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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 major movies filmed in Georgia over the last few years, Atlanta has become the "Hollywood of the South." For the last few months, however, all production has stopped.“The type of work that we do to prep for movies has basically gone quiet,” said Craig Miller, who has been in the entertainment industry for more than 35 years.This year, his Atlanta-based production company, Craig Miller Productions, cut back due to coronavirus concerns.Movie studios shutting down across Georgia is having a huge economic impact on other industries.“Fiscal year 2019 we were at .9 billion direct to spend,” said Lee Thomas with the Georgia Film Office, who predicts that number to be very much smaller this year. Thomas says Georgia’s film industry directly and indirectly employs about 53,000 workers, making it one of the biggest industries in the state.“It’s not only the people that work directly in the industry but all the ancillary services from rental cars to hotels to restaurants,” she said.Restaurants like Palmer’s in Peachtree City, Georgia.Ashley Edwards is the owner of this restaurant where cast and crew often come to eat. She says her business has lost big bucks since the shutdown.“I’d say three days a week at least we have about maybe 0 to 0 worth of to go orders by 11:30 a.m.,” Edwards said. "We’ve definitely lost that business."Back on set, Miller is following the Georgia Film Academy’s new COVID Compliance Course, a new video detailing preventative practices approved by the Centers for Disease Control and Prevention (CDC) with the goal of getting the industry back to work safely.“They’re doing temperature checks and COVID-19 testing,” Miller said about people returning to work.As COVID-19 cases continue to rise across the country, however, Miller says it’s making restarting production more difficult. 1841

WICHITA, Kan. (AP) — Authorities say a retired firefighter who was upset with a mask ordinance in the city of Wichita, Kansas, has been arrested on suspicion of threatening to kidnap and kill the mayor.The Wichita Eagle reports that police say the 59-year-old suspect could face a charge of criminal threat.Democratic Mayor Brandon Whipple said someone had read him text messages received by another city official that asked about the mayor’s address and threatened his life.Whipple says the suspect talked about tyranny in the messages and was upset about the mask mandates and not being able to see his mother because of coronavirus restrictions.“He said he was going to kidnap me and slash my throat and he needed my address because I needed to see the hangman — me and everyone who, something about tyranny,” said Whipple.The Eagle reports that the mayor has been an online target of anti-mask activists after he pushed for a citywide mask requirement to help slow the spread of the coronavirus.Whipple says he will now have an increased security presence around his home to protect him and his family.The Wichita Police Department told The Eagle that it’s investigating the threats and that no other local officials are believed to have been targeted at this time.This incident comes after law enforcement arrested several men who authorities say plotted to kidnap Michigan Gov. Gretchen Whitmer at her vacation home. Federal agents ended up foiling that plot and are charging the “violent extremists.” 1515

What’s the difference between a place with patchy shrubs and a lush, wooded forest on Google Maps? In the past, the answer was nothing, they were both the same color of green. Now, Google Maps will be using a wider color spectrum to bring out more details.Using high-definition satellite images from more than 98 percent of the world’s populated areas, Google uses a new color-mapping “algorithmic technique” to translate the information into a more vibrant map.The idea, according to a blog post from the company, is to create a map with more natural features, so users can quickly distinguish between tan beaches and deserts, or blue lakes, rivers, oceans and ravines.The team at Google Maps explains how the color-mapping works. “First, we use computer vision to identify natural features from our satellite imagery, looking specifically at arid, icy, forested, and mountainous regions. We then analyze these features and assign them a range of colors on the HSV color model.”Google Maps has undergone a handful of updates this year in conjunction with the app’s 15th year in existence, including a better sense of depth in Live View, more detailed directions for commuting, and easy-to-find contribute and explore tabs.Still to come, Google Maps is promising an update that will show more details about street width and shape. Allowing users to see exactly where sidewalks, crosswalks and pedestrian islands are. 1424

WILSON, N.C. - The Wilson (North Carolina) Police Department have arrested and charged a man in connection to a Sunday night shooting that left a five-year-old boy dead.Police say 25-year-old Darius N. Sessoms has been charged with first degree murder and has received no bond.Sessoms was found inside a home on Monday in Goldsboro after a warrant was put out for his arrest in connection to the shooting that took place Sunday night.According to officials, on Sunday around 5:33 p.m., officials received a call regarding a shooting.5-year-old Cannon Hinnant was found suffering from a gunshot wound. He was taken to a local hospital where he later died.The US Marshals’ Carolinas Violent Fugitive Task Force, Goldsboro Police Department, and Wayne County Sheriff's Department assisted Wilson Police in arresting Sessoms.The Wilson Police Department is encouraging anyone with information regarding this case to contact the Wilson Police Department at 252-399-2323 or Crime Stoppers at 252-243-2255.This article was written by Arianna Herriott for WTKR. 1062