Prosecutors: Peregrine Financial fraud loss exceeds $215M









Peregrine Financial Group's former chief executive stole more than $215 million from customers of his now-defunct futures brokerage and should be sentenced to the maximum 50 years in jail, U.S. prosecutors said Tuesday.

Russell Wasendorf Sr., 64, who founded the firm, has pleaded guilty to embezzlement but wants a lighter sentence, saying that the loss was less than $200 million and that he used "very basic, simple means" to carry out his fraud, according to documents filed by U.S. prosecutors.

Wasendorf, whose attempted suicide sent his firm into bankruptcy last July, is in jail in Iowa and will be sentenced Jan. 31.

U.S. prosecutors say the large loss, the sophisticated nature of the crime and the sheer number of victims -- more than 10,000 -- justify his spending the rest of his life behind bars.

"While some of defendant's individual acts might be characterized as simple in isolation, they were part of an exceedingly complex scheme whereby defendant's entire business was used as a mechanism to gather and purloin investor funds," prosecutors said in their sentencing memorandum, promising to fight any attempt by Wasendorf to receive a sentence of less than 50 years.

Prosecutors put the exact loss at $215,530,547, based on Peregrine's bank records, and will call Brenda Cuypers, the firm's chief financial officer, as a witness at the sentencing hearing next week.

They had previously pegged the embezzlement only at "more than $100 million," to which Wasendorf pleaded guilty.

Wasendorf's public defender has a policy of declining to comment on cases, and did not reply to an email from Reuters seeking comment.

The collapse last July of Peregrine Financial, known as PFGBest, dealt a blow to confidence in the U.S futures industry, already reeling from $1.6 billion hole in customer pockets left when giant brokerage MF Global failed nine months earlier.

Futures traders had never before suffered such large losses as a result of a brokerage failure.

"To see (Wasendorf) go to jail could give some people some hope," said James Koutoulas, co-head of the Commodity Customer Coalition, which fought to get customer money back in both bankruptcies. "In MF Global, justice hasn't been done."

No one has been charged with wrongdoing in MF Global's collapse.

Regulators have scrambled to patch perceived gaps in customer protections at brokerages and exchanges that handle contracts valued at some $2.5 trillion a day.

That figure is set to rise as new rules push over-the-counter swaps onto regulated trading venues.

The sentencing memorandum offers new details in the government's account of the fraud, which Wasendorf said in a July statement began in the early 1990s after he was hounded by an overzealous regulator.

The fraud began even earlier, prosecutors said in Tuesday's filing, when he stole at least $250,000 from customers' accounts to pay back the original financier of his brokerage, a person referred to in the document only by the initials "J.C."

"Using a copy machine, defendant fabricated a bank statement to conceal the theft of funds," the document said. For the next nearly 20 years, prosecutors said, he faked bank balances, fabricated deposits, and used a rented post office box in Cedar Falls, Iowa, to intercept letters from his auditors meant to check up on his balances at U.S. Bank.

He even went so far as to fly from Chicago, where his firm did most of its business, to Iowa to prevent the near-discovery of his fraud, ultimately convincing Peregrine and U.S. Bank employees that nothing was wrong, the document said.

All the while he worked to make Peregrine Financial seem much bigger and more successful than it was, they said.

Wasendorf believed that "if he could make himself appear rich, the auditors and regulators wouldn't be concerned with the state of his personal finances and not discover it was all a fraud," prosecutors quoted Wasendorf as saying in a sealed presentencing report.

But Peregrine was never actually profitable, even though by its demise investors had entrusted more than $376 million to him and his firm, they said.

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Body of cyanide-poisoned lottery winner is reburied

Mohammed Zaman on the exhumation of his brother-in-law, poisoned lottery winner Urooj Khan. (Posted on: Jan. 21, 2013.)









The body of a West Rogers Park man who died of cyanide poisoning last summer after winning a million-dollar lottery was laid to rest again Monday, three days after his remains were exhumed for an autopsy as part of a homicide investigation.


The scene at Rosehill Cemetery on Monday afternoon was in sharp contrast to Friday morning, when a throng of reporters and TV cameramen had massed outside an entrance gate as numerous Chicago police, Cook County medical examiner officials and cemetery workers surrounded the gravesite while Urooj Khan's remains were unearthed.


About half a dozen people — two in light blue coveralls — wheeled a gurney carrying Khan's body Monday from the back of an unmarked white minivan to under a tent at his gravesite in the Far North Side cemetery. The body was then lowered into the ground while two of Khan's relatives stood at the gravesite in the bitter cold.








Haroon Firdausi, a funeral director and imam, gave a brief prayer during the reburial.


The entire reburial took about 20 minutes.


Shortly before the reburial, one of Khan's relatives, Mohammed Zaman, talked briefly at the cemetery about the family's discomfort with his body being exhumed for the police investigation.


"The sad part is that he wasn't resting in peace," Zaman said of the exhumation. "... Now we have to bury him back again. For any religion, it's hard."


As the Tribune first revealed earlier this month, the medical examiner's office initially ruled that Khan's death in July was from hardening of the arteries, after no signs of trauma were found on the body and a preliminary blood test did not raise any questions. But the investigation was reopened about a week later after a relative raised concerns that Khan may have been poisoned.


Chicago police were notified in September after tests showed cyanide in Khan's blood. By late November, more comprehensive testing showed lethal levels of the toxic chemical, leading the medical examiner's office to declare the death a homicide.


After Khan's body was exhumed Friday, an autopsy was performed for evidence that could aid in the homicide investigation. At the time, Chief Medical Examiner Stephen Cina said it could take several weeks for the tests to be completed. The medical examiner's office hopes samples taken from Khan's organs will show whether he ingested or inhaled the cyanide.


Although a motive has not been determined, police have not ruled out that Khan was killed because of his lottery win a few weeks before his death, a law enforcement source has told the Tribune. At the time of his death, he hadn't collected his winnings — a lump-sum payment of about $425,000 after taxes.


Zaman said he hopes the autopsy sheds more light on his brother-in-law's death.


"It's very hard for the family," Zaman said of the exhumation and reburial. "But it's the only way to find out what happened to him."


jgorner@tribune.com



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Cycling-No sympathy for Armstrong on social media






LONDON, Jan 21 (Reuters) – Lance Armstrong’s televised doping confession has done nothing to restore his shattered reputation, a study of responses posted to the Twitter social media site showed.


“What was particularly noticeable in our analysis of the Armstrong revelation was the sheer lack of sympathy out there,” said Charlie Dundas of sports market research company Repucom.






“The tone of the discussion around the Oprah Winfrey interview highlighted the level of disappointment and anger that exists. It’s clear the public are far from ready to forgive Lance Armstrong,” he added.


In the interview, Armstrong admitted to using performance-enhancing drugs on his way to his seven Tour de France titles. The Texan also said he hoped a lifetime ban would one day be lifted to allow him to compete in events like marathons.


The Armstrong interview generated 1.9 million Twitter posts between Jan. 14-20, Repucom said. America accounted for more than a quarter of these, with Australia the second most active nation on the site. (Writing by Keith Weir, editing by Mark Meadows)


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Beyonce, Hudson do star turns at inauguration






WASHINGTON (AP) — Beyonce drew a loud cheer at the inauguration Monday even before her impressive rendition of the national anthem. But in the role she played four years ago singing for the president and first lady at the inaugural ball was her “Dreamgirls” co-star Jennifer Hudson.


If President Barack Obama’s first inaugural theme seemed to be summed up by Beyonce’s “At Last,” this time it was Hudson’s version of Al Green’s “Let’s Stay Together.”






Hudson was among the entertainment at Monday night’s inaugural balls, joined by Stevie Wonder and Alicia Keys, who modified her hit “Girl on Fire” to sing “He’s the president and he’s on fire … Obama’s on fire. Obama’s on fire.”


The crowd at the official Inaugural Ball joined in with the Grammy-nominated fun. anthem “We Are Young.”


And Wonder got small knots of dancers going with crowd-pleasers such as “Signed, Sealed, Delivered I’m Yours.”


Earlier in the day, the applause for Beyonce started when she took her place with Jay-Z at the Capitol to watch President Barack Obama take the oath for his second term in office. The two stopped to chat with the Rev. Al Sharpton.


James Taylor kicked off the musical performances, strumming his guitar and singing “America the Beautiful.” Kelly Clarkson followed with a different arrangement of “My Country ‘Tis of Thee.” Then Beyonce was introduced and the crowd again roared its approval.


Beyonce had a definite fan in Supreme Court Justice Clarence Thomas, who applauded eagerly after she finished singing the national anthem. She offered R&B-esque vocal riffs as she sang on and the crowd seemed to love it, cheering loudly as she finished. Clarkson, too, hit high notes.


Beyonce may have been the star musical attraction, but she had plenty of company from Hollywood at the Capitol on Monday. Katy Perry and John Mayer sat side-by-side, with Perry in an orange-striped coat and wide hat, and Mayer in dark sunglasses. Singer-songwriter Ke$ ha was there, too.


People flocked to the colorful pop star, snapping photos. And Perry did the same, taking shots of “Girls” actress and daughter of news anchor Brian Williams, Allison Williams.


Actress Eva Longoria was seated on the platform outside the Capitol after making an appearance at a Kennedy Center performance Sunday night. Perry sang at the children’s concert the night before.


Former Boston Celtics great Bill Russell was in the crowd, too, along with actor Marlon Wayans.


___


AP writers Donna Cassata, Darlene Superville, Josh Lederman and Jocelyn Noveck contributed to this report.


__


Follow Mesfin Fekadu on Twitter at http://twitter.com/MusicMesfin


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The New Old Age Blog: The Brutal Truth of 'Amour'

It has been a few days since I left the movie theater in a bit of a daze, and I’m still thinking about “Amour.”

So much of this already much-honored film rings utterly true: the way a long-married Parisian couple’s daily routines, their elegant life of books and music and art, can be upended in a moment. The tender care that Georges (Jean-Louis Trintignant) provides for Anne (Emmanuelle Riva) as multiple strokes claim her body and her mind, and the inexorable way that care wears them both down. Their withdrawal into a proud dyad that seeks and accepts little help from outsiders, even family. “We’ve always coped, your mother and I,” Georges tells their daughter.

The writer and director Michael Haneke’s previous movies, which I haven’t seen, tend to be described as shocking, violent, even punitive. “Amour,” which Times critic Manohla Dargis called a masterpiece, includes one brief spasm of violence, but the movie remains restrained, not graphic. It’s brutal only because life, and death, can be brutal.

Is popular culture paying more attention to aging and caregiving? In the last couple of years, I have written about these subjects surfacing in a YouTube series (“Ruth & Erica”), in movies like “The Iron Lady,” in novels like Walter Mosley’s “The Last Days of Ptolemy Grey.”

A couple of weeks back, watching a play called “The Other Place,” starring the remarkable Laurie Metcalfe, I suddenly realized that the dynamic physician and businesswoman onstage had some sort of early-onset dementia. Dementia seems a particularly popular subject, in fact. Intrinsically dramatic, it suffuses the Mosley novel and Alice LaPlante’s “Turn of Mind,” and some of my favorite movies about aging, “Away From Her,” “Iris” and “The Savages.”

“Kings Point,” Sari Gilman’s compelling documentary about a retirement community in Florida where nobody seemed to expect to grow old, just won an Oscar nomination for best short-subject documentary and will be shown on HBO in March. And “Amour,” which won the Palme d’Or at Cannes, is up for five Academy Awards, including best picture, best director and a best actress nomination for the 85-year-old Ms. Riva. (Academy voters: Just give it to her.)

A number of these artists, Mr. Haneke included, have spoken about their own experiences with aged relatives. Perhaps, as the population ages and more people confront the consequences, the stories our culture tells itself have evolved to include more old people, more caregivers. Or maybe I just want that to be true.

“Do not go see this,” my movie-going buddy had been warned, probably because her mother has dementia and friends who had seen the film wanted to spare her. I know some people found “Amour” too slow-paced or claustrophobic — like many elderly couples’ lives, it basically takes place in four rooms — or too grim. (If you’ve seen it, tell us what you thought.)

If you’re a full-time caregiver or you’re coping with a relative with dementia, perhaps you would prefer to spend your 2 hours 7 minutes of precious time off watching something funny. Escapism has its virtues.

But I found “Amour” unflinching and provocative and beautiful.

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

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Groupon nixes all gun-related deals













Groupon photo


The Groupon logo is displayed in the lobby of the company's headquarters in Chicago.
(Scott Olson/Getty Images / January 21, 2013)



























































Groupon Inc. has stopped all current and future gun-related deals, bowing to customer pressure a month after the deadly mass shooting in Newtown, Conn.


The Chicago company said Monday it has cancelled existing and planned discounts for shooting ranges, conceal-and-carry and clay shooting.


The statement didn’t specify the company’s motives or when it would resume such deals, other than to say that the “category is under review following recent customer and merchant feedback.”





It said it plans to review its international standards for these deals while they’re on hold.


The move has come under fire from some businesses who say their deals were cancelled abruptly due to the change in policy. Some media outlets cited a Texas gun shop owner who is calling for a Groupon boycott after he said the site scrapped his deal for a concealed handgun training course.


Several other companies have distanced themselves from gun makers and related businesses since the shooting at Sandy Hook Elementary School, where 20 students and six adults were killed. Dick’s Sporting Goods stopped selling guns in its store nearest to the school’s location in Newtown, Conn. and stopped selling certain semi-automatic rifles in its stores nationwide.


Private equity firm Cerberus is trying to sell its stake in the company that made a rifle used in the shooting and the nation’s largest teacher pension fund has moved to sell its stake in gun and ammunition makers.


sbomkamp@tribune.com | @SamWillTravel


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Obama sworn in for second term in White House ceremony

Singers, musicians, vendors and a veteran parade planner tune up on Sunday, Jan. 20, 2013, for President Obama's Monday inauguration. (Chris Walker, Chicago Tribune)









WASHINGTON -- Four years after making history by becoming the first African-American president, Barack Obama will kick off his second term on Monday with a scaled-back inauguration that reflects the tempered expectations for his next four years in office.

Lingering high unemployment, bitter political battles and a divisive re-election campaign have punctured the mood of optimism and hope that infused Obama's 2009 inauguration after a sweeping election win.






This time, Obama's inauguration will feature smaller crowds and a reduced slate of inaugural balls and parties to match the more subdued tenor of the times.

When Obama raises his right hand to be sworn in by Chief Justice John Roberts outside the U.S. Capitol at 11.55 a.m. EST (1655 GMT), it will be his second time taking the oath in 24 hours.

He had a formal private swearing-in on Sunday at the White House because of a constitutional requirement that the president be sworn in on January 20.

Rather than stage the full inauguration on a Sunday, the main public events were put off until Monday.

Obama will take the oath again and deliver his inaugural address from the Capitol's west front overlooking the National Mall, where a crowd of up to 700,000 is expected to watch. That is down significantly from the record 1.8 million people who jammed Washington in 2009 for Obama's first inauguration.

The focal point will be Obama's inauguration address, which he will use to lay out in broad terms his vision for the next four years but will stay away from policy specifics.

David Plouffe, a senior adviser, said Obama would call on both parties to come together to resolve daunting second-term challenges like the budget, the need to raise the nation's borrowing limit and the Democrat's push for tighter gun laws and a legal path to citizenship for illegal immigrants.

The president views the inauguration speech and the State of the Union speech to Congress on February 12 as "a package," Plouffe said, and would save details of his second-term agenda for the later speech.

'LAY OUT HIS VISION'

"In the inaugural address he is really going to lay out his vision for his second term and where he thinks the country needs to go in the years ahead, the values undergirding that, and then obviously a detailed agenda and blueprint in the State of the Union," Plouffe said on CNN on Sunday.

After a bitter election fight against Republican Mitt Romney, the daunting challenges facing Obama and his political battles with congressional Republicans have split public opinion about the prospects for the next four years.

An NBC/Wall Street Journal poll last week found 43 percent of Americans were optimistic about the next four years and 35 percent pessimistic, with 22 percent having a mixed opinion.

Obama's main political opponent in Congress, Republican House of Representatives Speaker John Boehner, plans to attend a White House tea before the ceremony, as well as the inaugural speech and a post-event lunch at the Capitol with the president and lawmakers.

Public safety officials and workers closed Washington streets around the ceremony site on Sunday night in preparation for the inauguration, with security barriers going up and thousands of police and National Guard troops being deployed around the city.

The inauguration ceremony will include music - singers James Taylor and Kelly Clarkson will perform patriotic songs and Beyonce will sing the national anthem - and also feature Vice President Joe Biden taking the oath of office again after doing so already on Sunday.

Obama and his wife, Michelle, will join Biden and his wife, Jill, at the capital luncheon before the two couples take part in the inaugural parade down Pennsylvania Avenue from the Capitol to the White House.

Obama could get out of his limousine and walk part of the way to interact with the crowd.

After watching the rest of the parade from a viewing stand in front of the White House, the Obamas will change and head to the two inaugural balls - an official ball and one for military personnel and their spouses.

That is a dramatic reduction in activities from 2009, when there were 10 official inaugural balls.

With the public ceremony falling on the national holiday honoring slain civil rights leader Martin Luther King Jr., Obama will be able to draw some historic parallels. While taking the oath, he will place his left hand on two Bibles - one once owned by Abraham Lincoln and the other by King.

(Editing by Alistair Bell and Christopher Wilson)

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Notre Dame hoax tip was emailed: Deadspin.com editor






CHICAGO (Reuters) – The tip that led to the revelation that one of the most widely recounted U.S. sports narratives of the past year was a hoax came to the editors of an online sports blog as many of their news tips do: an unsolicited email.


That email led Deadspin.com assignment editor Timothy Burke on the hunt of a story that exposed the heart-wrenching tale of standout Notre Dame linebacker Manti Te’o's dead girlfriend as a fabrication, Burke said on CNN on Thursday.






Te’o sprang to national prominence last fall when the senior co-captain was seen heroically leading the Fighting Irish to an underdog victory against the Michigan State Spartans within days of learning his grandmother had died. Moreover, it was widely reported, Te’o's girlfriend had died of leukemia just hours after his grandmother’s death.


From that point, Te’o's narrative was a prominent feature in coverage of the team, which has a dedicated following and whose games are televised nationally each week.


Notre Dame went on to an undefeated regular season, culminating in a berth in the national championship game, which the Fighting Irish lost to the Alabama Crimson Tide on January 7.


“We got an email last week at Deadspin.com that said ‘Hey, there’s something real weird about Lennay Kekua, Manti Te’o's allegedly dead girlfriend. You guys should check it out,’” Burke said.


The email prompted Burke and co-author Jack Dickey to begin searching online for background on Kekua. “So we start Googling the name Lennay Kekua. We can’t find any evidence of this person that wasn’t attached to stories about her being Manti Te’o's dead girlfriend.”


Their investigation led about a week later to a 4,000-word expose, published Wednesday under the headline “Blarney,” that painstakingly debunked the story of Kekua’s existence. The story went viral online.


Within hours of its publication, officials at Notre Dame, one of the most powerful institutions in college football and U.S. collegiate athletics overall, held a hastily organized press conference to assert that Te’o had been duped in a hoax perpetrated by a friend of his.


The girlfriend, who called herself Kekua and claimed to be a Stanford University graduate, was merely an online persona who “ingratiated herself with Manti and then conspired with others to lead him to believe she had tragically died of leukemia,” university spokesman Dennis Brown said in a statement.


Notre Dame Athletic Director Jack Swarbrick said the university learned of the hoax from Te’o on December 26. Te’o answered questions forthrightly and private investigators uncovered several things that pointed to Te’o being a victim in the case, Swarbrick said.


Deadspin’s Burke said he remains skeptical of this being a hoax perpetrated on Te’o rather than by Te’o.


“Ask yourself why and what incentive a person would have to execute such a lengthy, time-consuming and expensive con that would involve multiple people and essentially consume his entire life just to screw around with a guy that he knows?” Burke said on CNN.


Deadspin.com said the woman whose photograph was frequently shown on TV and in news reports about Kekua was actually a young California woman who had never met or communicated with Te’o. The website declined to identify her by name.


On Thursday, TV newsmagazine “Inside Edition” said the woman in the photograph was a 23-year-old marketing professional in Los Angeles named Diane O’Meara. Inside Edition, which is syndicated by CBS Television Distribution, said O’Meara was a former classmate of one of Te’o's friends. It Aredid not give the friend’s name.


In the expose published Wednesday, Deadspin.com said a friend of Te’o's named Ronaiah Tuiasosopo was “the man behind” the hoax.


Outside Tuiasosopo’s home in Palmdale, California on Thursday, a member of his family who did not identify himself told reporters, “Please, we have no comment. Please respect that.”


The Te’o hoax is the latest black eye Notre Dame’s legendary football program has suffered in recent years.


In 2011, the school was fined $ 42,000 by an Indiana agency over the death of football videographer Declan Sullivan, 20, who died in October 2010 after a hydraulic lift he was using to record practice toppled over in high winds.


In 2010, Elizabeth “Lizzy” Seeberg, a freshman at nearby St. Mary’s College, killed herself ten days after accusing a Notre Dame football player of sexual battery. Her family began questioning the campus police department’s reluctance to gather evidence and a 15-day delay in interviewing the accused.


After a federal investigation into the matter, the school agreed to revise its policies on sexual misconduct.


(Additional reporting by Dan Burns, Dana Feldman, David Bailey and Mary Wisniewski.; Editing by Vicki Allen, Greg McCune and Andrew Hay)


Internet News Headlines – Yahoo! News





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Journalist Barbara Walters hospitalized after fall at Washington party






(Reuters) – Veteran journalist Barbara Walters was admitted to a Washington. D.C., hospital over the weekend after she fell and cut her head at the British ambassador’s residence, a spokesman for the ABC television network said on Sunday.


Jeffrey Schneider, a senior vice president with ABC News, said Walters fell on the stairs on Saturday evening while attending an event.






“Out of an abundance of caution,” Walters, 83, went to the hospital, where she remained for observation on Sunday, Schneider said.


“Barbara is alert (and telling everyone what to do), which we all take as a very positive sign,” Schneider said in a written statement.


(Reporting by James B. Kelleher, editing by Stacey Joyce)


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Well: A Check on Physicals

“Go Beyond Your Father’s Annual Physical. Live Longer, Feel Better”

This sales pitch for the Princeton Longevity Center’s “comprehensive exam” promises, for $5,300, to take “your health beyond the annual physical.” But it is far from certain whether this all-day checkup, and others less inclusive, make a meaningful difference to health or merely provide reassurance to the worried well.

Among physicians, researchers and insurers, there is an ongoing debate as to whether regular checkups really reduce the chances of becoming seriously ill or dying of an illness that would have been treatable had it been detected sooner.

No one questions the importance of regular exams for well babies, children and pregnant women, and the protective value of specific exams, like a Pap smear for sexually active women and a colonoscopy for people over 50. But arguments against the annual physical for all adults have been fueled by a growing number of studies that failed to find a medical benefit.

Some experts note that when something seemingly abnormal is picked up during a routine exam, the result is psychological distress for the patient, further testing that may do more harm than good, and increased medical expenses.

“Part of the problem of looking for abnormalities in perfectly well people is that rather a lot of us have them,” Dr. Margaret McCartney, a Scottish physician, wrote in The Daily Mail, a British newspaper. “Most of them won’t do us any harm.”

She cited the medical saga of Brian Mulroney, former prime minister of Canada. A CT scan performed as part of a checkup in 2005 revealed two small lumps in Mr. Mulroney’s lungs. Following surgery, he developed an inflamed pancreas, which landed him in intensive care. He spent six weeks in the hospital, then was readmitted a month later for removal of a cyst on his pancreas caused by the inflammation.

The lumps on his lungs, by the way, were benign. But what if, you may ask, Mr. Mulroney’s lumps had been cancer? Might not the discovery during a routine exam have saved his life?

Logic notwithstanding, the question of benefits versus risks from routine exams can be answered only by well-designed scientific research.

Defining the value of a routine checkup — determining who should get one and how often — is especially important now, because next year the Affordable Care Act will add some 30 million people to the roster of the medically insured, many of whom will be eligible for government-mandated preventive care through an annual exam.

Dr. Ateev Mehrotra of the University of Pittsburgh School of Medicine, who directed a study of annual physicals in 2007, reported that an estimated 44.4 million adults in the United States undergo preventive exams each year. He concluded that if every adult were to receive such an exam, the health care system would be saddled with 145 million more visits every year, consuming 41 percent of all the time primary care doctors spend with patients.

There is already a shortage of such doctors and not nearly enough other health professionals — physician assistants and nurse practitioners — to meet future needs. If you think the wait to see your doctor is too long now, you may want to stock up on some epic novels to keep you occupied in the waiting room in the future.

Few would challenge the axiom that an ounce of prevention is worth a pound of cure. Lacking incontrovertible evidence for the annual physical, this logic has long been used to justify it:

¶ If a thorough exam and conversation about your well-being alerts your doctor to a health problem that is best addressed sooner rather than later, isn’t that better than waiting until the problem becomes too troublesome to ignore?

¶ What if you have a potentially fatal ailment, like heart disease or cancer, that may otherwise be undetected until it is well advanced or incurable?

¶ And wouldn’t it help to uncover risk factors like elevated blood sugar or high cholesterol that could prevent an incipient ailment if they are reversed before causing irreparable damage?

Even if there is no direct medical benefit, many doctors say that having their patients visit once a year helps to maintain a meaningful relationship and alert doctors to changes in patients’ lives that could affect health. It is also an opportunity to give patients needed immunizations and to remind them to get their eyes, teeth and skin checked.

But the long-sacrosanct recommendation that everyone should have an annual physical was challenged yet again recently by researchers at the Nordic Cochrane Center in Copenhagen.

The research team, led by Dr. Lasse T. Krogsboll, analyzed the findings of 14 scientifically designed clinical trials of routine checkups that followed participants for up to 22 years. The team found no benefit to the risk of death or serious illness among seemingly healthy people who had general checkups, compared with people who did not. Their findings were published in November in BMJ (formerly The British Medical Journal).

In introducing their analysis, the Danish team noted that routine exams consist of “combinations of screening tests, few of which have been adequately studied in randomized trials.” Among possible harms from health checks, they listed “overdiagnosis, overtreatment, distress or injury from invasive follow-up tests, distress due to false positive test results, false reassurance due to false negative test results, adverse psychosocial effects due to labeling, and difficulties with getting insurance.”

Furthermore, they wrote, “general health checks are likely to be expensive and may result in lost opportunities to improve other areas of health care.”

In summarizing their results, the team said, “We did not find an effect on total or cause-specific mortality from general health checks in adult populations unselected for risk factors or disease. For the causes of death most likely to be influenced by health checks, cardiovascular mortality and cancer mortality, there were no reductions either.”

What, then, should people do to monitor their health?

Whenever you see your doctor, for any reason, make sure your blood pressure is checked. If a year or more has elapsed since your last blood test, get a new one.

Keep immunizations up to date, and get the screening tests specifically recommended based on your age, gender and known risk factors, including your family and personal medical history.

And if you develop a symptom, like unexplained pain, shortness of breath, digestive problems, a lump, a skin lesion that doesn’t heal, or unusual fatigue or depression, consult your doctor without delay. Seek further help if the initial diagnosis and treatment fails to bring relief.

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