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Fate Of Missouri’s Only Abortion Clinic To Be Decided

A hearing this week will determine the fate of Missouri’s only remaining abortion clinic. State officials are fighting against Planned Parenthood in an effort to shut down the clinic.



AILSA CHANG, HOST:

In St. Louis, a weeklong hearing that could determine the fate of Missouri’s only abortion clinic ended today. Lawyers for the state argued that the clinic was the site of significant safety issues. Planned Parenthood lawyers argue that Missouri is treating the clinic differently in a politicized effort to close it. St. Louis Public Radio’s Chad Davis reports.

CHAD DAVIS, BYLINE: Lawyers representing Missouri and Planned Parenthood have been arguing over the state’s only abortion health care clinic for months now. Earlier this year, Missouri refused to extend the license for the Planned Parenthood clinic in St. Louis, citing four instances where patients experienced complications following abortion procedures. M’Evie Mead, the director of policy and organizing for Planned Parenthood Advocates of Missouri, says the clinic is being targeted.

M’EVIE MEAD: What we have is an agency and a director that appear to be obsessed with attacking access to abortion.

DAVIS: The state’s administrative hearing commission extended Planned Parenthood’s license, allowing the clinic to remain open until a decision on the case is made. Planned Parenthood officials say from time to time, complications do occur. They argue that focusing on these four cases is unfair since the clinic sees thousands of patients a year. They also criticized how the records have been requested and stored for some Planned Parenthood patients. The Missouri Department of Health revealed at the hearing this week that it collected data on some patients’ menstrual cycles to see if there have been failed abortions.

That news has sparked controversy across the state, with several politicians calling on the governor to investigate health director Randall Williams. Some legal professionals have been puzzled by this revelation, including Mary Ziegler, who teaches law at Florida State University. She spoke to Kansas City’s KCUR.

MARY ZIEGLER: There is a history of record-keeping laws being introduced into abortion restrictions – so requiring clinics to submit certain records to the state. So it’s not an entirely new strategy, but I’ve never heard of anyone keeping records of menstrual periods.

DAVIS: But state officials say Williams did not authorize the recording and that he hadn’t seen any of the data until he was deposed earlier this month. Lisa Cox is the communication director for the Missouri Department of Health and Senior Services.

LISA COX: Do we have a spreadsheet with every Planned Parenthood patient’s menstrual cycles on it? Absolutely not.

DAVIS: State officials also maintain that patient privacy was not compromised during the data collection. Anti-abortion activist Kristi Hamrick is among those pushing hard for the state’s final clinic that performs abortions to close.

KRISTI HAMRICK: It doesn’t matter how many people are harmed. What matters is what has happened to the people at that vendor.

DAVIS: But Planned Parenthood officials say the number does matter and that the closure would negatively affect women all across Missouri. Dr. Colleen McNicholas is a medical officer for Planned Parenthood and says the four cases are in line with Missouri’s acceptable and legal health standards. She says using them to deny access to all patients is just wrong.

COLLEEN MCNICHOLAS: Abortion is health care. There will be times when there are complications – doesn’t demonstrate any systematic or systemic-wide problem. Abortion is health care, and we’ll continue to provide that quality health care and fight for people to have access to that.

DAVIS: A decision on whether the Planned Parenthood clinic will remain open will be decided later this winter.

For NPR News, I’m Chad Davis.

Copyright © 2019 NPR. All rights reserved. Visit our website terms of use and permissions pages at www.npr.org for further information.

NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR’s programming is the audio record.

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Washington Nationals Win 2019 World Series

The Washington Nationals, against all odds, won the World Series Wednesday night over the Houston Astros. NPR’s Mary Louise Kelly speaks with Washington Post reporter Chelsea Janes about the victory.



MARY LOUISE KELLY, HOST:

Last night was improbable. It might even have seemed impossible.

(SOUNDBITE OF ARCHIVED RECORDING)

UNIDENTIFIED ANNOUNCER: 3-2 – there it is. The Washington Nationals are world champions for the first time in franchise history.

KELLY: I’m smiling just listening to that there on Fox. What happened was, in a postseason littered with juggernauts, last night, it was the team that had looked dead in the water back in May that won it all. Well, The Washington Post’s Chelsea Janes worked the Nationals beat for years.

Chelsea, welcome back to ALL THINGS CONSIDERED.

CHELSEA JANES: Thank you for having me.

KELLY: Give me some perspective here. Just how unlikely did winning the World Series seem back in May when the Nats were – what? – 12 games below .500?

JANES: Yeah. At that point, you know, it was, who’s going to make it through this season as a National and who’s not? You know, there were going to have to be changes, and they didn’t make them, for the most part. They kind of hung in with key people, and their patience paid off. But to go from where they were to where they ended up last night is improbable not only just statistically, but because this team have never been able to come through when they need it in October and just could not stop doing that this year.

KELLY: You referenced the many, many playoff heartbreaks that Nats fans have endured. This year was the first in five postseason trips that the team has ever won in a playoff series. Did you have this kind of, here we go again, feeling when it looked like the Nats were on the brink?

JANES: I think a lot of people did. I think what’s funny is they had that feeling over and over in these playoffs. And then somehow, it just kept not happening. It kept being OK. And you know, even some of the players the other night in Game 6 when there was a call that they felt went against them – I know Trea Turner said, all we could think is, here we go again. It’s happening again. For that not to materialize, I think, kind of speaks to whatever it was that helped these guys make this happen.

KELLY: And what do you think it was? What do you think happened that allowed them to pull it together and win it all?

JANES: You know, I think they had a very different clubhouse culture this year, and I don’t think there’s any good reason or explanation. I think occasionally, things just click, and they did this year. They brought in a lot of veteran players. They joked about themselves as los viejos – the old ones. You know, they were one of the oldest teams in baseball. And it worked so that this time when things started going wrong, there was a little less panic, a little bit more experience and little bit more edge to this team than I think we’ve seen in others.

KELLY: I – alert listeners might recall that I interviewed you last December because you were switching beats from covering baseball to covering the 2020 campaign, which struck me as such an unusual leap that we got you on to talk about it. When did you go back to baseball?

JANES: I actually was flying back from the Democratic debate last month, and the Nationals had just clinched their, you know, trip to the World Series. And the editors reached out and asked if, after spending so much time with them for the last few years – if I wanted to go and cover that. You know, it’s sort of an all-hands-on-deck situation when teams are in the World Series.

KELLY: Oh, yeah. I’m sure you had to think really hard about the answer to that one.

JANES: Yeah, it was definitely a try-to-stay-calm-and-be-cool-about-it thing, but I will be headed back to Iowa tomorrow.

KELLY: Oh, wow. Back to Iowa – straight back to the campaign trail.

JANES: Back to the campaign trail – but it’s been nice to be able to be a part of that and see them do what they did in person just ’cause you put in a lot of time with these people, and you go through those ups and downs sort of secondhand when you’re trying to interview them after games. And I think it’s nice to see everyone, you know, that you’ve spent that much time with see some of the hard work pay off.

KELLY: I think I have a question for you that you might be uniquely qualified to answer, having flipped…

JANES: Yeah.

KELLY: …Back and forth between covering politics and covering baseball and covering baseball in a very political, you know, partisan town that is, at the moment, caught up in this impeachment inquiry – could not be more divided. And yet, it felt like everywhere I went this week, Republicans and Democrats – it didn’t matter. Everybody was a Nats fan. Did you feel that, as well, coming back?

JANES: Yeah. It’s really interesting how many people in the political scene enjoy baseball. You know, George Will…

KELLY: George Will, the Republican columnist, yeah. Go on.

JANES: Right – big baseball fans, written a lot of baseball books. And he was in the stands at the first home game and said, you know, the good thing about baseball – it’s a conversation starter. It’s a subject changer. And I think that’s – you know, it’s not necessarily going to heal anything, but there is a space in which everyone can at least coexist, if not do so in harmony.

KELLY: Well, Chelsea Janes, thanks so much for taking the time to speak to us, and good luck back on the politics beat – and off to Iowa tomorrow.

JANES: Thank you. I appreciate it.

KELLY: Chelsea Janes of The Washington Post.

(SOUNDBITE OF VINCE GUARALDI’S “BASEBALL THEME”)

Copyright © 2019 NPR. All rights reserved. Visit our website terms of use and permissions pages at www.npr.org for further information.

NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR’s programming is the audio record.

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Nationals Beat Astros 6-2 To Win The 2019 World Series

The Washington Nationals celebrate after defeating the Houston Astros in Game 7 to win the World Series at Minute Maid Park on Wednesday in Houston.

Loren Elliott/MLB Photos via Getty Images


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Loren Elliott/MLB Photos via Getty Images

The Washington Nationals beat the Houston Astros 6-2 in Game 7 of the World Series in Houston.

It is the Nationals’ first championship since the franchise moved to Washington D.C. in 2005.

The Nationals are also the first team to win the World Series by winning four games as the visiting team.

Washington won despite being dominated by Houston starter Zack Greinke for better than six innings. They scored all of their runs in the last three innings.

The last time a Washington baseball team won the World Series was 1924, when they were called the Senators.

Carlos Correa celebrates after hitting an RBI single for the Houston Astros against the Washington Nationals during the fifth inning in Game 7 of the World Series.

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“What a story,” said Ryan Zimmerman, according to The Associated Press. Zimmerman was the Nationals’ first draft pick in the team’s first season in the nation’s capital and the last player left from the original squad.

“I hope D.C.’s ready for us to come home!” Zimmerman said.

The game began as a duel between Greinke and Washington’s Max Scherzer. Neither lasted the game.

The Astros struck first on a solo home run by first baseman Yuli Gurriel off of Scherzer to start the bottom of the second inning. The Washington ace was pitching after being scratched from Game 6 due to an irritated nerve near his neck for which he needed a cortisone injection.

Scherzer looked like he might be in trouble after back-to-back singles by designated hitter Yordan Alvarez and shortstop Carlos Correa with no outs. But Scherzer worked out of that jam.

The Astros kept the pressure on Scherzer with two runners on again in both the third and fourth innings, but they didn’t score.

Houston’s Greinke meanwhile cruised through the first six innings allowing only one hit.

The Astros made it 2-0 on an RBI single by Correa in the bottom of the fifth inning.

The Nationals finally showed signs of life in the top of the seventh inning when third baseman Anthony Rendon made it 2-1 on a solo homer to left field–just the second hit Greinke had given up. When he gave up a walk to left-fielder Juan Soto, Greinke’s night was over.

The next batter, designated hitter Howie Kendrick, hit a two-run home run off relief pitcher Will Harris that hit the right field foul pole, giving the Nationals a 3-2 lead.

A single with one out by second baseman Asdrúbal Cabrera chased Harris and it appeared that Washington might break the game open. But reliever Roberto Osuna stopped the Nationals from adding to their then-meager lead.

The Nationals added another run in the eighth inning when Soto hit an RBI single, scoring right-fielder Adam Eaton who had walked and stolen second base. Washington led 4-2.

Come the top of the ninth, the Nationals loaded the bases with one out before Eaton hit a two-run single, extending Washington’s lead to 6-2.

Nats’ reliever Daniel Hudson retired the Astros in the bottom of the ninth without incident.

The winning pitcher was Patrick Corbin who threw three innings in relief of Scherzer. The losing pitcher was the Astros’ Harris.

“It’s every reliever’s nightmare that I get a chance to live,” Harris said, his eyes red-rimmed, according to the AP.

Houston left ten runners on base, the Nationals left seven.

The Nats’ ace pitcher Stephen Strasburg, who went undefeated in October, was named Most Valuable Player.

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Twitter To Halt Political Ads, In Contrast To Facebook

Twitter will stop running political ads, CEO Jack Dorsey announced Wednesday. Online political ads pose “significant risks to politics,” he tweeted.

Denis Charlet/AFP/Getty Images


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Updated at 6:04 p.m. ET

Twitter CEO Jack Dorsey announced that his social media platform will stop running political ads, citing online ads’ “significant risks to politics.” Facebook has been criticized for allowing deceptive political ads.

“We’ve made the decision to stop all political advertising on Twitter globally. We believe political message reach should be earned, not bought,” Dorsey tweeted late Wednesday afternoon.

He explained his reasons in a long thread of tweets.

We’ve made the decision to stop all political advertising on Twitter globally. We believe political message reach should be earned, not bought. Why? A few reasons…?

— jack ??? (@jack) October 30, 2019

“A political message earns reach when people decide to follow an account or retweet,” Dorsey wrote. “Paying for reach removes that decision, forcing highly optimized and targeted political messages on people. We believe this decision should not be compromised by money.

“While internet advertising is incredibly powerful and very effective for commercial advertisers, that power brings significant risks to politics, where it can be used to influence votes to affect the lives of millions.”

He said that online political ads “present entirely new challenges to civic discourse: machine learning-based optimization of messaging and micro-targeting, unchecked misleading information, and deep fakes. All at increasing velocity, sophistication, and overwhelming scale.”

In an apparent jab at Facebook CEO Mark Zuckerberg, Dorsey tweeted, with a wink emoji: “it’s not credible for us to say: ‘We’re working hard to stop people from gaming our systems to spread misleading info, buuut if someone pays us to target and force people to see their political ad…well…they can say whatever they want!’ “

For instance, it‘s not credible for us to say: “We’re working hard to stop people from gaming our systems to spread misleading info, buuut if someone pays us to target and force people to see their political ad…well…they can say whatever they want! ?”

— jack ??? (@jack) October 30, 2019

Dorsey was referring to Zuckerberg’s decision not to block political speech on Facebook, even if it contains misleading statements.

“Our policy is that we do not fact-check politicians’ speech, and the reason for that is that we believe that in a democracy, it is important that people can see for themselves what politicians are saying,” Zuckerberg told a U.S. House committee last week.

This afternoon, Zuckerberg again defended Facebook’s policy on not checking politicians’ ads during a conference call about the company’s financial performance.

“We need to be careful about adopting more and more rules that restrict the way people can speak and what they can say,” Zuckerberg said.

But critics, including several Facebook employees, say the policy gives politicians free rein to lie and makes it easy to spread those lies.

Facebook workers posted an open letter with 250 signatures to the company’s internal message board, urging Facebook to hold political ads to the same standards as other ads, including being fact-checked.

President Trump’s political campaign criticized Twitter’s move, saying the company is turning its back on a lot of money.

“This is yet another attempt to silence conservatives, since Twitter knows President Trump has the most sophisticated online program ever known,” said Brad Parscale, Trump’s political campaign manager.

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While all the major Democratic candidates have spent money on Twitter advertising, two have cleared the $1 million mark, according to figures provided by the company

Former Texas Rep. Beto O’Rourke and California Sen. Kamala Harris have each spent $1.1 million with Twitter. Their campaigns did not immediately return requests for comment on how Twitter’s decision could affect their strategy.

NPR’s Alina Selyukh and NPR’s Sean McMinn contributed to this report.

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Nationals Beat Astros 7-2 In Game 6 Of The World Series, Forcing Game 7

The Washington Nationals congratulate Anthony Rendon after his two-run home run during the seventh inning of Game 6 of the World Series against the Houston Astros on Tuesday.

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Matt Slocum/AP

Updated Wednesday at 2:05 a.m. ET

The Washington Nationals avoided elimination by beating the Houston Astros 7-2 in Game 6 of the 2019 World Series, forcing a Game 7 in Houston on Wednesday.

But even a Series-defining Game 7 could have a tough time matching the tension and drama of Game 6 which featured a controversial call that appeared to kill — at least temporarily — a Washington rally.

Nationals starter Stephen Strasburg was the winning pitcher, lasting eight and a third innings, striking out seven while allowing only two runs on five hits.

Astros ace starter Justin Verlander was the losing pitcher. He pitched five innings, surrendering three runs on five hits and three walks, with three strikeouts. It was Verlander’s second loss of this series and he is 0-6 as a starting pitcher in seven career World Series games.

The Nationals drew first blood to open the game on a run-scoring single by third baseman Anthony Rendon — who delivered five RBIs before the night was out — after lead-off batter Trea Turner hit an infield single and advanced to second base on a sacrifice bunt by right-fielder Adam Eaton.

But Houston struck back immediately in their half of the first inning with a sacrifice fly by second baseman José Altuve after a first-pitch double by center-fielder George Springer, who took third base on a wild pitch by the Nats’ Strasburg. One out later, third baseman Alex Bregman hit a solo homer that gave Houston a 2-1 lead.

But those would prove to be all the runs the Astros would score.

After cruising through the second inning, the Astros’ Verlander had to pitch out of jams in the third and fourth innings, stranding two Nationals runners in both frames.

Washington, which had scored only three runs in the previous three games they had lost at home, finally capitalized in the fifth inning. Eaton and left fielder Juan Soto each hit solo homers to take the lead 3-2.

Houston threatened in the bottom of the fifth inning after right-fielder Josh Reddick singled and Springer followed with his second double of the night. But that was all the Astros got off Strasburg, who retired the next two batters.

Astros reliever Brad Peacock opened the sixth inning in place of Verlander, who had thrown 93 pitches.

Call upheld.

Unreal.

What a failure.

— Jeff Passan (@JeffPassan) October 30, 2019

That is an absolutely awful call… what are we doin?

— Jake Arrieta (@JArrieta34) October 30, 2019

Not interference in last year’s World Series pic.twitter.com/miwMTFcXfJ

— Red Sox Stats (@redsoxstats) October 30, 2019

The seventh inning opened with a sequence of plays that will likely be talked about for a long time.

After a single by Nationals catcher Yan Gomes, the next batter, Turner, appeared to have beaten out a dribbler to the reliever Peacock who threw late to first base. The throw got past first baseman Yuli Gurriel as the runners advanced.

But Turner was called out for running inside the base path and interfering with Peacock’s throw. After a lengthy delay in which the umpires consulted league officials in New York, the call on the field was confirmed.

So instead of having runners at second and third with no outs, the Nationals had a runner at first with one out. But a batter later, the Nationals’ Rendon launched a two-run home run that extended their lead to 5-2.

Strasburg retired the Astros without incident in the seventh and eighth innings. He was pulled for reliever Sean Doolittle after retiring the first batter he faced in the ninth.

The 2019 World Series is the first postseason series across professional baseball, hockey and basketball in which the road team won the first six games.

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Boeing CEO Faces Tough Questions From Lawmakers Over Safety Of 737 Max

Boeing’s CEO faced tough questions on Capitol Hill Tuesday about design flaws that caused two deadly 737 Max plane crashes. Though admitting making mistakes, some of his answers angered lawmakers.



MARY LOUISE KELLY, HOST:

The CEO of Boeing faced withering criticism today over the company’s role in the crashes of two 737 MAX airplanes. Dennis Muilenburg was testifying before a Senate committee – tomorrow, same drill before a House committee. The first of those crashes happened exactly one year ago in Indonesia, and that was when a Lion Air jet plummeted into the Java Sea shortly after takeoff. The other crash was in Ethiopia this past March. NPR’s David Schaper joins me.

Hey, David.

DAVID SCHAPER, BYLINE: Good afternoon.

KELLY: Hey. Does – so describe the mood in that Senate hearing room today.

SCHAPER: You know, it was both somber and tense at times. You know, Boeing CEO Dennis Muilenburg sat at a table with the company’s chief engineer John Hamilton. Well, right behind them – just a couple of rows behind them – were several family members and loved ones of some of the 346 people who died in the crashes in Indonesia and Ethiopia. And Muilenburg emotionally addressed them first.

(SOUNDBITE OF ARCHIVED RECORDING)

DENNIS MUILENBURG: On behalf of myself and the Boeing company, we are sorry – deeply and truly sorry.

SCHAPER: Muilenburg went on to acknowledge that the company made mistakes and got some things wrong with the 737 MAX. He talked about some new safety protocols and procedures that the company is instilling and also some new channels for employees who have their own safety concerns – how they can raise those internally at the company.

KELLY: So he’s talking about changes they want to make going forward, but did he get into specifics about what went wrong?

SCHAPER: He did. He admitted that both crashes involved this new flight control system that activated in response to a single faulty sensor, and the company’s chief engineer acknowledged that there was a – they made a mistake by not adequately testing it. Senators demanded to know, though, how that system, called MCAS, could have had a single point of failure and – when redundancies have now long been the norm in aviation engineering. They also demanded to know why pilots were not even told that the safety critical system existed. With some of the audience holding up pictures of those killed in the crash, Connecticut Democrat Richard Blumenthal tore into Muilenburg.

(SOUNDBITE OF ARCHIVED RECORDING)

RICHARD BLUMENTHAL: Those pilots never had a chance. These loved ones never had a chance. They were in flying coffins as a result of Boeing deciding that it was going to conceal MCAS from the pilots.

KELLY: You do get a sense of the tension in that room today from just listening to that tape. David, I want to ask about a couple lines of reporting that you have been following as you’ve worked this story – that allegations of pressure inside Boeing to speed the development and the certification of this plane and also whether the FAA and Boeing got a little bit too cozy. Did that come out in this – in the hearing today?

SCHAPER: You know, this was one of those things that the senators asked about time and time again and tried to pressure CEO Muilenburg about. He acknowledged that, you know, scrutiny of Boeing’s safety culture is certainly warranted and fair. But he still would not agree with those who contend that safety sometimes took a back seat to profitability at the corner – at the company, nor that, you know, any corners were cut in order to keep costs down. He also disagreed with characterizations that the company had become too cozy with the FAA.

When pressed on recently revealed internal messages between senior pilots at the company – this was from three years ago, and these pilots detailed problems with the flight control system – Muilenburg told the committee he knew about these early this year but that he just knew that they existed; he never actually read them. And that set off Republican Ted Cruz, who chairs the Aviation Subcommittee. He was just livid.

(SOUNDBITE OF ARCHIVED RECORDING)

TED CRUZ: You’re the CEO. The buck stops with you. Did you read this document? And how did your team not put it in front of you, run in with their hair on fire, saying, we got a real problem here? How did that not happen, and what does that say about the culture at Boeing?

SCHAPER: Muilenburg’s response was that he just turned it over to legal counsel and thought that they would take care of it and put these through the proper channels. Other senators got mad, accusing Muilenburg of half-truths and misleading information.

KELLY: Right.

SCHAPER: And some pressed the CEO on why the company pushed regulators to allow these MAX planes all around the world to keep flying after they first crashed.

KELLY: David, we’ll leave it there. That’s NPR’s David Schaper.

Thanks.

Copyright © 2019 NPR. All rights reserved. Visit our website terms of use and permissions pages at www.npr.org for further information.

NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR’s programming is the audio record.

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Firms Seeking Top Workers Find They Can’t Offer Only High-Deductible Health Plans

For the third year in a row, the percentage of companies that offer high-deductible plans as the sole health insurance option will decline in 2020, according to a survey of large employers by the National Business Group on Health.

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Everything old is new again. As open enrollment gets underway for next year’s job-based health insurance coverage, some employees are seeing traditional plans offered alongside or instead of the plans with sky-high deductibles that may have been their only choice in the past.

Some employers say that in a tight labor market, offering a more generous plan with a deductible that’s less than four figures can be an attractive recruitment tool. Plus, a more traditional plan may appeal to workers who want more predictable out-of-pocket costs, even if the premium is a bit higher.

That’s what happened at Digital River, a 650-person global e-commerce payment processing business based in Minnetonka, Minn.

Four years ago, faced with premium increases approaching double-digit percentages, Digital River ditched its traditional preferred provider organization plan in favor of three high-deductible plans. Each had different deductibles and different premiums, but all linked to health savings accounts that are exempt from taxes.

This year, though, the company added back two traditional preferred provider plans to its offerings for workers.

Even with three plan options, “we still had employees who said they wanted other choices,” says KT Schmidt, the company’s chief administrative officer.

Digital River isn’t the only company broadening its offerings. For the third year in a row, the percentage of companies that offer high-deductible plans as the sole option will decline in 2020, according to a survey of large employers by the National Business Group on Health. A quarter of the firms polled will offer these plans as the only option next year — down 14 percentage points from two years ago.

That said, high-deductible plans are hardly disappearing. Fifty-eight percent of covered employees worked at companies that offered a high-deductible plan with a savings account in 2019, according to an annual survey of employer health benefits released by the Kaiser Family Foundation last month.

That was second only to the 76% of covered workers who were at firms that offered a PPO plan. (Kaiser Health News is an editorially independent program of the Kaiser Family Foundation; it is not affiliated with Kaiser Permanente.)

When Digital River switched to exclusively high-deductible plans for 2016, the firm put some of the $1 million it saved into the new health savings accounts that employees could use to cover their out-of-pocket expenses before reaching the deductible.

Employees could also contribute to those accounts to save money for medical expenses. This year the deductibles on those plans are $1,850, $2,700 and $3,150 for single coverage, and $3,750, $5,300 and $6,300 for family plans.

The company put a lot of effort into educating employees about how the new plans work, Schmidt says. Premiums are typically lower in high-deductible plans. But under federal rules, until people reach their deductible, the plans pay only for specified preventive care, such as annual physicals and cancer screenings, and some care for chronic conditions.

Enrollees are on the hook for everything else, including most doctor visits and prescription drugs. In 2020, the minimum deductible for a plan that qualifies under federal rules for a tax-exempt health savings account is $1,400 for an individual and $2,800 for a family.

As their health savings account balances grew, “more people moved into the camp that could see the benefits” of the high-deductible strategy, Schmidt says. Still, not everyone wanted to be exposed to costs upfront, even if they ended up spending less overall.

“For some people, there remained a desire to pay more to simply have that peace of mind,” he says.

Digital River’s PPOs have deductibles of $400 and $900 for single coverage and $800 and $1,800 for families. The premiums are significantly more expensive than those of the high-deductible plans.

In the PPO plan with the $400/$800 deductible, the employee’s portion of the monthly premium ranges from $82.37 for single coverage to $356.46 for an employee plus two or more family members. The plan with the $2,700 deductible costs an employee $21.11 for single coverage, and the $5,300-deductible plan costs $160.29 for the employee plus at least two others.

But costs are more predictable in the PPO plan. Instead of owing the entire cost of a doctor visit or trip to the emergency room until they reach their annual deductible, people in the PPO plans generally owe set copayments or coinsurance charges for most types of care.

When Digital River introduced the PPO plans for this year, about 10% of employees moved from the high-deductible plans to the traditional plans.

Open enrollment for 2020 starts this fall, and the company is offering the same mix of traditional and high-deductible plans again for next year.

Adding PPOs to its roster of plans not only made employees happy but also made the company more competitive, Schmidt says. Two of Digital River’s biggest competitors offer only high-deductible plans, and the PPOs give Digital River an edge in attracting top talent, he believes.

According to the survey by the National Business Group on Health, employers that opted to add more choices to what they offered employees typically chose a traditional PPO plan. Members in these plans generally get the most generous coverage if they use providers in the plan’s network.

But if they go out of network, plans often cover that as well, though they pay a smaller proportion of the costs. For the most part, deductibles are lower than the federal minimum for qualified high-deductible plans.

Traditional plans like PPOs also give employers more flexibility to try different approaches to improve employees’ health, says Tracy Watts, a senior partner at benefits consultant Mercer.

“Some of the newer strategies that employers want to try just aren’t [health savings account] compatible,” says Watts. The firms might want to pay for care before the deductible is met, for example, or eliminate employee charges for certain services.

Examples of these strategies could include employer-subsidized telemedicine programs or direct primary care arrangements in which physicians are paid a monthly fee to provide care at no cost to the employee.

The “Cadillac tax,” a provision of the Affordable Care Act that would impose a 40% excise tax on the value of health plans that exceeded certain dollar thresholds, was a driving force behind the shift toward high-deductible plans. But the tax, originally supposed to take effect in 2018, has been pushed back to 2022. The House passed a bill repealing the tax in July, and there is a companion bill in the Senate.

It’s unclear what will happen, but employers appear to be taking the uncertainty in stride, says Brian Marcotte, president and CEO of the National Business Group on Health.

“I think employers don’t believe it’s going to happen, and that’s one of the reasons you’re seeing [more plan choices] introduced,” he says.


Kaiser Health News is a nonprofit, editorially independent program of the Kaiser Family Foundation. KHN is not affiliated with Kaiser Permanente.

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Vlatko Andonovski Is Chosen To Coach U.S. Women’s National Team

Vlatko Andonovski will replace Jill Ellis as the U.S. national women’s soccer team coach. He’s seen here coaching Reign FC of the National Women’s Soccer League earlier this month,

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Vlatko Andonovski was officially unveiled Monday as the U.S. Women’s National Team’s new head coach. The Macedonian-born 43-year-old takes the job following a successful stint in charge of the National Women’s Soccer League team Reign FC, where he was named NWSL Coach of the Year in 2019.

At an official presentation in New York City, Andonovski was introduced by U.S. Soccer President Carlos Cordeiro and USWNT General Manager Kate Markgraf.

“It’s a huge honor and I’m very excited to get started with this group of players and staff as we work towards continued success for this program. All of the talented coaches and players that have come before have built a legendary tradition of excellence and I’m committed to working very hard to continue to move this program forward,” Andonovski said in a statement Monday.

Andonovski has big shoes to fill. He replaces Jill Ellis, the most successful coach in USWNT history, who won 106 games and lost only seven. In her five-year tenure as head coach, she won two back-to-back World Cups.

He’ll also be the first man since 2014 to coach the women’s team. Five other men have taken up the mantle of USWNT head coach since the team’s formation in 1985, including Tony DiCicco, whom Ellis surpassed in becoming the winningest coach.

Live from New York…Vlatko Andonovski is Introduced as new #USWNT Head Coach https://t.co/DIBGrkHW40

— U.S. Soccer WNT (@USWNT) October 28, 2019

At the club level, Andonovski coached FC Kansas City to two NWSL titles between 2013 and 2017. He left Kansas City in 2018 to coach Washington-based Reign FC, where he led the team to two consecutive playoff appearances. Throughout his career, Andonovski has coached USWNT mainstays such as Megan Rapinoe and Becky Sauerbrunn.

U.S. Soccer officials said that his domestic experience and managerial style made him the perfect candidate for the job.

“We identified the qualities we thought were most important for this unique position, we talked to quite a few people in the women’s soccer community domestically and around the world, and in the end, Vlatko was the best fit with his experience with elite players, how he sees the game, how he coaches the game and manages players, and his overall personality and ability to take on a job of this magnitude,” said Markgraf.

United States players will first play under Andonovski in November, when the USWNT plays international friendlies against Sweden and Costa Rica. In January, Andonovski will be tasked with qualifying for the 2020 Tokyo Olympics. If they qualify, Andonovski will have the chance to coach the team to an Olympic Gold Medal, the only major tournament Ellis did not win.

Fans began wildly speculating who would take over the USWNT when Ellis announced she would step down from his position as head coach in late July. Andonovski was reportedly on the shortlist of potential successors, something fans grew excited about.

Earlier this year, the USWNT played its way to its fourth ever World Cup title, when they beat Netherlands in the final 2-0.

Paolo Zialcita is an intern on NPR’s News Desk.

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FACT CHECK: President Trump’s Plans For Syrian Oil

Oil well pumps are seen in Syria’s northeastern Hasakeh province in 2015. President Trump is renewing his push for U.S. control of Syrian oil.

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President Trump is renewing his push for U.S. control of Syrian oil. But experts say there’s not much oil there, and what there is belongs to the Syrian government.

Still, the idea of controlling the oil fields is one that has long appealed to Trump. And it may provide a rationale for maintaining a U.S. military presence in Syria, reversing the president’s promise of a full withdrawal.

“We are leaving soldiers to secure the oil,” Trump told reporters on Sunday, while announcing the death of ISIS leader Abu Bakr al-Baghdadi. “And we may have to fight for the oil. It’s OK. Maybe somebody else wants the oil, in which case they have a hell of a fight. But there’s massive amounts of oil.”

In fact, in the best of times Syria produced only about 380,000 barrels of low-quality oil per day. And production has fallen more than 90% during the country’s long civil war. Last year, Syria ranked 75th among countries in the world in oil production, with a daily output comparable to that of the state of Illinois.

“Syrian oil was never important to the world market because production was so small,” said energy expert Daniel Yergin of IHS Markit. “But it was very important to the Assad regime before the civil war because it produced 25% of the total government revenues.”

Trump on Sunday floated the idea of modernizing Syria’s productive capacity with help from a major oil company.

“What I intend to do, perhaps, is make a deal with an Exxon Mobil or one of our great companies to go in there and do it properly,” he said.

That would be a costly undertaking, according to Joshua Landis, who directs the Center of Middle East Studies at the University of Oklahoma.

“This whole oil region needs to be rebuilt,” Landis said. “So if America is going to get in the business of retaining these oil fields, it will have to invest hundreds of millions of dollars, in theory, to make them exploitable.”

Trump has argued for years that the U.S. should seize Middle Eastern oil fields to recoup some of the cost of its military operations in the region — an idea that experts say violates international law and would only fuel criticism of American intentions.

“In the old days, you when you had a war, to the victors belong the spoils,” Trump told ABC news in 2011.

Emory law professor Laurie Blank says that notion is outdated. “International law seeks to protect against exactly this sort of exploitation,” Blank told Reuters.

Sen. Lindsey Graham, R-S.C. — who bitterly criticized the president’s abrupt decision earlier this month to withdraw U.S. troops from Syria — seized on the oil fields as an argument for a continued American presence in the region.

“By continuing to maintain control of the oil fields in Syria, we will deny Assad and Iran a monetary windfall,” Graham said in a statement last week that echoed Trump’s own language. “We can also use some of the revenues from future oil sales to pay for our military commitment in Syria.”

That position appears to have struck a nerve with Trump.

“I spoke with Lindsey Graham just a little while ago,” Trump said Sunday. “Where Lindsey and I totally agree is the oil.”

For Graham and others, the oil fields may be a way to appeal to the president’s transactional instincts and overcome Trump’s aversion to an open-ended deployment in Syria.

“There are many elements of our foreign policy establishment that want to roll back Iran and want to stay in Syria for the long haul,” Landis said. “Throwing the oil wells in front of President Trump was a way I think they believed that they could reanimate his interest in staying in Syria.”

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Heat Check: Candy-Coated Sludge And Sticky, African Alt-Soul

Ness Nite subverts hip-hop tropes with “Gucciprada.”

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“I can twerk to anything. I’d twerk to Mozart!”

A bold statement. One I overheard through the chatter and bass of a Halloween party this past weekend. From across the living room-turned-dance floor, whose hardwood bore the scuff marks from shoes, scrapes from Ikea couches and a weird, sticky splotch that definitely fell into the category of “We’ll worry about that later,” homegirl in a Guy Fieri costume (let that part sink in) proclaimed herself to be a cross-genre twerker.

At first, hearing this threw me all the way off guard. But after some consideration, I determined this combo totally feasible. If the mood strikes, whose to say a gorgeous Requiem can’t insight some artful clapping?

Music is meant to be enjoyed, no matter what movement or expression goes along with it. And, like classical twerking, sometimes the best musical mashups are the joints you never saw coming — ones that subvert social folkways and switch up the points of view.

In the spirit of jumping out of the norm, this week’s update features selections from NPR Music interns Mano Sundaresan and Zoë Jones, who each have distinct tastes and a natural penchant for the cool and unorthodox.

As always, enjoy Heat Check in its entirety on Spotify.


Megan Thee Stallion and VickeeLo, “Ride Or Die”

The upcoming romantic thriller Queen & Slim (written by Lena Waithe and directed by Melina Matsoukas) teeters between skin-tingling intrigue and all-out hysteria as a black couple go on the lam after accidentally shooting a white police officer. It’s the type of situation that calls for your “ride or die” instincts to kick in.

So, of course, the soundtrack’s leading single has to embody that level of suspense, exhilaration and unexpected Bonnie & Clyde badassery. And if you’re going to call Megan Thee Stallion to get the job done, of course, the track has to be twerk-able. The Houston hottie crossed paths with New Orleans bounce artist VickeeLo and producer Blaqnmild to ensure the correct sonic ratio for the clappers. NOLA bounce sounds good on you, Meg. — Sidney Madden

YouTube


Hook, “Iffy”

Hook’s voice is candy-coated sludge, her bars glowing Microsoft Paint scrawls. Her songs are always a few tics weirder, more home-cooked than the mainstream rap styles they pull from.

“Iffy” could’ve been refined into something crystalline, pleasant as anything from a major label pop rapper, but instead it’s a slushy fever dream where Hook haunts the corner of your room, bellowing heartbreak and stardust: “If I leave, I ain’t coming back!” You won’t want to wake up from this. — Mano Sundaresan

YouTube


UMI, “Love Affair”

In this soulful, slow-burning jam, UMI is trying to convince herself that she isn’t in love. “I just want a good time,” she explains, reminiscent of the thoughts many of us have when our feelings are a little too close to comfort. — Zoë Jones

YouTube


Ness Nite, “Gucciprada”

“I’ma make her feel like Guccipradachanellouisvuitton,” Ness Nite coos, the syllables spiraling inwards, lapping at each other’s tails. They’re a singer from Minneapolis making gender-less dream pop, sometimes leaning into rap flows, constantly subverting masculine hip-hop tropes. “Gucciprada” is a song of pastel hues and sliding synths, hurtling into the nearest designer store off the strength of its snaking chorus. — Mano Sundaresan

YouTube


Doja Cat, “Rules”

After blowing up off a bovine bop and spending a solid amount of time as a living meme last year, Doja Cat has kept fans tuned in as she’s found new ways to express her eccentric, impetuous creativity. With her sophomore album, Hot Pink, on the way, Doja is getting more delightfully aggressive with her bars.

“That’s my ego that you stroking / N****, don’t laugh ’cause the p**** ain’t joking / N****, don’t splash when the p**** be soaking,” she purrs. — Sidney Madden

YouTube


Father, “ICEMAN”

Father sounds a little more like summer than fall on this breezy, keyboard-backed track, which is more than welcome as temperatures drop. Even when he’s iced out, he’s still so warm. — Zoë Jones

YouTube


Odunsi (The Engine), “Wetin Dey”

As the Afro-alt-soul movement starts beaming out of places like Lagos, Nigeria and into the larger music stratosphere, you’ll want to remember Odunsi (The Engine) and the viscid, bouncy ride of “Wetin Dey.” — Sidney Madden

YouTube

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