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CINCINNATI, Ohio - What will health insurance costs look like in the aftermath of the COVID-19 pandemic?It’s too early to say for sure, said Miami University professor and economist Melissa Thomasson, except that rates almost definitely won’t go down.“There is so much uncertainty right now that insurance companies are probably really reluctant to cut premiums” for the upcoming year, she said Wednesday.They could be more expensive next year to cover lost profit during the pandemic, she said; they could also remain the same. Although millions of Americans lost their jobs in 2020, not all of them had employer-sponsored insurance or represented a hit for their insurance company.“Jobs in retail, service industries, hospitality and leisure, those people typically don't have health insurance coverage,” Thomasson said. “So I think the losses in health coverage were less than we initially feared."Tommie Lewis, a Cincinnati business owner, said his family avoided the doctor’s office for much of the year due to COVID-19 transmission concerns. People across the country have done exactly the same thing; on June 9, the CEOs of the Cleveland Clinic and Mayo Clinic published an opinion piece pleading with readers to stop delaying their medical care over virus fears.The insurance industry could benefit in 2021 from people like Lewis, who had put off their visits, finally returning, Thomasson said. Likewise, it could experience a rebound through new telehealth options — which the Kaiser Family Foundation predicts will be more prevalent — and previously unemployed people going back to work.But Lewis, who is self-insured through his business, said he worries that premiums will rise for families across the country.“I really believe there will be an increase in premiums, and families of four, five, six, are going to have to make real serious decisions on food, shelter, transportation, or health care,” he said.This story was first published by Courtney Francisco at WCPO in Cincinnati, Ohio. 2010

Consumers, especially men, should not purchase or use two e-cigarette liquids that contain popular erectile dysfunction drugs, the Food and Drug Administration warned Tuesday.The two HelloCig e-liquids contain tadalafil and sildenafil, the main ingredients in two of the most popular male enhancement drugs on the market, the FDA said. "These FDA-approved prescription drugs are not approved for inclusion in e-liquid products sold over the counter and are therefore being sold illegally."By not properly labeling the e-liquids, the agency said, the company was not providing adequate warnings for the protection of users, specifically anyone with erectile dysfunction, high blood pressure, diabetes, high cholesterol or heart disease who take nitrates to manage their condition."These undeclared ingredients may interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to dangerous levels," the FDA said in its warning.A lab analysis found both sildenafil and tadalafil in E-Cialis HelloCig E-Liquid and sildenafil in E-Rimonabant HelloCig E-Liquid, both sold by Shanghai-based HelloCig Electronic Technology Co. Ltd.The company has not responded to a request for comment.Although no adverse events have been reported to the agency, all consumers should stop using the products immediately, the FDA said, and anyone who experiences side effects should report them to the FDA's MedWatch Adverse Event Reporting program.The FDA says it sent a warning letter to HelloCig in October, citing a number of concerns about illegal marketing claims. HelloCig was misbranding and selling its products in the United States as an "FDA approved product with FDA," in violation of federal rules."FDA recently warned HelloCig of these issues and contacted the company several times to recommend they recall these products due to the risks to consumers. However, HelloCig has not responded to the agency's recommendation," the agency said in its warning.Bottles of E-Cialis HelloCig E-Liquid were sold with an image of a Cialis bottle and tablets, while advertisements on Twitter and Tumbir showed "a partially undressed couple embracing," the FDA says. The caption states, "WOOOOW, Have you tried our E-Cialis? It is amazing LOL."Though E-Rimonabant HelloCig E-Liquid contains the same active ingredient as Viagra, the FDA said HelloCig was marketing it with an image of an Acomplia container and tablets."Acomplia is the tradename of the anti-obesity drug product in Europe," the FDA warned. "Using the tradename of the drug product Acomplia and including an image of the Acomplia container and tablets next to the product on your website suggests that the product is intended to treat obesity."HelloCig did not respond to the initial warning, the FDA said.The manufacturers of Cialis has not responded to requests for comment. The maker of Viagra had no comment. 2932

Cyanide is a poison. Rattlesnake venom is a poison. Certain household products can be a poison. But coconut oil? One professor seems to think so, colliding head-on with consumers who believe it's good for them.In her lecture at the University of Freiburg -- entirely in German and posted in July -- professor Karin Michels, of the university's Institute for Prevention and Tumor Epidemiology, calls the health claims surrounding coconut oil "absolute nonsense" and says it's "pure poison" for its saturated fat content and its threat to cardiovascular health. The video of her lecture has amassed close to a million views and counting."Coconut oil is one of the worst things you can eat," Michels said.While others have taken a more measured view, they hardly buy into the ballyhoo. A 2016 survey in the New York Times suggested that 72% of Americans think coconut oil is healthy, versus only 37% of nutritionists polled."There are many claims being made about coconut oil being wonderful for lots of different things, but we really don't have any evidence of long-term health benefits," said Dr. Walter C. Willett, professor of epidemiology and nutrition at the Harvard T.H. Chan School of Public Health, where Michels is also an adjunct professor."Coconut oil is somewhere in the middle of the spectrum in terms of types of fats. It's probably better than partially hydrogenated oils, [which are] high in trans fats, but not as good as the more unsaturated plant oils that have proven health benefits, like olive and canola oil," Willett previously told CNN.Health organizations tend to discourage the use of coconut oil, which is more than 80% saturated fat. The American Heart Association says it's better on your skin than in your food, and it recommends that no more than 5% or 6% of your daily calories come from saturated fats -- about 13 grams per day. The association also advocates replacing coconut oil with "healthy fats" such as polyunsaturated fats and monounsaturated fats, like those found in canola and olive oils, avocados and fatty fish.Coconut oil is "probably not quite as 'bad' as butter but not as good as extra virgin olive oil," Kevin Klatt, a molecular nutrition researcher at Cornell University who is studying the metabolic effects of coconut oil, previously told CNN.Klatt cautions that we should not develop too strong of an opinion of it without more data. "But at the same time, you have to be evidence-based ... and [currently], the evidence reflects benefits for olive oil, fish, nuts and seeds -- so that should be the focus in the diet."Coconut oil is extracted from the meat of the fruit. It contains mostly saturated fat, which is also found in large quantities in butter and red meat. Like other saturated fats, coconut oil increases LDL cholesterol, commonly known as "bad" cholesterol, which has been associated with increased risk of heart disease.But coconut oil also raises HDL, the "good" cholesterol, especially when replacing carbohydrates in the diet. This may be due to its high content of a fatty acid known as lauric acid. (This is also noted in Michel's statement summarizing her talk.)"Coconut oil is half lauric acid, which is a little bit unique," Klatt said, as the acid seems to raise HDL more than other saturated fats and is rarely found in such high amounts in foods.Still, though the increase in HDL seen with consumption of coconut oil may offset some of the disease risk, it's still not as good as consuming unsaturated oils, which not only raise HDL but lower LDL, according to Willett.Complicating matters is the fact that we still don't know for sure what exactly a high HDL translates to in terms of health risk. "There's been debate about the role of HDL," Willett cautioned. "Partly because there are many forms of HDL which have different health consequences ... which has made the water murky."For example, there are different forms of HDL that do different things. One role is to help take LDL cholesterol out of the bloodstream. "But some forms of HDL don't do that," Willett said, "so we don't know for sure that higher HDL is better."While an elevated LDL level is used as a marker for predicting cardiovascular risk and doesn't always translate to heart attacks, experts say it's still cause for concern.Research has found a mixed bag when it comes to saturated fats, and coconut oil in particular. A 2015 Cochrane review found that cutting back on saturated fats also lowered the risk of cardiovascular disease by 17% -- but it didn't change the risk of dying, and there was no benefit to replacing these fats with protein or starchy foods.Other research specifically on coconut oil has explored its effects on metabolism, appetite and cognitive function -- but "you can't infer from ... studies what coconut oil will and will not do. We need better controlled trials," Klatt said."Right now, the internet is jumping the gun and going way beyond the evidence."Like other oils, coconut oil is calorie-dense, which means consuming large amounts without reducing other calorie sources can lead to weight gain. Just one tablespoon has 120 calories, about the same as a large apple or four cups of air-popped popcorn."Oil is a really easy way to increase the energy density of a food. Things like almonds have a lot of fat, but it's easier to overeat pure oil than overeat pure almonds," Klatt said.In small amounts, however, coconut oil can have a place in one's diet. But for day-to-day use, experts recommend vegetable oils such as olive, canola or soybean oil, along with nuts and seeds, as a primary source of fats in the diet."It's not that you have to absolutely avoid coconut oil, but rather limit coconut oil to where you really need that special flavor, like for Thai food or for baking a special dessert," Willett said.Klatt agreed, saying that coconut oil "is certainly fine to consume occasionally, when a recipe calls for it."The-CNN-Wire 5933

Conservatives -- including House Speaker Paul Ryan -- are striking back after President Donald Trump announced last week he planned to raise tariffs on aluminum and steel coming into the US."We are extremely worried about the consequences of a trade war and are urging the White House to not advance with this plan," Ryan spokeswoman AshLee Strong said in a statement Monday morning. "The new tax reform law has boosted the economy and we certainly don't want to jeopardize those gains."Earlier Monday, Ryan's office blasted out a CNBC article that linked a drop in the markets to Trump's planned levies on steel and aluminum.  640

CORONADO, Calif. (KGTV) -- A video of a man yelling at a teenage employee at a Coronado Coffee Shop after being asked to wear a mask, is making its rounds on social media. This happened after some reports claim Coronado is beginning to grow a reputation of non-compliance when it comes to obeying the Public Health Order.Coronado's High Tide Bottle Shop and Kitchen was closed for two weeks after one of its employees tested positive for COVID-19. Sunday was their first day back open. Manager Lynne Papaconstantinou says the mask issue not up for debate."We have very few people that come here and don't want to wear a mask," Papaconstantinou said. "If they don't, I just ask them to leave. If they say, 'Well then, you've lost my business,' well then, we lost your business."At nearby Clayton's Coffee Shop, a Coronado mother who wished to remain anonymous noticed a man shouting at two teenage baristas Saturday morning. She recorded the altercation and posted the video on social media.The woman told ABC10News that her daughter, one of the baristas, was standing behind the counter at the time. She remembered that the man became irate after being asked to wear a mask when stepping up to the counter."It was just such a terrible demonstration of the way some people behave and bully the folks that are most vulnerable," she said. "To 17 and 18-year-old baristas that are trying to work and behave professionally."According to a recent Union-Tribune article, a local business group, Coronado Mainstreet, has been educating local businesses on the health order since May. It claims three have been flagged for continual non-compliance. It also states Coronado has a growing reputation of ignoring and not enforcing county health orders."I think it's unfortunate that this is a reputation that is developing," the employee's mother said. "People that behave like this gentleman don't help."In response, Coronado Mayor Richard Bailey sent ABC 10News this statement: 1975