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Hundreds of flights were canceled and 14 million people were under a blizzard warning Sunday as a storm brought snow, wind and rain to large stretches of the Midwest.Kansas Gov. Jeff Colyer issued a state of emergency declaration for the state.Kansas City International Airport was closed to flights arriving on the airfield due to low visibility caused by weather conditions and limited visibility under a quarter-mile, according to an airport tweet.The Kansas Division of Emergency Management's Twitter page said the declaration "authorizes the use of state resources and personnel to assist with response and recovery operations in affected counties.""We strongly recommend that you postpone travel plans, if possible; however, if you must be on the road, make sure your vehicle's emergency kit is stocked, your gas tank is full and your cell phone and charger are with you and someone knows your travel plans," the declaration reads.Multiple roads are closed across the state due to whiteout conditions, according to the KanDrive website.The weather system was forecast to move into the Great Lakes region before hitting the Northeast on Monday, according to CNN meteorologist Haley Brink.Due to the addition of Cook County, Illinois, the number of people under blizzard warnings jumped from 8 million to 14 million. The National Weather Service office in Chicago said the worst will come late Sunday.Nearly 20 million people were under a high-wind advisory. This includes residents of Kansas and some in parts of Missouri, Nebraska and Iowa.Fort Hays State University student Brooks Barber captured the blizzard conditions in Hays, Kansas, on Sunday morning. Streets were dark, and many were without power, he said.The National Weather Service's Topeka office posted a video of near-blizzard conditions.Whiteout conditions brought low visibility to the small town of Chariton, Iowa, which is an hour south of Des Moines.The region could see whiteouts and slick roads throughout Sunday, making travel difficult if not impossible at times, Brink said."It's pretty treacherous travel conditions," she said.Forecasts say snowfall totals of 6 to 10 inches are possible across the Midwest. Some areas could receive as much as a foot of snow within the next 24 to 36 hours.By Monday, Brink said, the storm will have moved into the Northeast. Parts of New England could see snow, while cities along the coast are forecast to receive heavy rain.Also, 17 million people are under wind advisories. Sustained winds of between 30 and 45 mph are anticipated, with the possibility of 65 mph gusts.The storm's impacts have been felt already by travelers on the final days of the Thanksgiving holiday rush. Nearly 1,000 US flights had been canceled by late afternoon Sunday, with delays to 3,100 flights, according to flight-tracking website FlightAware. Most were at Chicago's O'Hare International and Midway airports.And an approximately 60-mile stretch of Interstate 70 in Kansas has been closed, according to a tweet from the state's Department of Transportation, from WaKeeney to Russell. 3089

In a little more than a decade, more than 40 million diabetics worldwide could be left without insulin, the drug that is needed to help control the disease. It's a dire prediction from a study published in the journal Lancet Diabetes and Endocrinology that could have life-altering consequences. Health expert Dr. Dahlia Wachs likened insulin to being the key to a door. In most people, it's a naturally occurring hormone the pancreas secretes when we eat sugar so that it can go from the bloodstream and into our cells.But it's a different matter for the millions of people whose bodies either don't make insulin or who have insulin resistance."Type 1 diabetics — they are very dependent on insulin," Wachs said. "They don't make insulin. They get very skinny and we have to give them insulin. There really isn't a lot of other treatments for these Type 1 diabetics.”A shortage of insulin in drug form poses major challenges. "So those with Type 2 diabetes, many of them can take pills, but if they are in poor control we have to give them insulin," Wachs said.Wachs said insulin is expensive to make. She says only three major pharmaceutical companies make it. And the demand isn't the highest here in the United States but other parts of the world, including Africa and Asia. However, the U.S. will have the third highest number of people living with diabetes by 2030.Diabetes is growing at an epidemic rate in the U.S. More than 12 percent of the adult population in Nevada is diabetic, according to the Centers for Disease Control. Every year, 10,000 people are diagnosed with diabetes and an estimated 75,000 have diabetes and don't know it. "So what can we do to prevent the shortage? Well, try to prevent diabetes," she said.That means controlling obesity, exercising and eating healthy. 1943

House Speaker Paul Ryan is not seeking re-election and will retire from Congress after this year, the Wisconsin Republican announced Wednesday."You realize something when you take this job," Ryan told reporters on Capitol Hill on Wednesday morning. "It's a big job with a lot riding on you ... but you also know this is not a job that does not last forever. ... You realize you hold the office for just a small part of our history. So you better make the most of it."He reminded reporters that he took the job "reluctantly" in 2015, when he took over from John Boehner, but Ryan also said he has no "regrets.""I like to think I've done my part," he said.Ryan's departure is a blow to GOP members who saw the Wisconsin Republican as a stable and policy-oriented leader in a party shaken by the tumultuous Donald Trump presidency. He has been a fundraising juggernaut ahead of the midterms this fall, and helped translate GOP agenda items into legislation such as a series of tax cuts and rolling back banking legislation put in place under Democrats.In his prepared remarks, Ryan focused on the tax law that passed last year as a key legacy he left behind and spoke at length about his desire to go home to Wisconsin to be home with his family. He said that the 2018 midterms and the chance that he wouldn't be speaker didn't factor at all into his decision to announce his retirement."None whatsoever actually," Ryan said.Trump, who has at times fought with congressional Republican including Ryan, tweeted praise for the speaker after his announcement."Speaker Paul Ryan is a truly good man, and while he will not be seeking re-election, he will leave a legacy of achievement that nobody can question. We are with you Paul!" Trump wrote. 1746

If you've ever had a surgical procedure, you know it can often mean a high hospital bill. Now, more people are turning to surgery centers for a lower cost.Sandi Bowen is one of those people.Something as simple as picking out a shirt is more challenging for Bowen than she ever thought it'd be. On Easter, she found a lump in her breast. Doctors told her it was cancer."It was very very very confusing," Bowen says. "It still is. It brings tears to my eyes, because I don't understand how I got it."Instead of a lumpectomy, she decided to remove her entire breast. And instead of going to a hospital for breast reconstruction, Bowen opted for the Kaiser Permanente Ambulatory Surgery Center, where she got the surgery. In less than 24 hours, she was back home recovering.  "I felt very special," Bowen says. "They were there every time I moved. They came in and talked to me, even goofed around with me."Dr. Mike Sawyer, the director at the center, says they've worked hard to address concerns regarding patient care."If it's a patient that just needs physicians to kind of come to the bedside, and maybe we have to have some kind of intervention, we're able to do that because are here and we are present," Dr. Sawyer says. "On site, as they say. If it's really something that requires a higher level of care, that again allows us to do a pretty quick transfer process over to one of our partner hospitals."Compared with hospitals, Kaiser Permanente says its patients are seeing an average cost savings of 30 percent on their procedures. It can be anything from simple orthopedic procedure to joint procedures.However, Dr. Sawyer says there are important questions you need to ask before determining if a surgery center is the best option for you."Does your physician feel comfortable with this operation there?" Dr. Sawyer says. "Have you and your physician discussed all the ramifications of that procedure? And then what sort of plans does that ambulatory surgery center have if you were required a higher level of care?" 2037

In a typical year, most people want to see family for the holidays. But many people don’t really want to stay with family.So if you’ve already made the decision to spend the holidays this year with family members outside of your household, here’s one perhaps welcome byproduct of 2020: Instead of sleeping in your childhood bedroom or on the basement futon, you might finally stay in a hotel.While 95% of Americans say it’s usually important to spend the holidays with family, 30% say they believe they would enjoy the holiday season more if their family came together without all sleeping under the same roof. That’s according to an online survey of 2,000 U.S. adults by SWNS Media Group and commissioned by Motel 6, done in 2019 — before COVID-19 was part of the vernacular.Now you have reason to be optimistic about an otherwise brutal 2020 — you finally have a tough-to-argue-with excuse to not stay with family (or not to let family stay with you, if you’re usually the host). Instead, if you’re still planning to see family, it’s more likely that this is the year you find yourself staying at a hotel or vacation rental.Here’s why you should take advantage of this one silver lining in what most people agree has been a crummy year for traveling and seeing family.You’ll have better quality timeTwenty percent of respondents in SWNS Media Group’s 2019 survey said getting on each other’s nerves was a top concern when it comes to staying with family during the holidays. Another 20% cited family drama. More time together means more opportunities to get annoyed and allow tense topics to creep up: the election, the pandemic, the economy, healthcare … and the list goes on.According to the Centers for Disease Control COVID-19 guidelines, gatherings that last longer pose more risk than shorter gatherings. So instead of a long weekend with family, this year you might meet up for a few hours to have Thanksgiving dinner at a park, or to go on a neighborhood walk to view the Christmas lights.Just a few hours together before heading back to your hotel allows you to focus on easier conversation topics without causing a ruckus. That’s enough time to discuss the latest happenings in Zoom school or to chat about your newfound hobbies, without getting into areas that are more likely to ruffle feathers.You’ll sleep more comfortablyStaying with family as an adult can be uncomfortable — literally. Maybe you and your kids are shoved in a basement. A loose piece of plywood from the futon is jamming into your back. Your kids are in sleeping bags on the floor in the hallway, blocking your path to the bathroom (which you’re sharing with your sibling and their own family).This year, go for the hotel or vacation rental. You’ll have a real bed. The kids might get their own room, and you won’t have to share a bathroom with anyone outside of your household.You’ll also get to live on your own schedule. So turn on the TV in the morning without worrying about your host’s dog barking at it. Or stay out as long as you want, without grandma worrying that you’re out too late (even though you’re a full-grown adult).You have a good excuse not to host guestsIf you’re usually the host, you already know it’s a lot of work. But this year, you’ve got a built-in excuse to avoid those extra loads of laundry and dishes. No making sure you have enough vegan, gluten-free and keto food options in your pantry to accommodate all of your guests.Instead, you have an opportunity to see family members in your city without them living inside your house. This year, you might recommend the family meet up for apple-picking (the CDC lists visiting orchards where people use hand sanitizer before picking apples as only a moderate-risk activity).Even if you’re still serving as the host in some capacity — perhaps offering up your backyard for an outdoor feast — you’re off the hook for one of the worst aspects of being a host: ensuring everyone has a bed to sleep in for the night. Nearly 40% of hosts said organizing sleeping arrangements is one of the most stressful parts of preparing for guests, according to the SWNS Media Group survey.You won’t offend your host by not staying with themWhile some folks find aspects of hosting incredibly stressful, some guests find it just as stress-inducing to decline invitations from hosts who insist you sleep over. Some of the world’s top etiquette experts have devoted effort into devising ways to politely-but-firmly decline invitations from hosts who are adamant that you stay over.Bu this year, you don’t need an etiquette expert to help you explain why you’d rather opt for a hotel.You’ll find better hotel deals this yearIf you’ve always toyed with the idea of staying at a hotel but staying with family usually wins out in the name of saving money, here’s another reason to give in to the hotel for the 2020 holidays: You’ll likely score better rates than in any other year.With summer travel down, hotel chains offered up some pretty good deals, many of which are still valid now — and many hotels offered up bonus points in their loyalty programs with every stay. At one point, Best Western was handing out gift cards just for staying with them.Luxury travelers can still take advantage of a super sweet deal in Fairmont’s nearly unbeatable buy one, get one free offer for every night’s stay until April 30, 2021 (book before Nov. 16, 2020).If travel doesn’t pick up, it’s likely you’ll find more deals ahead of the winter holiday season. In fact, Hyatt has already announced that all World of Hyatt members will earn 3x points for qualifying stays through January 4, 2021, for up to 150,000 bonus points (anyone can become a member for free online).And if you’re a Hilton Honors member, you’ll earn double bonus points for stays at Hilton hotel between now and December 31, 2020. That’s good for building up your hoard of Hilton Honors points, but it’s also great if you’re trying to earn Hilton Honors elite status, as you’ll also earn double night credits for your stay.The bottom lineThis year has been rough in a lot of ways, but it’s also provided opportunities for silver linings. Travelers have already experienced some positive changes, like waived airline change fees, improved hotel cancellation policies and better airplane sanitization (because when were the tray tables ever cleaned before this?).And this holiday season, there’s one more reason to look on the bright side: Whether you’re masking it up for Christmas this year or hosting a socially distanced in-person Thanksgiving picnic, you’re finally off the hook for sleeping on the squeaky futon in the basement. Perhaps the best present you can give yourself this holiday season (without feeling guilty about it): your own hotel room.More From NerdWalletWhen Should You Book Basic Economy?Travel Insurance Options for Digital NomadsHow Safe Is Air Travel Right Now?Sally French is a writer at NerdWallet. Email: sfrench@nerdwallet.com. Twitter: @SAFmedia. 6979