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These days we're always looking for ways to cut the cost of medical care. One idea being tested that could save time and money is called "Integrated Care," which allows for patients to virtually connect with physicians.It might seem like just another phone call, in just another office, but when Richard Hughes-Findley's daughter was having an allergic reaction, a specially-designated space at his job allowed for her to be helped quickly."My wife called me and talking about my daughter having a allergic reaction," Hughes-Findley said. "So normally how that worked is I would rush home and try to get there and then usually we go to urgent care of the E.R. and try to figure out what was going on."Instead he got on a computer his employers set up, and in minutes, was connected to a doctor."They confirmed that we need to give her the Benadryl and then monitor it because she only had one zone that was reacting," Hughes-Findley said. "And that if it exploded or got worse then we could give her the IP pen and then take her to the ER."Hughes-Findley's daughter wasn't seen by a doctor in person, but her issue was solved. All without him having to leave his job."Once it subsided I went back to work," Hughes-Findley said.With just a few steps, Hughes-Findley can go from work to the Kaiser Permanente Integrated Care Room that's been set up at his job. There, he can connect with a doctor by chat, phone, or even video.The doctor can help employees take their temperature and even their blood pressure. They have access to all of the patient's medical records, so they can give a complete assessment and even make follow up appointment.Dr. Pierre Onda with Kaiser Permanente helped develop the pilot program to test a new concept in health care and said he believes this is the future of health care. His team has found virtual care can often be more efficient than in person treatment."There is maybe 50 to 60 percent of the problems that people are coming in can be addressed through that venue," Dr. Onda said. "So certainly not all of the problems but a significant portion of those problems can be managed."Other factors? Cost and convenience. Americans pay more for in person visits, and Onda says making it easier to connect with you doctor, makes it easier for your doctor to provide excellent care."To me this is just a way where I can extend the care and that I already do more conveniently for my patients," Dr. Onda said. 2477

This week, JetBlue became the latest airline to say it will keep middle seats blocked longer. It will happen through September 8.Delta and Southwest are blocking middle seats through the end of September. But other major airlines, including United and American, say they'll be filling flights.An MIT professor Arnold Barnett is laying out what your risk is of catching the coronavirus if the middle seat is filled.Barnett looked at research on the transmission of the virus and the number of cases. He assumed everyone would have a mask and that the mask is 82% effective. He found 1 in 4,300 is your risk of getting COVID-19 on a full plane. It's 1 in 7,700 if the airline keeps the middle seats open.“The takeaway is there is a difference,” said Barnett. “I think that it is statistically safer if the middle seat is kept open. The difference is measurable and perceptible, and the question then is if the risk is incredibly low, who cares if it gets cut in half. Then the issue is do people really think this level of risk is incredibly low and individuals will have to make that judgment.”The probabilities are based on numbers from late June. With more new cases, it’s likely there is a greater chance now.Barnett doesn't agree with airline arguments that even if they don't fill the middle seat, passengers still won't be 6 feet away from each other.“They seem to say, look if you're within 6 feet, it doesn't matter if it's 1 foot or 5 feet, you're the same level of risk,” said Barnett. “This bears no relationship to the literature or to physics. I mean the closer you are statistically, the greater is the risk.”Barnett is submitting his research this week to be peer reviewed, but says he wanted to make it available publicly before then, so people could have the information.Lawmakers, passengers and flight crew unions have called on the FAA to set policies for containing the virus.The government says it is advising the airlines that even if it's not passing new regulations.Airlines for America, which represents the major carriers, says mandates aren't necessary, because airlines have already taken extraordinary measures. 2148

Top Republicans in Congress were expecting to meet Monday with President Donald Trump on the next COVID-19 aid package as the administration panned more virus testing money and interjected other priorities that could complicate quick passage.Senate Majority Leader Mitch McConnell was prepared to roll out the trillion package in a matter of days. But divisions between the Senate GOP majority and the White House posed fresh challenges. Congress was returning to session this week as the coronavirus crisis many had hoped would have improved by now only worsened — and just as earlier federal emergency relief was expiring.Trump insisted again Sunday that the virus would “disappear,” but the president’s view did not at all match projections from the leading health professionals straining to halt the U.S.’s alarming caseloads and death toll.McConnell and House GOP leader Kevin McCarthy were set to meet with Trump and Treasury Secretary Steven Mnuchin “to fine-tune” the legislation, acting chief of staff Mark Meadows said on Fox News.The package from McConnell had been quietly crafted behind closed doors for weeks and was expected to include billion to help schools reopen, reduced unemployment benefits alongside a fresh round of direct ,200 cash payments to Americans, and a sweeping five-year liability shield against coronavirus lawsuits.But as the White House weighed in, the administration was panning some billion in proposed new funds for testing and tracing, said one Republican familiar with the discussions. The administration’s objections were first reported by The Washington Post.Trump was also reviving his push for a payroll tax break, which was being seriously considered, said another Republican. Both spoke on the condition of anonymity to discuss the private talks.The new push from the White House put the administration at odds with GOP allies in Congress, a disconnect that threatened to upend an already difficult legislative process. House Speaker Nancy Pelosi already passed Democrats’ vast trillion proposal and virus cases and deaths had only increased since.Trump raised alarms on Capitol Hill when he suggested last month at a rally in Oklahoma that he wanted to slow virus testing. Some of Trump’s GOP allies wanted new money to help test and track the virus to contain its spread. Senate Democrats were investigating why the Trump administration had not yet spent some of billion previously allocated for testing in an earlier aid bill.The payroll tax Trump wanted also divided his party. Senate Republicans in particular opposed the payroll tax break as an insufficient response to millions of out-of-work Americans, especially as they tried to keep the total price tag of the aid package at no more than trillion.Trump said Sunday in the Fox News interview that he would consider not signing any bill unless it included the payroll tax break, which many GOP senators opposed.“I want to see it,” he said.Lawmakers were returning to a partially closed Capitol still off-limits to tourists to consider what will be a fifth COVID-19 aid package. After passing the .2 trillion relief bill in March, Republicans hoped the virus would ease and economy rebound so more aid would not be needed.But with COVID-19 cases hitting alarming new highs and the death roll rising, the pandemic’s devastating cycle was happening all over again, leaving Congress little choice but to engineer another costly rescue. Businesses were shutting down again, schools could not fully reopen and jobs were disappearing, all while federal emergency aid expired.“It’s not going to magically disappear,” said a somber McConnell, R-Ky., last week during a visit to a hospital in his home state to thank front-line workers.As McConnell prepared to roll out his trillion-plus proposal, he acknowledged it would not have full support.The political stakes were high for all sides before the November election, but even more so for the nation, which now registered more coronavirus infections and a higher death count than any other country.Just as the pandemic’s ferocious cycle was starting again, the first round of aid was running out.A federal 0-a-week boost to regular unemployment benefits would expire at the end of the month. So, too, would the federal ban on evictions on millions of rental units.With 17 straight weeks of unemployment claims topping 1 million — usually about 200,000 — many households were facing a cash crunch and losing employer-backed health insurance coverage.Despite flickers of an economic upswing as states eased stay-at-home orders in May and June, the jobless rate remained at double digits, higher than it ever was in the last decade’s Great Recession.Pelosi’s bill, approved in May, included billion for testing and tracing to try to get a handle on the virus spread, funneled 0 billion to schools to safely reopen and called for trillion to be sent to cash-strapped states to pay essential workers and prevent layoffs. The measure would give cash stipends to Americans, and bolster rental and mortgage and other safety net protections.In the two months since Pelosi’s bill passed, the U.S. had 50,000 more deaths and 2 million more infections.“If we don’t invest the money now, it will be much worse,” Pelosi said. 5309

There were more than 35,600 requests from 28,200 public school teachers in every state on the crowdfunding website DonorsChoose.org — until now.The website that allows folks to seek donations to fund projects announced a company called Ripple, a global network that supports digital money transactions, donated million to fund every classroom project request on the crowdfunding platform.The gift represents the largest donation received by DonorsChoose.org in its 18-year history, according to a news release. "Ripple and its executives contributed the donation in XRP, which was converted to U.S. dollars and used to purchase the classroom materials," the release said."The Ripple team's donation provides the ultimate culmination of #BestSchoolDay, a campaign launched in March 2016 when 58 athletes, artists, entrepreneurs and philanthropists funded classroom requests in cities and states covering just under half of the country," the release said. "For a limited time, as teachers generate new classroom project requests on the site, DonorsChoose.org will offer donors the option of giving to the #BestSchoolDay Fund, which will be used to support projects from teachers creating their first requests on the site."DonorsChoose.org estimates that teachers will submit at least another 135,000 classroom project requests between now and the start of the next school year," the release states.  1434

The U.S. Department of Agriculture announced on Thursday that it is looking for ways to transition some people off of the department's Supplemental Nutrition Assistance Program (SNAP).Specifically, the USDA is looking at beneficiaries who are not disabled and who don't have any dependents.“Long-term dependency has never been part of the American dream,” said U.S. Agriculture Secretary Sonny Perdue. “USDA’s goal is to move individuals and families from SNAP back to the workforce as the best long-term solution to poverty. Everyone who receives SNAP deserves an opportunity to become self-sufficient and build a productive, independent life.”Related:?Trump administration proposes Blue Apron-style overhaul for food stamps 773

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