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With health care costs on the rise, a growing number of Americans are throwing out the old way of seeing a doctor and turning to a membership model. A monthly or annual fee gets you direct access to a doctor, no insurance needed.Twenty years into her career, bogged down by red tape, too many patients and long days, Dr. Shaila Pai-Verma was looking for a better way to practice medicine.“I was just miserable,” she said. “The joy of medicine is gone and then you're just doing paperwork.”So, a year ago, she started a new primary care practice with a new business model.“The patient basically has a direct contract with the physician and they take insurance companies out of it,” she explained.Patients pay a flat monthly or yearly fee. In exchange, they receive a broad range of primary care services and quick, unlimited access to their doctor via in-person office visits, phone or by text.“Everyone wants everything immediate. And so, I think this is it. It's good, especially in this time for people to have access,” said Pai-Verma.Membership fees range from about 5 to 0 per month on average – about 0 less than having typical health insurance. Most patients still carry catastrophic coverage for emergency treatments and hospitalizations, but that insurance is usually only -100 a month, so patients still save money.For Bonnie Micheli and her family, it was all about access.“With this, it's just so much easier to just know that I can contact directly here within a few hours for any issues that I'm having,” said Micheli.In late September, a bipartisan proposal was introduced in Congress that would expand access to the model and allow people to use their health savings account for direct primary care (DPC).Because they see fewer patients than traditional practices, some critics say the model could worsen the shortage of primary care physicians, a trend that’s already driven by burnout.But according to a recent study, DPC members had 25% lower hospital admissions and the cost of emergency room claims was reduced by 54%.“There's less ER visits and you know, better health care for the patient,” said Pai-Verma.While there is still debate, for a growing number of Americans, like Micheli, it’s becoming a simplified health insurance alternative.“Honestly, it’s just so nice to know what I'm paying every month or if you do the annual, what you're getting for that money, and you know exactly who to go to when you have a problem.” 2467
When "Saturday Night Live" returns to the airwaves in October, they'll be "live from New York" once again.The comedy sketch show announced it on Twitter with a 12-second video. 184

With many conferences scrapping fall sports, the NCAA announced that it will postpone all fall Division I championships for 2020 amid the coronavirus pandemic.The decision does not impact the College Football Playoff, although the future of that competition is in question. The announcement, however, impacts athletes from other sports including soccer and women’s volleyball.NCAA President Mark Emmert said that college championships cannot be held as long as 50% of conferences are not participating.Emmert said that his staff has been already looking at ways of ensuring college athletics can move forward with winter and spring sports. Emmert said the NCAA should make it a priority to ensure winter and spring championships in 2021 are played given that the NCAA had to cancel all winter and spring championships in 2020.“I am confident we can do it,” he said. 873
WEST PALM BEACH, Fla. (AP) — Unemployment benefits for millions of Americans are set to lapse at midnight unless President Donald Trump signs an end-of-year COVID relief and spending bill that had been considered a done deal before his objections. He is demanding larger COVID relief checks for Americans and complaining about "pork" spending. But Congress has already passed the package by large margins in both houses. Failing to sign it will mean pain for those struggling to make ends meet and a potential federal government shutdown in the middle of a global pandemic. 581
While Tuesday's election wasn't quite the "Blue Wave" that Democrats had hoped for, the Democratic Party won a majority of seats in the U.S. House once the new Congress is seated in January. Democrats needed to turn over at least 23 Republican seats for a total of 218 and the party claimed 222 on Tuesday night, according to numbers from CNN.Although Democrats will lose seats in the Senate, taking the House gives Democrats the ability to conduct investigations, which could pose issues for President Donald Trump pending the result of Special Counsel Robert Mueller's investigation. Ushering in a crop of new Democrats into the House, Alexandria Ocasio-Cortez, 29, will become the youngest woman in history to be elected to Congress. She upset New York Democratic Rep. Joe Crowley in the primary election earlier this year. Michigan Democrat Rashida Tlaib and Ilhan Omar, the Minnesota Democratic-Farmer-Labor Party's nominee, were elected on Tuesday as the first Muslim women in the House. Former Tennessee Titans linebacker Colin Allred, a Democrat in Dallas, defeated incumbent Pete Sessions to win his first time as a candidate. 1184
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