淄博山东治疗风湿哪家医院好(济宁{风湿}关节炎在医院该挂什么科) (今日更新中)

While Election Day is still 19 days away, voters were already forced to make a decision on Thursday: Donald Trump or Joe Biden.While the decision will not show up on an official ballot or election, the choice Americans were forced to make was on which presidential town hall to watch. While having debates on competing networks might have made things challenging for swing voters, there are not many undecided voters left, according to polls. In a national poll released by "The Hill" yesterday, the survey found that 7% of voters remain undecided. On one network, Joe Biden calmy responded to questions from a socially-distanced audience in Pennsylvania. Meanwhile, President Donald Trump sparred with NBC News host Savannah Guthrie in a competing town hall there.The dueling town halls were held in lieu of a traditional town hall debate. The debate was scrapped after the Commission on Presidential Debates said that tonight’s debate would be held virtually. Trump opted out of a virtual debate, prompting Biden to schedule a forum on ABC News. Yesterday, Trump announced he too would hold a network-televised debate, this time on the NBC family of networks.Trump and Biden plan on debating next week in person for the final time. Biden said he would like to see Trump tested for the coronavirus at the next debate.“Yeah," Biden said when asked if Trump should be tested. "By the way, before I came up here, I took another test, I've been taking it every day, the deep test, you know, the one, they go in both [noses]. Because I wanted to be able to — if I had not passed that test, I didn't want to come here and not expose anybody."White House press secretary Kayleigh McEnany originally stated that Trump was tested multiple times a day. But Trump has acknowledged that he wasn’t tested every day, and said during Thursday’s town hall he was unsure when his last negative test was before announced he was infected with the coronavirus on Oct. 2.“I don't know, I don't even remember,” Trump said. “I test all the time. I can tell you this. After the debate, like, I guess, a day or so, I think it was Thursday evening, maybe even late Thursday evening, I tested positive. That's when I first found out,While Biden answered questions on tax policy, Trump responded to a New York Times story on his personal taxes, and was pressed on details that he reportedly owes 0 million in taxes in the coming years. "I'm treated very badly by the IRS,” Trump said. “They treat me very, very badly. You have people in there from previous administrations. They treat me very badly. But we're under audit. It's very routine in many ways. But we're under audit. They like to change the game, change the rules, do everything,"Biden was pushed on whether he would raise taxes amid a pandemic and higher unemployment.“When I said the Trump tax cuts, about .3 trillion of the trillion in his tax cuts went to the top one tenth of 1%,” Biden said. “That’s what I’m talking about eliminating. Not all the tax cuts that are out there.” 3033

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

With more than 5 million COVID-19 cases in the United States, the one group that has seen a noticeable rise in infections is children.Over the past four weeks, there has been a 90% spike in known COVID-19 cases among children in the U.S., according to the American Academy of Pediatrics and the Children's Hospital Association."While children represented only 9.1% of all cases in states reporting cases by age, over 380,000 children have tested positive for COVID-19 since the onset of the pandemic," the association wrote in a report. Although, we're seeing more American kids being diagnosed with COVID-19, the mortality rate remains relatively low compared to adults. The association says children represented 0% to 0.4% of all COVID-19 deaths, and 19 states reported zero child deaths. In states reporting, 0% to 0.5% of all child COVID-19 cases resulted in death.Public health officials have warned about opening schools in states with COVID-19 hot-spots. Medical experts say having youth in crowded hallways and classrooms poses a significant threat.There are currently 800 students in Georgia's Cherokee County that are in quarantine due to possible coronavirus exposure. This is just one week after in-person learning began.Some health experts like Michael Osterholm, a director at the Center for Infectious Disease Research and Policy, are concerned another big spike in cases is on the way."We think we're going to see an explosion of cases in September that will far surpass what we saw after Memorial Day and this is just going to continue increasing, getting higher and higher in terms of numbers," said Osterholm.Researchers say an effective testing strategy would help communities properly determine if and when to reopen schools for in-person teaching.This story was originally published by Julia Varnier at WTKR. 1838

When Hurricane Michael makes landfall today, it will hit Panama City, Florida, first. As a Category 4 storm, it will be the strongest storm to ever hit the city.How bad is it? In nearby Panama City Beach, a Waffle House actually closed. If you're familiar with the concept of the Waffle House index, you know the ever-reliable 24/7 chain deciding to board up means some serious stuff is going down.And yes, for those who aren't familiar with the area, Panama City and Panama City Beach are in fact two separate cities, the latter being home to the famous spring break beach destination. 594

White House chief of staff Mark Meadows told reporters Wednesday that President Donald Trump wants to continue working from the Oval Office despite being infected with COVID-19.According to CNN and CBS, Meadows told reporters that the White House would be taking extra precautions to allow Trump to do so. According to CBS reporter Ben Tracy, any White House staff coming in contact with the president will wear gowns, gloves, masks and eye protection.It's unclear if Trump would also wear personal protective equipment (PPE) while working in the Oval Office.Following Meadows' statement to reporters, Larry Kudlow, the Director of the United States National Economic Council, said during an appearance on CNBC that Trump visited the West Wing with those added precautions on Tuesday.Medical experts say that while PPE greatly reduces the spread of COVID-19, it cannot prevent the spread of the virus entirely. The CDC recommends that anyone who comes within six feet of a person who may have COVID-19 should quarantine for 14 days, excluding those who have had the virus within the last three months.During a press conference on Monday, White House physician Dr. Sean Conley did not specify if Trump would be asked to quarantine in the White House residence while he was infected with COVID-19.This story is breaking and will be updated. 1346

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