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Since then, the source continued, some officials said she has been dishonest about what went on and leaked stories to try and cover her behavior.The former Trump transition official said they were not surprised to hear that Ricardel butted heads with the first lady and her staff, saying, "she does not suffer fools." The former transition official characterized Ricardel as "smart and tough," but acknowledged that she is not always effective at navigating "internal politics." 478

That has sparked fears that the Caribbean resorts could come to resemble the faded Pacific coast resort of Acapulco. The bloody violence in Acapulco that flared in 2006 eventually earned it a level-four "do not travel" warning from the U.S. Department of State. 261

The Affordable Care Act changed all that. Insurers are no longer allowed to turn people away, nor charge them more, because of pre-existing conditions. And they must offer comprehensive policies that cover a wide array of treatments and medication. Plus, insurers cannot impose annual or lifetime limits on coverage of those essential health benefits. 351

Stockley said Smith backed into their police SUV twice in an apparent attempt to harm them. After Bianchi told Stockley that he believed Smith was armed, Stockley exited the SUV with his department-issued handgun. He also had a personal AK-47 pistol, a violation of department policy, according to the report. 309

Some U.S. doctors are skepticalDr. Dan Gehlbach, founder of Midwest Reproductive Center, says he just doesn’t know enough about clinics outside of the United States to be comfortable with saying much about traveling for treatment.“I don’t know the regulation that exists in other countries with medical and especially IVF procedures.Here in the United States, we are very regulated and our laboratories are inspected regularly. We’re monitored on a regular basis. There are things that we want to hold ourselves to a higher standard,” he said. He says there are costs associated with that high standard. He’s also concerned about timing.“For most patients, it’s about a three-month process from when we start to when we’re actually transferring an embryo in them and there are multiple visits and procedures,” said Gehlbach.Skinner admits most return to Barbados for multiple treatments.“For most patients, they’re going to be coming to Barbados one to three times, depending on how many times they need to be treated,” said Skinner.Insurance coverageCurrently, most insurance companies do not cover infertility treatments.The Merritt’s say their search for answers was covered by insurance: the appointments, the tests, and the specialists. But when it came time to start reproductive assistance, they were on their own.According to a just-published document from the National Association of State Legislatures, since the 1980s, 15 states have passed laws requiring insurers to either cover or offer coverage for infertility diagnosis and treatment.Those states include: Arkansas, California, Connecticut, Hawaii, Illinois, Louisiana, Maryland, Massachusetts, Montana, New Jersey, New York, Ohio, Rhode Island, Texas and West Virginia.Kansas and Missouri do not have laws mandating health insurance coverage for infertility treatment.The number of couples choosing IVF, and the methods employed to increase chances for success, are growing.Support from othersThe Merritt’s chose to share their story in hopes of encouraging others not to give up.They, along with several other local women, have told us how dark and depressing the inability to have a baby is when every cell in your body wants a baby. They all said they felt very alone during the journey. They want others to know they are not alone. Several women agreed to share their stories of infertility so if you are struggling you may find comfort in hearing from them.Click here for their stories. 2468