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Researchers thought they had a way to keep hard-to-treat patients from constantly returning to the hospital and racking up big medical bills. Health workers visited homes, went along to doctor appointments, made sure medicines were available and tackled social problems including homelessness, addiction and mental health issues.Readmissions seemed to drop. The program looked so promising that the federal government and the MacArthur Foundation gave big bucks to expand it beyond Camden, New Jersey, where it started. But a more robust study released Wednesday revealed it was a stunning failure on its main goal: Readmission rates did decline, but by the same amount as for a comparison group of similar patients not in the costly program.“There’s real concern that the response to this would be to just throw up our arms” and say nothing can be done to help these so-called frequent fliers of the medical system, said study leader Amy Finkelstein.Instead, researchers need to seek better solutions and test them as rigorously as new drugs, said Finkelstein, of the Massachusetts Institute of Technology and the National Bureau of Economic Research.Federal grants and research groups at MIT paid for the study, which was 1236

SAN FRANCISCO — A man suspected of robbing a pharmacy in the San Francisco Bay area was fatally shot by officers who thought a hammer he was carrying in his waistband was a firearm, police said Wednesday.Details of the shooting were revealed even as some California counties and cities began plans to end curfews after days of largely peaceful protests over the death of George Floyd while in police custody in Minneapolis.Sean Monterrosa, 22, of San Francisco is the first confirmed death at the hands of law enforcement related to smash-and-grabs and protests in California since Floyd’s death. Vallejo Police Chief Shawny Williams said officers were responding to calls of looting at a Walgreens early Tuesday when the shooting occurred.Officers said Monterrosa began running toward a car when he suddenly stopped, got on his knees and placed his hands above his waist, revealing what appeared to be the butt of a firearm in his waistband. “This individual appeared to be running toward the black sedan when suddenly he stopped, taking a kneeling position, and placing his hands above his waist, revealing what appeared to be the butt of a handgun,” Williams said.An officer shot five times through a police car window, striking him once.The object Monterrosa had turned out to be a 15-inch hammer that was tucked into the poclet of his sweatshirt, according to the chief.“The intent was to stop the looting and arrest any perpetrators if necessary. The officers reacted to a perceived threat,” Williams said.John Burris, an attorney for the family, said he is appalled police would shoot at a person who was on his knees with his hands raised.The officer who shot Monterrosa is an 18-year veteran of the force and has been placed on leave pending an investigation. 1781

Right now, nearly 2 million people are living with limb loss in the United States. But new technology is bringing hope, with a prosthetic that responds to what a person is thinking. Whether it's picking out socks or picking up LEGO blocks, Mario Gasbarro seems to be doing it all just fine, using what his kids affectionately call his “robot arm.” “They seem to enjoy it more than my old arm,” Gasbarro jokes. At just 34 years old, Gasbarro’s doctors told him the lump that had been growing on his elbow was a malignant tumor. As it grew, his doctors determined amputation was his best option. “I don't need my left arm to be able to love my kids and love my wife and to be there for them, so that was always a priority,” Gasbarro says. Now, he’s living with this prosthesis, which moves based on how he thinks and moves his muscles. “I want to open my hand. I think, ‘OK, open my hand and move the muscles to open my hand,’ and I just need to replicate that muscle movement each time I want to try to open my hand,” Gasbarro says.Dr. David Schnur with Presbyterian/ St. Luke’s Medical Center worked with Gasbarro through the process. “Instead of the patient learning the prosthesis, the prosthesis really learns the patient,” Dr. Schnur describes of the prosthetic arm. Through a process called targeted muscle reinnervation, Dr. Schnur attached the nerves from Gasbarro’s forearm that power the hand to muscles in his elbow. “And then what happens is when Mario thinks about closing his hand, instead of causing a muscle to fire down his forearm, it causes a muscle to fire up in his in his biceps,” Dr. Schnur describes. Those signals are then picked up by his prothesis through pattern recognition. “He contracts the muscles. That makes sense for him to close the hand and the computer on the prostheses picks that up and is then able to convert that specific signal into a hand closed,” Dr. Schnur says. Gasbarro says it's not second nature just yet, but he's getting there with practice.“I’ve never felt limited, or like, I’m not able to do anything,” Gasbarro says. 2084

Radioactivity was detected on the oven, vacuum filter and bone crusher of an Arizona crematory where a deceased man who'd received radiation therapy was incinerated, according to a new case report. Worse still, a radioactive compound unrelated to the dead man was detected in the urine of an employee there."It is plausible that the crematory operator was exposed while cremating other human remains," Dr. Nathan Yu of the Department of Radiation Oncology at the Mayo Clinic in Phoenix and his co-authors wrote in the 529

Sen. Bernie Sanders is set to stake out uncharted territory in the Democratic presidential primary, offering up a plan to completely eliminate the student loan debt of every American.On Monday, Sanders will submit legislation that cancels .6 trillion of student loan undergraduate and graduate debt for approximately 45 million people. His ambitious plan has no eligibility limitations and would be paid for with a new tax on Wall Street speculation.The proposal goes further than the plan already unveiled by his Democratic primary rival Sen. Elizabeth Warren. Warren's debt relief package was subject to income eligibility levels to determine how much relief the average person would receive -- parameters that Warren said were aimed at closing the racial wealth gap. Under the Sanders plan, if you have student debt of any kind it would be canceled the second the legislation is signed into law.Sanders will announce the legislation alongside Minnesota Rep. Ilhan Omar and Washington Rep. Pramila Jayapal, co-chair of the Congressional Progressive Caucus.This rollout comes at a time when second place in Democratic primary polling, behind former Vice President Joe Biden, seems up for grabs -- with Warren rising in recent voter surveys. With this latest, detailed pitch, Sanders is aiming to solidify his credentials as the most progressive candidate in a field that has largely embraced the priorities he brought to a national audience in 2016. The proposal is sure to invite new criticism from Democratic moderates, who have sought to cast themselves as pragmatic alternatives to Sanders' efforts to fundamentally remake the country's economic system.On the stump and in interviews, Sanders has long spoken about finding ways to relieve the burden of student debt, but this this is his most specific plan to date. He teased the announcement during an event in South Carolina on Saturday night."We are going to forgive student debt in this country," Sanders said. "We have for the first time in the modern history of this country a younger generation that if we don't change it, and we intend to change it, will have a lower standard of living than their parents, more in debt, lower wages than their parents, unable to buy the house that they desire."The plan is part of a more comprehensive "college for all" program that Sanders has already released in pieces and includes free tuition at all four-year public colleges and universities, as well as community colleges. The broader proposal also includes subsidies to reduce the cost of tuition and fees for low income students at private colleges that historically serve underrepresented communities.Sanders will also release a detailed roadmap -- centered on new taxes on Wall Street -- to raise the .2 trillion dollars necessary to pay for this program and his other college funding plans. It will include a 0.5% tax on stock trades (or 50 cents for every 0 worth of stock), a 0.1% fee on bonds, and a 0.005% fee on derivatives. Sanders believes that could raise more than .4 trillion dollars over the next ten years.Sanders has already introduced the Wall Street speculation tax, which he calls the Inclusive Prosperity Act. At an event on Sunday in South Carolina he delivered the political argument for using it to help millions of Americans struggling with student debt."Congress voted to bail out the crooks on Wall Street, do you remember that?" he asked the crowd to a chorus of boos. "They provided seven hundred billion in federal loans and in addition trillions of dollars in zero or very low interest loans. So I think the time is now for Wall Street to repay that obligation to the American people. If we could bail out Wall Street, we sure as hell can reduce student debt in this country." 3783