Renova for sale online

In a physician chat group recently, a doctor who treats hospitalized patients made a recommendation to our group of 38,000 members renova for sale online that left me startled and alarmed. She shared her protocol for all COVID-19 patients admitted to the hospital. Every one of them gets not only renova for sale online a chest x-ray but an entire battery of special tests, including a coagulation test, a leg ultrasound and a CT scan.

This was offered as her blanket standard of care. What it actually represents to me is one of the biggest problems with health care in America—because not every admitted patient needs all these tests. And this is not a renova for sale online new story.

Simply put, as physicians in the U.S., we overdiagnose and overtreat people. We order way too many tests, treatments and surgeries that you don’t need and that may actually harm you—and they cost money, lots of it. Incredibly, in a nation of 328 million people, we order approximately renova for sale online 15 million nuclear imaging studies, 100 million MRIs and CT scans and close to 10 billion blood tests on patients every year.

We’re not talking about a little pinch of “err on the side of caution” here. We are talking about runaway medicine, with patients aboard a system with no brakes, few guardrails and no one fully at the controls. Moreover, we as physicians don’t do a good job informing you of the downstream risk of these costly procedures, because we may not even recognize the mess we are creating in the first place renova for sale online.

Why all the tests?. Well, we may order them because we are worried about missing a diagnosis and we want to get you healthy as soon as possible. Sometimes, it is to renova for sale online avoid getting sued.

(When in doubt, it’s always easier to test.) Sometimes it’s because patients request the tests and we yield. Less innocently, we may order more tests because they renova for sale online bring in more money. We are doctors, but we are revenue generators too, and, for some, not necessarily in that order.

Let me walk you through two overdiagnosis/testing hypotheticals. Here’s one renova for sale online. You are admitted to the hospital with a cough and a low-grade fever.

You test positive for COVID-19, and a chest x-ray demonstrates that you have a pneumonia. This is a fairly renova for sale online typical scenario. As a clinician, though, I also opt for a CT scan to make sure you do not have a blood clot in the lung (a pulmonary embolism), even though when you were admitted most doctors already would have put you on a prophylactic lower dose of a blood-thinner for this—to help prevent clotting.

The CT scan again shows the pneumonia. We knew renova for sale online that already from the x-ray. There is no finding of a pulmonary embolism.

But the scan it does show a little something of which I’m not exactly sure—a possible nodule, or what we physicians refer to as an “incidentaloma.” This is not uncommon. Incidental solitary lung nodules are found on CT studies from 8 to 51 percent of renova for sale online the time. Per an expert panel of the American College of Radiology, most incidentalomas found on imaging studies are benign.

In fact, 99 percent of lung nodules found on chest CT are benign—that is, not cancerous. But their discovery can lead to extensive downstream testing, worry and potential morbidity, renova for sale online as we doctors start poking and prodding you, wanting to assure ourselves that the incidentaloma is indeed nothing. I inform you of the nodule in your lung.

You pepper me with questions and renova for sale online become worried, because, after all, sometimes nodules are cancerous. We may run more tests to assess it, but more likely we’ll monitor this nodule for months—years, sometimes—and do additional CT scans at various intervals to see whether it changes in size. These tests will expose you to additional radiation, which may increase your risk of cancer years down the road, and cost you money.

If we are more renova for sale online concerned about your incidentaloma, we may decide to do a lung biopsy, in which we stick a needle directly into the lung to get a tissue sample for evaluation. Not very often, but occasionally, we accidentally poke a hole in the lung, causing what is called a pneumothorax. This is quite serious and can make you immediately short of breath or sometimes even cause a drop in your blood pressure.

Now, not renova for sale online only have you received potentially dangerous radiation from the original CT scan, but you have undergone an invasive procedure and you’ve experienced harm. This particular complication will likely require the placement of a chest tube or a Thora-Vent device, both of which are invasive and can be very painful. If the pneumothorax is significant, it will mean a hospital stay in order to observe you.

Key here, of course, is that we never needed to go down this renova for sale online path— but here we are. Here’s another scenario, and one that is much more common. Instead of the incidentaloma, we find a small pulmonary embolism (PE).

As your doctor, I breathe a sigh of relief and pat myself on the back for ordering a test that I didn’t really think you needed, but one that renova for sale online yielded this discovery. But here’s the catch. From the time CT pulmonary angiography renova for sale online was first used about 30 years ago, we have dramatically increased the number of patients in whom we look for and diagnose PE.

€œThere is good reason to believe that this hasn’t done anything good,” says Jerome Hoffman, professor emeritus at UCLA Medical Center and an expert on overdiagnosis. In an interview, Hoffman told me that doctors used to look for PEs “only when patients were clinically very ill," and the PEs they found were indeed very important. They killed about one in renova for sale online five people with this diagnosis, he says.

Now, “because it is so easy to look with CT, we find a lot more PEs, but the same number of patients die—meaning that your chance of dying from a PE today is drastically less.” Hoffman calls the lower case-fatality rate an optical illusion, in that we’re now finding so many more PEs, the vast majority of which would be clinically insignificant. In our hypothetical, though, we don’t have evidence from randomized controlled trials to conclude that ignoring these small clots is safe, so I feel compelled to treat you. Treatment is renova for sale online controversial.

Some guidelines suggest it’s not required, some advise to consider it on a case-by-case basis, and others recommend treating most cases. I choose to prescribe you a blood thinner medication—but sometimes this has harmful side effects, like serious bleeding. This might lead to you needing blood transfusions, renova for sale online which, of course, carry their own risk.

You’re now transferred to the intensive care unit. And so it goes. Technology becomes renova for sale online the problem rather than part of the solution.

And, says Hoffman, “This will only get worse as our wondrous technology ‘improves,’ and we find ever tinier abnormalities that we otherwise wouldn’t have known existed, and wouldn’t have caused any harm.” The cost is staggering. At least 30,000 deaths in the U.S. Each year are linked to mistakes and injuries renova for sale online caused by superfluous medical treatment.

Meanwhile, unnecessary testing and surgeries add up to more than $200 billion in extra spending per year in the U.S., according to the Institute of Medicine. In a 2017 survey, renova for sale online doctors from the American Medical Association (AMA) said that nearly a quarter of all the tests they performed were unnecessary, along with more than 20 percent of the prescriptions they wrote and every 10th surgery. Researchers estimate that among cancers detected by screening, some 11–19 percent of breast cancers and 20–50 percent of prostate cancers constitute overdiagnosis.

Too much medical care is a true public health crisis in this country. But such treatments continue to be pushed as part of renova for sale online what is already a $3.8 trillion domestic health care market—and hospitals, insurers, device makers and big pharma are scooping up the profits. Let’s get back to your COVID-19 admission.

What’s that going to wind up costing you?. FAIR Health analyzed data renova for sale online from over 30 billion private health care claim records, using revenue codes associated with influenza and pneumonia as a means of estimating these costs. Their finding.

The average charge for a hospitalized COVID-19 patient stay would be $73,300 if the patient were either uninsured or seeing an out-of-network provider. That estimate is significantly lower for a privately insured patient with renova for sale online an in-network provider, but it still clocks in at a breathtaking $38,221. (How much you’d actually pay, of course, depends on your health plan deductible and the cost-sharing policies of your insurer.) Throw in some extra testing charges, and it’s little wonder that nearly one third of working Americans have some level of medical debt, with 28 percent of those owing at least $10,000.

As physicians, we all went into medicine to help patients, not bankrupt them. But medicine has become a business replete with overdiagnosis and overtreatment—and renova for sale online skyrocketing medical charges. It’s clear that our health care system needs significant reform.

A broader discussion renova for sale online of that change is beyond the scope of this article, but here are some ideas to kick-start the process. First, rein in hospital and pharmaceutical price gouging via market forces, price caps or regulation. Use value-based or bundled care, rather than fee-for-service medicine, to reduce the impetus to order more.

Initiate tort reform, renova for sale online to help alleviate the practice of defensive medicine. Push for cost transparency so that prices are knowable to patients ahead of time, thus allowing for informed decisions. Eliminate some of the enormous administrative excesses and various middlemen who siphon off profits in our medical supply chain, spiking costs.

You should absolutely see a physician for your health concerns, renova for sale online especially if you are sick with COVID-19. It’s a dangerous virus. But don’t ever be afraid to speak up and ask why tests are being ordered.

Ask why specialists are being consulted, why procedures or renova for sale online surgeries are being scheduled, or why you are being admitted. If it’s an elective situation, feel free to get a second or third opinion. Let’s take our health back while keeping our wallets intact.

As we’ve seen repeatedly, it is often true renova for sale online in medicine that less is more.In May, the Brazilian city of Manaus was devastated by a large outbreak of COVID-19. Hospitals were overwhelmed and the city was digging new grave sites in the surrounding forest. But by August, something renova for sale online had shifted.

Despite relaxing social-distancing requirements in early June, the city of 2 million people had reduced its number of excess deaths from around 120 per day to nearly zero. In September, two groups of researchers posted preprints suggesting that Manaus’s late-summer slowdown in COVID-19 cases had happened, at least in part, because a large proportion of the community’s population had already been exposed to the virus and was now immune. Immunologist Ester Sabino at the University of São Paulo, Brazil, and her colleagues tested more than 6,000 samples from blood banks renova for sale online in Manaus for antibodies to SARS-CoV-2.

€œWe show that the number of people who got infected was really high—reaching 66% by the end of the first wave,” Sabino says. Her group concluded that this large infection rate meant that the number of people who were still vulnerable to the virus was too small to sustain new outbreaks—a phenomenon called herd immunity. Another group in Brazil reached similar renova for sale online conclusions.

Such reports from Manaus, together with comparable arguments about parts of Italy that were hit hard early in the pandemic, helped to embolden proposals to chase herd immunity. The plans suggested letting most of society return to normal, while taking some steps to protect those who are most at risk of severe disease. That would essentially allow the coronavirus to run renova for sale online its course, proponents said.

But epidemiologists have repeatedly smacked down such ideas. €œSurrendering to the virus” is not a defensible plan, says Kristian Andersen, an immunologist at the Scripps Research Institute in La Jolla, California. Such an approach would lead to renova for sale online a catastrophic loss of human lives without necessarily speeding up society’s return to normal, he says.

€œWe have never successfully been able to do it before, and it will lead to unacceptable and unnecessary untold human death and suffering.” Despite widespread critique, the idea keeps popping up among politicians and policymakers in numerous countries, including Sweden, the United Kingdom and the United States. US President Donald Trump spoke positively about it in September, using the malapropism “herd mentality”. And even renova for sale online a few scientists have pushed the agenda.

In early October, a libertarian think tank and a small group of scientists released a document called the Great Barrington Declaration. In it, they call for a return to normal life for people at lower risk of severe COVID-19, to allow SARS-CoV-2 to spread to a sufficient level to give herd immunity renova for sale online. People at high risk, such as elderly people, it says, could be protected through measures that are largely unspecified.

The writers of the declaration received an audience in the White House, and sparked a counter memorandum from another group of scientists in The Lancet, which called the herd-immunity approach a “dangerous fallacy unsupported by scientific evidence”. Arguments in favour of allowing the virus to run its course largely unchecked renova for sale online share a misunderstanding about what herd immunity is, and how best to achieve it. Here, Nature answers five questions about the controversial idea.

What is herd immunity?. Herd immunity happens when a virus can’t spread because it keeps encountering people who are protected against renova for sale online infection. Once a sufficient proportion of the population is no longer susceptible, any new outbreak peters out.

€œYou don’t need everyone in the population to be immune—you just need enough people to be immune,” says Caroline Buckee, an epidemiologist at Harvard T.H. Chan School of Public Health renova for sale online in Boston, Massachusetts. Typically, herd immunity is discussed as a desirable result of wide-scale vaccination programmes.

High levels of vaccination-induced immunity in the population benefits those who can’t receive or sufficiently respond to a vaccine, such as people with compromised immune systems. Many medical professionals renova for sale online hate the term herd immunity, and prefer to call it “herd protection”, Buckee says. That’s because the phenomenon doesn’t actually confer immunity to the virus itself—it only reduces the risk that vulnerable people will come into contact with the pathogen.

But public-health experts don’t usually talk renova for sale online about herd immunity as a tool in the absence of vaccines. €œI’m a bit puzzled that it’s now used to mean how many people need to get infected before this thing stops,” says Marcel Salathé, an epidemiologist at the Swiss Federal Institute of Technology in Lausanne. How do you achieve it?.

Epidemiologists can estimate the proportion of a renova for sale online population that needs to be immune before herd immunity kicks in. This threshold depends on the basic reproduction number, R0—the number of cases, on average, spawned by one infected individual in an otherwise fully susceptible, well-mixed population, says Kin On Kwok, an infectious-disease epidemiologist and mathematical modeller at the Chinese University of Hong Kong. The formula for calculating the herd-immunity threshold is 1–1/R0—meaning that the more people who become infected by each individual who has the virus, the higher the proportion of the population that needs to be immune to reach herd immunity.

For instance, measles is extremely infectious, with an R0 renova for sale online typically between 12 and 18, which works out to a herd-immunity threshold of 92–94% of the population. For a virus that is less infectious (with a lower reproduction number), the threshold would be lower. The R0 assumes that everyone is susceptible to the virus, but that changes as the epidemic proceeds, because some people become infected and gain immunity.

For that reason, a variation of R0 called the R effective (abbreviated Rt or Re) is sometimes used in these calculations, because it takes into consideration changes in susceptibility renova for sale online in the population. Although plugging numbers into the formula spits out a theoretical number for herd immunity, in reality, it isn’t achieved at an exact point. Instead, it’s better to think of it as a gradient, says Gypsyamber D’Souza, an epidemiologist at Johns Hopkins University in Baltimore, Maryland.

And because variables can change, including R0 and the number of people susceptible to a renova for sale online virus, herd immunity is not a steady state. Even once herd immunity is attained across a population, it’s still possible to have large outbreaks, such as in areas where vaccination rates are low. €œWe’ve seen that play out in certain countries where misinformation about vaccine safety has spread,” Salathé says.

€œIn local pockets, you start to see a drop in vaccinations, and renova for sale online then you can have local outbreaks which can be very large, even though you’ve technically reached herd immunity as per the math.” The ultimate goal is to prevent people from becoming unwell, rather than to attain a number in a model. How high is the threshold for SARS-CoV-2?. Reaching herd immunity depends renova for sale online in part on what’s happening in the population.

Calculations of the threshold are very sensitive to the values of R, Kwok says. In June, he and his colleagues published a letter to the editor in the Journal of Infection that demonstrates this. Kwok and his team estimated the Rt in more than 30 countries, using data on the daily number of new COVID-19 cases from renova for sale online March.

They then used these values to calculate a threshold for herd immunity in each country’s population. The numbers ranged from as high as 85% in Bahrain, with its then-Rt of 6.64, to as low as 5.66% in Kuwait, where the Rt was 1.06. Kuwait’s low numbers reflected the fact renova for sale online that it was putting in place lots of measures to control the virus, such as establishing local curfews and banning commercial flights from many countries.

If the country stopped those measures, Kwok says, the herd-immunity threshold would go up. Herd-immunity calculations such as the ones in Kwok’s example are built on assumptions that might not reflect real life, says Samuel Scarpino, a network scientist who studies infectious disease at Northeastern University in Boston, Massachusetts. €œMost of the herd-immunity calculations don’t have anything to say about behaviour at all renova for sale online.

They assume there’s no interventions, no behavioural changes or anything like that,” he says. This means that if a transient change in people’s behaviour (such as physical distancing) drives the Rt down, then “as soon as that behaviour goes back to normal, the herd-immunity threshold will change.” Estimates of the threshold for SARS-CoV-2 range from 10% to 70% or even more. But models that calculate numbers at the lower end of that range rely on assumptions about how renova for sale online people interact in social networks that might not hold true, Scarpino says.

Low-end estimates imagine that people with many contacts will get infected first, and that because they have a large number of contacts, they will spread the virus to more people. As these ‘superspreaders’ gain renova for sale online immunity to the virus, the transmission chains among those who are still susceptible are greatly reduced. And “as a result of that, you very quickly get to the herd-immunity threshold”, Scarpino says.

But if it turns out that anybody could become a superspreader, then “those assumptions that people are relying on to get the estimates down to around 20% or 30% are just not accurate”, Scarpino explains. The result is that the herd-immunity threshold will be closer to renova for sale online 60–70%, which is what most models show (see, for example, ref. 6).

Looking at known superspreader events in prisons and on cruise ships, it seems clear that COVID-19 spreads widely initially, before slowing down in a captive, unvaccinated population, Andersen says. At San Quentin State Prison in California, more than 60% of the population renova for sale online was ultimately infected before the outbreak was halted, so it wasn’t as if it magically stopped after 30% of people got the virus, Andersen says. €œThere’s no mysterious dark matter that protects people,” he says.

And although scientists can estimate herd-immunity thresholds, they won’t know the actual numbers in real time, says Caitlin Rivers, an epidemiologist at the Johns Hopkins Center for Health Security in Baltimore. Instead, herd immunity is something that can be observed with certainty only by analysing the data in retrospect, renova for sale online maybe as long as ten years afterwards, she says. Will herd immunity work?.

Many researchers say pursuing herd immunity is a bad idea. €œAttempting to renova for sale online reach herd immunity via targeted infections is simply ludicrous,” Andersen says. €œIn the US, probably one to two million people would die.” In Manaus, mortality rates during the first week of May soared to four-and-a-half times what they had been the preceding year.

And despite the subsequent excitement over the August slowdown in cases, numbers seem to be rising again. This surge renova for sale online shows that speculation that the population in Manaus has reached herd immunity “just isn’t true”, Andersen says. Deaths are only one part of the equation.

Individuals who become ill with the disease can experience renova for sale online serious medical and financial consequences, and many people who have recovered from the virus report lingering health effects. More than 58,000 people were infected with SARS-CoV-2 in Manaus, so that translates to a lot of human suffering. Earlier in the pandemic, media reports claimed that Sweden was pursuing a herd immunity strategy by essentially letting people live their lives as normal, but that idea is a “misunderstanding”, according to the country’s minister for health and social affairs, Lena Hallengren.

Herd immunity “is a potential consequence of renova for sale online how the spread of the virus develops, in Sweden or in any other country”, she told Nature in a written statement, but it is “not a part of our strategy”. Sweden’s approach, she said, uses similar tools to most other countries. €œPromoting social distancing, protecting vulnerable people, carrying out testing and contact tracing, and reinforcing our health system to cope with the pandemic.” Despite this, Sweden is hardly a model of success—statistics from Johns Hopkins University show the country has seen more than ten times the number of COVID-19 deaths per 100,000 people seen in neighbouring Norway (58.12 per 100,000, compared with 5.23 per 100,000 in Norway).

Sweden’s case fatality renova for sale online rate, which is based on the number of known infections, is also at least three times those of Norway and nearby Denmark. What else stands in the way of herd immunity?. The concept of achieving herd immunity through community spread of a pathogen rests on the unproven assumption that people who survive an infection will become immune.

For SARS-CoV-2, some kind of functional immunity seems to follow infection, but “to understand the duration and effects of the renova for sale online immune response we have to follow people longitudinally, and it’s still early days”, Buckee says. Nor is there yet a foolproof way to measure immunity to the virus, Rivers says. Researchers can test whether people have antibodies that are specific to SARS-CoV-2, but they still don’t know how long any immunity might last.

Seasonal coronaviruses that cause common colds provoke a renova for sale online waning immunity that seems to last approximately a year, Buckee says. €œIt seems reasonable as a hypothesis to assume this one will be similar.” In recent months, there have been reports of people being reinfected with SARS-CoV-2 after an initial infection, but how frequently these reinfections happen and whether they result in less serious illnesses remain open questions, says Andersen. €œIf the people who are infected become susceptible again in a renova for sale online year, then basically you’ll never reach herd immunity” through natural transmission, Rivers says.

€œThere’s no magic wand we can use here,” Andersen says. €œWe have to face reality—never before have we reached herd immunity via natural infection with a novel virus, and SARS-CoV-2 is unfortunately no different.” Vaccination is the only ethical path to herd immunity, he says. How many people will need to be vaccinated—and how often—will depend on many factors, including how effective the vaccine is and how long renova for sale online its protection lasts.

People are understandably tired and frustrated with imposed measures such as social distancing and shutdowns to control the spread of COVID-19, but until there is a vaccine, these are some of the best tools around. €œIt is not inevitable that we all have to get this infection,” D’Souza says. €œThere are a lot renova for sale online of reasons to be very hopeful.

If we can continue risk-mitigation approaches until we have an effective vaccine, we can absolutely save lives.” This article is reproduced with permission and was first published on October 21 2020.The items below are highlights from the free newsletter, “Smart, useful, science stuff about COVID-19.” To receive newsletter issues daily in your inbox, sign up here. The U.S. Centers for Disease Control (CDC) this week broadened its definition of a “close contact” with an infected person, thereby expanding “the pool of people considered at risk of contracting the novel coronavirus,” renova for sale online writes Lena H.

Sun at The Washington Post (10/21/20). To be considered a “close contact,” the 15-minute exposure time for individuals within six feet is now cumulative or total time during a 24-hour period, not sequential, consecutive time. State and county health departments use the definition for renova for sale online contract tracing efforts, the story states.

The CDC’s change “is likely to have its biggest impact in schools, workplaces, and other group settings where people are in contact with others for long periods of time,” Sun writes. Epidemiologists offer advice on how to avoid SARS-CoV-2 while voting or working as a poll worker in this 10/14/20 piece by Jim Daley for Scientific American. Beyond wearing masks, socially distancing, and renova for sale online disinfecting surfaces and voting equipment, tips in the piece include.

1) choose a booth that is next to an empty booth and wipe down the booth before touching anything in it. 2) vote at off-hour times that could be less renova for sale online crowded. 3) participate in “early voting” if available in your region.

And 4) study up on your ballot choices so once you’re in the booth, you can vote quickly. SARS-CoV-2 cares not if renova for sale online you live in a “red state” or a “blue state” in the U.S., as this dramatic, animated graphic by web developer Dan Goodspeed illustrates. The graphic, based on data from The New York Times, shows U.S.

Case growth over time, from June to present, sorted by U.S. State and renova for sale online political leaning. The Center for Digital Health, a partnership between Brown University's Medical School and a Rhode Island health care system, has published an easy-to-use online calculator for what appears to be one’s risk of catching SARS-CoV-2 in various settings.

The site asks visitors for such information as zip code, planned activity, duration of activity, and percent of people wearing a mask. A 10/16/20 essay in renova for sale online Science sums up the latest evidence for children’s limited role in spreading SARS-CoV-2 and the harms that result from school closures. Matthew D.

Snape of the University of Oxford, who studies vaccines for children, and pediatrician Russell M. Viner of University College London conclude that re-opened schools so far play “only a limited role in transmission when mitigation measures are renova for sale online in place.” The writers discourage the use of school closures to address future waves of COVID-19 for various reasons. €œEmerging evidence suggests” that outbreaks of SARS-CoV-2 among children are not a key route for spreading the coronavirus, the authors write.

€œWhen household outbreaks of infection have occurred, it appears that children were responsible for only a small minority of household introductions of the renova for sale online virus,” the authors write. However, efforts to curb the pandemic have resulted in indirect “harms being disproportionately borne by children and teenagers,” the essay states. The harms include school closures, reduced skills, illness due to kids not getting vaccinations for diseases such as measles, a rise in kids getting injured at home, and possible mental health effects.

Schools should renova for sale online remain vigilant and keep transmission-prevention measures in place, the essay suggests, such as face mask wearing, creating separate cohorts or “bubbles,” regular screenings of students and staffers, and social distancing. The rise in SARS-CoV-2 infections in the U.S. Is now driven by “small gatherings in people’s homes,” according to officials with the U.S.

Centers for renova for sale online Disease Control, reports Carolyn Crist for WebMD (10/14/20). People should continue to wear face-masks and to practice social distancing “since most people have still not been exposed to the coronavirus worldwide," the researchers suggest, Crist writes. Some trombone, flute, trumpet, saxophone, and tuba players in the U.S.

Have devised renova for sale online masks that allow them to “reduce the risk of COVID-19 without silencing the music,” reports Laura Ungar for Kaiser Health News. Improvisations include pantyhose, pillowcases, air filters, magnets, bolts of fabric, and "surgical masks with slits cut in them,” the story states (10/16/20). The photos in this piece are fun.

You might enjoy, “Vaccines I’m Working On,” by Jack Handey renova for sale online at The New Yorker (10/19/20).They don’t call it the diabolical ironclad beetle for nothing. Phloeodes diabolicus, a rugged insect native to western North America, has an almost supernatural ability to resist compression and blunt hits. Now, 3D scans have revealed that layered structures in its interlocking wing cases make the beetle twice as hardy as some of its relatives — and could inspire engineers to create more durable designs.

Phloeodes diabolicus’s renova for sale online toughness is thought to be unique among beetles. The 2.5-centimetre-long insect is notorious among collectors for being difficult to pin to a board. Pins tend to bend when pushed renova for sale online into its exoskeleton, says entomologist Max Barclay, a senior curator at the Natural History Museum in London.

The creature’s lifespan of around two years, compared with the weeks or months of typical beetles, “might justify such an extreme investment in protection”, he says. Most beetles fly using their hind wings, which are protected by a pair of hardened wing cases — modified versions of the forewings found in other insects. However, P renova for sale online.

Diabolicus is flightless, and its wing cases have become permanently locked together as an adaptation to dry environments. €œIt evolved as a strategy for maintaining moisture,” says Barclay. [embedded content] To understand what makes diabolical ironclad beetles so resilient, materials scientist David Kisailus at the University of California, Irvine, and his collaborators imaged the creature using various techniques, including micro computed tomography renova for sale online scans using an X-ray synchrotron, a particle accelerator that produces bright beams of X-ray energy.

Team member Jesus Rivera, a materials scientist at the University of California, Riverside, rigged up a device that could rotate the insect’s body inside a scanner while subjecting it to various levels of compression. Their study, published on October 22 in Nature, shows how the beetle’s wing cases, which lock together and to the insect’s abdomen like a 3D jigsaw puzzle, are able to withstand pressure. The researchers were surprised to see that the interlocking parts of the jigsaw renova for sale online pieces are able to shed layers like an onion as pressure approaches breaking point, rather than being ripped off.

€œYou’d think that if you took pieces like that and pulled them apart, they would break at the neck region,” Kisailus says. This allows the wing cases to take some damage without compromising their overall structural integrity. The team then 3D-printed similar layered structures and found them to be twice as resistant to being pulled apart as was a type of joint renova for sale online commonly used by engineers.

Designs inspired by these beetles could prove especially useful when joining materials with different properties, Kisailus says — for example, the metal- and carbon-based materials that are used in aerospace engineering. This article is reproduced with permission and was first published on October 21 2020..

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As part renova estetica of our ongoing commitment to prioritizing healing and humanity as we stand against social injustice, Mathematica is pleased to announce that President and CEO Paul Decker is joining more than 1,300 CEOs and business leaders as a member of CEO Action for Diversity and Inclusion™. This coalition represents the largest renova estetica CEO-driven business commitment to advancing workplace diversity, equity, and inclusion, while working to ensure opportunity at the highest levels of corporate leadership.“During a time when the nation continues to be tested by unresolved issues of social justice, Mathematica has taken significant strides toward centering diversity, equity, and inclusion in our interactions with each other and in our approach to our work,” said Decker. €œToday, we’re taking another important step forward by joining CEO Action for Diversity and Inclusion, an organization that unites business leaders from around the world to advance DEI initiatives in our own workplaces and beyond. I’m honored to represent renova estetica Mathematica in this coalition fighting for meaningful change.”CEO Action represents approximately 13 million employees across more than 85 industries.

As a member through its CEO, Mathematica has committed to dedicating time and resources to advancing diversity, equity, and inclusion both within Mathematica and as part of the CEO Action network. Decker has also taken the CEO Action pledge to “check my renova estetica bias, speak up for others and show up for all.”A 100% employee-owned company, Mathematica works with private- and public-sector agencies, corporations, and foundations around the world, using data and evidence to improve the lives of people and communities. About CEO Action for Diversity &. Inclusion™ CEO Action renova estetica for Diversity &.

Inclusion™ is the largest CEO-driven business commitment to advance diversity and inclusion within the workplace. Bringing together more than 1,000 CEOs of America’s leading organizations, the commitment outlines actions that participating companies pledge to take to cultivate a workplace where diverse perspectives and experiences are welcomed and renova estetica respected, employees feel comfortable and encouraged to discuss diversity and inclusion, and where best known—and successful—actions can be shared across organizations. Learn more at CEOAction.com and connect with them on Twitter. @CEOAction.

For more information, please contact:Jennifer de Vallancejdevallance@mathematica-mpr.com202-484-4692Mathematica is committed to advancing public health by applying our expertise across disciplines that constitute some of the most critical areas of public health today. The following focus areas highlight how we’re working to progress together to improve public well-being.APHA Public Health Film Festival. Helping Families Affected by Substance UseThe APHA selected a short film that Mathematica produced with support from the Administration for Children and Families to show at the APHA Public Health Film Festival. The film focuses on how the Regional Partnership Grant program improves the safety, permanency, and well-being of children affected by parent’s substance use disorders.

Starting October 19, registered APHA Annual Meeting attendees can watch the film on demand. Registered attendees can also submit questions to Debra Strong a senior researcher for the Regional Partnership Grant National Cross-Site Evaluation, using a discussion board that will be available with the film. Please visit APHA’s page about public health films focusing on substance use and addiction treatment for more information. Diversity, Equity, and InclusionWhat does it take for organizations to progress together?.

It takes a common purpose, shared values, a complementary array of resources and capabilities, and a mutual desire to learn from and with each other. Our ongoing diversity, equity, and inclusion journey is driving necessary changes in who we are. How we relate to each other, our partners, and our communities. And how we approach our work.

Social Determinants of HealthPolicymakers and practitioners are increasingly interested in social determinants of health—the conditions in which people are born, grow, live, work, and age—to address upstream social risks, such as food insecurity and lack of affordable housing, that, in turn, improve health care outcomes. Mathematica data and policy experts recently produced a series of blog posts and research on how different stakeholders can improve and leverage data on social determinants of health to maximize the health and well-being of children and adults in the United States.COVID-19 ServicesResponding to the current public health crisis and illuminating the path forward to safely re-open businesses, schools, workplaces, and community services requires a seasoned partner with trusted solutions. Built on our foundation of rigorous data and evidence, Mathematica’s scalable services provide state and local agencies, as well as private-sector employers, with the confidence and clarity they need to take on the complex challenges of COVID-19. Some of our services include contact tracing, workforce planning, modeling and forecasting, and wastewater testing and analysis.Data Analytics and Survey ExpertiseAt Mathematica, we apply our expertise at the intersection of data science and social science to produce efficient, high quality, and action-oriented analysis that advances your mission.Using advanced technologies, reusable and scalable platforms, and high-performance secure cloud infrastructure, we enable our partners to target areas of opportunity and make the most of their data.

We collect the data you need, manage data as a secure asset, analyze to surface insights, and place this knowledge in the hands of those who need it most.Mental Health and Substance UseMathematica understands the pressing challenges faced by our partners working to improve the delivery system, innovative value-based service models, and financing strategies that states and payers are testing—strategies that could improve the prevention and treatment of behavioral health conditions. We’re leading efforts to address the opioid crisis, increase access to care while controlling costs, and support the integration of behavioral health services with other health care and social services.Our staff have in-depth knowledge of the complex array of intersecting public and private programs and eligibility requirements that create challenges for consumers to get the help they need. Our work involves evaluating a wide range of behavioral health service delivery and payment models, helping partners establish programs that implement new services and policies and fill data gaps, fielding large-scale behavioral health surveys, developing and implementing behavioral health quality measures, and analyzing policy to guide decision making. For more than two decades, we’ve conducted national surveys of every known mental health and substance use disorder treatment facility in the country.

Our analyses of T-MSIS data for the Centers for Medicare &. Medicaid Services provide critical information on patterns of substance use disorders and treatment across states as evidenced by the T-MSIS Substance Use Disorder (SUD) Data Book and a series of supporting data quality briefs.Amazon employees are told they can get health care on callAmazon Care, the company's online medical clinic for its own employees, is trying to hire half a dozen people in business development roles to "build and grow relationships with commercial and public sector enterprises." Most of the roles were posted in the past month.By building a business development team, the company is signaling an intention to go broader than its own employees. Amazon has a history of developing products that it tests out on its own workforce before expanding to a broader population.Moreover, a person familiar with the business unit's plans told CNBC that Amazon Care has started reaching out to health plans and employers in the Washington area to discuss opportunities to expand beyond its own employees. The plans are in an exploratory phase and may not result in expansion.Amazon Care, which launched as a pilot in the fall of 2019, offers a virtual medical clinic for employees and their dependents in Washington state.

The goal is to make it easier to access high-quality primary care online, and at-home visits are also available in some areas.Amazon has increasingly moved into the medical sector in recent years. In 2018, it acquired PillPack, which offers at-home medication delivery, and has built a pharmacy team under that division. It also has a health and wellness unit focused on voice applications within its Alexa team. The company moved into the wearables market in August with a device known as Halo to track its users' health and fitness.Telemedicine represents a sizable market opportunity.

It is expected to be worth more than $17 billion by 2026 as more people opt to engage with their doctors online. The coronavirus pandemic has accelerated that shift, with the federal government relaxing regulations to make it easier for doctors to get paid for an online visit.In September, Amazon Care announced that it had expanded its service from its headquarters in the Seattle area to all of its offices throughout Washington State.An Amazon spokesperson declined to comment.The Trump administration on Friday announced a deal with CVS Health and Walgreens to administer coronavirus vaccines to the elderly and staff in long-term care facilities.The vaccine will be free of charge and available for residents in all long-term care settings, including skilled nursing facilities, nursing homes, assisted living facilities, residential care homes and adult family homes, the Department of Health and Human Services said in a press release.There are about 15,000 long-term care facilities as well as an additional 35,000 assisted living facilities in the U.S., the Centers for Disease Control and Prevention's deputy director for infectious diseases, Jay Butler, told reporters on a call Friday. The eligibility requirements for facilities are "very broad," he added.Starting Monday, long-term care facilities will be able to select which pharmacy they prefer to have on-site. The facilities can opt-in to the program through the CDC's National Healthcare Safety Network, Butler said.

If a facility chooses to not opt-in, there will be the possibility of being able to administer vaccines through other sources, including from local pharmacies, he added.CVS and Walgreens will schedule and coordinate on-site clinic dates directly with each facility, HHS said. The companies anticipate that three total visits over two months are likely to be needed to administer both doses of vaccine to residents and staff, the agency said. Long-term care facilities are not mandated to participate, HHS added."Protecting the vulnerable has been the number one priority of the Trump Administration's response to COVID-19, and that commitment will continue through distributing a safe and effective vaccine earliest to those who need it most," HHS Secretary Alex Azar said in a statement.Centers for Medicare and Medicaid Services Administrator Seema Verma said the deal will ensure that nursing homes, which have been hit hard by the virus, "are at the front of the line for the COVID vaccine and will bring their grueling trial to a close as swiftly as possible."The announcement comes the same day states must submit their draft plans to the federal government on how they will distribute a coronavirus vaccine if and when one is approved for public use.Once a vaccine is approved, it will likely be released in stages, with the elderly and health-care workers getting it first. There are four potential vaccines backed by the U.S.

Currently in late-stage testing. Most of the potential vaccines require two doses, although Johnson &. Johnson's requires just one shot, and some of them need to be transported and stored at varying and specific temperatures.Paul Mango, deputy chief of staff for policy at HHS, told reporters on an Oct. 9 call that the federal government is in the process of "actively engaging tens of thousands of provider outlets for these vaccines." Mango added that the U.S.

Currently has assembled 40 million-plus vaccination kits with the bottles, needles and other items needed for the shots."All of those are in warehouses ready to go, so that's a big logistical task or undertaking," he said.On a call with reporters Friday, Mango said the federal government was in touch with other pharmacies besides CVS and Walgreens but said that they could not "deliver on these capabilities and our executional requirements.""These two players have been doing this for a while," he said. "They have demonstrated the ability from an IT perspective, from a training and personnel perspective, from an asset perspective."HHS said Friday that CVS and Walgreens will receive and manage vaccines and also ensure they are stored at the proper temperatures. The companies will also be responsible for on-site administration of the vaccine."Ensuring access to COVID-19 vaccines, particularly among our most vulnerable populations, will be critical to saving lives and helping our nation recover from the pandemic," Walgreens president John Standley said in a statement.Troy Brennan, chief medical officer at CVS Health, said in a statement, "CVS Health has been on the frontlines of the fight against COVID-19, working across the health care spectrum in all the communities we serve and that will continue to be the case when we have a vaccine to dispense."HHS also said that it is "using multiple authorities" to ensure appropriate reimbursement for the vaccinations and that no American will have to pay out of pocket.Mango said Friday the government has also put aside a fund to cover vaccinations for the uninsured similar to the one used to cover coronavirus testing..

As part of our ongoing commitment to prioritizing healing and humanity as we stand against social injustice, Mathematica is pleased to announce that President and CEO Paul Decker is joining more than 1,300 CEOs renova for sale online and business leaders as a member of CEO Action for Diversity and Inclusion™. This coalition represents the largest CEO-driven business commitment to advancing workplace diversity, equity, and inclusion, while working to ensure opportunity at the highest levels of corporate leadership.“During a time when the nation continues to be tested by unresolved issues of social justice, Mathematica has taken significant renova for sale online strides toward centering diversity, equity, and inclusion in our interactions with each other and in our approach to our work,” said Decker. €œToday, we’re taking another important step forward by joining CEO Action for Diversity and Inclusion, an organization that unites business leaders from around the world to advance DEI initiatives in our own workplaces and beyond. I’m honored to represent Mathematica in this coalition fighting for meaningful change.”CEO renova for sale online Action represents approximately 13 million employees across more than 85 industries.

As a member through its CEO, Mathematica has committed to dedicating time and resources to advancing diversity, equity, and inclusion both within Mathematica and as part of the CEO Action network. Decker has renova for sale online also taken the CEO Action pledge to “check my bias, speak up for others and show up for all.”A 100% employee-owned company, Mathematica works with private- and public-sector agencies, corporations, and foundations around the world, using data and evidence to improve the lives of people and communities. About CEO Action for Diversity &. Inclusion™ CEO renova for sale online Action for Diversity &.

Inclusion™ is the largest CEO-driven business commitment to advance diversity and inclusion within the workplace. Bringing together more than 1,000 CEOs of America’s leading organizations, the commitment outlines actions that participating companies pledge to take to cultivate a renova for sale online workplace where diverse perspectives and experiences are welcomed and respected, employees feel comfortable and encouraged to discuss diversity and inclusion, and where best known—and successful—actions can be shared across organizations. Learn more at CEOAction.com and connect with them on Twitter. @CEOAction.

For more information, please contact:Jennifer de Vallancejdevallance@mathematica-mpr.com202-484-4692Mathematica is committed to advancing public health by applying our expertise across disciplines that constitute some of the most critical areas of public health today. The following focus areas highlight how we’re working to progress together to improve public well-being.APHA Public Health Film Festival. Helping Families Affected by Substance UseThe APHA selected a short film that Mathematica produced with support from the Administration for Children and Families to show at the APHA Public Health Film Festival. The film focuses on how the Regional Partnership Grant program improves the safety, permanency, and well-being of children affected by parent’s substance use disorders.

Starting October 19, registered APHA Annual Meeting attendees can watch the film on demand. Registered attendees can also submit questions to Debra Strong a senior researcher for the Regional Partnership Grant National Cross-Site Evaluation, using a discussion board that will be available with the film. Please visit APHA’s page about public health films focusing on substance use and addiction treatment for more information. Diversity, Equity, and InclusionWhat does it take for organizations to progress together?.

It takes a common purpose, shared values, a complementary array of resources and capabilities, and a mutual desire to learn from and with each other. Our ongoing diversity, equity, and inclusion journey is driving necessary changes in who we are. How we relate to each other, our partners, and our communities. And how we approach our work.

Social Determinants of HealthPolicymakers and practitioners are increasingly interested in social determinants of health—the conditions in which people are born, grow, live, work, and age—to address upstream social risks, such as food insecurity and lack of affordable housing, that, in turn, improve health care outcomes. Mathematica data and policy experts recently produced a series of blog posts and research on how different stakeholders can improve and leverage data on social determinants of health to maximize the health and well-being of children and adults in the United States.COVID-19 ServicesResponding to the current public health crisis and illuminating the path forward to safely re-open businesses, schools, workplaces, and community services requires a seasoned partner with trusted solutions. Built on our foundation of rigorous data and evidence, Mathematica’s scalable services provide state and local agencies, as well as private-sector employers, with the confidence and clarity they need to take on the complex challenges of COVID-19. Some of our services include contact tracing, workforce planning, modeling and forecasting, and wastewater testing and analysis.Data Analytics and Survey ExpertiseAt Mathematica, we apply our expertise at the intersection of data science and social science to produce efficient, high quality, and action-oriented analysis that advances your mission.Using advanced technologies, reusable and scalable platforms, and high-performance secure cloud infrastructure, we enable our partners to target areas of opportunity and make the most of their data.

We collect the data you need, manage data as a secure asset, analyze to surface insights, and place this knowledge in the hands of those who need it most.Mental Health and Substance UseMathematica understands the pressing challenges faced by our partners working to improve the delivery system, innovative value-based service models, and financing strategies that states and payers are testing—strategies that could improve the prevention and treatment of behavioral health conditions. We’re leading efforts to address the opioid crisis, increase access to care while controlling costs, and support the integration of behavioral health services with other health care and social services.Our staff have in-depth knowledge of the complex array of intersecting public and private programs and eligibility requirements that create challenges for consumers to get the help they need. Our work involves evaluating a wide range of behavioral health service delivery and payment models, helping partners establish programs that implement new services and policies and fill data gaps, fielding large-scale behavioral health surveys, developing and implementing behavioral health quality measures, and analyzing policy to guide decision making. For more than two decades, we’ve conducted national surveys of every known mental health and substance use disorder treatment facility in the country.

Our analyses of T-MSIS data for the Centers for Medicare &. Medicaid Services provide critical information on patterns of substance use disorders and treatment across states as evidenced by the T-MSIS Substance Use Disorder (SUD) Data Book and a series of supporting data quality briefs.Amazon employees are told they can get health care on callAmazon Care, the company's online medical clinic for its own employees, is trying to hire half a dozen people in business development roles to "build and grow relationships with commercial and public sector enterprises." Most of the roles were posted in the past month.By building a business development team, the company is signaling an intention to go broader than its own employees. Amazon has a history of developing products that it tests out on its own workforce before expanding to a broader population.Moreover, a person familiar with the business unit's plans told CNBC that Amazon Care has started reaching out to health plans and employers in the Washington area to discuss opportunities to expand beyond its own employees. The plans are in an exploratory phase and may not result in expansion.Amazon Care, which launched as a pilot in the fall of 2019, offers a virtual medical clinic for employees and their dependents in Washington state.

The goal is to make it easier to access high-quality primary care online, and at-home visits are also available in some areas.Amazon has increasingly moved into the medical sector in recent years. In 2018, it acquired PillPack, which offers at-home medication delivery, and has built a pharmacy team under that division. It also has a health and wellness unit focused on voice applications within its Alexa team. The company moved into the wearables market in August with a device known as Halo to track its users' health and fitness.Telemedicine represents a sizable market opportunity.

It is expected to be worth more than $17 billion by 2026 as more people opt to engage with their doctors online. The coronavirus pandemic has accelerated that shift, with the federal government relaxing regulations to make it easier for doctors to get paid for an online visit.In September, Amazon Care announced that it had expanded its service from its headquarters in the Seattle area to all of its offices throughout Washington State.An Amazon spokesperson declined to comment.The Trump administration on Friday announced a deal with CVS Health and Walgreens to administer coronavirus vaccines to the elderly and staff in long-term care facilities.The vaccine will be free of charge and available for residents in all long-term care settings, including skilled nursing facilities, nursing homes, assisted living facilities, residential care homes and adult family homes, the Department of Health and Human Services said in a press release.There are about 15,000 long-term care facilities as well as an additional 35,000 assisted living facilities in the U.S., the Centers for Disease Control and Prevention's deputy director for infectious diseases, Jay Butler, told reporters on a call Friday. The eligibility requirements for facilities are "very broad," he added.Starting Monday, long-term care facilities will be able to select which pharmacy they prefer to have on-site. The facilities can opt-in to the program through the CDC's National Healthcare Safety Network, Butler said.

If a facility chooses to not opt-in, there will be the possibility of being able to administer vaccines through other sources, including from local pharmacies, he added.CVS and Walgreens will schedule and coordinate on-site clinic dates directly with each facility, HHS said. The companies anticipate that three total visits over two months are likely to be needed to administer both doses of vaccine to residents and staff, the agency said. Long-term care facilities are not mandated to participate, HHS added."Protecting the vulnerable has been the number one priority of the Trump Administration's response to COVID-19, and that commitment will continue through distributing a safe and effective vaccine earliest to those who need it most," HHS Secretary Alex Azar said in a statement.Centers for Medicare and Medicaid Services Administrator Seema Verma said the deal will ensure that nursing homes, which have been hit hard by the virus, "are at the front of the line for the COVID vaccine and will bring their grueling trial to a close as swiftly as possible."The announcement comes the same day states must submit their draft plans to the federal government on how they will distribute a coronavirus vaccine if and when one is approved for public use.Once a vaccine is approved, it will likely be released in stages, with the elderly and health-care workers getting it first. There are four potential vaccines backed by the U.S.

Currently in late-stage testing. Most of the potential vaccines require two doses, although Johnson &. Johnson's requires just one shot, and some of them need to be transported and stored at varying and specific temperatures.Paul Mango, deputy chief of staff for policy at HHS, told reporters on an Oct. 9 call that the federal government is in the process of "actively engaging tens of thousands of provider outlets for these vaccines." Mango added that the U.S.

Currently has assembled 40 million-plus vaccination kits with the bottles, needles and other items needed for the shots."All of those are in warehouses ready to go, so that's a big logistical task or undertaking," he said.On a call with reporters Friday, Mango said the federal government was in touch with other pharmacies besides CVS and Walgreens but said that they could not "deliver on these capabilities and our executional requirements.""These two players have been doing this for a while," he said. "They have demonstrated the ability from an IT perspective, from a training and personnel perspective, from an asset perspective."HHS said Friday that CVS and Walgreens will receive and manage vaccines and also ensure they are stored at the proper temperatures. The companies will also be responsible for on-site administration of the vaccine."Ensuring access to COVID-19 vaccines, particularly among our most vulnerable populations, will be critical to saving lives and helping our nation recover from the pandemic," Walgreens president John Standley said in a statement.Troy Brennan, chief medical officer at CVS Health, said in a statement, "CVS Health has been on the frontlines of the fight against COVID-19, working across the health care spectrum in all the communities we serve and that will continue to be the case when we have a vaccine to dispense."HHS also said that it is "using multiple authorities" to ensure appropriate reimbursement for the vaccinations and that no American will have to pay out of pocket.Mango said Friday the government has also put aside a fund to cover vaccinations for the uninsured similar to the one used to cover coronavirus testing..

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€‹15 full-time equivalent specialist counsellors will be deployed across rural NSW to help prevent suicide, with the first two counsellors starting in the Eurobodalla and Snowy schneider renova termostat Mountains regions.NSW Mental Health Minister Bronnie Taylor said the relatively high rates of suicide in rural areas are devastating families and communities, and the $6.75 million investment will add another layer of help.“Many factors can contribute to suicide, from domestic violence, to relationship issues or unemployment, to stress and hardship,” Mrs Taylor said. €œThese specialist mental health counsellors are there on the ground to support people thinking of suicide or impacted by suicide, and I encourage communities across the state to lean on them for support.”Director Mental Health Drug and Alcohol for Southern NSW Local Health District Damien Eggleton said he wants more people to ask for help when they need it. €œOur rural communities have proven beyond a doubt they’re resilient and fearless when faced with adversity, whether that be geographic isolation, searing drought schneider renova termostat or the impact of the current pandemic – but they don’t need to go it alone,” Mr Eggleton said. €œThe support provided by these counsellors will complement the peer work and drought support provided by our Farm Gate Counsellors and Drought Counsellors.”Rural counsellor Samara Byrne said she wants young people to know there are people you can turn to when feeling overwhelmed with life or feeling like a burden on others. €œWe are here for you and here to listen if you are feeling distressed, schneider renova termostat anxious or a burden to loved ones.

The service is easily accessible through the Mental Health Line. Just ask for the Rural Counsellor.”“Having moved from Sydney in 2016 to our beautiful farm in SNSW, schneider renova termostat I am so pleased to be able to do what I am most passionate about, supporting people’s wellbeing in Rural Australia and building on the natural local community resilience”.Minister Taylor urges people in the bush to get help by contacting these rural counsellors. €œSupport is available, all you need to do is pick up the phone and make an appointment by calling the NSW Mental Health Line on 1800 011 511.”The 15 rural counselling positions are part of the Towards Zero Suicides. A $87 schneider renova termostat million investment over three years in new suicide prevention initiatives. A NSW Premier’s Priority, this is a whole-of-government commitment to transforming the way we identify and support anyone impacted by suicide.If you, or someone you know, is thinking about suicide or experiencing a personal crisis or distress, please seek help immediately in a life-threatening situation by calling 000 or seek support though one of these services:Lifeline 13 11 14Suicide Call Back Service 1300 659 467NSW Mental Health Line 1800 011 511Minister for Mental Health Bronnie Taylor and Minister for Police and Emergency Services David Elliott today announced the expansion of the Police Ambulance and Clinical Early Response (PACER) pilot program.“This ground breaking collaboration embeds mental health experts with first responders to support them to appropriately recognise, assess, and respond to mental health emergencies live at the scene,” Mrs Taylor said.

€œThe pilot schneider renova termostat program has had incredible results with significant reductions in emergency department presentations, police and ambulance time on scene. €œThis approach has enormous potential to change lives, with the community getting more appropriate care at the time when they need it most.” Mr Elliott welcomed the support for the police officers who are deeply committed to serving and protecting the people of NSW “During the pilot program, police time-on-scene was reduced by an average of 45 minutes, not only supporting first responders to appropriately recognise and respond to psychiatric incidents in the community, but also freeing up officers to serve thecommunity in other areas,” Mr Elliott said. €œThe presence and availability of a PACER clinician in a police station increases the knowledge and understanding of mental health issues amongst officers This initiative is crucial, now more than ever, following the devastating ‘Black Summer’ bushfires and the schneider renova termostat COVID-19 pandemic, which have affected us all.” NSW Police Force Deputy Commissioner, Malcolm Lanyon APM, said the PACER model has been a success at the trial site in St George Police Area Command. €œDuring the trial we saw a significant reduction in time taken for police to respond to these matters. It translated to a better outcome for both our officers and the individuals in need of assistance,” schneider renova termostat Mr Lanyon said.

The PACER program will expand to Campbelltown, Nepean, Northern Beaches, Sutherland Shire, Blacktown, Eastern Beaches, Kuring-gai, Metro Combined consisting of Kings Cross/Surry Hills/City of Sydney, South Sydney and Bankstown Police Area Commands with recruitment underway for the specialist mental health clinicians from July 2020. This investment is part of the $73 million suite of mental health measures recently announced by the NSW schneider renova termostat Government. This includes 216 new mental health staff, additional funding for the NSW Mental Health Line, extra support for Telehealth, funding for extra therapeutic programs to aid recovery in mental health units and a $6 million investment in Lifeline to expand their invaluable service..

€‹15 full-time equivalent specialist counsellors will be deployed across rural NSW to help prevent suicide, with the first two counsellors starting in the Eurobodalla and Snowy Mountains regions.NSW Mental Health http://sw.keimfarben.de/who-can-buy-renova/ Minister Bronnie Taylor said the relatively high rates of suicide in rural areas are devastating renova for sale online families and communities, and the $6.75 million investment will add another layer of help.“Many factors can contribute to suicide, from domestic violence, to relationship issues or unemployment, to stress and hardship,” Mrs Taylor said. €œThese specialist mental health counsellors are there on the ground to support people thinking of suicide or impacted by suicide, and I encourage communities across the state to lean on them for support.”Director Mental Health Drug and Alcohol for Southern NSW Local Health District Damien Eggleton said he wants more people to ask for help when they need it. €œOur rural communities have proven beyond a doubt they’re resilient and fearless when faced with adversity, whether that be renova for sale online geographic isolation, searing drought or the impact of the current pandemic – but they don’t need to go it alone,” Mr Eggleton said.

€œThe support provided by these counsellors will complement the peer work and drought support provided by our Farm Gate Counsellors and Drought Counsellors.”Rural counsellor Samara Byrne said she wants young people to know there are people you can turn to when feeling overwhelmed with life or feeling like a burden on others. €œWe are renova for sale online here for you and here to listen if you are feeling distressed, anxious or a burden to loved ones. The service is easily accessible through the Mental Health Line.

Just ask for the Rural Counsellor.”“Having moved from Sydney in 2016 to our beautiful farm in SNSW, I am renova for sale online so pleased to be able to do what I am most passionate about, supporting people’s wellbeing in Rural Australia and building on the natural local community resilience”.Minister Taylor urges people in the bush to get help by contacting these rural counsellors. €œSupport is available, all you need to do is pick up the phone and make an appointment by calling the NSW Mental Health Line on 1800 011 511.”The 15 rural counselling positions are part of the Towards Zero Suicides. A $87 renova for sale online million investment over three years in new suicide prevention initiatives.

A NSW Premier’s Priority, this is a whole-of-government commitment to transforming the way we identify and support anyone impacted by suicide.If you, or someone you know, is thinking about suicide or experiencing a personal crisis or distress, please seek help immediately in a life-threatening situation by calling 000 or seek support though one of these services:Lifeline 13 11 14Suicide Call Back Service 1300 659 467NSW Mental Health Line 1800 011 511Minister for Mental Health Bronnie Taylor and Minister for Police and Emergency Services David Elliott today announced the expansion of the Police Ambulance and Clinical Early Response (PACER) pilot program.“This ground breaking collaboration embeds mental health experts with first responders to support them to appropriately recognise, assess, and respond to mental health emergencies live at the scene,” Mrs Taylor said. €œThe pilot renova for sale online program has had incredible results with significant reductions in emergency department presentations, police and ambulance time on scene. €œThis approach has enormous potential to change lives, with the community getting more appropriate care at the time when they need it most.” Mr Elliott welcomed the support for the police officers who are deeply committed to serving and protecting the people of NSW “During the pilot program, police time-on-scene was reduced by an average of 45 minutes, not only supporting first responders to appropriately recognise and respond to psychiatric incidents in the community, but also freeing up officers to serve thecommunity in other areas,” Mr Elliott said.

€œThe presence and availability of a PACER clinician in a police station increases the knowledge renova for sale online and understanding of mental health issues amongst officers This initiative is crucial, now more than ever, following the devastating ‘Black Summer’ bushfires and the COVID-19 pandemic, which have affected us all.” NSW Police Force Deputy Commissioner, Malcolm Lanyon APM, said the PACER model has been a success at the trial site in St George Police Area Command. €œDuring the trial we saw a significant reduction in time taken for police to respond to these matters. It translated to a better outcome for both our officers and the individuals renova for sale online in need of assistance,” Mr Lanyon said.

The PACER program will expand to Campbelltown, Nepean, Northern Beaches, Sutherland Shire, Blacktown, Eastern Beaches, Kuring-gai, Metro Combined consisting of Kings Cross/Surry Hills/City of Sydney, South Sydney and Bankstown Police Area Commands with recruitment underway for the specialist mental health clinicians from July 2020. This investment is part of the $73 million suite of mental health measures recently announced renova for sale online by the NSW Government. This includes 216 new mental health staff, additional funding for the NSW Mental Health Line, extra support for Telehealth, funding for extra therapeutic programs to aid recovery in mental health units and a $6 million investment in Lifeline to expand their invaluable service..

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Start Preamble Centers renova zero replacement pods for Medicare &. Medicaid Services (CMS), HHS. Extension of timeline for publication of final rule.

This notice announces an extension of the timeline for publication of a Medicare final rule in accordance with the Social Security renova zero replacement pods Act, which allows us to extend the timeline for publication of the final rule. As of August 26, 2020, the timeline for publication of the final rule to finalize the provisions of the October 17, 2019 proposed rule (84 FR 55766) is extended until August 31, 2021. Start Further Info Lisa O.

Wilson, (410) renova zero replacement pods 786-8852. End Further Info End Preamble Start Supplemental Information In the October 17, 2019 Federal Register (84 FR 55766), we published a proposed rule that addressed undue regulatory impact and burden of the physician self-referral law. The proposed rule was issued in conjunction with the Centers for Medicare &.

Medicaid Services' renova zero replacement pods (CMS) Patients over Paperwork initiative and the Department of Health and Human Services' (the Department or HHS) Regulatory Sprint to Coordinated Care. In the proposed rule, we proposed exceptions to the physician self-referral law for certain value-based compensation arrangements between or among physicians, providers, and suppliers. A new exception for certain arrangements under which a physician receives limited remuneration for items or services actually provided by the physician.

A new exception for donations renova zero replacement pods of cybersecurity technology and related services. And amendments to the existing exception for electronic health records (EHR) items and services. The proposed rule also provides critically necessary guidance for physicians and health care providers and suppliers whose financial relationships are governed by the physician self-referral statute and regulations.

This notice announces an extension of the timeline for publication of the final rule and renova zero replacement pods the continuation of effectiveness of the proposed rule. Section 1871(a)(3)(A) of the Social Security Act (the Act) requires us to establish and publish a regular timeline for the publication of final regulations based on the previous publication of a proposed regulation. In accordance with section 1871(a)(3)(B) of the Act, the timeline may vary among different regulations based on differences in the complexity of the regulation, the number and scope of comments received, and other relevant factors, but may not be longer than 3 years except under exceptional circumstances.

In addition, in accordance with section 1871(a)(3)(B) of the Act, the renova zero replacement pods Secretary may extend the initial targeted publication date of the final regulation if the Secretary, no later than the regulation's previously established proposed publication date, publishes a notice with the new target date, and such notice includes a brief explanation of the justification for the variation. We announced in the Spring 2020 Unified Agenda (June 30, 2020, www.reginfo.gov) that we would issue the final rule in August 2020. However, we are still working through the Start Printed Page 52941complexity of the issues raised by comments received on the proposed rule and therefore we are not able to meet the announced publication target date.

This notice extends the timeline for publication of the final renova zero replacement pods rule until August 31, 2021. Start Signature Dated. August 24, 2020.

Wilma M. Robinson, Deputy Executive Secretary to renova zero replacement pods the Department, Department of Health and Human Services. End Signature End Supplemental Information [FR Doc.

2020-18867 Filed 8-26-20. 8:45 am]BILLING CODE renova zero replacement pods 4120-01-PToday, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced over $117 million in quality improvement awards to 1,318 health centers across all U.S.

States, territories and the District of Columbia. HRSA-funded health centers will use these funds renova zero replacement pods to further strengthen quality improvement activities and expand quality primary health care service delivery.“These quality improvement awards support health centers across the country in delivering care to nearly 30 million people, providing a convenient source of quality care that has grown even more important during the COVID-19 pandemic,” said HHS Secretary Alex Azar. €œThese awards help ensure that all patients who visit a HRSA-funded health center continue to receive the highest quality of care, including access to COVID-19 testing and treatment.”Health centers deliver comprehensive care to people who are low-income, uninsured or face other obstacles to getting health care.

On top of the safety-net that they provide, health centers have been on the front lines preventing and responding to the COVID-19 public health emergency, including providing over 3 million COVID-19 tests. Health centers continue to provide essential services for our nation’s most vulnerable and medically underserved populations, including those who often do not have access to care, before, during and after renova zero replacement pods the COVID-19 pandemic.HRSA’s quality improvement awards recognize the highest performing health centers nationwide as well as those health centers that have made significant quality improvements from the previous year.Health centers are recognized for achievements in various areas. Improving cost-efficient care delivery.

Increasing quality of care. Reducing health renova zero replacement pods disparities. Increasing both the number of patients served.

Increasing patients’ ability to access comprehensive services. Advancing the use renova zero replacement pods of health information technology. And Achieving patient-centered medical home recognition.“Nearly all HRSA-funded health centers have demonstrated improvement in their clinical quality measures reflecting HRSA’s strong commitment to providing high value health care,” said HRSA Administrator Tom Engels.

€œHealth centers serve approximately 1 in 11 people nationally. These awards will support health renova zero replacement pods centers as they continue to be a primary medical home for communities around the country. Today, nearly 1,400 health centers operate nearly 13,000 service delivery sites nationwide.”For a list of today’s award recipients, visit.

Https://bphc.hrsa.gov/programopportunities/fundingopportunities/qualityimprovement/index.html To locate a HRSA-funded health center, visit. Https://findahealthcenter.hrsa.gov/..

Start Preamble Centers visit their website for renova for sale online Medicare &. Medicaid Services (CMS), HHS. Extension of timeline for publication of final rule. This notice announces an extension renova for sale online of the timeline for publication of a Medicare final rule in accordance with the Social Security Act, which allows us to extend the timeline for publication of the final rule. As of August 26, 2020, the timeline for publication of the final rule to finalize the provisions of the October 17, 2019 proposed rule (84 FR 55766) is extended until August 31, 2021.

Start Further Info Lisa O. Wilson, (410) renova for sale online 786-8852. End Further Info End Preamble Start Supplemental Information In the October 17, 2019 Federal Register (84 FR 55766), we published a proposed rule that addressed undue regulatory impact and burden of the physician self-referral law. The proposed rule was issued in conjunction with the Centers for Medicare &. Medicaid Services' (CMS) Patients renova for sale online over Paperwork initiative and the Department of Health and Human Services' (the Department or HHS) Regulatory Sprint to Coordinated Care.

In the proposed rule, we proposed exceptions to the physician self-referral law for certain value-based compensation arrangements between or among physicians, providers, and suppliers. A new exception for certain arrangements under which a physician receives limited remuneration for items or services actually provided by the physician. A new exception for renova for sale online donations of cybersecurity technology and related services. And amendments to the existing exception for electronic health records (EHR) items and services. The proposed rule also provides critically necessary guidance for physicians and health care providers and suppliers whose financial relationships are governed by the physician self-referral statute and regulations.

This notice announces an extension of the timeline for publication of the final rule and renova for sale online the continuation of effectiveness of the proposed rule. Section 1871(a)(3)(A) of the Social Security Act (the Act) requires us to establish and publish a regular timeline for the publication of final regulations based on the previous publication of a proposed regulation. In accordance with section 1871(a)(3)(B) of the Act, the timeline may vary among different regulations based on differences in the complexity of the regulation, the number and scope of comments received, and other relevant factors, but may not be longer than 3 years except under exceptional circumstances. In addition, in accordance with section 1871(a)(3)(B) of the Act, the Secretary may extend the initial targeted publication date of the final regulation if the Secretary, no later than the regulation's previously established proposed publication date, publishes a notice renova for sale online with the new target date, and such notice includes a brief explanation of the justification for the variation. We announced in the Spring 2020 Unified Agenda (June 30, 2020, www.reginfo.gov) that we would issue the final rule in August 2020.

However, we are still working through the Start Printed Page 52941complexity of the issues raised by comments received on the proposed rule and therefore we are not able to meet the announced publication target date. This notice extends the timeline for publication renova for sale online of the final rule until August 31, 2021. Start Signature Dated. August 24, 2020. Wilma M.

Robinson, Deputy renova for sale online Executive Secretary to the Department, Department of Health and Human Services. End Signature End Supplemental Information [FR Doc. 2020-18867 Filed 8-26-20. 8:45 am]BILLING CODE 4120-01-PToday, the renova for sale online U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced over $117 million in quality improvement awards to 1,318 health centers across all U.S.

States, territories and the District of Columbia. HRSA-funded health centers will use these funds to further strengthen quality improvement activities and expand quality primary health care service delivery.“These quality improvement awards support health centers across the country in delivering care to nearly 30 million people, providing a convenient source of quality care that has renova for sale online grown even more important during the COVID-19 pandemic,” said HHS Secretary Alex Azar. €œThese awards help ensure that all patients who visit a HRSA-funded health center continue to receive the highest quality of care, including access to COVID-19 testing and treatment.”Health centers deliver comprehensive care to people who are low-income, uninsured or face other obstacles to getting health care. On top of the safety-net that they provide, health centers have been on the front lines preventing and responding to the COVID-19 public health emergency, including providing over 3 million COVID-19 tests. Health centers continue to provide essential services for our nation’s most vulnerable and medically underserved populations, including those who often do not have access to renova for sale online care, before, during and after the COVID-19 pandemic.HRSA’s quality improvement awards recognize the highest performing health centers nationwide as well as those health centers that have made significant quality improvements from the previous year.Health centers are recognized for achievements in various areas.

Improving cost-efficient care delivery. Increasing quality of care. Reducing health disparities renova for sale online. Increasing both the number of patients served. Increasing patients’ ability to access comprehensive services.

Advancing the renova for sale online use of health information technology. And Achieving patient-centered medical home recognition.“Nearly all HRSA-funded health centers have demonstrated improvement in their clinical quality measures reflecting HRSA’s strong commitment to providing high value health care,” said HRSA Administrator Tom Engels. €œHealth centers serve approximately 1 in 11 people nationally. These awards will support health centers as they continue to be a primary medical home for communities around renova for sale online the country. Today, nearly 1,400 health centers operate nearly 13,000 service delivery sites nationwide.”For a list of today’s award recipients, visit.

Https://bphc.hrsa.gov/programopportunities/fundingopportunities/qualityimprovement/index.html To locate a HRSA-funded health center, visit. Https://findahealthcenter.hrsa.gov/..

Renova tilburg bv

NONE

€œTrump is renova tilburg bv pushing to slash Medicare benefits.”— Digital and TV http://sw.keimfarben.de/who-can-buy-renova/ campaign ad, Oct. 9, 2020 This renova tilburg bv story was produced in partnership with PolitiFact. This story can be republished for free (details). It’s a tried-and-true campaign strategy.Candidates go on the attack, claiming their opponent will do harm to Medicare. After all, people 65 and older are good about making renova tilburg bv it to the polls on Election Day. These voters are also generally motivated to protect the federal health insurance program for seniors.It’s no surprise, then, that in an ad released this month, former Vice President Joe Biden’s campaign played the Medicare card.“Donald Trump is lying about Medicare and Social Security,” an ominous, mature, male voice warns viewers in the ad.

He goes renova tilburg bv on to say that “Trump’s pushing to slash Medicare benefits.”Clearly, we’ve heard this dire message before — from candidates of both parties through the years. Email Sign-Up Subscribe to California Healthline’s free Daily Edition. We issued a skeptical rating of a claim that Trump promised to renova tilburg bv gut Social Security and Medicare if re-elected, noting that his deferral of payroll taxes did not mention Medicare at all. But Trump has not mentioned cuts to Medicare benefits on the trail, and he’s promised to make cuts to the program in the future. So what is Biden’s claim talking about? renova tilburg bv.

As a rationale for the statement, a Biden campaign spokesperson pointed us to the Trump administration’s support of Republicans’ efforts in a court case, California v. Texas, which seeks renova tilburg bv to overturn the Affordable Care Act. But the ad does not include any reference or explanation of how the case would impact Medicare benefits.The legal challenge, brought by a group of Republican attorneys general, is pegged to the 2017 tax bill, which zeroed out the tax that functioned as a penalty for not having health coverage — known as the individual mandate. Without this linchpin tax, the Republicans argue, the entire law should be struck down renova tilburg bv. They based that on the Supreme Court decision in 2012 that the law was constitutional because the penalty was a valid use of Congress’ ability to levy taxes.In the current case, lower courts have found the law unconstitutional, and a group of Democratic attorneys general appealed to the Supreme Court.Oral arguments are scheduled for Nov.

10. The Trump administration filed a brief in support of invalidating the entire law unconstitutional.Though best known for its vast expansion of health coverage through marketplace plans and Medicaid, the ACA also included a range of consumer protections — such as the ban on discrimination against people with preexisting conditions — and an estimated 165 Medicare-related provisions.The Biden spokesperson pointed to one, which ended Medicare’s so-called doughnut hole.We asked experts for their take. Immediately, we found differences in opinion.That’s a “perfectly fair claim,” said Nicholas Bagley, a professor at the University of Michigan Law School. Closing the doughnut hole matters to many people, he said.Case Western Reserve University law professor Jonathan Adler took a different view. The argument that Medicare would be affected “is a very aggressive reading of the filing in this case,” he said, referring to the Trump administration’s brief in support of nullifying the ACA.The next step seemed to be getting a better grasp of what’s at stake.A Quick Review of the Doughnut Hole, Other Medicare ProvisionsThe Medicare doughnut hole refers to the gap in Part D prescription drug coverage that begins after a beneficiary spends a set amount — usually a few thousand dollars.

Before the ACA, beneficiaries who reached that threshold were responsible for 100% of their medication costs until they spent enough for catastrophic coverage to kick in, which could be more than $1,000 in additional spending. Even with this coverage, beneficiaries were responsible for 5% of their drug expenditures. (If beneficiaries were responsible for 100% of costs today, people with high drug costs would obviously pay a lot more without the ACA provision.)The ACA would have gradually ended that coverage gap. But, in 2018, Congress adopted changes to expedite the process. As of 2019, the doughnut hole was closed.

Adler pointed to that congressional intervention as a step that could keep the doughnut hole closed if the ACA were overturned. Based on this legislative history, the argument could be made that closing the coverage gap was something Congress had an interest in apart from the ACA. Since the doughnut hole is officially closed, some analysts said this provision may not be vulnerable to the upcoming Supreme Court decision on the ACA. Sources: Biden campaign ad “Clear Choice,” released Oct. 9, 2020Email exchanges with Biden campaign spokesperson, Oct.

12, 2020Telephone interview, email correspondence with Tricia Neuman, KFF senior vice president and executive director of the KFF’s program on Medicare policy, Oct. 13, 2020Telephone interview with Nicholas Bagley, professor at the University of Michigan Law School, Oct. 15, 2020Telephone interview with Jonathan Adler, professor at the Case Western Reserve University School of Law, Oct.16, 2020Telephone interview with Paul Van de Water, senior fellow at the Center on Budget and Policy Priorities, Oct. 19, 2020Telephone interview with David Lipschutz, associate director of the Center for Medicare Advocacy, Oct. 20, 2020Telephone interview with Gail Wilensky, senior fellow at Project Hope, Oct.

20, 2020Medicare.gov, accessed Oct. 12KFF, Closing the Medicare Part D Coverage Gap. Trends, Recent Changes, and What’s Ahead, Aug. 21, 2018National Committee to Preserve Social Security and Medicare, Overturning the ACA Would Harm Medicare, June 29, 2020Center on Budget and Policy Priorities, Striking Down ACA Would Weaken Medicare, July 8, 2019KHN, Without Ginsburg, Judicial Threats to the ACA, Reproductive Rights Heighten, Sept. 21, 2020KHN, Doughnut Hole Is Gone, But Medicare’s Uncapped Drug Costs Still Bite Into Budgets, March 29, 2019U.S.

Census Bureau, Voter Turnout Rates Among All Voting Age and Major Racial and Ethnic Groups Were Higher Than in 2014, April 23, 2019U.S. Census Bureau, Voting in America. A Look at the 2016 Presidential Election, May 10, 2017Statista, Voter Turnout Rates* Among Selected Age Groups in U.S. Midterm Elections From 1966 to 2018, July 10, 2020U.S. News &.

World Report, Why Older Citizens Are More Likely to Vote, Oct. 5, 2020KFF, Health Tracking Poll — October 2020. The Future of the ACA and Biden’s Advantage on Health Care, Oct. 16, 2020State of California, et al., Petitioners v. State of Texas, et al., Brief for the Federal Respondents, June 25, 2020AARP, AARP Foundation, Center for Medicare Advocacy and Justice in Aging, Brief of Amici Curiae in Support of Petitioners in No.

19-840 and Non-Executive Branch Respondents in No. 19-1019 “You can make a lot of claims,” said Gail Wilensky, a former head of the Centers for Medicare &. Medicaid Services. €œThat one is really a stretch.”Other ACA provisions tied to Medicare benefits seem more at risk, such as the one that mandated annual wellness visits and certain preventive services, such as mammograms, bone mass measurement for those with osteoporosis, and depression and diabetes screening, with no patient cost sharing.“It’s not clear that the administration actively supports any change to the Medicare benefits with the case before SCOTUS,” said Tricia Neuman, KFF senior vice president and executive director of the KFF’s program on Medicare policy. €œBut if they didn’t explicitly seek to wall off certain provisions, it is at least conceivable — though maybe not likely — that Medicare benefits in the ACA could be collateral damage.” (KHN is an editorially independent program of KFF.)According to an amicus brief filed by the AARP, the Center for Medicare Advocacy and Justice in Aging in 2016, an estimated 40.1 million Medicare beneficiaries received at least one preventive service and 10.3 million had an annual wellness visit with no copay or deductible.Other experts pointed to a troubling implication for Medicare.

The nullification of the ACA provisions related to costs and slowing the growth of the program’s spending. Those efforts had been credited with extending the solvency of the Health Insurance Trust Fund and slowing the growth in Medicare premiums.It “would impair the financial fitness” of the trust fund, said Paul Van de Water, a senior fellow at the Center on Budget and Policy Priorities.Trump “may not say it is his intent to slash Medicare benefits,” agreed David Lipschutz, associate director of the Center for Medicare Advocacy, but overturning the ACA entirely would “cause chaos writ large.” And, because of the program’s size, that chaos “would upend the financial markets and the entire health care system,” according to the brief filed by Medicare advocates.What Comes Next Is ComplicatedEnter the concept of severability. Many court watchers are quick to say the high court’s decision could go beyond upholding http://sw.keimfarben.de/who-can-buy-renova/ the entire law or declaring it unconstitutional. Instead, the justices could separate or sever parts of it not directly related to the zeroed-out tax penalty, the so-called individual mandate.Of course, the Trump administration argued in its brief that the interwoven nature of the ACA’s provisions demanded that the entire law be invalidated.“If you just go on that basis, they are not arguing for severability,” said Van de Water.But others point out another layer that warrants consideration.“Everyone who comments on this focuses on the administration’s argument for inseverability,” Adler said. But he said it was more complicated than that.The Trump administration’s position is “simultaneously that the entire ACA should be invalidated” and also that relief should be provided only where injury to the plaintiffs is shown.

(The administration defines the plaintiffs as the two individuals who signed on to the original challenge.)Another view is that this point in the administration’s argument is not clear-cut, mostly because it gives no hint as to which programs or provisions would fit into the category of harming the plaintiffs.Ultimately, the fate of the sweeping health law is in the hands of the Supreme Court.“Legal analysts didn’t anticipate the case getting as far as it has,” said Lipschutz.But “the White House threw its weight behind the lawsuit,” said Bagley, at the University of Michigan. €œSo, they own the consequences. Especially in the context of this presidential campaign.”Our RulingAn attack ad by the Biden campaign states that Trump is “pushing to slash Medicare benefits” and ties this charge to the administration’s position on the pending legal challenge to the ACA.The Biden campaign pointed to an ACA provision that sought to close the Medicare doughnut hole to support this claim. It may not be the best example, though, because some experts suggest it may not be as vulnerable as other parts of the law.Experts outlined a range of other Medicare provisions that either provided new benefits or shored up the program’s financial fitness. If the whole law were to be nullified, as the administration has advocated, these changes could also be erased — a step that would affect benefits and potentially cause premiums to rise.Overall, the Biden ad seems plausible, even though the link between Trump’s position on the legal challenge and its impact on Medicare benefits is less straightforward than in similar claims we have checked regarding preexisting conditions.We rate the claim Half True.

This story was produced by Kaiser Health News, an editorially independent program of the Kaiser Family Foundation. Related Topics Elections Insight Medicare The Health Law KHN &. PolitiFact HealthCheck Trump Administration“They have 180 million people, families under what he wants to do, which will basically be socialized medicine — you won’t even have a choice — they want to terminate 180 million plans.”President Donald Trump during the presidential debate, Oct. 22, 2020 During the final presidential debate, President Donald Trump claimed that 180 million people would lose their private health insurance to socialized medicine if the Democratic presidential nominee, former Vice President Joe Biden, is elected president.“They have 180 million people, families under what he wants to do, which will basically be socialized medicine — you won’t even have a choice — they want to terminate 180 million plans,” said Trump.Trump has repeated this claim throughout the week, and we thought the linkage of Biden’s proposed health care plan with socialism was something we needed to check out. Especially since Biden opposed “Medicare for All,” the proposal by Sen.

Bernie Sanders (I-Vt.) that would have created a single-payer health system run completely by the federal government, and has long been attacked by Republicans as “socialist.” Email Sign-Up Subscribe to California Healthline’s free Daily Edition. The Trump campaign did not respond to our request asking where the evidence for this claim came from. Experts called it a distortion of Biden’s plan.Where the Number Comes FromExperts agreed the number of people who have private health insurance either through an employer-sponsored plan or purchased on the Affordable Care Act’s health insurance marketplace is around 180 million people.KFF, a nonpartisan health policy organization, estimated in 2018 that about 157 million Americans had health insurance through their employer, while almost 20 million had insurance they purchased for themselves. Together, that adds up to about 177 million with private health insurance. (KHN is an editorially independent program of KFF.)What Does Biden Support?.

Biden supports expanding the ACA through several measures, including a public option. Under his plan, this public option would be a health insurance plan run by the federal government that would be offered alongside other private health insurance plans on the insurance marketplace.“The marketplace is made up of multiple insurers in areas,” said Linda Blumberg, a health policy fellow at the Urban Institute. €œSometimes there are five or more [plans]. Sometimes there is only one. Biden is talking about adding a public option in the marketplace.

You could pick between these private insurers or you could pick the public option.”Getting rid of the so-called employer firewall is also part of Biden’s proposal.This firewall was implemented during the rollout of the ACA. It was designed to maintain balance in the insurance risk pools by preventing too many healthy people who have work-based coverage from opting instead to move to a marketplace plan. And it all came down to who qualified for the subsidies that made these plans more affordable.Currently, those who are offered a health insurance plan through their employer that meets certain minimum federal standards aren’t eligible to receive these subsidies, which come in the form of tax credits. But that leaves many low-income workers with health care plans that aren’t as affordable or comprehensive as marketplace plans.Biden’s plan would eliminate that firewall, meaning anyone could choose to get health insurance either through their employer or through the marketplace. That’s where many Republicans argue that we could start to see leakage from private health insurance plans to the public option.“The problem is healthy people leaving employer plans,” said Joseph Antos, a scholar in health care at the conservative-leaning American Enterprise Institute.

That could mean the entire workplace plan’s premiums would go up. €œYou could easily imagine a plan where it spirals, the premiums go up, and then even more people start leaving the plans to go to the public option.”Blumberg, though, said that because the marketplace would still include private health insurance plans alongside the public option, it doesn’t mean everyone who chooses to leave their employer plan would go straight to the public option.She has done estimates based on a plan similar to the one Biden is proposing. She estimates that only about 10% to 12% of Americans would choose to leave their employer-sponsored plans, which translates to about 15 million to 18 million Americans. Source List: Email interview with Cynthia Cox, vice president and director for the Program on the ACA at KFF, Oct. 22, 2020Email interview with Larry Levitt, executive vice president for health policy at KFF, Oct.

22, 2020Email interview with Sabrina Corlette, co-director of the Center on Health Insurance Reforms at Georgetown University, Oct. 22, 2020KFF, “Health Insurance Coverage of the Total Population,” Accessed Oct. 22, 2020KFF, “Affordability in the ACA Marketplace Under a Proposal Like Joe Biden’s Health Plan,” Sept. 28, 2020Phone interview with Joseph Antos, Wilson H. Taylor resident scholar in health care and retirement policy at the American Enterprise Institute, Oct.

22, 2020Phone interview with Linda Blumberg, institute fellow in the Health Policy Center at the Urban Institute, Oct. 22, 2020Rev.com, “Donald Trump &. Joe Biden Final Presidential Debate Transcript 2020,” Accessed Oct. 23, 2020Twitter, Donald Trump tweet, Oct. 21, 2020Urban Institute, “The Healthy America Program, an Update and Additional Options,” Sept.

2019Urban Institute, “From Incremental to Comprehensive Health Insurance Reform. How Various Reform Options Compare on Coverage and Costs,” Oct. 2019 KFF also did an estimate and found that 12.3 million people with employer coverage could save money by buying on the exchange under the Biden plan.But “it’s not clear all of those people would choose to leave their employer coverage, though, as there are other reasons besides costs that people might want to have job-based insurance,” Cynthia Cox, vice president and director of the program on the ACA at KFF, wrote in an email.Either way, none of the estimates are anywhere close to the 180 million that Trump claimed.Is This Type of Public Option Socialism?. Overall, experts said no, what Biden supports isn’t socialized medicine.“Socialized medicine means that the government runs hospitals and employs doctors, and that is not part of Biden’s plan,” Larry Levitt, executive vice president for health policy at KFF, wrote in an email. €œUnder Biden’s plans, doctors and hospitals would remain in the private sector just like they are today.”However, Antos said that, in his view, the definition of socialism can really vary when it comes to health care.“I would argue in one sense, we would already have socialized medicine.

We have massive federal subsidies for everybody, so in that sense, we’re already there,” said Antos. €œBut, if socialized medicine means the government is going to dictate how doctors practice or how health care is delivered, we are obviously not in that situation. I don’t think the Biden plan would lead you that way.”And in the end, Antos said, invoking socialism is a scare tactic that politicians have been using for years.“It’s just a political slur,” said Antos. €œIt’s meant to inflame the emotions of those who will vote for Trump and meant to annoy the people who will vote for Biden.”Our Ruling Trump said 180 million people would lose their private health insurance plans to socialized medicine under Biden.While about 180 million people do have private health insurance, there is no evidence that all of them would lose their private plans if Biden were elected president.Biden supports implementing a public option on the health insurance marketplace. It would exist alongside private health insurance plans, and Americans would have the option to buy either the private plan or the public plan.

While estimates show that a number of Americans would likely leave their employer-sponsored coverage for the public plan, they would be doing that by choice and the estimates are nowhere near Trump’s 180 million figure.Experts also agree that the public option is not socialized medicine, and it’s ridiculous to conflate Biden’s plan with Medicare for All.We rate this claim Pants on Fire. This story was produced by Kaiser Health News, an editorially independent program of the Kaiser Family Foundation. Related Topics Elections Insight Insurance The Health Law KHN &. PolitiFact HealthCheck Obamacare Plans Private Insurance.

€œTrump is renova pink toilet paper pushing to slash Medicare benefits.”— renova for sale online Digital and TV campaign ad, Oct. 9, 2020 renova for sale online This story was produced in partnership with PolitiFact. This story can be republished for free (details). It’s a tried-and-true campaign strategy.Candidates go on the attack, claiming their opponent will do harm to Medicare. After all, people 65 and older are good about making it to the renova for sale online polls on Election Day.

These voters are also generally motivated to protect the federal health insurance program for seniors.It’s no surprise, then, that in an ad released this month, former Vice President Joe Biden’s campaign played the Medicare card.“Donald Trump is lying about Medicare and Social Security,” an ominous, mature, male voice warns viewers in the ad. He goes on to say that “Trump’s pushing to slash Medicare renova for sale online benefits.”Clearly, we’ve heard this dire message before — from candidates of both parties through the years. Email Sign-Up Subscribe to California Healthline’s free Daily Edition. We issued a skeptical rating of a claim that Trump promised renova for sale online to gut Social Security and Medicare if re-elected, noting that his deferral of payroll taxes did not mention Medicare at all.

But Trump has not mentioned cuts to Medicare benefits on the trail, and he’s promised to make cuts to the program in the future. So what is Biden’s claim renova for sale online talking about?. As a rationale for the statement, a Biden campaign spokesperson pointed us to the Trump administration’s support of Republicans’ efforts in a court case, California v. Texas, which seeks to overturn the Affordable Care Act renova for sale online.

But the ad does not include any reference or explanation of how the case would impact Medicare benefits.The legal challenge, brought by a group of Republican attorneys general, is pegged to the 2017 tax bill, which zeroed out the tax that functioned as a penalty for not having health coverage — known as the individual mandate. Without this linchpin tax, the Republicans argue, renova for sale online the entire law should be struck down. They based that on the Supreme Court decision in 2012 that the law was constitutional because the penalty was a valid use of Congress’ ability to levy taxes.In the current case, lower courts have found the law unconstitutional, and a group of Democratic attorneys general appealed to the Supreme Court.Oral arguments are scheduled for Nov. 10.

The Trump administration filed a brief in support of invalidating the entire law unconstitutional.Though best known for its vast expansion of health coverage through marketplace plans and Medicaid, the ACA also included a range of consumer protections — such as the ban on discrimination against people with preexisting conditions — and an estimated 165 Medicare-related provisions.The Biden spokesperson pointed to one, which ended Medicare’s so-called doughnut hole.We asked experts for their take. Immediately, we found differences in opinion.That’s a “perfectly fair claim,” said Nicholas Bagley, a professor at the University of Michigan Law School. Closing the doughnut hole matters to many people, he said.Case Western Reserve University law professor Jonathan Adler took a different view. The argument that Medicare would be affected “is a very aggressive reading of the filing in this case,” he said, referring to the Trump administration’s brief in support of nullifying the ACA.The next step seemed to be getting a better grasp of what’s at stake.A Quick Review of the Doughnut Hole, Other Medicare ProvisionsThe Medicare doughnut hole refers to the gap in Part D prescription drug coverage that begins after a beneficiary spends a set amount — usually a few thousand dollars.

Before the ACA, beneficiaries who reached that threshold were responsible for 100% of their medication costs until they spent enough for catastrophic coverage to kick in, which could be more than $1,000 in additional spending. Even with this coverage, beneficiaries were responsible for 5% of their drug expenditures. (If beneficiaries were responsible for 100% of costs today, people with high drug costs would obviously pay a lot more without the ACA provision.)The ACA would have gradually ended that coverage gap. But, in 2018, Congress adopted changes to expedite the process.

As of 2019, the doughnut hole was closed. Adler pointed to that congressional intervention as a step that could keep the doughnut hole closed if the ACA were overturned. Based on this legislative history, the argument could be made that closing the coverage gap was something Congress had an interest in apart from the ACA. Since the doughnut hole is officially closed, some analysts said this provision may not be vulnerable to the upcoming Supreme Court decision on the ACA.

Sources: Biden campaign ad “Clear Choice,” released Oct. 9, 2020Email exchanges with Biden campaign spokesperson, Oct. 12, 2020Telephone interview, email correspondence with Tricia Neuman, KFF senior vice president and executive director of the KFF’s program on Medicare policy, Oct. 13, 2020Telephone interview with Nicholas Bagley, professor at the University of Michigan Law School, Oct.

15, 2020Telephone interview with Jonathan Adler, professor at the Case Western Reserve University School of Law, Oct.16, 2020Telephone interview with Paul Van de Water, senior fellow at the Center on Budget and Policy Priorities, Oct. 19, 2020Telephone interview with David Lipschutz, associate director of the Center for Medicare Advocacy, Oct. 20, 2020Telephone interview with Gail Wilensky, senior fellow at Project Hope, Oct. 20, 2020Medicare.gov, accessed Oct.

12KFF, Closing the Medicare Part D Coverage Gap. Trends, Recent Changes, and What’s Ahead, Aug. 21, 2018National Committee to Preserve Social Security and Medicare, Overturning the ACA Would Harm Medicare, June 29, 2020Center on Budget and Policy Priorities, Striking Down ACA Would Weaken Medicare, July 8, 2019KHN, Without Ginsburg, Judicial Threats to the ACA, Reproductive Rights Heighten, Sept. 21, 2020KHN, Doughnut Hole Is Gone, But Medicare’s Uncapped Drug Costs Still Bite Into Budgets, March 29, 2019U.S.

Census Bureau, Voter Turnout Rates Among All Voting Age and Major Racial and Ethnic Groups Were Higher Than in 2014, April 23, 2019U.S. Census Bureau, Voting in America. A Look at the 2016 Presidential Election, May 10, 2017Statista, Voter Turnout Rates* Among Selected Age Groups in U.S. Midterm Elections From 1966 to 2018, July 10, 2020U.S.

News &. World Report, Why Older Citizens Are More Likely to Vote, Oct. 5, 2020KFF, Health Tracking Poll — October 2020. The Future of the ACA and Biden’s Advantage on Health Care, Oct.

16, 2020State of California, et al., Petitioners v. State of Texas, et al., Brief for the Federal Respondents, June 25, 2020AARP, AARP Foundation, Center for Medicare Advocacy and Justice in Aging, Brief of Amici Curiae in Support of Petitioners in No. 19-840 and Non-Executive Branch Respondents in No. 19-1019 “You can make a lot of claims,” said Gail Wilensky, a former head of the Centers for Medicare &.

Medicaid Services. €œThat one is really a stretch.”Other ACA provisions tied to Medicare benefits seem more at risk, such as the one that mandated annual wellness visits and certain preventive services, such as mammograms, bone mass measurement for those with osteoporosis, and depression and diabetes screening, with no patient cost sharing.“It’s not clear that the administration actively supports any change to the Medicare benefits with the case before SCOTUS,” said Tricia Neuman, KFF senior vice president and executive director of the KFF’s program on Medicare policy. €œBut if they didn’t explicitly seek to wall off certain provisions, it is at least conceivable — though maybe not likely — that Medicare benefits in the ACA could be collateral damage.” (KHN is an editorially independent program of KFF.)According to an amicus brief filed by the AARP, the Center for Medicare Advocacy and Justice in Aging in 2016, an estimated 40.1 million Medicare beneficiaries received at least one preventive service and 10.3 million had an annual wellness visit with no copay or deductible.Other experts pointed to a troubling implication for Medicare. The nullification of the ACA provisions related to costs and slowing the growth of the program’s spending.

Those efforts had been credited with extending the solvency of the Health Insurance Trust Fund and slowing the growth in Medicare premiums.It “would impair the financial fitness” of the trust fund, said Paul Van de Water, a senior fellow at the Center on Budget and Policy Priorities.Trump “may not say it is his intent to slash Medicare benefits,” agreed David Lipschutz, associate director of the Center for Medicare Advocacy, but overturning the ACA entirely would “cause chaos writ large.” And, because of the program’s size, that chaos “would upend the financial markets and the entire health care system,” according to the brief filed by Medicare advocates.What Comes Next Is ComplicatedEnter the concept of severability. Many court watchers are quick to say the high court’s decision could go beyond upholding the entire law or declaring it unconstitutional. Instead, the justices could separate or sever parts of it not directly related to the zeroed-out tax penalty, the so-called individual mandate.Of course, the Trump administration argued in its brief that the interwoven nature of the ACA’s provisions demanded that the entire law be invalidated.“If you just go on that basis, they are not arguing for severability,” said Van de Water.But others point out another layer that warrants consideration.“Everyone who comments on this focuses on the administration’s argument for inseverability,” Adler said. But he said it was more complicated than that.The Trump administration’s position is “simultaneously that the entire ACA should be invalidated” and also that relief should be provided only where injury to the plaintiffs is shown.

(The administration defines the plaintiffs as the two individuals who signed on to the original challenge.)Another view is that this point in the administration’s argument is not clear-cut, mostly because it gives no hint as to which programs or provisions would fit into the category of harming the plaintiffs.Ultimately, the fate of the sweeping health law is in the hands of the Supreme Court.“Legal analysts didn’t anticipate the case getting as far as it has,” said Lipschutz.But “the White House threw its weight behind the lawsuit,” said Bagley, at the University of Michigan. €œSo, they own the consequences. Especially in the context of this presidential campaign.”Our RulingAn attack ad by the Biden campaign states that Trump is “pushing to slash Medicare benefits” and ties this charge to the administration’s position on the pending legal challenge to the ACA.The Biden campaign pointed to an ACA provision that sought to close the Medicare doughnut hole to support this claim. It may not be the best example, though, because some experts suggest it may not be as vulnerable as other parts of the law.Experts outlined a range of other Medicare provisions that either provided new benefits or shored up the program’s financial fitness.

If the whole law were to be nullified, as the administration has advocated, these changes could also be erased — a step that would affect benefits and potentially cause premiums to rise.Overall, the Biden ad seems plausible, even though the link between Trump’s position on the legal challenge and its impact on Medicare benefits is less straightforward than in similar claims we have checked regarding preexisting conditions.We rate the claim Half True. This story was produced by Kaiser Health News, an editorially independent program of the Kaiser Family Foundation. Related Topics Elections Insight Medicare The Health Law KHN &. PolitiFact HealthCheck Trump Administration“They have 180 million people, families under what he wants to do, which will basically be socialized medicine — you won’t even have a choice — they want to terminate 180 million plans.”President Donald Trump during the presidential debate, Oct.

22, 2020 During the final presidential debate, President Donald Trump claimed that 180 million people would lose their private health insurance to socialized medicine if the Democratic presidential nominee, former Vice President Joe Biden, is elected president.“They have 180 million people, families under what he wants to do, which will basically be socialized medicine — you won’t even have a choice — they want to terminate 180 million plans,” said Trump.Trump has repeated this claim throughout the week, and we thought the linkage of Biden’s proposed health care plan with socialism was something we needed to check out. Especially since Biden opposed “Medicare for All,” the proposal by Sen. Bernie Sanders (I-Vt.) that would have created a single-payer health system run completely by the federal government, and has long been attacked by Republicans as “socialist.” Email Sign-Up Subscribe to California Healthline’s free Daily Edition. The Trump campaign did not respond to our request asking where the evidence for this claim came from.

Experts called it a distortion of Biden’s plan.Where the Number Comes FromExperts agreed the number of people who have private health insurance either through an employer-sponsored plan or purchased on the Affordable Care Act’s health insurance marketplace is around 180 million people.KFF, a nonpartisan health policy organization, estimated in 2018 that about 157 million Americans had health insurance through their employer, while almost 20 million had insurance they purchased for themselves. Together, that adds up to about 177 million with private health insurance. (KHN is an editorially independent program of KFF.)What Does Biden Support?. Biden supports expanding the ACA through several measures, including a public option.

Under his plan, this public option would be a health insurance plan run by the federal government that would be offered alongside other private health insurance plans on the insurance marketplace.“The marketplace is made up of multiple insurers in areas,” said Linda Blumberg, a health policy fellow at the Urban Institute. €œSometimes there are five or more [plans]. Sometimes there is only one. Biden is talking about adding a public option in the marketplace.

You could pick between these private insurers or you could pick the public option.”Getting rid of the so-called employer firewall is also part of Biden’s proposal.This firewall was implemented during the rollout of the ACA. It was designed to maintain balance in the insurance risk pools by preventing too many healthy people who have work-based coverage from opting instead to move to a marketplace plan. And it all came down to who qualified for the subsidies that made these plans more affordable.Currently, those who are offered a health insurance plan through their employer that meets certain minimum federal standards aren’t eligible to receive these subsidies, which come in the form of tax credits. But that leaves many low-income workers with health care plans that aren’t as affordable or comprehensive as marketplace plans.Biden’s plan would eliminate that firewall, meaning anyone could choose to get health insurance either through their employer or through the marketplace.

That’s where many Republicans argue that we could start to see leakage from private health insurance plans to the public option.“The problem is healthy people leaving employer plans,” said Joseph Antos, a scholar in health care at the conservative-leaning American Enterprise Institute. That could mean the entire workplace plan’s premiums would go up. €œYou could easily imagine a plan where it spirals, the premiums go up, and then even more people start leaving the plans to go to the public option.”Blumberg, though, said that because the marketplace would still include private health insurance plans alongside the public option, it doesn’t mean everyone who chooses to leave their employer plan would go straight to the public option.She has done estimates based on a plan similar to the one Biden is proposing. She estimates that only about 10% to 12% of Americans would choose to leave their employer-sponsored plans, which translates to about 15 million to 18 million Americans.

Source List: Email interview with Cynthia Cox, vice president and director for the Program on the ACA at KFF, Oct. 22, 2020Email interview with Larry Levitt, executive vice president for health policy at KFF, Oct. 22, 2020Email interview with Sabrina Corlette, co-director of the Center on Health Insurance Reforms at Georgetown University, Oct. 22, 2020KFF, “Health Insurance Coverage of the Total Population,” Accessed Oct.

22, 2020KFF, “Affordability in the ACA Marketplace Under a Proposal Like Joe Biden’s Health Plan,” Sept. 28, 2020Phone interview with Joseph Antos, Wilson H. Taylor resident scholar in health care and retirement policy at the American Enterprise Institute, Oct. 22, 2020Phone interview with Linda Blumberg, institute fellow in the Health Policy Center at the Urban Institute, Oct.

22, 2020Rev.com, “Donald Trump &. Joe Biden Final Presidential Debate Transcript 2020,” Accessed Oct. 23, 2020Twitter, Donald Trump tweet, Oct. 21, 2020Urban Institute, “The Healthy America Program, an Update and Additional Options,” Sept.

2019Urban Institute, “From Incremental to Comprehensive Health Insurance Reform. How Various Reform Options Compare on Coverage and Costs,” Oct. 2019 KFF also did an estimate and found that 12.3 million people with employer coverage could save money by buying on the exchange under the Biden plan.But “it’s not clear all of those people would choose to leave their employer coverage, though, as there are other reasons besides costs that people might want to have job-based insurance,” Cynthia Cox, vice president and director of the program on the ACA at KFF, wrote in an email.Either way, none of the estimates are anywhere close to the 180 million that Trump claimed.Is This Type of Public Option Socialism?. Overall, experts said no, what Biden supports isn’t socialized medicine.“Socialized medicine means that the government runs hospitals and employs doctors, and that is not part of Biden’s plan,” Larry Levitt, executive vice president for health policy at KFF, wrote in an email.

€œUnder Biden’s plans, doctors and hospitals would remain in the private sector just like they are today.”However, Antos said that, in his view, the definition of socialism can really vary when it comes to health care.“I would argue in one sense, we would already have socialized medicine. We have massive federal subsidies for everybody, so in that sense, we’re already there,” said Antos. €œBut, if socialized medicine means the government is going to dictate how doctors practice or how health care is delivered, we are obviously not in that situation. I don’t think the Biden plan would lead you that way.”And in the end, Antos said, invoking socialism is a scare tactic that politicians have been using for years.“It’s just a political slur,” said Antos.

€œIt’s meant to inflame the emotions of those who will vote for Trump and meant to annoy the people who will vote for Biden.”Our Ruling Trump said 180 million people would lose their private health insurance plans to socialized medicine under Biden.While about 180 million people do have private health insurance, there is no evidence that all of them would lose their private plans if Biden were elected president.Biden supports implementing a public option on the health insurance marketplace. It would exist alongside private health insurance plans, and Americans would have the option to buy either the private plan or the public plan. While estimates show that a number of Americans would likely leave their employer-sponsored coverage for the public plan, they would be doing that by choice and the estimates are nowhere near Trump’s 180 million figure.Experts also agree that the public option is not socialized medicine, and it’s ridiculous to conflate Biden’s plan with Medicare for All.We rate this claim Pants on Fire. This story was produced by Kaiser Health News, an editorially independent program of the Kaiser Family Foundation.

Related Topics Elections Insight Insurance The Health Law KHN &. PolitiFact HealthCheck Obamacare Plans Private Insurance.