip and being monitored by a nurse, while also recovering from the pain caused by the fall.



SHOWS: Good Morning America World News







Read More..

Today on New Scientist: 28 December 2012







Best videos of 2012: Rare view of Challenger tragedy

Watch a rare amateur video of the Challenger explosion, our most-viewed video of the year



Strong jet stream super-charged US Christmas storms

Record snowfall and dozens of tornadoes snarled holiday travel as a powerful winter storm plowed across much of the US, while rainstorms battered the UK



2012 review: The year in life science

The year's biggest stories in life science, including James Cameron's descent into the Mariana trench and efforts to break into Antarctica's buried lakes



Superstorm lessons for adapting to climate change

As the post-Sandy rebuild gets under way, coastal cities around the world will be watching



Best videos of 2012: First MRI movie of childbirth

Watch a unique view of a baby's birth, at number 2 in our countdown of the year's top science videos



Fleadom or death: Reviving the glorious flea circus

The parasite-based sideshows were almost done for by the domestic vacuum cleaner - but they are bouncing back, finds Graham Lawton



Approval for gene-modified salmon spawns controversy

Apparently months late, US regulators have declared genetically engineered fish safe to farm and eat, but final approval could be some way off



Best videos of 2012: New aircraft flies inside out

Watch a novel flying machine use a unique mechanism to propel itself, at number 3 in our countdown of the top videos of the year



2012 review: The year in technology

The year's biggest stories in technology, including Kinect devices that may spot signs of autism and controlling a robot by the power of thought



Superdoodles: The science of scribbling

Far from being a distraction, doodling has an important purpose - and you can harness it



2013 Smart Guide: Wave goodbye to the mouse

The Leap, a 3D motion control device set to launch next year, will let you control your computer with touch-free hand and finger movements





Read More..

Indian gang-rape victim's body to be flown back later Saturday






SINGAPORE: The body of an Indian woman who died in a Singapore hospital after a brutal gang-rape in New Delhi will be flown back on a chartered plane later Saturday, India's ambassador said.

"The requisite formalities for sending the body to India are being completed," Indian High Commissioner T.C.A. Raghavan told reporters, hours after the woman died of multiple organ failure at the Singapore hospital where she was being treated.

"The deceased and her family members will be flown back to India in a chartered aircraft later this afternoon," Raghavan said.

- AFP/ck



Read More..

Obama 'modestly optimistic' on fiscal cliff deal






STORY HIGHLIGHTS


  • NEW: Congressman says: "America should be embarrassed by its leadership"

  • NEW: Senate leader Reid prepares bill requested by President Obama for possible vote

  • Pressure is on top two Senate leaders to reach a compromise; next 24 hours crucial

  • Obama says he is "modestly optimistic" a deal can be reached




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


Washington (CNN) -- A political summit Friday at the White House left it to the Senate's top Democrat and Republican to work out a compromise to avoid the country going over the fiscal cliff, participants said.


Senate Majority Leader Harry Reid, D-Nevada, told reporters that the next 24 hours would be "very important" toward efforts to reach a deal to lessen the harshest impacts of the fiscal cliff, a combination of broad tax hikes and deep spending cuts due to take effect at the start of the new year.


"Whatever we come up with is going to be imperfect. Some people aren't going to like it, some people are going to like it less," Reid said on the Senate floor after the high-stakes meeting with President Barack Obama, other congressional leaders and top administration officials.


Reid's Republican counterpart, Sen. Mitch McConnell of Kentucky, expressed hope that he and Reid could agree on a plan to present to their respective caucuses "as early as Sunday."


Obama said he was "modestly optimistic" that the Senate leaders would be able to forge an agreement, even as he warned "nobody's going to get 100% of what they want."


Absent such a deal, Obama said his latest proposal should be put to a vote. He predicted it would pass the House and Senate with bipartisan support.


Economists warn that continued stalemate could trigger a recession as government spending is slashed, including for the military, and taxes go up on everyone, due to the expiration of lower rates dating to the administration of President George W. Bush.


Diminished hope for a substantial agreement in Washington depressed stock indexes on Wall Street this week despite other encouraging economic news. Consumer confidence has also softened.


Prior to Friday's late afternoon meeting, which lasted just over an hour, a source familiar with the matter said Obama would propose the framework for a scaled-back agreement that he described last week.


In his later remarks, Obama described his plan as holding down tax rates on middle-class Americans -- which he described as family income up to $250,000 -- while letting rates increase for top income brackets. It also would extend unemployment benefits and "lay the groundwork" for economic growth and deficit reduction.


At the very least, Reid said he was preparing legislation for a vote by Monday that would include elements favored by Obama.


"I look forward to hearing any good-faith proposals Senator McConnell has for altering this bill," Reid said in a statement that followed his floor remarks.


The White House meeting came with the Senate back in town for a rare end-of-year appearance before a new Congress convenes January 3. Boehner plans to bring the House back on Sunday.


Senators from both parties earlier expressed opinions on the negotiations that ranged from optimism to frustration.


"When the dust settles and everything is said and done, federal individual income taxes are not going to go up on almost all Americans next year," GOP Sen. Lamar Alexander of Tennessee said.


Democratic Sen. Chuck Schumer of New York told NBC's "Today" show he was "a little more optimistic today" about a deal being reached.


"Sometimes it's darkest before the dawn," Schumer said, noting the renewed engagement by McConnell and House Speaker John Boehner, the top congressional Republicans.


Republican Sen. Bob Corker of Tennessee downplayed Friday's meeting on CBS "This Morning" as a seeming political ploy "to make it look like we're doing something."


"This is a total dereliction of duty at every level," added Corker, who has urged Republicans to compromise on the central issue of letting tax rates increase on top income brackets.


"I've been very surprised that the president has not laid out a very specific plan to deal with this, but candidly Congress could have done the same. And I think the American people should be disgusted," he said.


On Thursday, McConnell vowed his side would not "write a blank check for anything Senate Democrats put forward just because we find ourselves at the edge of the cliff."


Reid, however, argued Republicans undermined a potentially major agreement over the past two years by refusing to compromise on their opposition to higher tax rates for the wealthy.








The principal dispute continues to be over taxes, specifically Democrats' demand to extend most of the tax cuts passed under Bush while allowing higher rates of the 1990s to return on top income brackets. During his re-election campaign, Obama said this would protect 98% of Americans and 97% of small businesses from tax hikes.


Republicans have opposed any kind of increase in tax rates, and Boehner suffered the political indignity last week of offering a compromise -- a $1 million threshold for the higher rates to kick in -- that his GOP colleagues refused to support because it raised taxes and had no chance of passing the Senate.


Democrats have rejected the GOP proposals, which would extend all Bush-era tax cuts and revise prescribed spending cuts, calling them insufficient and saying they would shift too much deficit reduction burden on the middle class.


One possibility is the fiscal cliff takes effect and taxes go up in January, then Congress steps in to bring tax rates back down for at least some people -- allowing them to say they're lowering taxes, even if rates for top income brackets are higher in 2013 than they were in 2012.


Obama and Democrats have leverage, based on the president's re-election last month and Democrats' gains in the House and Senate in the new Congress. In addition, polls consistently show majority support for Obama's position on taxes, and Democrats insist the House would pass the president's plan with Democrats joined by some Republicans if Boehner allowed a vote on it.


However, anti-tax crusader Grover Norquist has vowed to back primary challenges against Republicans who violate his widely signed pledge not to raise taxes. Even if a deal is reached, Norquist predicts more budget showdowns every time the government needs additional money to operate.


The two sides seemingly had made progress early last week on forging a $2 trillion deficit reduction deal that included new revenue sought by Obama and spending cuts and entitlement changes desired by Boehner.


Boehner appeared to move on increased tax revenue, including higher rates on top income brackets and eliminating deductions and loopholes. But his inability to rally all House Republicans behind his plan raised questions about his role and what comes next.


All this has fueled disdain for politicians by many Americans. Such contempt is deserved, said Rep. Steven LaTourette, an Ohio Republican, who is retiring from Congress.


"I think America should be embarrassed by its leadership in D.C.," he told CNN on Friday. "The fact that we have been unable to do things, and instead worried about our next elections. ... I think it's sinful."


What happens to the economy if we go over the cliff?


CNN's Dana Bash, Deirdre Walsh, Ted Barrett, Greg Botelho and Kevin Liptak contributed to this report.






Read More..