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It's a reality on health care that so many of us are living. A new survey released by West Health and Gallup finds 65 million adults had a health issue in the past year, but they didn't get treatment for it because of the cost. One of the biggest issues of health care costs is the surprise medical bills. The issue has become such a problem, Congress held its first-ever congressional hearing on surprise medical bills Tuesday. “If your kid gets hurt playing soccer and you go to an [emergency doctor], there's a really good chance you're gonna get a surprise medical bill,” says Frederick Isasi. Isasi is the executive director for Families USA, an advocacy group for health care consumers. “More people are scared of hospital bills and health care bills than getting sick,” Isasi says. “That's where we are as a nation. There's more harm happening in this country, in some ways psychologically, around the cost of health care than actually being scared about their health.” Isasi and others testified about the need for federal laws to protect patients, including making hospitals and doctors provide billing costs upfront and putting a cap on costs. A new survey found in the past year, Americans borrowed billion to pay for health care, because they couldn't afford it. “Almost half of Americans, they have less than 0 in saving, so a surprise medical bill for ,000 means, ‘I'm gonna have to miss my car payment, miss my mortgage payment. I'm gonna have to take out of my retirement account,’” Isasi says. But at Tuesday’s hearing, lawmakers openly admitted finding a real solution will be a challenge. “The problem is this whole process of health care is so complex,” Rep. Rick Allen (R-Georgia) relayed at the hearing. Rep. Susan Wild (D-Pennsylvania) agreed, stating “the solutions I’m hearing don't really sound very workable in the context of our present medical system, and that's where I really struggle to understand how we're gonna fix this.” Some states have passed legislation to try and protect patients from surprise bills, but about 60 percent of employer-based plans are governed by federal law, not state law. 2153

Leading nutritional experts in the United States and the UK are fired up about new dietary recommendations claiming there's no need to reduce your red and processed meat intake for good health."This is a very irresponsible public health recommendation," said Dr. Frank Hu, who chairs the nutrition department at the Harvard T.H. Chan School of Public Health.The new guidelines and five corresponding studies are part of a systematic analysis of existing research done by 483
Joe Biden jumped into the debate over corporate taxes with a jab at Amazon on Thursday, and Amazon jabbed back."I have nothing against Amazon, but no company pulling in billions of dollars of profits should pay a lower tax rate than firefighters and teachers. We need to reward work, not just wealth," the former Vice President tweeted, linking to a 362
In a town on the Puget Sound of Washington, Mario Rivera makes his way down to the secluded beach in his backyard. "We have to walk a little bit to get to it," he says.Rivera walks along the beach to an adult male gray whale decomposing on his property."40 feet long… we named it Gunther," Rivera says, pointing to the rotting whale.Gunther is one of 30 gray whales that have washed up dead on the shores of Washington so far this year. If you include Alaska, Oregon and California, that number jumps to 81 and counting.The National Oceanic and Atmospheric Administration is calling the phenomenon an unusual mortality event, and there's simply not enough storage space for these massive decomposing animals."This whale got stranded about three or four miles down there," Rivera explains.Homeowners in the area weren't too happy about where Gunther landed naturally, so the Marine Mammal Stranding Network had to find somewhere else to designate as his final resting place."My wife and I just looked at each other and said 'Hey, let's take it to our property,'" Rivera says.With permission from their one neighbor, Rivera and his wife were the first to volunteer their property as a place for the whale to decompose.They were the start of a movement as NOAA says 15 more have volunteered since. It's an unexpected response considering the scent of a decomposing whale is far from pleasant."It smells like a rotting whale," Rivera explains.He says the stench comes and goes with the hot temps and wind, but he's been covering it in lime to help, and he says the pungent smell will likely go away after a month. What's more important, is that Gunther has given Rivera and scientists an opportunity to study why so many whales may be dying."When we opened him up, we found nothing but eel grass. And eel grass isn't part of their diet. This whale was what we call desperation feeding," Rivera says.John Calambokidis has been studying whales along the West Coast for 35 years. He's a research biologist with Cascadia Research. Calambokidis says the malnourished state of Gunther was very similar to what they've been seeing with other dying whales."Most of these whales have shown up very thin and emaciated--very little oil or fat in their blubber layer, which suggests they didn't get enough to feed last year," Calambokidis says.Gray whales spend the summers feeding in the Arctic and then migrate south near Mexico for the winter. All the whale strandings show some aren't making it through their normal seasonal fasting as they migrate back north along the West Coast in the spring. Calambokidis says it still isn't 100 percent clear why so many whales are dying, but he thinks its at least due in part to food supply not being able to meet the demand of the West Coast's growing whale population."Most recent estimate was 27,000 gray whales in this population," Calambokidis says.Research biologists have seen this trend once before back in 1999 and 2000. The theories were the same, and gray whales have made a comeback in the following decades. But now, scientists are questioning whether warming waters is also playing a role."We're not yet alarmed about this in the sense that we've seen something like this before and they've recovered from it. But we really do want to understand what's going on," Calambokidis says. "Particularly since there have been such dramatic changes in the arctic ecosystem. Making sure there isn't also a climate change element to this that could suggest a longer-term pattern we need to be more concerned about."According to Calambokidis, waters are warmer, and ice cover has dramatically been reduced, changing the dynamics of the ecosystem and how whales reach their prey.Part of their job as research biologists is to learn if there's more to the story. Calambokidis says they study each carcass searching the tissues for disease or contaminants. But for now, the main issue is dealing with the abundance of dead whales. And Rivera is happy he's been a part of the solution."This one couple volunteering this has prompted NOAA to think well maybe there are other people that would be interested in this, and [they can] kind of explore this as a new direction," Calambokidis says.*********************If you'd like to reach out to the journalist of this story, email elizabeth.ruiz@scripps.com 4342
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