Mueller report shows Hope Hicks’ struggle to persuade ‘boss man’ Trump

She built a national reputation as the elusive public relations force behind President Donald Trump’s campaign and administration, but Hope Hicks couldn’t save the President from himself on Air Force One in July of 2017.


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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Relatives of missing boy Timmothy Pitzen have been holding out hope for years. A false claim by an impostor opened old wounds.

Timmothy Pitzen’s family believed their 8-year-long search for him was over when a man claiming to be the missing boy was found roaming a Kentucky neighborhood.


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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Indian family on the fringes sees hope in their 7-year-old

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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‘Good Girls’ star Retta has hope for character Ruby’s marriage

NBC’s “Good Girls” has been called “Breaking Bad with Women” — so that would make series star Retta its version of “Breaking Bad” chemistry maestro Walter White. “I was pre-med in college and I worked as a chemist at [a pharmaceutical company] for four years after that,” says Retta (her full name is Marietta Sangai…
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Officials hope to change minds amid ‘exquisitely contagious’ measles outbreak

Officials in Clark County, Washington, publish a list every day of where people infected with measles have been. Among them: busy spots like Concourse D at Oregon’s Portland International Airport on January 7 and the sold-out Portland Trail Blazers’ home game four days later. There’s also a Costco, a Trader Joe’s, numerous schools, day-care centers and churches, a swimming pool and even a trampoline park.


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Hope You’re Sitting Down: Hospital Charges $4,700 For A Fainting Spell

Listen to NPR’s All Things Considered tonight for our audio report on Bill of the Month. It’s scheduled to air at approximately 5:20 p.m. on your local public radio station.

Matt Gleason had skipped getting a flu shot for more than a decade.

But after suffering a nasty bout of the virus last winter, he decided to get vaccinated at his Charlotte, N.C., workplace in October. “It was super easy and free,” said Gleason, 39, a sales operations analyst.

That is, until Gleason fainted five minutes after getting the shot. Though he came to quickly and had a history of fainting, his colleague called 911. And when the paramedics sat him up, he began vomiting. That symptom worried him enough to agree to go to the hospital in an ambulance.

He spent the next eight hours at a nearby hospital — mostly in the emergency room waiting area. He had one consult with a doctor via teleconference as he was getting an electrocardiogram. He was feeling much better by the time he saw an in-person doctor, who ordered blood and urine tests and a chest-X-ray.

All the tests to rule out a heart attack or other serious condition were negative, and he was sent home at 10:30 p.m.

And then the bill came.

The Patient: Matt Gleason, who works for Flexential, an information technology firm in Charlotte. He is married with two children.

Total Bill: $ 4,692 for all the hospital care, including $ 2,961 for the ER admission fee, $ 400 for an EKG, $ 348 for a chest X-ray, $ 83 for a urinalysis and nearly $ 1,000 for various blood tests. Gleason’s insurer, Blue Cross and Blue Shield of North Carolina, negotiated discounts for the in-network hospital and reduced those costs to $ 3,711. Gleason is responsible for that entire amount because he had a $ 4,000 annual deductible. (The ambulance company and the ER doctor billed Gleason separately for their services, each about $ 1,300, but his out-of-pocket charge for each was $ 250 under his insurance.)

Matt Gleason questioned many of the charges he was billed after a trip to the ER and asked the health care provider for clarity. They sent him their chargemaster so he could investigate the charges himself.(Logan Cyrus for KHN)

Service Provider: Atrium Health Pineville (formerly called Carolinas HealthCare System-Pineville), a 235-bed nonprofit hospital in Charlotte and one of more than 40 hospitals owned by Atrium.

Medical Service: On Oct. 4, Gleason was taken by ambulance to Atrium Health Pineville emergency room to be evaluated after briefly passing out and vomiting following a flu shot. He was given several tests, mostly to check for a heart attack. 

What Gives: Fainting after getting the flu vaccine or other shots is a well-described phenomenon in the medical literature. But once 911 is summoned, you could be facing an ER work-up. And, in the U.S., that usually means big money.

The biggest part of Gleason’s bill — $ 2,961 — was the general ER fee. Atrium coded Gleason’s ER visit as a Level 5 — the second-highest and second-most expensive — on a 6-point scale. It is one step below the code for someone who has a gunshot wound or major injuries from a car accident. Gleason was told by the hospital that his admission was a Level 5 because he received at least three medical tests.

Gleason argued he should have paid a lower-level ER fee, considering his relatively mild symptoms and how he spent most of the eight hours in the ER waiting area.

The American Hospital Association, the American College of Emergency Physicians and other health groups devised criteria in 2000 to bring some uniformity to emergency room billing. The different levels reflect the varying amount of resources (equipment and supplies) the hospital uses for the particular ER level. Level 1 represents the lowest level of ER facility fees, while ER Level 6, or critical care, is the highest. Many hospitals have adopted the voluntary guidelines.

David McKenzie, reimbursement director at the American College of Emergency Physicians, said the guidelines were set up to help hospitals charge appropriately. Asked if hospitals have an incentive to perform extra tests to get patients to a higher-cost billing code, McKenzie said: “It’s not a perfect system. Hospitals have an incentive to do a CT exam, and taxi drivers have an incentive to take the long way home.”

The guidelines don’t determine the prices hospitals set for each ER level. Hospitals are free to set whatever prices they want as long as their system is consistent among patients, he said.

He said the multiple tests on Gleason suggest the hospital was worried he could be seriously ill. But he questioned why Gleason was told to stay in the ER waiting area for several hours if that was the case. It’s also not clear if Gleason’s history of fainting and overall good health were considered.

Blue Cross and Blue Shield of North Carolina said in a statement that the hospital “appears to have billed Gleason appropriately.” It noted the hospital reduced its costs by about $ 980 because of the insurer’s negotiated rates. But the insurer said it has no way to reduce the general ER admission fee.

“We work hard to negotiate discounts that reduce costs for our members, but costs are still far too high,” the insurer said. “This forces consumers to pay more out of pocket and drives up premiums.”

Gleason, in fighting his bill, actually got the hospital to send him its entire “chargemaster” price list for every code – a 250-page, double-sided document on paper. He was charged several hundred dollars more than the listed price for his Level 5 ER visit.

Gleason reviews the chargemaster he received from Atrium Health.(Logan Cyrus for KHN)

“In this specific example, the price of admission to the ER was more than $ 2,960. That was on top of more than $ 1,000 for the medical procedures actually performed. We won’t significantly bring down health care costs until we address the high prices like these,” BCBS-NC said in the statement.

John Hennessy, chief business development officer for WellRithms, a consulting firm that reviews bills for large employers, said the hospital charges are significantly higher than what Medicare pays in the Charlotte area, but those are the prices Gleason’s insurer has negotiated. “Seeing billed charges well in excess of what Medicare pays is nothing unusual,” Hennessy said.

He said the insurer likely agreed to the higher charges to make sure it had the large hospital system in its network. Atrium is the biggest health system in North Carolina.

He said the coding “makes sense” because it meets the guidelines — even if that meant a nearly $ 4,000 bill for Gleason.

“The hospital has every right to collect it, regardless if you or I think it’s a fair price,” he said.

Gleason says the $ 3,700 hospital bill won’t bankrupt his family, but “what it does is wipe out our savings.”(Logan Cyrus for KHN)

Resolution: After Gleason appealed, Atrium Health reviewed the bill but didn’t make any changes. “I understand you may be frustrated with the cost of your visit; however, based on these findings, we are not able to make any adjustments to your account,” Josh Crawford, nurse manager for the hospital’s emergency department, wrote to Gleason on Nov. 15.

Atrium Health, in a statement to KHN and NPR, defended its care and charges as “appropriate.”

“The symptoms Mr. Gleason presented with could have been any number of things — some of them fatal,” the hospital said.

“Atrium Health has set criteria which determines at what level an [emergency department] visit is charged. In Mr. Gleason’s case, there were several variables that made this a Level 5 visit, including arriving by ambulance and three or more different departmental diagnostic tests.”

Gleason said the $ 3,700 hospital bill won’t bankrupt his family. “What it does is wipe out our savings,” he added.

The Takeaway: Gleason, understandably, said he’s reluctant to get a flu shot in the future. But that’s not the best response. It’s important to know that fainting is a known reaction to shots and some people seem particularly prone. It’s best to sit or lie down when you get the vaccine, and wait five to 10 minutes before jumping up and returning to business.

Be aware: If you — or someone else — calls 911 for a health emergency, you are very likely to be taken to the hospital. You probably won’t have a choice of which one. And a hospital trip may not even be needed, so think before you call: “How do I feel?”

The medical professional who administered the shot might have suggested that calling 911 wasn’t a smart or needed response for a known side effect of a vaccine injection in a young person.

The emergency room is the most expensive place to seek care.

In hindsight, Gleason might have gone to an urgent care facility or called his primary care doctor, who could have evaluated him and run some tests at much lower prices, if needed.

But employers, hospitals and doctors regularly tell patients if they need immediate care to go to the ER, and hospitals often tout short waiting times in their ERs.

With high deductibles becoming more common, consumers need to be aware that a single trip to the hospital, especially an ER, could cost them thousands of dollars — even for symptoms that turn out to be nothing serious.

Alex Olgin of WFAE and Elisabeth Rosenthal of Kaiser Health News contributed to the audio version of this story.

Do you have an exorbitant or baffling medical bill? Join the KHN and NPR Bill-of-the-Month Club and tell us about your experience.

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VIDEO: Glenn Close Offers Insight on SUNSET BOULEVARD Film, Saying ‘We Hope to Start Shooting This Year’

A film adaptation of Sunset Boulevard has been teased for quite some time, with Glenn Close reprising her role of Norma. Now, Close has confirmed to Variety that ‘they hope to start shooting this year.’
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As obesity rates in America soar, new weight loss drugs are in the offing that offer hope

There are several promising drug candidates to combat obesity, one of America's biggest diseases and contributors to mortality. Still, doctors have been slow to call obesity a disease, and insurance coverage remains skimpy.
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What Gabrielle Union Wants Everyone to Learn From Her Story: “There’s Hope” | SuperSoul Sunday | OWN

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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‘Legacies’ Premiere Recap: Hope Seeks Revenge Years After Klaus’ Death

Hope Mikaelson returned with a vengeance in the Thursday, October 25, series premiere of Legacies, a spinoff of The Vampire Diaries and The Originals.

Like Father, Like Daughter

Hope (Danielle Rose Russell) seemed pretty well adjusted for a teenager whose parents, Klaus Mikaelson and Hayley Marshall, both died before she graduated high school, much like Elena Gilbert (Nina Dobrev). Confident in her powers, Hope teamed up with Alaric (Matt Davis) to save a young werewolf named Rafael (Peyton Alex Smith) from an attempted exorcism. There, she ran into Landon (Aria Shahghasemi), the former Mystic Falls resident she had a crush on before he moved away.

Hope, headmaster Alaric, Landon and Rafael traveled to Salvatore Boarding School in Mystic Falls after the rescue. Hope and Alaric filled Landon in on the magical goings-on at the school with the intention of getting information about Rafael, his foster brother, and then compelling him to forget. When compulsion didn’t work, Alaric locked Landon in the cellar until what he assumed was vervain passed through his system. In the meantime, Rafael broke him out, and Landon bonded with Hope over her losses and her unwillingness to make friends or get close to anyone because of her past. The two even kissed.

The next morning, Landon asked Alaric if he could stay at the school since he had no home, but the headmaster denied his request. So Landon pretended the compulsion worked (Alaric noted that since it didn’t, Landon must be a supernatural being), stole a magical knife and left.

Alaric, thinking Landon was going to tell the world about the school, alerted Hope, but she was in denial. As she tracked Landon using dark magic, the knife began glowing. Alaric and Hope — with some help from Sheriff Matt Donovan (Zach Roerig) — later discovered the bus Landon was traveling on and everyone else on it was incinerated, while Hope vowed to be the villain of Landon’s story since he turned out to not be the hero of hers.

Jenny Body Legacies
Jenny Body appearing in the Legacies’ episode “This is the Part Where You Run” Quantrell Colbert/The CW

Where in the World Is Caroline Forbes?

Caroline (Candice King), who ran Salvatore Boarding School alongside Alaric on The Originals, was not seen or mentioned during the premiere. However, the pair’s daughters, Josie (Kaylee Bryant) and Lizzie (Jenny Boyd), were front and center and both somewhat disturbed.

Josie was nursing a broken heart over her ex Penelope (Lulu Antariksa). She lashed out after she caught Penelope kissing her friend MG (Quincy Fouse). Josie later seemed to set her sights on Rafael.

Meanwhile, Lizzie, who believed herself to be broken, also took an interest in Rafael and destroyed the school kitchen with magical fury when he rejected her. She also complained about all the time her father spent training Hope one-on-one.

Legacies airs on The CW Thursdays at 9 p.m. ET.

Us Weekly

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With homebuilding stocks down 40%, investors hope the Fed gets the message and slows rate hikes

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House Democrats’ hope for wave election diminishes as Republicans rebound

Democrats retain their strength in suburban areas, but Trump’s rising approval and the fight over Kavanaugh are boosting GOP candidates in conservative and rural districts.
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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Coming clean: Public embrace for celeb addicts offers hope

Rehab therapists and addicts in recovery say celebrities who come clean publicly offer hope
ABC News: Health

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

BEST DEAL UPDATE BY AMERICAN CONSULTANTS RX:

Click today to request your free ACRX discount prescription card and save up to 80% off of your medicine!

SPECIAL DONATION REQUEST UPDATE:

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Beyoncé Set To Perform Solo At City Of Hope Gala On October 11

(Photo Credit: PR Photos)

LOS ANGELES, CA – It was announced today that global icon Beyoncé will perform at the City of Hope gala on October 11 in Los Angeles. This will mark her first solo performance following the successful run of the biggest tour of the summer, with JAY-Z. OTRII stadium tour started in Cardiff, UK in June and is scheduled to wrap on October 4 in Seattle, Washington.

City of Hope, a world-renowned independent research and treatment center for cancer, diabetes and other life-threatening diseases, is honoring Jon Platt, Chairman and CEO of Warner/Chappell Music, with its prestigious Spirit of Life® award. Platt has worked with Beyoncé since 2005.

Inspired by the guiding humanitarian principles of City of Hope and motivated by the institution’s commitment to innovative medical research and compassionate patient care, a group of key industry executives founded the charity’s Music, Film and Entertainment Industry Group in 1973. In its 45-year history, the group has raised more than $ 118 million for City of Hope and has honored some of the most important figures in the music and entertainment industry.

The evening’s host will be producer/entertainer Pharrell Williams and JAY-Z, multi-Grammy winner/entrepreneur, will present the award to Platt.

“Beyoncé agreed to perform without a moment’s hesitation, and that wasn’t just for me,” said Jon Platt. “She wanted to be part of our celebration for the patients, doctors, scientists, and nurses who make City of Hope a place where miracles can happen. That’s what makes her a cultural icon. She’s not only a genius, in a class of her own, but she has phenomenal heart and soul, and she knows how to use them. This event is going to be one for the ages.”

“I am happy to be in a room that celebrates Jon and the important work he does behind the scenes,” said Beyoncé. “City of Hope has done much needed research and has provided quality care for patients for over a hundred years. I am honored to be a part of an event that represents an organization that works so tirelessly caring for others first and foremost.”

Each year City of Hope recognizes a philanthropic leader whose work has fundamentally impacted music, film or overall entertainment. The coveted Spirit of Life® award is its highest honor. Jon Platt joins an impressive list of past honorees including Mo Ostin, Clive Davis, Quincy Jones, Frances W. Preston, Shelli and Irving Azoff, Edgar Bronfman Jr., Doug Morris, and Sir Lucian Grainge.

For more information about donating to City of Hope and purchasing tickets to the upcoming gala dinner, please visit CityofHope.org.

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