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The Dominican Republic's top tourism official on Friday downplayed a spate of deaths among American tourists as an exaggeration."It's not true that there has been an avalanche of American tourists dying in our country, and it's not true that we have mysterious deaths here," Tourism Minister Francisco Javier Garcia told reporters.Garcia said toxicology reports were still pending in some cases but that autopsy results and causes of death have been released. He said his country has been in constant communication with US Embassy officials.The characterization in some media outlets of an "avalanche of deaths does not correspond to reality," he said.At the news conference, the minister read the names of the Americans who have died in the past year, with the official cause of death -- noting that all died of natural causes.Garcia said Americans are not canceling their vacations to the Dominican Republic. His country was working to clear up what he called misrepresentations and "exaggerated" reports about the deaths."We want the truth, not a special treatment," he said.At least nine American citizens have died at Dominican Republic resorts -- or after falling ill at one -- over the past year, according to information from the US State Department, victims' family members and the resorts involved.The deaths have left some Americans wondering if they should cancel upcoming trips to the Caribbean nation.Officials there have called the deaths isolated events as they work to reassure travelers their country is safe.Of the nine Americans who have died while or after visiting a Dominican Republic resort since June 2018, it's not clear how many deaths owed to natural causes.Samples taken from at least one minibar at the Bahia Principe Hotel were being tested by the FBI as part of the agency's collaboration with Dominican authorities, the country's public health ministry said this week.Officials in the Dominican Republican or the United States have not said the deaths are connected.Three of the Americans died at the Bahia Principe resort in La Romana within days of each other. Two died at the Hard Rock Hotel & Casino in Punta Cana.The investigations into the deaths have included visits from health inspectors, including environmental health and epidemiology specialists, according to Carlos Suero, spokesman for the public health ministry.The State Department has a standing travel advisory for the Dominican Republic, urging travelers to have caution because of crime, but it has not issued a travel alert specific to the traveler deaths.From 2012 to 2018, 128 Americans died in the Dominican Republic from something other than natural causes, according to US State Department statistics. That averages about 18 annually.The Dominican Republic is one of the Caribbean's top tourism destinations, with more than 6 million stopover tourists last year, including 2.2 million Americans, according to the Caribbean Tourism Organization.Tourism represented more than 17 percent of the country's economy last year, according to the World Travel & Tourism Council. 3098

The Consumer Financial Protections Bureau reports 72 million Americans struggle to pay off medical debt, as of 2018. In fact, it’s one of the leading causes of bankruptcy in the U.S.Michelle Farden’s daughter, Monica, was included in those statistics. Monica got a blood clot in 2014 and she didn’t have health insurance.“The blood clot went to her heart and took her life,” Farden says. The grieving mother wonders if her daughter’s mounting medical bills contributed to her passing.One in 5 Americans are facing a burden of looming medical bills, according to the Consumer Financial Protections Bureau. Fifty-two percent of all debt in America is related to medical expenses. “If a patient is so concerned about the cost that they’re going to skip treatment, they’re going to get sicker and that doesn’t help anybody,” David Fredricken, CEO of Patient Focus, a group that helps patients deal with medical debt that’s often unforeseen and unaffordable. Fredricken says often times, a patient has no idea what they owe when they leave the hospital.According to NerdWallet, there are some things you can do to help alleviate your medical debt, and the stress that comes along with it:Set up a payment planConsider a medical credit cardTalk to a medical bill advocateIf you’re already in collections, try to negotiate a lower payment on your ownFarden wishes she could turn back time and have her daughter back, as she wonders how many other lives have been lost because someone was afraid to pay a bill.For more information on 1538

The number of children who have died as a result of being left in a hot vehicle is on pace to break last year's record, according to two different sets of data. 172

The fight over the future of vaping isn't over in Michigan. In September, Gov. Gretchen Whitmer made Michigan the first state to ban the sale of flavored e-cigarettes. The governor argued the flavors lead to teen vaping. Michigan vape shops fought back and got a judge to block the ban. The preliminary injunction is a win for the businesses, but the governor is vowing the fight isn't over yet. "Ninety-percent of the products we sell are e-flavored," says Ron Pease. Pease is the CEO of Mister-E-Liquid in Grand Rapids, Michigan. The ban the governor put in place would cause major damage to his business. "We have 70 employees so that would impact all 70 employees," Pease says. While Whitmer argues vaping attracts youth, Pease disagrees. "That's the wrong path because the target demographic here at Mister-E-Liquid is 35 to 55,” Pease says.The judge that issued the temporary ban cited the damage it would do to businesses like at Mister-E-Liquid.Michigan's governor isn't backing down, vowing to take the case to the Supreme Court. This means a court ruling that lets vape shops sell their flavored liquids now does not mean they will continue to be on shelves forever. "You can’t take away 80-90 percent of your gross sales and still sport the same business as you did before, that’s economics 101," Pease says. 1332

Thanksgiving weekend will mark five of the 10 projected busiest shopping days of the year, marking a critical period for retailers throughout the nation. According to 179