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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

White House senior adviser Jared Kushner called for unity Monday at the opening of the United States' new embassy in Jerusalem, according to excerpts of his speech released by the White House."We believe, it is possible for both sides to gain more than they give -- so that all people can live in peace -- safe from danger, free from fear, and able to pursue their dreams."Jerusalem must remain a city that brings people of all faiths together," Kushner said.The senior adviser's speech comes after at least 41 people were killed during clashes earlier in the day along the border fence between Israel and Gaza, the most fatalities suffered in a single day since the latest round of demonstrations began more than six weeks ago.Kushner also praised to praise President Donald Trump's efforts to move the US embassy to Jerusalem."While presidents before him have backed down from their pledge to move the American Embassy once they were in office, this President delivered. Because when President Trump makes a promise, he keeps it," Kushner stated.Kushner, who is also the President's son-in-law, has been leading efforts to broker an Israeli-Palestinian peace proposal, though any accord would be colored by the administration's recognition of Jerusalem as Israel's capital and decision to move the US embassy there from Tel Aviv.During his speech, Kushner is also expected to praise Israel as a country that "proves every day the boundless power of freedom.""This land is the only land in the Middle East in which Jews, Muslims, and Christians, and people of all faiths participate and worship freely according to their beliefs," Kushner said. "Israel protects women's rights, freedom of speech, and the right of every individual to reach their God-given potential."Kushner is also remarked on Iran, calling it "flawed" and "one-sided" less than a week after Trump's decision to withdraw from the Iran nuclear deal."Iran's aggression threatens the many peace-loving citizens throughout the region and the world," Kushner said. "From Israel to Jordan to Egypt to Saudi Arabia and beyond, many leaders are fighting to modernize their countries and create better lives for their people. In confronting common threats, and in pursuit of common interests, previously unimaginable opportunities and alliances are starting to emerge."Kushner also criticized recent protests, saying that "those provoking violence are part of the problem and not part of the solution."US ambassador to Israel, David Friedman, Deputy Secretary of State John Sullivan, Secretary of Treasury Steven Mnuchin, White House senior adviser and first daughter Ivanka Trump, and special representative for international negotiations Jason Greenblatt attended the ceremony as part of the US delegation.  2782

When you stay at a hotel, you wouldn't think twice about having things like smoke detectors or fire extinguishers. But what about an Airbnb? New findings out suggest many Airbnb venues in the United States may be falling short.Monica Shaffer and her husband designed her mother-in-law basement to help guests feel right at home when using Airbnb."They have a private bathroom with their own walk-in shower," Shaffer said.But most importantly, she designed it to keep them safe, if there were ever a fire."They can get out to this door if they need to," Shaffer said. "If it's an emergency fire in this room we also keep a fire extinguisher on hand in the room. It's right down here. And fire alarm as is to be expected. And there was a carbon monoxide monitor too over in that quarter. If there's ever any concern for that."When asked why Shaffer decided to undertake safety precautions, "Well I think it's just a standard expectation," Shaffer answered.Unfortunately all of the attention and care Shaffer takes, may not be as standard as you think at other Airbnb locations. New findings out from the Relevant Journal show only 57.5 percent of Airbnb venues have carbon monoxide alarms, 42.2 percent have fire extinguishers, and 36 percent have first aid kits.The results surprised Shaffer. Most Airbnbs are in private homes, and although some states have standards for rental properties, national fire safety requirements don't usually apply. Although Airbnb encourages hosts to install fire safety equipment, it doesn't require them to provide proof. Researchers hope this information will change that."You know it's having those safety precautions in place that make you feel like you're at home," Shaffer said. "And Airbnb is about staying in people's homes and feeling at home."Airbnb responded to the study with this statement:“At Airbnb, safety is our priority. All hosts must certify that they follow all local laws and regulations. We run home safety workshops with local fire and EMS services all over the world, making sure our hosts have access to the best information in order to keep their guests, their homes and themselves safe. Every listing on Airbnb clearly states the specific safety amenities it has, including smoke and CO detectors, fire extinguishers, and first aid kits, so guests can look first and then decide whether that home, tree-house, yurt, or igloo is the one they want to book or not. In addition, every home in Airbnb's Plus Collection [airbnb.com] must have a smoke and CO detector in order to even be included. The study itself says it has not undergone any ethical review, it used data from three years before Airbnb Plus even debuted, and it looks to be designed to help an incumbent industry who has its own fire safety issues that need to be addressed.“We believe more work needs to be done across the board throughout the travel and tourism industry. According to the US Fire Administration [usfa.fema.gov] there are an estimated 3,900 hotel and motel fires each year that cause 15 deaths, 150 injuries and million in property loss. Even though there have been a number of tragic high profile hotel CO poisoning incidents, only 14 states [ncsl.org] require CO alarms in hotels by statute. Sadly, only 41% [census.gov] of all homes in the US even reported having working CO detectors. Whether a home is listed on Airbnb or not, all homes and hotel rooms should have smoke and CO detectors, fire extinguishers and first aid kits. At Airbnb we give out free smoke and CO detectors [airbnb.com] to each and every host who wants one. We have been doing this for the last three years.“We will reach out to the authors of the study, as we would like to work with them to increase awareness of safety measures for all homeowners, again, whether they are Airbnb hosts or not -- and transparency is key, so we will continue to ensure our guests know exactly what safety features their Airbnb has before they book it." 4023

WILMINGTON, Del. (AP) — The Democrats' historic boundary breakers are joining forces at the party’s national convention. Barack Obama, Hillary Clinton and Kamala Harris are all addressing the virtual convention Wednesday night in an effort to rouse the diverse coalition Joe Biden will need to defeat President Donald Trump this fall. Harris made a surprise, brief appearance as proceedings got under way, calling on supporters to make specific plans to vote — and overcome obstacles including the coronavirus and postal delays.Obama, the first Black president, and Clinton, the first woman nominated for president by a major party, were also speaking later, and Harris will be delivering remarks that will serve as her introduction to millions of voters. 763

With health experts warning about the possibility of a "twindemic" — a bad flu season combined with COVID-19 — officials are urging everyone to help by getting a flu vaccine this fall.Lisa Rasmussen is not living the retired life that she once dreamed."I became a flu widow at age 55," she said.Four days before their 29th wedding anniversary, Rasmussen's husband Paul died at the age of 57."I had to spend the day of my anniversary in a funeral home making arrangements," she said.That was in April of 2016. Four years later, it's still painful for Lisa. She's still grieving — and she's angry."I think I'm always going to be a bit mad at him because his death was preventable and because he didn't listen to me when I tried to talk him in to getting flu vaccines," Rasmussen said.Today, Rasmussen spends her time traveling and advocating for Families Fighting Flu. The national non-profit is dedicated to increasing vaccination rates and advocating on behalf of families who have lost loved ones to influenza."Maybe it's my revenge — I shouldn't call it revenge — but it's my way of dealing with it: With the anger, frustration and grief that I have," she said. "I just don't want to see what other people to have to go through what I did."Every year on Oct. 4 — her late husband's birthday — Rasmussen gets her flu shot, in his honor.Dr. L.J Tan, the Chief strategy officer for the Immunization Action Coalition, says that most people don't get vaccinated for the flu not because they're against vaccines, but because it's not convenient."The people who adamantly refuse to get the flu vaccine is actually a small percentage for the other people who end up not getting the flu vaccine," Tan said. "A lot of time it's because flu is a vaccine of convenience."The Immunization Action Coalition is the largest private sector non-profit that helps educate and support health care providers about all immunizations, including the flu. Tan joins other experts who are worried about this year's seasonal flu."We don't want flu and we don't want COVID together and there are reasons for that," Tan said. "We have chronic diseases, chronic illness — COVID-19 will have a serious impact on you. We also know that's true of flu. If you're over 60 or 65, COVID has a serious impact on you. We know that's true of flu as well."The flu vaccine covers four strains and will either protect a person entirely or reduce their chances of contracting severe or serious influenza.Some experts believe that the 2020 flu season won't be as severe due to social distancing measures already in place. But that's not a risk Tan is willing to take."Here's the problem: If I pray for that and that outcome happens, everyone is going to tell me, 'Why are you crying chicken little? Why were we all getting vaccinated against the flu?'" Tan said. "I don't know if that's the outcome. Why are we gambling? We have a vaccine that's safe, that's effective."Rasmussen agrees."Save the ventilators for the people who have COVID," she said. 3015

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