Deadly deserts

Ralph Peters

Violence in Allah’s name in northern Africa won’t end in my lifetime — and probably not in yours. The core question is: To what extent can the savagery be contained?

From the Atlantic coastline to the Suez Canal, struggling governments, impoverished populations and frankly backward societies struggle to find paths to modernization and to compete in a ruthless global economy. Religious fanatics for whom progress is a betrayal of faith hope to block development.

Still, if the only conflict was between Islamist terrorists and those who want civilized lives, the situation could be managed over time. But that struggle forms only one level in a layer cake of clashing visions and outright civil wars bedeviling a vast region. Much larger than Europe, the zone of contention encompasses the Maghreb, the countries touching the Mediterranean, and the Sahel, the bitterly poor states stretching down across desert wastes to the African savannah.

AFP/Getty Images

Figthers of the Islamic group Ansar Dine

The Sahel is the front line not only between the world of Islam and Christian-animist cultures in Africa’s heart, but between Arabs and light-skinned tribes in the north, and blacks to the south. No area in the world so explicitly illustrates the late, great Samuel Huntington’s concept of “the clash of civilizations.”

If racial and religious differences were not challenge enough, in the Maghreb the factions and interest groups are still more complicated. We view Egypt as locked in a contest between Islamists and “our guys,” Egyptians seeking new freedoms. But Egypt’s identity struggle is far more complex, involving social liberals, moderate Muslims, stern conservative Muslims (such as the Muslim Brotherhood) and outright fanatics. The military forms another constituency, while the business community defends its selfish interests. Then there are the supporters of the old Mubarak regime, the masses of educated-but-unemployed youth and the bitterly poor peasants.

Atop all that there’s the question of whether the values cherished by Arab societies can adapt to a globalized world.

The path to Egypt’s future will not be smooth — yet Egypt’s chances are better than those of many of its neighbors. Consider a few key countries in the region:

Mali

Viva la France! (Never thought I’d write that in The Post.) Contrary to a lot of media nonsense, the effective French intervention in Mali demonstrates that not every military response to Islamist terror has to become another Afghanistan: The French are welcome.

As extremists invariably do, al Qaeda in the Islamic Maghreb (AQIM) and its allies rapidly alienated their fellow Muslims — after hijacking a local uprising. The local version of Islam is far more humane and tolerant than the Wahhabi cult imposed by Islamist fanatics. To the foreign extremists, the Malian love of Sufi mysticism, ancient shrines and their own centuries of religious scholarship are all hateful — as is the Malian genius for music that’s pleased listeners around the world.

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Hollywood cardiologist’s ties with St. Jude sales rep raises red flags

Mark Sabbota, a Hollywood cardiologist, regularly implants $5,000 pacemakers in patients at Memorial hospitals in South Broward — generating, last year alone, more than a half-million dollars in sales for a manufacturer called St. Jude Medical.

Sabbota, public records show, also happens to be partners with a St. Jude sales rep in two corporations that run frozen yogurt shops.

What’s yogurt got to do with healthcare?

Perhaps nothing. Perhaps a lot. The question is connected to an on-going lobbying battle in Washington over a pending disclosure policy intended to more clearly reveal financial ties between physicians and the healthcare industry — often-murky relationships that have produced a long history of whistle-blower lawsuits, federal investigations and fines.

Sabbota, in a brief interview, adamantly denied any conflict of interest. “There has been no wrongdoing at all,” he said.

Memorial spokeswoman Kerting Baldwin also said the hospital saw no problem with the yogurt arrangement. As a “community” doctor, not a staff employee, Baldwin said Sabbota can select from a list of pacemakers approved by the hospital but has no say over what companies made the list.

“As for why he prefers to use St. Jude, I won’t speak for him,’’ she said. “You’d have to ask him that.”

But several medical ethics experts said such relationships fall in a gray area. They raise what Kenneth Goodman, bioethics director at the University of Miami, called “red flags” about whether the doctor’s motivation in choosing a device “is something other than the best interests of the patient.”

“Maybe it’s just a good business arrangement that has nothing to do with the devices he chooses,” said Charles D. Rosen, a California physician who is co-founder of the Association for Medical Ethics. “But the issue is public disclosure and transparency. You as a patient should have the right to know about a doctor’s financial relationships with companies.”

Concerns about the relationship between doctors and healthcare companies have been simmering for years. Americans are so suspicious of doctors’ connections that, in a 2008 Pew Charitable Trusts survey, 86 percent of patients said doctors should not be allowed to get free dinners from drug makers and 70 percent said doctors shouldn’t even be allowed to get free notepads and pens.

The 2010 Affordable Care Act includes a provision intended to address some aspects of these often-cozy relationships. Starting Jan. 1, healthcare companies were supposed to publicly post how much they were paying doctors. But that provision has been held up in the White House by intense lobbying.

“I don’t know why the hold-up, except the intense opposition of the industry,” Rosen said. His group, including members of the Harvard Medical School and Cleveland Clinic, wrote a letter to the Obama administration last month protesting the delay.

The group complains that the healthcare industry is trying to soften the rules so that foreign subsidiaries and doctors engaged in clinical trials wouldn’t have to reveal payments. But even if the disclosure rules are implemented, a side deal like Sabbota’s yogurt company would not have to be revealed under the new law, Rosen said.

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At University of Miami, Justice Sonia Sotomayor gets real

From her days as a young girl in the Bronx being raised by her mother after the death of her father to becoming the first Hispanic on the highest judicial body in the country, U.S. Supreme Court Justice Sonia Sotomayor told the story of her journey before a captivated audience at the University of Miami on Friday night.

Sotomayor spoke with University of Miami President Donna E. Shalala at the BankUnited Center to University of Miami students, Coral Gables residents and perhaps a future Supreme Court justice about the inspiration behind her recently published memoir My Beloved World.

“Love and passion, that is the only way you do something well,” Sotomayor said. “Do a few things, but do them well.”

Sotomayor, 58, spoke of the many things that inspired her to share her story with the world, one of which was in responses to questions she hadn’t expected during her confirmation process, such as how children cope when a parent dies, especially if they don’t have a mother like hers.

“I began to understand that I couldn’t talk to every child in the country,” Sotomayor said. “I could give them the answers in a book.”

One child she did embrace and speak with on Friday evening was a young girl in the audience named Madeline. Madeline, who was introduced by Shalala, and Sotomayor turned out to have one thing in common: a love for Nancy Drew.

Sotomayor credits the lessons she learned from the fictional tales of a young girl detective as one of the motivations for her successful career.

“When she [Nancy Drew] was trying to solve people’s problems,” Sotomayor told Madeline, “she was trying to help people.”

“I think too many young lawyers forget that the law is the noblest profession you can enter,” Sotomayor said. “What you do is helping people.”

When asked what other profession she would have ever considered going into, Sotomayor said there was not one. “This fish found her pond, and she ain’t changing it,” Sotomayor said.

Shalala questioned Sotomayor about her life as a diabetic, which her memoir speaks of at great length.

“If you have diabetes and want to live a full life, you figure out how to have both things,” Sotomayor said.

She was diagnosed with juvenile diabetes at 8 and she credits living with the chronic illness with teaching her discipline. “Every moment of every day I am self-monitoring inside,” Sotomayor said.

That constant discipline, she said, teaches you to do things like monitoring diet, something she feels everybody should do.

With many students in the audience, she was asked about her scariest experience in law school.

“Being there,” Sotomayor chuckled. “If you think you are smart in college, you realize how dumb you are.”

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Brandi Glanville Talks Plastic Surgery and Says She's Done Talking About Eddie Cibrian and LeAnn Rimes

Brandi Glanville's new tell-all, Drinking and Tweeting: And Other Brandi Blunders, is chock-full of juicy stories about her ex husband Eddie Cibrian, but The Real Housewives of Beverly Hills star says that after promotion wraps on the book, she will no longer speak out about the actor and his wife LeAnn Rimes.

Pics: LeAnn Rimes Defends Self with Teeny Weeny Bikini Photos

"As soon the book tour is over, I'm done. I'm not gonna be talking about them publicly," vows Brandi of the topic that has gotten her into a bit of trouble in the past. "I won't be answering questions about them publicly, this is my final chapter. This is all my side of the story is in the book and then I'm done."

As Brandi's book tour has yet to conclude, Eddie is still fair game.

In Drinking and Tweeting, out February 12, Brandi reveals that she took revenge on her ex by sticking him with a $12,000 credit card bill for vaginal rejuvenation surgery after finding out about his extra-marital affair with LeAnn.

Related: LeAnn Rimes On Twitter War with Brandi Glanville

Now swearing off invasive surgeries, Brandi has found more inventive ways to look young. Instead, the RHOBH star has opted for a visit to Beverly Hills dermatologist Dr. Simon Ourian to get cosmetic fillers injected into her hands, which she says are starting to look "old."

Watch the video to follow Brandi during the procedure!

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Con Ed worker injured by explosion on UWS

On Friday a Con Ed worker was injured when a small electrical explosion burned his face and arms as he worked inside a tony Upper West Side apartment building, authorities said.

The explosion sent the unidentified Con Ed worker and one other injured person to New York Presbyterian Hospital/Cornell Medical Center in stable condition at about 12:50 p.m., the FDNY said.

The Con Ed worker suffered a flash burn to his face with first and second degree burns to his arms, neck and hands while working on a service box, Bob McGee, a spokesman for Con Ed said.

The other victim was burned on his hands, neck and face, FDNY officials said.

It wasn't immediately clear whether the second victim was a resident in the Windermere – an upscale building on West 92 Street and West End Avenue – but a Con Ed spokesman confirmed there was only one worker injured.

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Healthcare experts see bumpy road ahead: “Shift happens”

The healthcare industry in South Florida, like the rest of the country, faces huge challenges in the year ahead as major federal reforms kick in, experts told about 700 people at a University of Miami conference on Friday.

“We are at a critical time in health policy,” said Mark McClellan, former head of the Centers for Medicare and Medicaid Services. “There are going to be some bumps along the way,” especially starting in 11 months, when the biggest changes in the Affordable Care Act kick in.

“Bumps may be understating what we may go through,” said Patrick Geraghty, chief executive of Florida Blue, the state’s largest health insurer.

They spoke at the conference on the Business of Healthcare Post-Election. The speakers accepted the federal reforms — often referred to as Obamacare — as not only inevitable but necessary. As Tom Daschele, a former Democratic U.S. senator from South Dakota, put it, “having 50 million uninsured is just unacceptable.”

But the reform act, signed into law in 2010, contains more than 2,000 pages, plus thousands of pages more of enabling regulations — details that will have major, and perhaps unexpected, impacts on the healthcare industry, which now makes up almost 20 percent of the nation’s economy.

In October, insurance exchanges will open for enrollment — groups that will allow individuals and small businesses to purchase policies with no exclusions for pre-existing conditions. Starting next January, virtually everyone will be required to have insurance, Medicaid will expand in many states, and businesses with more than 50 full-time equivalent employees will be required to provide insurance or pay fines.

“Jan. 1 is a very significant date,” said Steven Ullmann, director of health policy at the UM business school. He called reforms “a process” that will change over time.

“The one thing we know is that healthcare reform will be reformed,” said Chris Jennings, a Washington health policy advisor for the Clinton administration and three senators.

Karen Ignagni, president of America’s Health Insurance Plans, the insurers’ trade group, said she had strong ideas about tweaks that could minimize disruption. One arcane, but crucial provision of the law requires that an older person’s policy can be no more than three times as expensive as a young person’s.

The provision will mean huge increases in the policies of younger persons, to pay for the much higher costs of their elders. Insurers are asking for that policy to be postponed for two years, retaining the present maximum spread of about five to one, so that younger people could sign up for insurance without huge sticker shock.

For example, if a 25-year-old now pays $100 and a 60-year-old pays $500, the new rule would hike the younger person’s premium to $150 and cut the older person’s premium to $550 — a 50 percent increase for one and a 10 percent decrease for the other.

The thinking of lawmakers was that by lowering ratio, the costs of healthcare would be spread out and shared more equally by the population.

Anne Phelps, a healthcare principal with Ernst & Young, said she favored another change in the law, which now requires that next year a company with the equivalent of 50 employees to provide insurance for anyone working more than 30 hours a week or pay a fine. She thought the threshold should be raised to 32 or 34 hours.

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Long before FBI raid, Sen. Menendez tried to help donor’s Dominican Republic business

Sen. Bob Menendez used his influence to advocate for a Dominican Republic business deal that helped a longtime friend and donor whose South Florida office was raided by federal agents this week.

Menendez questioned Obama administration officials at a July hearing about what it was doing to help U.S. businesses that he felt were being unfairly treated by the government of the Dominican Republic and other Latin American countries.

One company Menendez was apparently referring to: ICSSI, acquired the year before by Dr. Salomon Melgen, a Palm Beach County eye doctor and friend. The firm was seeking to enforce a contract it had won to X-ray Dominican Republic port cargo, that could be worth $500 million to $1 billion over two decades.

“You have another company that has American investors that ... has a contract actually given to it by the — ratified by the Dominican Congress — to do X-ray of all of the cargo that goes through the ports,” Menendez, a Democrat from New Jersey, said at the July 31 hearing of the Senate Foreign Relations Subcommittee on the Western Hemisphere. “And they don’t want to live by that contract either.”

Menendez didn’t mention ICSSI by name in talking to Francisco J. Sánchez, the Commerce Department’s undersecretary for international trade and Matthew Rooney, the deputy assistant secretary in the Bureau of Western Hemisphere Affairs for the State Department.

Menendez’s office said the senator did nothing improper. Senators, especially on the Foreign Relations Committee that Menendez will soon chair, frequently advocate for U.S. business abroad.

In addition to trade, the senator’s office said he was concerned about fighting drugs.

“Senator Menendez has over the last few years advocated for more attention to the spread of narco-trafficking throughout Central America and the Caribbean,” chief of staff Danny O’Brien said. “It is an issue of protecting our national security, and these drugs end up on our streets and in our communities, fueling crime and addiction.”

Still, Menendez’s close ties to Melgen have been under a white-hot spotlight ever since federal agents raided the eye doctor’s West Palm Beach office on Tuesday and Wednesday.

The raid included agents from the FBI and the U.S. Department of Health and Human Services, which are investigating the doctor for alleged Medicare fraud.

At the same time, the FBI is conducting a separate corruption probe of the doctor and his relationship with Menendez, including trips they took to the Dominican Republic.

The FBI began examining the two last year after the group Citizens for Responsibility and Ethics in Washington forwarded a batch of emails from a shadowy tipster who claimed Menendez and Melgen had hired underage prostitutes at the ophthalmologist’s Dominican home — charges both deny.

An FBI agent tried, but failed to meet with the tipster, who refused to even phone the agent.

As the conservative press began circulating the reports about the two, the New Jersey Republican Party filed a complaint against Menendez for flying on Melgen’s private plane to the Dominican Republic but failing to disclose the gifts.

Menendez’s office checked his schedule and realized the senator had flown twice on Melgen’s plane without paying for it in 2010. On Jan. 4, Menendez cut a check for $58,500 — the air-charter rate for the pricey flights —to fully settle the matter.

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Deion Sanders Talks Possible Destiny's Child Super Bowl Show

While die hard fans debate whether or not Destiny's Child will actually perform together at the Super Bowl, according to NFL Network's Deion Sanders, there's only one logical outcome.

PICS: Inside Beyonce's Super Bowl Rehearsals!

"You gotta think about her heart and her character," said the NFL hall of famer, who assumes that fans can expect some sort of reunion between the girls. "She would want to share this stage with her friends or those persons that are responsible for her being who she is."

Before Primetime sat down with ET's Rocsi Diaz, alongside NFL Network host Rich Eisen, Beyonce turned a Super Bowl press conference into a mind-blowing concert by singing the national anthem live a capella. But for Sanders, the most indelible moment happened away from the podium.

"I've been suffering from a bit of insecurity all my life as you all know," joked the former brash NFL star. "To have Beyonce recite the lyrics to my hit song [Must Be the Money] and do my dance -- I quit."

Find out whether the Destiny's Child Super Bowl reunion will happen when the big game airs Sunday on CBS.

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Not so fast: Liu still feds’ target

Embattled city Comptroller John Liu is not yet out of the woods in the criminal probe of his campaign fund-raising activities, sources said yesterday.

A report published yesterday suggested that Liu would not be personally charged in the case.

Prosecutors are far from clearing Liu or shutting the door on the case — and still haven’t ruled out filing charges against him or his campaign manager, Chung Seto, at a later date, a federal law-enforcement insider told The Post.

“The investigation isn’t getting closed. It will remain active. There are still things that can be done,” the source said.

Warzer Jaff

Comptroller John Liu

Liu’s former campaign treasurer Jia “Jenny” Hou and key fund-raiser Xing Wu “Oliver” Pan face trial next week on charges they schemed to defraud the city of matching taxpayer-contribution funds by funneling illegal donations into Liu’s campaign war chest.

As The Post reported last year, the FBI and federal prosecutors were trying to convince Pan and Hou to roll over on Liu or Seto to directly connect them to illicit campaign donations.

The feds’ theory was that Pan and Hou solicited illegal donations and hid them at the direction — or at least with the prior knowledge — of Liu or Seto, sources said.

But without documents or testimony that directly tie Liu to the donation conspiracy, the feds determined they did not have the evidence to file charges against Liu or additional people at this time, sources said.

It’s always possible that Hou or Pan could flip on Liu if they’re found guilty, but the feds rarely cut deals after trials with convicted defendants, sources said.

That’s because convicts’ assertions of innocence raise questions about credibility, as opposed to those who fess up before trial and agree to cooperate.

Liu last night said he expected that the fund-raising scandal would be used against him in a “no holds barred” campaign.

“I think my opponents will certainly bring it up,” he said. “I expect for my opponents to try to make it an issue.”

Meanwhile, prosecutors and lawyers for the defendants argued over whether the government could present former Liu press secretary Sharon Lee as a witness.

Lee has admitted she sought illegal “straw” donations from family and friends.

Additional reporting by David Seifman

ccampanile@nypost.com

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Mompreneur jumps into the ‘Shark Tank’

It all started with a 4 a.m. email nearly a year ago: “Do you think a baby bib could change the world? I do...”

Then Susie Taylor included a link to her website, bibbitec.com, and off it went to Shark Tank, the popular ABC television show where entrepreneurs pitch their companies to investors on the show — and by extension, 7 million viewers.

Four months later, as the “mompreneur” was leaving her Biscayne Park home to pick up her kids from school, she got a call from the show asking her to pitch on the spot. Driving with her phone on her shoulder, she told the Bibbitec story.

Shark Tank bit. After a few more back and forths, her segment was filmed last summer.

Friday night, Taylor is scheduled to be on the show pitching Bibbitec’s main product, “The Ultimate Bib,” a patented generously sized, stain-resistant and fast-drying child’s bib made in the USA — Hialeah, to be exact. Bibbitec’s $30 bib can be a burp cloth, changing pad, breast feeding shield, full body bib, place mat, art smock and more, Taylor says.

We won’t be getting any details on what happens Friday night when she and her husband, Stephen Taylor, get into the tank with Daymond John, Mark Cuban and the other celebrity sharks; Taylor has been contractually sworn to secrecy. But whatever the outcome, she believes it will be worth it for the marketing pop.

Taylor was inspired to create her bib after a long and very messy plane ride with her two young sons and started Bibbitec in 2008. She and her team — her husband is CFO, her sister, Heather McCabe, handles sales and marketing, her uncle, Richard Page, is in charge of production, and her aunt, Marcia Kreitman, advises on design — have expanded the line to include The Ultimate Smock for older children and the Ultimate Mini for babies. Coming soon: a smock for adults.

Taylor already got a taste of what a national TV show appearance can do for sales. In September, Bibbitec’s sales jumped 40 percent after she was on an ABC World News "Made in America" segment. “Within 30 seconds, we started getting sales from all over the country and they didn’t even mention our name on the air,” Taylor says. She said that confirmed her belief that a Shark Tank appearance would be worth it.

Plus, Taylor has been hooked on Shark Tank since the first time she watched it in 2008 as she was developing her product. Trained in theater, she admits she didn’t know much about business and learned from the show. She would practice how she would answer the questions.

“I’m all about empowering women who are sitting on the couch watching, because that’s what I was four years ago,” says Taylor. “All I wanted to do was to be on Shark Tank because I believed if I got on Shark Tank the world will see what I am trying to do and that’s all I need. I know it’s a great product.”

Will that theater training come in handy Friday night? Stay tuned. Shark Tank airs at 9 p.m. on ABC and Taylor hopes viewers will join in on Twitter using the hashtag #sharkbib.

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