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The manner and cause of deaths for both sisters are still under investigation by the San Diego County Medical Examiner's Office, Toth said Mond morning. 152
The message she wants to send to the community?Early detection saves lives.“It is always better to know than not know about potential future health risks,” Wirth said. “If you have any type of family history, it is a great idea to meet with a genetic counselor.”Because Wirth knows that she has the CHEK2 gene mutation, she is able to make informed decisions about her preventative health and is aware of certain health screenings that can be life saving in the future.This story was originally published by 508

The number of insurers on the federal exchange will grow for the first time since 2015. There will be 23 more carriers for 2019 than there were during the open enrollment period in 2018. Plus, 29 insurers are expanding the service areas into more counties, the agency said.Four states will have only one insurer, down from 10 states in 2018.Many insurers withdrew or limited their participation on the exchanges in recent years amid uncertainty emanating from Washington DC and large losses.The premium rate drop was expected by those who watch the industry closely. After years of raising rates — sometimes by double digits — insurers have found a sweet spot. Many are breaking even or have started making a profit in the individual market, despite changes to the Obamacare system since President Donald Trump took office.Reinsurance programs that protect insurers from high-cost enrollees have also helped to keep premiums lower. In Maryland, rates are now expected to drop by 30%, after the state received a waiver for a reinsurance program.The federal government has approved reinsurance waivers for seven states, resulting in lower premiums, CMS Administrator Seema Verma said on a call with reporters.Some uncertainty still looms. Next year will be the first time that Americans will not have to pay the penalty for being uninsured. Congress eliminated the individual mandate penalty as part of last year's tax overhaul.Also, it will be easier for people to sign up for alternatives to Obamacare, including short-term health plans and association health plans, which are usually cheaper but offer skimpier benefits.Yet premiums are going down at least in part because insurers overshot in 2018 and raised them too high amid uncertainty over how the changes made by the Trump administration would affect the program."Premiums would be even lower if not for repeal of the individual mandate penalty and expansion of short-term plans," said Larry Levitt, senior vice president at the Kaiser Family Foundation, on twitter Thursday.Verma dismissed those concerns."Despite predictions that our actions would increase rates and destabilize the markets, the opposite has happened," Verma said.Verma added that the lower premiums were "by no means a celebration.""Even with this reduction, average rates are still too high. If we are going to truly offer affordable, high-quality healthcare, ultimately the law needs to change," she said.While Republican-led repeal efforts failed last year, Trump has in the run-up to the November midterms continued touting alternatives to Obamacare as well as slamming Democratic proposals to expand Medicare.In an interview with Fox News late Wednesday, Trump said that despite failed efforts to repeal and replace the Obamacare system last year, "we have things happening on health care that are going to be very, very exciting."Also on Wednesday, he published an op-ed bashing Democrats' "Medicare for all" plans. Many potential candidates for the party's 2020 nomination joined Senator Bernie Sanders last year in filing a bill to establish the program. 3100
The Padres pulled away in the fifth inning, aided by a popup that was lost in the sun. With Margot on first base, Austin Hedges hit a bloop toward Muncy at first base. Muncy moved into position, but lost track of the ball as it came down and hit him in the back of the head. 274
The Michigan Department of Licensing and Regulatory Affairs issued new rules for dip powder practices due to a method that could spread infection through cross-contamination. “In a salon setting, it should be used in a way that client’s fingers aren't dipped into the container itself,” said Amanda Bedard, owner of Utopia Salon in Lansing.The requirements prohibits using the same jar of powder for more than one client and left-over dip must be thrown out after each use. “I would pour just enough that I know I am going to use on the service without wasting product," Bedard explained.“I would take and sprinkle it on each individual finger.”Using the same utensils and left-over powder in between clients can raise a public health risk. “Generally the funguses kind of show up as discoloration on the nail,” said Bedard.“You know warts kind of can look very different, sometimes they can show up as kind of skin-colored and just a little bit raised, where other times you know they can actually look like an infection.”If you see any signs of infection, seek medical attention. Violators of the new rules could face a penalty from the state, which could result in a license suspension.This story was originally published by Cryss Walker at WSYM. 1249
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