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Facing looming energy shortage, Indiana utilities begin to slowly adopt battery storageJudith Graham | (TNS) KFF Health News Carolyn Dickens, 76, was sitting at her dining room table, struggling to catch her breath as her physician looked on with concern. “What’s going on with your breathing?” asked Peter Gliatto, director of Mount Sinai’s Visiting Doctors Program. “I don’t know,” she answered, so softly it was hard to hear. “Going from here to the bathroom or the door, I get really winded. I don’t know when it’s going to be my last breath.” Dickens, a lung cancer survivor, lives in central Harlem, barely getting by. She has serious lung disease and high blood pressure and suffers regular fainting spells. In the past year, she’s fallen several times and dropped to 85 pounds, a dangerously low weight. And she lives alone, without any help — a highly perilous situation. This is almost surely an undercount, since the data is from more than a dozen years ago. It’s a population whose numbers far exceed those living in nursing homes — about 1.2 million — and yet it receives much less attention from policymakers, legislators, and academics who study aging. Consider some eye-opening statistics about completely homebound seniors from a study published in 2020 in JAMA Internal Medicine : Nearly 40% have five or more chronic medical conditions, such as heart or lung disease. Almost 30% are believed to have “probable dementia.” Seventy-seven percent have difficulty with at least one daily task such as bathing or dressing. Almost 40% live by themselves. That “on my own” status magnifies these individuals’ already considerable vulnerability, something that became acutely obvious during the covid-19 outbreak, when the number of sick and disabled seniors confined to their homes doubled. “People who are homebound, like other individuals who are seriously ill, rely on other people for so much,” said Katherine Ornstein, director of the Center for Equity in Aging at the Johns Hopkins School of Nursing. “If they don’t have someone there with them, they’re at risk of not having food, not having access to health care, not living in a safe environment.” Related Articles Health | Weight loss drugs like Ozempic, Wegovy are all the rage. Are they safe for kids? Health | Rural governments often fail to communicate with residents who aren’t proficient in English Health | Some breast cancer patients can avoid certain surgeries, studies suggest Health | Who gets obesity drugs covered by insurance? In North Carolina, it helps if you’re on Medicaid Health | New Alzheimer’s drugs are available, but can you get them in Florida? Research has shown that older homebound adults are less likely to receive regular primary care than other seniors. They’re also more likely to end up in the hospital with medical crises that might have been prevented if someone had been checking on them. To better understand the experiences of these seniors, I accompanied Gliatto on some home visits in New York City. Mount Sinai’s Visiting Doctors Program, established in 1995, is one of the oldest in the nation. Only 12% of older U.S. adults who rarely or never leave home have access to this kind of home-based primary care. Gliatto and his staff — seven part-time doctors, three nurse practitioners, two nurses, two social workers, and three administrative staffers — serve about 1,000 patients in Manhattan each year. These patients have complicated needs and require high levels of assistance. In recent years, Gliatto has had to cut staff as Mount Sinai has reduced its financial contribution to the program. It doesn’t turn a profit, because reimbursement for services is low and expenses are high. First, Gliatto stopped in to see Sandra Pettway, 79, who never married or had children and has lived by herself in a two-bedroom Harlem apartment for 30 years. Pettway has severe spinal problems and back pain, as well as Type 2 diabetes and depression. She has difficulty moving around and rarely leaves her apartment. “Since the pandemic, it’s been awfully lonely,” she told me. When I asked who checks in on her, Pettway mentioned her next-door neighbor. There’s no one else she sees regularly. Pettway told the doctor she was increasingly apprehensive about an upcoming spinal surgery. He reassured her that Medicare would cover in-home nursing care, aides, and physical therapy services. “Someone will be with you, at least for six weeks,” he said. Left unsaid: Afterward, she would be on her own. (The surgery in April went well, Gliatto reported later.) The doctor listened carefully as Pettway talked about her memory lapses. “I can remember when I was a year old, but I can’t remember 10 minutes ago,” she said. He told her that he thought she was managing well but that he would arrange testing if there was further evidence of cognitive decline. For now, he said, he’s not particularly worried about her ability to manage on her own. Several blocks away, Gliatto visited Dickens, who has lived in her one-bedroom Harlem apartment for 31 years. Dickens told me she hasn’t seen other people regularly since her sister, who used to help her out, had a stroke. Most of the neighbors she knew well have died. Her only other close relative is a niece in the Bronx whom she sees about once a month. Dickens worked with special-education students for decades in New York City’s public schools. Now she lives on a small pension and Social Security — too much to qualify for Medicaid. (Medicaid, the program for low-income people, will pay for aides in the home. Medicare, which covers people over age 65, does not.) Like Pettway, she has only a small fixed income, so she can’t afford in-home help. Every Friday, God’s Love We Deliver, an organization that prepares medically tailored meals for sick people, delivers a week’s worth of frozen breakfasts and dinners that Dickens reheats in the microwave. She almost never goes out. When she has energy, she tries to do a bit of cleaning. Without the ongoing attention from Gliatto, Dickens doesn’t know what she’d do. “Having to get up and go out, you know, putting on your clothes, it’s a task,” she said. “And I have the fear of falling.” The next day, Gliatto visited Marianne Gluck Morrison, 73, a former survey researcher for New York City’s personnel department, in her cluttered Greenwich Village apartment. Morrison, who doesn’t have any siblings or children, was widowed in 2010 and has lived alone since. Morrison said she’d been feeling dizzy over the past few weeks, and Gliatto gave her a basic neurological exam, asking her to follow his fingers with her eyes and touch her fingers to her nose. “I think your problem is with your ear, not your brain,” he told her, describing symptoms of vertigo. Because she had severe wounds on her feet related to Type 2 diabetes, Morrison had been getting home health care for several weeks through Medicare. But those services — help from aides, nurses, and physical therapists — were due to expire in two weeks. “I don’t know what I’ll do then, probably just spend a lot of time in bed,” Morrison told me. Among her other medical conditions: congestive heart failure, osteoarthritis, an irregular heartbeat, chronic kidney disease, and depression. Morrison hasn’t left her apartment since November 2023, when she returned home after a hospitalization and several months at a rehabilitation center. Climbing the three steps that lead up into her apartment building is simply too hard. “It’s hard to be by myself so much of the time. It’s lonely,” she told me. “I would love to have people see me in the house. But at this point, because of the clutter, I can’t do it.” When I asked Morrison who she feels she can count on, she listed Gliatto and a mental health therapist from Henry Street Settlement, a social services organization. She has one close friend she speaks with on the phone most nights. “The problem is I’ve lost eight to nine friends in the last 15 years,” she said, sighing heavily. “They’ve died or moved away.” Bruce Leff, director of the Center for Transformative Geriatric Research at the Johns Hopkins School of Medicine, is a leading advocate of home-based medical care. “It’s kind of amazing how people find ways to get by,” he said when I asked him about homebound older adults who live alone. “There’s a significant degree of frailty and vulnerability, but there is also substantial resilience.” With the rapid expansion of the aging population in the years ahead, Leff is convinced that more kinds of care will move into the home, everything from rehab services to palliative care to hospital-level services. “It will simply be impossible to build enough hospitals and health facilities to meet the demand from an aging population,” he said. But that will be challenging for homebound older adults who are on their own. Without on-site family caregivers, there may be no one around to help manage this home-based care. ©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.
Feds suspend ACA marketplace access to companies accused of falsely promising ‘cash cards’President Joe Biden on Tuesday laid out a summary of his economic record in what amounted to a valedictory address laced with a few swipes at his successor. Biden traced the arc of his presidency from dealing with the effects of COVID-19 and the Russian invasion of Ukraine though the surge of inflation that followed both – while warning that a return to the “trickle down” politics of tax cuts and deregulation would undo much of the progress he believes his administration delivered. “I came to office with a different vision for America,” Biden said, one based on the idea of rebuilding the middle class and strengthening the economy from the “bottom up.” He made the contrast with President-elect Donald Trump , who has pledged more tax cuts, higher tariffs on imported goods and named a list of Cabinet and other appointments stock full of billionaires. READ: Biden recited key achievements of his economic team – the creation of 16 million jobs, the most in any single presidential term, the lowest average unemployment of any administration in a half century and a decline in child poverty and economic inequality. It’s an impressive record except for one glaring exception: runaway inflation that followed the COVID-19 pandemic and its supply chain disruptions, as well as Vladimir Putin’s invasion of Ukraine in early 2022. Prices, as measured by the consumer price index of a basket of commonly purchased items, soared to an annual rate of 9% in mid-2022 before coming back down to around 2.6% now. And he suggested that Americans judge Trump’s record four years now by the same measures. “Where will inflation be at the end of the next president’s term?” Biden asked. Biden bet when he entered office in 2021 that if he could manage the aftereffects of the pandemic and build an economy through government investments in high-end semiconductor manufacturing and alternative energy, it would pay off in the end – and inflation, meanwhile, would moderate as supply chain disruptions waned. Prices did eventually start moderating but not quick enough for impatient consumers who had seen overall price increases of about 20% over a three-year period. The economy is ending the Biden era with record production of domestic oil and gas, unemployment at a low 4.2%, gross domestic product expanding at a 3%-plus annual rate and job growth solid, though moderating . Biden also won legislative achievements that have led to a spurt in high-end manufacturing and alternative energy investments. By most measures, the U.S. economy is the envy of the rest of the world. “Thanks to Biden-Harris Administration economic policy decisions, America’s economic recovery from COVID has unequivocally been the strongest and most equitable in the world,” said Bharat Ramamurti, senior advisor for economic strategy at the American Economic Liberties Project and former deputy director of the National Economic Council. “American economic growth has been far faster than any other leading economy,” Ramamurti added. “Productivity is soaring. Wages, even adjusted for inflation, are rising faster than they did before the pandemic, with the largest gains at the lowest end of the income spectrum. And numerous analyses have shown that the American Rescue Plan, the infrastructure law, and the IRA and CHIPS act have been instrumental in achieving these results.” Tim Smart Dec. 6, 2024 However, voters punished the Biden administration at the ballot box in November on the issue of inflation and the cost of living by giving Donald Trump another turn in the White House. Vice President Kamala Harris was unable to overcome the disapproval of Biden on economic issues. “What people were seeing during this administration was plain old inflation,” said Dan North, senior economist for North America at Allianz Trade. “It was cumulative and that’s why prices are still high.” Ironically, most economists believe that Trump’s proposed expansion of import tariffs and mass deportations of undocumented immigrants will spur inflation along with tax cuts and decreased regulation. That puts the Federal Reserve in a bind as it tries to bring interest rates down from their peak, with analysts expecting the central bank to cut rates by a quarter point at its meeting next week before pausing to see how the new administration’s policies take root. “Our call is that the Fed will cut 25 basis points next week, but we do see a pause through the first half of 2025,” says Molly McGown, U.S. rates strategist at TD Securities. Biden closed his speech with a comment that could easily be interpreted as a slap at the “America First” members of the incoming Trump team who argue that the U.S. should back away from its global role in both economics and politics. “There is no country on earth better positioned to lead the world,” said Biden, who spent more than three decades as a senator that included the chairmanship of the Foreign Affairs Committee before his eight years as vice president. “If we do not lead the world, what nation does lead the world?”
Trump offers support for dockworkers union by saying ports shouldn’t install more automated systemsUSM_Clay 1 run (Heath pass from Lofton), 12:15. TROY_D.Taylor 6 run (Renfroe kick), 7:28. TROY_FG Renfroe 50, 2:59. TROY_Caldwell 14 run (Renfroe kick), 8:56. TROY_D.Taylor 56 run (Renfroe kick), 6:04. USM_Simmons 75 pass from Rodemaker (pass failed), 5:46. TROY_Swartz 10 pass from Caldwell (Renfroe kick), :42. USM_Mims 4 pass from Rodemaker (kick failed), 7:05. TROY_D.Taylor 35 run (Renfroe kick), 5:59. TROY_Conerly-Goodly 31 interception return (Renfroe kick), 5:43. TROY_Lovett 5 run (Troemel kick), 4:08. RUSHING_Southern Miss., Gray 5-30, Clark 8-21, Clay 11-19, D.Jackson 1-3, White 1-(minus 12), Rodemaker 3-(minus 27). Troy, Taylor 23-169, Meadows 1-38, Caldwell 7-30, G.Green 7-21, Lovett 3-12, Ross 1-2, (Team) 2-(minus 2). PASSING_Southern Miss., Rodemaker 18-30-2-234, Pittman 1-1-0-25. Troy, Caldwell 14-26-0-187, Parker 0-1-0-0. RECEIVING_Southern Miss., Mims 5-77, Simmons 4-90, Pittman 3-32, Clay 3-16, Heath 2-25, Clark 1-19, Gray 1-0. Troy, Ross 5-70, Parker 3-40, Swartz 2-20, Higgins 2-18, Lovett 1-26, Beason 1-13. MISSED FIELD GOALS_Southern Miss., Gibbs 50, Gibbs 45.
Call for nominations: Mail & Guardian’s 200 Young South Africans 2025
Unions attack 2.8% Government pay rise proposal for NHS workers and teachers
FRISCO, Texas (AP) — A rare win as a double-digit underdog came just in time to let the Dallas Cowboys believe their playoff hopes aren't completely gone in 2024. Cooper Rush probably will need three more victories in a row filling in for the injured Dak Prescott for any postseason talk to be realistic. The thing is, the Cowboys (4-7) could be favored in two of those games, and already are by four points as an annual Thanksgiving Day host against the New York Giants (2-9) on Thursday, according to BetMGM. Not to mention the losing record at the moment for each of the next four opponents for the defending NFC East champions, playoff qualifiers each of the past three seasons. The Cowboys have a chance to make something of the improbable and chaotic 34-26 win at Washington that ended a five-game losing streak. “Behind the eight ball,” Micah Parsons said, the star pass rusher acknowledging the reality that Dallas hadn't done much yet. “Let’s see how we can handle adversity and see if we can make a playoff run. But we got a long way to go.” It was a start, though, powered in part by the best 55 minutes from the Dallas defense since the opener, when the Cowboys dismantled Cleveland and looked the part of a Super Bowl contender. The last five minutes for the Dallas defense against the Commanders looked a lot like most of the nine games after that 33-17 victory over the Browns. Which is to say not very good. Jayden Daniels easily drove Washington 69 yards to a touchdown before throwing an 86-yard scoring pass in the final seconds to Terry McLaurin, who weaved through five defenders when a tackle might have ended the game. The Cowboys kept a 27-26 lead thanks to Austin Seibert's second missed extra point, and withstood another blunder when Juanyeh Thomas returned an onside kick recovery for a TD rather than slide and leave one kneel-down from Rush to end the game. Dallas will have to remember it did hold a dynamic rookie quarterback's offense to 251 yards before the madness of the ending in the Cowboys' biggest upset victory since 2010 at the New York Giants. That one was too late to save the season. This one might not be. “We needed it,” embattled coach Mike McCarthy said. “It’s been frustrating, no doubt. We’ve acknowledged that. We’ve got another one right around the corner here, so we have to get some wins and get some momentum.” Rush ended a personal three-game losing streak with his best showing since the previous time he won as the replacement for Prescott, who is out for the season after surgery for a torn hamstring. The 117.6 passer rating was Rush's best as a starter, and the NFL's second-worst rushing attack played a solid complementary role with Rico Dowdle gaining 86 yards on 19 carries. KaVontae Turpin's electrifying 99-yard kickoff return did more than lift the Cowboys when it appeared an 11-point lead might get away in the final five minutes. It eased the worst day of special teams for Dallas since John Fassel took over that phase four years ago. Suddenly struggling kicker Brandon Aubrey had one field-goal attempt blocked and missed another. Bryan Anger had a punt blocked. For the second time in five games, Aubrey's attempt to bounce a kickoff in front of the return man backfired. The ball bounced outside the landing zone, putting the Commanders at the 40-yard line to start the second half and setting up the drive to the game's first touchdown. CB Josh Butler, whose NFL debut earlier this season came five years after the end of his college career, had 12 tackles, a sack and three pass breakups. The pass breakups were the most by an undrafted Dallas player since 1994. Rookie LT Tyler Guyton, who has had an up-and-down season with injuries and performance issues, was benched immediately after getting called for a false start in the fourth quarter. His replacement, Asim Richards, could be sidelined with a high ankle sprain that executive vice president of personnel Stephen Jones revealed on his radio show Monday. Veteran Chuma Edoga, who was the projected starter at Guyton's position before a preseason toe injury, was active but didn't play against the Commanders. He's awaiting his season debut. The status of perennial All-Pro RG Zack Martin (ankle/shoulder) and LG Tyler Smith (ankle/knee) will be a question on the short week after both sat against Washington. Stephen Jones indicated Smith could be available and said the same of WR Brandin Cooks, who hasn't played since Week 4 because of a knee issue. TE Jake Ferguson may miss at least a second week with a concussion. The short week might make it tough for CB Trevon Diggs (groin/knee) to return. 75% — Rush's completion rate, his best with at least 10 passes. He was 24 of 32 for 247 yards with two touchdowns and no interceptions. His other game with multiple TDs and no picks was a 25-10 victory over Washington two years ago, when he went 4-1 with Prescott sidelined by a broken thumb. There's some extra rest after the short week, with Cincinnati making a “Monday Night Football” visit on Dec. 9. The next road game is at Carolina on Dec. 15. AP NFL: https://apnews.com/hub/nflIf fan reactions are any indication, the red activewear set from Vuori that Livvy Dunne modeled on Monday, December 9, must be flying off the shelves. The Louisiana State University gymnast, 22, looked comfy casual in red leggings, a matching red crop top, a tan beanie, and cozy fluffy socks in the multiple photo shoot images she posted to Instagram . "on your wishlist @vuoriclothing ," she wrote in the caption. The post received likes from several other athletes and influencers, including Livvy's boyfriend, Paul Skenes of the Pittsburgh Pirates, as well as her LSU teammates Haileigh Bryant, Alexis Jeffrey, and Zoe Miller. Hezley Rivera, the Olympic phenom whom Livvy took under her wing when she committed to LSU , also gave the post a heart, and her teammate Lexi Zeiss agreed that Livvy was "ALWAYS on [her] wishlist." A post shared by instagram Friends and colleagues of the gymnast, who is thought to be the highest paid female college athlete in the country,were also quick to share their reactions in the comments section. Sydney Thomas, the viral ring girl who became an overnight sensation after she appeared during the Jake Paul vs. Mike Tyson boxing match on November 15, wrote that Dunne was "beautiful😍🔥." The gymnast's sister, Julz, joked that Livvy was "sleighing" in her merry attire, and TikTok star Xandra Pohl said that she was "The cutest ever." Fans of the NCAA champion were also wowed by Livvy's fit. One follower seemed to agree with the "on your wishlist" caption, writing, "Definitely You gorgeous girl!!! 😍😍😍❤️❤️❤️🔥🔥" Another decided to stick with the holiday theme, writing, "It's Livvy season ❤️🎄❤️Livvy is the Queen of Christmas 🎄 ❤️." One particularly enthusiastic fan simply summed up their admiration with an expletive, writing, "Holy s***." Livvy also posted the images to her Instagram Story, and used the holiday classic "Santa Baby" by Eartha Kitt to set the mood for her latest Christmas-themed look.
Stock market today: Wall Street rises toward more recordsCalifornia Water Service Group exec Michael Luu sells $50,727 in stock
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