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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

White House officials and House Democrats said Friday they’re no closer to a deal with on a stimulus package, a week after extended unemployment benefits expired.While the White House said they believe a compromise can be made on some issues, the two sides remain far apart on funding state and local governments. Many states and municipalities are struggling due to decreased revenues and increased costs amid the pandemic.There is also disagreement among the parties, including Senate Republicans, on unemployment supplements as unemployment figures remain over 10%. From April into July, unemployed workers received an additional 0 unemployment supplement on top of standard unemployment benefits. But many Republicans grumbled that the supplement gave incentive for workers to stay home amid the pandemic.Generally, however, if an employer calls an employee back to work, they're no longer eligible for unemployment benefits.Treasury Secretary Steven Mnuchin told reporters on Capitol Hill Friday that he is going to recommend executive orders addressing student loan payments, evictions and unemployment supplements. Currently, federal student loan payments are frozen into October. Also, protection ended last week on evictions.President Donald Trump told reporters late Friday that he plans on signing the order "by the end of the week." But Trump said he expects there will be legal challenges to his order. Mnuchin and White House Chief of Staff Mark Meadows said that there is broad agreement on some issues, such as funding for schools to safely operate amid the pandemic. Previously, the sides also said there is agreement on providing Americans with ,200 stimulus checks for the second time this year. But Mnuchin and Meadows pointed the finger at House Democrats for not compromising on the unresolved issues.“Just to hear the comments from Senator Schumer and Speaker Pelosi saying they “want a deal” when behind closed doors, their actions do not indicate the same thing,” Meadows said.Meanwhile, Democrats pointed the finger back at the White House for not reaching a compromise.While the White House suggested that it would be okay with a partial stimulus package, Democrats are calling for a more comprehensive bill.“We’re asking them to be fair, to meet us in the middle, not to have a my way or the highway attitude, which they seem to have,” Senate Minority Leader Chuck Schumer said. “We can really get this done, because there are some areas where we didn’t come to an agreement on many things, but we narrowed our differences.”Both the House and Senate have adjourned for the weekend. 2622

WILMINGTON, Del. – President-elect Joe Biden received his initial dose of the coronavirus vaccine on Monday.Biden received his Pfizer-BioNTech vaccine at ChristianaCare Hospital and it was administered by Tabe Mase, a nurse practitioner and head of employee health services at the hospital.With his wife, Jill, by his side, Biden received the vaccination in front of cameras as part of a growing effort to show Americans that the vaccines are safe and necessary for the nation to emerge from the pandemic.Watch Biden get vaccinated below:After he received his dose of the vaccine, Biden said his wife received her vaccination earlier in the day.“I’m doing this to demonstrate that people should be prepared when it’s available to take the vaccine. There’s nothing to worry about. I’m looking forward to the second shot and so is Jill. She’s had her shot earlier today,” said Biden.Biden said the Trump administration deserves some credit for getting the vaccine production off the ground with Operation Warp Speed.The former vice president went on to urge the public to continue taking the necessary precautions to prevent the spread of the coronavirus, because we’re still in the middle of a surge in cases.He also mentioned Moderna in his remarks, which began distributing its COVID-19 vaccine on Monday.“It’s worth stating that this is just the beginning,” said Biden. “It’s one thing to get the vaccine out. And now Moderna is going to be on the road as well, but it’s going to take time. In the meantime, I know I don’t want to sound like a sour note here, but I hope people listen to all the experts, who are talking about the need to wear masks during the Christmas and New Year’s holidays, social distance, and if you don’t have to travel, don’t travel, because we’re still in the thick of this.”Biden joins a growing list of lawmakers who have now received their first doses of the COVID-19 vaccine. Vice President Mike Pence, House Speaker Nancy Pelosi and Senate Majority Leader Mitch McConnell were among those were given doses Friday.President Donald Trump hasn't yet received the vaccine or said when he intends to. 2137

When Mahdi Hashemian was looking for a bicycle for his 7-year-old daughter Zeynab last week, the Cambridge, Massachusetts, resident decided to skip his local cycle shops in favor of a Black-owned one a few miles away in Boston’s Dorchester neighborhood.At Spokehouse, a bike shop with “Black Lives Matter” painted in large bold letters outside, the pair picked out a simple, white-colored model and had training wheels and a white basket for its handlebars installed.Hashemian, who is set to earn his doctorate from MIT, said he’s been reminded in recent weeks of the outpouring of support he felt from the campus community when President Donald Trump imposed a ban on travelers from Muslim majority countries in 2017, including his native Iran.“It seems small,” he said of his bike purchase, “but a little show of support can mean a lot.”As the May killing of George Floyd by a white police officer in Minneapolis has fueled a worldwide outcry against racism and police brutality, many on social media are encouraging people to spend their money at Black-owned businesses. Lists of local retailers, artisans and manufacturers have been circulating on Instagram, Facebook and Twitter, helping Black-owned businesses raise their profile at a time when the coronavirus pandemic has ravaged the economy.According to Google, searches for “Black owned businesses near me” reached an all-time high last month in the U.S. Yelp has also made it easier for customers to search for Black-owned establishments on the restaurant review site, and Uber Eats says it’ll waive delivery fees for purchases from Black-owned restaurants through the end of the year.“It’s great seeing people realize that where they shop can be another form of activism, that it’s a way to put your money where your mouth is,” said Randy Williams, founder of Talley & Twine, a Black-owned watch company in Portsmouth, Virginia. “You’re helping Black businesses become self-sustaining, and that helps the whole ecosystem.”Sales at Talley & Twine these past few months are up more than 300% from the same period last year, partly because more people are shopping online during the pandemic, he said. But the company was also recently mentioned on a number of social media lists of Black-owned businesses, and its Juneteenth-themed watch sold out before the June 19 holiday commemorating the emancipation of enslaved African Americans, Williams said.In Los Angeles, cupcake sales and shipping orders on other sweets are up at Southern Girl Desserts after it was also mentioned on social media lists, said Catarah Coleman, co-owner of the bakery in the city’s Baldwin Hills neighborhood.“It’s not nearly the level of business we had before the virus, but it’s something,” she said. “If we only depended on foot traffic and folks just stayed in their own neighborhoods, I’m not sure we’d be able to keep going.”At Slade’s Bar and Grill in Boston’s historically Black Roxbury neighborhood, online gift card purchases and take-out orders are up significantly as the long running soul food and live music venue — which boasted Malcolm X, Muhammad Ali and Martin Luther King, Jr. as patrons in its heyday — is just starting to reopen after shuttering during the pandemic, said Shawn Hunter, the managing partner.“We’re definitely seeing white customers and customers from outside the neighborhood that we would probably have never seen before,” Hunter said.In nearby Dorchester, Kerri Thibodeau said she drove about half an hour from suburban Stoughton to shop at Pure Oasis, the state’s lone Black-owned retail marijuana shop and one of the few in the nation.The 35-year-old mother of two, who is white, said there’s a marijuana shop about five minutes from her house but she decided to support Pure Oasis after hearing that more than 0,000 worth of marijuana products were stolen from the shop during a large Black Lives Matter protest through Boston last month.“We really need to come together and show that it doesn’t matter the color of our skin,” Thibodeau said after buying some marijuana flower and pre-rolled joints last week.But the business boon hasn’t been without growing pains for some companies. Black-owned bookstores have struggled to keep up with a surge in orders, many of them for a handful of sold-out titles on race relations.In Boston, the owners of Frugal Bookstore, the city’s only Black-owned bookshop, say customers are already seeking to cancel orders and complaining about delays and poor customer service. The Roxbury shop, which raised more than ,000 through an earlier social media campaign to help it weather the economic downturn, said in a note to customers that went viral last week that 75% of the more than 20,000 purchases it’s received are for the same 10 books.At Spokehouse, the Boston bike shop, owner Noah Hicks hopes the interest isn’t a passing fad and that it leads to more concrete efforts to address the challenges facing Black entrepreneurs, including access to capital.Hicks said his nearly five-year-old shop’s sales have tripled this month, compared to last June, in part because bike shops are enjoying brisk business during the pandemic .The shop also received about ,000 in donations after it was robbed during last month’s unrest, though Hicks ended up donating about half to efforts benefiting the local Black community, including covering the costs for a “Ride for Black Lives,” a cycling rally in Boston this past weekend.“People being intentional about their economic purchases is refreshing,” he said. ”But we also want them to help tear down the systems that make it hard for us, not just spend their dollars with us.” 5660

When Hurricane Michael barreled through Florida's Mexico Beach, it reduced the beachside town to pile of rubble, mangled structures and splintered houses.These aerial images from NOAA offer a stark look at how there's nothing left in some parts where houses once stood.Most houses in the northern section of Mexico Beach, where the canal and marina start, aren't there anymore.The pier toward the bottom of the image, isn't either.Zooming in closer on the marina, the debris from houses is piled up on the northern shore of the canal.The boat moorings, gone. And the debris field extends into the trees beyond the canal. 628