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These days we're always looking for ways to cut the cost of medical care. One idea being tested that could save time and money is called "Integrated Care," which allows for patients to virtually connect with physicians.It might seem like just another phone call, in just another office, but when Richard Hughes-Findley's daughter was having an allergic reaction, a specially-designated space at his job allowed for her to be helped quickly."My wife called me and talking about my daughter having a allergic reaction," Hughes-Findley said. "So normally how that worked is I would rush home and try to get there and then usually we go to urgent care of the E.R. and try to figure out what was going on."Instead he got on a computer his employers set up, and in minutes, was connected to a doctor."They confirmed that we need to give her the Benadryl and then monitor it because she only had one zone that was reacting," Hughes-Findley said. "And that if it exploded or got worse then we could give her the IP pen and then take her to the ER."Hughes-Findley's daughter wasn't seen by a doctor in person, but her issue was solved. All without him having to leave his job."Once it subsided I went back to work," Hughes-Findley said.With just a few steps, Hughes-Findley can go from work to the Kaiser Permanente Integrated Care Room that's been set up at his job. There, he can connect with a doctor by chat, phone, or even video.The doctor can help employees take their temperature and even their blood pressure. They have access to all of the patient's medical records, so they can give a complete assessment and even make follow up appointment.Dr. Pierre Onda with Kaiser Permanente helped develop the pilot program to test a new concept in health care and said he believes this is the future of health care. His team has found virtual care can often be more efficient than in person treatment."There is maybe 50 to 60 percent of the problems that people are coming in can be addressed through that venue," Dr. Onda said. "So certainly not all of the problems but a significant portion of those problems can be managed."Other factors? Cost and convenience. Americans pay more for in person visits, and Onda says making it easier to connect with you doctor, makes it easier for your doctor to provide excellent care."To me this is just a way where I can extend the care and that I already do more conveniently for my patients," Dr. Onda said. 2477

TIJUANA, Mexico (AP) — Migrants in a caravan of Central Americans scrambled Wednesday to reach the U.S. border, arriving by the hundreds in Tijuana, while U.S. authorities across the border were readying razor wire security barriers.Mexican officials in Tijuana were struggling to deal with a group of 357 migrants who arrived aboard nine buses Tuesday and another group of 398 that arrived Wednesday."Mexico has been excellent; we have no complaint about Mexico. The United States remains to be seen," said Josue Vargas, a migrant from Honduras who finally pulled into Tijuana Wednesday after more than a month on the road.U.S. Defense Secretary Jim Mattis, meanwhile, went to visit U.S. troops posted to the border in south Texas and said the deployment provides good training for war. President Donald Trump has said the caravan of migrants amounts to an "invasion."RELATED: Video shows people climbing on top of fence at Border Field State ParkThat didn't deter arriving groups of Central Americans from going to a stretch of border fence in Tijuana to celebrate.On Tuesday, a couple of dozen migrants scaled the steel border fence to celebrate their arrival, chanting "Yes, we could!" and one man dropped over to the U.S. side briefly as border agents watched from a distance. He ran quickly back to the fence.Tijuana's head of migrant services, Cesar Palencia Chavez, said authorities offered to take the migrants to shelters immediately, but they initially refused."They wanted to stay together in a single shelter," Palencia Chavez said, "but at this time that's not possible" because shelters are designed for smaller groups and generally offer separate facilities for men, women and families.But he said that after their visit to the border, most were taken to shelters in groups of 30 or 40.With a total of three caravans moving through Mexico including 7,000 to 10,000 migrants in all, questions arose as to how Tijuana would deal with such a huge influx, especially given U.S. moves to tighten border security and make it harder to claim asylum.On Wednesday, buses and trucks carried some migrants into the state of Sinaloa along the Gulf of California and further northward into the border state of Sonora.The bulk of the main caravan appeared to be about 1,100 miles (1,800 kilometers) from the border, but was moving hundreds of miles per day.The Rev. Miguel Angel Soto, director of the Casa de Migrante — House of the Migrant — in the Sinaloa capital of Culiacan, said about 2,000 migrants had arrived in that area. He said the state government, the Roman Catholic Church and city officials in Escuinapa, Sinaloa, were helping the migrants.The priest also said the church had been able to get "good people" to provide buses for moving migrants northward. He said so far 24 buses had left Escuinapa on an eight-drive to Navojoa in Sonora state. Small groups were reported in the northern cities of Saltillo and Monterrey, in the region near Texas.From Sonora, some migrants said they had already caught buses from to Tijuana.About 1,300 migrants in a second caravan were resting at a stadium in Mexico City, where the first group had stayed last week. By early Wednesday, another 1,100 migrants from the third and last caravan had also arrived at the stadium.Like most of those in the third caravan, migrant Javier Pineda is from El Salvador, and hopes to reach the United States. Referring to the first caravan nearing the end of the journey, Pineda said "if they could do it, there is no reason why we can't."It is unclear whether the two caravans would merge or when they would set out on the road north.Many say they are fleeing poverty, gang violence and political instability in the Central American countries of Honduras, Guatemala, El Salvador and Nicaragua.Mexico has offered refuge, asylum or work visas, and its government said Monday that 2,697 temporary visas had been issued to individuals and families to cover them during the 45-day application process for more permanent status. Some 533 migrants had requested a voluntary return to their countries, the government reported.The U.S. government said it was starting work Tuesday to "harden" the border crossing from Tijuana ahead of the caravans.Customs and Border Protection announced it was closing four lanes at the busy San Ysidro and Otay Mesa ports of entry in San Diego, California, so it could install infrastructure.That still leaves a substantial path for the tens of thousands of people who cross daily: Twenty-three lanes remain open at San Ysidro and 12 at Otay Mesa.San Ysidro is the border's busiest crossing, with about 110,000 people entering the U.S. every day. That traffic includes some 40,000 vehicles, 34,000 pedestrians and 150 to 200 buses.___Maria Verza contributed from Escuinapa, Mexico. 4804

To a generation of children, Fred Rogers was a lot more than a soothing voice and a cardigan.On "Mister Rogers' Neighborhood," which had its first national broadcast on February 19, 1968, he sprinkled educational segments with soft-spoken wisdom.The show went off the air in 2001, and Rogers died in 2003. But he's making a posthumous comeback. The US Postal Service will commemorate him on a stamp next month, a documentary film about his beloved PBS show will be released in June and Tom Hanks will play him in a biopic.Fifty years later, Rogers' legacy still resonates.Here's a look at some of his more memorable lessons and quotes, from his show and writings.1. Slow down and be patient. 714

There’s a common anxiety dream that involves walking into a classroom to discover it’s the day of finals and you haven’t cracked a book all semester. Then there’s the waking dream a lot of Americans have — the one where you’re getting ready to retire but haven’t saved enough money to cover expenses if you stop working.Just six in 10 workers report having saved anything — anything — for retirement, according to the Employee Benefit Research Institute, so a lot of people today may be losing sleep over their future finances.Even those who are making a diligent effort to prepare for their golden years are falling short: Data from workplace plan administrator and fund giant Vanguard shows that just 18% of workers save the 10% or more of income that experts recommend squirreling away for retirement. More than a third are putting away less than 4%. (Unclear where your savings stand? A retirement calculator is a good place to start.)Suspect you’re behind? Here are 13 ways later-in-life savers can address anemic retirement portfolios before it’s too late. 1080

There's some misunderstanding about medical exemptions to wearing masks.A legal expert tells us the Americans with Disabilities Act (ADA) makes it so businesses must make reasonable accommodations to everyone. The key word there is reasonable.“The problem with what's going on right now and some of the things that have been going around the internet, is that the advice, kind of spurious advice that's being put forth is to use the provision for reasonable accommodation as a sword rather than as a shield,” said David Tarrien, an associate professor at WMU-Cooley Law School.Tarrien says the conditions that qualify as a mask exemption have a smaller scope than many realize. For example, he says asthma patients likely do not fall under that scope. But later stages of pulmonary respiratory disease, emphysema, or a serious mobility issue can be "legitimate" reasons.Furthermore, you could face repercussions for lying.“If they're claiming that they have a disability and they don't have a disability, if that is found out, then there are criminal and civil penalties for that,” said Tarrien.As for privacy concerns, Tarrien says store employees are allowed to ask customers why they're not wearing a mask. If you refuse to answer, they may refuse entry.Even if you give a legitimate reason to not wear a mask, you may still be refused entry. That's because the ADA does not apply if there's a “direct threat” to someone's health or safety.Tarrien says HIPPA privacy laws also do not apply in this kind of situation. That only protects your information from being shared inappropriately among medical facilities. 1623