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For months, many of us have done what we can to keep ourselves and families safe from the coronavirus.We have stayed home from events, worked from home and exercised caution when running errands, but for people who are obese, some have gravitated towards weight loss surgery as a way to protect themselves.According to medical experts, complications from COVID-19 can disproportionately affect people who are obese. In an August study, the Cleveland Clinic found patients with a body mass index of 30 or higher were found to be at a significantly higher risk for severe COVID-19, and those with a BMI of 35 and higher had a dramatically increased risk of death.“It’s been shown that people do worse with viral infections when they’re obese,” said Dr. Michael Snyder, medical director of bariatric surgery at Rose Medical Center in Denver, Colorado. “In addition, the success of a vaccine is limited in people that are obese, for any viral vaccine historically.”That August study by the Cleveland Clinic also found that when patients with obesity lose at least 5% to 10% of their weight, their risk of cardiovascular disease drops and their survival rate improves. Perhaps, that is why so many have decided to have different types of bariatric surgery to control their weight.“Obesity is really a pro-inflammatory condition and we think it really affects your T cell response; your ability to appropriately attack infection,” said Dr. Snyder.Amanda Kines-Phillips is one of those people. In February, she had wanted to get her weight more under control and decided to go through with a mini gastric bypass surgery. However, because of COVID-19 and the ban on elective surgeries, Kines-Phillips’ surgery was pushed back to July.In the four months since her mini gastric bypass, she has lost 55 pounds and feels healthier and better about health in case she contracts the virus.“I have two small daughters that I need to be there for the rest of my life and to be the best mom that I can be,” she said. “So to me [this surgery] is a life-changing tool.”Dr. Snyder says during a typical week, he performs 12 to 15 surgeries to help people control their weight. He says the four other doctors in his practice have been completely full as well since the pandemic began.“I have just been blown away,” said Kines-Phillips.Editor's Note: An earlier version of this article had an incorrect first name for Dr. Michael Snyder. 2423

Former Sheriff Joe Arpaio, who served as sheriff of Arizona's Maricopa County’s from 1993 to 2017, filed a libel lawsuit against The New York Times and a member of its editorial board Tuesday evening. Court documents obtained by show Arpaio is suing The Times and Michelle Cottle for the publication of Cottle’s August 2018 op-ed titled, “Well, at Least Sheriff Joe Isn’t Going to Congress - Arpaio’s loss in Arizona’s Senate Republican primary is a fitting end to the public life of a truly sadistic man.” In the opinion piece, Cottle calls Arpaio’s “24-year reign of terror” “medieval in its brutality,” and makes reference to the former Sheriff’s controversial practices, which include the creation of Tent City, the implementation of chain gangs, and forcing prisoners to wear pink underwear. The Times published Cottle’s op-ed after Arpaio was defeated by Martha McSally in the primary race for Jeff Flake's Senate seat.In the complaint, filed with the U.S. District Court for the District of Columbia, Arpaio’s team noted,  “While the Defamatory Article is strategically titled as an opinion piece, it contains several false, defamatory factual assertions concerning Plaintiff Arpaio.”A complaint within the lawsuit states Arpaio plans to run for Senate in 2020. The publication of Cottle's op-ed may prevent a successful run for Arpaio, according to court documents. "Plaintiff Arpaio’s chances and prospects of election to the U.S. Senate in 2020 have been severely harmed by the publication of false and fraudulent facts in the Defamatory Article," the lawsuit notes. "This also harms Plaintiff financially, as his chances of obtaining funding from the Republican establishment and donors for the 2020 election have been damaged by the publication of false and fraudulent representations in the Defamatory Article."Arpaio is seeking 7,500,000 in damages, as well as attorneys’ fees and costs. He is being represented by Larry Klayman, the chairman and general counsel for Freedom Watch, a conservative watchdog group.  2088

For Rep. Martha McSally, there may be another way to get to the Senate: an appointment.A day after the Arizona Republican conceded her Senate campaign to Democratic Rep. Kyrsten Sinema, the state's other senator, Jon Kyl, told CNN on Tuesday he has decided whether to leave office before his term ends at the end of next year. He wouldn't reveal his decision, but said he will talk to Gov. Doug Ducey about it.He also praised McSally, who once worked on his staff as a national security adviser, when asked about her as a potential replacement if he resigns."Martha McSally would be a very good member of the United States Senate, however she got there," Kyl said. "And I regret that she didn't make it in her election.""I can't think of anybody more qualified than Martha McSally," he added.In the interview, Kyl made clear that an appointment would be Ducey's decision, saying he didn't "want to try to try to influence that." He said his comments "have nothing to do with any potential candidate to replace me."Later Tuesday, in a separate interview, Kyl continued to praise McSally, but said his praise was meant outside the context of an appointment "because it is strictly the governor's job and he's got a lot of factors to consider and I'm not getting in the way of that."In September, Ducey tapped Kyl to temporarily replace former Sen. John McCain, who died in late August. At the time, Kyl said he would remain in office at least through this year -- but that he would not run for re-election in 2020, when a special election will be held to fill the remaining two years of McCain's term. It left open the possibility that Ducey would be choosing a second replacement after the midterm elections.Kyl said Tuesday that he and his family have "pretty much come to the conclusion of what we want to do," but would not reveal that decision.When asked if he would continue to serve in the Senate in 2019, Kyl said, "I'm going to be discussing my plans with the governor, and everybody else will be the second to know."Aides and operatives close to Ducey deflected questions about a potential replacement for Kyl early this week."The governor is hopeful that Kyl will continue to serve in the appointed Senate seat through 2020," said Ducey senior adviser Daniel Ruiz. "At this point we would not speculate on a vacancy that does not exist."Kyl said he talks to Ducey "all the time" and not to expect an announcement "anytime soon" about his future.But in the wake of Sinema's victory in the race for Arizona's other Senate seat, some Republicans in the state buzzed about the possibility of McSally replacing Kyl."I don't think it's an unreasonable thing to think that he would do. The governor's kept his cards very close to his chest," said Chuck Coughlin, a veteran Arizona Republican strategist.There are, several Arizona Republicans pointed out, significant downsides to appointing McSally, too: She's the only Republican to lose a Senate race in Arizona in 30 years. And she cast aside what had been a more moderate record on issues like immigration to align herself closely with Trump -- a departure from the tactics of Ducey, who ran as an independent-minded, business-focused governor in a runaway re-election victory."Hopefully she'll have learned something from this election, in terms of making herself more friendly to the Arizona electorate," Coughlin said of McSally.McSally and Ducey aren't particularly close, Arizona Republicans said -- and McSally is just one of several possible selections. Others on the list include Karrin Taylor Robson, an Arizona Board of Regents member and real estate developer, who is well-liked by the GOP donor community; Kirk Adams, a former Arizona House speaker who is Ducey's chief of staff but widely expected to leave his office soon; and Eileen Klein, a chief of staff for former Gov. Jan Brewer who Ducey appointed state treasurer in April.Ducey's appointment wouldn't preclude other Arizona Republicans from running in the 2020 primary in a race that's likely to be among the nation's most competitive.Former Arizona attorney general Grant Woods, a former chief of staff for McCain, has said he is considering running for Senate as a Democrat. Former astronaut Mark Kelly, the husband of former Rep. Gabby Giffords, has also openly mulled a run. Rep. Ruben Gallego and Greg Stanton, the former Phoenix mayor who was elected to the House last week, are also on the list of potential candidates Democratic strategists have mentioned. 4510

Finding the right child care can be a frustrating -- and expensive -- process for parents around the world, from New York to Nairobi.Access to adequate child care for all has become a "global" need, said Shelley Clark, a demographer and professor of sociology at McGill University in Canada, who has studied child care and other family dynamics."We can think of iconic images like The Atlantic monthly cover of the mom carrying the kid in the briefcase to work and how absurd that's supposed to be to us, but then when we think of women in lower-income countries, you think of the mom selling goods at the market with a kid strapped to her back, and you think, 'Well, that's not a problem for her, because she can easily combine child care and work,' " Clark said."There's this perception out there that for the kinds of work that women do in lower-income countries, it's easier to combine child care and work," she said. "The fact is, it's quite challenging for these moms, also."Clark added that families in lower-income countries spend a significant chunk of their income -- about 17% of some women's average earnings -- on child care services, similar to those in wealthier countries.Families living across 30 wealthy nations in the Organisation for Economic Co-operation and Development spend on average about 15% of their net income on child care costs, according to a 2016 report from the group, an association of 35 countries founded to improve economic development and social well-being around the world.Yet the percentage of a family's income spent on child care costs varies drastically by country: Couples spend 33.8% in the United Kingdom, but in Korea, Austria, Greece and Hungary, couples spend less than 4% due to government benefits and programs. Those findings came from the OECD's database on tax and benefits across countries compared with average net income of families in those countries.Here is a sampling of what child care looks like around the world. 1984

Former White House national security adviser Mike Flynn and his son are alleged to have been offered as much as million to forcibly remove from the US a Muslim cleric wanted by Turkey, The Wall Street Journal reports.The Journal reported the FBI questioned at least four people in regards to a mid-December meeting in New York at the "21" Club. Discussions between Flynn and Turkish representatives supposedly took place there, according to the Journal.The Journal said the people who described the alleged proposal didn't attend the December meeting and didn't have direct knowledge of the details. There's no indication that money changed hands or that an agreement was made.The discussions allegedly included how to transport Fethullah Gulen, a Muslim leader who Erdogan has accused of being behind a failed military coup to overthrow him, on a private jet to the Turkish prison island of Imrali.The Journal reported attorneys for Flynn and his son declined comment.CNN reported earlier this week that special counsel Robert Mueller's investigators are examining Flynn's alleged participation in discussions about the idea of removing the cleric who has been living in exile in Pennsylvania. In the past, a spokesman for Flynn has denied that such discussions occurred.CNN also reported that Flynn has expressed concern about the potential legal exposure of his son, Michael Flynn Jr., who, like his father, is under scrutiny by Mueller, multiple sources familiar with the matter tell CNN.Former CIA Director James Woolsey told CNN in March about an earlier meeting in September 2016 where Flynn also met with representatives of the Turkish government and discussed potential ways to send a foe of Turkey's president back to face charges in that country.Woolsey claims that those present discussed sending Gulen back to Turkey to face charges -- possibly outside the legal US extradition system."What I saw and heard was sort of the end of the conversation -- it's not entirely clear what transpired because of that," Woolsey said on "CNN Tonight" with Don Lemon. "But it looks as if there was at least some strong suggestion by one or more of the Americans present at the meeting that we would be able, the United States would be able, through them, to be able to get hold of Gulen, the rival for Turkey's political situation."At the time, a spokesman for Flynn denied the allegation."The claim made by Mr. Woolsey that General Flynn, or anyone else in attendance, discussed physical removal of Mr. Gulen from the United States during a meeting with Turkish officials in New York is false," Flynn spokesman Price Floyd said in a statement at the time. "No such discussion occurred. Nor did Mr. Woolsey ever inform General Flynn that he had any concerns whatsoever regarding the meeting either before he chose to attend or afterwards."If proven, the alleged plan to kidnap the cleric with the aid of foreign money directly violates US criminal code and could result in up to a 20-year sentence for the Flynns, according to Michael Zeldin, a CNN legal analyst."Under this statute, both domestic kidnapping in violation of US law, and if it was a crime in Turkish law, both would be specific unlawful activities, so anyone who engages in the effort to bring money into the US for the purpose of kidnapping another violates the statute. That's a 20-year felony," Zeldin said.If the cleric were to die once in Turkish hands, that could mean a life sentence for the pair, Zeldin said."This probably has nothing to do with the Trumps, but this is a very serious crime," he said. "Theoretically, if they did this international kidnapping and the Turkish government killed this guy, that could be a life sentence for the Flynns. You don't really want to be involved in a scheme like this, no matter how broke you might be."The Mueller investigation into the Flynns is part of an overall probe into the Trump campaign's involvement with Russia.Flynn is also under legal scrutiny by Mueller's team for undisclosed lobbying that he did during the presidential campaign on behalf of the Turkish government, according to sources familiar with the matter. It's against the law to lobby in the United States on behalf of a foreign government without informing the Justice Department.  4289

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