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'Farm To Fable'? Tampa Probe Finds Many Restaurants Lie About Sourcing

The Tampa Bay Times spent two months investigating where local eateries were really getting their ingredients. Many of their "farm-to-table" claims proved to be bogus.

The Tampa Bay Times spent two months investigating where local eateries were really getting their ingredients. Many of their “farm-to-table” claims proved to be bogus. B and G Images/Getty Images hide caption

toggle caption B and G Images/Getty Images

The farm-to-table trend has exploded recently. Across the country, menus proudly boast chickens bought from local farmers, pork from heritage breed pigs, vegetables grown from heirloom varieties. These restaurants are catering to diners who increasingly want to know where their food comes from — and that it is ethically, sustainably sourced.

But are these eateries just serving up lies?

Laura Reiley, the food critic for the Tampa Bay Times, wanted to find out. So she undertook a rigorous two-month investigation of Tampa’s farm-to-table restaurants, tracking down their sourcing claims. Many off them turned out to be bogus.

Reiley spoke with NPR’s Ari Shapiro about her investigation. An edited transcript of their conversation is below.

You fact-checked dozens of these menus. You called the farms. And what did you find?

Many of those local greens misted with unicorn tears are something else entirely.

I think that there’s a powerful incentive to tell a story. We all want that story — it’s a big part of why we go out to eat. If a restaurant can give you that story about that pork chop that lived a happy and delightful life from the beginning to its very last minute, that’s great. And sometimes they’re actually serving you commodity pork.

And it’s not just that — it’s like, what claims to be Florida blue crab actually coming from India.

We did some DNA testing. It’s always illuminating when you do that. Unfortunately, it’s much easier to do that on seafood than it is on meat.

And there’s no way of testing if someone says these are organic , local heirloom tomatoes, and actually they’re Mexican tomatoes, irradiated. There are no genetic markers or tests that will tell you that.

What got me interested in this topic is I’ve done a lot of agriculture writing in the past couple of years in Florida, and met with a lot of farmers. And they’ve all groused about this a little bit. That they’re used as billboards at these restaurants. A restaurant may buy from them once or twice and then phase them out but keep them on the chalkboard or on the menu.

You talked to one pork producer who walked you through the finances of raising a hog, slaughtering it for meat. And the price of that pork chop on the plate would have been something like $40.

I think that we as Americans have really come to expect inexpensive food. We spend a very small amount of our disposable income on food and restaurateurs have to cope with that. They have to figure out how to offer food to us at a price we will pay, while buying the best ingredients that they can. And often, as in any other business, it’s buy low and sell high.

You confronted a lot of chefs about this and a lot of them gave you the same answer.

[They said:] “I guess that should come off the chalkboard.”

There were plenty of people who were honestly surprised to find something was still on the chalkboard or still on their menu many months after they’d purchased that product, and many others that were just caught red-handed.

Your reporting was all done in Tampa, but is there any reason to believe that this problem is limited to this part of Florida?

Oh, I’m sure it’s a widespread phenomenon.

And I think it is a kind of arms escalation. In some ways, it may go back to the fact that maybe 10 years ago, when we started getting real farmers markets, we as consumers started being able to buy great produce and great heritage meats and those kinds of things. So it’s almost like restaurants needed to up the ante and claim even more extravagant boutique products on their menus — things that we, as consumers, couldn’t buy ourselves. So I understand why some of these claims are being made.

So if I, as a consumer, want to dine out responsibly and want to support local agriculture without a huge carbon footprint — what should I do?

You’ve got to ask questions. I mean, I don’t know how comfortable I’d feel at a restaurant asking to see their invoices. But I think we’re going to have to move in that direction where … there’s a little more consumer activism in terms of demanding more transparency in the provenance of where we’re getting our food.

When you see those claims on the menu — naturally raised, or heritage breeds — I think that they should raise a red flag, and you should feel free to ask more questions.

Is there a way to do it without being that obnoxious kind of diner who is straight out of the Portlandia sketch?

I think price point should definitely be an indicator — if it’s too good to be true, it probably isn’t true. If you see that $10 lobster roll, something is fishy.

You’re pretty open in this article about the fact that you’ve written favorable restaurant reviews for some of these places that claimed farm-to-table philosophy and didn’t stick to it. Is this reporting in a way a mea culpa?

Absolutely. I’m embarrassed. Some of the places I’ve given the highest review in the past year and kind of swooned over their farm-to-table stuff — I feel duped.

If I went into it with the idea that I was paying a premium for a particular local food or a sustainably-raised food and I got something else, it really doesn’t matter how it tasted.

One of the things that surprised me in this article is that a lot of the chefs who really do adhere to the farm-to-table ethos don’t wear it on their sleeves.

I think there’s a lot of farm-to-table fatigue among chefs. You know, it’s like the term foodie itself. it starts to take on a kind of bankrupt, yucky demeanor after so many people have misused it.

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Injured Employee Featured In Workers' Comp Investigation Settles Her Case

Rachel Jenkins outside her home in Boley, Okla. Jenkins settled her case with ResCare, who denied her workers' compensation benefits after she injured her shoulder at work.

Rachel Jenkins outside her home in Boley, Okla. Jenkins settled her case with ResCare, who denied her workers’ compensation benefits after she injured her shoulder at work. Nick Oxford hide caption

toggle caption Nick Oxford

An injured worker featured in an NPR/ProPublica investigation of the opt-out alternative to workers’ compensation has settled with the company that denied her medical care and wage-replacement payments after an incident at work.

Rachel Jenkins, 33, was injured last March while protecting a mentally disabled man who was attacked by another client at an Oklahoma City shelter operated by ResCare, which claims to be the nation’s largest provider of services to people with disabilities.

ResCare had opted out of state-regulated workers’ compensation in Oklahoma by developing its own workplace injury plan. The company initially denied Jenkins any benefits for her painful and persistent shoulder injury because she had missed a 24-hour reporting deadline by just three hours. Jenkins said she reported late because she had been heavily medicated after emergency treatment.

The 24-hour reporting rule is one of the most contentious elements of opt-out plans in Oklahoma and Texas. Critics say the rule gives employers the ability to deny benefits for legitimate workplace injuries that they would otherwise have to provide if they hadn’t opted out of workers’ comp.

Jenkins and other workers in Oklahoma sued their employers and state regulators over that provision and others in the state’s opt-out law.

ResCare and Jenkins agreed not to disclose the details of this week’s settlement, but Bob Burke, Jenkins’ attorney, says the monetary settlement gives Jenkins enough money to get her shoulder treated, recover lost wages and provide the same type of disability payments Jenkins would have received if ResCare had remained in the workers’ comp system.

“ResCare was reasonable in providing monetary compensation for medical care and for permanent disability,” Burke says.

He adds that Jenkins is planning to get treatment and find another job.

Jenkins says the settlement negotiations “went great.” But she noted that she expects to be “dealing with my shoulder the rest of my life.”

A spokeswoman for ResCare says the company does not comment on pending or past litigation.

Burke says the settlement resolves the Jenkins lawsuit but other clients still have ongoing cases.

ResCare initially denied benefits for the injury despite the fact that her supervisor witnessed the incident. Jenkins endured 16 days of pain while unable to afford treatment and worried about getting back to work.

“I went through hell, a whole lot of pain where I was in tears,” Jenkins told NPR and ProPublica last year. “I was just thinking … ‘How am I going to take care of my kids?’ “

ResCare reversed the denial after pressure from Jenkins’ colleagues.

The settlement follows a recent ruling by the Oklahoma Workers’ Compensation Commission that declared the state’s opt-out system unconstitutional. The issue is now headed to the state Supreme Court.

U.S. Labor Secretary Thomas Perez told NPR last month that the agency is investigating opt-out plans. Agency investigators are trying to determine whether the plans violate workplace benefits provisions required by federal law. Perez said the opt-out alternative to workers’ comp creates “a pathway to poverty” for injured workers.

ProPublica’s Michael Grabell contributed to this report.

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Golden State Warriors Celebrate Best Season In NBA History

The Golden State Warriors broke the NBA record for most wins in a season. Steve Inskeep talks to Diamond Leung, who covers the team for the San Jose Mercury News, and was there Wednesday night.

Transcript

STEVE INSKEEP, HOST:

All this season, NBA fans have heard plenty of calls like this.

(SOUNDBITE OF ARCHIVED RECORDING)

UNIDENTIFIED MAN #1: Green, back to Curry – bang (ph).

INSKEEP: Another basket for Steph Curry. So many, in fact, that his Golden State Warriors last night set the record for the most wins in a single season – regular season, that is – in pro basketball history. Their 73 wins broke the mark set by Michael Jordan’s Chicago Bulls in 1996.

RENEE MONTAGNE, HOST:

That wasn’t the only big event on the last day of the NBA regular season. Here in Los Angeles, an era ended also with a bang.

(SOUNDBITE OF ARCHIVED RECORDING)

UNIDENTIFIED MAN #2: Bryant on the move with the jumper…

UNIDENTIFIED MAN #3: …He got it.

UNIDENTIFIED MAN #2: Oh, my, 58 points.

MONTAGNE: Kobe Bryant ended his storied career with 60 points, and he set a personal record for the most shots he’s ever taken in a game.

INSKEEP: Let’s talk about all this with Diamond Leung. He covers the Warriors for the San Jose Mercury News. Good morning.

DIAMOND LEUNG: Good morning. How are you doing today?

INSKEEP: OK. And I know that you’ve come practically from the arena to talk with us after a long night working there. What was it like to be in the arena for that Warriors win?

LEUNG: Well, you could feel that it was a historic night. I think the fans were beside themselves. They went home with the memory of Steph Curry just having one of his best games. Steph Curry scored 46 points, made 10 three-point shots and did something that no one else has done. He’s surpassed the 400 mark for three-pointers this season.

INSKEEP: OK, so I want to stop you there because this is amazing. I didn’t even realize, but a few years ago this guy set the record for the most three-point shots, 272. And then he set another record for the most three-point shots, 286. And how he goes all the way to 400 – what is he doing?

LEUNG: Unbelievable. Just shattered his own record. You know, he’s just gotten better and better and better. And coming off an MVP season, sometimes you think well, the guy’s reached the mountaintop. There’s not a whole lot to go. This guy works harder than anybody else, whether it’s wearing impaired-vision goggles and taking all sorts of different shots. So he does so many different things that pushes his own limits. And now here we are with the 402 three-pointers.

INSKEEP: Four hundred-two – so he practices with goggles that are like a hand in his face, basically.

LEUNG: Yeah, they impair your vision. It’s just one of the many things he does. And all he does is he wears – is wear those glasses and tosses a tennis ball to himself and sees if he can catch it while his vision’s being blocked. Whatever he does, he’s always looking for the next edge.

INSKEEP: Now we could go through several Warriors players, but I want to ask about Steve Kerr, the coach. We’re at the end of his second season here. This team seems to have gone from pretty good to amazing instantly. What do you think this guy has?

LEUNG: You know, his leadership ability, the way communicates is really just off the charts. This is a very talented Warriors team that he inherited. He was able to take it to the next level just by putting in a new offensive system. And, you know, maybe lot of people saw hey, they won the championship. How much better can they get? Well, if you think about it, last year was Kerr’s first season. And in that first season, you can only kind of learn so much. Well, this year they took it to the next step. The way he put in his offensive system, the way they got better playing with each other in that system, I think, is just a testament to the whole thing that he’s set up.

INSKEEP: So one other thing. What’s it like for you to be a sports reporter in this era when Kobe Bryant’s career has come to a close as it did last night?

LEUNG: Yeah. You know, one thing I took from that was there was kind of a symmetry to that, where Steph Curry and the Warriors have this great night and they break the Bulls record. And on the other side, Kobe Bryant – the guy that used to just give the Warriors fits, dominated the West Coast, if not all of basketball – you know, he goes out in his last game, has a big night as well. And, you know, it’s almost in some ways a passing of the torch, maybe.

INSKEEP: Diamond Leung of the San Jose Mercury News, who joined us by Skype. Thanks very much.

LEUNG: Thanks for having me.

Copyright © 2016 NPR. All rights reserved. Visit our website terms of use and permissions pages at www.npr.org for further information.

NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR’s programming is the audio record.

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Today in Movie Culture: 'Doctor Strange' Meets 'Inception,' Martin Scorsese Gets Animated and More

Here are a bunch of little bites to satisfy your hunger for movie culture:

Mashup of the Day:

The new Doctor Strange trailer reminded so many people of Inception that there’s already a mashup of the two movies (via Live for Films):

[embedded content]

Poster Trend of the Day:

With the release of the Doctor Strange one-sheet, it’s become clear there’s a trend occurring with Benedict Cumberbatch movie posters:

When your poster artist finally admits they don’t know how to draw Benedict Cumberbatch: pic.twitter.com/UMqh8fZSaM

— Eric Heisserer (@HIGHzurrer) April 13, 2016

Visual Effects Parody of the Day:

This Funny or Die parody of performance capture is four years old, but since it features Jon Favreau it’s newly relevant in advance of Disney‘s The Jungle Book remake:

Movie Comparison of the Day:

Couch Tomato shows us 24 reasons Dawn of the Planet of the Apes is already basically a live-action remake of Disney‘s animated version of The Jungle Book:

[embedded content]

Vintage Image of the Day:

Director Stanley Donen, who turns 92 today, on the set of Singin’ in the Rain with stars Gene Kelly and Donald O’Connor:

Film History of the Day:

The Nerdwriter looks at the history of the serial and how Star Wars holds a special place in that history:

[embedded content]

Cosplay of the Day:

Old people dressing up as old Han Solo and Leia, like this duo at the Emerald City Comic-Con, is a new kind of adorable cosplay (via Fashionably Geek):

Filmmaker in Focus:

PBS turned Martin Scorsese into a cartoon character in this animated adaptation of an interview where the filmmaker talks about framing (via Geek Tyrant):

[embedded content]

Supercut of the Day:

Celebrate the sounds of No Country for Old Men with this supercut tribute to the Coen Brothers‘ Best Picture winner (via Cinematic Montage Creators):

[embedded content]

Classic Trailer of the Day:

Today is the 15th anniversary of the release of Bridget Jones’s Diary. Watch the original trailer for the series starter starring Renee Zellweger, Hugh Grant and Colin Firth below.

[embedded content]

and

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Golden State Warriors Complete Best Season In NBA's 70-Year History

Guard Steph Curry of the Golden State Warriors has led the team to the top of the NBA for the past two seasons.

Guard Steph Curry of the Golden State Warriors has led the team to the top of the NBA for the past two seasons. Thearon W. Henderson/Getty Images hide caption

toggle caption Thearon W. Henderson/Getty Images

Four years ago, in superstar guard Stephen Curry’s injury-truncated third season, the Golden State Warriors went 23-43 and missed the playoffs by 13 games.

On Wednesday night, they beat the Memphis Grizzlies 125-104 to finish their regular season 73-9, breaking the Chicago Bulls’ 20-year-old NBA record for most wins in a season.

And this weekend when the playoffs begin, the Warriors will start their pursuit of a second straight championship with a series against the Houston Rockets.

Driving it all has been Curry, whose mind-blowing three-point shooting range — he was shooting 50 percent from beyond 30 feet earlier this season — is emblematic of how the game is changing. Curry’s virtuosity has also made some sports video games obsolete because he outperforms the virtual players. NBA 2K gameplay director Mike Wang told All Things Considered‘s Ari Shapiro:

“In real life, you’ve got to take good shots,” Wang said. “You know, with Steph, he’s, like — he could … shoot in double teams with two guys draped all over him and still hit the shot. So that’s something that we need to go back to the drawing board and see if we can get that back into our game.”

Steph Curry just hit his 400th three of the season. No other player has even had more than 300 in a season. VIDEO: https://t.co/wuhRi7eYuQ

— NBA on ESPN (@ESPNNBA) April 14, 2016

Curry led the scoring Wednesday night with 46 points, including 10-19 three-point shooting.

“I just try to keep pushing myself and try not to have any limits,” Curry told ESPN’s Doris Burke after the game. He said his teammates, their focus and their eagerness to take on the challenge is what got the Warriors the record.

Golden State is also the first NBA team to make it through a season without losing two games in a row, and without losing twice to the same team, ESPN reported.

There had been some question about how aggressively the Warriors would pursue the wins record — they locked up home-court advantage through the playoffs a week ago and could have rested their players ahead of the playoffs — but the players were eager to make history.

“I’m only 26. When I’m 36, I’ll be looking to rest more,” guard Klay Thompson told reporters after the team’s April 7 win.

Curry also was all-in on the record chase, CSN Chicago reported:

“We have an opportunity to do something that has never been done before in history,” Curry said. “So many great players have suited up since the NBA began, and for us 15 guys to say we’ve accomplished something as a group that’s never been done before, that’s remarkable. So, we earned the right to have a 48-minute game to eclipse that mark and we have to go out and finish the job and do it the right way.”

Warriors coach Steve Kerr was a bench player on the 1995-1996 Bulls team that previously held the record, and was asked about the two seasons after Wednesday’s game.

“It feels different as a coach than it did as a player,” Kerr said, but he added that the two seasons went the same way — “lose one, get angry, win ten.”

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Want To Set Up A Shell Corporation To Hide Your Millions? No Problem

A police officer stands outside the Mossack Fonseca law firm Tuesday as organized crime prosecutors raid the offices in Panama City.

A police officer stands outside the Mossack Fonseca law firm Tuesday as organized crime prosecutors raid the offices in Panama City. Arnulfo Franco/AP hide caption

toggle caption Arnulfo Franco/AP

The leaking of more than 11 million documents from Panamanian law firm Mossack Fonseca earlier this month cast new light on the arcane world of offshore shell companies, long a favorite hiding place for the very rich.

But actually setting up a shell corporation turns out to be something that any average Joe can do. In fact, you can do it in just a little more time than it takes to open an email account, with the help of one of the army of law firms and financial advisers that specialize in them.

“You can do it over the phone. You can do it over the Internet. It’s relatively easy to do, depending on where you are and what you want to set up,” says Tom Cardamone, managing director of Global Financial Integrity, a nonprofit research group that looks for ways to stop illicit financial flows.

“It can be a matter of just a few hundred dollars or a few thousand dollars. You can set up an anonymous shell company in Delaware the same day,” he says.

The ease with which such accounts can be established is one reason more and more money is pouring into them each year.

“A growing fraction of the world’s wealth, and particularly of the wealth in tax havens, is owned via shell companies, so it’s obviously a business that is booming and is doing extremely well,” says Gabriel Zucman, assistant professor of economics at the University of California, Berkeley and the author of The Hidden Wealth of Nations.

Because the industry is shrouded in secrecy, any estimates of its size are at best an educated guess, Zucman says. But he estimates that 60 percent of the money held in accounts in Swiss banks is under the names of shell corporations.

For those with money to hide, the lures of a shell corporation are many.

In most places you don’t have to attach your name to a shell corporation, making it virtually impossible for tax authorities or law enforcement officials to tell who owns it. But if you really want to cover your tracks, you can set up interlocking shell companies in different places, such as the British Virgin Islands or Bermuda, Cardamone says.

“You can create an anonymous shell in one jurisdiction that controls an anonymous trust in a completely different country that also controls a bank account in a third country,” Cardamone says.

Once your shell company is up and running, you can use it to stash any spare millions you may have lying around.

“Now you’re the owner of a company that can open, for instance, bank accounts all over the world. Or that can buy real estate all over the world. It makes it easy for you to hide your identity and to be an anonymous owner of wealth all over the world,” Zucman says.

Perhaps the most surprising thing of all is that establishing a shell corporation — at least by itself — doesn’t technically violate any law, Cardamone says.

“There’s nothing illegal about setting up such a corporation. It’s what happens after that that can cause the problem, whether it’s tax evasion or money laundering,” he says.

In other words, it’s not having a secret shell corporation that can get you in trouble. It’s how you use it.

Hundreds, perhaps thousands, of firms offer help setting up shell companies, often as part of a set of financial and legal services, and many are located in the United States.

Most of these firms don’t actually process the transaction themselves but farm it out to a much larger firm that specializes in them, such as Mossack Fonseca. The Panamanian law firm is considered one of the largest such firms in the world.

With so much money pouring into these companies, big investors such as private equity firms have been eager to get a part of them. For example, the Carlyle Group was an early investor in one of the biggest firms, Hong Kong-based Offshore Incorporations Limited, but sold its share to a Scandinavian firm in 2011.

“I think they saw this as a growth industry, obviously something that particularly was experiencing strong growth from the developing world, particularly China. And it was kind of a new industry that hadn’t attracted much attention from outsiders before,” says Jason Sharman, professor of political science at Australia’s Griffith University.

As the use of shell corporations has grown, the United States and other developed countries have attempted to crack down on them. They increasingly require banks to turn over more information about accounts held by their own citizens.

As the Mossack Fonseca case has shown, major banks such as Deutsche Bank and UBS have in the past played roles in helping their clients set up offshore bank accounts.

Regulators say such efforts are making a dent in stopping tax evasion. They’ve made it much harder for many citizens of the United States and Europe to hide their money. (The rules don’t apply to people from China, Russia and Brazil, where much of the newest money comes from.)

But Zucman isn’t sure the major banks are really ready to cooperate with law enforcement.

“After all, for decades they’ve been exactly the opposite,” Zucman says. “They’ve been helping their clients evade taxes, hiding them behind shell companies, and so we can ask ourselves: Is it just enough to now ask these very same individuals and these very same institutions to now play the taxman’s job?”

“Up to this point there hasn’t been the political will to address the issue of anonymous shell companies,” Cardamone says. “These things have been in place for decades. This is not something that’s been created recently. So there’s also the issue of changing the way business has always been done. No matter what the issue is, changing something that’s been happening for decades is always difficult to do.”

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Why It's Getting Harder To Decide When To Treat High Blood Pressure

The pressure is a little high. Now what?

The pressure is a little high. Now what? Disability Images/Science Source hide caption

toggle caption Disability Images/Science Source

Are you ready for some more uncertainty about blood pressure treatment?

Decisions about blood pressure have gotten more difficult over the past couple of years as experts in the U.S. have failed to reach consensus on recommendations about when drug therapy should be started. Now there’s new evidence that could make the decisions even more challenging.

Let’s review first where there is agreement. Around the world, high blood pressure causes a lot of harm. Your risk of health problems — such as heart disease, stroke and kidney disease — increases with higher blood pressure. Your lifestyle can influence your blood pressure. A healthful diet, at least moderate physical activity and weight control can bring down your blood pressure. Those are good habits for everyone, in fact.

Medicines can help reduce the risk for people with higher blood pressure, say 150 millimeters of mercury and above for systolic pressure, the top number. Too many people have untreated and uncontrolled marked elevations of blood pressure and many devastating health problems could be prevented if we could help people get proper treatment.

What about medicines for people whose blood pressure is high but less than 150? Most doctors agree that people younger than 60 would do well to keep their blood pressure less than 140. The consensus is that the benefit of drugs for those who didn’t respond to lifestyle changes exceeds the risks of treatment.

Some believe that for older patients, who may be more sensitive to medications, the recommendations should be more permissive and not push for treatment that brings blood pressure below 140. Then there’s the SPRINT trial, whose results were released last November and suggested that people without diabetes, even older people, would benefit by seeking to get their blood pressure down to around 120.

Another study, called HOPE-3 for short, added important evidence about the treatment of blood pressure that will further unsettle the field. The findings were published April 2 by in The New England Journal of Medicine.

The researchers in the study randomized 12,705 people with at least one cardiovascular risk factor (like high cholesterol) to get blood pressure medication or placebo. At the time of randomization, the average systolic blood pressure was 138. Some people’s pressures were higher and some were lower, or course. In fact, a third of the people had a beginning blood pressure less than 132.

So what did HOPE-3 find? The blood pressure medications worked. Study participants in the group that got blood pressure medicine had their systolic blood pressure lowered about 6 points more than those in the placebo group. However, after almost six years of follow-up, the investigators determined that lower blood pressure didn’t translate into lower risk. The risks of death from cardiovascular causes, heart attacks, strokes and other problems weren’t different between the groups.

The investigators explored the data further and found some evidence that the group in the highest third of blood pressure at the start (an average top number of 154) seemed to have a lower risk, while the group in the lowest third at the start (average of 122) seemed to do worse. These analyses were planned at the outset of the study, so we tend to give them a bit more weight.

So what happened?

HOPE-3 used common antihypertensive medications, an angiotensin receptor blocker called candesartan and a diuretic called hydrochlorothiazide. Could the results be explained by something about these medications?

Participants in the study had an average age of 65 years, about half were women, a quarter were smokers and almost all were overweight. Was there something special about them?

Or could it be that pushing blood pressure to ever-lower levels, even in a group at modest risk of heart disease and stroke, is just not producing benefit?

We don’t know for sure.

The field is waiting eagerly for the next version of national guidelines about blood pressure. A group of experts in the field will look at all the evidence and give its opinion about whom to treat and when.

But how useful will general guidelines be for individual patients, given the conflicting evidence? How confidently will the experts be able to recommend strategies for people in the middle range of blood pressure?

The ultimate decision about treatment for each person should be informed by the fact that a definitive benefit hasn’t been consistently shown for lowering blood pressure below 140 in people without known disease (we call this primary prevention). The results of the HOPE-3 indicate that the lower your blood pressure is, the less likely you are to benefit from starting drug therapy.

As always, if your blood pressure is in the range where there is controversy and you want to lower your blood pressure, your best first move is to adopt a healthful lifestyle and see what happens — and, of course, talk with your physician. Meanwhile, experts will be poring over the recent studies to try to reconcile the disparate results.

In medicine, we like it when the latest data bring clarity to personal decisions about treatments. But the reality is that studies often go in different directions and leave us even more uncertain about what to do next. That uncertainty, though, is still important information as you consider your options.

The disappointing conclusion about blood pressure is that we need more studies and more evidence. We also need better evidence — information that is more precise about what is likely to happen to us personally if we take medications for blood pressure.

We need to move faster to get the knowledge that is attuned to our personal characteristics and that can guide our decisions about the blood pressure number that’s best and also the drug that would work best for each of us, if we need one. This is the hope of President Obama’s Precision Medicine Initiative. Given the mixed evidence we have, this new era of knowledge cannot come fast enough.

Harlan Krumholz is a cardiologist and the Harold H. Hines Jr. Professor of Medicine at Yale School of Medicine. He directs the Yale-New Haven Hospital Center for Outcomes Research and Evaluation and is a co-director of the Robert Wood Johnson Foundation Clinical Scholars Program.

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Watch: First 'Doctor Strange' Trailer Introduces a New Way to Save Lives

Doctor Strange

The first teaser trailer for Marvel’s Doctor Strange just debuted on Jimmy Kimmel Live!, introduced by its star, Benedict Cumberbatch, and it looks amazing. Near the end, Cumberbatch says two words that are probably key to the whole movie, but before that his presence as the titular character is felt in every frame as he strides through a variety of settings, both mundane and fantastical.

What’s even more surprising, though, is the appearance of Tilda Swinton as The Ancient One, a master who may be ready to teach Doctor Strange a thing or two. We also catch glimpses of Rachel McAdams, Chiwetel Ejiofor and some spectacular visual effects.

Watch the teaser below.

[embedded content]

Marvel’s Doctor Strange will open in theaters on November 4, 2016.

Doctor Strange

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Uber Wants You To Know It's Tired Of Sharing Data With Regulators

A driver for Uber arrives at an authorized customer pickup area at Seattle-Tacoma International Airport.

Ted S. Warren/AP

In its first-ever transparency report, Uber has revealed that it has given federal and local U.S. agencies information on more than 12 million riders and drivers between July and December 2015.

This kind of report is not uncommon in the tech industry, but this particular one does something extra: It uses the report to take regulators to task for what Uber sees as excessive data sharing, making a case that it frequently tries to narrow the scope of requested information.

During this six-month period in 2015, Uber says it shared trip data with regulatory agencies, airport authorities and law enforcement agencies. Regulators received the majority of the data, which the report says involved 11.6 million riders and 583,000 drivers. The data Uber shared with airport authorities involved 1.6 million riders and 156,000 drivers.

Uber writes in a post on Medium:

“And while this kind of trip data doesn’t include personal information, it can reveal patterns of behavior — and is more than regulators need to do their jobs. It’s why Uber frequently tries to narrow the scope of these demands, though our efforts are typically rebuffed.”

This report encapsulates Uber’s ongoing fight with regulators. In January, the California Public Utilities Commission fined Uber $7.6 million for the company’s “failure to fully and timely comply” with the commission’s reporting requirements.

Uber does not specify how many riders and drivers were affected by disclosures to law enforcement officials, but the company says the government requested data related to a total of 613 rider and driver accounts. Of those requests, Uber’s report shows it “fully” complied with 31.8 percent of the requests and produced some data for 84.8 percent of the cases.

Uber says “a large number” of law enforcement requests were related to investigations of fraud and stolen credit cards. The report does not specify how many of these cases were related to rape and sexual assault. Uber has been under scrutiny for its role in protecting passengers from these kinds of attacks.

An Uber spokesman told Fortune that the company will now be releasing a transparency report every six months. The ride-hailing service joins more than 60 companies — including Google, Facebook, Amazon and Apple — that regularly release such reports.

“There seems to be much more sharing of personal data for a less important purpose, which raises privacy flags for me,” Jim Harper, senior fellow at the libertarian think tank Cato Institute, tells the Verge.

In its report, Uber also specifies that the company has not been compelled by the FBI to disclose data on an issue of national security, nor has it received any court orders under the Foreign Intelligence Surveillance Act.

Uber writes on Medium: “We hope our Transparency Report will lead to a public debate about the types and amounts of information regulated services should be required to provide to their regulators, and under what circumstances.”

Naomi LaChance is a business news intern at NPR.

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