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NFL Action: Carolina, Denver Wrap Up No. 1 Seeds

Carolina closed out its remarkable season by wrapping up home-field advantage in the NFC. Denver turned to Peyton Manning to take advantage of New England’s slip-up in the AFC. And Rex Ryan made certain to continue the New York Jets’ playoff drought.

Carolina and Denver wrapped up the No. 1 playoff seeds in each conference by winning at home on the final day of the regular season on Sunday. Carolina routed Tampa Bay 38-10, while Denver edged San Diego 27-20 to win the AFC West title.

“We find our edge playing in front of the home crowd,” Carolina QB Cam Newton said. “Everything here feels just right. We don’t have travel to a hostile environment. This is our house — and it’s hostile.”

New England will be the No. 2 seed in the AFC after losing at Miami, while Arizona will have the other bye in the NFC despite getting routed 36-6 by Seattle.

Denver’s victory finally settled the AFC playoff picture. Cincinnati is the No. 3 seed and will host AFC North rival Pittsburgh in a wild-card game on Saturday night, while AFC South champion Houston is the No. 4 seed and will host Kansas City, winners of 10 straight games. The Texans and Chiefs will play the first game of the playoffs on Saturday afternoon.

New England will host the early game on Saturday, Jan. 16, with Denver hosting the lowest remaining AFC seed in the late game on Sunday, Jan. 17.

The NFC playoff picture was settled late Sunday night when Minnesota beat Green Bay 20-13 to win the NFC North. The Vikings will host Seattle in the early game Sunday, while Green Bay will travel to NFC East champion Washington for the late Sunday game. The Redskins closed the season with their fourth straight win on Sunday beating Dallas.

Arizona will host the late game on Saturday, Jan. 16, while the Panthers will host the lowest remaining seed in the NFC in the early game on Sunday, Jan. 17.

The highlight of the day was Ryan and the Buffalo Bills stopping the Jets from making the playoffs and gave the Steelers the final playoff spot in the AFC. The Bills beat the Jets 22-17, while Pittsburgh knocked off Cleveland 28-12, the only results that would have gotten the Steelers into the postseason. The Jets have not made the playoffs since 2010.

“I’ve got a lot of friends over there, and I want them to be successful, but not at my expense,” Ryan said.

Ryan has plenty of friends in the Steel City now.

A lot of thanks to coach Ryan and the rest of the Bills and everybody in Buffalo,” Steelers quarterback Ben Roethlisberger said. “I know they’re excited about 8-8 and we’re excited they got us in.”

New England had a chance at home field in the AFC, but flopped in Miami getting beat 20-10. Denver struggled in the first half against San Diego before inserting Manning in place of Brock Osweiler at quarterback and holding on late for the seven-point victory.

“Wherever we play, we play,” Patriots coach Bill Belichick said.

Houston also clinched the AFC South with its win over Jacksonville and will host Kansas City after the Chiefs beat Oakland for their 10th straight victory.

Houston avoided the headache of possibly having to look at eight different tiebreakers against the Colts by beating Jacksonville 30-6 to win the AFC South, making Indianapolis’ victory over Tennessee moot. The Colts entered the day with the slimmest of chances to win the division, but a Texans loss was needed. Houston is the fourth seed.

“We are not happy with just winning the AFC South,” Houston wide receiver DeAndre Hopkins said. “There are bigger goals ahead of us.”

Seattle rebounded from last week’s loss at home against St. Louis with one of its most dominant victories of the season, winning big at Arizona. The Seahawks led 30-6 at halftime and won for the sixth time in seven games. It’ll be their second trip to Minnesota in about a month. Seattle beat the Vikings 38-7 on Dec. 6.

“These guys are confident that we can go wherever we got to go,” Seattle coach Pete Carroll said.

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How Uganda Came To Earn High Marks For Quality Of Death

A elderly patient with chronic debilitating back pain receives a bottle of liquid morphine during a home visit from a representative of Hospice Africa Uganda.

A elderly patient with chronic debilitating back pain receives a bottle of liquid morphine during a home visit from a representative of Hospice Africa Uganda. Morgana Wingard/African Palliative Care Association hide caption

toggle caption Morgana Wingard/African Palliative Care Association

Dr. Anne Merriman is determined to give the dying relief from pain in their last days.

Dr. Anne Merriman is determined to give the dying relief from pain in their last days. Courtesy Hospice Africa Uganda hide caption

toggle caption Courtesy Hospice Africa Uganda

Food coloring, water, a preservative and a pound of morphine powder. These are the ingredients in Dr. Anne Merriman’s recipe for liquid morphine.

“It’s easier than making a cake,” says Merriman, a British palliative care specialist who founded Hospice Africa in Uganda in 1993 and helped design the formula that hospice workers in Uganda have used for 22 years to craft liquid morphine. The lightest dose, dyed green to indicate the strength and to make sure people don’t confuse it with water, costs about $2 per bottle to make. Stronger doses are dyed pink and blue. A 16-ounce bottle is about a week’s supply for most patients.

Those cheap bottles of green, pink and blue liquid morphine have changed the way people die in Uganda — and are a key reason why Uganda has the best quality of death among low-income countries, according to global Quality of Death Index published by the Economist Intelligence Unit.

Back in the 1990s, two of the biggest barriers to good death in Uganda were simple: not enough doctors and not enough morphine. Largely through Merriman’s drive, Hospice Africa Uganda developed professional education in palliative care that would spread the responsibility to nurses, rather than relying on doctors. They helped make it mandatory for medical students in Uganda to study pain management -– before Germany did. And Hospice Africa Uganda made liquid morphine.

“I had been one of the doctors who had said to people, ‘Sorry, there is no more we can do. You have to go home,'” says Merriman, of the time she spent working with cancer patients in Singapore starting in the 1960s. There, she says, “I found that patients with cancer were getting every treatment possible with chemotherapy, and then when it didn’t work they were sent home and they were dying in agony.”

So she sat down with a couple pharmacists from the National University Hospital and came up with a formula to make a liquid from pure morphine powder.

An HIV-positive woman, living alone in a one-room house, speaks with a visiting doctor.

An HIV-positive woman, living alone in a one-room house, speaks with a visiting doctor. Morgana Wingard/African Palliative Care Association hide caption

toggle caption Morgana Wingard/African Palliative Care Association

Merriman would eventually be invited to Kenya to set up a hospice care program in Nairobi before founding her own organization in 1993, based in Uganda. At that time, palliative care in Africa only existed in Zimbabwe and South Africa, and the services, she says, were “started out by whites for whites.” Medication was prohibitively expensive for most patients. “The strongest they had there was codeine — if you had money. But if you didn’t have money, you only had aspirin and sometimes nothing at all,” says Merriman.

Today, the organization’s three hospice centers serve some 2,100 outpatients. “It’s not always the pain that’s their greatest worry,” she says. “It’s often ‘What’s going to happen to my children when I die?’ It may be spiritual problems, it may be cultural — things they have to carry out before they die. We try to help with all those kinds of things.”

Relieving pain is step one — and it has many benefits. Patients eat better, sleep better and live higher quality lives, even in their last days, says Merriman.

Cost was one obstacle to pain management that Merriman had to address. Another, which persists in many countries, was a deep-rooted fear of opioid painkillers.

Though morphine is considered the gold standard in palliative care for pain management, in many parts of the world fear of opioid addiction and misuse is so rampant it has a name: opiophobia.

Merriman ran up against opiophobia in Singapore and Uganda, where she says, people thought she was providing morphine so that patients could kill themselves. “And morphine can kill,” she says. But with the right regulations in place, and the right explanation to the patient and their relatives, she says, “it’s very safe.”

For over a decade, the Ugandan government has provided morphine free to the patients of prescribers who are members of a special registry, all trained through Hospice Africa Uganda.

“You’ve got to be careful, everything has to be signed for and we have to follow the regulations,” she says. “But for the last three years, we’ve been making morphine for the whole country.”

Merriman says of the 24,000 patients in total that they have prescribed oral morphine to, “we’ve had no addiction, no diversions. And the patients keep the bottle at home.”

In Uganda, she had to work hard to surmount the fear of opioids. For example, Hospice Africa Uganda worked with narcotics police, teaching them what morphine is and that it’s a legal medication.

“They need to understand that patients can take morphine and that they are not addicted, that it is handed to patients after careful assessment, and that it is a safe medication,” says Dr. Eddie Mwebesa, clinical director at Hospice Africa Uganda. Without police cooperation, he says, “there will be a lot of trouble with patients having their morphine in the home” and in transporting the drug between hospices or patient homes.

Clinicians prescribe the morphine and instruct patients to sip a dose from a marked cup. For adults, it’s usually about a teaspoon every 4 hours. Merriman says hospice workers frequently have to warn people about morphine — not because of the risk of addiction but to explain that it will not wipe out their illness. She says they feel so good after it, they often feel normal again. “They think we’ve cured them,” she says.

Even with the innovations in Uganda, there are still challenges. The organization estimates that only 10 percent of Ugandan patients in need of palliative care can access it.

“The biggest challenge we have right now is the sheer number of patients who need palliative care,” says Mwebesa — he puts the number at 250,000 to 300,000. But there is about one doctor for every 20,000 Ugandans, he says.

Mwebesa says palliative care can cost about $25 each week for one patient. “It doesn’t sound like a lot,” he says, “But actually most people can’t afford it.” Only 2 percent of Ugandans have health insurance, so many families have to pay out-of-pocket to care for sick relatives.

A palliative care physician visits an HIV-positive patient who lost her family to the AIDS epidemic. She's resting on a mat outside her home.

A palliative care physician visits an HIV-positive patient who lost her family to the AIDS epidemic. She’s resting on a mat outside her home. Morgana Wingard/African Palliative Care Association hide caption

toggle caption Morgana Wingard/African Palliative Care Association

Even though Uganda is far from perfect, it remains in many respects a model country for its neighbors. “We had the minister of Swaziland visit Uganda to see how Uganda reconstitutes oral morphine and then when we went back, they started doing the same,” says Dr. Emmanuel Luyirika, executive director of the African Palliative Care Association. He says the same happened with Rwanda and Malawi.

Merriman is now turning her attention to French-speaking countries in Africa. She says some countries in the region remind her a lot of Uganda back in the ’90s. “They’ve got a fear of morphine. Doctors don’t want to prescribe it because they think if they prescribe it, they’ll be accused of being addicts themselves,” she says. World Bank data shows the region has the world’s highest maternal mortality and lowest national health budgets. And people there largely pay for health care out-of-pocket.

“If you haven’t got money,” says Merriman, “you can’t even get an aspirin.” At age 80, she’s still determined to see that the dying don’t have to face such dilemmas when they seek relief from pain.

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Texas Businesses Adapt To Open-Carry Law

Activists held an open carry rally at the Texas state capitol on Jan. 1, 2016 in Austin, Texas.
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Activists held an open carry rally at the Texas state capitol on Jan. 1, 2016 in Austin, Texas. Erich Schlegel/Getty Images hide caption

toggle caption Erich Schlegel/Getty Images

The celebrations for the new year also marked a new open-carry gun law taking effect in Texas. Handgun license holders in Texas will now be allowed to carry their guns in visible holsters on their hip or shoulder.

Previously, Texans wanting to carry a handgun had to obtain a concealed handgun license and conceal their weapon. With the new law, the more than 826,000 state license holders will be allowed to openly display their handguns in most public places.

However, the law allows private businesses to ban guns if they choose. And some business owners are concerned about the implications of having openly armed customers.

Dallas restaurant owner Jack Perkins is a gun rights supporter, but he says visible weapons may be bad for business.

“There’s a large amount of the population that guns scare them,” Perkins says. “If there are three or four people in the restaurant all carrying guns then you’re going to be uncomfortable. And I’d just rather people not be uncomfortable.”

Jack Perkins is a Texas restaurant owner who plans to prohibit open carry in his businesses.

Jack Perkins is a Texas restaurant owner who plans to prohibit open carry in his businesses. Jeff Amador/Courtesy Of Jack Perkins hide caption

toggle caption Jeff Amador/Courtesy Of Jack Perkins

Perkins owns Dallas-based The Slow Bone, a barbecue spot, and Maple & Motor, which specializes in burgers. He says his weapon of choice is a Glock 43, and he frequently carries it in his front pocket. He doesn’t object to customers bringing concealed weapons into his restaurants.

“Carrying a concealed weapon is all about eventualities — things that might happen, and protection in that case,” he says. “There’s a lot of cash in my business. I have employees too. Restaurants get robbed, businesses get robbed, and I have employees that I would like to protect.”

But Perkins makes the distinction between carrying a gun underneath clothing and carrying it in the open.

“Carrying a gun outside, on your person where it’s visible, is at least an implied threat,” he says. “If deadly force is your final threat, you’re making it right away, visibly. … I just really don’t want that kind of threat feeling in either of the restaurants.”

The number of people with handgun permits makes up only about 4 percent of Texas’ population of more than 27 million. Out of these, Perkins thinks the number of people who want to openly carry weapons is pretty small.

But open-carry advocates have been a very vocal minority in the past. In 2014, young men showed up at fast food restaurants around Texas carrying tactical long rifles in protest. Groups in Fort Worth have staged weekly walks carrying weapons like the AR-15 and AK-47.

In response, chains including Starbucks, Jack In The Box, Chili’s, Sonic and Chipotle have asked customers to leave weapons at home.

If private businesses want to prevent people from bringing weapons inside, they are required by the law to display a sign with 1-inch block lettering. Separate signs are required for banning open carry and concealed carry. Perkins says he plans to put one up, but he doesn’t foresee it causing any issues.

“I don’t think it’s going to be a problem for us,” Perkins says. “I don’t think we’re going to have confrontations.”

Perkins is one of the large majority — 85 percent according to one study — of gun owners who support requiring background checks for all gun sales. He thinks laws like this exist because the gun lobby “wants to push its agenda as far as it can just in case it gets pushed back.” He says gun opponents do the same thing.

President Obama is preparing to take executive action on gun control, after an effort to get legislation through Congress failed three years ago following the massacre at Sandy Hook Elementary.

“I believe completely in responsible gun ownership, and I believe completely in a dialogue that gets us to that point without rhetoric and venom,” Perkins says.

“There’s nothing in the Constitution, especially in the Second Amendment, that says we can’t be smart about this. I’m all for an open dialogue. I think if we check backgrounds, if we sell guns to people who are going to operate them responsibly and own them responsibly, I just don’t understand why we can’t think about it more than just feel about it.”

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January Movies Calendar: In Theaters, On Blu-ray, New VOD and More

We want to make it easier for you to digest an entire month’s worth of movies in one sitting, so we’ve created these groovy little calendars you can use to get caught up on the month’s most notable movie releases, both in theaters and at home (note: the VOD dates may vary by platform). We’ve also littered our nerdy calendar with a few memorable events that took place during some of your favorite movies.

Check out our January calendar below!

click image to enlarge

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'Concussion' Forces Football Players To Contemplate Safety Risks

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The new film Concussion has many football players thinking about the possible long-term health risks of the game. But that hasn’t stopped two brothers from taking the field.

Transcript

AUDIE CORNISH, HOST:

For football fans, it’s an exciting time of year – college bowl games in full swing, the NFL heading for the playoffs. All eyes are on the field. And this year, many will be on movie screens, too. The new film “Concussion” brings a broader awareness to the issue of head trauma in football, even for those who play the game. Here’s NPR’s Tom Goldman.

TOM GOLDMAN, BYLINE: I have tickets for “Concussion” at 7:45.

My movie date, in Grapevine, Texas, actually was with three people – Donovan Lee, a sophomore running back at the University of Colorado, his mom Angela and his younger brother, Dymond Lee, a high school senior quarterback and wide receiver whose career has been a veritable highlight reel.

(SOUNDBITE OF FOOTBALL GAME)

UNIDENTIFIED MAN: Here on fourth down – huge play, Kai to the end zone. The pass is caught for the touchdown by Dymond Lee.

GOLDMAN: Nineteen-year-old Lee goes to Chaminade College Prep in Los Angeles. On this night in Texas, where he was visiting his mom for the holidays, Lee sat in a theater getting another kind of education. “Concussion” is the story of Nigerian-born pathologist, Bennet Omalu. He was the first person to publish research on the brain disease chronic traumatic encephalopathy, CTE, a disease linked to football head trauma. In this scene from the movie, a character warns Omalu his research puts the future of the game in peril.

(SOUNDBITE FROM THE FILM “CONCUSSION”)

UNIDENTIFIED ACTOR: (As character) Do you understand the impact of what you are doing? If just 10 percent of the mothers in America decide that football is too dangerous for their sons to play, that is it. It is the end of football.

GOLDMAN: Did you know about Bennet Omalu before tonight?

DYMOND LEE: Not at all. I had no idea any of that was happening.

GOLDMAN: We are now back at their mother’s apartment after the film. For all three, not just Dymond, the story of Omalu and CTE was a revelation, even though they are football lifers. The boys have played tackle since they were 6 and 7 years old. And Angela has been there every step of the way, driving to and from practices and games, cheering and watching – kind of.

ANGELA LEE: When they were younger, I watched them. But high school on up into college, I have a hard time. And I was sharing with my son that I look across the field as though I’m looking at the field just so that, you know, I’m there, I can hear it.

(LAUGHTER)

A. LEE: I don’t mind hearing it…

DONOVAN LEE: (Unintelligible).

A. LEE: …But looking at it is a different monster for me.

GOLDMAN: Still, she never said no to football because she says the boys love it so much. But she worries, quietly. “Concussion,” she says, made her reflect on her sons playing football and what could possibly happen. The film includes the story of Mike Webster. He was the Hall-of-Fame NFL player who died at 50, racked by dementia and self-destructive behavior. Omalu first found CTE in Webster’s brain. Dymond Lee says he actually developed a headache watching Webster’s agony.

LEE: Imagine living through that every day and not being able to just take a moment to breathe, not being able to just take a pill every day and it goes away, not being able to just live life and understand who he even was.

GOLDMAN: I asked Dymond Lee if he thought that could be him someday. Yes, he says. He thinks he’s had concussions, although none has been diagnosed. And football for Lee is about to get more demanding. He signed with UCLA to play quarterback.

LEE: Speed is faster and the people are bigger. So, I mean, that impact is going to have a lot more g-force, as they were saying in the movie. So, I mean, having to protect myself is definitely a thought that’s on my mind, but it’s something that I can’t play with.

GOLDMAN: On the other hand, Dymond and his brother think the story of Webster and the other players who suffer in the movie is more past tense than present and future. The Lees are playing football in an era of much greater awareness about head injury. Dymond’s high school practices had less contact, as mandated now by California law. And he says there’s more talk today about players personal responsibility.

LEE: We’re the makers of our destinies, so we have to take the right steps to prevent injuring ourselves. And we’ve done a lot more in the training room with our trainers and stuff, just going over concussion protocol. Whenever we get hit and we look a little dazed, the trainer will come over and make sure we take the right steps in order to get back in the game or to pull us out if we need to.

GOLDMAN: Reduced contact and proper tackling techniques are an important part of Donovan Lee’s college training as well, although he acknowledges the contradiction endures when it comes to safety in football.

LEE: I mean, I’ve always been taught to like, you don’t come off the field unless you have to be dragged off the field.

GOLDMAN: The NFL gets blasted in the movie for its alleged cover-up of a concussion crisis. The league has been under fire for several years. Aware of the hypersensitivity to concussions, it has responded with reforms and rule changes. Both Dymond and Donovan Lee believe the game will continue to evolve even while they play. And while they do, Angela will keep going to games. She’ll be the one in the stands not watching her boys. Tom Goldman, NPR News.

Copyright © 2016 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 a contractor for NPR, and accuracy and availability may vary. This text may not be in its final form and may be updated or revised in the future. Please be aware that the authoritative record of NPR’s programming is the audio.

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N.J. Factory Turns To Medicaid To Insure Lowest-Paid Employees

Duke Gillingham, president of Oasis Foods, in Hillside, N.J., says about two-thirds of his roughly 180 employees declined to enroll in the company health plan for 2015. Many make less than $15 an hour, and found the company plan too expensive.
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Duke Gillingham, president of Oasis Foods, in Hillside, N.J., says about two-thirds of his roughly 180 employees declined to enroll in the company health plan for 2015. Many make less than $15 an hour, and found the company plan too expensive. Fred Mogul/WNYC hide caption

toggle caption Fred Mogul/WNYC

Butter-flavored popcorn oil is in high demand at Oasis Foods, a manufacturer of cooking oils, mayonnaise and other products that restaurants and distributors often purchase by the ton.

“We get a rush this time of year with all the movie-going at the holidays,” says Duke Gillingham, president of Oasis, at his factory in Hillside, N.J., just west of Newark Liberty Airport.

The company’s health insurance coverage is not as popular as its popcorn oil. Oasis offered health insurance to all employees for 2015, to comply with a new Affordable Care Act mandate. And while some employees did sign up for the insurance — the company doubled the number of people on its health plan over previous years — about two-thirds of the employees declined the coverage. With monthly premiums of roughly $350 for a family of four, and with a $2,500 annual deductible, it was too expensive for factory workers, many of whom earn between $10 and $15 an hour.

Gillingham says he hasn’t been able to find decent insurance much cheaper than that, and he cannot afford to significantly raise his employees’ wages.

“The sad fact is we’re in a very competitive business,” he says. “We wish we could make [insurance] more affordable, but it’s essentially what the business can bear. If we don’t watch what we’re doing, we can be high-cost, and that doesn’t serve any of the employees well.”

Companies Look To Avoid Penalties

Oasis Foods, a subsidiary of a Swedish food manufacturer, has about 180 workers. As of Jan.1, smaller firms — those that employ between 51 and 100 workers — are being phased into the same mandate that Oasis faced in 2015. Companies must offer affordable coverage to all employees, and will be subject to a penalty if their workers instead turn to the health exchange to buy subsidized coverage.

There’s no penalty for companies, it turns out, if workers qualify for Medicaid — though there could be controversy.

At firms like Oasis, low-wage workers are candidates more often for Medicaid than for the state or federal insurance exchange.

To qualify for Medicaid, applicants may earn no more than 138 percent of the federal poverty level — or roughly $16,000 for a single person and around $33,000 for a household of four.

Employers have not historically played a significant role in helping workers enroll in Medicaid. But Gillingham’s insurance broker told him about a startup called BeneStream, which is based in New York City and facilitates enrollment in the government program.

Company Shifts Insurance Costs To The Government

Founded two years ago with seed money from the Ford Foundation, BeneStream now helps more than 6,500 workers at 125 companies across the country get Medicaid. CEO Benjamin Geyerhahn says moving workers from private insurance to Medicaid helps firms shift their costs to the government.

“The savings is quite significant,” he says. “Our average is about 250 percent — so about two-and-a-half times the money you spend on us comes back to you in the form of saved premium.”

Geyerhahn says going onto Medicaid, which is nearly free for employees, is a good deal, though it lacks the generous benefits of more expensive plans. If employees make so little that they’re eligible for Medicaid, he says, they probably can’t afford regular insurance premiums, especially when combined with the high deductibles that undermine much of the benefit of insurance.

“Yes, this [level of coverage] is something that will help them if they get in a car accident or have a heart attack,” he says, “but this isn’t something that’s going to help them manage their health over the course of the year.”

Wal-Mart, McDonald’s and some large companies have drawn fire for not providing employees with health insurance, but instead relying on taxpayers to fund workers’ health needs via Medicaid.

Ken Jacobs, chair of the University of California, Berkeley’s Labor Center, says companies whose workers get Medicaid should bear some of the burden of the cost to taxpayers.

Critics Think Employers Should Pay Bigger Share

“Those employers should be paying more into the general pot that pays for health care, rather than putting those costs onto everyone else,” he says.

California legislators considered imposing a state tax penalty for companies whose workers get Medicaid, but lawmakers ultimately rejected the proposal.

Linda Blumberg, an economist at the Urban Institute, says that whether you are looking at a vast company like Wal-Mart or a modest-sized one like Oasis Foods, compensation is about trade-offs. The more you pay for people’s insurance, the less you have to put in their paychecks.

“When workers are low-income,” Blumberg says, “I would rather that we publicly finance their medical care, make it very accessible to them, have low cost-sharing so that’s not a barrier to them getting necessary care, and let them have a little bit higher wages in order to compensate.”

And even the large increases in the minimum wage currently being contemplated or phased in by several states and cities might still not be enough for those workers to afford most employer-sponsored insurance, given the high premiums and deductibles of such plans.

At Oasis, Gillingham says his company pays a lot in taxes, so getting almost-free health care for some workers amounts to a “fair deal.”

He contrasts this system to one he and his family of six experienced in England.

“My kids didn’t suffer from having a five- or six-minute checkup,” he says, compared with doctor visits in the United States — that may have been twice as long, and at much higher expense, but without any noticeable difference in results.

“We didn’t see any of the demons that people speak of when they talk about socialized medicine,” Gillingham says. “There were no lines, no poor standard-of-care.”

But despite being relatively upbeat about government healthcare, he concedes that Oasis workers so far have given Medicaid mixed reviews. Some doctors and hospitals take the insurance, but many don’t.

Still, that’s true of most health insurance, Gillingham says.

A Gallup poll last month found that 67 percent of Americans, in general, are satisfied with the country’s health care system, compared with 75 percent of people who are on Medicaid.

“I think the system is evolving,” Gillingham says. “I don’t know where it’s going to go, but I know it’s going to change, and we need to adapt and make use of the system in the best way possible.”

This story was produced as part of NPR’s partnership with WNYC and Kaiser Health News.

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World's Largest Meatpacking Company Tests Out Robot Butchers

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Slaughterhouses and meatpacking plants throughout the country employ a lot of people. About a quarter of a million Americans prepare the beef, pork and chicken that ends up on dinner tables. But some of those jobs could eventually be replaced by robots. The world’s largest meatpacking company is looking at ways to automate the art of butchery.

Transcript

AUDIE CORNISH, HOST:

About a quarter of a million people work in slaughterhouses to prepare the beef, pork and chicken that ends up in America’s dinner tables. Some of those jobs could eventually be replaced by robots. Luke Runyon from member station KUNC reports the world largest meatpacking company is looking at ways to automate the art of butchery.

LUKE RUNYON, BYLINE: We’re walking through a meat-cutting line and through JBS here in Greeley, Colo. There are workers in white frocks and white hats using hooks and knives to trim up some of the meat and get rid of the fat.

BILL DANLEY: There’s right now 850 people right out in this building alone. We’re go down through some of the tables. We won’t go in between them, but you’ll get a good view of what we do out here on the floor.

RUNYON: That’s the plant’s manager, Bill Danley. He’s on the floor – short for fabrication floor – where whole cattle carcasses become the neat and trim cuts of beef you get at the grocery store. Hundreds of workers in blood-spattered white jackets and protective chain mail stand along conveyor belts. Carcasses inch along, hanging from a track above.

DANLEY: That is a split carcass – that’s a whole beef. And then we start the disassemble process out here on the fab (ph) floor.

RUNYON: The plant is a far cry from your grandfather’s butcher shop, where a single person needed to know how to turn an entire animal into cuts of meat. Large beef companies, like JBS, Cargill and Tyson, have turned each minute step of the process into a job. Danley lists some of the titles – a chuck boner, tender puller, back splitter, a knuckle dropper.

DANLEY: There’s a lot of jobs out here that prep for the other person.

RUNYON: Each year, this one plant pays out more than $100 million in paychecks to its 3,000 employees. It’s a huge chunk of the company’s operating costs. And while robots have revolutionized the manufacturing industry, meatpackers have stubbornly held on to workers. But that could be changing. Late this fall, JBS bought a controlling share of Scott Technology, a New Zealand-based robotics firm.

CAMERON BRUETT: This is a very innovative and exciting company that we invested in, and we’re excited to see what they come up with.

RUNYON: That’s JBS spokesman Cameron Bruett. He says the world’s largest meatpacker is looking at how robots could fit into their lamb and pork plants first. Sheep and pigs tend to be more uniform than beef cattle.

BRUETT: Now, when it comes to beef packing, beef processing, the fabrication of the animal, it’s very difficult to automate beef processing.

RUNYON: The meatpacking robots of today use vision technology to slice and dice. But the key to butchery is touch, not sight. And the company’s beef division president, Bill Rupp, says right now, robots just can’t feel how deep a bone is, or expertly remove a filet mignon.

BILL RUPP: When you get into that detailed, skilled cutting, robots aren’t there yet. Someday, I’m sure they will be.

DON STULL: Workers are really cheaper than machines.

RUNYON: Don Stull studied the cultures of Midwest meatpacking towns at the University of Kansas for 30 years.

STULL: Machines have to be maintained; they have to be taken good care of. And that’s not really true of workers. As long as there is a steady supply, the workers are relatively inexpensive.

RUNYON: Stull says turnover in the industry is high because of the physical demands. And there’s a stream of immigrants and refugees to put on the chain mail and pick up the knife. Meatpacking jobs consistently rank among the most hazardous in the country. Increased automation could ease some of those injuries. But until technology catches up, meatpacking companies will continue hiring low-skill workers to cut meat. For NPR News, I’m Luke Runyon in Greeley, Colo.

CORNISH: That story came to us from Harvest Public Media, a reporting collaboration that focuses on agriculture and food.

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Today in Movie Culture: James Bond Meets 'Star Wars,' Cool Lightsaber Stunts and More

Here are a bunch of little bites to satisfy your hunger for movie culture:

Alternate Universe Movie Poster of the Day:

This fan-made poster for a fake movie called “Starkiller” is inspired by 007 star Daniel Craig‘s masked cameo in Star Wars: The Force Awakens (via Live for Films):

Cosplay of the Day:

Don’t try any of this at home with real lightsabers or you’ll cut your own arm off (via Fashionably Geek):

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Fan-Made Toys of the Day:

An Instagram user is recreating moments of 2015 with Barbie dolls, and here’s one for part of Star Wars: The Force Awakens (via Design Taxi):

2015: When Women ruled the galaxy. #starwarstheforceawakens #starwars #rey #leia #leiaorgana #boxoffice #jjabrams

A photo posted by adollworldafterall (@adollworldafterall) on Dec 23, 2015 at 2:10pm PST

Fan Art of the Day:

Watch a fan do a quick drawing of Rey from Star Wars: The Force Awakens:

Star Wars This Drawing. #completethisdrawing pic.twitter.com/wx6X9skXCl

— Megan Nicole Dong (@sketchshark) December 30, 2015

Mashup of the Day:

This Star Wars: The Force Awakens fan art takes some inspiration from another hit Disney property, Frozen (via /Film):

Classic Cartoon of the Day:

Today is the 60th anniversary of the theatrical release of the classic animated short One Froggy Evening. Watch the Chuck Jones-helmed cartoon, which introduced us to Michigan J. Frog, in full below.

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Video Essay of the Day:

Every Frame a Painting shows how great directors employ ensemble staging so they don’t have to cut so much:

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End of Year Recap of the Day:

Here’s another video essay specific to the movies of 2015 and how they played with the notion of framing:

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Movie Trivia of the Day:

Many movies recycle sound effects, like the famous Wilhelm Scream. Here are ten notable examples:

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Classic Trailer of the Day:

Today is the 50th anniversary of the theatrical release of Doctor Zhivago. Watch the original trailer for the David Lean epic below.

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Send tips or follow us via Twitter:

and

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Clemson And Alabama Pummel Opposition, Will Face Off For Football Title

Hunter Renfrow of the Clemson Tigers celebrates scoring a touchdown in the third quarter Thursday against the Oklahoma Sooners during the 2015 Capital One Orange Bowl at Sun Life Stadium in Miami Gardens, Florida.

Hunter Renfrow of the Clemson Tigers celebrates scoring a touchdown in the third quarter Thursday against the Oklahoma Sooners during the 2015 Capital One Orange Bowl at Sun Life Stadium in Miami Gardens, Florida. Chris Trotman/Getty Images hide caption

toggle caption Chris Trotman/Getty Images

Clemson University, having its best football season in decades, will face off for the national title against perennial power Alabama later this month after both teams won semifinal games Thursday night.

Clemson was down a point at halftime to the University of Oklahoma, but scored three second-half touchdowns while keeping the Sooners from scoring, and won 31-17.

Tim Williams of the Alabama Crimson Tide sacks Connor Cook of the Michigan State Spartans in the second half Thursday during the Goodyear Cotton Bowl in Arlington, Texas. Williams threw two interceptions and the Spartans were unable to reach a single first down in the shutout loss.

Tim Williams of the Alabama Crimson Tide sacks Connor Cook of the Michigan State Spartans in the second half Thursday during the Goodyear Cotton Bowl in Arlington, Texas. Williams threw two interceptions and the Spartans were unable to reach a single first down in the shutout loss. Ron Jenkins/Getty Images hide caption

toggle caption Ron Jenkins/Getty Images

Alabama fans saw a lot to celebrate Thursday night against Michigan State during the Cotton Bowl.

Alabama fans saw a lot to celebrate Thursday night against Michigan State during the Cotton Bowl. Tom Pennington/Getty Images hide caption

toggle caption Tom Pennington/Getty Images

Alabama’s defense did Clemson’s one-half better, shutting out Michigan State as the Crimson Tide cruised to a 38-0 victory. The Spartans didn’t get a single first down in the entire game.

The national championship game will be played at 8:30 p.m. ET on Jan. 11 in Glendale, Ariz., and broadcast on ESPN. A win against Clemson would give Alabama its fourth national title since the 2009 season; a Clemson title would be its first since 1981.

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Puerto Rico Faces Uncertain Future Amid Debt Crisis

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NPR’s Robert Siegel talks with Puerto Rico Rep. Luis Vega Ramos about what will happen when the commonwealth defaults on its nearly $37 million worth of debt.

Transcript

AUDIE CORNISH, HOST:

Puerto Rico’s future largely depends on what Congress decides to do to help the U.S. territory. It’s about to default on yet another bond payment in January – this time, $37 million. Puerto Rico’s total debt stands at about $72 billion. And without some kind of help, further defaults are all but certain.

ROBERT SIEGEL, HOST:

Politicians on the island say the U.S. government should allow the commonwealth to access Chapter 9 bankruptcy. Puerto Rico’s ability to do that was written out of the bankruptcy code back in 1984. I talked about that demand to change that with Luis Vega Ramos. He’s a member of the Puerto Rico House of Representatives. He joined us in the middle of his vacation at Disney World.

LUIS VEGA RAMOS: What we’re asking is what any business, what any town, what any municipality in the United States has available – the ability to orderly restructure its debt, the chance to have our case heard and that we can sit down and get an agreement that permits an orderly payment of our debts, but, at the same time, that doesn’t break down Puerto Rico.

SIEGEL: Unemployment in Puerto Rico is measured at about 12.5 percent. Since 2004, the population of Puerto Rico has declined by about 10 percent – largely people moving to Florida. What’s it like? I mean, do you have relatives who’ve decided, I can no longer support my family here on the island, I’m moving to Kissimmee or to New York?

RAMOS: There are a lot of Puerto Ricans who have moved in the last five to 10 years. And that’s a problem for Puerto Rico and the United States because some of the most productive, useful persons are moving. And that’s not helping our economy.

SIEGEL: The people who can find good jobs in Florida, you’d say?

RAMOS: Right. And the key to fixing the whole problem is to jumpstart the Puerto Rico economy and to ease the enormous burden that the current structure of the debt has over Puerto Rico. So instead of positioning ourselves for a bitter fight, whether it’s Puerto Rico and creditors, or whether it’s the creditors amongst themselves because if we start litigating, it’s going to end up – everybody suing everybody else, probably including the federal government because some may argue that being Puerto Rico – a territory of the United States – the territorial debt is also federal debt. So what I’m advocating strongly is let’s sit down, let’s structure a deal that is good for us. And the first step in that deal will be take measures that ease the current burden of the debt so that we can restart our economy. And when that happens, everything else will fall into place.

SIEGEL: Here’s something that skeptical creditors of Puerto Rico say – they say, we’d like to see an audit. They just gave out an annual bonus of 13 months paid to civil servants on the island. That’s not something you do when you’re broke and you have no cash reserves. What do you say to that?

RAMOS: I agree that we have to get our audit out, and that’s something that us in the legislature are also clamoring. All of us are in agreement that those numbers have to be out and they have to be certified and audited.

SIEGEL: Why hasn’t that happened already? Why hasn’t that taken place?

RAMOS: Well, we’ve had a problem for the last two years, and that’s something that – probably that the government – the Development Bank of Puerto Rico and its president have to explain in a clearer fashion. And I’m not satisfied with that. And that’s a part of the equation that I understand is very important in order to finalize a deal. But that shouldn’t be an impediment for talks to start because, quite frankly, Puerto Rico cannot make those payments how they are structured. So instead of going into the abyss together, let’s, you know, halt a moment, create conditions to have a restructuring and let’s get on doing that.

SIEGEL: Representative Vega Ramos, thanks a lot for talking with us today.

RAMOS: Thank you very much.

SIEGEL: Luis Vega Ramos is a member of the Puerto Rico House of Representatives. He spoke to us while on vacation in Orlando.

Copyright © 2015 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 a contractor for NPR, and accuracy and availability may vary. This text may not be in its final form and may be updated or revised in the future. Please be aware that the authoritative record of NPR’s programming is the audio.

This entry passed through the Full-Text RSS service – if this is your content and you’re reading it on someone else’s site, please read the FAQ at fivefilters.org/content-only/faq.php#publishers.