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While the teams on the field at Super Bowl LV are yet to be determined, the halftime performance has been decided: The Weeknd. 134

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

When Sen. Bernie Sanders did this in 2013, he did it alone.On Wednesday, nearly four years later, Sanders introduced a new "Medicare for all" health care bill with a third of the Senate Democratic caucus by his side.Flanked at first by New York Sen. Kirsten Gillibrand and Connecticut Sen. Richard Blumenthal, Sanders called the costs of the current system "insane and unaffordable," promising that the average family would benefit financially under his plan "because you will no longer be writing checks to private insurance companies."For those whose taxes would go up, he added, "that expense will be more than offset by the money are you are saving with the elimination of private insurance costs." 710

With its low air pressure, Hurricane Michael unofficially sits as the third-strongest landfalling hurricane to strike the United States. Having such a tremendously low air pressure typically causes storms to have strong winds, and Michael was no exception. Hurricane Hunters from the Air Force and NOAA estimated Michael's lowest pressure was 919 MB at landfall. The only two hurricanes with a lower pressure at landfall to hit the United States were the Labor Day Hurricane of 1935 and Camille of 1969.Also based on estimates, Michael had top winds of 155 MPH, which is just below Category 5 status. Based on top winds speeds, Michael was tied for the sixth-strongest landfalling hurricane in US history, tied with Hurricane Maria in 2017 and "Guam" in 1900. In terms of air pressure, Michael was 1 MB stronger than Katrina in 2005 and Maria in 2017 at landfall, and 3 MBs stronger than Andrew of 1992. Michael's top winds at landfall were well ahead of Katrina's top winds at landfall of 130 MPH, on par with Maria's top winds at landfall of 155 MPH, but below Andrew's top winds of 165 MPH.But in the immediate aftermath of Andrew, it was declared a Category 4 hurricane at landfall. It was not until years later when the National Hurricane Center concluded that winds in Andrew were greater than 157 MPH, marking the only Category 5 hurricane to strike the US since Camille in 1969. Like Andrew, Michael continued to strengthen all the way until landfall. In just three days, the storm went from a tropical storm to a high-end Category 4 hurricane. Other reasons Micheal will be notable:- Michael was just the sixth hurricane of at least Category 4 strength to hit Florida since 1950.  1752

When a hidden camera snapped a picture of Cross River gorillas including several infants in Nigeria this summer, conservationists were thrilled.This subspecies of gorilla is one of the most endangered, with only an estimated 300 individual animals believed to exist. They live along the border of Nigeria and Cameroon, in western Africa.The Wildlife Conservation Society captured images of the Cross River gorillas in Nigeria’s Mbe Mountains in May and June. Their camera traps have only captured images of Cross River gorillas a handful of times since being set up in 2012. They said this was the first time they had seen multiple infants in the same group. 666