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That scene from “Friends” when we find out Ross is still a patient at his pediatrician’s office is getting more common for young adults.One reason is young adults can stay on a parent's insurance until they are 26 years old so it's easier and more affordable to stick with the same doctor.There are downsides though.“If they start to get medical conditions, high blood pressure, hypertension, adult onset diabetes, those more … adult medical conditions, that’s an appropriate time to say, ‘hey maybe it’s time to transition to an adult provider,’ ” said Dr. Christina Johns with PM Pediatrics. The pediatric emergency physician says one benefit of staying on with a pediatrician longer is the patient continues to see someone familiar with their medical history, especially for those with chronic childhood health issues. And she says it prevents the young adults from moving into another trend she's noticing — relying solely on emergency room and urgent care only.“There really does seem to be a large group of adults who use those places as their primary care,” the pediatrician said. “It’s really important to have a relationship with a primary care doctor.”Johns says when young adults become parents and when women need regular OB/GYN care, those are also appropriate times to transition away from a pediatrician.The American Academy of Pediatrics discourages transitioning away from pediatric care solely based on age. Their position is that it’s a decision between a patient and their doctor. It should take into account meeting the needs of the patient and the abilities of the doctor. 1606
The ads are appealing. They feature deals for vets to refinance their homes and cash out on the equity. However, home and refinance loan programs targeted towards military veterans can be a benefit or a headache, depending on the lender. John Bell, advisor for the Veterans Affairs Administration in D.C. says there are many reasons why vets can take advantage of borrowing cash against their home. But how you choose a cash-out lender makes a big difference. “We want to make sure that veterans are armed with information from the disclosure process early in the process as well as though closing, so they understand the decisions they're making,” he says. Bell says, unfortunately, there are predatory lenders out there targeting vets, sticking vets with thousands of dollars in hidden fees. “Have we seen it, yes,” Bell explains. “Do we know how to combat it and help you in navigating that process? Without a doubt.” In 2018, the United States Department of Veterans Affairs stepped up its regulations for lenders, specifically on cash-out refinance loans. The VA has always offered advisor services to protect borrowers through their long-standing VA home loan program. “We need to make sure that all lenders are operating on the same playing field, that they're all giving veterans the transparency that they need to make informed decisions,” Bell says. According to a report by the American Enterprise Institute, in September of 2018, veterans cashed in on cash-outs. They accounted for 86 percent of mortgage loans, which was up about 30 percent from two years prior. “The general rule is if it sounds too good to be true it usually is,” Bell says. Bell says in order to not cause a mortgage crisis among vets, it's best if you know what you’re getting yourself into. “Be sure you're asking the right questions,” he says. “You want to know the exchange of equity that you're going to take out, what is the overall cost of that, and make an informed decision.” 1983

Thanks to everyone reaching out about the news tonight, I am safe. Luckily this is my house for sale and I have moved into a new one. I just left the area and it is an extremely sad sight to see. Prayers to everyone affected by the tornado. https://t.co/wT6XlUBi8N— Tyler Seguin (@tseguinofficial) October 21, 2019 326
The National Hurricane Center has issued a hurricane warning for sections of the Louisiana coast as Tropical Storm Barry is churning the in the Gulf of Mexico. Barry remains a minimal tropical storm with 40 MPH winds, but is expected to gain strength as it turns toward the Louisiana coast. The National Hurricane Center expects the storm to make landfall during the middle of the day Saturday. The National Hurricane Center said a Hurricane Warning is now in effect for the coast of Louisiana from Intracoastal City to Grand Isle.Despite the disorganized nature of Barry on Thursday, the storm is in a favorable environment for strengtheningThe biggest impact of Barry could be the rain, which could cause flooding. The slow-moving storm could cause some areas to recieve more than a food of snow. 812
The Justice Department announced Sunday night a new legal team will take over the Trump administration's fight to add a citizenship question to the 2020 census.The department's spokesperson said in a statement that the DOJ is "shifting these matters to a new team of Civil Division lawyers" and it will be revealed in filings Monday.The spokesperson did not give a reason for the change. Officials within the Civil Division's Federal Programs Branch had been lead on the census case up until now, but they are being replaced by a combination of career and political officials from the Civil Division's Consumer Protection Branch, a Justice official said."Since these cases began, the lawyers representing the United States in these cases have given countless hours to defending the Commerce Department and have consistently demonstrated the highest professionalism, integrity, and skill inside and outside the courtroom," DOJ spokesperson Kerri Kupec said in a statement."The Attorney General appreciates that service, thanks them for their work on these important matters, and is confident that the new team will carry on in the same exemplary fashion as the cases progress," the statement continues.The Trump administration has been fighting to add a question about citizenship to the 2020 census -- a question that hasn't been asked since 1950. The move could impact the balance of power in states and the House of Representatives, which are based on total population. Critics say adding the question could result in minorities being undercounted.The Supreme Court recently ruled the evidence did not back up the claims of Commerce Secretary Wilbur Ross and Justice Department lawyers that the question is needed to better enforce voting rights. 1770
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