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Walking into an emergency room near her home in Houston, Texas, Laurie Delgatto-Whitten knew the COVID-19 test she was there for would be far from pleasant, but little did she know the surprise bill she'd receive in the mail weeks later would prove to be almost as painful."It was a just a quick swab; it lasted maybe two minutes and that was it," she recalled.Delgatto-Whitten got her COVID-19 test on May 18 and eventually received her negative test results about 10 days later. Then, in early June, she got a statement in the mail from her insurance company. Her bill totaled ,165.92."I mean, I think it’s a total scam and in the midst of a pandemic, it’s even worse," she added.However, under the CARES Act passed by Congress, COVID-19 tests are legally mandated to be covered. Over the past few months, though, some Americans have discovered flaws in the legislation. Because Delgatto-Whitten had already met her deductible, she personally didn't owe any money. But it's the principle of her insurance company agreeing to pay that astronomical bill that causes her deep concern."In the long run any cost insurance companies are taking on, they’re going to pass onto you. They’re going to be passed on to me," she said.Healthcare advocate Michelle Johnson is concerned stories like Delgatto-Whitten’s will deter other Americans from getting tested at a time with the virus is still spreading rapidly across the country."If people think it’s going to cost money to go get a test they just won’t do it," Johnson said.Johnson's advice is to request an itemized bill for any COVID-19 related procedures you might undergo. Aside from contacting your insurance company Johnson says to call your elected officials and let them know what's happening."The only solution is for elected officials to step up and do their job," she added. 1840

WASHINGTON — U.S. health officials have started two new studies to test various blood thinners to try to prevent strokes, heart attacks, blood clots and other complications in COVID-19 patients.Doctors increasingly are finding blood clots throughout the bodies of many people who died from COVID-19 along with signs of damage they do to kidneys, lungs, blood vessels, the heart and other organs.National Heart, Lung and Blood Institute Director Gary Gibbons says that hospitals have been giving seriously ill patients anti-clotting drugs to try to prevent this, but “quite frankly, we didn’t know how best to treat it” in terms of which drugs or doses to use and at what stage of illness.The National Institutes of Health will coordinate a study in hospitalized patients comparing low and regular doses of the blood thinner heparin. The study will involve more than 100 sites around the world participating in a research effort with various governments, drug companies, universities and others to speed coronavirus therapies.A second study in COVID-19 patients not sick enough to need hospitalization will test various strategies against placebo pills: baby aspirin or low or regular doses of the anti-clotting drug apixaban, sold as Eliquis in the United States. The goal there is preventing blood clots or hospitalization.A third study starting later will test blood thinners for people who have recovered and no longer test positive for the coronavirus. Evidence is building that they may remain at higher risk for blood clots. 1538

WASHINGTON (AP) — A more conservative Supreme Court appears unwilling to do what Republicans have long desired — kill off the Affordable Care Act. That includes its key protections for pre-existing health conditions and subsidized insurance premiums that affect tens of millions of Americans. The justices met a week after the election and remotely in the midst of a pandemic that has closed their majestic courtroom to hear the highest-profile case of the term so far. They took on the latest Republican challenge to the law known as “Obamacare,” with three appointees of President Donald Trump, an avowed foe of the health care law, among them.But at least one of those Trump appointees, Justice Brett Kavanaugh, seemed likely to vote to leave the bulk of the law intact, even if he were to find the law’s now-toothless mandate that everyone obtain health insurance to be unconstitutional.“It does seem fairly clear that the proper remedy would be to sever the mandate provision and leave the rest of the act in place,” Kavanaugh said.Chief Justice John Roberts, who wrote two earlier opinions preserving the law, stated similar views, and the court’s three liberal justices are almost certain to vote to uphold the law in its entirety. That presumably would form a majority by joining a decision to cut away only the mandate, which now has no financial penalty attached to it. Congress zeroed out the penalty in 2017, but left the rest of the law untouched.“I think it’s hard for you to argue that Congress intended the entire act to fall if the mandate were struck down when the same Congress that lowered the penalty to zero did not even try to repeal the rest of the act. I think, frankly, that they wanted the court to do that, but that’s not our job,” Roberts said.Tuesday’s arguments, conducted by telephone and lasting two hours, reached back to the earlier cases and also included reminders of the coronavirus pandemic. The justices asked about other mandates, only hypothetical, that might have no penalties attached: To fly a flag, to mow the lawn or even, in a nod to current times, to wear a mask.“I assume that in most places there is no penalty for wearing a face mask or a mask during COVID, but there is some degree of opprobrium if one does not wear it in certain settings,” Justice Clarence Thomas said.The court also spent a fair amount of time debating whether the GOP-led states and several individuals who initially filed lawsuits had the right to go into court. 2495

WASHINGTON -- A veteran who lost his genitals due to a blast in Afghanistan has received the world’s most extensive penis transplant, according to the Associated Press.Surgeons at John Hopkins University said they wanted to address “an unspoken injury of war” by rebuilding the man’s entire pelvic region, transplanting a penis, scrotum and part of an abdominal wall from a deceased donor.In total, officials with the hospital said the surgery took 14 hours.Such transplants "can help those warriors with missing genitalia just as hand and arm transplant transformed the lives of amputees," Dr. W.P. Andrew Lee, Hopkins' chairman of plastic and reconstructive surgery.The patient, who asked to keep his identity hidden, is expected to regain urinary and sexual function.The scrotum transplant didn’t include the donor’s testicles, so reproduction won’t be possible.Three other successful penis transplants have been performed. Two in South Africa and one at Massachusetts General Hospital.For functionality, surgeons had to connect nerves and blood vessels. Hopkins is now screening additional veterans to see if any are good candidates for this type of reconstructive transplant.In a statement, Hopkins says the patient was quoted as saying: "When I first woke up, I felt finally more normal." 1302

VIENNA (AP) — Eliud Kipchoge sent shockwaves through the world of sport by becoming the first athlete to break the two-hour barrier for a marathon, although it will not count as a record.The Olympic champion and world record holder from Kenya clocked 1 hour, 59 minutes and 40.2 seconds at the INEOS 1:59 Challenge on Saturday, an event set up for the attempt.Kipchoge, who compared his attempt earlier to a man landing on the moon, twice punched his chest in celebration and smiled when he finished."That was the best moment of my life," he said before adding that he trained four-and-a-half months for his extraordinary race against the clock. "The pressure was very big on my shoulders. I got a phone call from the President of Kenya."Starting at 8:15 a.m., Kipchoge was supported by 36 pacemakers who accompanied him in alternating groups, one of the reasons the IAAF governing body will not ratify the time as a world record.The groups were also helped by a pace car with a laser beam, projecting the ideal position on the road, and they received drinks handed over by cyclists and other runners to prevent them from having to slow down."It is a great feeling to make history in sport after Sir Roger Bannister," Kipchoge said in reference to the late Briton's first sub four-minute mile in 1954. "I am the happiest man in the world to be the first human to run under two hours and I can tell people that no human is limited. I expect more people all over the world to run under two hours after today."Kipchoge pointed out his mission went beyond athletics."We can make this world a beautiful world and a peaceful world," he said. "The positivity of sport. I want to make it a clean sport and an interesting sport."Kipchoge was cheered by spectators along the course in Prater Park and there were celebrations in his home country before he had even finished."Hearty congratulations, Eliud Kipchoge," President Uhuru Kenyatta said in a statement. "You've done it, you've made history and made Kenya proud. Your win today will inspire future generations to dream big and aspire to greatness. We celebrate you and wish you God's blessings."Hundreds of joyous Kenyans brought traffic to a standstill in the middle of the capital, Nairobi, as they gathered to watch the end of the run on a large screen. People pumped their fists, clapped and fell to their knees as Kipchoge cruised to the finish line.In Kenya's running mecca of Eldoret, called the home of champions, hundreds of people burst on to the streets in celebration."We should line up the entire road from the airport to Nairobi. Receive him like the hero he is," prominent activist Boniface Mwangi said on Twitter.Running at an average pace of 2:50 minutes per kilometer (4:33.5 minutes per mile), Kipchoge was 11 seconds ahead of schedule halfway through his run. He then maintained his tempo until the pacemakers left him for the final 500 meters, where he sped up."I was really calm, I was just trying to maintain the pace," said Kipchoge, adding he was never in doubt about breaking the barrier. "For me it was not 50-50, it was 90 percent."Jim Ratcliffe, founder of the chemicals company backing the attempt, exchanged high-fives with Kipchoge after the finish."He even accelerated in the final kilometer, he is a super human," Ratcliffe said. "I can't believe he's done it. He did the first half in less than an hour and then he's just done that again."Organizers said normal anti-doping regulations were in place and that Kipchoge and all the pacemakers were being tested in and out of competition by the Athletics Integrity Unit (AIU).The team behind the event "has ensured all athletes involved in the project are undergoing extensive intelligence-led testing that has been pioneered by the partnership between Abbott World Marathon Majors and the AIU," they said in a statement to The Associated Press.The Prater Park in the Austrian capital offered long straights, protected from the wind by high trees, for most of the 9.6-kilometer course, which Kipchoge completed more than 4 times.It was his second attempt at breaking the two-hour barrier, after missing out by 26 seconds at a similar event on the Formula One track in Monza, Italy, in May 2017.Kipchoge, who took Olympic gold in Rio de Janeiro in 2016 and has won 10 of his 11 marathons, holds the official world record of 2:01:39 since shattering the previous best mark by 78 seconds in Berlin last year.In near-perfect circumstances at the meticulously planned attempt, Kipchoge shaved almost two minutes off that time.Long-time coach and mentor, Patrick Sang, a former Olympic and world steeplechase silver medalist, said it was "really exciting.""I am happy for him and what he has achieved. He has inspired all of us that we can stretch our limits and that we can do more than we think we can do," Sang added.Under Sang's guidance, Kipchoge won gold in the 5,000 meters at the world championship in 2003, the start of a distinguished track career which includes Olympic bronze and silver medals from 2004 and 2008.After missing out on qualification for the 2012 London Olympics on the track, Kipchoge switched to the marathon and has since been pushing the boundaries of the discipline. 5228