The Neediest Cases: Medical Bills Crush Brooklyn Man’s Hope of Retiring


Andrea Mohin/The New York Times


John Concepcion and his wife, Maria, in their home in Sheepshead Bay, Brooklyn. They are awaiting even more medical bills.







Retirement was just about a year away, or so John Concepcion thought, when a sudden health crisis put his plans in doubt.





The Neediest CasesFor the past 100 years, The New York Times Neediest Cases Fund has provided direct assistance to children, families and the elderly in New York. To celebrate the 101st campaign, an article will appear daily through Jan. 25. Each profile will illustrate the difference that even a modest amount of money can make in easing the struggles of the poor.


Last year donors contributed $7,003,854, which was distributed to those in need through seven New York charities.








2012-13 Campaign


Previously recorded:

$6,865,501



Recorded Wed.:

16,711



*Total:

$6,882,212



Last year to date:

$6,118,740




*Includes $1,511,814 contributed to the Hurricane Sandy relief efforts.





“I get paralyzed, I can’t breathe,” he said of the muscle spasms he now has regularly. “It feels like something’s going to bust out of me.”


Severe abdominal pain is not the only, or even the worst, reminder of the major surgery Mr. Concepcion, 62, of Sheepshead Bay, Brooklyn, underwent in June. He and his wife of 36 years, Maria, are now faced with medical bills that are so high, Ms. Concepcion said she felt faint when she saw them.


Mr. Concepcion, who is superintendent of the apartment building where he lives, began having back pain last January that doctors first believed was the result of gallstones. In March, an endoscopy showed that tumors had grown throughout his digestive system. The tumors were not malignant, but an operation was required to remove them, and surgeons had to essentially reroute Mr. Concepcion’s entire digestive tract. They removed his gall bladder, as well as parts of his pancreas, bile ducts, intestines and stomach, he said.


The operation was a success, but then came the bills.


“I told my friend: are you aware that if you have a major operation, you’re going to lose your house?” Ms. Concepcion said.


The couple has since received doctors’ bills of more than $250,000, which does not include the cost of his seven-day stay at Beth Israel Medical Center in Manhattan. Mr. Concepcion has worked in the apartment building since 1993 and has been insured through his union.


The couple are in an anxious holding pattern as they wait to find out just what, depending on their policy’s limits, will be covered. Even with financial assistance from Beth Israel, which approved a 70 percent discount for the Concepcions on the hospital charges, the couple has no idea how the doctors’ and surgical fees will be covered.


“My son said, boy he saved your life, Dad, but look at the bill he sent to you,” Ms.  Concepcion said in reference to the surgeon’s statements. “You’ll be dead before you pay it off.”


When the Concepcions first acquired their insurance, they were in good health, but now both have serious medical issues — Ms. Concepcion, 54, has emphysema and chronic obstructive pulmonary disease, and Mr. Concepcion has diabetes. They now spend close to $800 a month on prescriptions.


Mr. Concepcion, the family’s primary wage earner, makes $866 a week at his job. The couple had planned for Mr. Concepcion to retire sometime this year, begin collecting a pension and, after getting their finances in order, leave the superintendent’s apartment, as required by the landlord, and try to find a new home. “That’s all out of the question now,” Ms. Concepcion said. Mr. Concepcion said he now planned to continue working indefinitely.


Ms. Concepcion has organized every bill and medical statement into bulging folders, and said she had spent hours on the phone trying to negotiate with providers. She is still awaiting the rest of the bills.


On one of those bills, Ms. Concepcion said, she spotted a telephone number for people seeking help with medical costs. The number was for Community Health Advocates, a health insurance consumer assistance program and a unit of Community Service Society, one of the organizations supported by The New York Times Neediest Cases Fund. The society drew $2,120 from the fund so the Concepcions could pay some of their medical bills, and the health advocates helped them obtain the discount from the hospital.


Neither one knows what the next step will be, however, and the stress has been eating at them.


“How do we get out of this?” Mr. Concepcion asked. “There is no way out. Here I am trying to save to retire. They’re going to put me in the street.”


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DealBook: Morgan Stanley's $481 Million 4th-Quarter Profit Beats Estimates

8:23 a.m. | Updated

Morgan Stanley reported adjusted earnings for the fourth quarter on Friday that beat analyst estimates, driven by gains in wealth management and stock trading.

Including charges, the firm had a fourth-quarter profit of $481 million, or 25 cents a share. That compares with a per-share loss of 15 cents in the year-ago period. The results seem to please investors. Morgan Stanley shares are up 6.4 percent in premarket trading.

The results, however, were affected by one-time accounting charges related to the firm’s credit spreads. Excluding those charges, the firm had a profit of 45 cents a share. That handily beat the estimates of analysts polled by Thomson Reuters, which had estimated a profit of 27 cents a share.

Morgan Stanley’s revenue came in at $7 billion in the fourth quarter, up 23 percent from the year-ago period.

Morgan Stanley’s chief executive, James P. Gorman, said in a release that Morgan Stanley had reached a “pivot point” in its turnaround strategy, which has been underway since the financial crisis when the firm’s operations were badly damaged. “Our firm is now poised to reach the returns of which it is capable on behalf of our shareholders,” he said.

The results are good news for Mr. Gorman, who has been working since the financial crisis to retool Morgan Stanley by shifting its focus away from potentially riskier businesses like trading and into steadier less capital-intensive areas like wealth management. While he has notched some successes, the company still faces challenges.

Notably, the firm has reduced the size of its fixed department in the wake of ratings downgrades and new regulatory requirements, both of which have forced it to hold more capital against riskier trading activities, reducing profitability. This month, it laid off 1,600 employees, many of them in fixed income.

Excluding the debt charge, institutional securities, which included fixed income and banking, had revenue of $3.5 billion, compared with $1.9 billion in the same quarter in 2011. The fixed income sales and trading unit reported adjusted revenue of $811 million, compared with a loss of $493 million in the year-ago period.

This week Morgan Stanley and other Wall Street firms notified employees of their 2012 compensation. Morgan Stanley set aside $15.62 billion for compensation, or about 60 percent of its 2012 revenue. This compares with 2011, when just 51 percent of revenue was allotted for compensation and benefits.

The high ratio of compensation as a percentage of revenue could raise eyebrows on Wall Street. In 2010, Mr. Gorman said that Morgan Stanley’s compensation rate of 62 percent that year was a “historic high” that no one on his management team “will ever see again.” He indicated that the rate should be no higher than 50 percent.

Earlier this week, Goldman Sachs posted profit of $5.60 a share, which outpaced analyst expectations. Citigroup, Wells Fargo and JPMorgan Chase have also recently reported stronger year-over-year earnings.

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Group of hostages reportedly escapes Islamist captors in Algeria









CAIRO -- The Algerian news agency reported Thursday that as many as 45 hostages, including Americans, had escaped from a natural gas complex a day after Islamic militants seized the installation in retaliation for French airstrikes against Islamist rebels in neighboring Mali.   

The Algerian report said 30 Algerians and 15 foreigners had fled the compound Thursday. The report could not be independently confirmed. The Associated Press, quoting an unnamed Algerian official, said 20 foreigners, including Americans, had escaped.


[Updated, 5:51 a.m. Jan. 17: Conflicting reports suggested that hostages and kidnappers may have been killed by Algerian soldiers when they attempted to leave the complex. Media reports said a Mauritanian news organization quoted a militant spokesman as saying gunfire from helicopters killed 35 foreigners and 15 kidnappers, including the group's leader.





If either scenario if true -- no details are yet known -– it would mark a stunning twist in a drama that has raised fears of a long siege and highlighted the dangerous Islamist extremism stretching from Mali across the mountains and lawless deserts of North Africa.]


The militants had reportedly threatened to blow up the gas facility at In Amenas near the Libyan border if government commandos attempted to free the hostages. France 24 television reported that a male captive said in a telephone interview that attackers forced some hostages to strap on belts laden with explosives. It could not be confirmed if the man was a hostage.


Hundreds of Algerian soldiers ringed the Sahara Desert compound and helicopters skimmed above. Algerian officials had earlier said they would not negotiate with the militants, who reportedly had asked for safe passage into Libya.


Captives being held are believed to be from the U.S., France, Japan, Norway and other countries. Reports on Wednesday suggested that as many as 41 foreigners were being held by an Al Qaeda-linked group calling itself the Signed-in-Blood Battalion.


The ordeal has shown the volatility of a region bristling with gunrunners, smugglers and a visceral strain of Islamic ideology. Militant groups, including Algeria's Al Qaeda in the Islamic Maghreb (AQIM), have been deadly at home but now present a widening danger in North Africa, including in Tunisia and Libya, where Islamic extremists have gained a foothold since the uprisings of the Arab Spring.


The natural gas complex at In Amenas, which supplies Europe and Turkey, is a joint venture operated by BP; Statoil, a Norwegian firm; and Sonatrach, the Algerian national oil company


ALSO:


Germany to bring home its gold by 2020


Islamic militants hold foreigners hostage at Algeria gas field


Pakistan government calls demands by protesters "not possible"


jeffrey.fleishman@latimes.com


 


 





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Secret Nuclear Redesign Will Keep U.S. Subs Running Silently for 50 Years



The U.S. Navy is betting the future of its submarine force on a secret and revolutionary nuclear drive system that aspires to be more efficient and quieter than anything under the water today.


The heart of the planned ballistic missile Ohio Replacement (OR) program will be built around a drive that will not need to be refueled for the 50-year life of the boats and cuts out potentially noisy direct mechanical connection to the drive train. In other words, the Navy’s next-gen subs could be almost silent, and keep running for a half-century straight.


The Navy’s ballistic missile fleet, or boomers, rely on stealth to hide from rival boats, ships and sub-hunting aircraft. The quieter the boat, the harder it is to find. (And these boats are big: the current Ohio boomer is more than a football field and half long displacing 19,000 tons.)


Now the Navy is developing an innovation that attempts to give OR boomers the quietest nuclear engine yet by “going to [an] electric drive,” Sean Stackley, the Navy’s chief weapons buyer, said in a January interview with the U.S. Naval Institute.


Current boomers have a direct mechanical connection to the props that drive the boat. Steam turbines driven by the nuclear power plant go through a series of mechanical gears that translate the high torque power from the nuclear plant into lower torque energy needed to propel the ship. All of those mechanical connections can generate noise, the bane of the submariner.


Moving forward, the Navy wants to use the power from the reactor to create an elaborate electrical grid inside of the submarine. The reactor power would feed the grid and in turn the electric motors that would drive the boats. Eliminating the mechanical connection would mean less noise under water. The set up would also free up power previously devoted to driving the ship. Currently anywhere from 75 to 80 percent of the power from a nuclear submarine is devoted to driving the ship through the water. Extra power could be routed to other systems like sonars and potentially unmanned underwater vehicles.



This will be the second try for the Navy to use electric drive subs. The service experimented with the technology in the 1960s and 1970s but found the boats equipped with the drives to be underpowered and maintenance heavy.


Unlike other programs, the Navy hasn’t gone out of its way to tout the electric drive technology it plans to use for the OR boomers. A 2010 Analysis of Alternatives for the OR program, then known as the SSBN(X), was closely held by the service. Gene Taylor, the chairman of the Seapower subcommittee of the House Armed Services Committee at the time, demanded publicly that Congress get a chance to evaluate the proposal. He lost his 2010 election and the Navy kept specifics mostly quiet.


Among the details they have discussed, in addition to the electric drive, is the development of a new nuclear power plant for the OR boats.


“There is investment in the front end in the reactor plant to arrive at a core that will last the life of the boat,” Stackley said.


Now, the Navy’s nuclear fleet requires a mid-life refueling and overhaul that can keep a ship or submarine out of commission for almost three years with a cost in the billions.


“By eliminating that midlife refueling, you effectively get greater operational availability out of the boat,” Stackley said.


The standard ratio for ballistic missile submarines on patrol to subs in port is about four to one. Currently the navy fields 14 Ohio-class boomers packing 24 Trident II D5 intercontinental ballistic missiles. (The first four Ohios were converted to carry missiles with conventional warheads).


“There are still going to be midlife upgrades but the refueling portion is effectively eliminated which allows us to reduce from today’s 14 Ohios to reduce down to 12 Ohio Replacements,” Stackley said.


The original Ohio-class builder General Dynamics Electric Boat hasn’t built a boomer in more than 20 years and the durability of the drive and the boats to last until 2080 is a tall order.


Added to the pressure is a Pentagon imposed cost cap that reduce the cost of the boat from about $7 to 8 billion down to $4.9 billion. But the Navy will have little margin for error if they want to keep the price tag that low.


The Navy has already delayed work two years as part of its 2013 budget. Currently the first OR boat is scheduled to begin construction in 2021 for a decade-long construction and development process. The super-silent boat is scheduled to make its first patrol in 2031. After that, you may never hear from it again.


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“Gangnam Style” takes top song prize at “K-pop Grammys”






(Reuters) – South Korean rapper Psy‘s quirky viral hit “Gangnam Style” took the prize for top song on Wednesday at the 27th annual Golden Disk Awards, a Korean pop event dubbed the “Korean Grammys.”


The two-day celebration of all things K-pop, including performances by superstars such as the boy band Super Junior, was held in the Malaysian capital of Kuala Lumpur before hordes of screaming fans, a testimony to the soaring popularity of Korean pop music around the world.






Nowhere has that been more apparent than with “Gangnam Style,” an infectious hit that made history last month when it became the first ever video on YouTube to reach 1 billion views, the latest record on the song’s surge into mainstream pop.


The tune won the Song of the Year award, the final prize.


The awards were only the latest accolades for Psy, 35, in what has been a whirlwind year for the chubby rapper, the first K-pop artist to achieve mainstream success in the United States as a result of “Gangnam Style.”


Decked out in a bow tie and suit jackets varying from pink to baby blue, and only a towel for one sequence set in a sauna, Psy raps in Korean and busts funky moves based on horse-riding in venues ranging from playgrounds to subways.


The song, released in July, was meant as a commentary on the rampant materialism of today’s South Korea – particularly in relation to the Gangnam section of the city, which Psy has termed Seoul’s Beverly Hills.


“My goal in this music video was to look uncool until the end. I achieved it,” Psy told Reuters in August.


The popularity of the song, which has prompted many copycat and parody videos, has added fuel to growing international interest in Asian pop music, especially the K-pop industry, which now aims to follow Psy into mainstream Western pop music.


Thanks to their youth, glowing image and the style of their songs and dances, K-pop fans have grown rapidly in Southeast Asia, formerly dominated by stars from the West as well as Hong Kong and Taiwan.


A Malaysian fan who queued for three days to get into the first night of the awards ceremony said she loved how the K-pop stars strived for perfection.


“K-pop stars have been working very hard, even before they make their first debut. They spend a lot of time practicing to become a perfect artist,” said the 20-something Tay Ching Ee. “This is what other artists should learn from them.”


The Golden Disk Awards began in 1986, with winners chosen based on album sales and digital downloads. The ceremony first ventured overseas in 2012, when it was held in Japan.


On Tuesday, the first night, Super Junior again won the best album award with their album “Sexy, Free & Single.” Boy band Shinee scooped the Most Popular Star prize.


(Additional reporting by Angie Teo and Belinda Goldsmith; writing by Elaine Lies; editing by Patricia Reaney)


Music News Headlines – Yahoo! News





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The New Old Age Blog: Officials Say Checks Won't Be in the Mail

The jig is up.

Two years ago, the Treasury Department initiated its Go Direct campaign to persuade people still receiving paper checks for their Social Security, Veterans Affairs, S.S.I. and other federal benefits to switch to direct deposit.

“At that point, we were issuing approximately 11 million checks each month,” or about 15 percent of the total, Walt Henderson, director of the campaign, told me.

After putting notices in every monthly check envelope, circulating public service announcements and putting the word out through banks, senior centers, the Red Cross, AARP and other organizations, the Treasury Department has since shrunk that number to five million monthly checks.

That means 93 percent of those getting federal benefits are using direct deposit or, if they prefer or lack a bank account, a Direct Express debit card that gets refilled each month and can be used anywhere that accepts MasterCard.

“So people have been getting the word and making the switch,” Mr. Henderson said. Now, federal officials are pushing the last holdouts to convert to direct deposit by March 1.

Although officials say the change is not optional, the jig isn’t entirely up. If you or your older relative does not respond to their pleading, “we’re not going to interrupt their payments,” Mr. Henderson said. But the department will start sending letters urging people to switch.

The major motive is financial: shifting the last paper checks to direct deposit or a debit card (only 2 percent of recipients go that route) will save $1 billion over the next decade, the department estimates.

But safety enters the picture, too. One reason some beneficiaries resist direct deposit, Mr. Henderson said, is that they fear their electronic deposits can be hacked or diverted. Having grown up in a predigital age, perhaps they feel safer with a check in their hands.

But they probably aren’t. In 2011, the Treasury Department received 440,000 reports of lost or stolen benefits checks. With direct deposit, “there’s no check lingering unattended in a mailbox,” Mr. Henderson noted.

The greater reason for sticking with paper is probably simple inertia. “It’s human nature to procrastinate,” he said.

But unless you or your relatives want a series of letters from the Treasury Department, it is probably time for the last fence-sitters to get with the program.

They don’t need to use a computer. People can switch to direct deposit, or get the debit card, at their banks or the local Social Security office. More simply, they can call a toll-free number, (800) 333-1795, and have agents walk them through the change. Or they can sign up online at www.GoDirect.org.

They will need:

  1. Their Social Security number.
  2. The 12-digit federal benefit number found on their checks.
  3. The amount of the most recent check.
  4. And, for direct deposit, a bank or credit union routing number, usually found on the front of a check. They can have direct deposit to a savings account, too.

A caution for New Old Age readers: If you think your relative has not switched because he or she is cognitively impaired and can no longer handle his finances, you can be designated a representative payee and receive monthly Social Security or S.S.I. payments on your relative’s behalf. This generally requires a visit to your local Social Security office, documentation in hand.


Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

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Claims for Jobless Benefits Drop


WASHINGTON — The number of Americans filing new claims for unemployment benefits tumbled to a five-year low last week, while housing starts surged, the government said Thursday in a pair of new economic reports.


Initial claims for state unemployment benefits fell 37,000 to a seasonally adjusted 335,000, the lowest level since January 2008 and the largest weekly drop since February 2010, the Labor Department said.


The previous week’s figure was revised to show 1,000 more applications than previously reported.


While last week’s decline ended four straight weeks of increases, it is probably not the start of a new trend or a sign of a material shift in labor market conditions as claims tend to be volatile around this time of the year because of large swings in the model used by the department to iron out seasonal fluctuations.


A Labor Department analyst said the model had expected a large increase in claims last week, but the actual number of filings only showed a modest increase, leading to a big decline in the seasonally adjusted figure.


The four-week moving average for new claims, a better measure of labor market trends, fell 6,750 to 359,250, suggesting some improvement in underlying labor market conditions.


The claims data covered the survey week for January’s nonfarm payrolls. Job growth has been gradual, with employers adding 155,000 new positions in December. The unemployment rate held steady at 7.8 percent last month.


The claims report showed the number of people still receiving benefits under regular state programs after an initial week of aid increased 87,000 to 3.21 million in the week ended Jan. 5. The four-week average of the so-called continuing claims was the lowest since July 2008.


In a separate report, the Commerce Department said Thursday that groundbreaking to build new homes surged 12.1 percent last month to a 954,000-unit annual rate.


It was the fastest pace since June 2008, supporting the view that housing is poised to provide a substantial boost to the U.S. economy. But data for housing starts can be volatile and is sometimes subject to large revisions. The government revised downward its estimate for November housing starts, for example, to a 851,000-unit rate from the originally reported 861,000.


Some of the strength in December’s reading for starts came from a 20.3 percent surge in multi-unit construction; that component is especially volatile.


Thursday’s report nonetheless builds on a trend in growth that has led many analysts to expect residential construction bolstered the economy last year for the first time since 2005.


Permits for future home construction edged higher to a 903,000-unit rate, the quickest since July 2008. Groundbreaking for single-family homes, the largest segment of the market, climbed 8.1 percent last month to a 616,000-unit pace.


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Helicopter crashes in central London, killing at least two people









LONDON -- A helicopter apparently crashed into a crane atop a high-rise building in central London during the morning rush hour Wednesday, falling to earth and killing at least two people, police said.


Video footage showed flaming debris on the ground where the chopper came down in the Vauxhall district of south London, close to the headquarters of MI6, Britain's spy agency.


Scotland Yard said two people were confirmed dead at the scene, with two others taken to the hospital. A fire official told the BBC that one of the dead had been aboard the helicopter. Authorities quickly cordoned off the area and shut down Vauxhall rail station.





[Update, 4:26 a.m. Jan 16: Later Wednesday morning, police said one of the dead was the chopper's pilot. The other victim has not been identified, but the helicopter was not believed to be carrying passengers, police said. 


"At this stage, it appears a commercial helicopter on a scheduled flight was in collision with a crane on top of a building under construction," Scotland Yard said in a statement. 


Police said seven people were treated on the scene for minor injuries. Six people were taken to local hospitals, all for minor injuries except for one person who suffered a broken arm.]


The crash occurred on a gray morning with thick clouds or fog lying low in the sky. Police did not speculate as to the cause of the crash, but the BBC reported that terrorism did not appear to be likely.


Nicky Morgan, a member of Parliament who was walking toward Vauxhall, told the broadcaster that she heard a huge explosion shortly before 8 a.m., a time when commuters and schoolchildren were going about their usual routine.


"I did wonder if it was a bomb explosion, because it was just such a loud bang," she said. "It was the thick black smoke that really meant that this is not right."


Helicopters are common in London, particularly around the city's financial district where many tall buildings are clustered.


The crash site is near the Nine Elms neighborhood south of the Thames, where the U.S. is planning to build a large new embassy.


ALSO:


Blue plaques that pay tribute to London's past may be history


Israeli soldiers kill Palestinian teen in West Bank confrontation


Egyptian lawyer gets 5 years, 300 lashes for Saudi drug conviction


 





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Here They Are — The Best Comic Books of 2013!

Okay, fine: Comic books aren’t the most predictable things ever. We've seen fantastic comics take a sudden turn and become all but unreadable, and seen comics no one heard of until two seconds ago skyrocket to greatness. But we can still make some pretty good guesses about the most promising comics, graphic novels, and collected editions on the horizon -- or even if we can’t, we’re about to give it a shot. Whether you’re a long-time reader of the sequential arts or just looking for some titles to try out, here are the comics to keep your eye on in 2013.

Above:

FF, by Matt Fraction and Mike Allred (Marvel, ongoing)

It’s been a rough couple of years for superhero comics—thanks to Marvel charging as much as they can for endless “event” books, and DC still stumbling through their clumsy “New 52” reboot, it’s hard to find superhero books that are as much fun as they should be. But here’s one! Teaming up with Madman genius Mike Allred, Casanova and Invincible Iron Man writer Matt Fraction digs into the bizarre, poppy, retro fun that the Marvel Universe can still provide—what begins as just one more book about the Fantastic Four soon heads into territory that’s a lot more fun. (If FF doesn’t sate your superhero hunger, Fraction’s got another great ongoing, too: With Hawkeye, Fraction and artist David Aja have somehow given the crappiest Avenger a way better book than any of his teammates have.)

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Steve Harvey signs long-term, expanded deal with Clear Channel






LOS ANGELES (TheWrap.com) – Steve Harvey has re-upped with Clear Channel Media and Entertainment, entering a five-year contract that will continue his nationally syndicated radio program “The Steve Harvey Morning Show” and add new facets to his relationship with the media giant, Clear Channel said Tuesday.


Under the new agreement, Harvey and Clear Channel will work on a number of joint ventures, including the international expansion of his radio show – which currently reaches about 6 million listeners weekly on 70 radio stations in the U.S. via its syndication on Premiere Networks – as well as the development and creation of new programming and promotions.






Harvey will also team with Clear Channel on community, charitable and multimedia events, and serve as a spokesman for the company.


Calling Harvey “an unrivaled talent,” Clear Channel chairman and CEO John Hogan added, “As the leading media company in America, we continue to deliver the most relevant content and top personalities to diverse audiences across the country and Steve is a remarkable talent and incredible asset for Clear Channel Media and Entertainment.”


Harvey himself was more whimsical in discussing the new deal.


“It is my pleasure to be in business with the best!” Harvey exclaimed in a statement. “My life has been an amazing ride, and when you can do business in a big way, it makes the ride all the more amazing. Clear Channel Media and Entertainment and Premiere Networks have been great partners. Mama, here come that Man!”


In addition to his radio show – which Harvey created in 2000 and was added to Premiere’s national lineup in 2005 – Harvey continues to host the syndicated game show “Family Feud,” and launched his syndicated daytime talk show “Steve Harvey” in September. The show was picked up for a second season in January.


TV News Headlines – Yahoo! News





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