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Americans Making Less Than $200K Would See Bills Drop Under Democrat Tax Plan: Report

Republicans oppose the bill because they believe it will result in high inflation and an economic slowdown.
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Close-up Footage of Climber's Butt Prompts Apology From Sporting Body
It is the second time this year that Johanna Färber has found herself subject to inappropriate TV coverage while competing in Sport Climbing events.
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Dow drops more than 500 points amid Fed, Delta variant jitters
Investors focused on whether the Federal Reserve will signal this week that it plans to withdraw economic stimulus.
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Author of 'I am Rosa Parks' calls out PA school district for banning book: 'You're on the wrong side'
"I am Rosa Parks" author Brad Meltzer criticized the Central York School District for its decision to "freeze" a list of books. He believes this is a non-partisan issue and the district is "on the wrong side" for banning books about prominent figures like Rosa Parks.
Haitian migrants in Texas worry as deportations begin: "I'll die in Haiti"
Haitians who fled their country following the 2010 earthquake are being flown back to the island; some fear for their lives given the lack of security in the impoverished nation.
Ewan McGregor teases ‘Obi-Wan Kenobi’ at Emmys: ‘It will not disappoint’
Following his Emmy win for Netflix's "Haltson," McGregor dropped some updates on the highly-anticipated "Star Wars" spinoff series on Disney+.
Labrador Dog Pulls Down Meteorologist on Live TV
The mischievious canine, called Flash, was thought to be "well behaved" by the presenter.
How to do laundry like a pro, according to experts
If you're new to doing laundry, it can be hard to know where to start. There are washer settings to understand, an overwhelming number of detergent options, and stains that need to be treated — whatever that even means!
1,578-HP Bugatti Bolide Designed to Make the Company Some Cash
For Bugatti, the risk of creating a track-only hypercar could come with a big payoff - a cash infusion.
Study suggests microbiome could be key to losing weight
Microbiome are microorganisms that help us break down food and each has an army of these tiny assistants.
Starbucks Employees Aren't Allowed to Add These Items Into Your Drinks
If you're craving a chocolate brownie mocha from Starbucks, think again.
Netflix's foreign-language shows are booming. Meet the executive behind the streamer's global push
Netflix's Global Head of TV, Bela Bajaria, discusses the company's programming strategy and why foreign-language shows are taking off on the platform.
Gabby Petito case: Note found on Brian Laundrie’s car after disappearance
Police left behind the notice on Brian Laundrie's Mustang, which his family found Wednesday parked near the Carlton Reserve in Sarasota County.
Fortnite partners with Balenciaga on outfits for you and your avatar
Fortnite and Balenciaga announced a partnership which includes outfits to wear within Fortnite and a limited edition run of real-world apparel.
'NCIS Hawai'i' Cast: Who Stars Alongside Vanessa Lachey?
Beauty queen and actress Vanessa Lachey leads the cast of new spin-off NCIS: Hawai'i but there's more recognizable faces joining the cast too.
Biden faces fallout from Afghanistan drone strike, diplomatic dispute with France
President Biden is facing an array of global challenges ahead of his speech tomorrow to the United Nations General Assembly, especially when it comes to Afghanistan. The family of civilians killed in a mistaken U.S. drone strike Kabul are calling for an investigation, compensation and relocation to a safe country. CBS News correspondent Christina Ruffini joins CBSN to explain the latest developments as well as new details on the diplomatic dispute between France and the U.S.
It’s time to stop describing lifesaving health care as “elective”
In the pandemic, surgeries that were deemed nonessential have been indefinitely postponed. | Apu Gomes/AFP via Getty Images Labels like “nonessential” are getting in the way of urgent treatments and surgeries. There’s a better way. Emily Lipstein lived with 10 years of debilitating, unexplained chronic pain before she finally received a diagnosis — endometriosis — and was scheduled for excision surgery. But when the pandemic hit, her surgery was deemed nonessential and indefinitely postponed. “It felt like everything I’d been looking forward to with my health just evaporated into thin air,” Lipstein told Vox. In the months she waited for a rescheduled surgery, she had to pay for an extra MRI scan and experienced mental health issues, for which she was prescribed antidepressants. Around the start of the Covid-19 pandemic in March 2020, the US federal government told health providers to postpone elective surgeries and “nonessential” medical procedures. These cancellations and delays, which affected everything from hip replacements to cataract surgeries to colonoscopies, were meant to conserve health care resources and minimize exposure to Covid-19. More than 100 hospitals have again resorted to this strategy in recent months because of the delta surge. For the thousands of people across the country who were and are awaiting important medical care, these indefinite cancellations have been devastating. Experts and patients told Vox that the perceived importance of a given procedure is largely up to interpretation — as well as the whims of local politics. “The term ‘elective care’ can be misleading,” said Joseph Sakran, a trauma surgeon at Johns Hopkins General Hospital who performs both elective and emergency surgeries. Many people may assume that elective surgeries are unnecessary or cosmetic, but doctors use the word to describe pretty much any procedure that can be scheduled in advance. When officials hit pause on huge swaths of the medical system, some patients are forced to “prolong their suffering,” Sakran said. The term “nonessential” often devalues care for women, LGBTQ people, and the chronically ill, said Virginia Kuulei Berndt, a medical sociologist and professor at Texas A&M University. “Some illnesses are prioritized less than others, and their corresponding treatments are deemed less urgent,” she said. As a medical sociologist, I research how the binary system of “lifesaving” versus “elective” care is used and abused, and how these categories worsen social inequalities. The current system is supposed to help doctors triage, helping patients in dire need come to the front of the line. But labels have big consequences in health care: They can deem a condition worthy of medical treatment, drastically affect the support that insurance companies will offer, and even stigmatize entire identities. While we continue to hear calls to halt nonessential care, it’s a critical moment to ask: Who decides what counts as essential health care? And what happens when your care is deemed unnecessary? It’s time to move from a binary choice to a model with more tiers, which would capture quality of life and mental health and codify devalued forms of health care as nonnegotiable. Labels like “nonessential” and “elective” can be inaccurate and misleading Data shows that more than 90 percent of US surgeries are considered elective or nonessential. Collectively, they bring the nation’s health care system between $48 billion and $64 billion of revenue per year. This is why so many hospital systems struggled financially in the early days of the pandemic: While beds filled with Covid-19 patients, many profitable services ground to a halt. Yet the definition of essential care has varied not only by health care provider, insurance company, and hospital system, but also by the state, city, or town that a person happens to live in. Some conditions are clearly emergencies, such as a rupturing appendix. But “nonessential” does not necessarily mean something purely cosmetic like a rhinoplasty or tummy tuck. During the pandemic, Sakran said, he has had to postpone surgeries to remove hernias that impede people from comfortably eating or walking, for instance. The logistical difficulty of defining essential care has been “an ongoing challenge for insurance companies,” said Jesse Ehrenfeld, a physician and LGBTQ health advocate who chairs the American Medical Association board of trustees. It “leads to a lot of individual decision-making happening that is inconsistent.” “The term ‘nonessential’ often devalues care for women, LGBTQ people, and the chronically ill” Without a widely accepted definition, the focus tends to be on risk of immediate death, while other facets of health aren’t factored into the necessity equation. In some cases, providers, insurance companies, and government agencies have latitude to decide whether a procedure is essential based on cultural beliefs or political agendas. Insurance companies also ask patients and providers to prove the necessity of a procedure or medication, using a controversial bureaucratic process called prior authorization. Designed as a cost-control tool, this approach adds 16 hours to the work week of the average US physician, according to a study conducted by the American Medical Association. The administrative hassle and wait times can lead to patients giving up on getting the care they need. Existing categories are failing women, LGBTQ people, and the chronically ill In the US, access to high-quality care already depends too much on a person’s social status and ability to pay — and when certain care can be deemed nonessential, these gaps in access grow wider. Leigh Senderowicz, a health demographer at the University of Wisconsin Madison, describes the ambiguity around essential care as “a fissure” that allows groups “to pursue whatever existing agenda they have.” Abortion is one prominent example, said Senderowicz, whose team has researched reproductive autonomy during the pandemic. While some groups have used the pandemic as a reason to restrict abortion, others pushed for increased access through telemedicine appointments for medication abortion. These groups used the same word to demand very different health policies. I first grasped the problem with the words “elective” and “nonessential” during research interviews with over 100 hysterectomy patients. Hysterectomy, or the surgical removal of the uterus, is the most common gynecological surgery outside of pregnancy in the United States. While around 10 percent of hysterectomies are performed to treat cancer and may be classified as emergencies, the overwhelming majority are classified as elective procedures, whether they’re gender-affirming care for trans patients or aim to manage a chronic reproductive illness. While hysterectomy doesn’t immediately prevent death in these cases, timely access to this surgery can have a vast impact on one’s quality of life, mental health, and ability to attend work or school. The reason these procedures are deemed elective is not that they aren’t urgently needed, but that the underlying condition will not immediately kill them. The words “elective” and “nonessential” create additional obstacles when insurance companies reject claims or a hospital blocks a physician from providing a hysterectomy. Jordan, a Massachusetts resident who asked to be identified by a pseudonym to protect her privacy, has experienced debilitating chronic pain and bleeding since she was a teenager due to adenomyosis, an illness that impacts the lining of the uterus. Her adenomyosis led her to drop out of college and move in with her parents, and she spends most days managing her symptoms. After years of seeking diagnosis and relief, she found a physician who finally presented a viable solution: hysterectomy. Then the hospital intervened, Jordan told me, on the grounds that it was an unnecessary sterilization procedure. “The hospital does not see it as medically necessary, despite my surgeon specifically telling them that it was for quality-of-life purposes,” she said. “No, it won’t kill me, it’s a benign disease, but I might kill myself because I have it. And still, they denied it.” Her doctor even suggested she leave the state, Jordan said, despite its reputation for progressive policies and leading medical care, because hysterectomies are more commonly performed in other regions, such as the South. Many patients won’t have the money or means to travel between states. Gender-affirming care for trans people is also “viewed by some as unnecessary or low-priority, [resulting] in inequities becoming even more pronounced,” said Jesse Ehrenfeld. For a population that’s already affected by a shortage of specialists and big gaps in research, the nonessential label is an additional obstacle to what Ehrenfeld and other public health experts view as lifesaving care. Ash, an agender person in Pennsylvania who requested a pseudonym to protect their privacy, for years wanted a hysterectomy to affirm their gender, but said that many doctors deemed it an unnecessary procedure that wouldn’t be covered by insurance. A doctor who finally agreed to the surgery, they added, said it would be easier to get it approved if it was classified a treatment for endometriosis, rather than as part of trans healthcare. “He told me, ‘Listen, we’re gonna fill out the paperwork to say ... that you probably have endometriosis,” Ash said, paraphrasing the doctor. “This is what we have to do for insurance.” Their insurance company seemed to classify their hysterectomy as elective or cosmetic, Ash went on, and coverage for the procedure seemed to depend on finding a doctor who would misrepresent the reason for the surgery. When the meaning of a procedure varies so drastically by location and physician, and leads patients and doctors to lie to insurance companies, we should consider overhauling the system. A new system could classify medical care by its urgency, whether or not it’s an emergency The current way of defining essential health care is failing many patients. While the current designation is either/or — based on whether a patient is immediately at risk of death — our actual experience of health has many shades and subtleties. Doctors and health officials need to consider the impact of medical care on a person’s quality of life, mental health, and ability to work, as well as the impact on families and communities. The best alternative to the binary system is a tiered framework, which would group different types of care based on varying degrees of urgency. For example, health systems could adopt three tiers: emergency, intermediate urgency, and routine. In this model, emergencies would still describe risks of imminent death or severe harm, for example a heart attack, and routine cases would refer to primary care, preventative screenings, and genuinely cosmetic procedures. It’s the middle tier that has the greatest potential to improve and even save lives. This tier includes acute cases that aren’t life-threatening but require attention within 24 hours, such as a broken bone or a wound that needs stitches. But the medical care I’ve described in this article, from trans health care to abortion, also has intermediate urgency: They may increase mortality risk, reduce quality of life, or negatively impact mental health. While a condition like chronic pain might not pose immediate mortality risk, the daily toll can have detrimental impact on one’s mental health and ability to function across all areas of life and work. In the case of trans patients, there is substantial evidence that access to gender-affirming care, including access to hormone replacement therapy, can save lives by improving mental health and by reducing suicide rates. Research also shows that when people can’t access abortion, their financial, physical, and mental health suffer. These elements of health, in addition to immediate risk of death, are considered in a tiered system of urgency. Nic Coury/AFP via Getty Images Chaplain Jocelyn Banks (right) comforts registered nurse Katie Kelley after they provided end-of-life care to a patient in the Covid-19 intensive care unit in Sonora, California, on August 27. This additional category would make it harder for local officials to make sweeping decisions that postpone or cancel a wide range of needed care. A tiered model would work best with proper oversight by public health experts and clear guidance about each type of care, to prevent the devaluation of historically sidelined care as “low urgency” or “routine.” Without such standardization, Ehrenfeld said, legislative bodies can restrict access to care and put physicians in a bind — making it difficult for them to “act in the best interest of their patients and follow the evidence-based guidelines.” Any system that fails to define what kind of care is nonnegotiable leaves open the possibility of discrimination against stigmatized patients. The pandemic has laid bare many gaps in the American approach to public health. Some have widened in the past year and a half. But now that we’ve seen the massive impact of delayed and canceled care, we have a big opportunity to fix a longstanding problem. We should change the way we categorize and prioritize different types of health care, and move toward a more holistic understanding of health and wellbeing. Kuulei Berndt aptly summarized the problem before us. It’s fixable, as long as we have the will to solve it. “Nonessential does not mean it doesn’t need to happen,” she said. “Elective does not mean superfluous.” Andréa Becker is a medical sociologist, researcher, and writer. She is a PhD candidate at the CUNY Graduate Center in New York and teaches sociology of health at Lehman College.
Texas women showed proof of vaccine at NYC restaurant before fight at hostess stand, lawyer says
An attorney for a woman involved in a scuffle at a New York restaurant over a vaccine requirement says his client was racially discriminated against.
Investigation continues after body believed to be missing 22-year-old Gabby Petito is found
Officials said Sunday they have found a body “consistent with the description” of missing 22-year-old Gabby Petitio. A manhunt is currently underway for her fiancé, Brian Laundrie, who vanished from his family home in North Port, Florida, after returning from the road trip without Petito. CBS News' Bradley Blackburn reports on the latest, and law enforcement analyst James A. Gagliano joins “CBSN AM” to discuss the investigation.
As Taliban took over, she sent a message to her old teacher. See what happened next
As the Taliban closed in on Kabul, Italian educator Selene Biffi reached out to her former Afghan students. Three of her students and their families made it out of Afghanistan and after quarantine they were finally reunited with their teacher. CNN's Ben Wedeman reports.
Russia's ruling party won an election marred by dirty tricks, but the cost of securing victory has grown
Even before the first votes had been cast, Russia's election result was in little doubt.
Biden is mobilizing the federal government to deal with the effects of extreme heat
Biden is launching an interagency effort to deal with the effects of extreme heat across the country, the White House announced Monday.
US to ease travel restrictions on fully vaccinated visitors from UK and European Union
The United States plans to ease travel restrictions on visitors from the European Union and the United Kingdom starting in November, a person familiar with the matter told CNN Monday.
Olivia Colman reveals dad died ‘during COVID’ in emotional Emmys 2021 speech
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Jackson Mahomes dumps water on taunting Ravens fans in viral video
Patrick Mahomes' younger brother Jackson made a splash at the Chiefs-Ravens game on Sunday night.
Steelers' Mike Tomlin defends Trai Turner after ejection: 'Somebody spit in his face'
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Gabby Petito's Father Leads Tributes To Missing Vlogger: 'She Touched The World'
The FBI said human remains that were "consistent" with Gabby Petito had been found in Wyoming.
Pfizer says its COVID-19 vaccine is safe and effective in children 5 to 11 years old
Pfizer has announced its COVID-19 vaccine showed promising results in children ages 5 to 11 years old. CBS News correspondent Mola Lenghi spoke with one family who was part of the trials, then Dr. Ron Elfenbein joins CBSN to talk more about the research and when the vaccine could be available for younger age groups.
Mike McCarthy explains Cowboys’ near-disaster in closing seconds
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New Jersey cop catches newborn tossed from second-floor balcony
Eduardo Matute and fellow Jersey City officers responded Saturday morning to a report of a man “dangling a baby over a balcony” on Rose Avenue.
A Harsh New Reality for Afghan Women and Girls in Taliban-Run Schools
Afghanistan’s new government is likely to severely restrict education for girls and women despite the Taliban’s claims that schooling will eventually resume.
Christina Haack posts and deletes another ring pic with Joshua Hall
The "Christina on the Coast" star continues to fuel engagement speculation but has yet to comment on the rumors about her and Hall's relationship.
Golden Retriever's Joyous Reunion With Brother After Months Apart Goes Viral Online
After not seeing his brother for a few months, one golden retriever appeared to be absolutely elated as the pair were reunited in a park.
Search continues for Gabby Petito's fiancé as his family calls discovery of body "heartbreaking"
After the FBI announced a body "consistent with the description" of Gabby Petito was found in Wyoming, her fiancé's family released a statement through their lawyer saying, "The Laundrie family prays for the Petito family." Police have called Brian Laundrie a "person of interest" in the case. CBS News correspondent Jericka Duncan joined "CBSN AM" from outside the Laundrie family's home as the search for him continues.
US to ease travel restrictions on fully vaccinated visitors from UK and European Union
The United States plans to ease travel restrictions on visitors from Europe and the United Kingdom starting in November, a person familiar with the matter told CNN Monday.
2 Texas officers shot and wounded while serving warrant in Houston, 'possible' suspect dead at scene
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VIDEO: Devin Clark temporarily gets teeth pulled back into place after UFC Fight Night 192 loss
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Are hurricanes happening more often or does it just seem that way?
NOAA hurricane forecaster Matthew Rosencrans explains what’s going on.
Black wedding dress trend grows during coronavirus pandemic
Vera Wang says there’s nothing wrong with black wedding dresses, and a growing number of brides seem to feel the same way.
Travel blogger describes stumbling on Gabby Petito's van in Wyoming video: 'I got chills'
A travel blogger who identified Gabby Petito's van in video footage from a trip to Wyoming revealed details about the chance encounter Monday on "Fox & Friends."
Rikers Island inmate dies, marking 11th death this year
The person, who has not yet been identified, died about 7:25 p.m. of "natural" causes at the island's North Infirmary Command.
Pregnant Woman Says She'll Get Vaccinated After COVID Nearly Killed Her
"I was intubated and put under. That's when I thought I was going to die," Katie Pederson said.
Democrats must solve urgent fiscal matters to keep the government open and avoid a default.
Ideological divisions within the party and intransigent Republican opposition will not make the job easy.
Debbie Allen Makes History As First Black Woman Winner of Emmys Governors Award
"Let this moment resonate with women across the world and across this country, from Texas to Afghanistan," said Allen during her acceptance speech.
What we learned in Rams' 27-24 victory over Colts: Matthew Stafford delivers
In Rams' 27-24 victory over Colts, Matthew Stafford, Sony Michel and the Rams' defense provide big plays, but the special teams unit is a concern.
1 in 5 parents say their kids eat more fast food during the pandemic, poll finds
For some families, the pandemic has challenged healthy eating routines, according to a new poll. Experts advise how parents can cook easier meals more often, and encourage kids to choose healthier fast food options.
Emmys 2021: All 12 Major Acting Awards Go to White Actors
This year's diverse slate of nominees didn't translate to a diverse slate of winners.
Houston Police responding to reports of 2 officers shot
Law enforcement officers are responding to reports of two officers shot in Houston, the Houston Police Department said in a tweet.
Apple update allows health data sharing with doctors and loved ones
A new Apple device feature allows sharing health information with loved ones and your doctor. Dr. Tara Narula looks at how it works and the privacy concerns over personal data.