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While political pundits pontificate about Tuesday’s election results, thousands of high school students around the country will have been hard at work forecasting their own.In a March Madness-style round-robin challenge, students pick states they think will go Democrat or Republican, filling out their own electoral map and entering it among thousands of others in the FANschool Challenge.“It’s something fun. It’s something different that the kids can kind of get a little competitive about,” said high school government and economics teacher Gerald Huesken. “[It’s] friendly academic competition.”Huesken helped start the challenge along with two other colleagues four years ago as the country was gearing up for the 2016 election between Donald Trump and Hillary Clinton. Several of his students correctly predicted the Trump victory despite polls reflecting a different outcome. Back then, he says, it was only something for his class to do as they take what they learn in their civics and apply it to real-life situations, but now, it has exploded into an online format used by hundreds, if not thousands, of teachers across the country, says Huesken.“Right now, we’re looking at the different data from NBC, ABC, stuff like that [to guide our knowledge],” said Huesken. “It’s saying it’s looking pretty good for Joe Biden, but we thought that going into 2016.”Students get to draft states in a fantasy football format. They then learn about what is important to their voters, research news articles and polls, and then predict what they think will happen in 2020 based on what they find, putting together their minds and entering the bracket in a nationwide challenge for prizes.“I have both Florida and Ohio going Republican this year and giving Trump some votes,” said Mason, a junior in Huesken’s class who did not want to use his last name. “I also have Michigan going to Biden, leading him to a pretty comfortable victory.”Mason says the challenge has taught him how different regions of the United States approach different issues and how voting patterns change among different demographics.“If you asked me in 20 words or less why do you teach this course, it’s really because I feel like high school students, whether or not they’re voters, look at our political system and our political institutions and feel like they have no agency,” said Chris Stewart, a social studies teacher at a high school in St. Paul, Minnesota. Stewart helped start the challenge alongside Huesken and used it to helped formulate his fantasy politics course that he only offers during election years as a way to make the electoral process more relatable to many students who are not able to engage in the political process because they are not old enough to vote. 2764

When Dr. Harold Bornstein described in hyperbolic prose then-candidate Donald Trump's health in 2015, the language he used was eerily similar to the style preferred by his patient.It turns out the patient himself wrote it, according to Bornstein."He dictated that whole letter. I didn't write that letter," Bornstein told CNN on Tuesday. "I just made it up as I went along." 382

When it comes to holidays and cookies, it seems most people in the United States are fans of peanut butter and sugar cookies.Instagram recently released a map showing what holiday cookie is the most popular in each state and peanut butter and sugar cookies were the clear favorites - with each cookie being named the most popular in 10 states. 351

When he was diagnosed with two autoimmune diseases, Joel Hechler knew he’d be in for a battle. He didn’t realize maybe his toughest one would be with his insurance company.“I think they put the dollars ahead of a patient’s health,” Hechler said. “I don’t think they fully understand the impact the medicine will have on my long-term health and well-being."Hechler suffers from Crohn’s disease and ulcerative colitis, diseases that attack the lining of his digestive tract. Autoimmune conditions like his can’t be cured but, with the right medication, the symptoms can be controlled.  Finding the right medicine can be hard for those suffering from autoimmune diseases. Even if there are scores of drugs on the market, some patients might only respond to one. In Joel’s case, his doctor thought he’d have a better chance trying a drug called Remicade.“I received a letter from my insurance company that denied the Remicade on the basis that I have to try a different drug before I can get to Remicade," Hechler said.Hechler's insurance company, Premera Blue Cross, wouldn’t approve the drug his doctor prescribed because they wanted him to try a cheaper one first.It’s part of a program that health insurers nationwide use called step therapy, requiring that patients try less-costly drugs before “stepping up” to more expensive ones — even if doctors believes the cheaper drug won’t work.Dr. Larry Adler is president of Huron Gastro in Ypsilanti, Michigan and says he spends virtually every day battling insurance companies over step therapy drugs.“They have to fail this medicine first before they get the new drug,” Adler said. “That doesn’t make any sense.”Adler says it's common for patients to get sicker while waiting for step therapy to run its course.In Hechler's case, it took six weeks of fighting with his insurer to convince them that the cheaper drug wouldn’t be effective. As he was waiting, he was getting worse.“It got to the point where I had to be admitted to the hospital,” Hechler said. "I was very, very sick.”Step therapies are used by insurers to try to control skyrocketing prescription medicine costs, says Glen Perry, Director of Pharmacy Contracting and Sales for Blue Cross Blue Shield of Michigan.“These drugs can cost up to 0,000 per year. These are not cheap medications,” Perry said.“It seems like you’re telling patients that, in many cases, your insurer knows what’s best for you, rather than your doctor,” Jones said.“We are trying to provide the most cost effective and safe medication use,” Perry said, adding that when a doctor and insurer disagree over a drug, they can usually resolve the case within a few days without putting a patient at serious risk.“A delay of one or two days I don’t think is really going to make that much of a difference for the medical outcome of the patient," he said.But for many patients, like Phyllis Toole, the delay is longer than a few days.Phyllis suffers from rheumatoid arthritis, a condition where her body attacks her joints. When her doctor wanted to put her on Orencia, her insurance company HAP said she needed to first try a less expensive drug, Humira.But Phyllis’ doctor was worried about possible side effects and thought Humira could be risky.After battling for months, Phyllis says the whole thing made her feel more like a number than a patient. With her doctor and insurer in a standoff, she was forced to rely on samples of the drug she got from her doctor. HAP never approved her prescription.“They’re playing doctor, is what it feels like,” Toole said. “They’re saying this is what you can have for the symptoms you have. It may make you sicker, but this is what you can have.”HAP issued the following statement to Scripps station WXYZ in Detroit: 3800

When those Amazon Prime Day orders start arriving, they will come in slightly different boxes.Amazon is encouraging people to get a little creative and have some seasonal fun before recycling those boxes.The box designs are part of the launch of a new augmented reality application by Amazon to create interactive and shareable experiences. Amazon describes it as a “fun way to reuse your Amazon boxes until you’re ready to drop them in the recycling bin.”The boxes coming soon have a white pumpkin and a QR code printed nearby. Images for the Amazon Augmented Reality app show drawings on the pumpkin seeming to come to life as a jack-o-latern.Images on the app description page show different box designs with a corgi dog and car option. No word on when those box designs could be hitting doorsteps.The boxes are also made with less material as part of Amazon’s ongoing effort to create less packaging. 912

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