石桥铺泌尿结石(治疗结石重庆) (今日更新中)

Diana Farrell is the President and CEO of the JPMorgan Chase Institute, which publishes data analyses and insights that leverage the firm's proprietary transaction data. Previously, Diana was the Deputy Director of the National Economic Council, as well as Global Head of the McKinsey Center for Government and the McKinsey Global Institute. The opinions expressed are her own. The deadline to file your 2017 taxes is just a week away. But if you're one of the millions of Americans — roughly four in ten households — who filed back in February, you probably couldn't wait to get your hands on your expected refund.And there's a good chance you put that refund toward a visit to the doctor.That's according to new research by the JPMorgan Chase Institute, which evaluated when Americans in different income and demographic groups file their taxes.Americans who file their taxes early are more likely to receive a larger tax refund. Early filers were also more likely to spend a larger portion of their refund on health care.Related: How to save money on health care in retirementIn fact, American families increase their health care spending by 60% in the very week they receive a tax refund. And those who received their refunds in February increased their health care spending over the following 76 days by 38%, compared with a 22% increase for those who received refunds in March and an 11% increase in April or May.While some high-deductible health plans encourage early-year spending, JPMorgan found that deductibles aren't the motivating force behind this surge.Instead, among the earliest filers, 64% of their health care spending went to services they had been putting off, including dental visits, hospital visits and in-person doctor appointments.What does this mean? It's increasingly clear that families are treating their tax refunds as a zero-interest savings vehicle, the funds of which they're using for important and sometimes crucial expenses like health care.That's problematic for Americans' financial health, because the IRS does not currently give taxpayers control over the timing of their refund payments, outside of choosing when to file your annual refund between January and Tax Day in April. This means it can be challenging or unrealistic to only schedule payments or purchases around your tax refund every spring.It also poses problems for Americans' physical health, because those who rely on this cash infusion to afford health care are likely to delay care.Related: Americans spend more on health care, but have shorter livesGenerally speaking, young people under the age of 35 and those whose take-home pay is less than ,000 are more likely to be early filers because they have a greater need for this cash infusion.Another reason for filing early could be that low-income families are more likely to receive refundable tax credits, such as the Earned Income Tax Credit, money that is not available except through a tax refund. Across all income and age groups, though, people who are owed a larger refund are more likely to file early.Given the link between tax refunds and health care spending, policymakers and employers should consider making changes that would allow consumers to access funds throughout the year. Policymakers might consider offering periodic tax refund payments -- perhaps quarterly payments so that families wouldn't have to defer care until tax season.Another solution is to make the timing of these payments even more flexible and frequent for those who require urgent health care. This could include an option to apply for emergency funds taken out of your upcoming refund, or an option to file at a different time of year and receive a refund based on year-to-date income.Related: How to file your taxes for the first timeBy fixing one of the largest cash flow events to happen between mid-February and mid-May every year, we're virtually guaranteeing that some Americans will have to defer care.Finally, we should encourage employers to offer alternative savings vehicles, like an employer-based sidecar account. This account would share many of the same features of a tax refund, but give consumers more direct control over when they access funds.These could include built-in commitments and "set-it-and-forget-it" transparency, which would enable consumers the option of a one-time payroll election that recurs with every paycheck, locking them into an annual savings choice similar to other employer-sponsored benefits.By better understanding the connection between health care spending and tax season, we can help more families manage their finances to ensure they're getting health care when they need it, not just when they file to Uncle Sam.The-CNN-Wire 4734

Donald Trump's former physician claimed that his office was raided last year by the President's former bodyguard and a Trump lawyer seeking Trump's medical files, according to a new report from NBC News Tuesday.Dr. Harold Bornstein told NBC News that Keith Schiller, Trump's former longtime personal bodyguard and confidant, Trump Organization Chief Legal Officer Alan Garten and a third "large man" came to collect all the President's medical records."They must have been here for 25 or 30 minutes. It created a lot of chaos," Bornstein told NBC News, adding that the incident left him feeling "raped, frightened and sad."Garten declined to comment to NBC News. Schiller and the White House did not immediately respond to NBC News' request for comment. 761

During the last few months, many health experts have been talking about reaching “herd immunity” with the distribution of the COVID-19 vaccine. Over the Christmas weekend, Dr. Anthony Fauci said he estimates the country needs to reach 80-85% with the vaccine to attain herd immunity.Here’s what that means.Herd immunity is a concept used in discussions about vaccination, and signifies the threshold needed for a population as a whole to be protected from a virus.The World Health Organization clarifies that herd immunity, or population immunity, “is achieved by protecting people from a virus, not by exposing them to it.”The Mayo Clinic also describes the situation following the 1918 Spanish Flu outbreak. They say people who survived the pandemic were later immune to infection of the H1N1 flu, also referred to as swine flu.Health experts warn that relying on community infection to create herd immunity could be dangerous; there are questions about how long the antibodies created by infection protect against reinfection, and a high level of community infection could lead to overwhelmed medical facilities and a high number of deaths.When the threshold of herd immunity is reached, it means the vast majority of a population is vaccinated and has antibodies, thereby lowering the overall amount of community spread of the virus. It also means portions of the population who cannot get vaccinated are kept safer by the limited spread.What that threshold is varies depending on the virus and the efficacy of the vaccine.According to the WHO, herd immunity against the measles is reached with 95% vaccination, while herd immunity against polio is 80%.Dr. Fauci believes herd immunity for COVID-19 can be reached with around 85% of the population having antibodies. 1778

EL CAJON, Calif. (KGTV) - A single mom's heart dropped when discovered her empty parking spot outside an El Cajon apartment.Two days after Christmas, Heather Williams' holiday cheer vanished when she stepped outside her apartment on North Mollison Ave."I came out to go to the grocery store and just stared at the empty parking spot ... My world just started spinning," said Williams.The 1997 white Honda Civic she bought used a few years ago was gone."I feel like a crappy mom. Someone took our vehicle," said Williams.It's Williams' only vehicle. Her kids go to two different high schools in El Cajon. "I have no way to get my kids to and from school. I don't know what I'm going to do," said Williams.Williams also fears her son may have to quit his job at a bait and tackle shop in Lakeside. The car was his only means of getting to work."It's his dream job. He loves fishing ... He's very upset," said Williams.Family members are also puzzled. Williams says she secured the car with an anti-theft gear shift lock."It covers the emergency break and extends to the gear shift. It's supposedly better than 'The Club' and how they got it off, I don't know," said Williams.One possibility: the thief could have loaded the car onto a flatbed truck. Willaims says there are two parrot stickers attached to the car, one on the back and one on the back windshield. The license plate of the stolen car is 3-T-M-J-2-9-5. Anyone with information is asked to call El Cajon Police at 619-579-3311.A Gofundme campaign has been started to help purchase a new car. 1560

EL CAJON, Calif. (KGTV) - A woman charged with a DUI crash that killed her passenger and seriously injured a young man changed her plea to guilty Tuesday in El Cajon court.Prosecutors said Tania Molinar was drunk when she drove her Mazda into the path of James Dotson’s Ford Ranger on Avocado Blvd. in May. The impact split the truck in two.Molinar’s passenger, David Sarabia Lopez, was killed. Dotson testified about the details of the violent crash during the preliminary hearing.Dotson has not recovered from his injuries. He said his medical bills total 0,000 and he has another surgery scheduled.“I don't do anything I do before. I was kind of the kid that rode dirt bikes, had a race truck, I like to go to the desert, go climbing, I can't do any of that. Can't pick things up, I don't see that being in my near future,” he said.Molinar could get up to 11 years, eight months in prison, and she will also have to pay restitution. She’s scheduled to be sentenced in June. 997

来源：资阳报