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When asked at a press conference on Wednesday about the consequences of calling himself a "nationalist," President Trump refused to answer the question, calling the question "racist."Trump was asked by PBS reporter Yamiche Alcindor, who is black, about comments he made late last month at a political rally in which he called himself a nationalist. Alcindor asked if he thought his rhetoric was emboldening white nationalists across the country."That's such a racist question," Trump said. "I don't believe that."Trump went on to cite approval numbers among African-Americans as to why he didn't think white nationalism was on the rise."I love our country," Trump added. "You have nationalists, you have globalists. I also love the world. I would love to help the world, but we have to straighten out our country first. But to say, that, what you said, is so insulting to me. It's a very terrible thing you said." 947
When he was diagnosed with two autoimmune diseases, Joel Hechler knew he’d be in for a battle. He didn’t realize maybe his toughest one would be with his insurance company.“I think they put the dollars ahead of a patient’s health,” Hechler said. “I don’t think they fully understand the impact the medicine will have on my long-term health and well-being."Hechler suffers from Crohn’s disease and ulcerative colitis, diseases that attack the lining of his digestive tract. Autoimmune conditions like his can’t be cured but, with the right medication, the symptoms can be controlled. Finding the right medicine can be hard for those suffering from autoimmune diseases. Even if there are scores of drugs on the market, some patients might only respond to one. In Joel’s case, his doctor thought he’d have a better chance trying a drug called Remicade.“I received a letter from my insurance company that denied the Remicade on the basis that I have to try a different drug before I can get to Remicade," Hechler said.Hechler's insurance company, Premera Blue Cross, wouldn’t approve the drug his doctor prescribed because they wanted him to try a cheaper one first.It’s part of a program that health insurers nationwide use called step therapy, requiring that patients try less-costly drugs before “stepping up” to more expensive ones — even if doctors believes the cheaper drug won’t work.Dr. Larry Adler is president of Huron Gastro in Ypsilanti, Michigan and says he spends virtually every day battling insurance companies over step therapy drugs.“They have to fail this medicine first before they get the new drug,” Adler said. “That doesn’t make any sense.”Adler says it's common for patients to get sicker while waiting for step therapy to run its course.In Hechler's case, it took six weeks of fighting with his insurer to convince them that the cheaper drug wouldn’t be effective. As he was waiting, he was getting worse.“It got to the point where I had to be admitted to the hospital,” Hechler said. "I was very, very sick.”Step therapies are used by insurers to try to control skyrocketing prescription medicine costs, says Glen Perry, Director of Pharmacy Contracting and Sales for Blue Cross Blue Shield of Michigan.“These drugs can cost up to 0,000 per year. These are not cheap medications,” Perry said.“It seems like you’re telling patients that, in many cases, your insurer knows what’s best for you, rather than your doctor,” Jones said.“We are trying to provide the most cost effective and safe medication use,” Perry said, adding that when a doctor and insurer disagree over a drug, they can usually resolve the case within a few days without putting a patient at serious risk.“A delay of one or two days I don’t think is really going to make that much of a difference for the medical outcome of the patient," he said.But for many patients, like Phyllis Toole, the delay is longer than a few days.Phyllis suffers from rheumatoid arthritis, a condition where her body attacks her joints. When her doctor wanted to put her on Orencia, her insurance company HAP said she needed to first try a less expensive drug, Humira.But Phyllis’ doctor was worried about possible side effects and thought Humira could be risky.After battling for months, Phyllis says the whole thing made her feel more like a number than a patient. With her doctor and insurer in a standoff, she was forced to rely on samples of the drug she got from her doctor. HAP never approved her prescription.“They’re playing doctor, is what it feels like,” Toole said. “They’re saying this is what you can have for the symptoms you have. It may make you sicker, but this is what you can have.”HAP issued the following statement to Scripps station WXYZ in Detroit: 3800

When snow falls in a flurry and the weather is cold outside, escaping the elements becomes a top priority.With COVID-19 causing some warming shelters to stop operations this winter, however, the impacts could literally mean the difference between life and death.“We’re going to see a lot of people die to be perfectly honest,” said Robin Wood-Mason with The Delores Project, a homeless shelter in Denver, Colorado, that focuses on women and transgender folks.He says during a normal winter, this shelter can provide a warming space for dozens of people each day. But with a static population and a lack of social distancing, local health guidelines have forced them to shut their doors for warming shelters this season.“It’s heartbreaking,” Wood-Mason said of the warming shelter not being able to open this winter. “Here in Denver, we’ve got thousands more people experiencing than there are shelter beds available.”Across the country, other warming shelters are also being impacted by COVID concerns.“We’re just starting to inch into those winter months when we know things are going to get colder, things are going to look and feel a little different into our regions,” said Andrea Carlson with the American Red Cross.She says the days of having people packed in to one large room to get warm are gone. Now, they’re putting people into multiple separate spaces and following new COVID safety protocols.“Distanced between each other, masks are required, you do have some health checks when you come into the warming center,” Carlson said.As winter weather rolls in, and limited capacity issues mean more people are staying outside, The Delores Project believes more people will be exposed to harsh weather and the virus.“It means that we’re really going to see people get sick,” Wood-Mason said. “It’s going to put a new burden on the hospital system and our first responders.” 1887
WHCA Statement on White House Press Secretary testing positive for Covid-19 pic.twitter.com/viC6ywK7fv— WHCA (@whca) October 5, 2020 140
While most performers have had to shelve public performances during the coronavirus, musician Trey Songz performed at a nightclub in Columbus, Ohio, on Saturday.According to Trey Songz’s social media accounts, he performed at the Aftermath Nightclub on Saturday.While in normal times, the concert wouldn’t be newsworthy, the performance prompted Columbus City Attorney Zach Klein to order the nightclub temporarily closed, claiming the concert violated state COVID-19 requirements. He issued a restraining order against the club on Tuesday. Klein says the order will be effective until the case goes before a court, which he says could come on December 17.Ohio currently requires people in public indoor spaces to wear masks unless they’re actively eating or drinking. Klein said that the nightclub disregarded the mandate, based on an investigation by the Ohio Investigative Unit. His office estimates that 500 people were attendance at the concert.“Last weekend’s indoor concert at Aftermath was in blatant disregard of COVID-19 health orders and social distancing best practices,” said Klein. “We are in the middle of a surge in coronavirus infections, yet the owners of Aftermath planned to continue hosting large-scale events at their venue, including this upcoming weekend. In the interest of community health, we secured an immediate shutdown of this property.”Videos shared on Instagram from attendees of the performance showed hundreds of people congregated around the stage standing shoulder to shoulder, with few people wearing masks.In October, Songz posted on Instagram that he had tested positive for the virus. "I will be taking it seriously," Songz said. "I've always taken it serious. If you come in contact with COVID, please do the same. Please do the same."Ohio set its one-day record for coronavirus cases with more than 25,000 reported on Tuesday, but officials said that 13,000 of those cases were due to a backlog in reporting. 1959
来源:资阳报