Health
RFK Jr. Appears Unfamiliar With Key Elements of Medicare and Medicaid
In a tense exchange with Senator Bill Cassidy, Republican of Louisiana, Robert F. Kennedy Jr. displayed a surprising lack of familiarity with Medicare and Medicaid, the government programs responsible for covering more than 150 million Americans.
At times, Mr. Kennedy seemed to confuse the two programs. Medicare is a federal program that provides coverage to older and disabled Americans, while Medicaid is a state-federal program that covers low-income people.
When he first described Medicare, he seemed to ignore the half of the Medicare program that relies on private insurance plans to provide care. Later, he acknowledged that he was enrolled in a private Medicare Advantage plan and said he thought “more people would rather be on Medicare Advantage because it offers very good services.”
Medicare Advantage plans have been heavily criticized by lawmakers, including by federal regulators Mr. Kennedy would oversee if confirmed and by public advocacy groups. They have accused the plans, including those offered by the nation’s biggest insurers, of overcharging the government, delaying and denying access to care. Regulators have penalized some insurers for overbilling.
Mr. Kennedy described Medicaid as “fully paid for by the federal government.” In fact, Medicaid, which provides health insurance coverage to nearly 80 million low-income Americans, is financed through a combination of state and federal funds.
Mr. Kennedy also claimed that many Medicaid enrollees were frustrated by high costs they face with their public insurance coverage.
“Most people who are on Medicaid are not happy,” Mr. Kennedy claimed. “The premiums are too high. The deductibles are too high.”
He repeated a similar argument later in the hearing, facing questioning from Senator Ben Ray Lujan, Democrat of New Mexico. “The premiums are too high, the deductibles are too high, and everybody’s getting sicker,” he said.
But the vast majority of Medicaid enrollees do not pay any premiums or deductibles for their coverage. Federal law specifically prohibits premiums for the lowest-income Medicaid enrollees. Patients typically do not have to pay anything when they go to the doctor, aside from a handful of state-based experiments that have tested out small fees.
Recent research on Medicaid does not support Mr. Kennedy’s contention that “everyone’s getting sicker.” Studies generally find that increased Medicaid enrollment improves people’s access to health care. Some studies have also found that Medicaid improves health outcomes, although that is a more limited body of research.
Senator Cassidy asked Mr. Kennedy to describe how he would reform the Medicaid program. While other Trump nominees have offered concrete policy proposals — Russell Vought, the nominee to run the Office of Budget and Management, suggested a work requirement for the program in his confirmation hearing last week — Mr. Kennedy described vaguer changes.
He said he supported changes to “increase transparency” and “increase accountability.”
When Mr. Cassidy pressed him to be more specific, Mr. Kennedy responded, “I don’t have a broad proposal for dismantling the program.”
Mr. Kennedy did seem prepared, however, to be asked about the enrollment figures for Medicaid, accurately telling senators that the program covers about 72 million people through the traditional public insurance program and an additional seven million through a targeted benefit, the Children’s Health Insurance Program.
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If you’re not sleeping well, there could be a variety of reasons, but one habit stands out as the biggest culprit.
Dr. Wendy Troxel, a licensed clinical psychologist and senior behavioral scientist at RAND based in Utah, revealed that phone use at night is the activity that is most likely to have a negative effect on slumber.
“Most people are aware of this, but probably the No. 1 habit that’s contributing to interrupted sleep and poor-quality sleep in Americans is the use of phones at night, particularly in bed,” she said in an interview with Fox News Digital.
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“About 90% of Americans are using their phones in bed, and as much as I would like to tell everybody to remove the phone entirely from the bedroom, I realize that ship has probably sailed by now.”
About 90% of Americans use their phones in bed, the sleep expert said. (iStock)
This disruption is driven by both blue light exposure and the stimulating content on phones, according to Troxel.
“There is blue light emitted from our devices, and blue light can suppress the hormone melatonin, which is the hormone of darkness.”
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“But it’s not just the blue light that is causing sleep disruptions from our phones. It’s really the stimulating content that we’re consuming … (on) social media, which is designed to be addictive, so that you can’t put that phone down,” she added.
The combination of blue light and stimulating content keeps the mind alert and interrupts quality sleep. (iStock)
This content is also “very emotionally activating,” Troxel noted, which is “antithetical to the state we want to be in as we approach sleep.”
To counteract attachment to phones, the sleep expert recommends setting a boundary with one simple rule.
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“I recommend that you try to keep your phone more than arms’ distance away from you while in bed,” she advised. “And set a rule for yourself. If you’re going to use the phone, don’t do it in bed. In fact, make your feet be on the floor if you’re going to use that phone.”
“I recommend that you try to keep your phone more than arms’ distance away from you while in bed,” the sleep expert recommended. (iStock)
Setting this boundary creates “behavioral friction,” according to Troxel.
“As a clinical psychologist, I work with people to help them … break habits that aren’t serving them,” she said. “Having that little bit of behavioral friction makes the habit of immediately grabbing for the phone and scrolling while in bed a little more difficult.
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“And when that automatic behavior is a little more difficult, it’s less likely to occur.”
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Large, palm-sized spiders are spinning massive golden webs across porches and power lines, and, according to experts, they’re here to stay.
The Joro spider, which has a leg span up to 4 inches and markings of neon yellow, blue-black and red, was first recorded in Georgia in 2013.
Since its arrival — likely as a hitchhiker on a shipping container or an airplane from Asia, experts say — the arachnid has been steadily marching north.
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The spiders have so far been spotted in Georgia, North Carolina, South Carolina and Tennessee.
They are expected to spread throughout eastern North America, at least as far north as Pennsylvania and possibly further in warmer, coastal areas, according to Penn State.
Joro spiders can “fly” by shooting out silk parachutes that carry them on the wind. (Stuart Cahill/Boston Herald)
To travel, the spider uses a technique called “ballooning,” in which hatchlings release fine silk threads that catch air currents and carry them over long distances.
Ian Williams, an entomologist with Orkin, said he counted 200 adult spiders by September of last year on his one-acre property near Atlanta.
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“They’re quite intimidating looking spiders, and they make very large webs,” he told Fox News Digital. “The webbing itself, if it catches the sunlight, has a golden hue to it. And it’s very strong.”
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Despite the arachnid’s striking appearance, experts agree that people shouldn’t panic. Research shows the Joro is among the “shyest” spiders ever documented. When disturbed, they often sits motionless for over an hour rather than attacking.
Joro spiders like to spin their webs up high near houses, trees and even power lines, an expert said. (Stuart Cahill/Boston Herald)
“While they’re large spiders, they don’t have large fangs. And, so, it’s difficult for them to bite humans,” Williams noted.
Even in the rare event of a nip, the expert said the venom is weak, comparable to a localized bee sting, and carries “no medical importance.”
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As an invasive species, the Joro’s impact is still being weighed by scientists.
“One of the big concerns is that they potentially out-compete native species of spiders,” Williams said.
Physical removal is more efficient than pesticides, according to an expert. (iStock)
A prolific hunter, the Joro spider catches everything from mosquitoes to large, meaty insects like cicadas. It is unclear whether it steals food from native garden spiders.
To prevent Joro spiders from nesting on your porch or property, experts recommend using a broom or long pole to knock the web down.
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“Spiders may get the message, ‘Hey, I’m not going to keep remaking my same web in the same area,’” Williams said.
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Physical removal is more effective than pesticides, which often miss the spiders in their high, open-air webs.
For those who spot a Joro spider in a new area, experts suggest logging the sighting on apps like iNaturalist to help researchers track their northern migration.
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