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It’s now the time of year when you choose your healthcare insurance options during open enrollments. There is a large question looming, though. Has coronavirus affected health insurance?Here’s where your insurance stands today, the effects of COVID-19, and the mistakes you make when signing up for coverage.“I couldn’t live without insurance. I’m a diabetic and without insurance, I don’t know what I would do,” said Jon Gill from Solon. As usual, he will soon enroll in his company’s health insurance plan. However, this year has been unusual in the U.S; 8 million Americans have had coronavirus and that care costs.“I would think that COVID is going to make (rates) go up. I would assume,” said Gill.Dr. JB Silvers from Case Western Reserve University says probably not.“It looks like rates are going to be pretty stable,” he told us.Dr. Silvers has been studying healthcare and insurance for the past 40 years. He told us because people were not allowed to get some procedures earlier this year or they have been afraid to go to the doctor, that means insurance companies have done well financially.“The premiums keep coming in and the costs are low,” said Dr. Silvers.Here’s where the costs could catch up with you: if you’ve put off important, needed medical care.“Did you defer things that really should have been taken care of? In which case, you’re going to pay me later rather than paying me now. That’s the problem,” said Dr. Silvers.Liz Westin is an author and Finance Columnist with NerdWallet.com. She said just going with the same thing you did 12 months ago might not be wise. “(People) wind up spending about ,000 more a year than necessary because they aren’t paying attention to how their plans have changed,” Westin told us.Other mistakes people make during open enrollment is the temptation to just select the cheapest coverage, but that comes with much larger deductibles.“These high-deductible plans have really taken hold,” said Westin. “That’s fine if you have the cash set aside to pay for the care that you’re going to have to pay for out of pocket, but a lot of people don’t have that cash.”That applies especially to people who’ve lost their jobs because of COVID and lost their healthcare insurance with them. That could force Americans into "Obamacare" coverage under the Affordable Care Act. If that’s you, make sure to apply for financial tax help available that will lower your premium.“And that’s the route, I think — especially if you’ve lost your job — that most people are going to want to take,” Westin told us.If you already have coverage through the Affordable Care Act, Dr. Silvers told us in the fine print it says you have to spend at least (depending on the kind of plan) 80%-85% on pure medical costs. If you haven’t done that this year because of COVID restrictions or fear, you will get some money back.“Already this year, companies are giving rebates back for 2019, but they’re pretty small. Next year they’re going to be really big,” said Dr. Silvers.Both experts we talked to said in the upcoming year, you should take advantage of telemedicine where you meet with doctors over a video chat. That could help with your overall care at lower costs and it avoids putting off important visits.This story was first reported by Jonathan Walsh at WEWS in Cincinnati, Ohio. 3326

It is the silence that John Christian Phifer loves the most as he walks around the 120 acres of a nature preserve in Gallatin, Tennessee. He considers himself a caretaker of the land.But in these rolling Tennessee hills, if you look close enough, you can see that it's not just the land Phifer is caring for.There are 50 people buried throughout Taylor Hollow, all of which are natural burials. Their graves are marked by simple stones, and there are no expensive caskets. Many of the people buried here were wrapped in quilts or buried in beds of wildflowers.It’s a simpler way to say goodbye, and in recent months, this type of burial is gaining popularity."I think with COVID, one of the things everyone has done is they’ve started thinking about making a plan," Phifer said as he walked through one of the wooded paths.Phifer works for Larkspur Conservation, a nonprofit that describes itself as Tennessee's first nature preserve for natural burials. On this hallowed ground, only green burials are allowed to take place.The pandemic has led to an increase in the number of people looking at natural burial options. Natural burials are also giving families a way to grieve and mourn safely outside during the COVID-19 pandemic."I think COVID has heightened folks’ awareness of how important it is to make a plan. Families can still have a burial, families can still have a gathering, they can come together with their loved one," Phifer said.There is also a cost aspect that's driving the increased rise in natural burials. As many American families struggle financially, natural burial offers an end-of-life option that's around ,000. It’s much less than a traditional burial, which usually runs around ,000.There’s also an environmental draw to all of this. Every year, American bury about 73,000 kilometers of hardwood boards, along with 58,000 tons of steel and 1.5 million tons of concrete. Natural burials are often much safer for the environment"It’s not going to be for everyone, and that’s OK,” explained Phifer. “We’re just another tool in working through the end of life.”And while planning for the end is never easy, Phifer sees this as one place people can start. 2193

In many rural communities, entire cities often rely on one business to support the economy, and when those businesses leave, it leaves the community devastated.For the town of Luke, Maryland, its paper mill went out of business last summer, and the deep financial impact is being felt by families and businesses throughout the region.“I could hear that mill day and night, sitting right here. You knew everything was alright. Listen up there now,” said former mill worker Paul Coleman, while looking out the window towards what used to be the noisy mill. “Pretty quiet, isn’t it? Pretty quiet. That’s eerie."Yet, it’s the silence that now haunts Coleman every day. “I had no sights, no goals on retiring. I would’ve kept on working as long as I could,” said the father of four daughters.For nearly 30 years, he worked alongside hundreds of people inside the Luke Paper Mill. He did several jobs over the years, but much of his time was spent as an electrician.“All my family has worked in there,” said Coleman. “The mill was the lifeblood of the community."The mill is nestled into the hills on the Maryland-West Virginia border. For the small towns around it, this big business was really the only business.“Everything was centered around that paper mill,” said Coleman.But last summer, this electrician got the news he couldn’t believe.“He said, ‘The mill’s closing.’ I thought he was kidding,” Coleman recalled. The closure was real, and almost immediately, his unemployment benefits fell short, and eventually, they stopped.“I thank God I had my 401K, which I had to dip into, so we’ve had to live off of that,” he said.Still, the bills piled up, especially the health insurance bills. “Reality is what it is. I know no one is going to want to hire a 62-year-old electrician,” said Coleman.On his fridge are several magnets from the Caribbean islands the family vacationed to over the years. We asked him about those trips, to which he replied, “Anything like that—it’s out of the question. You have to live within your means."The most painful adjustment to Coleman is not having what he needs for his daughter, who is disabled.The family was just able to fix their handicapped van, so they could bring his 21-year-old daughter home from weeks in the hospital. But now, more problems for this dedicated father.“My chairlift is broken down,” said Coleman. "That’s the chair lift we use to get her up and down the steps. I called the guy today and it’ll be ,000 to put a new one in. Where am I gonna get that?”So, each day, he gets to work, fixing what he can.“I don’t claim to be the best of anything,” said Coleman. “I’m not the best electrician, but you don’t have to be, you just have to keep moving regardless of what you’re dealt.”At the height of its operation, the mill employed more than 2,000 people. As technology increased and production decreased, fewer people were needed inside the mill, but even still, when the mill shut its doors, 700 people were left without jobs. That loss extended far past the mill—the entire community felt the pain of this closure.“It went from seven days a week to not really knowing what you’re doing tomorrow,” said Richard Moran, a man born and raised in Allegany County and who supplied coal to the mill for decades. “Lucky to get a 40 hour week now."Moran was forced to lay off dozens of workers when the mill shut down. Months later, his family’s legacy is hanging on by a thread.“Right now, we’re doing odd jobs basically, whatever we can pick up on the side,” he said.He’s not only lost income, he’s lost the future he dreamed of. “I know my kids won’t stick around here," he said. "There’s nothing for them here.”Coleman is worried for the future, too. “I think there’s just an attitude of hopelessness and helplessness that’s here,” he said.Both men agree that attitude is easily fueled by no new jobs and no way to relocate for most living in this rural community.“That’s not an option for me. This is my home, my entire family’s here,” said Coleman, as his granddaughter and two of his daughters all sat in the next room over.The United Steel Workers Local Union President Gregory Harvey said these struggles are only the beginning.“Unemployment ran out, insurance ran out, so now it impacts the area," he said. "Now, there’s people not spending money like they were spending money before."He’s working to get as many of his members and neighbors employed as he can, but the jobs in town are low-paying.“These guys were used to making ,000 a year, and now they’re making ,000. That’s a hit,” said Harvey, a third-generation paper maker himself.Still, the community holds onto hope that this closure isn’t the end. “My hope is that somebody buys this mill and reopens it back up, and if I get the opportunity to go back and work in a heartbeat, do I have to be an electrician? No. I’d go back and shovel a ditch or anything, whatever it took,” said Coleman about wanting to continue providing for his family.His plea like so many of his neighbors: a call to someone—to anyone—to rescue this town and these families.“You’re not investing in concrete. You’re not investing in these buildings. You’re investing in a workforce like no other,” said Harvey. 5223

INTERACTIVE MAP: Where the Woolsey?Fire is burning in Ventura and LA countiesLOS ANGELES (CNS) - A smoke advisory remained in effect Saturday due to the Woolsey Fire, which was causing unhealthy air quality affecting everyone in areas directly impacted by smoke, including central and northwest coastal Los Angeles County, the San Fernando Valley and the western San Gabriel Valley.A growing blanket of brown smoke crept across the Southland sky on Saturday, as the fire in Los Angeles and Ventura counties grew to 70,000 acres with zero percent containment."It is difficult to tell where ash or soot from a fire will go, or how winds will affect the level of dust particles in the air, so we ask everyone to be aware of their immediate environment and to take actions to safeguard their health," said Dr. Muntu Davis, health officer for Los Angeles County."Smoke and ash can be harmful to health, even people who are healthy," Davis said. "People at higher risk include those with heart or lung diseases, children and older adults."Early Saturday, the smoke created an eerie, fog-like presence that extended far south along the coast, including the Marina del Rey and LAX area. That lifted by around noon, but as the afternoon wore on the sky grew gradually darker over large swaths of Los Angeles County.Davis urged everyone in areas where there is visible smoke or the smell of smoke to avoid unnecessary outdoor exposure and to limit physical exertion, whether indoor or outdoor, such as exercise.Children and people who have air quality-sensitive conditions, such as heart disease, asthma and other chronic respiratory diseases, should follow the recommendations and stay indoors as much as possible, even in areas where smoke, soot or ash cannot be seen or there is no smell of smoke, according to DPH officials.The health department is "also advising schools and recreational programs that are in session in smoke-impacted areas to suspend outside physical activities in these areas, including physical education and after- school sports, until conditions improve," Davis said. "Non-school-related sports organizations for children and adults are advised to cancel outdoor practices and competitions in areas where there is visible smoke, soot or ash, or where there is an smell of smoke. This also applies to other recreational outdoor activity, such as hikes or picnics, in these areas."According to DPH, people can participate in indoor sports or other strenuous activity in areas with visible smoke, soot or ash, provided the indoor location has air conditioning that does not draw air from the outside and all windows and doors are closed.Wildfire smoke is a mixture of small particles, gases and water vapor, and the primary health concern is the small particles, which can cause burning eyes, runny nose, scratchy throat, headaches and bronchitis, health officials said. In people with sensitive conditions, the particles can cause difficulty breathing, wheezing, coughing, fatigue, and/or chest pain.DPH offered the following recommendations:-- If you see or smell smoke, or see a lot of particles and ash in the air, avoid unnecessary outdoor activity to limit your exposure to harmful air. This is especially important for those with heart or lung disease (including asthma), the elderly and children.-- If outdoor air is bad, try to keep indoor air as clean as possible by keeping windows and doors closed. Air conditioners that re-circulate air within the home can help filter out harmful particles.-- Avoid using air conditioning units that only draw in air from the outside or that do not have a re-circulating option. Residents should check the filters on their air conditioners and replace them regularly. Indoor air filtration devices with HEPA filters can further reduce the level of particles that circulate indoors.-- If it is too hot during the day to keep the doors or windows closed and you do not have an air conditioning unit that re-circulates indoor air, consider going to an air conditioned public place, such as a library or shopping center, to stay cool and to protect yourself from harmful air.-- Do not use fireplaces (either wood burning or gas), candles, and vacuums. Use damp cloths to clean dusty indoor surfaces. Do not smoke.-- If you have symptoms of lung or heart disease that may be related to smoke exposure, including severe coughing, shortness of breath or difficulty breathing, wheezing, chest tightness or pain, palpitations, nausea or unusual fatigue or lightheadedness, contact your doctor immediately or go to an urgent care center. If life-threatening, contact 911.-- When smoke is heavy for a prolonged period of time, fine particles can build up indoors even though you may not be able to see them. Wearing a mask may prevent exposures to large particles. However, most masks do not prevent exposure to fine particles and toxic gases, which may be more dangerous to your health.-- Practice safe clean-up following a fire. Follow the ash clean-up and food safety instructions at http://bit.ly/SafeFireCleanup.The following is recommended for pets:-- Avoid leaving your pets outdoors, particularly at night. Pets should be brought into an indoor location, such as an enclosed garage or a house.-- If dogs or cats appear to be in respiratory distress, they should be taken to an animal hospital immediately. Symptoms of respiratory distress for dogs include panting and/or an inability to catch their breath. Symptoms for cats are less noticeable, but may include panting and/or an inability to catch their breath. 5583

In one of the most divisive political seasons in U.S. history, finding common ground has been a challenge. But one activist decided to put rubber to the pavement in the hopes of finding what connects us.Seth Gottesdiener recently embarked on a cross country odyssey on his bicycle.“It's my preferred method of transportation and I find it really meditative,” said the avid cyclist. “It's one of my favorite things to do athletically outdoors.”The 33-year-old social justice activist mounted his two-wheeler back in late September for what he called "The Great American Bike Ride."“I thought why don't I bike across America and talk to people,” said Gottesdiener. “I'll talk to just denizens of the country and see where they're at and see how this year has affected them and their opinions.”The 45-day journey began in Los Angeles. His plan was to pedal his way through 22 cities and 13 states, concluding his expedition in the nation’s capital on Election Day.“I was not prepared for the great Southwest,” he said. “It was very intense. It was very unrelenting. The heat was over 100 degrees a lot of the days, giant mountains, really dry.”All along the way, Gottesdiener met with Americans from all walks of life. He interviewed them as part of a feature documentary.“I want people to hear voices that they would have never come encounter with on their own. I want to connect Americans together.”The ride also took him on a journey of self-discovery.“There’s parts of the country that I hadn't ever seen before, like Arkansas, like Kentucky, and a lot of Tennessee. And it was beautiful,” he said.It was also an opportunity, he says, to gain a better understanding of fellow citizens bitterly divided by politics. He hopes the journey reminds one another of the human spirit that connects us all.“Be there for each other. Help each other. Pull each other up by the bootstraps, rather than be so divided as we've seen this year.”One of the questions that Gottesdiener asked people on his journey was: “If there's one thing you could say to all Americans right now, what would it be?”He knows what he would say.“I would just say ‘Listen.’” 2147