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WEST PALM BEACH, Florida — West Palm Beach says the number of police cars that had to be pulled off the streets due to engine failure has risen to 49.City Administrator Jeff Green said at this point they believe a tainted fuel shipment in the middle of March is to blame. All of those cars had traces of biodiesel in their tanks, which are meant for unleaded only.West Palm Beach Police Public Information Officer David Lefont said it is not impacting public safety since the agency is supplementing with rental cars.“We have captains driving around in minivans,” Lefont said.Seventeen patrol cars have gotten new engines and are back in service.The other affected cars are non-marked cars.Green said Miami-Dade County police reported they had to pull 120 cars with the same issue.In West Palm Beach the cars affected are all Ford, which is why the automaker is investigating the case as well.But Green said at this point they believe it was the fuel shipment. They’re currently investigating where the shipment came from. 1035

When the COVID-19 pandemic first prompted shelter-in-place restrictions, daycares across the country quickly saw families withdraw their children from their centers. Many lost valuable tuition dollars that keeps their doors open."We've done the best we can in staying open and supporting our community. We are a locally private-owned school so our enrollment really depends on the survival of the school and we’re struggling. I mean, as probably all childcare centers are, we’re struggling with enrollment, we’re struggling with our numbers," says Debbie Bradford, the director of education at Milton Montessori in Georgia.Bradford says the last few months have been very challenging as many families are worried about the coronavirus."The (coronavirus) numbers are on the rise so it’s definitely affecting the end of our school year, our summer and as we look to relaunch in August, we still see light enrollment," says Bradford.The school, which has two locations, has been able to stay open due to a number of parents who are essential workers. Bradford says, "These are front-line families. Some of them are workers on the front line and some of them are workers at home but need the income to make ends meet for our families."Primrose Schools has more than 400 locations across the country, providing infant daycare through private kindergarten. Primrose says the pandemic has dropped enrollment numbers at their facilities significantly."What we are seeing across the country is a very unsettling situation, where a lot of the family home cares that used to be accessible to families are closing. And the childcare centers, those individually owned and operated childcare centers, because of the shelter in place situation, many of them haven't been able to survive them," says Jo Kirchner, the CEO of Primrose Schools.Kirchner has been meeting regularly with other national daycare facilities and says many are concerned about the future of the childcare industry."It is a potential crisis that is going to escalate significantly in the next eight to 10 weeks as the districts decide what they're going to do," says Kirchner.One glimmer of hope is the boost of private kindergarten enrollment, which some parents have deemed a safer alternative than their local public school. Many hope private kindergarten enrollment can be kind of a saving grace for some private childcare centers."It will be somewhat of a saving grace in terms of bringing in base revenue to cover their fixed costs while we get through this pandemic and the families with the younger children will begin to come back,” Kirchner said.For Milton Montessori, the owners are hopeful they will be able to ride out this pandemic."We hope that at some point, families get comfortable with the new requirements for cleaning and for health and safety. And as things return to a normal, it's going to be a new normal," says Bradford.Bradford says they're hoping families start feeling safe enough to enroll their children and continue to support locally-owned childcare centers. 3055

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

With emotions still raw days after a deadly school shooting in Florida, one Ohio family is fighting back against what they think is an unfair punishment.Beth Mertel says one of her son's peers brought a toy gun to Greenbriar Middle School in Parma on Feb. 8, and pointed it at her son, Joey."He says he doesn't want to be the snitch," Mertel said. "They're 11 years old. They're kids. They're trying to find their place with their friends too."Mertel says the Parma City School District suspended the student who brought the toy gun, along with three other students, including Joey, for knowing about it but not telling an adult about it.The district stands behind the discipline, saying the three additional students were punished under a part of the Student Handbook labeled "Withholding Information."Mertel's concern is with the severity of the punishment, not the rule she admits her son should have followed."No matter how much I disagree with the suspension, you still should have said something," said Beth.Mertel says Wednesday's tragedy in Florida is an important teaching moment."I said [to Joey] you need to go home and turn on the news," said Beth. "You need to watch this, you need to understand this."The district tells us that suspension will stay on Joey's internal school record through middle school and into high school. Beth says it's a hefty punishment that falls short of teaching the lesson she says is worth learning."Whenever you see something, you have to tell somebody," said Mertel. "That's the only way this is going to be taken care of." 1605

White House chief of staff John Kelly will be leaving his position at the end of the year, President Donald Trump told reporters at the White House on Saturday afternoon.CNN on Friday reported that Kelly was expected to announce his departure in the coming days."John Kelly will be leaving at the end of the year," Trump told reporters before departing the White House for the Army-Navy game.Trump noted Kelly had been with him for almost two years in his roles as chief of staff and secretary of homeland security."I appreciate his service very much," Trump said.Seventeen months in, Kelly and Trump have reached a stalemate in their relationship, which is no longer seen as tenable by either of them, CNN has reported. Though Trump asked Kelly over the summer to stay on as chief of staff for two more years, the two have stopped speaking in recent days.CNN reported on Friday that Trump had been discussing a replacement plan. Potential replacements include Vice President Mike Pence's chief of staff, Nick Ayers, who is still seen as a leading contender. 1071