上海肺结节血管穿行是啥意思(上海双肺微结节是什么意思) (今日更新中)

Diana Farrell is the President and CEO of the JPMorgan Chase Institute, which publishes data analyses and insights that leverage the firm's proprietary transaction data. Previously, Diana was the Deputy Director of the National Economic Council, as well as Global Head of the McKinsey Center for Government and the McKinsey Global Institute. The opinions expressed are her own. The deadline to file your 2017 taxes is just a week away. But if you're one of the millions of Americans — roughly four in ten households — who filed back in February, you probably couldn't wait to get your hands on your expected refund.And there's a good chance you put that refund toward a visit to the doctor.That's according to new research by the JPMorgan Chase Institute, which evaluated when Americans in different income and demographic groups file their taxes.Americans who file their taxes early are more likely to receive a larger tax refund. Early filers were also more likely to spend a larger portion of their refund on health care.Related: How to save money on health care in retirementIn fact, American families increase their health care spending by 60% in the very week they receive a tax refund. And those who received their refunds in February increased their health care spending over the following 76 days by 38%, compared with a 22% increase for those who received refunds in March and an 11% increase in April or May.While some high-deductible health plans encourage early-year spending, JPMorgan found that deductibles aren't the motivating force behind this surge.Instead, among the earliest filers, 64% of their health care spending went to services they had been putting off, including dental visits, hospital visits and in-person doctor appointments.What does this mean? It's increasingly clear that families are treating their tax refunds as a zero-interest savings vehicle, the funds of which they're using for important and sometimes crucial expenses like health care.That's problematic for Americans' financial health, because the IRS does not currently give taxpayers control over the timing of their refund payments, outside of choosing when to file your annual refund between January and Tax Day in April. This means it can be challenging or unrealistic to only schedule payments or purchases around your tax refund every spring.It also poses problems for Americans' physical health, because those who rely on this cash infusion to afford health care are likely to delay care.Related: Americans spend more on health care, but have shorter livesGenerally speaking, young people under the age of 35 and those whose take-home pay is less than ,000 are more likely to be early filers because they have a greater need for this cash infusion.Another reason for filing early could be that low-income families are more likely to receive refundable tax credits, such as the Earned Income Tax Credit, money that is not available except through a tax refund. Across all income and age groups, though, people who are owed a larger refund are more likely to file early.Given the link between tax refunds and health care spending, policymakers and employers should consider making changes that would allow consumers to access funds throughout the year. Policymakers might consider offering periodic tax refund payments -- perhaps quarterly payments so that families wouldn't have to defer care until tax season.Another solution is to make the timing of these payments even more flexible and frequent for those who require urgent health care. This could include an option to apply for emergency funds taken out of your upcoming refund, or an option to file at a different time of year and receive a refund based on year-to-date income.Related: How to file your taxes for the first timeBy fixing one of the largest cash flow events to happen between mid-February and mid-May every year, we're virtually guaranteeing that some Americans will have to defer care.Finally, we should encourage employers to offer alternative savings vehicles, like an employer-based sidecar account. This account would share many of the same features of a tax refund, but give consumers more direct control over when they access funds.These could include built-in commitments and "set-it-and-forget-it" transparency, which would enable consumers the option of a one-time payroll election that recurs with every paycheck, locking them into an annual savings choice similar to other employer-sponsored benefits.By better understanding the connection between health care spending and tax season, we can help more families manage their finances to ensure they're getting health care when they need it, not just when they file to Uncle Sam.The-CNN-Wire 4734

EL CAJON, Calif. (KGTV) -- El Cajon city leaders will consider the possibility of a ban on the sale of vaping products at their next meeting in November. Tuesday evening, city council leaders heard from dozens of people for and against the idea; but the issue was not on the agenda.Councilman Gary Kendrick first brought up a city-wide ban in July. Tuesday afternoon, he was joined by school leaders, doctors, health officials, and parents who all believe vaping is an epidemic targeting kids. "These people who are selling vaping devices and vaping liquids to our children are profiting from the suffering of our children," said councilman Kendrick. A member of the Cajon Valley Union School Board said vaping is rampant in children as young as elementary age. "The liquids that are being used our being promoted to our youth , having vaping devices available at a very low cost in our liquor stores or 7/11/'s for approximately a dollar is promoting to our children that they can easily have access to them," said Jill Barto. Joey Johnson works at United Smoke Shop and Vape. He says if it weren't for vaping, he'd still be smoking two packs a day. "It's astonishing how much it’s truly helped me," said Johnson. Johnson believes a ban punishes legitimate businesses and will only create a bigger black market. "Gas stations places like that don’t care, so it’s either that or people on the streets or getting THC cartridges from people on the street who don’t know what they’re doing , they’re adding stuff to it to make it “vapable” or able to smoke and that’s the people that are dying," said Johnson. At least twenty-three people across the country have died from vaping related illnesses. In San Diego County, there have been no deaths, but at least twenty-two people have been sickened. One high school student told the council that vaping is rampant in the school bathrooms."The athletic kids vape, the honors kids vape, the college prep kids vape and their parents vape and at this point, it's sad to say, I think it's become a part of high school culture," said the student. Deborah Kelly told city leaders she was outraged at the failure of government to protect children. "Flavored tobacco products taste like candy, but act as poisons and kids don't smoke marijuana, they vape it," said Kelly. The council decided more research is needed before it takes any action on a possible ban. City leaders did vote to increase suspensions and fines for businesses that sell tobacco products to minors. Under the new rules, fines start at ,500 instead of ,000. If a business has a fourth violation within a five-year period, the retailer is subject to a permanent suspension. 2692

EL CAJON, Calif. (KGTV) — One man suffered severe injuries after he was hit by a vehicle in El Cajon on Saturday.El Cajon Police said the collision occurred at Jamacha Rd. and Sunnyland Ave. just before 6:30 p.m. It wasn't immediately clear how the man was struck by the vehicle.The man suffered head trauma and a severed foot, according to police. He was found unconscious when police arrived before he was taken to a nearby hospital. His condition was not immediately known.The driver remained at the scene. ECPD said drugs or alcohol do not appear to be a factor.Traffic on Jamacha Rd., from Lexington to Washington, will be closed for at least two hours while police investigate. 691

Dr. Anthony Fauci has a stark warning for Americans, reiterating that if our response to the coronavirus does not change, there could be more hospitalizations and deaths.“If things do not change, if they continue on the course we’re on, there’s gonna be a whole lot of pain in this country with regard to additional cases and hospitalizations, and deaths,” Fauci said in an interview Wednesday evening on “The News with Shepard Smith.”Dr. Fauci, director of the National Institute of Allergy and Infectious Diseases, has repeatedly told lawmakers and other news outlets the country’s coronavirus case numbers are going in the “wrong direction.”Cases are rising in almost every state and territory, and coronavirus-positive patients are overwhelming hospitals in some parts of the country.The Midwest is especially hard hit right now, with Wisconsin reporting a 7-day positivity rate of 28 percent. Most municipalities try to keep that number below 5 percent to allow lockdown restrictions to loosen up.Smith asked Fauci if there should be a national mask mandate.“We do. If we don’t get one (national mask mandate) I would hope the governors and the mayors do it locally, if it’s not done nationally,” Fauci responded.Many states across the country have had to tighten stay-at-home restrictions in the last few weeks, putting stricter limits on gathering sizes, indoor business capacities and mask wearing both inside and outside.As of Thursday morning, there are more than 8.8 million confirmed cases of coronavirus since the pandemic started in the U.S., and more than 227,000 deaths.Wednesday alone, nearly 79,000 new people reported testing positive for the coronavirus in this country, and nearly 1,000 people died.“There is very little appetite for a lockdown in this country,” Fauci told Shepard Smith. “There’s going to be major pushback both from above and at the local level, however, what Melbourne did, what Australia did as a country, was very successful.”Melbourne only reopened Wednesday, after residents spent three months under strict lockdown orders.While he doesn’t feel America would be able to commit to something like that, Dr. Fauci suggests being better about mask wearing, social distancing and avoiding crowds.Dr. Fauci’s warning that more pain could come echos warnings from a recent projection that more than half a million Americans could die of the coronavirus by March if there are no changes to our efforts to control the spread of the coronavirus.“We find that achieving universal mask use (95% mask use in public) could be sufficient to ameliorate the worst effects of epidemic resurgences in many states,” the study stated.Researchers found even if 85 percent of universal mask wearing is achieved, an additional 95,000 lives could be saved.According to the study, the national average for self-reported mask wearing is at just 49 percent as of late-September. 2903

EL CAJON, Calif (KGTV) - The Cajon Valley Union School District has found a unique tool to help them teach thousands of refugee students, many of whom don't speak English.They're using soccer."The kids were exhausted after six hours of academics every day," says District Director of Community Engagement Michael Serban. "Time after school can be spent differently."Three days a week, English-learning refugee students take part in the Power Up program. They spend 45 minutes playing soccer, using the game to introduce words and concepts. They spend another 45 minutes in class working what they heard on the pitch."You can see the growth in the students' vocabulary," says Serban. "When they go back in the classroom, they're not just listening. They're using the words that they practiced to increase the basic foundational vocabulary."The program is only in its second year at Cajon Valley, but the problem of working with refugees spans decades.Since 1975, San Diego County has brought in 86,598 refugees. That's third-most in the state. Many of them settle in East County, where their children enroll in local schools."A lot of the students coming to us from refugee camps may not have been in school," explains Superintendent Dr. David Miyashiro. "They're coming to us in 7th or 8th grade with very low English language skills and also with literacy issues in their own language."Serban says families had been asking for a soccer program to help the kids adapt. The district teamed up with Sports for Learning to develop the curriculum.In addition to the soccer and vocabulary, the students get social and emotional counseling to help them cope with the trauma from their home country. It also teaches them the social norms of being in an American school.A few non-refugee students also participate in the class, to make sure the students make friends outside of the refugee community.The district also is a pioneer in helping all of its students learn about careers and options after school. They use the World of Work curriculum to help gauge the kids' interest and aptitude in a variety of career fields.That program helps the refugee students feel like they have a long-term future in America."Before we ask kids to learn to read, we have to show them why they need to learn to read," says Dr. Miyashiro. "These curricula bring relevance to their learning and connectivity to their future."The Power Up program is funded, in part, through a grant from the Refugee School Impact Program as part of the US Department of Health and Human Services. 2563

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