Fewer health care options for illegal immigrants


ALAMO, Texas (AP) — For years, Sonia Limas would drag her daughters to the emergency room whenever they fell sick. As an illegal immigrant, she had no health insurance, and the only place she knew to seek treatment was the hospital — the most expensive setting for those covering the cost.


The family's options improved somewhat a decade ago with the expansion of community health clinics, which offered free or low-cost care with help from the federal government. But President Barack Obama's health care overhaul threatens to roll back some of those services if clinics and hospitals are overwhelmed with newly insured patients and can't afford to care for as many poor families.


To be clear, Obama's law was never intended to help Limas and an estimated 11 million illegal immigrants like her. Instead, it envisions that 32 million uninsured Americans will get access to coverage by 2019. Because that should mean fewer uninsured patients showing up at hospitals, the Obama program slashed the federal reimbursement for uncompensated care.


But in states with large illegal immigrant populations, the math may not work, especially if lawmakers don't expand Medicaid, the joint state-federal health program for the poor and disabled.


When the reform has been fully implemented, illegal immigrants will make up the nation's second-largest population of uninsured, or about 25 percent. The only larger group will be people who qualify for insurance but fail to enroll, according to a 2012 study by the Washington-based Urban Institute.


And since about two-thirds of illegal immigrants live in just eight states, those areas will have a disproportionate share of the uninsured to care for.


In communities "where the number of undocumented immigrants is greatest, the strain has reached the breaking point," Rich Umbdenstock, president of the American Hospital Association, wrote last year in a letter to Obama, asking him to keep in mind the uncompensated care hospitals gave to that group. "In response, many hospitals have had to curtail services, delay implementing services, or close beds."


The federal government has offered to expand Medicaid, but states must decide whether to take the deal. And in some of those eight states — including Texas, Florida and New Jersey — hospitals are scrambling to determine whether they will still have enough money to treat the remaining uninsured.


Without a Medicaid expansion, the influx of new patients and the looming cuts in federal funding could inflict "a double whammy" in Texas, said David Lopez, CEO of the Harris Health System in Houston, which spends 10 to 15 percent of its $1.2 billion annual budget to care for illegal immigrants.


Realistically, taxpayers are already paying for some of the treatment provided to illegal immigrants because hospitals are required by law to stabilize and treat any patients that arrive in an emergency room, regardless of their ability to pay. The money to cover the costs typically comes from federal, state and local taxes.


A solid accounting of money spent treating illegal immigrants is elusive because most hospitals do not ask for immigration status. But some states have tried.


California, which is home to the nation's largest population of illegal immigrants, spent an estimated $1.2 billion last year through Medicaid to care for 822,500 illegal immigrants.


The New Jersey Hospital Association in 2010 estimated that it cost between $600 million and $650 million annually to treat 550,000 illegal immigrants.


And in Texas, a 2010 analysis by the Health and Human Services Commission found that the agency had provided $96 million in benefits to illegal immigrants, up from $81 million two years earlier. The state's public hospital districts spent an additional $717 million in uncompensated care to treat that population.


If large states such as Florida and Texas make good on their intention to forgo federal money to expand Medicaid, the decision "basically eviscerates" the effects of the health care overhaul in those areas because of "who lives there and what they're eligible for," said Lisa Clemans-Cope, a senior researcher at the Urban Institute.


Seeking to curb expenses, hospitals might change what qualifies as an emergency or cap the number of uninsured patients they treat. And although it's believed states with the most illegal immigrants will face a smaller cut, they will still lose money.


The potential impacts of reform are a hot topic at MD Anderson Cancer Center in Houston. In addition to offering its own charity care, some MD Anderson oncologists volunteer at a county-funded clinic at Lyndon B. Johnson General Hospital that largely treats the uninsured.


"In a sense we've been in the worst-case scenario in Texas for a long time," said Lewis Foxhall, MD Anderson's vice president of health policy in Houston. "The large number of uninsured and the large low-income population creates a very difficult problem for us."


Community clinics are a key part of the reform plan and were supposed to take up some of the slack for hospitals. Clinics received $11 billion in new funding over five years so they could expand to help care for a swell of newly insured who might otherwise overwhelm doctors' offices. But in the first year, $600 million was cut from the centers' usual allocation, leaving many to use the money to fill gaps rather than expand.


There is concern that clinics could themselves be inundated with newly insured patients, forcing many illegal immigrants back to emergency rooms.


Limas, 44, moved to the border town of Alamo 13 years ago with her husband and three daughters. Now single, she supports the family by teaching a citizenship class in Spanish at the local community center and selling cookies and cakes she whips up in her trailer. Soon, she hopes to seek a work permit of her own.


For now, the clinic helps with basic health care needs. If necessary, Limas will return to the emergency room, where the attendants help her fill out paperwork to ensure the government covers the bills she cannot afford.


"They always attended to me," she said, "even though it's slow."


___


Sherman can be followed on Twitter at https://twitter.com/chrisshermanAP .


Plushnick-Masti can be followed on Twitter at https://twitter.com/RamitMastiAP .


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School shooting postpones Cruise premiere in Pa.


NEW YORK (AP) — The U.S. premiere of the Tom Cruise action movie "Jack Reacher" is being postponed following the deadly Connecticut school shooting.


Paramount Pictures says "out of honor and respect for the families of the victims" the premiere won't take place Saturday in Pittsburgh, where "Jack Reacher" was filmed.


The premiere would've been Cruise's first U.S. media appearance since his split from Katie Holmes over the summer. It was to be more contained with select outlets covering and a location away from Hollywood or New York.


A proclamation ceremony for Cruise had been planned with Pennsylvania Gov. Tom Corbett and Pittsburgh Mayor Luke Ravenstahl.


No new date for the premiere has been set. The movie opens Dec. 21.


Friday's massacre at a Newtown, Conn., elementary school killed 20 children and several adults.


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3 innovations from Chicago science scene













 


Julian Gordon and Prasanthi Gandhi pose for a photograph amid various air-purifying devices in their lab at Inspirotec, 2201 W. Campbell Park Dr., Wednesday, Dec. 12, 2012, in Chicago. The duo created the company that plans to develop and market an all-in-one air collector-detector, which will allow consumers to find out what allergens and pathogens might be in the air around them.
(John J. Kim / December 14, 2012)





















































Internet-centered technology has advanced to the point that smartphone apps and e-commerce sites seemingly sprout overnight. Indeed, many can be built inexpensively from off-the-shelf software in weeks. Scientific breakthroughs, however, often require decades of research and millions of dollars. At the end of every year, I feature three teams of Chicago innovators whose ideas won’t hit the big-time soon but have the potential to improve, even save, our lives a decade from now.





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Man Tasered at Chicago police station and hospital dies




















A man died Thursday night after getting Tasered at the Chicago Police Department's 5th District Station and again at a Far South Side hospital, authorities said.














































A man died after officers used a Taser on him at the 5th District police station on the Far South Side and again at Roseland Community Hospital, authorities said.

Philip O. Coleman, 38, was arrested around 7:15 p.m. Wednesday for beating his 69-year-old mother, injuring her head and legs, police said in a statement. Coleman "became combative" and spit blood on the faces of an officer and a supervisor, police said.






On Thursday, officers were taking Coleman from the 5th District station to court when "he again became combative" and a Taser was used "to gain control of the subject," police said.

Coleman was then taken to Roseland Community Hospital "where he became physically aggressive with hospital staff and accompanying CPS officers," police said. "Once again, reasonable force was employed, including a Taser deployment, to gain control of the offender."

Coleman was admitted to Roseland, where he was given a sedative and later died, police said in the statement. The department did not release any other details of the death.

Coleman was pronounced dead at 5:47 p.m. Thursday at Roseland. An autopsy is scheduled for today.

Coleman's father, Percy Coleman, said today that police “aren’t going to get away with it.”

“My son … (has) never been in trouble,” he said. “He’s a grad of the University of Chicago. They won’t be able to run him out that he’s a drug dealer, this and that.”

Percy Coleman refused to comment further.

The Independent Police Review Authority is investigating the incident, a spokesman for the agency said.

pnickeas@tribune.com
Twitter: @peternickeas






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Apple shares open down 3.9 percent, UBS cuts price target


(Reuters) - Apple Inc shares fell 3.9 percent following another price target cut on its stock, on a day when its iPhone 5 debuted in China to a cool reception.


UBS Investment Research cut its price target on Apple stock to $700 from $780, saying it expects lower iPhone and iPad shipments for the March quarter.


Apple launched the iPhone 5 in China on Friday, a move widely expected to bring Cupertino some respite from a recent slide in market share in China, but early reports indicated that demand may not be as great as expected.


"Some of our Chinese sources do not expect the iPhone 5 to do as well as the iPhone 4S," UBS analyst Steven Milunovich wrote in his note.


Apple shares fell as low as $509.11 in initial trading on the Nasdaq on Friday.


(Reporting by Himank Sharma in Bangalore; Editing by Supriya Kurane)



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Bengals beat Eagles 34-13


PHILADELPHIA (AP) — So long, Eagles.


Up ahead for the Cincinnati Bengals, the only Pennsylvania team that truly matters.


Andy Dalton threw a touchdown pass and ran for another score, an opportunistic defense forced five turnovers and Cincinnati beat the Philadelphia Eagles 34-13 on Thursday night.


The Bengals (8-6) took a half-game lead over the Steelers for the last playoff spot in the AFC. But their game at Pittsburgh next week is far more important in the standings than this one.


The Bengals would clinch their second straight playoff berth with a win over the Steelers if Pittsburgh loses at Dallas this Sunday. A loss to the Steelers, though, likely would ruin Cincinnati's chances because it would lose the tiebreaker.


"We control what we can control," coach Marvin Lewis said. "We want to win in December, so we have a chance to win in January."


Can they beat the Steelers? Probably not if they play like they did for most of their 60 minutes at Lincoln Financial Field. They committed 10 of their 11 penalties through the first three quarters. Dalton was sacked six times by one of the worst lines in the league.


Dalton was an unimpressive 13 of 27 for 127 yards and a touchdown. No receiver had more than 63 yards.


Funny how a playoff push can make those stats meaningless as long as the Bengals win.


"We're playing for something now," Dalton said. "That's great and that's what makes it fun this time of year."


The Eagles' season was lost a long time ago. They fell to 4-10, losing double-digit games for the first time since 2005, the year after losing the Super Bowl to New England.


There were plenty of empty seats at the Linc, where fans are hoping this is Andy Reid's final season as coach. Reid led the Eagles to nine playoff appearances, six division titles and five NFC championship games in his first 13 years. But the Eagles will miss the playoffs for the second straight year and owner Jeffrey Lurie already said 8-8 would be "unacceptable."


"I thought the effort was there and guys played hard," Reid said, "but you just can't have those turnovers. That's a problem."


An interception by Leon Hall set up Dalton's go-ahead 11-yard TD run in the third quarter. Then Wallace Gilberry picked up Bryce Brown's fumble and ran it back 25 yards for another score and an 11-point lead.


BenJarvus Green-Ellis ran for 106 yards, including a 1-yard TD run in the first quarter for Cincinnati. Dalton tossed a 5-yard scoring pass to A.J. Green in the fourth to cap a 24-point outburst in a span of 3:23.


"Our goal is to win games. Period. We did that. Doesn't matter how we got there," cornerback Adam Jones said. "We can be better. We can be higher. And that's what we take from this game. Listen, we all know we need to play better as a defense next week. Because we have ourselves a big one next week."


The Eagles committed three turnovers on three straight possessions at one point and then fumbled a kickoff when defensive lineman Cedric Thornton let the ball fall through his hands on a short kick.


After beating Tampa Bay on a last-second TD last week to snap an eight-game losing streak, the Eagles tried to make it two in a row. Turnovers got in their way again. They've committed an NFL-high 34 and forced just 12 all season.


The Eagles snapped a drought of 22 quarters without a turnover by recovering two fumbles in the second. Both led to field goals by Alex Henery, helping Philadelphia to a 13-10 halftime lead.


Rookie Nick Foles made his fifth straight start for Michael Vick, who just returned to practice this week after sustaining a concussion on Nov. 11. Foles threw for 182 yards, one TD and one interception. Reid said Foles is still the starter.


Down 13-10, the Bengals started their rally with a turnover.


Hall intercepted Foles' deep pass and returned it 44 yards to the Eagles 40. Foles underthrew Jeremy Maclin, who was a few steps behind Hall.


"I feel really good anytime I have one of our receivers vertical on a guy," Foles said. "I just have to get the ball out there and make a better throw."


Green made an acrobatic catch for an 11-yard gain on third-and-9 a few plays before Dalton ran for the score to put the Bengals up 17-13.


Foles, who threw for 381 yards to lead that comeback against the Bucs, hit Riley Cooper on an 11-yard TD pass to cut it to 10-7. Foles connected with Maclin on a 46-yard pass during the drive.


The Eagles then forced their first turnover since Nov. 5 against New Orleans. Brandon Graham sacked Dalton, the ball popped loose and Trent Cole recovered at the Bengals 29.


Just two plays in, Maclin fumbled after a 6-yard catch. Carlos Dunlap recovered and the Bengals started at the Eagles 44. Green-Ellis ran 29 yards on first down and scored a few plays later for a 7-0 lead.


It got uglier for Philadelphia on the next possession. Mat McBriar punted into his own blocker, Daniel Herron picked it up and ran 3 yards to the Eagles 11. But Graham sacked Dalton and Cincinnati settled for Brown's 24-yard field goal that made it 10-0.


The Bengals would get their act together and put a playoff berth in sight.


"We're in control right now of where we end up," Dalton said. "And that's how you want it to be. We have two tough games ahead of us. But I know we will be ready to go."


NOTES: Green-Ellis surpassed 1,000 yards rushing for second time in his career. He did it with New England in 2010. ... The Eagles had a season-high six sacks. They have eight in two games since defensive line coach Jim Washburn was fired, and had 20 in first 12 games. ... Bowles confirmed he interviewed for the coaching vacancy at Temple, his alma mater. ... Eagles RB LeSean McCoy and TE Brent Celek also sat out. Both players also are recovering from concussions. McCoy missed his fourth straight game, but returned to practice this week with Vick.


___


Follow Dan Gelston on Twitter: https://twitter.com/APGelston


___


Online: http://pro32.ap.org/poll and http://twitter.com/AP_NFL


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Sally Struthers enters not guilty plea for DUI






YORK, Maine (AP) — Sally Struthers has entered a not guilty plea on charges she drove drunk in Maine, where she was performing in a musical.


The Portland Press Herald (http://bit.ly/XleJBq) reports the 65-year-old Struthers did not appear in York District Court on Thursday, and entered the plea through her lawyer.






Police arrested Struthers on Sept. 12 on U.S. Route 1 in the resort town Ogunquit (oh-GUHNG’-kwit). She was charged with criminal operating under the influence.


Struthers is best known for her role as Gloria Stivic in the 1970s TV sitcom “All in the Family.” She had been performing at the Ogunquit Playhouse in the musical “9 to 5.”


Struthers is scheduled to appear in court on Feb. 13 for a bench trial.


___


Information from: Portland Press Herald, http://www.pressherald.com


Entertainment News Headlines – Yahoo! News


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From 'Sherlock' to 'Star Trek' for Cumberbatch


LONDON (AP) — Benedict Cumberbatch has had a busy 24 hours.


The British actor was nominated for a Golden Globe, chased by the paparazzi in London and unveiled the first nine minutes of the new "Star Trek" movie Friday.


At a special IMAX presentation of the footage in London, Cumberbatch's menacing character John Harrison was introduced at the beginning of the much-anticipated "Star Trek Into Darkness."


The sequel kicks off at a fast pace, with Captain Kirk's trademark quips, a volcano erupting and Spock in grave danger during a mission to save a planet.


Cumberbatch was not allowed to reveal much about the plot, but the 36-year-old did admit that he auditioned for the role of Harrison — who he describes as "a phenomenal one-man weapon of mass destruction" — on an iPhone in his friend's kitchen.


Fans wanting to see the footage can catch it in front of selected IMAX 3D screenings worldwide of "The Hobbit," beginning Friday.


"Star Trek Into Darkness," directed by J.J. Abrams, opens next May.


___


The Associated Press spoke to the "Sherlock" star Friday after the presentation.


AP: "How did it feel coming here and seeing your face so big on that screen?"


BENEDICT CUMBERBATCH: "I always get incredibly nervous, especially on an empty stomach having only had a macchiato. It makes your heart beat a lot faster and I don't like it. I look away when it's me, I don't like being my own audience. It's very weird. ... You probably saw my nostril hairs, counted how many pores I've got on my nose and which one of my teeth is wonky. "


AP: "It's obviously in the great tradition of having an English baddie."


CUMBERBATCH: "I'm following in the very hallowed footsteps of (Jeremy) Irons, (Alan) Rickman and Tom Hiddleston, my great friend in this summer's "Avengers." There are a few of us who have done it before, it stretches back as old as time. They get excited about these actors with theatre training who can do stuff. It's hugely flattering but you're not going to see me do a whole raft of villains after this."


AP: "Congratulations on the Golden Globe nomination (best actor in a miniseries for "Sherlock"). Did you celebrate?"


CUMBERBATCH: "I went out with my niece, who is my PA (personal assistant) Emily, and we got papped (followed by paparazzi) to the point that I couldn't actually see and I had to put my head down and just blink a couple of times. I was trying to get in the car with her and so immediately they presume, 'ah, beautiful blonde.' Poor girl, she's never experienced that before — I've never experienced that — like 15 of them hanging off the bonnet of the car."


AP: "Surely it's only going to get worse after this "Star Trek" film?"


CUMBERBATCH: "I hope not. I don't court it. I think you have to be in certain places at certain times. Of course, promoting a film you're out in the public and I'm proud to do that for the work I've done. But I'm quite a private person at heart."


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Push for minimum wage hike intensifies









NEW YORK — Before the recession, Amie Crawford was an interior designer, earning $50,000 a year patterning baths and cabinets for architectural firms.

Now, she's a "team member" at the Protein Bar in Chicago, where she makes $8.50 an hour, slightly more than minimum wage. It was the only job she could find after months of looking. Crawford, now 56, says she needed to take the job to stop the hemorrhaging of her retirement accounts.

In her spare time, Crawford works with a Chicago group called Action Now, which is staging protests to raise the minimum wage in a state where it hasn't been raised since 2006.

"Thousands of workers in Chicago, let alone in the rest of the country, deserve to have a livable wage, and I truly believe that when someone is given a livable wage, that is going to bolster growth in communities," she said.

If it seems that workers such as Crawford are more prevalent these days, protesting outside stores including Wal-Mart, McDonald's and Wendy's to call for higher wages, it may be because there are more workers in these jobs than there were a few years ago.

Quiz: How much do you know about the 'fiscal cliff'?

Of the 1.9 million jobs created during the recovery, 43% of them have been in the low-wage industries of retail, food services and employment services, whose workforces include temporary employees who often work part time and without benefits or health insurance, according to a study by Annette Bernhardt, policy co-director of the National Employment Law Project in New York.

At the same time, many workers such as Crawford who have been displaced from their jobs are experiencing significant earnings losses after getting a new job. About one-third of the 3 million workers displaced from their jobs from 2009 to 2011 and then reemployed said their earnings had dropped 20% or more, according to the Bureau of Labor Statistics.

"What these protests are signaling are that working families are at breaking point after three decades of rising inequality and stagnant wages," Bernhardt said.

The rise of low-paying jobs in the recovery, experts said, has cut the spending power of workers who once worked in middle-class occupations. Construction workers who made $30 an hour, for example, during the housing boom may now find themselves working on a temporary basis.

"You see workers trading down their living standards," said Joseph Brusuelas, a senior economist for Bloomberg who studies the U.S. economy.

Now, Brusuelas said, there's an oversupply of workers and they're willing to take any job in a sluggish economy, even if they're overqualified. That includes temporary jobs without benefits, and minimum wage positions such as the one Crawford took.

Although the 2012 election might have brought the idea of income inequality to the forefront of voters' minds, efforts to increase wages for these workers are sputtering in an era of austerity when businesses say they are barely hiring, much less paying workers more.

The New Jersey state legislature handed Gov. Chris Christie a bill to raise the state's minimum wage to $8.50 an hour from the federal minimum of $7.25 this month, but he hasn't signed it and has signaled he might not. An earlier effort in New Jersey to tie the minimum wage to the consumer price index was vetoed by the governor.

Democratic lawmakers in Illinois are also trying to push a bill that would increase the minimum wage — an earlier effort this year failed. The Legislature last voted to raise its minimum wage in 2006, before the recession, and the governor agreed.

"A higher minimum wage means a person has to pay more for each worker," said Ted Dabrowski, vice president of policy at the Illinois Policy Institute, which opposes raising the minimum wage. "Companies have a few choices — increase prices, reduce the number of people they hire, cut employee hours or reduce benefits. When employees become too expensive, they have no choice but to reduce the number of workers."

The Center for Economic and Policy Research in Washington, D.C., however, says there is little indication from economic research that increases in the minimum wage lead to lower employment, and, because higher wages mean workers have more money to spend, employment can actually increase.

A bill to raise the federal minimum wage was introduced to the U.S. Senate by Tom Harkin (D-Iowa) in July and referred to committee, where it has sat ever since.

"Business lobbyists are aware of the campaign and are aggressively working to stop it," said Madeline Talbott, the former lead organizer of Chicago's Action Now. "We've had a hard time getting our legislature to approve it."

But Talbott and other advocates say that the protests that have spread throughout Illinois and the country in recent weeks might force the issue to its head.

"You saw it happening 18 months ago when Occupy started — workers are now realizing that they have rights too in the workplace," said Camille Rivera, executive director of United NY, one of the groups working to raise the minimum wage in New York. "It's a good time for us to be fighting these issues, when companies are making millions of dollars in profits."

The protests are bringing out people who might not usually participate, including Marcus Rose, 33. Rose, who has worked the grill at a Wendy's for 21/2 months, was marching outside that Wendy's in Brooklyn recently on a day of protests, responding as organizers shouted lines such as "Wendy's, Wendy's, can't you see, $7.25 is not for me."

"If you don't stand up for nothing, you can't fall for anything," he said.

Talbott, the Action Now organizer, says that people such as Rose may make a difference in whether lawmakers at the state and national level will listen to the protests. The Obama victory energized the working class to believe that they could fight against big-money interests and win, she said.

"It comes down to the traditional situation — whether the power is in the hands of organized money or of organized people," she said. "The organized money side tends to win, but it doesn't have to win. The more people you are, the more chance you have against money."

alana.semuels@latimes.com

ricardo.lopez2@latimes.com

Semuels reported from New York and Lopez from Los Angeles



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Man dies after falling from Mag Mile hotel while taking photos




















A man who fell down the smoke-stack at a downtown hotel has died.The man, 23, was trying to take a photo from the top of the Intercontinental Hotel on Michigan Avenue. (WGN - Chicago)














































A man trying to take a photo from the top of the Intercontinental Hotel on Michigan Avenue died after falling 22 feet down a smokestack, authorities said.

It took rescue crews four hours to remove the 23-year-old man from Minnesota, at one point cutting through a wall and wedging boards in the chute to keep him from falling farther down.






Covered in a white sheet, he was wheeled into an ambulance inside the hotel's basement garage around 5:05 a.m. and taken to Northwestern Memorial Hospital, where he was pronounced dead, according to the Fire Department and the Cook County medical examiner's office.

Rescue crews responded to the hotel at 505 N. Michigan Ave. around 1:10 a.m. after someone called and reported that a person threatening to jump from the roof. Firefighters later learned the man fell down the smokestack, according to Fire Department spokeswoman Meg Ahlheim.

A "confined space rescue" was called, bringing 30 companies and about 125 firefighters and paramedics to the scene.

They discovered that the man had fallen 22 feet down a 6-foot wide smokestack and was wedged where the chute angled before dropping 42 floors, Ahlheim said. Crews cut into the wall and used wood boards to block the man from falling any farther, she said.

"We had to send members from the top down on ropes to assess his condition. The whole time we’re monitoring the situation for toxic gases," said Special Operations Chief Michael Fox. "We found the best way to get out him was to go about two floors below, and we had to cut the duct work for the chimney, which was made out of steel. And eventually we ended up sliding the victim down into the hole and removing him from the building."

The man was able to communicate with his girlfriend, either with phone calls or text messages, Ahlheim said, but firefighters lost contact with him around 3:15 a.m.

A representative of the hotel was not available for comment.

pnickeas@tribune.com
Twitter: @peternickeas






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