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White House physician Ronny Jackson will not return to his role as President Donald Trump's personal physician, Politico reports, citing two senior administration officials.The move comes after Jackson, a Navy rear admiral, withdrew his nomination for secretary of veterans affairs following a string of allegations that included he loosely handled prescription pain medications, was intoxicated during an overseas trip, and created a toxic work environment. Jackson has denied the allegations.The White House did not immediately respond to CNN's request for comment. 575

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

While performing at a concert near San Bernardino, California on Sunday, rock star Marilyn Manson pointed a fake rifle at concertgoers.Manson, who was performing Sunday at a venue in Devore — a town 10 miles north of San Bernardino — mounted a microphone atop an orange-tipped rifle and performed a song while pretending to spray the crowd with bullets, according to video published by TMZ.  409

With Democrats set to take control of the House in January, speculation abounds about whether the new majority would impeach the President.Americans break against that idea, according to a new CNN poll conducted by SSRS. Half, 50%, say they don't feel that Trump ought to be impeached and removed from office, while 43% say he should be. Support for impeachment has dipped some since September, when 47% favored it, and is about the same as in a June poll (42% favored it then). Support for impeachment of Trump remains higher than it was for each of the last three presidents at any time it was asked. It's on par with President Richard Nixon, who 43% of Americans said should be impeached and removed from office in a March 1974 Harris poll.The shift on impeachment comes mostly from political independents. In September, they were evenly split on the question, with 48% behind impeachment and 47% opposed. Now, 36% favor impeachment and 55% are opposed.There's also been a meaningful shift on the question among younger adults (53% of those under age 45 backed impeachment in September, now that's down to 45%) and racial and ethnic minorities (66% favored it in September, 50% do now).Related: Full poll resultsTrump himself warned his supporters during the 2016 midterm campaign that Democrats would try to impeach him, although Democratic leaders like soon-to-be House Speaker Nancy Pelsoi have dismissed the idea.More recently, Trump has been worrying about the prospect, according to reporting by CNN's Jim Acosta, as a number of his former associates cooperate with the special counsel investigation into possible collusion by Trump's campaign with Russians interfering in the 2016 election.The incoming Democratic chairman of the House Judiciary Committee, Jerry Nadler of New York, told CNN's Jake Tapper that if allegations by Michael Cohen that Trump directed him to issue illegal payments to women alleging affairs to keep them quiet during the 2016 election were true, those would constitute "impeachable offenses." At the same time, Nadler made no suggestion Democrats would pursue impeachment against Trump.One reason Democrats might not impeach Trump even if he is ultimately implicated by special counsel Robert Mueller is that while they control the House, and so could potentially impeach him in that chamber with a simple majority, Republicans will still control of the US Senate. It would require the defection of 20 Republican senators to remove Trump from office if he were impeached by Democrats in the House.That defection among the President's partisans failed to happened when Republicans in the House impeached Bill Clinton in the late 1990s. There were nowhere near the 67 votes needed in the Senate to remove Clinton from office.Trump, however, is not nearly as popular now as Clinton was then. Clinton reached more than 70% approval when the House voted to impeach him in December of 1998, according to CNN/Gallup/USA Today polling.Former President Richard Nixon, who resigned rather than be impeached, had a much lower approval rating than Trump has now. He was under 30% approval when he resigned in August of 1974. Trump's approval rating has remained remarkably steady, in the high 30s and low 40s -- much less than Clinton, but much higher than Nixon.All of this remains academic since Democratic leaders have not expressed any interest in impeaching Trump.The CNN Poll was conducted by SSRS December 6 through 9 among a random national sample of 1,015 adults reached on landlines or cellphones by a live interviewer. Results for the full sample have a margin of sampling error of plus or minus 3.8 percentage points, it is larger for subgroups. 3691

With immigration restrictions in place and limits on foreign workers, programs like the J-1 visa teacher program have been put on hold. This has impacted both foreign teachers in the US and those who were scheduled to teach here.Melvin Inojosa and Stella Indiongco are both from the Philippines, working in the U.S. as part of the J-1 Visa teacher program. The program gives foreign educators the opportunity to teach in the U.S.“We have teachers in about 15 states right now” James Bell, the chief operating officer at Alliance Abroad, said.Alliance Abroad is one of many cultural exchange organizations connecting foreign teachers to U.S. schools and sponsoring them.“COVID has significantly impacted everything relating to J-1 teachers,” Bell said. “The president's proclamation on immigration essentially suspended J-1 teachers into coming into the country. And I have upwards of 100 that should be here by now.”President Donald Trump announced an extension to a temporary ban on foreign workers back in June. Based on immigration service data, the number of people affected was estimated at 500,000 people. The exact number of teachers impacted is unclear.The restrictions only apply to new workers coming to the U.S. For current workers, it means something else.“My close friend...is supposed to go back home because it's the end of her fifth year,” Indiongco said. “But because of the pandemic and shortage of teachers and freeze hiring, her district actually let her stay and extend another year.”Some teachers with expiring contracts were asked to stay. Indiongco herself had already planned to be in the U.S. for two more years, but her summer plans were impacted.“I wasn't able to see my family at all this year,” she said. The same happened for Inojosa.“My hair is already long because I only get my haircut in the Philippines. Every summer...we go back to the Philippines,” Inojosa said.The purpose of the decades-old cultural exchange program is to introduce American students to other cultures -- something that has also been hindered due to COVID-19.“I use food to share my culture,” Inojosa said. “They said it’s kind of a bad timing to gather and eat together, so right now we are limited to our actions regarding sharing our culture.”“I wasn't able to do any cultural exchange activity at all,” Indiongco said.J-1 teachers are navigating a new challenge. A new way of teaching, away from their home country. Inojosa and Indiongco are both pivoting to online learning.Inojosa’s typically full classroom with projects decorating the walls and shelves, will look a little more empty this year. The future of teaching and the J-1 program remains largely unknown.“The immigration ban will be in play through the end of December,” Bell said. That date could change. Current teachers fear this could make the program less desirable moving forward.“Since all the J-1 visas are not processed at all, they're stuck because they have no work there. They have no work here because they cannot come anyway,” Indiongco said.“Some of my friends waited for a very long time to grab this opportunity to enjoy the J-1 program,” Inojosa said.“J-1 visa is like a bridge to our dreams, coming from a third world country. I hate to say it, but coming from a third world country, everything is kind of slow,” Indiongco said.Even with the changing climate, Indiongco and Inojosa are gearing up to teach their students in whatever form necessary.“If I'm called to do my job, I will definitely do it,” Inojosa said. 3516

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