Monday, August 31, 2015

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pneumatic compression devices and drugs.

The study was sponsored by Sanofi-Aventis, which sells Lovenox, a drug approved to reduce the risk of blood clots in the veins.
Photo Finish


Remains of a bus-sized prehistoric "monster" reptile found on a remote Arctic island may be a new species never before recorded by science, researchers said Tuesday.

Initial excavation of a site on the Svalbard islands in August yielded the remains, teeth, skull fragments and vertebrae of a reptile estimated to measure nearly 40 feet long, said Joern Harald Hurum of the University of Oslo.

"It seems the monster is a new species," he told The Associated Press.

The reptile appears be the same species as another sea predator whose remains were found nearby on Svalbard last year. His team described those 150-million-year-old remains as belonging to a short-necked plesiosaur measuring more than 30 feet _ "as long as a bus ... with teeth larger than cucumbers."

The short-necked plesiosaur was a voracious reptile often compared to the Tyrannosaurus rex of the oceans.

Mark Evans, a plesiosaur expert at the Leicester City Museums in Britain, said he not know enough about the Norwegian find to comment on it specifically. But he said new types of the sea reptiles are being found regularly.

"We are regularly seeing new species of plesiosaurs popping up _ in a way because, in the past 10 or 15 years, there has been what we call a renaissance in plesiosaur research," Evans said by telephone.

Hurum said the team had only managed to excavate a 3-meter area of the find. The Norwegian-led team plans to present more detailed findings early next year, and return to Svalbard, 300 miles north of Norway's mainland, to excavate further next year.


During the two-week field period the palaeontologists documented a remarkable 28 skeletons, ranging from two to ten meters in length. The discovery ranks Svalbard as one of the world's four most productive sites for the remains of marine reptiles.

Pliosaurus, one of the largest-ever marine predators, lived in the ocean and hunted other smaller marine reptiles.




Could it be that the "natural" mental decline that afflicts many older people is related to how much lead they absorbed decades before?


Mount Sinai's Andrew Todd uses an acrylic leg and human bones to calibrate lead measurement.

That's the provocative idea emerging from some recent studies, part of a broader area of new research that suggests some pollutants can cause harm that shows up only years after someone is exposed.

The new work suggests long-ago lead exposure can make an aging person's brain work as if it's five years older than it really is. If that's verified by more research, it means that sharp cuts in environmental lead levels more than 20 years ago didn't stop its widespread effects.

"We're trying to offer a caution that a portion of what has been called normal aging might in fact be due to ubiquitous environmental exposures like lead," says Dr. Brian Schwartz of Johns Hopkins University.

"The fact that it's happening with lead is the first proof of principle that it's possible," said Schwartz, a leader in the study of lead's delayed effects. Other pollutants like mercury and pesticides may do the same thing, he said.

In fact, some recent research does suggest that being exposed to pesticides raises the risk of getting Parkinson's disease a decade or more later. Experts say such studies in mercury are lacking.

The notion of long-delayed effects is familiar; tobacco and asbestos, for example, can lead to cancer. But in recent years, scientists are coming to appreciate that exposure to other pollutants in early life also may promote disease much later on. Video Watch CNN's Elizabeth Cohen explain more about lead's long-term effects on the brain ».

"It's an emerging area" for research, said Dr. Philip Landrigan of the Mount Sinai School of Medicine in New York. It certainly makes sense that if a substance destroys brain cells in early life, the brain may cope by drawing on its reserve capacity until it loses still more cells with aging, he said. Only then would symptoms like forgetfulness or tremors appear.


Linda Birnbaum, director of experimental toxicology at the U.S. Environmental Protection Agency, said infant mice exposed to chemicals like PCBs show only very subtle effects in young adulthood. But more dramatic harm in areas like movement and learning appears when they reach old age.

Animal studies also show clear evidence that being exposed to harmful substances in the womb can harm health later on, she said. For example, rodents that encounter PCBs or dioxins before birth are more susceptible to cancer once they grow up.

Studying delayed effects in people is difficult because they generally must be followed for a long time. Research with lead is easier because scientists can measure the amount that has accumulated in the shinbone over decades and get a read on how much lead a person has been exposed to in the past.

Lead in the blood, by contrast, reflects recent exposure. Virtually all Americans have lead in their blood, but the amounts are far lower today than in the past.



The big reason for the drop: the phasing out of lead in gasoline from 1976 to 1991. Because of that and accompanying measures, the average lead level in the blood of American adults fell 30 percent by 1980 and about 80 percent by 1990.

That's a major success story for environmentalists. But work by Schwartz and Dr. Howard Hu of the University of Michigan suggests that the long-term effects of the high-lead era are still being felt.

In 2006, Schwartz and his colleagues published a study of about 1,000 Baltimore, Maryland, residents. They were ages 50 to 70, old enough to have absorbed plenty of lead before it disappeared from gasoline. They probably got their peak doses in the 1960s and 1970s, Schwartz said, mostly by inhaling air pollution from vehicle exhaust and from other sources in the environment.

The researchers estimated each person's lifetime dose by scanning their shinbones for lead. Then they gave each one a battery of mental ability tests.

In brief, the scientists found that the higher the lifetime lead dose, the poorer the performance across a wide variety of mental functions, like verbal and visual memory and language ability. From low to high dose, the difference in mental functioning was about the equivalent of aging by two to six years.

"We think that's a large effect," Schwartz said.

Hu and his colleagues took a slightly different approach in a 2004 study of 466 men with an average age of 67. Those men took a mental-ability test twice, about four years apart on average. Those with the highest bone lead levels showed more decline between exams than those with smaller levels, with the effect of the lead equal to about five years of aging.

Nobody is claiming that lead is the sole cause of age-related mental decline, but it appears to be one of several factors involved, Hu stressed.

If so, it would join such possible influences as high blood pressure, diabetes, stroke, emotional stress and maybe education level, said Bradley Wise of the National Institute on Aging. Nobody knows exactly what causes mental decline with age, he said.

Although the studies by Hu and Schwartz suggest lead is involved, Wise and others say they don't prove the link.

"I think many things impact how we age, but I think right now it's maybe premature to be giving lead a huge role in our age-related cognitive decline," said Dr. Margit L. Bleecker, director of the Center for Occupational and Environmental Neurology in Baltimore. Still, she called the lead hypothesis "a very interesting idea" deserving more study.

Others were more impressed.

"The new evidence from these studies should concern people" said epidemiologist Andrew Rowland of the University of New Mexico. "These two research groups are finding adverse effects on the aging brain at low levels of lead exposure. More work needs to be done, but these studies are raising important questions."


In any case, scientists still face some basic mysteries about the delayed effects of lead. For example, when does it actually harm the brain? Does a high level in the shinbone merely identify those who were the most harmed by chronic exposure decades ago? Or does lead in the bone continue to do its dirty work over a lifetime, leaching into the bloodstream and continuously hammering the brain?

"I think that both things are happening," Schwartz said, though he suspects most of the damage occurred in the past, during years of higher exposure. Hu's suspicions are similar.
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Just how lead impairs brainpower is still a mystery. And so is the question of whether anything can be done to help people who have absorbed a lot of lead over a lifetime.

A medical procedure called chelation can remove lead from the body, but it wouldn't help in this case, said experts, who had few suggestions.

For younger people, prevention is a clearer strategy, Hu said. He called for tougher federal standards on lead exposure in the workplace.

And plenty of low-income neighborhoods could use a strong effort to remove lead from old houses, many of which still have lead paint, Rowland said. "It's there on the walls, it's on the radiators, it's underneath the top layers of paint. In places where the paint is crumbling, there's still exposure going on," he said.

Yet another question: Who really has to worry about long-ago lead affecting their brainpower? What about people born after the high lead levels of the 1970s were history?

Schwartz noted that most Americans younger than 30 have gotten much less lead from the environment than the men in his study did. And Hu hopes that the lead effect will peter out in the future.
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However, Hu points out that there's still lead in the environment, and exposure remains especially high in many developing countries. And citing evidence that lead can cross the placenta, he says women who grew up in the 1970s might dose their fetuses with the metal.

"Kids who grew up in the 21st century have a lot less to worry about" than their elders, Hu said. But "it's hard for me to be totally optimistic the current generation is completely scot-free."





Susquehanna Twp.-based Capital BlueCross is the scrappy local insurer that nearly got crushed by a giant, but fought back to dominate the 21-county central Pennsylvania market.

Now it wants permission to compete all over the state and take on an even bigger giant that would rise up following the proposed merger of Highmark Inc. and Independence Blue Cross.

Otherwise, a new health insurance colossus will stomp out competition in Pennsylvania, and consumers will take more of a beating on health care costs, Capital BlueCross CEO Anita Smith said.

She made that argument Wednesday at a state Senate Banking and Insurance Committee hearing on the Highmark-Independence merger, which needs state approval.

The committee is dominated by Republicans, who were receptive to Smith's arguments in favor of more competition.

But Smith had pointed exchanges with Sen. Robert Mellow, D-Lackawanna County, who said she put on a good "performance," but accused her of inaccuracy.

Mellow said Smith's arguments ignored Capital's absorption of a Lehigh County-based Blues plan in the mid-1980s, and merger discussions with Blue Cross of Northeastern Pennsylvania a few years later.

Smith said those actions occurred before her time as a top executive at Capital BlueCross, and she stood by her statements.

Mellow said he wanted to ask many more questions and called for an additional hearing.

State Sen. Don White, R-Indiana County, the committee chairman, acknowledged the need for another session. No date was set.

Capital BlueCross, with 4,000 employees, operates in a 21-county market that extends from State College through the Lehigh Valley. It has a 5.3 percent slice of the Pennsylvania market. Capital and Highmark were partners until 2001 and now compete in the 21 counties.

Highmark, another major employer in the Harrisburg area, also dominates in western Pennsylvania. Independence is based in Philadelphia. A combined Highmark-Independence would control 53 percent of the state health insurance market.

Smith said Capital BlueCross won't oppose the merger as long as the state imposes conditions to ensure competition.

She said the Capital-Highmark split has made central Pennsylvania the state's most competitive health insurance market, and consumers have benefited.

Smith claimed that Highmark and Independence aim to eliminate competition across the state. She said the two insurers signed a secret 1996 agreement not to compete against each other.

Highmark spokesman Michael Weinstein said the agreement was signed by a corporate predecessor of Highmark, which sold an HMO plan to Independence. The agreement was approved by the state Insurance Department and federal antitrust authorities, Weinstein wrote in an e-mail.

Highmark and Independence said the purpose of their merger is to improve efficiency and reduce health insurance premiums.

Dr. Ken Melani, CEO at Highmark, would head the combined insurance operation. He has said there's no need for competing Blues plans.

Creating the biggest possible "pool' of people is the best way to keep health care affordable, he contends.



If you've ever heard of equity-indexed annuities (EIAs), there's a good chance you did so from your mom or dad. And there's a good chance they learned about them at a "free seminar." I know that that's how I first heard about them. My dad enjoyed the free meal and the sales pitch (er ... seminar), but told me he was skeptical about the EIA he was being pitched. He understood that this particular EIA would put a cap on his potential gains. Well, it turns out dad may have been more right than he realized.

At allfinancialmatters.com, one blogger offered a similar take on his dad's experience with an EIA pitch. He made a particularly good point: While EIAs are often compared to the S&P 500, with sellers concluding that the EIAs are the better choice, that doesn't seem right. An EIA will often feature gains capped at a certain level, along with the benefit of never losing any money: If the market tanks in a given year, your loss is zero.

The EIA that the blogger used as his example capped investors' gains each year at 10%. Well, given that the S&P 500's average annual return over the long haul is near 10%, including down years, the EIA is already comparing unfavorably. That's because in good years, your gain will be a maximum of just 10%, and not much higher, as can sometimes happen. In 2003, for example, the S&P 500 rose more than 28%! Your gain in the EIA? 10%. In 2006, it rose more than 15%. Your gain in the EIA? 10%.

You might argue that when it plunges, as in 2002, when it fell 22%, your loss would be zero. But remember that the S&P 500's average return of 10% includes those down years. [Note also that while the historic average return is around 10%, that's in no way what you should expect over your investing time frame. You might earn slightly or considerably more or less.]


The blogger crunched a bunch of numbers, simulating investments in an EIA and the S&P 500 from 1950 onward. He found that the annuity would have returned less than 7% annually, compared to nearly 10.5% for the S&P 500. Ouch!

According to his analysis, the reason why the numbers worked out this way is because of how the market cycles up and down. He found 34 years when the S&P 500 rose more than 10%, but just 13 years with negative returns. As a result, the benefits of avoiding losses within the annuity were outweighed by the loss of return during great years.

Finally, another consideration is fees, which are often charged yearly whether you make money that year or not. If you're looking at EIAs, be sure to look hard at the annual fees, just as you would with a mutual fund. The blog analysis assumed fees of 1.5% for the S&P 500 option, but you can find index funds that are much cheaper. ETFs like SPDR Trust (AMEX: SPY) or Vanguard Total Stock (AMEX: VTI) offer an inexpensive proxy for the broad market.



A contaminated anticancer drug made by one of China's largest pharmaceutical companies underscores how quality-control problems continue to plague the Chinese drug industry. There is no sign the tainted leukemia drug was exported. But the case provides a cautionary tale as Western pharmaceutical companies start outsourcing some manufacturing to China.

Last June, Yan Zhenni, a 5-year-old with leukemia from Shanghai, received a shot of the anticancer medication methotrexate. But the drug meant to treat her left her incontinent and unable to walk on her own, her mother says.
  The News: A leukemia medicine made by a unit of one of China's largest drug companies was found to be contaminated.
  The Big Picture: Although no tainted products were exported, the case highlights quality-control problems in China's drug industry as Western companies look to produce more medicines there.

Possibly dozens of patients across China who took the drug from the same Chinese factory had similar problems. The drug's manufacturer initially said the reactions might be a side effect of the medication. Later, government officials investigating reports of problems with the drug discovered the medicine had been contaminated, blamed its maker for a coverup and revoked the factory's license to make the drug.

"We were so hopeful that she would recover from leukemia eventually. The chances were very good. But now even walking has become a problem," says 28-year-old Ms. Yan, who took a leave from her job at an auto-parts factory to care for her daughter.

Over the past year, a spate of safety problems involving Chinese-made products has surfaced, mostly involving small-scale factories operating with little scrutiny. But the tainted leukemia drug given to Yan Zhenni was made by a subsidiary of one of China's largest and more prominent drug companies, Shanghai Pharmaceutical (Group) Co. Other units of the company make medicines in collaboration with a number of multinational drug companies, although there is no sign that the quality-control problems affected other divisions.


Major drug companies are quickly moving to conduct research and some manufacturing in China, as costs in the U.S. rise and they face hurdles in bringing new drugs to market and defending existing blockbusters against generic competition. AstraZeneca PLC, GlaxoSmithKline PLC, Pfizer Inc. and Bristol-Myers Squibb Co. have all recently announced plans to outsource some of their manufacturing capacity.

China is still a relatively small player when it comes to exporting finished pills, a market that India's generic-drug makers dominate. But China is the world's largest producer of active pharmaceutical ingredients, the chemicals needed to produce drugs. In 2005, China had $4.4 billion, or 14%, of the world's $31 billion market for APIs, ahead of Italy and India, the world's second- and third-largest players respectively, according to a report last year from Credit Suisse.

Shanghai Pharma has teamed up with a number of multinational drug companies over the years and says it exports APIs around the world. The group's products are sold in countries including the U.S., Canada, Mexico, the U.K., India and Japan, according to Neil Wang, general manager in China for the research and consulting firm Frost & Sullivan.

Roche Holding AG of Basel, Switzerland, set up a joint venture with Shanghai Pharma in 1994 called Shanghai Roche Pharmaceuticals, according to a media officer for Roche, who emphasized that Roche has no connection with the subsidiary that produced the tainted medicine. The factory makes most, if not all, of the drugs Roche sells in China, she says.

Pfizer has signed a deal with Shanghai Pharma in which a unit of the Chinese company would produce a hormonal steroid for Pfizer at one of its factories, the Shanghai Pharmaceutical Group Hualian Pharmaceutical Factory, according to a person in the foreign trade department at Shanghai Pharma. The plant that Pfizer is partnered with isn't the same as the one that produced the tainted drug.

Pfizer spokesman Chris Loder couldn't confirm the hormonal steroid agreement with Shanghai Pharma. He did say in a statement: "In 2006, Pfizer entered into an agreement with Shanghai Pharmaceutical Group in China to evaluate SPG's capabilities as an ingredient supplier. To date, SPG has not met the standards required by Pfizer for suppliers of active pharmaceutical ingredients." As a result, Mr. Loder said, Pfizer hasn't sourced any API for human use in the U.S. or elsewhere.

The U.S. Food and Drug Administration says none of the tainted drugs from the Shanghai Pharma unit involved, Shanghai Hualian Pharmaceutical Co., were manufactured for the U.S.

In November 2006, Yan Zhenni was diagnosed with leukemia, a cancer of the cells that make up blood or bone marrow. The following year, on June 2, 2007, she received an injection of methotrexate, a drug commonly used to treat leukemia, at the Children's Hospital of Fudan University in Shanghai.

Around eight days later, according to her mother, the girl started to show unusual symptoms. "She started to have problems walking, had no strength, and was unable to climb stairs," recalls Ms. Yan. On June 19, the mother sent her daughter back to the hospital, but doctors weren't sure what was causing her problems. They said a viral infection might be the culprit. They prescribed antibiotics, but that didn't help. On June 27, Yan Zhenni left the hospital and returned home.

Just over a week later, however, Ms. Yan received a call from the hospital telling her that the drug her daughter received, which had been made by the Hualian factory, was contaminated. The girl was hospitalized that same day.

Signs of problems with the same drug began cropping up elsewhere in the country. The First Affiliated Hospital of Guangxi Medical University reported problems with patients who took the Hualian drug, a hospital nurse said. In Shanghai, at the Xinhua Hospital, doctors switched to a similar version of the drug made by Pfizer, said Yuan Xiaojun, a doctor at the hospital. Dr. Yuan added that he suspected there might have been impurities in the Hualian medicine, but he wasn't sure.

The Pfizer drug cost significantly more than the Chinese drug, which was priced at about 50 cents a dose. That cost differential was daunting for one mother, Fang Yangqing, who traveled from her home in Anhui province to the Xinhua Hospital to seek treatment for her 4-year-old daughter, Wang Yujie. "The expenditure is too high. I hope the situation could soon change," she said in July.

Following reports of adverse affects from the drug, Shanghai Pharma said in July it had stopped selling two batches of methotrexate, a drug commonly used to treat leukemia, and was conducting a "thorough investigation." But it also suggested side effects might be at fault, noting "all drugs have 30% harm, and it's even bigger with cancer-fighting medicines."

Yin Qinxie, Shanghai Pharma's spokesman, said in an interview at the time that "so far, we don't think the quality of this drug has any problems," but that the company had to investigate "in order to be responsible to the drug's users."

When reached yesterday, Mr. Yin declined to answer questions, and subsequent efforts to reach him were unsuccessful.

Also around July 2007, Chinese officials were pledging to crack down on safety and corruption in the country's drug industry. In July, Zheng Xiaoyu, the former head of the State Food and Drug Administration, was executed for taking bribes to speed drug approvals.

By that time, Shanghai drug authorities, as well as others with the State Food and Drug Administration and Ministry of Health in Beijing, were investigating the Hualian unit. In a statement from December, the SFDA accused Hualian of "systematically covering up irregularities in manufacturing."

For years, Hualian had been recycling leftover materials from methotrexate's production process to "cut costs," according to the head of cancer-drug sales for Hualian in Shanghai, although it is unclear if that caused any problems. But last summer, a technician mistakenly added another anticancer compound, vincristine sulfate, to the mix. "It was an accident," the sales official says, denying there was any coverup.
The technician and a company official in charge of the manufacturing line have both been detained by police, according to the Hualian sales official. Production of the cancer drugs have since ceased, although the company is still making drug ingredients for other products, according to the sales official.

On Sept. 5, the State Food and Drug Administration banned the use of Hualian's injectable methotrexate, in addition to another drug made by Hualian called cytarabine hydrochloride, across the country.

Hualian has since offered some families compensation, according to Ms. Yan, who turned down an offer for $55,000 from the company. She says she and a group of other families have retained a lawyer in Guangdong province and plan to sue the drug maker.






Carnegie is known for having built one of the most powerful and influential corporations in United States history, and, later in his life, giving away most of his riches to fund the establishment of many libraries, schools, and universities in America, Scotland and other countries throughout the world. Carnegie, a poor boy with fierce ambition, a pleasant personality, and a devotion to both hard work and self-improvement, started as a telegrapher. By the 1860s, he had investments in railroads, railroad sleeping cars, as well as bridges and oil derricks, and he built wealth as a bond salesman raising money in Europe for American enterprise.

Steel was where he found his fortune. In the 1870s, he founded the Carnegie Steel Company, a step which cemented his name as one of the “Captains of Industry”. By the 1890s, the company was the largest and most profitable industrial enterprise in the world. He sold it to J.P. Morgan's US Steel in 1901 and devoted the remainder of his life to large-scale philanthropy, with special emphasis on local libraries, world peace, and scientific research.

He was the son of a hand loom weaver, William T. Carnegie. His mother, Margaret Morrison, was a daughter of Thomas Morrison, a tanner and shoemaker. Although his family was impoverished, he grew up in a cultured, political home.

Many of Carnegie's closest relatives were self-educated tradesmen and class activists. William Carnegie, although poor, had educated himself and, as far as his resources would permit, ensured that his children received an education. William Carnegie was politically active and was involved with those organizing demonstrations against the Corn laws. He was also a Chartist. He wrote frequently to newspapers and contributed articles in the radical pamphlet, Cobbett's Register edited by William Cobbett. Among other things, he argued for abolition of the rotten boroughs and reform of the British House of Commons, Catholic Emancipation, and laws governing safety at work, which were passed many years later in the Factory Acts. He promoted the abolition of all forms of hereditary privilege, including all monarchies.

Another great influence on the young Carnegie was his uncle, George Lauder, a proprietor of a small grocer's shop in Dunfermline High Street. This uncle introduced the young Carnegie to such historical Scottish heroes as Robert the Bruce, William Wallace, and Rob Roy. He was introduced to the writings of Robert Burns and Shakespeare. Lauder had Carnegie commit to memory many pages of Burns' writings.
Another uncle, his mother's brother, Tom Kennedy, was also a radical political firebrand. A fervent nonconformist, the chief objects of his tirades were the Church of England and the Church of Scotland. In 1842, the young Carnegie's radical sentiments were stirred further at the news of "Ballie" being imprisoned for his part in a "Cessation of Labour" (strike). At the time, withdrawal of labour by a hireling was a criminal offense.

Carnegie emigrated from Scotland to the United States in 1848 at the age of 13.

Some of Carnegie's direct descendants emigrated back to Scotland and still live there today. William Thomson CBE, his great grandson, is Chairman of the Carnegie Trust Dunfermline, a trust which maintains Carnegie's legacy.

Carnegie's education and passion for reading was given a great boost by Colonel James Anderson, who opened his personal library of 400 volumes to working boys each Saturday night. Carnegie was a consistent borrower. He was a "self-made man" in both his economic development and his intellectual and cultural development. His capacity and willingness for hard work, his perseverance, and his alertness soon brought forth opportunities.

In 1851, he became a telegraph messenger boy in the Pittsburgh Office of the Ohio Telegraph Company, at $2.50 per week. In addition to providing him with an increase in income, the job also provided him with a lifelong love of William Shakespeare's works. He was frequently required to deliver messages to a theater, and he often managed to contrive appearing just as the curtain had been raised on a performance. Using a charm that was to pay even greater dividends in the future, Carnegie was then usually able to convince the theater's manager to allow him to stay and watch the performance for free.
Carnegie quickly taught himself to distinguish the differing sounds the incoming signals produced and learned to transcribe signals by ear without having to write them down. Thomas A. Scott of the Pennsylvania Railroad Company employed him as a secretary/telegraph operator starting in 1853, at a salary of $4.00 per week. Carnegie was eighteen and soon began a rapid advancement through the company, eventually becoming the superintendent of the Pittsburgh Division. Scott also helped him with his first investments. In 1855 he was able to invest $600 in a successful firm called Adams Express. Later he invested money in sleeping cars for the Pennsylvania Railroad Company and bought part of the company making the wagons, which again turned out to be a very profitable investment. Reinvesting his money in railroad related industries (iron, bridges, rails) he was able to slowly earn his first big capital, which would be the basis for his later success.


Before the Civil War, Carnegie had formed a partnership with a Mr. Woodruff, an inventor of a sleeping car for first class travel. The sleeping car facilitated business travel at distances over 500 miles. The investment proved a great success and a source of profit for Woodruff and Carnegie. The young Carnegie became the superintendent of the Pennsylvania railroad's Western Division, responsible for several improvements in the service.

In spring 1861 Carnegie was appointed by Scott, who was now Assistant Secretary of War in charge of military transportation, as Superintendent of the Military Railways and the Union Government's telegraph lines in the East. Carnegie helped open the rail lines into Washington that the rebels had cut; he rode the locomotive that pulled the first brigade of Union troops to reach Washington. Following the defeat of Union forces at Bull Run, he personally supervised the transportation of the defeated forces. Under his organization, the telegraph service rendered efficient service to the Union cause and significantly assisted in the eventual victory. He later boasted he was "the first casualty of the war" when he gained a scar on his cheek from working with telegraph wire.

Defeat of the Confederacy required vast supplies of munitions, as well as railroads (and telegraph lines) to deliver the goods. The demand for iron products, such as armor for gunboats, cannon and shells, as well as a hundred other industrial products, made Pittsburgh a center of war industry, with its railroads and telegraphs also essential.
Carnegie proceeded to increase his wealth through careful investments. In 1864, Carnegie invested $40,000 in Storey Farm on Oil Creek in Venango County, Pennsylvania. In one year, the farm yielded over $1,000,000 in cash dividends, and petroleum from oil wells on the property sold profitably. Carnegie was subsequently associated with others in establishing a steel rolling mill. Carnegie had some investments in the iron industry before the war and, after the war, he left the railroads to devote all his energies to the ironworks trade. Carnegie worked to develop several iron works, eventually forming The Keystone Bridge Works and the Union Ironworks, in Pittsburgh. Although he had left the Pennsylvania Railroad Company, he did not totally sever his links with the railroads. The Keystone Bridge Company made iron train bridges, and, as company superintendent, Carnegie had noticed the weakness of the traditional wooden structures. These were replaced in large numbers with iron bridges made in his works. As well as having good business sense, Carnegie possessed charm and literary knowledge. He was invited to many important social functions—functions that Carnegie exploited to his own advantage.
Carnegie’s philanthropic inclinations began some time before retirement. He wrote;
       I propose to take an income no greater than $50,000 per annum! Beyond this I need ever earn, make no effort to increase my fortune, but spend the surplus each year for benevolent purposes! Let us cast aside business forever, except for others. Let us settle in Oxford and I shall get a thorough education, making the acquaintance of literary men. I figure that this will take three years active work. I shall pay especial attention to speaking in public. We can settle in London and I can purchase a controlling interest in some newspaper or live review and give the general management of it attention, taking part in public matters, especially those connected with education and improvement of the poorer classes. Man must have an idol and the amassing of wealth is one of the worst species of idolatry! No idol is more debasing than the worship of money! Whatever I engage in I must push inordinately; therefore should I be careful to choose that life which will be the most elevating in its character. To continue much longer overwhelmed by business cares and with most of my thoughts wholly upon the way to make more money in the shortest time, must degrade me beyond hope of permanent recovery. I will resign business at thirty-five, but during these ensuing two years I wish to spend the afternoons in receiving instruction and in reading systematically!”


Carnegie continued his business career; some of his literary intentions were fulfilled. During this time, he made many friends in the literary and political worlds. Among these were such as Matthew Arnold and Herbert Spencer as well as being in correspondence and acquaintance with most of the U.S. Presidents, statesmen, and notable writers of the time. Many were visitors to the Carnegie home. Carnegie greatly admired Spencer. He did not, however, agree with Spencer's Social Darwinism which held that philanthropy was a bad idea.

In 1879, he erected commodious swimming-baths for the use of the people of his hometown of Dunfermline, Scotland. In the following year, Carnegie gave $40,000 for the establishment of a free library in the same city. In 1884, he gave $50,000 to Bellevue Hospital Medical College to found a histological laboratory, now called the Carnegie Laboratory.

In 1881, Carnegie took his family, which included his mother, then age 70, on a trip to the United Kingdom. They toured Scotland by coach, having several receptions en-route. The highlight for them all was a triumphal return to Dunfermline where Carnegie's mother laid the foundation stone of the "Carnegie Library". Carnegie's criticism of British society did not point to a dislike of the country of his birth; on the contrary, one of Carnegie's ambitions was to act as a catalyst for a close association between the English-speaking peoples. To this end, he purchased, in the early 1880s, numerous newspapers in England, all of which were to advocate the abolition of the monarchy and the establishment of "the British Republic". Carnegie's charm aided by his great wealth meant that he had many British friends, including Prime Minister Gladstone.


In 1886, Carnegie's younger brother Thomas died at age 43. Success in the business continued, however. At the same time as owning steel works, Carnegie had purchased, at low cost, the most valuable of the iron ore fields around Lake Superior. The same year Carnegie became a figure of controversy. Following his tour of the UK, he wrote about his experiences in a book entitled An American Four-in-hand in Britain. Although still actively involved in running his many businesses, Carnegie had become a regular contributor of articles to numerous magazines, most notably the Nineteenth Century, under the editorship of James Knowles, and the North American Review, whose editor, Lloyd Bryce, oversaw the publication during its most influential period.

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