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With COVID-19 cases surging across the country, public health officials and ICU doctors are pleading with Americans to reconsider gathering with family members ahead of the Thanksgiving holiday for fear of spreading the virus even further.“We really don’t have a national or even multi-state plan, and that worries me,” said Dr. Stephen Morse with Columbia University.While he strongly recommends against it, Dr. Morse knows inevitably some people will still get together on Thursday. His advice is to have a multi-layered safety approach.The first layer involves testing. He’s urging people to avoid those rapid tests if they can because they’re less accurate.With so many Americans trying to get tested right now, officials also say it’s important to plan ahead and be prepared to potentially not get results back before Thanksgiving.“Testing is really important because it’s the only way we can find people who aren’t obviously sick and stop them,” Dr. Morse added.Health officials say if you are planning a small family gathering, get tested before you see high-risk family members. Americans are also being urged to consider virtual holiday gatherings whenever possible.If you are gathering with people outside your household, eat in separate rooms or consider eating outdoors.“What I’ve seen is once it gets into a family, because we let our guard down around our family, everybody gets infected,” explained Dr. John Coleman, who works in the ICU at Northwestern University’s teaching hospital in Chicago.Dr. Coleman says there are just too many variables to consider when it comes to gathering for Thanksgiving this year.“I think we are on the cusp of some very, very dark months. What we’ve seen is the increase of COVID across the nation is going to eventually stress the health system.” 1804

When a vaccine is approved, who will get it? How will it get to them?Johns Hopkins has a plan to make front line workers and those most vulnerable first in line. Other experts say that may not be the best approach.“It may be better to immunize people who are at high risk of transmitting the virus both because of jobs, living situations and other circumstances,” said Dr. Ezekiel Emanuel while speaking with the head of the Journal of the American Medical Association. “And that I think we have to leave an open mind and look at some detailed modeling about what the best way is to reduce the premature mortality.”Emanuel says transmission between health care workers and patients is basically zero where he is. He says effective PPE use is the reason.The groups Johns Hopkins said should get a vaccine first could be as big as 90 million people.Emanuel says there won't be enough doses out of the gate to get all of any initial groups.“You don’t actually distribute it evenly among countries,” he said. “You concentrate on countries that at the moment when you have the vaccine have severe hot spots and where the vaccine is going to make the biggest difference in terms of reducing premature death.”Johns Hopkins experts say a vaccine's effectiveness is measured on preventing disease. That doesn't mean it prevents infection and transmission. We won’t know how effective it will be until after it’s in use.“A disease transmission strategy makes a lot of sense, but we need a lot more information before we can know who to prioritize,” said Dr. Eric Toner, a senior scholar at the Johns Hopkins Center for Health Security. “It’s quite possible we will go to a strategy like that.”The World Health Organization said younger people in their 20s, 30s and 40s are increasingly driving spread.The first vaccines will likely be two doses. Experts say that means double the syringes, needles, vials and other supplies, along with getting people to come back for a second dose. 1980

Wisconsin voters are heading to the polls on Tuesday for primary elections, and Democrat voters will select from a crowded ballot of gubernatorial candidates.A total of 10 candidates are on the Democratic primary ballot — but one of them is telling voters to skip his name."I could never imagine that I would be asking people not to vote for me," candidate Andy Gronik said.Gronik withdrew from the race last month, but not before ballots were printed. "I've already received some emails from people who have voted for me, and they were disappointed to learn I wasn't in the race," Gronik said.Dana Wachs is also still on the ballot, in the last spot, but he's also withdrawn as well.There are eight other candidates that hope to go up against Gov. Scott Walker in November: Matt Flynn, Tony Evers, Josh Pade, Mike McCabe, Paul Soglin, Kathleen Vinehout, Mahlon Mitchell and Kelda Roys.Some Wisconsinites did not even know who was running."What I had in mind is to Google it tonight for a little bit of information before I go vote tomorrow," Walker's Point voter Simon Rodrigeuz said. Others said it was hard to narrow it down."There was definitely a lot to pick from. A lot of them are good too," Lisa Vulpas saidThat's why candidates are using every second before the election. Roys went to Milwaukee Public Market this Monday afternoon as a last push before the polls opened on Tuesday."We have been communicating with voters more and for longer periods. We have been on TV for almost a month," Roys said.Mitchell rallied his volunteer door knockers in Milwaukee Monday evening."What distinguishes us is, yes we are running a statewide campaign, but we are running it like we are running a local election. And that is to get out and talk to people," Mitchell said.  1822

Who would be willing to pay upward of 0 for Payless shoes?Hoodwinked social media influencers, that's who.Payless, a brand known for budget-friendly shoes, opened a fake pop-up store called "Palessi" in a Los Angeles mall and invited influencers to the grand opening. The store was stocked with Payless shoes in disguise."I would pay 0 or 0," a woman says in a TV ad, holding a pair of .99 sneakers. Another shopper calls the Payless shoes "elegant and sophisticated." 488

While it's true that premiums for the popular silver Obamacare plan could shoot higher for 2018, most enrollees will actually end up paying less for coverage next year.In fact, more consumers will be able to snag policies that will cost them nothing each month.How can that be?It's because premium subsidies are soaring too, making many plans on the exchanges more affordable.The Trump administration, however, is stressing how much premiums will rise, saying this is yet another sign that Obamacare is irreparably broken. They are downplaying the fact that the subsidies will cover most, if not all, of the cost.Obamacare advocates worry that consumers will be scared off by the news that premiums are skyrocketing for next year. They plan to highlight the fact that many people will be able to find lower-premium policies thanks to the subsidies.Even the Trump administration found that Obamacare plans will be more affordable next year. Some 80% of enrollees will be able to find a policy for a month or less -- up from 71% this year and the highest share so far."This year, more people than any previous year have access to a plan for or less," said Josh Peck, a former Obama administration official and co-founder of Get America Covered, which is promoting enrollment for 2018. "That's what we want everyone to know."Here's why this is happening:Many insurers jacked up the rates of their silver plans in part to make up for President Trump ending federal support for Obamacare's cost-sharing subsidies. These subsidies reduce deductibles and co-pays for lower-income enrollees.Premiums for the benchmark silver Obamacare plan will soar 37%, on average, for 2018, according to federal data released Monday.The premium subsidies are pegged to a benchmark silver plan in each market. So if that plan's rate rises, the value of the subsidy does too. More than eight in 10 Obamacare enrollees receive premium subsidies.Insurers, however, did not hike the price of bronze or gold plans nearly as much. The rate of the lowest-cost bronze plan is rising 17%, on average, while the cheapest gold plan is going up 19%, according to the Kaiser Family Foundation.That means the more generous premium subsidies will cover more of the monthly cost of these plans, so consumers will pay less.A 40-year-old earning ,000 will pay 75% less, on average, for the cheapest bronze plan and 21% less for the lowest-cost gold plan, according to a new analysis by the Kaiser Family Foundation. A 40-year-old earning ,000 will see a 28% drop in the price of the cheapest bronze plan, and an 8% decrease in the least expensive gold plan's premium.Bronze plans have lower premiums, but their deductibles are higher -- nearly ,900, on average, for an individual in 2018, according to a new report from Health Pocket, an online health insurance shopping tool. Meanwhile, gold plans have higher premiums, but their deductibles are only ,320 on average for a single enrollee next year.The cheapest gold plan will have lower premiums than the least-expensive silver plan in 459 counties next year once subsidies are factored in, Kaiser found. Silver plans will have an average deductible of just over ,000 next year.Many more consumers will be able to enroll in bronze plans and pay nothing each month. For instance, a 48-year-old consumer earning roughly ,000 can find a zero-premium policy in nearly 1,050 counties next year, up from 132 counties in 2017, according to an analysis by Oliver Wyman consulting group.Not everyone, however, will be so fortunate. Enrollees who don't qualify for premium subsidies -- those who earn more than ,000 as an individual or ,500 for a family of four in 2018 -- may be hit with the full premium hike. They may be better off buying bronze or gold plans or looking for individual coverage outside of the Obamacare exchanges.  3877

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