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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

WHEATON, Ill. -- As the death toll from the coronavirus nears 200,000, recovery can be difficult for those who have survived the illness. But the first ever double-lung transplants for COVID-19 survivors is providing new hope for medical centers around the country and world.Brian Kuhns is at the beginning of a long and grueling road to recovery.Each day, he endures several difficult physical therapy sessions to rebuild his weakened body.“This is real tough,” said Kuhns. “All this stuff runs through my mind that I have to do and now I can't be like this.”Kuhns, who initially didn’t take the coronavirus seriously, contracted the deadly virus in early March. The illness was like nothing he’d ever felt before.“It was just like, I'm kind of walking dead. Fever, shaking so hard I can't believe it.”The virus that has now taken the lives of more than 190,000 Americans was destroying his lungs.About 100 days on life-support and isolated from his family for more than three months, the 62-year-old grandfather was near death more than once.“Yeah, I thought I was going to die for sure. I thought it was over,” said Kuhns.After 39 years at his side, Kuhns' wife Nancy couldn’t be in the hospital with him. On the phone, she pushed him to keep fighting.“I keep give him a lot of confidence even when they told me he wasn't gonna make it. I kept telling them that he was,” she said.His doctors at Northwestern Memorial Hospital determined his only chance for survival was a double-lung transplant.After 10 hours in surgery, Kuhns became only the second known coronavirus patient ever to have both lungs replaced.“I fought back, gasping for air, 24 hours a day. As hard as you could breathe,” said Kuhns.Dr. Mahesh Ramachandran, the chief medical officer at Northwestern Medicine’s Marianjoy Rehabilitation Hospital, says they’ve already discharged 125 COVID-19 patients since the pandemic began. Rehab, says Dr. Ramachandran, is essential to recovery.“They get quite deconditioned. They get quite weak. They have neurologic problems, cardiac problems that need to be managed before they can safely go home,” said Dr. Ramachandran.Two months after the revolutionary transplant, Kuhns is still getting used to his new lungs.“I could feel it all the way down,” he said with a deep breath.But he continues to fight and implores others to wear a mask and avoid others or face the consequences.“This is a crazy disease. Some people get away with it and other people it nails,” said Kuhns. “I was one of the ones it nailed. So, you want to make a choice. You know which one you want to be.”After nearly six months in the hospital, if all goes well, he could go home by the end of the month. 2692

White House chief of staff John Kelly told reporters on Friday that the White House's handling of classified material "wasn't up to the standards" he had previously seen in his governmental career.During an impromptu meeting with reporters after President Donald Trump had departed for the weekend, Kelly explained the security clearance process for White House officials."It came to my notice that the kind of things I was used to in (Department of Defense) in terms of the handling of classified material wasn't up to the standards that I'd been used to," he said.  580

With Election Day right around the corner, Mattel has unveiled their latest addition to its "Inspiring Women" series - Susan B. Anthony.The toy company said that it wanted to honor Anthony for her "pioneering efforts and far-reaching impact" in the fight for women having the right to vote."On November 5, 1872, while protesting and leading the charge for women's voting rights, Susan B. Anthony made a defiant move," Mattel said on its website. "She voted in the presidential election and was arrested at her home in Rochester, NY."Because Anthony helped pave the way, the 19th Amendment was passed in 1920, which gave women everywhere the right to vote.Last week, the National Susan B. Anthony Museum and House unveiled the doll inside Anthony's home.In a press release, Deborah L. Hughes, President & CEO of the Anthony Museum, said they were delighted to hear from Mattel's design team about constructing a doll that would reflect "Susan B. Anthony's life and work."The doll's launch in 2020 makes it extra unique since it marks the 100th anniversary of the 19th Amendment passing, Anthony's 200th birthday, and the museum's 75th anniversary.The doll comes dressed in a floor-length black and lace dress, accented with glasses, and a lace collar fastened with a cameo brooch.The doll is available for a limited time only and sells for .99 on Mattel's website. 1378

Wisconsin authorities are urging hunters to be on the lookout for clues related to missing 13-year-old Jayme Closs, whose parents were found fatally shot last month in their home."As hunting season opens on Saturday, we ask that hunters report anything suspicious such as clothing, weapons or anything you think it just not right on your property," the Barron County Sheriff's Department said this week in a statement.The bodies of Jayme's parents, James and Denise Closs, were discovered October 15 after a mysterious 911 call led deputies to their home in northwestern Wisconsin. No one spoke during the call, but the dispatcher heard yelling in the background.When the dispatcher called back, the call went to Denise Closs' voicemail. Police arrived to find the door kicked in, but Jayme was nowhere to be found, and investigators believe she was abducted and may be in danger.Thousands of people have joined search parties for Jayme, and the FBI is offering a reward of ,000 for information on her whereabouts.Investigators continue to follow up on leads, review recovered video from the area and explore digital evidence, authorities said."There is still hope in this department on this case, and the community support and prayers that we have been given continues to fuel our drive and determination to bring Jayme home," the sheriff's office statement said. 1375

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