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Dolly Parton spent Thursday at Vanderbilt's Children's Hospital to celebrate a deeply personal milestone. Her niece, Hannah Dennison, turns 30 years old on Sunday — a birthday Parton wasn't always sure she'd be able to celebrate."Twenty-six years ago is when Hannah was diagnosed with leukemia, and for five years we didn't know if we'd be keeping her or not," Parton told a room full of doctors, nurses, patients and families. "But Hannah now stands here as our chemo hero. She shows that miracles do happen with good care, great doctors and great nurses."Parton met some of those doctors and nurses last fall when she visited the hospital to release her first-ever children's album. During that visit, she decided to donate million to the hospital."They took such good care of her and just looking at the little faces of the kids going through this and the parents who suffer so much as well; it's just touching and moving," she said. "If you're in a position where you can do something, you should do something."In return, the Children's Hospital dedicated it's second floor butterfly garden to Dennison on Thursday."Now that we have Hannah's butterfly garden, we may come up and do little shows now and then and bring some joy to the kids," Parton said. "Or just come up and say, 'Hey, I got my guitar, want to sing some songs?' Bring a few smiles to the kids faces." 1422

EL CAJON (CNS) - A pedestrian was struck by a vehicle and killed in El Cajon, authorities said Friday morning.Officers responded to the intersection of Washington and South Orange avenues about 11 p.m. Thursday, where they found a woman in her 50s with significant head injuries. She was pronounced dead at the scene, according to Lt. Jeremiah Larson of the El Cajon Police Department.An investigation determined the woman was crossing the road when she was struck by the vehicle traveling westbound on Washington Avenue, Larson said. It was unclear whether the woman was in a marked crosswalk at the time of the crash.Alcohol or drugs were not considered factors in the crash, he said, but no other details were released.The name of the victim was not disclosed. 771

DORAL, Florida (AP) — President Donald Trump is trying to chip away at his Democratic rival’s advantage with Black and Hispanic voters during a two-day campaign swing that is ticking off boxes, both geographically and with key constituencies.Trump on Friday appealed to Hispanic voters in Florida, who could determine the election outcome in this crucial battleground state.He will also be visiting Atlanta for an event on Black economic empowerment before ending the day in Newport News, Virginia.Watch Trump's remarks in Atlanta below:Trump’s campaign has been struggling to make headway against Joe Biden, but believes the president's support is growing among Latinos, including in Florida. 701

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 (CNS) - One person has died in a traffic collision today just south of El Cajon, along northbound State Route 125 at Kumeyaay (8) Highway, authorities said.It occurred at 12:40 a.m. and was reported as being between a tow truck and another vehicle, a California Highway Patrol dispatcher said.The scene was cleared by authorities just before 3:40 a.m., the CHP dispatcher said.A La Mesa Police Department dispatcher said they assisted with some traffic control during the incident response.No other information was available. 542

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