Donation-based hospital rescues Afghanistan's wounded

(CBS News) KABUL - In Afghanistan, an American soldier and two Afghans were killed by a car bomb Thursday.

It happened near the U.S. airbase in Kandahar, a few hours after Defense Secretary Leon Panetta left there to meet with Afghan President Karzai.

Taliban attacks have grown more frequent, causing a sharp rise in civilian casualties. There's one place where many of those lives are saved or lost.

The non-profit trauma hospital goes by one name: Emergency. It offers free treatment to the bruised and bloodied victims of this conflict. Every patient who arrives there is a casualty of war.

Dr. Gino Strada

/

CBS News

Dr. Gino Strada is the chain-smoking Italian cardiologist who founded emergency in 1999. He told CBS News that he'll take in patients, regardless of whether they're Taliban or whatever their political affiliations may be.

"Otherwise, you're not a doctor anymore," he said, "then you're a judge."

Visit to military hospital shows extent of Syrian conflict
U.S. serviceman killed in Afghanistan just after Panetta visit
Children give graphic account of Afghan murders

Strada said he's seen a dramatic shift in the types of injuries he treats: Fewer bullet wounds and more from roadside bombs and heavy weapons.

"The weapons which are now used are much more powerful and destructive than those that were available ten or fifteen years ago," Strada said.

This year, the hospital has treated nearly two thousand patients -- an all time high. The vast majority are civilians.

Five-year-old Shayr Mohammed's wrist was fractured and his arm burned when he was hit by shrapnel.

His injuries have healed well. But not all children are so lucky.

Another young boy had picked up what he thought was a toy and it exploded in his pocket. By the time he arrived at Emergency, there was nothing the doctors could do.

"We live in a place where insurgents and police are shooting at each other all the time," his uncle said.

Strada said the fighting is coming closer to the capital and the fighting is becoming more intense.

"This is very worrying because it's very difficult to predict what's going to happen in the near future," he said.

As NATO troops prepare to pull out in 2014, there are fears that the security situation could deteriorate further and that Afghanistan's healthcare system will be overwhelmed.

A patient at the Emergency hospital in Kabul, Afghanistan.

/

CBS News

The U.S. has spent nearly a billion dollars on health care in Afghanistan the last ten years. But Strada said there is little to show for it.

"What worries me is particularly is corruption in the health sector. When you look at the amount of international aid that has come to Afghanistan for health, you would expect to find fantastic hospitals everywhere. And you don't see one," Strada said.

But there's no shortage of patients, and the war outside Emergency's walls rages on.

Donations to Emergency are accepted at the links below:

www.emergencyusa.org
www.emergency.it/en-index.html

Read More..

Health-Exchange Deadline Looms

All of the Affordable Care Act, also known as "Obamacare," doesn't go into effect until 2014, but states are required to set up their own health care exchanges or leave it to the federal government to step in by next year. The deadline for the governors' decisions is Friday.

The health insurance exchanges are one of the key stipulations of the new health care law. They will offer consumers an Internet-based marketplace for purchasing private health insurance plans.

But the president's signature health care plan has become so fraught with politics that whether governors agreed to set up the exchanges has fallen mostly along party lines.

Such partisanship is largely symbolic because if a state opts not to set up the exchange, the Department of Health and Human Services will do it for them as part of the federal program. That would not likely be well-received by Republican governors, either, but the law forces each state's chief executive to make a decision one way or the other.

Here's what it looks like in all 50 states and the District of Columbia:

20 states that have opted out -- N.J., S.C., La., Wis., Ohio, Maine, Ala., Alaska, Ariz., Ga., Pa., Kan., Neb., N.H., N.D., Okla., S.D., Tenn., Texas and Wyo.

Charles Dharapak/AP Photo

Obama Denounces Right-to-Work Laws at Visit to Auto Plant Watch Video

Washington, D.C., Gridlocked as Fiscal Cliff Approaches Watch Video

Several Republican governors have said they will not set up the exchanges, including Chris Christie (N.J.), Nikki Haley (S.C.), Bobby Jindal (La.), Scott Walker (Wis.), John Kasich (Ohio), Paul LePage (Maine), Robert Bentley (Ala.), Sean Parnell (Ark.), Jan Brewer (Ariz.), Nathan Deal (Ga.), Tom Corbett (Pa.), Sam Brownback (Kan.), Dave Heineman (Neb.), John Lynch (N.H.), Jack Dalrymple (N.D.), Mary Fallin (Okla.), Dennis Daugaard (S.D.), Bill Haslam (Tenn.), Rick Perry (Texas), and Matt Mead (Wyo.).

3 States Out, but a Little More Complicated -- Mont., Ind. and Mo.

The Montana outgoing and incoming governors are both Democrats, but the Republican state legislature rejected the Democratic state auditor's request to start setting up a state exchange. So a federal exchange will be set up in Montana as well.

The Indiana outgoing and incoming governors are both Republicans and outgoing Gov. Mitch Daniels deferred the decision to governor-elect and U.S. Rep. Mike Pence, who said his preference is not to set up a state health care exchange, paving the way for the feds to come in too.

In Missouri, Gov. Jay Nixon is a Democrat, but Prop E passed on Nov. 6, which barred his administration from creating a state-based exchange without a public vote or the approval of the state legislature. After the election, he sent a letter to the Department of Health and Human Services saying he would be unable to set up a state-based exchange, meaning the federal government would have to set up its own.

1 State Waiting for the White House -- Utah

Utah already has a state exchange set up, a Web-based tool where small-business employees can shop and compare health insurance with contributions from their employee. In a letter Republican Gov. Gary Herbert sent to the White House Tuesday, he asked for its exchange, called Avenue H, to be approved as a state-based exchange under the Affordable Care Act as long as state officials can open it to individuals and larger businesses.

Norm Thurston, the state's health reform implementation coordinator, says authorities there "haven't received an official response" from the White House, but "we anticipate getting one soon."

There are some sticking points that don't comply with the exchanges envisioned by the Affordable Care Act and Utah would like to keep it that way.

Read More..

Today on New Scientist: 13 December 2012

Violent beauty at the end of an Alaskan glacier

You can almost hear the crash of ice on water in this stunning image of an ice sheet calving off the Chenega glacier in Alaska

Overeating now bigger global problem than lack of food

The most comprehensive disease report ever produced confirms that, for the first time, there is a larger health problem from people eating too much than too little

In search of the world's oldest cave etching

Strange markings on the walls of a cave in Australia's vast Nullarbor Plain could have been a tactile code for ancient Aboriginal flint miners

Higgs boson having an identity crisis

Six months on from its announcement, the mass and decay rates of the particle thought to be the Higgs boson are proving hard to pin down

Go forth and print: 3D objects you can print yourself

We pick our favourite objects to 3D-print, including a mathematical cookie cutter, a wormhole and a New Scientist holiday tree ornament inspired by fractals

Laser drills could relight geothermal energy dreams

High-powered lasers that can drill through igneous rocks may make reaching oil and geothermal sources much easier

Robots should be cleaning your home

Tech investor Dmitri Grishin explains why the time is right for sleek, versatile robots that will be our everyday helpers rather than factory equipment

Welcome to the personal drone revolution

Sophisticated, affordable drones could soon be so commonplace that they will become our personal servants, says Michael Brooks

Finding dangerous asteroids, before they find us

Near-Earth Objects: Finding them before they find us by Donald Yeomans is a fascinating tour guide of the asteroids we should worry about

World's loneliest bug turns up in Death Valley

A microbe that survives deep below Earth's surface without the sun's energy has reappeared, in California

Search for aliens poses game theory dilemma

The complex question of whether to risk contact with ET may be navigable with a new spin on the "prisoner's dilemma"

'Robot ecosystem' in sight as apps get a cash boost

The first company dedicated to investing in consumer robotics stakes $250,000 on robot apps

First results from James Cameron's trip to the abyss

It's not Pandora, but the Mariana trench holds life just as strange as that in James Cameron's film Avatar

UK government urged to consider relaxing drug rules

A parliamentary report calls for a fresh programme of research to monitor the effects of European drug legalisation

Read More..

Asian markets mostly up after Fed move

HONG KONG: Asian stock markets mostly rose Thursday as the US Federal Reserve announced fresh monetary easing and said it would not lift interest rates until unemployment was under control.

However, the gains were capped after the central bank's chief Ben Bernanke said the looming fiscal cliff of huge tax hikes and deep spending cuts was already hitting the economy.

The yen continued its slide ahead of the weekend's general election in Japan that is expected to see a victory for the opposition, whose leader has vowed to press for more aggressive measures to kickstart growth.

Tokyo climbed 1.15 per cent, lifted by the weakening yen, Hong Kong gained 0.22 per cent, Sydney added 0.10 per cent and Seoul was 0.60 per cent higher, but Shanghai lost 0.36 per cent.

After a two-day meeting the policy committee of the US central bank said it would replace its "Operation Twist" bond swapping programme with $45 billion a month in straight bond buys, on an open-ended basis.

That comes on top of the $40 billion a month purchasing announced in September.

The Fed also provided a surprise by saying it would not lift rates as long as the inflation outlook was below 2.5 per cent and the jobless rate, now at 7.7 per cent, stays above 6.5 per cent.

"The Fed's decisions did not really surprise anyone, although its comments about expecting rates to remain very low as long as unemployment remains above 6.5 per cent were somewhat novel," said Hiroichi Nishi, general manager of equities at SMBC Nikko Securities.

"The bottom line is that it will continue its aggressive steps to foster economic growth," he told Dow Jones Newswires.

However, the Fed's announcement was followed by a warning by Bernanke that Washington needed to come to an agreement in their talks on avoiding the fiscal cliff, adding that the lack of action was already causing problems.

"Even though we have not even reached the point of the fiscal cliff potentially kicking in, it's already affecting business investment and hiring decisions by creating uncertainty or creating pessimism," he said at a news conference.

On Wall Street the Dow and S&P 500 ended flat, while the Nasdaq fell 0.28 per cent, with earlier gains from the Fed announcement cut back by Bernanke's comments.

On currency markets the yen remained under pressure as Sunday's poll approaches, with Prime Minister Yoshihiko Noda's Democratic Party of Japan likely to lose to the Liberal Democratic Party, which is headed by Shinzo Abe.

Abe, a former prime minister, has promised to push a more aggressive monetary easing policy to jumpstart the economy.

The dollar was changing hands at 83.42 yen in early Asian trade, from 83.24 yen in New York late Wednesday, while the euro was at 108.95 yen from 108.85 yen. That compares with 82.67 yen and 107.48 yen earlier on Wednesday in Asia.

The euro bought $1.3063 against $1.3075.

Oil was lower in Asia Thursday, with New York's main contract, light sweet crude for delivery in January, falling 19 cents to $86.58 a barrel and Brent North Sea crude for January delivery shedding 15 cents to $109.35.

Gold was at $1,699.60 at 0230 GMT compared with $1,713.22 late Wednesday.

- AFP/ck

Read More..

Opinion: 401(k) plans endangered

IBM plans to contribute only once every December to its employees' 401(k) accounts.

STORY HIGHLIGHTS

• IBM said it would contribute once every December to its employees' 401(k) plans


• Teresa Ghilarducci: This type of payment benefits the company rather than workers


• She says relative to other companies, IBM actually has a good retirement plan


• Ghilarducci: Most companies are reducing retirement benefits; workers lose

Editor's note: Teresa Ghilarducci is a professor of economics and director of the Schwartz Center for Economic Policy Analysis at The New School.

(CNN) -- IBM, one of America's largest companies, shook the employee compensation world when it announced recently that it would contribute only once every December to its employees' 401(k) accounts. Any employee who leaves before December would not be able to collect the company's match.

Workers at IBM aren't marching to the picket line like Walmart workers and longshoreman who protest pay and working conditions, but you just never know.

Only about 9% of the nation's employers make matches once a year. IBM's move is paving the way for big companies to go down this road.

If I were an IBM manager, I would love this once-a-year lump payment. First, my buddies in Human Resources would have much less hassle with fewer deposits to make. By delaying payment to the end of the year, "the float" -- interest accrued -- would go to the company instead of the workers. In other words, the company saves money.

Moreover, few IBM workers are going to voluntarily leave before December, which means projects can be planned better and employees can be asked to do more.

QUIZ: The ultimate portfolio -- 15 questions to help you define your financial goals

A few years ago, in 2008, IBM made news by transforming its traditional defined benefit plan, a pension, into a 401(k)-type plan. That move saved money, but the company lost an important personnel tool.

Defined benefit plans are designed to encourage employees to exit or retire when it is optimal for the company. A 401(k) is cheaper, but it is a "cash and carry" account that does not have the element of timing finesse. A 401(k) plan does not reward loyalty, and its value is not predictable as it fluctuates all over the place depending on the financial markets.

By making workers stay until December before they can receive the company's 401(k) match, IBM is putting back, albeit with an anemic substitute, a reward for workers to stay at least until December.

The company can be pretty sure that there will be very few workers exiting during crunch time season: September, October and November. It would really be IBM's choice in determining which employees to let go. This incremental addition to IBM's control over their employees is surely the main reason IBM changed its 401(k) payment timing.

But let's step back. Relative to other companies, IBM actually has a good retirement plan. It matches more than 6% of a worker's contribution, which is above the national average. Only 7% of companies do not make matches to 401(k) plans, so at least IBM is, for now, in the majority of companies that match their employees' contributions. Not many people know that just because a company sponsors a 401(k) plan doesn't mean that it will pay a cent.

In the Great Recession of 2008 to 2009, more than 11% of companies stopped their 401(k) match. Because they are voluntary, most workers do not even have a retirement account plan, which means many middle-class and upper-middle-class workers will only have Social Security to rely on for retirement.

These workers face considerable chance of downward mobility later in life because Social Security is not designed to replace pre-retirement living standards for anyone but the lowest paid workers. Middle-class workers will need at least a $500,000 payout on top of Social Security checks to have a chance of remaining middle class when they retire. Most of us could only dream of accumulating that amount or its equivalent by saving for retirement at work or being in a pension plan.

IBM looks better than most companies because most companies are whacking their workers' retirement plans or don't sponsor any at all. GM offered its salaried, white-collar workers a lump sum -- the worst way to get a retirement account because people spend a lump sum too fast -- instead of an annuity. Ford will follow GM's example next year. Fortunately, very few auto managers and workers are taking up such an offer; they must know an annuity is more valuable.

What is there to stop companies from ending retirement accounts altogether? Nothing.

Unions represent less than 11% of the private sector workforce and the unemployment rate is high enough that anyone who has a job feels lucky to have a job. I don't see anything on the horizon that will encourage companies to maintain or improve retirement programs at the workplace.

Political leadership and bravery is needed to call out the failure of the voluntary retirement system and to secure retirement income and savings for all American workers.

Follow us on Twitter @CNNOpinion

Join us on Facebook/CNNOpinion

The opinions expressed in this commentary are solely those of Teresa Ghilarducci.

Read More..

12-12-12 Sandy benefit: Night of music, stars

Updated: 10:41 p.m. ET

Music filled New York's Madison Square Garden Wednesday night for the "12-12-12" gig all in the name of helping superstorm Sandy victims.

13 Photos

12-12-12 Concert for Sandy Relief

Bruce Springsteen kicked off the star-studded concert, a fitting start for the benefit, which will aid hard-hit storm areas such as the rocker's native New Jersey. The Boss launched into "Land of Hope and Dreams" as audience members rose to their feet, before singing "Wrecking Ball," a song he wrote about Jersey and Giants Stadium at The Meadowlands. He changed a lyric to "My home is on the Jersey shore."

And it's no surprise Springsteen performed "My City of Ruins," a song that has taken on various meanings through the years, especially having debuted around the 9/11 attacks. But Wednesday night, it meant something different to many people watching.

"This was a song I wrote for my adopted hometown -- Asbury Park, which was struggling through hard times," he said, later adding, "Tonight this is a prayer for all of our struggling people in New York and New Jersey."

After slipping in a few lines of "Jersey Girl," Springsteen brought out his friend Jon Bon Jovi for a New Jersey-rocker musical mash-up of "Born to Run."

"The size of the destruction was shocking," said Springsteen in a taped interview with concert organizers prior to the show. "It took days and days to even understand the level of destruction that occurred along the Jersey shore."

After Springsteen and Bon Jovi left the stage, Billy Crystal took the reins, injecting some humor into the night, mixed with touching remarks about the devastation that Sandy brought along with it.

"You can feel the electricity in the building, which means that Long Island power isn't involved," said Crystal, a Long Beach, Long Island, native, before rattling off a series of other jokes that took jabs at New York City Mayor Michael Bloomberg and Gov. Chris Christie.

Play Video

Roger Waters performs at "12-12-12" Sandy benefit concert

Roger Waters took the stage next, playing Pink Floyd classics, including "Us and Them," "Another Brick in the Wall" and "Money."

Pearl Jam's Eddie Vedder joined Waters for a collaboration of "Comfortably Numb," a highlight for Waters.

Waters described the Vedder collaboration as "magical" when speaking with reporters in the press room backstage.

"Eddie was absolutely amazing. It that was like a dream come true...it was magical. I think i stopped singing to kiss him at one point, which is weird," Waters said laughing.

Adam Sandler performed a very different version of Leonard Cohen's "Hallelujah," swapping lyrics out for the occasion, singing: "Halleluja/Sandy screw ya/We'll get through ya."

Actress Kristen Stewart introduced Bon Jovi before the band played "It's My Life" and "Wanted Dead or Alive." Springsteen came out to return the favor from earlier, performing "Who Says You Can't Go Home." While backstage, E Street Band guitarist Steven Van Zandt talked about how Bon Jovi and Springsteen have been friends for years, having both got their start in Jersey.

"There have been hurricanes, there have been storms," said Bon Jovi before the show. "But I've never seen anything remotely close to what Hurricane Sandy was."

After comments from Jon Stewart the evening continued with Eric Clapton doing what he does best. He put on a rocking, blues-heavy performance that included "Crossroads."

Music-lover Jimmy Fallon was in his element on Wednesday and reveled in the opportunity to introduce The Rolling Stones: "Here they are, I always wanted to say this...Ladies and gentleman, The Rolling Stones."

The members of The Stones have been playing some shows in support of their new album, and on Wednesday, they did not disappoint, playing "You Got Me Rockin'" and "Jumping Jack Flash."

Wearing a red dress, Alicia Keys sat along at the piano for a version "Brand New Me."

"I was born and raised in New York City. I still live right now down the street in New York City. This is our city. This is everybody's city," Keys said before breaking into an emotional rendition of "No One."

The Who stormed onstage for an energetic set that began with "Who Are You" and included fan-favorite "Pinball Wizard."

Also in attendance? Steve Buscemi, Martha Stewart, Blake Lively, Scarlett Johansson, James Gandolfini, Jason Sudeikis, Jeremey Piven, Olivia Wilde, Susan Sarandon, Jessica Chastain, Chelsea Clinton, Sean Combs, Leonardo DiCaprio, Katie Holmes, Jake Gyllenhaal, Karlie Kloss, Seth Meyers, Bobby Moynihan, Chris Rock, Jon Stewart and Quentin Tarantino, among others.

Sarandon was one of the stars answering calls at the evening's telethon.

"It's so moving every time you see a grassroots movement," Sarandon said backstage in the press room. "It's just great that people found a way to come out."

Producer John Sykes said the fundraiser features "the greatest lineup of legends ever assembled on a stage."

The sold-out "12-12-12" concert is being aired on 37 TV stations in the United States and more than 200 others worldwide. Thirty websites are streaming the show live. All together -- more than two billion people around the world have access to the show, which benefits the Robin Hood Foundation.

The October storm left millions of people in several states without power or heat. It's to blame for at least 125 deaths and damaged 305,000 homes in New York.

Go here to donate.

Watch live online here.

Read More..

UK government urged to consider relaxing drug rules

JUST say yes to considering relaxed drug controls, urged a panel of UK parliamentarians this week - but Prime Minister David Cameron has rejected the calls.

Many countries have loosened their penalties for drug use, including the Czech Republic and Portugal, which introduced a "de-penalisation" strategy in 2000. Citizens caught in possession avoid criminal records but must attend drug advice sessions. Last month, the US states of Colorado and Washington voted to legalise the recreational use of cannabis.

The UK report calls for the effects of these legal moves to be monitored. "Drugs policy ought to be evidence-based as much as possible," it concludes. "We recommend that the government fund a detailed research project to monitor the effects of each legalisation system."

The report notes that 21 countries have now introduced some form of decriminalisation. But the government's response has been lukewarm. "I don't support decriminalisation," said Cameron. "We have a policy which actually is working in Britain. Drugs use is coming down."

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..

War of words: The language paradox explained

* Required fields

* First name

* Last name

* Country

* Email address

* Password
Password must contain only letters and numbers, and be at least 8 characters

* Confirm password

Read More..

US trade gap widens in October as exports fall

WASHINGTON - The US trade deficit widened in October as exports fell sharply from the prior month amid a slowing global economy, government data released Tuesday showed.

The trade gap increased to US$42.2 billion from a revised US$40.3 billion in September, the Commerce Department said.

Exports fell by 3.6 percent, while imports fell by 2.1 percent.

The decline in exports was the sharpest since January 2009, led by a 4.8 percent drop in goods exports.

"Trade looks to contribute slightly to US GDP growth again in the current quarter, but pronounced weakness in exports and imports says all there is to say about the US economy's momentum," said Sal Guatieri at BMO Capital Markets.

The politically sensitive trade shortfall with China, one of the United States' biggest trading partners, expanded to a record US$28.1 billion, bringing the year's 10-month total to US$245.5 billion.

The three-month average trade deficit rose to US$41.7 billion in October from US$41.5 billion in September.

- AFP/ir

Read More..

Obama 'willing to compromise a little' on fiscal cliff

STORY HIGHLIGHTS

• NEW: President Obama reiterates his call for the wealthy to pay more taxes


• Obama, House Speaker John Boehner have three weeks to reach a deal


• Automatic tax hikes and spending cuts are set to take effect on January 1


• The two sides are talking to each other, but revealing little

Washington (CNN) -- It's crunch time for avoiding the fiscal cliff as President Barack Obama and House Speaker John Boehner and their aides hold private talks on issues that will impact every American.

Three weeks remain to cut a deal before the automatic tax hikes and spending cuts of the fiscal cliff go into effect on January 1.

Obama and Boehner met face-to-face on Sunday for the first time since November 16. It also was their first one-on-one meeting in more than a year, when talks broke down on a comprehensive agreement to reduce the nation's chronic federal deficits and debt.

In a rare display of bipartisan concurrence, both sides issued identical statements after the meeting that said no details would be forthcoming. Staff on both sides also have been talking, but few details were available.

How will the 'fiscal cliff' affect you?

"I'm willing to compromise a little bit," Obama said Monday in a campaign-style speech to a Michigan diesel engine plant. However, he continued to insist on higher tax rates on the wealthiest Americans, saying "that's a principle I'm not going to compromise on."

Boehner's spokesman, meanwhile, said the latest Republican offer -- which rejects Obama's call for rates to rise on the highest tax brackets -- remained the GOP position.

The outline for a deal has become clear in recent weeks. Both sides agree that more revenue from taxes should be part of the equation, with Obama seeking $1.6 trillion and Republicans offering $800 billion.

However, Boehner's side wants additional revenue to come from tax reform, such as eliminating some deductions and loopholes, while Obama demands the higher tax rates on income over $250,000 for families as part of the equation.

Boehner and Republicans also seek savings from entitlement programs such as Social Security, Medicare and Medicaid totaling another $800 billion or so, while Obama has proposed $400 billion in reduced entitlement costs. Social Security would not be included.

Another sticky issue -- whether the need to raise the federal debt ceiling early next year should be part of the discussion -- also appears unresolved. Obama says absolutely not, while Boehner says that any increase in the federal borrowing limit must be offset by spending cuts.

It remains unclear if a deal will happen before the end of the year or if the negotiations will carry over into 2013, after the fiscal cliff takes effect.

Read more: Americans already making big decisions over cliff

While economists warn that going over the fiscal cliff could lead to recession, the administration has signaled it can delay some of the effects to allow time to work out an agreement.

Without action now, the nonpartisan Tax Policy Center estimates that middle-class families would pay about $2,000 a year more in taxes. Even with a deal, revisions in the tax code and other changes would mean everyone pays a bit more starting next year.

All signs point toward a two-step approach sought by the newly re-elected Obama.

An initial agreement reached now would extend current tax rates for most people while letting rates return to higher levels of the Clinton era on the two highest income brackets.

Republicans oppose any tax rate hike, so a possible compromise would increase the income threshold for the higher rates to kick in above the $250,000 figure sought by Obama.

Such an agreement would put off the main worry of the fiscal cliff -- expiration of Bush-era tax cuts that would result in higher rates for everyone.

Obama and Democrats say they would then be ready to negotiate significant savings from entitlement programs, while Republicans say they need to first see commitment on entitlement reforms before accepting any higher tax rates.

"The Republican offer made last week remains the Republican offer, and we continue to wait for the president to identify the spending cuts he's willing to make as part of the 'balanced' approach he promised the American people," said Boehner spokesman Michael Steel.

Meanwhile, White House spokesman Jay Carney told reporters that Republicans have failed to fully explain their proposal to increase revenue by $800 billion.

"The president is the only party to put forward a plan with specificity on both the spending and revenue side," Carney said, describing the Republican plan so far as "unnamed closures in loopholes and unnamed caps in deductions."

To move forward, he continued, "Republicans have to recognize that we cannot afford, the public does not support, and it is economically a bad idea to extend tax cuts for millionaires and billionaires and those making over $250,000."

Pressure for some kind of agreement now increases daily.

Some in Congress warn that the legislative process will need two weeks to work through potentially complex measures from any proposed deal, meaning a de facto deadline of Friday may exist for negotiators.

At the same time, voices from inside and outside the process say something must happen now.

On Sunday, International Monetary Fund chief Christine Lagarde echoed numerous economic experts in predicting a sharp drop in confidence and "zero" U.S. economic growth if there's no agreement.

The tax issue was a main November election campaign topic, with Obama saying the wealthiest Americans must pay more and Republicans opposing any tax rate increase.

Four polls in the past two weeks, including a new one released Monday, show that more Americans support Obama's proposal.

From my home to the House: How to fix the fiscal cliff

The Senate has passed a measure that holds down tax rates on income below $250,000 for families, as sought by Obama, while letting rates go up to 1990s levels for higher earners.

Obama and Democrats say House passage of that proposal would clear the way for a broader deal. However, House Republicans refuse to bring it up for a vote amid cracks in the GOP facade against a rate hike.

Sen. Bob Corker of Tennessee said Sunday that he would support raising taxes on the top 2% of income earners, arguing that it will better position Republicans to negotiate for larger spending cuts to Social Security and Medicare despite opposition from many Democrats.

"A lot of people are putting forth a theory, and I actually think it has merit, where you go ahead and give the president ... the rate increase on the top 2%, and all of a sudden the shift goes back to entitlements," Corker said on "Fox News Sunday."

Fellow Republican Sens. Tom Coburn of Oklahoma and Susan Collins and Olympia Snowe of Maine also have said they could vote for such a limited tax hike.

On the House side, Rep. Tom Cole of Oklahoma reiterated Sunday that he could go along with higher rates on the wealthy.

"You have to do something, and doing something requires the cooperation of the Senate, which the Democrats run, and the signature of the president," he said on CNN's "State of the Union."

Meanwhile, conservative colleague Rep. Marsha Blackburn of Tennessee refused to budge from GOP orthodoxy against higher tax rates.

Even though Obama won re-election and Democrats increased their Senate majority while narrowing the Republican majority in the House, she insisted that the November vote showed that voters "clearly said we don't want our taxes to go up."

Opinion: Congress' fiscal moment of truth

CNN's Jessica Yellin and Greg Botelho contributed to this report.

Read More..