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Diana Farrell is the President and CEO of the JPMorgan Chase Institute, which publishes data analyses and insights that leverage the firm's proprietary transaction data. Previously, Diana was the Deputy Director of the National Economic Council, as well as Global Head of the McKinsey Center for Government and the McKinsey Global Institute. The opinions expressed are her own. The deadline to file your 2017 taxes is just a week away. But if you're one of the millions of Americans — roughly four in ten households — who filed back in February, you probably couldn't wait to get your hands on your expected refund.And there's a good chance you put that refund toward a visit to the doctor.That's according to new research by the JPMorgan Chase Institute, which evaluated when Americans in different income and demographic groups file their taxes.Americans who file their taxes early are more likely to receive a larger tax refund. Early filers were also more likely to spend a larger portion of their refund on health care.Related: How to save money on health care in retirementIn fact, American families increase their health care spending by 60% in the very week they receive a tax refund. And those who received their refunds in February increased their health care spending over the following 76 days by 38%, compared with a 22% increase for those who received refunds in March and an 11% increase in April or May.While some high-deductible health plans encourage early-year spending, JPMorgan found that deductibles aren't the motivating force behind this surge.Instead, among the earliest filers, 64% of their health care spending went to services they had been putting off, including dental visits, hospital visits and in-person doctor appointments.What does this mean? It's increasingly clear that families are treating their tax refunds as a zero-interest savings vehicle, the funds of which they're using for important and sometimes crucial expenses like health care.That's problematic for Americans' financial health, because the IRS does not currently give taxpayers control over the timing of their refund payments, outside of choosing when to file your annual refund between January and Tax Day in April. This means it can be challenging or unrealistic to only schedule payments or purchases around your tax refund every spring.It also poses problems for Americans' physical health, because those who rely on this cash infusion to afford health care are likely to delay care.Related: Americans spend more on health care, but have shorter livesGenerally speaking, young people under the age of 35 and those whose take-home pay is less than ,000 are more likely to be early filers because they have a greater need for this cash infusion.Another reason for filing early could be that low-income families are more likely to receive refundable tax credits, such as the Earned Income Tax Credit, money that is not available except through a tax refund. Across all income and age groups, though, people who are owed a larger refund are more likely to file early.Given the link between tax refunds and health care spending, policymakers and employers should consider making changes that would allow consumers to access funds throughout the year. Policymakers might consider offering periodic tax refund payments -- perhaps quarterly payments so that families wouldn't have to defer care until tax season.Another solution is to make the timing of these payments even more flexible and frequent for those who require urgent health care. This could include an option to apply for emergency funds taken out of your upcoming refund, or an option to file at a different time of year and receive a refund based on year-to-date income.Related: How to file your taxes for the first timeBy fixing one of the largest cash flow events to happen between mid-February and mid-May every year, we're virtually guaranteeing that some Americans will have to defer care.Finally, we should encourage employers to offer alternative savings vehicles, like an employer-based sidecar account. This account would share many of the same features of a tax refund, but give consumers more direct control over when they access funds.These could include built-in commitments and "set-it-and-forget-it" transparency, which would enable consumers the option of a one-time payroll election that recurs with every paycheck, locking them into an annual savings choice similar to other employer-sponsored benefits.By better understanding the connection between health care spending and tax season, we can help more families manage their finances to ensure they're getting health care when they need it, not just when they file to Uncle Sam.The-CNN-Wire 4734
EL CAJON , Calif. (KGTV) - The El Cajon Recreation Department is scheduled to host 'April Pools Day' an afternoon pool safety demonstration for free at Fletcher Hills Pool.April Pools Day begins at 3:30 p.m. and runs to 5:30 p.m. on Friday, April 13 and features a life-jacket giveaway, sun safety information, mini CPR lessons, crafts, water safety tips and free open swimming. 411

EL CAJON, (KGTV) -- A jewelry store owner in El Cajon left with nearly nothing after thieves stole 0,000 worth of gold from him.Forever Fine Jewelry means everything to the owner. It's a sanctuary for his craft -- covered in silver and gold -- until thieves came in and took it away.The owner's daughter didn't want to show her face or give her name, but she walked 10News through surveillance video from February 28th.That's the day a group of nine people stole 0,000 worth of jewelry. Two of them were carrying babies."This group right here, the four people right here, are going to pull him all the way to this corner cause that’s the farthest away from the back room."Meanwhile, a woman in a black shirt and long skirt crawls on the floor to the safe in the back. For six minutes, cameras roll on her bragging everything in sight."She's getting all the bangles, she's getting all the earrings, chains, mostly the bangles, the bracelets the anklets," said the owner's daughter. She also took ,000 in cash."That’s the cash box and that’s where the detective was able to get her fingerprints as well. "The owner hit a panic button once he started getting suspicious but the alarm didn't go off.A family of immigrants who started with nothing -- now back to square one. "We're bringing everything that we have to help my father start from zero again." 1367
EL CAJON, Calif. (KGTV) - The owner of a bike shop came upon a heartbreaking scene: glass everywhere and pricey, custom bikes stolen. "You just feel violated right away," said Jason Guthrie, owner of Chainline Bikes on Pioneer Way.On Sunday morning, he went to his shop to fetch a bike for a ride. "Came around and saw the cable had been pulled through the window. All the glass was here. My heart dropped. It was on the floor with the glass," said Guthrie.The intruder had tossed a large rock, smashing a side glass door. The alarm didn't go off. Once inside, the intruder sliced the security cable."There were four empty slots in the rack," said Guthrie.Four mountain bikes - three of them custom made - were missing, worth about ,000."For a small shop, a couple thousand dollars worth makes a huge difference ... keeps our lights on for the next month," said Guthrie.Among the bikes that vanished is "Mary." "Everybody knew the bike by name," said Guthrie.Painted by the shop, the bike became well known in the mountain biking community and the shop's mascot."Whenever I would go to bike parks from here up to Whistler, Canada, they would know my bike and not necessarily me," said Guthrie.Guthrie says one of the bikes had actually sold online the night it was stolen. If you have any information on the case, call El Cajon Police at 619-579-3311. 1362
EL CAJON, Calif (KGTV) -- A 26-year-old man accused of fatally stabbing a fellow Ramona resident during a fight at a gas station in their East County hometown pleaded not guilty Tuesday to a murder charge and was ordered held on million bail. Jarrett Austin Wishnick is suspected of mortally wounding Steven Faught, 59, shortly before 6 p.m. Thursday near a set of fuel pumps in front of Stage Stop Liquors at 578 Main St. Deputies responding to a report of an assault at the business found Faught bleeding profusely from a wound to his neck, sheriff's Lt. Greg Rylaarsdam said. Paramedics airlifted the victim to a trauma center, where he was pronounced dead. Wishnick -- who remained at the scene of the deadly fight -- was treated for a hand injury before being booked into jail. It was unclear what prompted the dispute between the men, both of whom had parked their vehicles in front of the gasoline pumps outside the store. Faught's older brother, Jerry, flew to San Diego from Portland after the incident. He told 10News that his brother had a warm personality. "Even though he had very little, he'd give you the clothes off his back." Wishnick will be back in court Nov. 20 for a bail review and on Jan. 16 for a readiness conference. A Feb. 1 preliminary hearing date was also scheduled.Wishnick faces 26 years to life in prison if convicted of murder and the use of a knife. 1490
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