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While not final, the status update offers a look at what went wrong at MSU with the findings being what happened at MSU was a failure of people, not policy. The status update and the investigations scope was limited to what was done or not done at MSU specifically related to Larry Nassar. 297

White House chief of staff John Kelly has been locked in an internal struggle with President Donald Trump's son-in-law and senior adviser Jared Kushner over his access to highly classified information for weeks now, a confrontation that has escalated amid a recent policy overhaul and the resignation of a staff secretary who was accused of spousal abuse.The dispute has deepened a growing rift between Kelly and Kushner, who initially welcomed the new system of rigor instituted by the chief of staff but has since grown frustrated by what he views as attempts to limit his access to the President.Kelly distributed a five-page memo Friday announcing that the White House will no longer allow some employees with interim security clearances to access to top secret information if their background investigation has been pending since before last June -- a category Kushner falls into.  899

What once was considered a childhood hobby has becoming a way to earn extra income as an adult.The business of trading, buying and selling sports cards is booming.“Cards that used to be worth to are now selling well upwards of 0,” said Mike Fruitman, owner of Mike’s Stadium Sportscards in Aurora, Colorado.He says sports cards are more popular than ever and compares buying the card of an athlete to buying stock in a company.“We had a card that got pulled last night, it featured autographs from R.J. Barrett and Zion Williamson and we anticipate it’s going to be a ,000 card,” Fruitman said.While many businesses are suffering during the pandemic, Fruitman says this industry is seeing some of its biggest sales since the pandemic began, especially once they moved online.“We had a lot of people who were bored who were looking for entertainment,” he said. “We were going online every day during COVID and our viewership was impressive. We were getting views that we never seen before.”Though buying sports cards in person is still profitable, Fruitman says fewer cards are becoming available.“The amount of people who are opening up card stores or becoming breakers, it’s all just taffy,” he said. “And that taffy is just getting slowly apart. Everybody getting less and less it seems.”Card collectors believe the future of this industry depends on part of the popularity.“Right now, you’ve got videos of Mark Wahlberg opening up boxes with his kids,” Fruitman said. “Steve Aoki is a very large, popular DJ, has opened up his own sports card trading store in L.A.”For now, sports cards are combining entertainment and economics with no signs of slowing down.“It depends on how much you can invest,” one collector said. “But yeah, there’s plenty of money to be made.” 1791

While officials in Puerto Rico placed the official death toll from last year's Hurricane Maria at 64, researchers from Harvard believe the death toll was actually in the thousands. According to Harvard's study, there were an estimated 4,645 deaths directly or indirectly tied to the hurricane, which struck the island in September. Harvard estimated a mortality rate of 14.3 deaths per 1.000 people from September 20 through December 31, 2017 in Puerto Rico. Harvard said in its study that it believes its estimate is rather conservative due to a "survivor bias."Harvard conducted the study by performing a random survey of 3,299 households in Puerto Rico. "In our survey, interruption of medical care was the primary cause of sustained high mortality rates in the months after the hurricane, a finding consistent with the widely reported disruption of health systems," the study says. "Growing numbers of persons have chronic diseases and use sophisticated pharmaceutical and mechanical support that is dependent on electricity. Chronically ill patients are particularly vulnerable to disruptions in basic utilities, which highlights the need for these patients, their communities, and their providers to have contingency plans during and after disasters."Part of why there the death toll might have been underreported is due to how hurricane-related deaths are counted. In order to have a death counted as storm related, bodies had looked at by a medical examiner, which required a body to be transported to San Juan, or the medical examiner to travel to remote locations. With a lack of electricity and blocked roads, some bodies were likely buried before the government could count fatalities. Maria is considered the third-costliest hurricane in US history.  1816

With health care costs on the rise, a growing number of Americans are throwing out the old way of seeing a doctor and turning to a membership model. A monthly or annual fee gets you direct access to a doctor, no insurance needed.Twenty years into her career, bogged down by red tape, too many patients and long days, Dr. Shaila Pai-Verma was looking for a better way to practice medicine.“I was just miserable,” she said. “The joy of medicine is gone and then you're just doing paperwork.”So, a year ago, she started a new primary care practice with a new business model.“The patient basically has a direct contract with the physician and they take insurance companies out of it,” she explained.Patients pay a flat monthly or yearly fee. In exchange, they receive a broad range of primary care services and quick, unlimited access to their doctor via in-person office visits, phone or by text.“Everyone wants everything immediate. And so, I think this is it. It's good, especially in this time for people to have access,” said Pai-Verma.Membership fees range from about 5 to 0 per month on average – about 0 less than having typical health insurance. Most patients still carry catastrophic coverage for emergency treatments and hospitalizations, but that insurance is usually only -100 a month, so patients still save money.For Bonnie Micheli and her family, it was all about access.“With this, it's just so much easier to just know that I can contact directly here within a few hours for any issues that I'm having,” said Micheli.In late September, a bipartisan proposal was introduced in Congress that would expand access to the model and allow people to use their health savings account for direct primary care (DPC).Because they see fewer patients than traditional practices, some critics say the model could worsen the shortage of primary care physicians, a trend that’s already driven by burnout.But according to a recent study, DPC members had 25% lower hospital admissions and the cost of emergency room claims was reduced by 54%.“There's less ER visits and you know, better health care for the patient,” said Pai-Verma.While there is still debate, for a growing number of Americans, like Micheli, it’s becoming a simplified health insurance alternative.“Honestly, it’s just so nice to know what I'm paying every month or if you do the annual, what you're getting for that money, and you know exactly who to go to when you have a problem.” 2467