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At least one person in southwestern Kentucky was killed Saturday night when severe thunderstorms blew through the state, the Logan County Sheriff's Department said.A 79-year-old woman died in her home, the agency said.The county's emergency management office said some structures, including barns and grain bins, were damaged.Robertson County, on the other side of the border with Tennessee, also had reports of damage.The National Weather Service has issued a tornado watch for parts of Arkansas, Illinois, Kentucky, Mississippi, Missouri and Tennessee until 9 p.m. CT (10 p.m. ET). 591

At a quick glance through her office, you might think Laura Packard was working on the campaign trail. But this small business owner is fighting to keep her own title: cancer survivor.“A little over three years ago, I walked into a doctor's office with a nagging cough and walked out with a stage four cancer diagnosis. Everything changed for me all at once,” said Packard.She underwent chemotherapy and radiation over a six-month period. “I lost all my hair. Some days, I wouldn't be able to get out of bed, and there was a lot of pain,” she recalled.After multiple surgeries and hospitalizations, she said her bills were really piling up. “I think it was near a million dollars,” said Packard of her medical bills.She says, thankfully, her insurance through the Affordable Care Act saved her in more ways than one.“I've been self-employed off and on for over a decade, and I used to have junk insurance, and if I still had that insurance today, I would be bankrupt or dead,” said Packard.However, she’s worried this level of insurance coverage won’t last with the recent Supreme Court confirmation and once the election results become final.“The day after my first chemotherapy was when Republicans in the House voted to dismantle the Affordable Care Act, which was keeping me alive,” she said.As talks of repealing the ACA gained ground, she moved hundreds of miles away from family to live in Colorado.“Colorado has pretty good state-level protections, but nobody should have to live like this. Nobody should have to be a health care refugee in their own country just to get care, and state-level protections can only go so far. What you need is a federal law to protect everybody.”She, like so many Americans, is wondering how she will pay for her coverage if her costs go up. Packard is fearful her health will suffer if she can’t afford her premiums.“My life is in the balance, but millions of Americans are in the balance, too.”She is worried those with pre-existing conditions won’t be able to get the care they need at a price they can afford.She is also concerned the individual mandate for health insurance will be taken away. With fewer healthy people paying into the healthcare system, the system cannot help cover costs for people who are sick.“My fear is that the rest of the affordable care act will tumble because we won’t be able to sustain it in its totality,” said Michele Lueck, president of Colorado Health Institute.Packard is just one of millions being helped by the subsidies the Affordable Care Act is founded on, and while she knows the Affordable Care Act could be improved, she hopes it will be the building block for even better care, instead of waiting years for a new solution.“I don't even know how many people will die if they succeed in destroying the Affordable Care Act, because people will lose their insurance and people will die,” said Packard.The struggle is something all Americans have endured this year. This cancer survivor is just hoping this election will bring a confirmation that her health is valued.“In a pandemic, it's more clear than ever that we're all in this together and we need candidates and elected officials that work for the greater good,” said Packard. 3224

As the Summer of COVID draws to a close, many experts fear an even bleaker fall and suggest that American families should start planning for Thanksgiving by Zoom.Because of the many uncertainties, public health scientists say it’s easier to forecast the weather on Thanksgiving Day than to predict how the U.S. coronavirus crisis will play out this autumn. But school reopenings, holiday travel and more indoor activity because of colder weather could all separately increase transmission of the virus and combine in ways that could multiply the threat, they say.Here’s one way it could go: As more schools open for in-person instruction and more college students return to campuses, small clusters of cases could widen into outbreaks in late September. Public fatigue over mask rules and other restrictions could stymie efforts to slow these infections.A few weeks later, widening outbreaks could start to strain hospitals. If a bad flu season peaks in October, as happened in 2009, the pressure on the health care system could result in higher daily death tolls from the coronavirus. Dr. Robert Redfield, director of the Centers for Disease Control and Prevention, has said that scenario is his biggest fear.One certainty is that the virus will still be around, said Jarad Niemi, a disease-modeling expert at Iowa State University.“We will not have a vaccine yet and we will not have enough infected individuals for herd immunity to be helpful,” Niemi said.Fall may feel like a roller coaster of stop-and-start restrictions, as communities react to climbing hospital cases, said University of Texas disease modeler Lauren Ancel Meyers. Everyone should get a flu shot, she said, because if flu spreads widely, hospitals will begin to buckle and “that will compound the threat of COVID.”“The decisions we make today will fundamentally impact the safety and feasibility of what we can do next month and by Thanksgiving,” Meyers said.The virus is blamed for over 180,000 deaths and 6 million confirmed infections in the U.S. Worldwide, the death toll is put at almost 850,000, with over 25 million cases.The U.S. is recording on average about 900 deaths a day from COVID-19, and newly confirmed infections per day are running at about 42,000, down from their peak in mid-July, when cases were topping out at over 70,000.Around the country, a chicken processing plant in California will close this week for deep cleaning after nearly 400 workers got sick, including eight who died. And college campuses have been hit by outbreaks involving hundreds of students, blamed in some cases on too much partying. Schools including the University of North Carolina, Michigan State and Notre Dame have moved instruction online because of clusters on their campuses.Several vaccines are in advanced testing, and researchers hope to have results later this year. But even if a vaccine is declared safe and effective by year’s end, as some expect, there won’t be enough for everyone who wants it right away.Several companies are developing rapid, at-home tests, which conceivably could be used by families before a Thanksgiving gathering, but none has yet won approval.More than 90 million adults are over 65 or have health problems, putting them in higher danger of severe consequences if they get sick with the coronavirus. Many of them and their families are starting to decide whether to book holiday flights.Cassie Docking, 44, an urgent care nurse in Seattle, is telling her parents — both cancer survivors — that Thanksgiving will be by FaceTime only.“We all want to get to 2021,” she said, “and if that’s what it takes, that’s what we’ll do.”Caitlin Joyce’s family is forging ahead with a holiday feast. They plan to set up plywood tables on sawhorses in a large garage so they can sit 6 feet apart.“We’ll be in our coats and our sweaters,” said Joyce, 30, of Edmonds, Washington, who plans to travel to her grandparents’ home in Virginia. “It will be almost like camping.”One widely cited disease model projects 2,086 U.S. deaths per day by Thanksgiving, more than double compared with today.“In our family we will not have our extended family get-together. We will stick to the nuclear family,” said Dr. Christopher Murray of the Institute for Health Metrics and Evaluation, one of the few models making a prediction for November.Uncertainty is huge in Murray’s model: Daily deaths could be as low as 1,500 by Thanksgiving or as high as 3,100. In a more optimistic scenario, daily deaths could range from 510 to 1,200 if nearly everyone wears masks. A more pessimistic scenario? From 2,700 to 6,500 daily deaths if social distancing rules continue to be lifted and are not reimposed.With all the uncertainty, most disease modelers aren’t looking that far ahead — at least officially.Jeffrey Shaman, a public health expert at Columbia University, thinks the virus will spread more easily as the weather forces people indoors: “But what level of a bump? That’s hard to say.”At Carnegie Mellon University in Pittsburgh, computer scientist Roni Rosenfeld’s team uses machine learning to project COVID-19 deaths. The team’s computer algorithm learns from patterns it finds in state and county data to improve its forecasts.A five-time winner of a CDC competition for predicting flu season activity, Rosenfeld thinks his model’s COVID-19 projections aren’t very useful beyond four weeks because of the wild card of human behavior, including that of government officials.“What happens very much depends on us,” he said. “People, myself included, don’t always behave rationally.” Presented with the same facts, “the same person might behave differently depending on how sick and tired they are of the situation.”Like other disease modelers, Rosenfeld said the virus will still be with us at Thanksgiving, readily spreading at family gatherings. While his plans may yet change, he said he is going to travel with his wife to visit their adult children. They will wear masks and keep a safe distance during the visit.___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 6201

As the nationwide unemployment rate continues to sit in unprecedented territory, the dramatic job loss numbers also mean millions of Americans have suddenly found themselves without health insurance.Experts call it a cruel twist during the pandemic, meaning many people who get sick with COVID-19 may not get the health care help they need because they don’t have coverage.“We have massive numbers of people who are worried about their health but who no longer have coverage,” said Michelle Johnson, who oversees the nonprofit Tennessee Justice Center.Johnson says calls to her organization have increased dramatically in the last few months as Americans are finding themselves uninsured after losing their jobs due to COVID-19.“We’re just going to continue seeing people who are losing their insurance,” she said.According to the Kaiser Family Foundation, nearly 27 million people in the United States may have lost employer-sponsored insurance. Roughly half of Americans receive health insurance through their jobs. And while programs like COBRA allow people who have been laid off to continue their coverage, many can’t afford to pay those costs with no income.Johnson says the problem is particularly troubling in state’s like hers where Medicaid expansion already meant there were hundreds of thousands of residents who were uninsured.She hopes the federal government might consider opening enrollment in the Affordable Care Act to help those who have suddenly lost coverage.Johnson’s biggest concern though, is the consequences may prove deadly as those without coverage now avoid trips to the doctor or emergency room for fear of getting stuck with bills they can’t afford.“People will delay getting the care they need because they’re worried about being a financial burden,” said Johnson. 1804

AURORA, Colo. -- When Amy and Marco Becerra adopted a 3-year-old Peruvian girl last April, they had no idea what kind of ordeal it would be to get approval for her to stay in the U.S.The Aurora couple, both U.S. citizens, had been living in Peru and had been taking care of their adopted daughter Angela since she was 12 days old.After getting clearance from the Peruvian courts to adopt Angela, they began planning to come back to the U.S. But Angela's application for immigration kept getting delayed."We had been reaching out to USCIS (United States Citizenship & Immigration Services) for over a year, asking and sometimes begging, and sometimes crying for help," Amy Becerra said. She said the people answering USCIS's 1-800 number would simply recite what was on their website, and that some of the information conflicted with information on another government agency website.Tourist VisaThe Becerras brought Angela to Colorado on a tourist visa, and continued their efforts to get Immigration officials to grant her citizenship.Earlier this month, they learned their request had been denied.It came as a shock."No one can believe that would happen to two U.S. Citizens," Amy Becerra said.The couple went public with their plight.Congressman gets involvedRepublican Colorado Congressman Mike Coffman then got involved. "What a broken immigration system that would even think about deporting a 4-year-old," Coffman said.On Thursday, Coffman held a news conference to announce that USCIS had reversed course."They said they re-opened it due to the complexities of the case," he said, adding that he believes the agency bowed to public pressure which was a result of all of Amy Becerra's hard work.The Becerras will now be able to reapply for Angela's citizenship papers.The Congressman's Communications Director Daniel Bucheli said it should be automatic since both parents are U.S. Citizens.He said Coffman offered to pay the ,040 application fee out of his own personal account."I feel very grateful," Marco Becerra said. "Another big door is open for my family. I'm feeling no more stress."Now, 4-year-old Angela can grow up knowing that her home is in Aurora, Colorado. 2301