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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
With hospitals overwhelmed in much of the United States, the number of coronavirus cases jumped to record levels on Wednesday. The total of confirmed COVID-19 cases reported on Wednesday was 144,000, according to Johns Hopkins University.There were also at least 1,900 coronavirus-related deaths reported in the US in the last 24 hours, according to Johns Hopkins, marking the deadliest day of the pandemic since May 6, when 2,300 Americans died of the virus.Wednesday's case increase was the highest single-day total since the pandemic began and broke a record that stood for one day. The previous record of 140,000 new cases was set on Tuesday. Wednesday marked the ninth consecutive day in which there were at least 100,000 new cases reported.The news comes as governors and public health experts throughout the country have pleaded with citizens to wear masks and follow social distancing recommendations. A number of states were looking to re-impose restrictions in hopes of keeping hospitals from filling up with COVID-19 patients.Ohio Gov. Mike DeWine threatened to close restaurants, bars and gyms in his state again if things don’t change. The state had more than 6,000 coronavirus cases on Tuesday, marking a one-day record.“I am very well aware of the burden this will place on employees and the owners, but these are places where it is difficult or impossible to maintain mask-wearing, which we know now is the chief way of slowing this virus,” he said.In neighboring Indiana, the state is limiting the size of social gatherings, depending on the county.“Unfortunately, too many of us have let our guards down,” Gov. Eric Holcomb said Wednesday.Across the country in Nevada, the state’s governor issued a similar warning."We don't have much time to act to avoid a dangerous hospital surge and keep our economy going and keep people at work," said Gov. Steve Sisolak.The COVID Tracking Project, a project led by The Atlantic, shows that current coronavirus-related hospitalizations hurdled the 60,000 mark in the US on Tuesday for the first time since the start of the pandemic. The number of people hospitalized with COVID-19 has more than doubled in the last six weeks throughout the US.While state governors have been doing what they can to fight the virus, the White House has been silent on the virus since Election Day.The US is not alone in seeing a surge in cases. There has also been a significant surge of cases in much of Europe after going most of the summer and fall with a minimal number of cases. 2531

With a growing number of Americans getting tattoos, there is also a larger number getting them removed. New technology is allowing the process to be more complete with less scarring and blistering. In some ways, users believe it can undo bad choices.A recent Harris Poll shows tattoos are particularly prevalent among younger generations. About half of millennials and a third of Gen Xers say they have at least one, compared to just 13 percent of Baby Boomers. One in eight millennials have regrets about at least one tattoo. The men who own and run "ReversaTatt" David Cope and Wesley Henderson, say they are helping people erase those regrets, one laser session at a time.When a person gets a tattoo, it's a memory of the start of a chapter in life. They can remember the whole experience of choosing the design and the placement. In some ways, the laser can offer a page turn into a new chapter: one without that tattoo.Two women, Stephanie Goodman and Stephanie Gray, each came to ReversaTatt recently seeking tattoo removal assistance."They all came from different places and they all have different meanings, but I'm going to keep all these ones, they're not going anywhere," explained Gray. Gray came to ReversaTatt for her first session to remove a design along her neck. She says the story why it's coming off is private, but she would like this tattoo to disappear."It was a name, yeah, so it's going to be gone," said Gray.After a consultation, Cope points the PiQo laser at her neck and says, "here comes the heat." In 13 seconds, he backs off. The first treatment is done. While the pain is a bit more intense than getting the tattoo, according to Gray, it's over quickly. "It was nothing," said Gray."The red from this little stripe here is completely gone," said board certified physician assistant David Cope, pulling up his sleeve and pointing at part of his tribal arm band. Cope said he got his own tattoo when he was in a medical program as part of a pact to finish. Now, years later, he was encouraged by patients to remove the tattoo to understand the procedure better, so he agreed. "This is kind of an ink explosion kind of feeling in your skin, so it's not just something you've felt before," said Cope.Now, on his second session, parts of the tattoo have completely disappeared and others have started to fade. Getting a tattoo removed by their PiQo laser requires short sessions, a month or so apart, five to 12 times over. Laser tattoo removal clients are 70 percent female, according to recent studies. A Harris Poll of U.S. adults surveyed online in 2015 showed 47 percent of millennials and 36 percent of Gen Xers have at least one, and they're exponentially more likely than their elders to have multiple. Tattoo removal clinics have grown by 400 percent in the last decade.Click here for FDA suggestions regarding health and safety regarding tattoo removal.ReversaTatt says the laser they use does not cause blistering or scarring like previous methods. The results are more complete too. Cope claims his clients' tattoos will disappear 98 percent to 99 percent. ReversaTatt has seven locations in Florida including Delray Beach, Boca Raton, Jupiter and Port St. Lucie. 3415
What's in a name? A lot, if you happen to be a member of Britain's royal family.As the Duke and Duchess of Cambridge on Monday announced the arrival of their son and third child, speculation turned to a possible name.The baby boy was born at St. Mary's Hospital in London at 11 a.m. local time, Kensington Palace said in a statement.But as with the royal couple's older children, Prince George, 4, and Princess Charlotte, 2, it is likely to be a few days until a name is announced.Among the bookmaker's favorites for the boy, who will be fifth in line to the throne, are Arthur, Albert and James.Tradition plays a huge role when choosing a royal name. Albert could be a nod to both Queen Victoria's husband, Prince Albert, and Queen Elizabeth II's father, King George VI, who was called Albert until his accession to the throne."We haven't had so many called Arthur, but it does hark back to the mythical first king of Britain," said royal commentator Kate Williams.Given Prince William and Catherine's previous choices, royal commentators are predicting the couple will stick with a traditional name for their third child."George and Charlotte are very traditional, historic, English names," said Williams. "Although this is slightly different in that their first child, Prince George, is likely to be the monarch, and this child will likely not. So they can be a little bit different with the name."The latest edition to the royal family is fifth in line to the throne -- after his grandfather Prince Charles, father William and two siblings -- bumping William's brother Prince Harry further down the order.A change in the law in 2011, after William and Kate were married, gave women the same rights of accession to the throne as men.Whichever name the Duke and Duchess choose, it will first need to be cleared with Queen Elizabeth II, though ultimately the final decision rests with the parents."The Queen has the power to say what their title is -- she'll decree that they are the Prince of Cambridge," explained Williams."But in the case of names, it is more of an informal conversation. Of course they have such respect for the Queen that if she says 'I really don't like that name,' they'd definitely take that into account," Williams added.One thing is certain, their chosen name is likely to shoot to the top of British baby name lists -- as it did with George and Charlotte.And with the royal wedding of Prince Harry and Meghan Markle set to take place on May 19, Williams had one final prediction: "I wouldn't be surprised if Harry and Meghan are popular baby names in the coming year." 2611
With COVID-19 cases surging across most of the country, teachers are weighing whether it’s safe for them to return to the classroom while at the same time, trying to make sure their students don’t slip through the cracks because of the virus.In a virtual town hall-style meeting, four educators from across the country gathered to share their thoughts, concerns and excitement about the upcoming school year. The overriding theme: parents and students will need to be flexible.“We’re going to ask you for grace for this entire year. We want to teach your children, but when we voice concerns it’s not because we’re lazy and we don’t want to work, it’s because we want to make sure our families are safe, too,” said Rachel Sandoval, an elementary school teacher in Colorado.Sandoval’s school was forced to close back in March because of COVID-19. She knows her students have lost out on valuable in-person learning time because of the virus, but she’s also worried that gathering students back in a classroom setting this coming fall could give the virus a perfect environment to spread in.“We can’t do the same thing we did last year. The world has changed. Everything has changed,” she said.Her concern was echoed by other teachers who joined the virtual town hall.Steph MacPhail teachers 5th grade in Minnesota. As a mom, she’s struggled to juggle a full-time teaching job, while at the same time, taking care of her two young boys.“I felt really burned out this spring from a teacher perspective and from a parent perspective,” she said.While McaPhail misses her students, she worries that COVID-19 cases will continue to surge if kids go back to school.“Kids and families want to go back to normal, but this is going to be anything but normal, and that’s scary,” she said.Across the country, many school districts are choosing to start the year virtually, which brings another set of challenges. Some kids don’t have adequate internet access or access to a computer that they can use to access online classes.“We need to make sure kids are still staying engaged while at the same time dealing with these environmental factors. For a lot of students in poverty-stricken areas, having the one interaction at school is so critically important,” said Dr. Kenyae Reese, who serves as a principal in Nashville, Tennessee.Dr. Reese’s district is one of those starting the school year entirely online. She’s asked her teachers to be flexible. In some instances, she says she’s talked to students who might be embarrassed to turn on their camera during a Zoom call because of the home they live in. Other students in her high school are taking care of younger siblings, all while trying to keep up with classwork.“We’re changing the landscape of a whole generation, what they know about school and how they interact with people,” Dr. Reese said.With all the uncertainty, though, every teacher still expressed joy and excitement about whatever the upcoming school year brings, including Phillip Starostka, who teaches elementary school in Arizona.“We are working as hard as possible and will do everything we can to make it seamless,” he said. 3145
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