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Four physicians -- experts in pediatrics, infectious diseases and health policy -- have a message for White House Press Secretary Sarah Sanders: Contrary to what she says, it's not clear that the federal government is doing everything it can to care for children crossing the border.And they'd like to help her understand what the government could do better so more children don't die.When asked Friday about the recent deaths of two migrant children in US custody, Sanders told reporters that it was "an absolutely tragic situation" and that "we are doing everything in our capacity to make sure that when people do come, that they're taken care of so we don't have these types of instances."But the physicians say there are steps the government needs to take before Sanders can truthfully say officials are doing "everything in our capacity" to make sure children don't die."In her mind, she may think they're doing everything possible, but we can tell you, you're not doing everything," said Dr. Colleen Kraft, president of the American Academy of Pediatrics. "Look at the facts. The record shows us that more needs to be done."Dr. Buddy Creech, a pediatric infectious disease specialist, said authorities need to do thorough reviews of the children's deaths before declaring that everything possible is being done to prevent more deaths."In hospitals, when someone has a tragic event, a near miss, a drug error, we don't lead with 'we're doing everything we can.' It's ideal to lead with 'let's make ourselves open to self-criticism to make sure that we're taking care of the people who come to us for help,' " said Creech, associate professor of pediatrics at Vanderbilt University Medical Center."The real tragedy would be to say we're doing everything we can when we're not," he added.Internal reviews of the children's deaths are being conducted within the US Department of Homeland Security.Here are three things the physicians say the government could be doing better.Triage children more effectivelyOver the past several years, the United States has seen a large influx of children coming across the border.Before about 2013, about 90% of migrants apprehended at the border were adult men. In contrast, last month, 59% of apprehended migrants were families or unaccompanied minors, according to the Department of Homeland Security.That means about 1,400 to 1,500 unaccompanied minors or family members are apprehended every day, according to the agency."This has created enormous strain on our resources as we tackle the issue of how to deal with large numbers of kids," said Andrew Meehan, US Customs and Border Protection's assistant commissioner for public affairs.There's also been an uptick in the number of apprehended migrants who are ill, Homeland Security officials said at a briefing last week. They said border officers transport dozens of apprehended migrants to hospitals every day."We are doing all we can to handle this flood as humanely and professionally as possible," an official said.Homeland Security Secretary Kirstjen Nielsen has asked the US Centers for Disease Control and Prevention to look into the causes of the migrants' illnesses. She also said that children will receive a "more thorough hands-on assessment" as soon as possible after they're apprehended and that the US Department of Defense has been asked to provide additional medical professionals.Taking care of children -- especially such a large number of children -- requires special training and expertise, said Kraft, president of the pediatricians' group."Children are not just little adults; they have a whole physiology all their own," Kraft said.For example, she points out that children, much more than adults, can look fine but actually be quite ill."A child can be running around and playing while their little systems are breaking down," she said. "When they triage these children and they don't have that pediatric oversight and expertise, they're going to miss kids who don't look like they're ill when they really are."Kraft said she was pleased that on Wednesday, Customs and Border Protection Commissioner Kevin McAleenan reached out to her to ask whether the American Academy of Pediatrics could become involved in giving 4249

Gloria Vanderbilt died Monday morning, according to her son, CNN's Anderson Cooper. The fashion designer, artist and socialite was 95.She died at home with friends and family at her side."Gloria Vanderbilt was an extraordinary woman, who loved life, and lived it on her own terms," Cooper said in a statement. "She was a painter, a writer and designer but also a remarkable mother, wife, and friend."She was 95 years old, but ask anyone close to her, and they'd tell you: She was the youngest person they knew -- the coolest and most modern."In the spotlight from the startBorn in New York in 1924, Gloria Laura Morgan Vanderbilt grew up in France. Her father, financier Reginald Vanderbilt, the heir to a railroad fortune, died when she was a baby.Gloria was the focus of media attention at an early age, dubbed "the poor little rich girl" amid an intense custody battle between her mother and her father's enormously wealthy sister, Gertrude Vanderbilt Whitney. Her aunt prevailed in court proceedings."As a teenager she tried to avoid the spotlight, but reporters and cameramen followed her everywhere," Cooper said. "She was determined to make something of her life, determined to make a name for herself, and find the love she so desperately needed."Her first marriage was to Hollywood agent Pat DiCicco in 1941, when Vanderbilt was 17.At 21, she took control of a .3 million trust fund her father had left her. She divorced DiCicco two months later, promptly remarried -- this time, to conductor Leopold Stokowski, who was 63 at the time."I knew him for a week and married three weeks later," she once told Cooper during an interview.Asked if her friends thought it was weird that she had fallen for a man four decades her senior, she said, "It didn't matter to me."An artist at heartWith Stokowski, she began pursuing her passions, beginning with her artwork, which she first put on exhibit in 1948. She had two sons with Stokowski: Leopold Stokowski was born in 1950, and Christopher Stokowski in 1952.In 1954, she made her stage debut in a production of the romantic drama, "The Swan," at the Pocono Playhouse in Mountainhome, Pennsylvania. She published a book of poetry the following year, the same year she divorced Stokowski.She found love again in Hollywood with director and producer Sidney Lumet, who would go on to earn multiple Academy Award nominations for films such as "12 Angry Men," "Dog Day Afternoon" and "Network."The two married in 1956. Following their divorce in August, Vanderbilt married for a final time on Christmas Eve of that year. With writer Wyatt Cooper, she had two more sons: Carter Cooper in 1965 and Anderson Cooper in 1967.Vanderbilt found another avenue for her creativity in the years that followed. Tapping her artwork as a muse, she produced fashion and textile designs that would earn her the 1969 Neiman Marcus Fashion Award, before opening the door to a line of ready-to-wear garments in the mid-1970s.Under her GV Ltd. brand, she'd go on to sell millions of pairs of jeans bearing her trademark swan logo."If you were around in early 1980s it was pretty hard to miss the jeans she helped create, but that was her public face -- the one she learned to hide behind as a child," Anderson Cooper said. "Her private self, her real self -- that was more fascinating and more lovely than anything she showed the public.Losing a son, finding solace in wordsTragedy struck the family in 1988 when Carter Cooper, 23, jumped from the 14th-floor terrace of his parents' penthouse in the Yorkville neighborhood of Manhattan's Upper East Side. Carter had suffered with depression.The following years were rough ones for Vanderbilt. On top of coping with the loss of a son, her lawyer and psychiatrist bilked her out of millions. She successfully sued them, but still had to sell her mansion in the Hamptons and a five-story Manhattan penthouse to pay debts.In 1995, she moved in with Anderson Cooper and began working on a book, "A Mother's Story," which published in 1996. The book documented her grief after Carter's death. Despite her struggles, she always welcomed stories about her boy, she told People in a 2016 interview.People "will start to talk about him and then say, 'Oh, I'm sorry,' and I say, 'No, I love to talk about him. More, more, more' -- because that brings him alive and it brings him closer and it means that he hasn't been forgotten," she told the magazine, Anderson Cooper by her side.Jones Apparel Group bought Gloria Vanderbilt Apparel Corp. in 2002 for 8 million, and Vanderbilt delved wholesale back into her love for art and writing.She put 25 oil paintings on exhibit in Manchester, Vermont, in 2007, and in 2012, staged "The World of Gloria Vanderbilt: Collages, Dream Boxes and Recent Paintings" at the New York Design Center.She published a history of her love life, "It Seemed Important at the Time: A Romance Memoir," in 2004, and published an erotic novel, "Obsession," in 2009. She was 85 when the latter made its way to bookstores.Her relationship with her now-world famous CNN anchor son was memorialized in a 2016 HBO documentary, "Nothing Left Unsaid: Gloria Vanderbilt & Anderson Cooper," which premiered at the Sundance Film Festival. Later that year, the pair published a joint memoir, "The Rainbow Comes and Goes: A Mother and Son on Life, Love, and Loss."Of his mother's extraordinary life, Anderson Cooper said, "I always thought of her as a visitor from another world, a traveler stranded here who'd come from a distant star that burned out long ago. I always felt it my job to protect her."< 5602

Federal regulators are setting up a new three-digit number to reach a suicide prevention hotline in order to make it easier to seek help and reduce the stigma associated with mental health.Once it's implemented, people will just need to dial 988, similar to calling 911 for emergencies or 311 for city services. Currently, the National Suicide Prevention Lifeline uses a 10-digit number, 800-273-TALK (8255). Callers are routed to one of 163 crisis centers, where counselors answered 2.2 million calls last year.A law last year required the Federal Communications Commission to study assigning a three-digit number for suicide prevention. The FCC said in a report that there is overwhelming support for a three-digit number because it would be easier for distressed people to get help.Thursday's vote starts the months-long process to make that happen. The next step is a comment period before the FCC moves to an order.The government's action comes as suicide rates have increased across the U.S. over the past two decades, and dramatically so — by more than 30% — in half of U.S. states, according to the Centers for Disease Control and Prevention. There were 45,000 suicide deaths in 2016. The report noted that from 1999 to 2016, suicide increased in every state except Nevada. It also noted that suicide rates are higher with at-risk populations, including veterans and the LGBTQ community.The new, shorter number would likely lead to more calls, which in turn would mean more expenses for crisis centers already struggling to keep up. If the number of calls to the hotline doubled, centers would need an extra million a year to handle the increase, the FCC said, citing the federal agency that funds the hotline, the Substance Abuse and Mental Health Services Administration.The FCC determined that it would be better to have a new number that's only for the hotline, rather than one that's currently used for other purposes, such as 911. Advocates say that having a dedicated number, along with a message that mental health is of equivalent importance as medical emergencies, could help reduce the stigma of calling the number. 2150

Having children will make you happier than staying childless, according to a new study, but not until later in life, when they have flown the nest.A team of researchers at Heidelberg University in Germany found that parents tend to be happier than non-parents in old age, but this only holds if their kids have moved out.Previous research has suggested that parenthood, social networks and marital status affect the well-being and mental health of older people, and this latest study looks at the effects of family status.Scientists asked 55,000 people age 50 and over from 16 European countries about their mental well-being, and results suggest "the positive aspects of parenthood dominate when getting older."One of the biggest factors is that children become a form of social support, and the researchers point out that social support networks are associated with greater happiness and less loneliness and can act as a buffer against stressful events."The results suggest that the finding of a negative link between children and well-being and mental health may not generalize to older people whose children have often left home already," the study says."As stress associated with balancing the competing demands of childcare, work and personal life decreases, once people get older and their children leave (home), the importance of children as caregivers and social contacts might prevail."However, children who still live at home are shown to have a negative effect on well-being.Christoph Becker, who formed part of the research team, told CNN that having a social network corresponds to greater life satisfaction, but that doesn't have to come from children.Older people without children could get similar benefits from other close social connections with whom they can share issues and problems, he added.Becker told CNN there are plans to track happiness for the same people over multiple years to study how well being evolves as people get older."Literature has suggested that there might be U-shaped connection between age and happiness: people become less happy in middle age, but more happy in older age," said Becker."We want to test if we find a similar relationship in our data, depending again on parenthood and social networks."Previous research on the subject has been mixed.A report by Princeton University and Stony Brook University published in the Proceedings of the National Academy of Sciences found "very little difference" between the life satisfaction of parents and people without children, once other factors -- such as income, education, religion and health -- were factored out, said Arthur Stone, one of the study's co-authors.Another study, by the Open University in England, found childless couples were happier with their relationships and their partners than parents were, and were doing more work on their relationships than parenting couples. 2895

Harley-Davidson's motorcycle sales are struggling. Competing with Bird, Lime, Uber and Lyft might be an answer.The classic brand, which has been around for 116 years, is looking to reinvent itself as more scooters, e-bikes and ride-sharing services hit urban communities and offer alternative ways to get around in congested cities.New transportation companies such as Bird and Lime have launched thousands of rentable e-scooters in cities but continue to face questions about product 497

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