Cost for lasix

SALT LAKE cost for lasix CITY, Sept. 09, 2020 cost for lasix (GLOBE NEWSWIRE) -- Health Catalyst, Inc. ("Health Catalyst", Nasdaq. HCAT), a leading provider of data and analytics technology and services to healthcare organizations, today announced that Patrick Nelli, Chief Financial Officer, and Adam Brown, Senior Vice President, Investor Relations, will participate in the 2020 Cantor Global Virtual Healthcare Conference on Tuesday, September 15, 2020, which will include a fireside chat presentation at 1:20 cost for lasix p.m. ET.

A live audio webcast and replay of this presentation will be available at https://ir.healthcatalyst.com/investor-relations.About Health CatalystHealth Catalyst is a leading cost for lasix provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements. Health Catalyst envisions a future in which all healthcare cost for lasix decisions are data informed.Health Catalyst Investor Relations Contact:Adam BrownSenior Vice President, Investor Relations+1 (855)-309-6800ir@healthcatalyst.comHealth Catalyst Media Contact:Kristen BerryVice President, Public Relations+1 (617) 234-4123+1 (774) 573-0455 (m)kberry@we-worldwide.com Source. Health Catalyst, Inc..

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In ordinary times, there get lasix prescription online would be no question about whether a drug with opioidlike effects should be proven safe How to get ventolin in the us and effective and approved by the Food and Drug Administration (FDA) before it is widely marketed. But these aren’t ordinary times and the herbal supplement kratom is not a typical drug. In fact, the issue of whether or not to ban kratom is an excellent litmus test of whether the Biden administration will actually use the philosophy of harm reduction to guide drug policy—or just spout the trendy catchphrase as window dressing to hide ongoing engagement in the war on drugs. An estimated 10–16 million Americans currently use kratom as an alternative to get lasix prescription online opioids, most commonly to treat pain or as a substitute for street drugs. The herb, formally known as Mitrogyna speciosa, has a centuries-long history of use in herbal medicine in Southeast Asia—notably as a substitute for opium.

It is typically sold as a bitter-tasting powder, which can be made into a tea or swallowed in capsules. Since kratom never drew enough get lasix prescription online international attention to spur an American or global prohibition, our lax regulation of “health supplements” made from plants allows it to be sold legally here. Sales have risen sharply in recent years, as both pain patients and people with addiction have increasingly lost access to medical opioids during the overdose crisis. Kratom does appear to be far safer than all illegal and most prescription opioids. A CDC study of some 27,000 overdoses that occurred between 2016 and get lasix prescription online 2017 found that it was implicated in less than 1 percent of deaths.

Given the large number of people who regularly use it and the low number of fatalities, researchers estimate that it is more than 1,000 times less likely to kill than typical prescription opioids. Moreover, in nearly all overdose deaths associated with kratom, it was accompanied by stronger drugs that kill more often, so it is not clear that it actually played a major role or even any at all. For example, around two thirds get lasix prescription online of the 152 deaths the CDC studied also involved illicit fentanyl and its analogues, which are thousands of times more potent. In only seven cases was kratom the only substance identified—and even here, researchers cannot rule out the possibility of undetected drugs. Regardless of the specific facts about particular drugs, however, for more than 100 years, the main strategy America has used to deal with drug problems is prohibition.

With the exception of alcohol, caffeine and tobacco, nearly every substance that has publicly been associated with get lasix prescription online recreational use has either been banned entirely or strictly confined to medical use. Prohibition policy—such as the war on drugs—assumes that restricting drug sales and possession will solve the problem, period. In contrast, when policy makers are guided by harm reduction, they have to assess whether banning a specific drug or allowing continued sales will do more damage—in the current context of other drugs for which it may substitute and other factors like harms associated with arrest and incarceration. For example, in a country where no get lasix prescription online one was misusing stronger opioids and no one was already using kratom, introducing it without controls could well be harmful. However, in the context of an America with the highest number of overdose deaths ever—driven largely by street fentanyl—removing a safer substitute almost certainly will increase mortality.

Unfortunately, kratom prohibition may be coming. The FDA is now asking for public comment about get lasix prescription online whether the U.S. Should support an international ban on the drug, which the United Nations, through the World Health Organization, is considering. The agency’s own position is clear. It opposes over-the-counter sales of kratom as a health supplement and wants its sales to be illegal unless it is proven get lasix prescription online medically effective.

An international ban would automatically require the U.S. To prohibit the drug domestically, under its treaty obligations. In concert with the Drug Enforcement Administration, the get lasix prescription online FDA previously has sought to ban kratom. In 2016, the DEA announced that it planned to place kratom into Schedule I of the Controlled Substances Act—the category intended for drugs that have potential for misuse and have no medical use. Along with drugs like cocaine, this is where marijuana, MDMA (ecstasy) and LSD currently languish.

The classification itself makes research to determine medical get lasix prescription online usefulness extremely difficult, creating somewhat of a catch-22. But for what is apparently the first time since the Harrison Act of 1914 legally enshrined drug prohibition, consumers successfully fought back. The DEA had no problem getting the media and Congress terrified of LSD and MDMA when those drugs became popular in the 1960s and 1980s respectively. By 2016, though, both journalists get lasix prescription online and elected officials were far more skeptical of the usefulness of prohibitions—and, probably not incidentally, kratom sales had by then become a billion-dollar industry. The proposal was dropped.

The FDA, however, still seems to want it off the market. In its call for public input about whether the drug should be globally banned, it described the herb get lasix prescription online this way. €œKratom is abused for its ability to produce opioid-like effects…Kratom is an increasingly popular drug of abuse and readily available on the recreational drug market in the United States. Evidence suggests that kratom is abused individually and with other psychoactive substances... In the United States, kratom is misused to self-treat chronic pain and opioid withdrawal symptoms.” Kratom supporters and the industry see this as the agency’s attempt to bypass its previous failure to win direct support for a get lasix prescription online domestic ban.

In comments made to Marijuana Moment, a policy newsletter, Mac Haddow of the American Kratom Association (AKA) argued that the agency’s intent to support a worldwide prohibition was an “abuse” of its authority, adding, “More overdose deaths will occur if kratom is banned, and that is exactly what the FDA is trying to do.” Ideally, we would have a responsive regulatory system that allowed for the approval of the safest medical and recreational drugs—one that based its decisions on relative harms, rather than on moral panics that are more associated with fears about race, class and ethnicity than actual drug effects. But in our current system, it’s certainly understandable that the FDA would seek to ban kratom. The only alternative for a substance that has risks and can cause a high is prohibition or regulation as a medicine, which cannot be done without get lasix prescription online clinical trials for safety and efficacy first. If we are genuinely to enact harm reduction policy, we have to change this. Banning a substance that does less harm than other widely available substitutes will make things worse.

President Biden’s policy needs get lasix prescription online to be more flexible. Otherwise, it will increase harm rather than reducing it. This is an opinion and analysis article.

In ordinary times, there would be no question about whether a drug with opioidlike effects should be proven safe and cost for lasix effective and approved by the How to get ventolin in the us Food and Drug Administration (FDA) before it is widely marketed. But these aren’t ordinary times and the herbal supplement kratom is not a typical drug. In fact, the issue of whether or not to ban kratom is an excellent litmus test of whether the Biden administration will actually use the philosophy of harm reduction to guide drug policy—or just spout the trendy catchphrase as window dressing to hide ongoing engagement in the war on drugs.

An estimated 10–16 million Americans currently use kratom as an alternative to opioids, most commonly cost for lasix to treat pain or as a substitute for street drugs. The herb, formally known as Mitrogyna speciosa, has a centuries-long history of use in herbal medicine in Southeast Asia—notably as a substitute for opium. It is typically sold as a bitter-tasting powder, which can be made into a tea or swallowed in capsules.

Since kratom never drew enough international attention to spur an American or global prohibition, our lax cost for lasix regulation of “health supplements” made from plants allows it to be sold legally here. Sales have risen sharply in recent years, as both pain patients and people with addiction have increasingly lost access to medical opioids during the overdose crisis. Kratom does appear to be far safer than all illegal and most prescription opioids.

A CDC study of some 27,000 overdoses that occurred between 2016 and 2017 found that it was implicated in less than 1 percent of deaths cost for lasix. Given the large number of people who regularly use it and the low number of fatalities, researchers estimate that it is more than 1,000 times less likely to kill than typical prescription opioids. Moreover, in nearly all overdose deaths associated with kratom, it was accompanied by stronger drugs that kill more often, so it is not clear that it actually played a major role or even any at all.

For example, around two thirds of the 152 deaths the CDC studied also involved illicit fentanyl and its analogues, which are thousands cost for lasix of times more potent. In only seven cases was kratom the only substance identified—and even here, researchers cannot rule out the possibility of undetected drugs. Regardless of the specific facts about particular drugs, however, for more than 100 years, the main strategy America has used to deal with drug problems is prohibition.

With the exception of alcohol, caffeine and tobacco, nearly every substance that has publicly been associated with recreational use has either been banned entirely or strictly cost for lasix confined to medical use. Prohibition policy—such as the war on drugs—assumes that restricting drug sales and possession will solve the problem, period. In contrast, when policy makers are guided by harm reduction, they have to assess whether banning a specific drug or allowing continued sales will do more damage—in the current context of other drugs for which it may substitute and other factors like harms associated with arrest and incarceration.

For example, in a cost for lasix country where no one was misusing stronger opioids and no one was already using kratom, introducing it without controls could well be harmful. However, in the context of an America with the highest number of overdose deaths ever—driven largely by street fentanyl—removing a safer substitute almost certainly will increase mortality. Unfortunately, kratom prohibition may be coming.

The FDA is now asking cost for lasix for public comment about whether the U.S. Should support an international ban on the drug, which the United Nations, through the World Health Organization, is considering. The agency’s own position is clear.

It opposes over-the-counter sales of kratom as a health supplement and wants its sales to be cost for lasix illegal unless it is proven medically effective. An international ban would automatically require the U.S. To prohibit the drug domestically, under its treaty obligations.

In concert with the cost for lasix Drug Enforcement Administration, the FDA previously has sought to ban kratom. In 2016, the DEA announced that it planned to place kratom into Schedule I of the Controlled Substances Act—the category intended for drugs that have potential for misuse and have no medical use. Along with drugs like cocaine, this is where marijuana, MDMA (ecstasy) and LSD currently languish.

The classification itself makes research to determine medical usefulness extremely difficult, creating cost for lasix somewhat of a catch-22. But for what is apparently the first time since the Harrison Act of 1914 legally enshrined drug prohibition, consumers successfully fought back. The DEA had no problem getting the media and Congress terrified of LSD and MDMA when those drugs became popular in the 1960s and 1980s respectively.

By 2016, though, both journalists and elected officials were far more cost for lasix skeptical of the usefulness of prohibitions—and, probably not incidentally, kratom sales had by then become a billion-dollar industry. The proposal was dropped. The FDA, however, still seems to want it off the market.

In its cost for lasix call for public input about whether the drug should be globally banned, it described the herb this way. €œKratom is abused for its ability to produce opioid-like effects…Kratom is an increasingly popular drug of abuse and readily available on the recreational drug market in the United States. Evidence suggests that kratom is abused individually and with other psychoactive substances...

In the United States, kratom is misused to self-treat chronic pain and opioid withdrawal symptoms.” Kratom supporters and the industry see this as the agency’s attempt to bypass its previous failure to win direct support for a domestic ban cost for lasix. In comments made to Marijuana Moment, a policy newsletter, Mac Haddow of the American Kratom Association (AKA) argued that the agency’s intent to support a worldwide prohibition was an “abuse” of its authority, adding, “More overdose deaths will occur if kratom is banned, and that is exactly what the FDA is trying to do.” Ideally, we would have a responsive regulatory system that allowed for the approval of the safest medical and recreational drugs—one that based its decisions on relative harms, rather than on moral panics that are more associated with fears about race, class and ethnicity than actual drug effects. But in our current system, it’s certainly understandable that the FDA would seek to ban kratom.

The only alternative for a substance that cost for lasix has risks and can cause a high is prohibition or regulation as a medicine, which cannot be done without clinical trials for safety and efficacy first. If we are genuinely to enact harm reduction policy, we have to change this. Banning a substance that does less harm than other widely available substitutes will make things worse.

President Biden’s cost for lasix policy needs to be more flexible. Otherwise, it will increase harm rather than reducing it. This is an opinion and analysis article.

Where should I keep Lasix?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light. Throw away any unused medicine after the expiration date.

Can lasix cause low potassium

For millions of Americans who don’t have access to Buy zithromax without a prescription employer-sponsored or government-run health insurance, the American Rescue Plan (ARP) does can lasix cause low potassium a lot to make health coverage more affordable this year. Premium subsidies are larger, and more people will qualify for premium-free plans, including anyone receiving unemployment compensation at any point in 2021.If you’re currently uninsured or enrolled in something like a short-term plan or health care sharing ministry plan and you’ve become eligible for premium subsidies as a result of the ARP, it’s likely an obvious choice to enroll in a plan through the marketplace in your state as soon as possible. And there’s a hypertension medications/ARP enrollment window that continues through August 15 in most states, making it easy to enroll in a new plan and take advantage of the new subsidies.But if you’re already enrolled in can lasix cause low potassium an ACA-compliant plan, or even a grandmothered or grandfathered major medical plan, you’ll have to decide whether you want to make a plan change during the hypertension medications/ARP enrollment window.

And depending on the circumstances, it might not be an easy decision.Are out-of-pocket costs you’ve paid making you think twice?. Unlike plan changes made during open enrollment, plan changes made during the hypertension medications/ARP enrollment window will take effect mid-year. And for people who have already paid some or all of their deductible and out-of-pocket costs this year, that adds an extra layer of complication to the switch-or-not decision.Use our updated subsidy calculator to estimate how much you can save on your 2021 health insurance premiums.Normally, the general can lasix cause low potassium rule of thumb is that if you switch to a new plan mid-year, you’re going to be starting over at $0 on the new plan’s deductible and out-of-pocket expenses.

(These are called accumulators, since it’s a running total of the expenses you’ve accumulated toward your out-of-pocket maximum). For someone whose accumulators have already amounted to a sizable sum of money this year, having to start over at $0 can lasix cause low potassium in the middle of the year could be a deal-breaker.Are ARP’s higher subsidies worth it?. But 2021 is not a normal year.

The ARP has made significant changes to subsidy amounts and eligibility, and a lot of people will find that switching plans enables them to best take advantage of the enhanced subsidies. For example:A person who previously enrolled off-exchange in order to take advantage of the “Silver switch” approach to cost-sharing reduction funding, and who is now eligible for a premium subsidy in the exchange.A person who enrolled in a Bronze plan can lasix cause low potassium during open enrollment but is now eligible for a $0 premium or low-premium Silver or Gold plan (depending on location) due to income or unemployment compensation.A person who was eligible for cost-sharing reductions but selected a Bronze or Gold plan during open enrollment because the Silver plans were too expensive, but who can now afford the Silver plan due to the extra subsidies (cost-sharing reductions are only available on Silver plans)If you switch plans, will you have to start over at zero?. The good news is that many states, state-run marketplaces, and insurers have taken action to ensure that accumulators will transfer to a new plan.

(In virtually all cases, this does have to be a new plan with the same insurer — if you switch to a different insurance company, you’ll almost certainly have to start over at $0 on your accumulators.)HealthCare.gov is the exchange/marketplace that’s used in 36 states. Its official position is that “any consumer who selects a new plan may have their accumulators, such as deductibles, reset to zero.” But insurance commissioners in some of those states have stepped in to require insurers to transfer accumulators, and in other states, all can lasix cause low potassium of the insurers have voluntarily agreed to do so. Washington, DC, and 14 states have state-run marketplaces, and several of them have announced that insurers will transfer accumulators.Which states are helping with accumulators?.

We’ve combed through communications from state-run marketplaces and can lasix cause low potassium state insurance commissioners to see which ones have issued guidance on this. But regardless of where you live, your best bet is to reach out to your insurance company before you make a plan change. Find out exactly how they’re handling accumulators during this enrollment window, and if they are transferring accumulators to new plans, make sure that you adhere to whatever requirements they may have in place.That said, here’s what we found in terms of how states and state-run marketplaces are addressing accumulators and mid-year plan changes in 2021.States where all accumulators will transfer as long as your old and new plans are offered by the same insurance companyColoradoDistrict of Columbia – The marketplace has confirmed that all accumulators will transfer.Idaho – Idaho only allowed people to switch to a plan offered by their current insurer, unless they had a qualifying event.

Note that Idaho’s hypertension medications/ARP enrollment window ended April 30, which is much earlier than the rest of the country.Maryland – Plan changes are limited to upgrades, but the marketplace confirmed that accumulators will can lasix cause low potassium transfer.Michigan – Deductibles will transfer, although some insurers will only allow this if you’re upgrading your plan. (Two insurers are allowing deductible transfers even if you’re switching from a different insurer’s plan.)Minnesota – Minnesota is currently not allowing marketplace enrollees to switch plans during the hypertension medications/ARP enrollment window, although this may change within the next several weeks. So for now, the accumulator transfers only apply to can lasix cause low potassium people switching from an off-exchange plan to an on-exchange plan.

All four of the insurers that offer both on-exchange and off-exchange plans have agreed to transfer accumulators to the on-exchange plans.New MexicoNew YorkTennesseeVermont – Like Minnesota, Vermont is currently only allowing people to switch from off-exchange (full-cost individual direct enrollment) to on-exchange plans. Accumulators will transfer for those plan changes.West Virginia — The WV Office of the Insurance Commissioner confirmed that both insurers are transferring accumulators, with the exception of a transfer between an HSA-qualified plan and a non-HSA-qualified plan (mainly due to IRS regulations for how HSA-qualified plans must handle out-of-pocket costs).Wisconsin – Covering Wisconsin, a nonprofit enrollment assistance organization, notes that accumulators will not transfer if people select a plan from a different insurer, which is to be expected.In some states, rules are slightly more complicatedAlaska – Deductibles will reset to $0 if a policyholder is switching from off-exchange to on-exchange (or vice-versa), but will not reset if the move is from one exchange plan to another, with the same insurer.California – The marketplace has confirmed that insurers will transfer accumulators for plan holders switching from an off-exchange plan to an on-exchange plan or from one exchange plan to another, as long as they stay with the same insurance company and the same type of managed care plan (ie, HMO to HMO, or PPO to PPO).New Jersey – Deductibles will transfer, possibly even to a new insurer (which is fairly unique. We aren’t aware of this elsewhere, can lasix cause low potassium other than the two Michigan insurers that are offering it).

But additional out-of-pocket spending will not transfer to the new plan.States where the official word is that ‘it depends’Several states have addressed accumulator transfers so that consumers know to be aware of them, but are leaving the decision up to the insurers. In these states (listed below), some or all of the insurers may be offering accumulator transfers, but consumers should definitely ask their insurer how this will work before making the decision to switch plans.ConnecticutMassachusettsNevadaNew HampshireOhioMontanaNorth Dakota — the ND Insurance Department is recommending that consumers reach out to their insurance company to see how this is being handled.PennsylvaniaRhode Island – There are two insurers that offer plans in Rhode Island’s marketplace. One has agreed to transfer accumulators and one has not, but the marketplace is still working to address this and it’s possible both insurers could end up allowing accumulators to transfer.WashingtonStates can lasix cause low potassium where the official word is that accumulators will not transferSome states have fairly clearly indicated that insurers will not transfer accumulators if policyholders make a plan change.

But even in these states, it’s still worth checking with a specific insurer to see what approach they’re taking, as some are still developing their approach during this unique time. What if can lasix cause low potassium my state’s not listed?. Insurance departments in the rest of the states haven’t put out any official guidance or bulletins regarding accumulator transfers, although these may still be forthcoming as the hypertension medications/ARP window progresses.

Keep in mind that it will be July in most states before the ARP’s benefits are available for people receiving unemployment compensation in 2021, so this is still very much a work in progress and likely to evolve over time.States that have not yet issued specific guidance or clarified insurers positions on accumulator transfers include:AlabamaArizonaArkansasDelawareFloridaGeorgiaHawaiiIndianaIowaKansasKentuckyLouisianaMaineMississippiMissouriNebraskaNorth CarolinaOklahomaOregonSouth CarolinaSouth DakotaTexasUtahWyomingIf you’re in one of these states, your insurer may or may not be transferring accumulators when enrollees switch to a new plan in 2021. If you’ve had can lasix cause low potassium significant out-of-pocket medical spending so far this year, be sure to reach out to your insurer to see how they’re handling this. And if a representative tells you that accumulators will transfer, it’s a good idea to get confirmation in writing.And if your insurer initially says no, keep asking over the coming days and weeks.

We’ve seen some insurers start to offer accumulator transfers after initially stating that they didn’t plan to do so, and it’s possible that other insurers might follow suit.To switch or not to switch?. So what should you do can lasix cause low potassium if you’ve already spent some money out-of-pocket this year, and you’re going to have to start over at $0 on a new plan?. Maybe you’re enrolled in a grandmothered or grandfathered plan and your insurer simply doesn’t offer plans for sale in the marketplace.

Depending on where you live, this might also be the case if you have an ACA-compliant off-exchange can lasix cause low potassium plan, as not all off-exchange insurers sell plans in the exchange. And as noted above, it might also be the case even if you want to transfer from one ACA-compliant plan to another. (But check with both the insurer and the insurance department in your state before giving up on accumulator transfers in that situation.)Really, it just comes down to the math.

Will the amount you’re going to save due to premium tax credit (and possibly cost-sharing reductions, if can lasix cause low potassium you’re eligible for them and switching to a Silver plan) offset the loss you’ll take by having to start over at $0 on your deductible and out-of-pocket exposure?. If you haven’t spent much this year, the answer is probably Yes. If you’ve already met your maximum out-of-pocket for the year, it’s probably can lasix cause low potassium going to be a tougher decision.But don’t assume that it’s not worth your while.

Depending on the circumstances (especially if you were previously impacted by the “subsidy cliff” and are newly eligible for subsidies), your new subsidies might be worth more than you’d be giving up by having to start over with new out-of-pocket costs.And if you’re part of the way toward meeting your deductible on a Bronze plan and are newly eligible for a free or very low-cost Silver plan that includes cost-sharing reductions, you might find that the new plan ultimately saves you money in out-of-pocket costs for the rest of the year, even if your accumulators don’t transfer.Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006. She has written dozens of opinions and educational pieces about the Affordable Care Act for healthinsurance.org. Her state health insurance marketplace updates are regularly cited by media who cover health reform and by other health insurance experts.It’s been a widely held conclusion in the health insurance industry and among health policy types that one of our biggest hurdles lies with the challenge of getting coverage for “young invincibles” – Americans old enough to vote but under 30 can lasix cause low potassium.

That label itself is tied to a widely held perception that – because of their youth – “twenty-somethings” believe they’re healthy enough that they simply won’t need all of the bells and whistles of comprehensive health insurance (any time soon, at least).As an agent and an avid observer of health insurance trends, I know it’s not that simple. Young adults, in many cases, are keenly aware of their need for comprehensive coverage. But – despite various federal and state efforts to make coverage more affordable and accessible (including provisions of the American Rescue Plan) – there are definitely barriers making it difficult for young adults to enter the individual health can lasix cause low potassium insurance market.Last week, I spoke with Carolyn Kettig, a young woman who’s determined to get coverage but facing barriers that many young Americans face.

Carolyn Kettig is a professional actor in New York, and has thus far maintained health coverage under her mother’s policy. But that will end this summer, can lasix cause low potassium when Carolyn turns 26. She shares her story with me here, and I’ve added my own commentary wherever it might help readers in similar situations understand their coverage options.Before we begin, it’s worth noting that because Carolyn lives in New York, she has access to a Basic Health Program.

New York and Minnesota are the only states that offer these programs, and they’re an excellent coverage option for people who are eligible to enroll. But if you’re not in New York or Minnesota, you’ve still got plenty of options.That’s particularly true now that the American Rescue Plan has been enacted, making premium subsidies larger and more widely available can lasix cause low potassium. For many young people, the American Rescue Plan makes robust coverage much more affordable than it used to be.

(Previously, it was common for young people to feel like their only truly affordable health coverage option was a plan with a deductible that may have felt impossibly high).Louise. What’s your current insurance situation and can lasix cause low potassium how is it changing this year?. What are your options for coverage?.

Carolyn. I’m lucky enough to currently be covered by my mother’s health insurance. She has a very generous insurance plan and I’ve been privileged to, thus far, be fully covered.

Unfortunately, because I’m turning 26, I’ll be losing coverage this spring.As a professional actor, my early twenties were filled with countless side jobs that supported me as I sought acting work in New York City. None of these jobs ever came with healthcare benefits, which at the time was okay as I was covered by my mother’s plan. Three years ago, when I landed my first big theater job, I had the opportunity to join the actor’s union, which among many other wonderful things, provides working actors with comprehensive, affordable health insurance.The only catch, and it’s a fairly large one, is that an actor must work a certain number of weeks in order to qualify.

Even without a lasix, finding steady work in the theater is difficult. Factor in a lasix that shutters theaters for over a year and causes the union to hemorrhage money … needless to say, healthcare coverage in my industry has become a near impossibility.I’m hopeful that live entertainment will return in a vaccinated world, but until then, I’m doing my best to make enough money to pay my bills. I’m grateful to be employed part-time as a program director for a teen program.

My job has kept me afloat during this devastating time, but, unfortunately, does not come with healthcare benefits. I make very little money and live paycheck to paycheck, which leaves me relatively few options when it comes to insurance. I will most likely go with New York State’s Essential Plan, which is the best option for low-income people who make too much money to qualify for Medicaid.Louise.

The Essential Plan is New York’s Basic Health Program (BHP), which is available to people earning up to 200% of the poverty level. (For a single person in 2021, that amounts to $25,760.) The Affordable Care Act allowed for the creation of BHPs, but New York and Minnesota are the only states that have opted to establish them.The Essential Plan provides robust health coverage with no monthly premium, and it has much lower cost-sharing than we typically see in the individual/family health insurance market. The Essential Plan is also being enhanced as of June 2021.

Previously, some enrollees had to pay $20/month, and there was an extra premium for dental and vision coverage. Dental and vision are now included at no cost.Louise. How much is the need for coverage weighing on you and other people your age?.

Carolyn. I’ve lost sleep over this!. It weighs on me heavily.

Having grown up in New York, I have a long history with some of my doctors, most of whom will not accept my new insurance plan. This means that I will either be forced to find new doctors or pay hundreds of dollars out of pocket for routine check-ups.I’m also aware that, even with insurance coverage, an unexpected hospital stay could cost me thousands of dollars. It makes me enraged to know that, in an emergency situation, I would avoid going to the hospital because of the cost.Louise.

The Essential Plan provides much more robust coverage than people may be used to seeing elsewhere. There is no deductible, emergency room visits cost $75, and inpatient hospital stays are only $150 per admission – and these fees are waived altogether for enrollees with income up to 150% of the poverty level, or a little more than $19,000 for a single person. This is better coverage than most people have even with higher-end employer-sponsored plans.Carolyn.

I know that I’m not alone in this. Especially since my generation is now living through a global health crisis, I think my peers are more aware than ever before of how broken our healthcare system really is. Moreover, as a white, cisgendered woman from a middle-class background, I’m cognizant of the privilege my identities afford me and deeply disturbed by the ways in which our healthcare system disregards and harms BIPOC, low-income families, LGBTQIA+ youth, and undocumented workers (many of whom are essential workers and yet have little access to healthcare coverage) among many others.

Alongside the climate crisis and the fight for racial equality, I believe that healthcare reform will dominate the American political landscape for the next few decades.Louise. I agree that our healthcare system is in need of extensive reform. The American Rescue Plan, enacted just last month, is the first major change we’ve seen since the Affordable Care Act was signed into law 11 years ago.

It includes some substantial improvements designed to make health coverage more affordable and accessible.But these improvements are temporary unless Congress takes additional action to make them permanent. And there are other issues, such as the ACA’s family glitch, and the Medicaid coverage gap that exists in the dozen states that have refused to expand Medicaid, that haven’t yet been fixed. Fortunately, lawmakers in Congress are continuing to push forward on these issues, and voters can reach out to their elected officials to express their opinions.Louise.

What do you see as challenges in this situation?. Carolyn. I’ve mentioned many challenges already, but I think chief among them is simply how confusing and difficult it is to make informed choices.

Reading about insurance options requires learning an entirely new language and navigating nearly impenetrable websites.Louise. For folks who are confused by the terminology and concepts that go along with health insurance, our glossary is a great resource. We’ve incorporated plenty of details, since that’s where the nuances always are.

And we’ve focused on explaining things using plain language that’s easy to understand.Help from the American Rescue PlanLouise. Are you aware of the changes that the American Rescue Plan has made?. Do you think it will make it easier for you to access coverage?.

Carolyn. I’ve read a bit about the changes made by the American Rescue Plan and am thrilled that this administration is attempting to expand access to healthcare (even though I’d love to see more substantial reform). I don’t think that I will be impacted directly by the bill because I already live in a state that offers an affordable plan for people in my income bracket.Louise.

If you lived in another state, the American Rescue Plan would make your coverage more affordable. But you’re correct. Assuming your 2021 income doesn’t exceed 200% of the poverty level (about $25,760), you’ll be eligible for either The Essential Plan or Medicaid in New York, both of which are already robust coverage with no monthly premiums.But for others in a similar situation who live elsewhere, the American Rescue Plan implements a variety of improvements that make it easier for young people to transition to their own coverage.

Among other provisions, the American Rescue Plan. Louise. What do you expect to happen with your coverage this summer?.

Do you have a good idea of the plan you’ll be on after you transition away from your mom’s coverage, or is it still up in the air?. Carolyn. Fortunately, through The Actors Fund, I have access to a professional who will guide me through the process of finding a plan, although I’m fairly certain I will end up on the Essential Plan.I’ve been told to begin the process a couple months before I lose coverage, so that’s coming up very soon!.

I also have many friends who are in a similar situation or have already gone through the process, so I expect I’ll be texting them a whole lot. Even though I’m anxious about navigating the system on my own for the first time, I feel well supported as I approach this transition.Louise. As you’re going through this insurance transition, what do you feel are the most important things for other people your age to keep in mind?.

Carolyn. I think it’s important to do your research, seek out trusted professionals or peers to guide you, and ask a lot of questions. The system is designed to be confusing and ultimately benefit insurance companies, so I believe the more questions you ask, the better positioned you’ll be to advocate for yourself.

Get acquainted with the vocabulary and make sure you know the basic terms (i.e. Premium, deductible, out of pocket maximum, in-network, enrollment period). And if you’re uninsured for a period of time, know that you can find sliding scale clinics, sliding scale hospital services, and assistance paying for prescription drugs.

Your health, both physical and mental, is of utmost importance!. Louise. The advice to seek out assistance and ask lots of questions is spot-on.

There are no silly questions, and any question you might have about health insurance is certainly shared by plenty of other people.Thanks to the American Rescue Plan, there has never been a better time to be transitioning to your own health insurance policy. And even if you’re not experiencing a qualifying event (such as aging off of a parent’s health insurance policy), there’s a hypertension medications-related enrollment window that runs through August 15 in most states, giving people an opportunity to enroll and take advantage of the newly enhanced premium subsidies.And in every community, there are navigators, enrollment counselors, and health insurance brokers who can help you pick a plan and answer any questions you might have. We also have an extensive collection of FAQs, including several that are specific to young adults.Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006.

She has written dozens of opinions and educational pieces about the Affordable Care Act for healthinsurance.org. Her state health exchange updates are regularly cited by media who cover health reform and by other health insurance experts..

For millions of Americans who don’t have access to employer-sponsored or government-run health insurance, the American Rescue Plan (ARP) does a lot to make health coverage more affordable this year cost for lasix. Premium subsidies are larger, and more people will qualify for premium-free plans, including anyone receiving unemployment compensation at any point in 2021.If you’re currently uninsured or enrolled in something like a short-term plan or health care sharing ministry plan and you’ve become eligible for premium subsidies as a result of the ARP, it’s likely an obvious choice to enroll in a plan through the marketplace in your state as soon as possible. And there’s a hypertension medications/ARP enrollment window that continues through August 15 in most states, making it easy to enroll in a new plan and take advantage of the new subsidies.But cost for lasix if you’re already enrolled in an ACA-compliant plan, or even a grandmothered or grandfathered major medical plan, you’ll have to decide whether you want to make a plan change during the hypertension medications/ARP enrollment window. And depending on the circumstances, it might not be an easy decision.Are out-of-pocket costs you’ve paid making you think twice?.

Unlike plan changes made during open enrollment, plan changes made during the hypertension medications/ARP enrollment window will take effect mid-year. And for people who have already paid some or all of their deductible and out-of-pocket costs this year, that adds an extra layer of complication to cost for lasix the switch-or-not decision.Use our updated subsidy calculator to estimate how much you can save on your 2021 health insurance premiums.Normally, the general rule of thumb is that if you switch to a new plan mid-year, you’re going to be starting over at $0 on the new plan’s deductible and out-of-pocket expenses. (These are called accumulators, since it’s a running total of the expenses you’ve accumulated toward your out-of-pocket maximum). For someone whose accumulators have already amounted to cost for lasix a sizable sum of money this year, having to start over at $0 in the middle of the year could be a deal-breaker.Are ARP’s higher subsidies worth it?.

But 2021 is not a normal year. The ARP has made significant changes to subsidy amounts and eligibility, and a lot of people will find that switching plans enables them to best take advantage of the enhanced subsidies. For example:A person who previously enrolled off-exchange in order to take advantage of the “Silver switch” approach to cost-sharing reduction funding, and who is now eligible for a premium subsidy in the exchange.A person who enrolled in a Bronze plan during open enrollment but is now eligible for a $0 premium or low-premium Silver or Gold plan (depending on location) due to income or unemployment compensation.A person who was eligible for cost-sharing reductions but selected a Bronze or Gold plan during open enrollment cost for lasix because the Silver plans were too expensive, but who can now afford the Silver plan due to the extra subsidies (cost-sharing reductions are only available on Silver plans)If you switch plans, will you have to start over at zero?. The good news is that many states, state-run marketplaces, and insurers have taken action to ensure that accumulators will transfer to a new plan.

(In virtually all cases, this does have to be a new plan with the same insurer — if you switch to a different insurance company, you’ll almost certainly have to start over at $0 on your accumulators.)HealthCare.gov is the exchange/marketplace that’s used in 36 states. Its official position is that “any consumer who selects a new plan may have their accumulators, such as deductibles, reset to zero.” But cost for lasix insurance commissioners in some of those states have stepped in to require insurers to transfer accumulators, and in other states, all of the insurers have voluntarily agreed to do so. Washington, DC, and 14 states have state-run marketplaces, and several of them have announced that insurers will transfer accumulators.Which states are helping with accumulators?. We’ve combed through communications from state-run marketplaces and state cost for lasix insurance commissioners to see which ones have issued guidance on this.

But regardless of where you live, your best bet is to reach out to your insurance company before you make a plan change. Find out exactly how they’re handling accumulators during this enrollment window, and if they are transferring accumulators to new plans, make sure that you adhere to whatever requirements they may have in place.That said, here’s what we found in terms of how states and state-run marketplaces are addressing accumulators and mid-year plan changes in 2021.States where all accumulators will transfer as long as your old and new plans are offered by the same insurance companyColoradoDistrict of Columbia – The marketplace has confirmed that all accumulators will transfer.Idaho – Idaho only allowed people to switch to a plan offered by their current insurer, unless they had a qualifying event. Note that Idaho’s hypertension medications/ARP enrollment window ended April 30, which is much earlier than the rest of the country.Maryland – Plan changes are limited to upgrades, but cost for lasix the marketplace confirmed that accumulators will transfer.Michigan – Deductibles will transfer, although some insurers will only allow this if you’re upgrading your plan. (Two insurers are allowing deductible transfers even if you’re switching from a different insurer’s plan.)Minnesota – Minnesota is currently not allowing marketplace enrollees to switch plans during the hypertension medications/ARP enrollment window, although this may change within the next several weeks.

So for now, the accumulator transfers only apply to people switching from an off-exchange cost for lasix plan to an on-exchange plan. All four of the insurers that offer both on-exchange and off-exchange plans have agreed to transfer accumulators to the on-exchange plans.New MexicoNew YorkTennesseeVermont – Like Minnesota, Vermont is currently only allowing people to switch from off-exchange (full-cost individual direct enrollment) to on-exchange plans. Accumulators will transfer for those plan changes.West Virginia — The WV Office of the Insurance Commissioner confirmed that both insurers are transferring accumulators, with the exception of a transfer between an HSA-qualified plan and a non-HSA-qualified plan (mainly due to IRS regulations for how HSA-qualified plans must handle out-of-pocket costs).Wisconsin – Covering Wisconsin, a nonprofit enrollment assistance organization, notes that accumulators will not transfer if people select a plan from a different insurer, which is to be expected.In some states, rules are slightly more complicatedAlaska – Deductibles will reset to $0 if a policyholder is switching from off-exchange to on-exchange (or vice-versa), but will not reset if the move is from one exchange plan to another, with the same insurer.California – The marketplace has confirmed that insurers will transfer accumulators for plan holders switching from an off-exchange plan to an on-exchange plan or from one exchange plan to another, as long as they stay with the same insurance company and the same type of managed care plan (ie, HMO to HMO, or PPO to PPO).New Jersey – Deductibles will transfer, possibly even to a new insurer (which is fairly unique. We aren’t cost for lasix aware of this elsewhere, other than the two Michigan insurers that are offering it).

But additional out-of-pocket spending will not transfer to the new plan.States where the official word is that ‘it depends’Several states have addressed accumulator transfers so that consumers know to be aware of them, but are leaving the decision up to the insurers. In these states (listed below), some or all of the insurers may be offering accumulator transfers, but consumers should definitely ask their insurer how this will work before making the decision to switch plans.ConnecticutMassachusettsNevadaNew HampshireOhioMontanaNorth Dakota — the ND Insurance Department is recommending that consumers reach out to their insurance company to see how this is being handled.PennsylvaniaRhode Island – There are two insurers that offer plans in Rhode Island’s marketplace. One has agreed to transfer accumulators and one has not, but the marketplace is cost for lasix still working to address this and it’s possible both insurers could end up allowing accumulators to transfer.WashingtonStates where the official word is that accumulators will not transferSome states have fairly clearly indicated that insurers will not transfer accumulators if policyholders make a plan change. But even in these states, it’s still worth checking with a specific insurer to see what approach they’re taking, as some are still developing their approach during this unique time.

What if cost for lasix my state’s not listed?. Insurance departments in the rest of the states haven’t put out any official guidance or bulletins regarding accumulator transfers, although these may still be forthcoming as the hypertension medications/ARP window progresses. Keep in mind that it will be July in most states before the ARP’s benefits are available for people receiving unemployment compensation in 2021, so this is still very much a work in progress and likely to evolve over time.States that have not yet issued specific guidance or clarified insurers positions on accumulator transfers include:AlabamaArizonaArkansasDelawareFloridaGeorgiaHawaiiIndianaIowaKansasKentuckyLouisianaMaineMississippiMissouriNebraskaNorth CarolinaOklahomaOregonSouth CarolinaSouth DakotaTexasUtahWyomingIf you’re in one of these states, your insurer may or may not be transferring accumulators when enrollees switch to a new plan in 2021. If you’ve had significant out-of-pocket medical spending so far this year, be sure cost for lasix to reach out to your insurer to see how they’re handling this.

And if a representative tells you that accumulators will transfer, it’s a good idea to get confirmation in writing.And if your insurer initially says no, keep asking over the coming days and weeks. We’ve seen some insurers start to offer accumulator transfers after initially stating that they didn’t plan to do so, and it’s possible that other insurers might follow suit.To switch or not to switch?. So what should you do if you’ve already spent some money out-of-pocket this year, cost for lasix and you’re going to have to start over at $0 on a new plan?. Maybe you’re enrolled in a grandmothered or grandfathered plan and your insurer simply doesn’t offer plans for sale in the marketplace.

Depending on where you live, this might also be the case cost for lasix if you have an ACA-compliant off-exchange plan, as not all off-exchange insurers sell plans in the exchange. And as noted above, it might also be the case even if you want to transfer from one ACA-compliant plan to another. (But check with both the insurer and the insurance department in your state before giving up on accumulator transfers in that situation.)Really, it just comes down to the math. Will the amount you’re going to save due to premium tax credit (and possibly cost-sharing reductions, if cost for lasix you’re eligible for them and switching to a Silver plan) offset the loss you’ll take by having to start over at $0 on your deductible and out-of-pocket exposure?.

If you haven’t spent much this year, the answer is probably Yes. If you’ve already met your maximum out-of-pocket for the year, it’s probably going cost for lasix to be a tougher decision.But don’t assume that it’s not worth your while. Depending on the circumstances (especially if you were previously impacted by the “subsidy cliff” and are newly eligible for subsidies), your new subsidies might be worth more than you’d be giving up by having to start over with new out-of-pocket costs.And if you’re part of the way toward meeting your deductible on a Bronze plan and are newly eligible for a free or very low-cost Silver plan that includes cost-sharing reductions, you might find that the new plan ultimately saves you money in out-of-pocket costs for the rest of the year, even if your accumulators don’t transfer.Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006. She has written dozens of opinions and educational pieces about the Affordable Care Act for healthinsurance.org.

Her state health insurance marketplace updates are regularly cited by media who cover health reform and by other health insurance experts.It’s been a widely held conclusion in the health insurance industry and among health policy types that one of our biggest hurdles lies with the challenge of getting coverage for “young invincibles” – Americans old enough to vote but under 30 cost for lasix. That label itself is tied to a widely held perception that – because of their youth – “twenty-somethings” believe they’re healthy enough that they simply won’t need all of the bells and whistles of comprehensive health insurance (any time soon, at least).As an agent and an avid observer of health insurance trends, I know it’s not that simple. Young adults, in many cases, are keenly aware of their need for comprehensive coverage. But – despite various federal and state efforts to make coverage more affordable and accessible (including provisions of the American Rescue Plan) – there are definitely barriers making it difficult for young adults to enter the individual health insurance market.Last week, I spoke cost for lasix with Carolyn Kettig, a young woman who’s determined to get coverage but facing barriers that many young Americans face.

Carolyn Kettig is a professional actor in New York, and has thus far maintained health coverage under her mother’s policy. But that will end cost for lasix this summer, when Carolyn turns 26. She shares her story with me here, and I’ve added my own commentary wherever it might help readers in similar situations understand their coverage options.Before we begin, it’s worth noting that because Carolyn lives in New York, she has access to a Basic Health Program. New York and Minnesota are the only states that offer these programs, and they’re an excellent coverage option for people who are eligible to enroll.

But if you’re not in New York or Minnesota, you’ve still got plenty of cost for lasix options.That’s particularly true now that the American Rescue Plan has been enacted, making premium subsidies larger and more widely available. For many young people, the American Rescue Plan makes robust coverage much more affordable than it used to be. (Previously, it was common for young people to feel like their only truly affordable health coverage option was a plan with a deductible that may have felt impossibly high).Louise. What’s your current insurance situation and how is cost for lasix it changing this year?.

What are your options for coverage?. Carolyn. I’m lucky enough to currently be covered by my mother’s health insurance. She has a very generous insurance plan and I’ve been privileged to, thus far, be fully covered.

Unfortunately, because I’m turning 26, I’ll be losing coverage this spring.As a professional actor, my early twenties were filled with countless side jobs that supported me as I sought acting work in New York City. None of these jobs ever came with healthcare benefits, which at the time was okay as I was covered by my mother’s plan. Three years ago, when I landed my first big theater job, I had the opportunity to join the actor’s union, which among many other wonderful things, provides working actors with comprehensive, affordable health insurance.The only catch, and it’s a fairly large one, is that an actor must work a certain number of weeks in order to qualify. Even without a lasix, finding steady work in the theater is difficult.

Factor in a lasix that shutters theaters for over a year and causes the union to hemorrhage money … needless to say, healthcare coverage in my industry has become a near impossibility.I’m hopeful that live entertainment will return in a vaccinated world, but until then, I’m doing my best to make enough money to pay my bills. I’m grateful to be employed part-time as a program director for a teen program. My job has kept me afloat during this devastating time, but, unfortunately, does not come with healthcare benefits. I make very little money and live paycheck to paycheck, which leaves me relatively few options when it comes to insurance.

I will most likely go with New York State’s Essential Plan, which is the best option for low-income people who make too much money to qualify for Medicaid.Louise. The Essential Plan is New York’s Basic Health Program (BHP), which is available to people earning up to 200% of the poverty level. (For a single person in 2021, that amounts to $25,760.) The Affordable Care Act allowed for the creation of BHPs, but New York and Minnesota are the only states that have opted to establish them.The Essential Plan provides robust health coverage with no monthly premium, and it has much lower cost-sharing than we typically see in the individual/family health insurance market. The Essential Plan is also being enhanced as of June 2021.

Previously, some enrollees had to pay $20/month, and there was an extra premium for dental and vision coverage. Dental and vision are now included at no cost.Louise. How much is the need for coverage weighing on you and other people your age?. Carolyn.

I’ve lost sleep over this!. It weighs on me heavily. Having grown up in New York, I have a long history with some of my doctors, most of whom will not accept my new insurance plan. This means that I will either be forced to find new doctors or pay hundreds of dollars out of pocket for routine check-ups.I’m also aware that, even with insurance coverage, an unexpected hospital stay could cost me thousands of dollars.

It makes me enraged to know that, in an emergency situation, I would avoid going to the hospital because of the cost.Louise. The Essential Plan provides much more robust coverage than people may be used to seeing elsewhere. There is no deductible, emergency room visits cost $75, and inpatient hospital stays are only $150 per admission – and these fees are waived altogether for enrollees with income up to 150% of the poverty level, or a little more than $19,000 for a single person. This is better coverage than most people have even with higher-end employer-sponsored plans.Carolyn.

I know that I’m not alone in this. Especially since my generation is now living through a global health crisis, I think my peers are more aware than ever before of how broken our healthcare system really is. Moreover, as a white, cisgendered woman from a middle-class background, I’m cognizant of the privilege my identities afford me and deeply disturbed by the ways in which our healthcare system disregards and harms BIPOC, low-income families, LGBTQIA+ youth, and undocumented workers (many of whom are essential workers and yet have little access to healthcare coverage) among many others. Alongside the climate crisis and the fight for racial equality, I believe that healthcare reform will dominate the American political landscape for the next few decades.Louise.

I agree that our healthcare system is in need of extensive reform. The American Rescue Plan, enacted just last month, is the first major change we’ve seen since the Affordable Care Act was signed into law 11 years ago. It includes some substantial improvements designed to make health coverage more affordable and accessible.But these improvements are temporary unless Congress takes additional action to make them permanent. And there are other issues, such as the ACA’s family glitch, and the Medicaid coverage gap that exists in the dozen states that have refused to expand Medicaid, that haven’t yet been fixed.

Fortunately, lawmakers in Congress are continuing to push forward on these issues, and voters can reach out to their elected officials to express their opinions.Louise. What do you see as challenges in this situation?. Carolyn. I’ve mentioned many challenges already, but I think chief among them is simply how confusing and difficult it is to make informed choices.

Reading about insurance options requires learning an entirely new language and navigating nearly impenetrable websites.Louise. For folks who are confused by the terminology and concepts that go along with health insurance, our glossary is a great resource. We’ve incorporated plenty of details, since that’s where the nuances always are. And we’ve focused on explaining things using plain language that’s easy to understand.Help from the American Rescue PlanLouise.

Are you aware of the changes that the American Rescue Plan has made?. Do you think it will make it easier for you to access coverage?. Carolyn. I’ve read a bit about the changes made by the American Rescue Plan and am thrilled that this administration is attempting to expand access to healthcare (even though I’d love to see more substantial reform).

I don’t think that I will be impacted directly by the bill because I already live in a state that offers an affordable plan for people in my income bracket.Louise. If you lived in another state, the American Rescue Plan would make your coverage more affordable. But you’re correct. Assuming your 2021 income doesn’t exceed 200% of the poverty level (about $25,760), you’ll be eligible for either The Essential Plan or Medicaid in New York, both of which are already robust coverage with no monthly premiums.But for others in a similar situation who live elsewhere, the American Rescue Plan implements a variety of improvements that make it easier for young people to transition to their own coverage.

Among other provisions, the American Rescue Plan. Louise. What do you expect to happen with your coverage this summer?. Do you have a good idea of the plan you’ll be on after you transition away from your mom’s coverage, or is it still up in the air?.

Carolyn. Fortunately, through The Actors Fund, I have access to a professional who will guide me through the process of finding a plan, although I’m fairly certain I will end up on the Essential Plan.I’ve been told to begin the process a couple months before I lose coverage, so that’s coming up very soon!. I also have many friends who are in a similar situation or have already gone through the process, so I expect I’ll be texting them a whole lot. Even though I’m anxious about navigating the system on my own for the first time, I feel well supported as I approach this transition.Louise.

As you’re going through this insurance transition, what do you feel are the most important things for other people your age to keep in mind?. Carolyn. I think it’s important to do your research, seek out trusted professionals or peers to guide you, and ask a lot of questions. The system is designed to be confusing and ultimately benefit insurance companies, so I believe the more questions you ask, the better positioned you’ll be to advocate for yourself.

Get acquainted with the vocabulary and make sure you know the basic terms (i.e. Premium, deductible, out of pocket maximum, in-network, enrollment period). And if you’re uninsured for a period of time, know that you can find sliding scale clinics, sliding scale hospital services, and assistance paying for prescription drugs. Your health, both physical and mental, is of utmost importance!.

Louise. The advice to seek out assistance and ask lots of questions is spot-on. There are no silly questions, and any question you might have about health insurance is certainly shared by plenty of other people.Thanks to the American Rescue Plan, there has never been a better time to be transitioning to your own health insurance policy. And even if you’re not experiencing a qualifying event (such as aging off of a parent’s health insurance policy), there’s a hypertension medications-related enrollment window that runs through August 15 in most states, giving people an opportunity to enroll and take advantage of the newly enhanced premium subsidies.And in every community, there are navigators, enrollment counselors, and health insurance brokers who can help you pick a plan and answer any questions you might have.

We also have an extensive collection of FAQs, including several that are specific to young adults.Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006. She has written dozens of opinions and educational pieces about the Affordable Care Act for healthinsurance.org. Her state health exchange updates are regularly cited by media who cover health reform and by other health insurance experts..

Lasix 40mg substitute

Mixing hypertension medications treatments is emerging as a good way to get people the protection they need when faced with safety how much does lasix cost concerns and unpredictable supplies lasix 40mg substitute. Most treatments against hypertension must be given in two doses, but multiple studies now back up the idea that mixing the Oxford–AstraZeneca jab and the Pfizer–BioNTech treatment triggers an immune response similar to — or even stronger than — two doses of either treatment. Results announced on Monday 1 by a UK group suggest that the combination sometimes lasix 40mg substitute outperforms two shots of the same treatment, and a similar picture is emerging from German studies. People can now “feel a bit more comfortable” with the idea of mix-and-match, says immunologist Leif Erik Sander at Charité University Hospital in Berlin.

The results are also giving researchers confidence that combining other hypertension medications treatments, that haven’t yet been tested together, might also work. But at least 16 treatments have been approved for use in one or more countries, and mix-and-match studies so far have been small, so more extensive trials and long-term monitoring lasix 40mg substitute for side effects are sorely needed. Immune system boost Mix-and-match studies were prompted, in large part, by concerns over the safety of the treatment developed by the University of Oxford and pharmaceutical company AstraZeneca in Cambridge, both in the United Kingdom. The jab has been associated with rare instances of a blood-clotting condition known as thrombosis with thrombocytopaenia — and in March, some European countries decided to halt its use in some groups of people.

This left many people partially vaccinated, unless they switched to a different brand for lasix 40mg substitute their second dose. In May, researchers at the Carlos III Health Institute in Madrid announced results from the CombiVacS trial. The study found a strong immune response in people who were dosed with the treatment developed by pharmaceutical company Pfizer, based in New York City, and biotechnology firm BioNTech in Mainz, Germany, 8–12 lasix 40mg substitute weeks after receiving a dose of the Oxford–AstraZeneca treatment. A health worker prepares a vial of Chinese Sinovac treatment against hypertension medications hypertension disease inside a movie theatre turned into a vaccination centre in Taguig City suburban Manila on June 14, 2021.

Credit. Ted Algibe Getty Images There was no head-to-head comparison with people who received two doses lasix 40mg substitute of the same treatment, but the authors found that in laboratory tests, those who received the combination produced 37 times more hypertension neutralizing antibodies and 4 times more hypertension-specific immune cells, called T cells, than did people who had just one dose of the Oxford–AstraZeneca jab. By the end of June, more results had emerged showing a similar effect. Sander and his colleagues looked at 340 health-care workers who had received either two doses of the Pfizer–BioNTech treatment, or an initial shot of the Oxford–AstraZeneca treatment followed by a dose of Pfizer–BioNTech.

Both regimens lasix 40mg substitute triggered an immune response that included neutralizing antibodies and T cells. A third study, by researchers at Saarland University in Homburg, Germany, found that the mixed regimen was better at eliciting an immune responses than were two Oxford–AstraZeneca shots. It was also as good as or lasix 40mg substitute better than two shots of Pfizer–BioNTech. And on 25 June, the team behind the UK trial — known as the Com-COV study — posted a preprint online showing that a good immune response resulted irrespective of the order in which the two treatments were given.

However, the trials so far have been too small to test how effective combinations of treatments are at preventing people from developing hypertension medications. €œAs long as you don’t have any long-term or any follow-up studies with efficacy calculations, it’s hard lasix 40mg substitute to say” the level or duration of protection, says Martina Sester, an immunologist who led the Saarland study. Another limitation of the work so far is that there’s no easy way to compare different combinations between studies. Large-scale efficacy studies are becoming more difficult, says Sester.

That’s because, as rates decrease, the number of people in a lasix 40mg substitute study must increase to detect any difference in rates of and disease. Trials pitting mix-and-match treatment sequences against a placebo control would also be unethical, she adds. That’s one reason why efforts are under way to determine a lasix 40mg substitute ‘correlate of protection’ — a defined level of immune response that confers protection against and disease. €œThis is extremely urgent,” says Sander.

A nuanced picture But a nuanced picture is emerging of the magnitude and types of immune response that mixing treatments produces. And these differences lasix 40mg substitute could be exploited to provide the best protection. The Oxford–AstraZeneca treatment uses a harmless lasix called an adenolasix to carry genetic material from hypertension into cells. treatments using this technology have a good track record of inducing strong T-cell responses, says Sander, whereas treatments using messenger RNA, such as Pfizer’s, have proved “exceptionally good” at inducing high levels of antibodies.

Sester says that high levels of antibodies after the second shot are an indicator that the lasix 40mg substitute combination approach works. €œNeutralizing antibodies are probably a good surrogate for predicting efficacy,” she says, because they help to prevent viral . But T cells, especially ‘killer’ T cells that carry a protein called CD8, protect against severe disease by killing cells lasix 40mg substitute that have already been infected. In the Com-COV study, the highest antibody response was in people receiving the standard two shots of Pfizer–BioNTech, but the response was almost as high in the combination of Oxford–AstraZeneca followed by Pfizer–BioNTech.

This combination also had the best T-cell response — more than twice as high as that from the two Pfizer–BioNTech doses. Mixing an mRNA treatment and lasix 40mg substitute an adenolasix-based one could therefore provide “the best of two worlds”, Sander explains. Sester and her colleagues found subtle differences in T-cell populations depending on the treatments given. She says that understanding these nuances could lead to individualized strategies.

Combinations that provoke good T-cell responses might be better for people who have had organ transplants and are taking medication to suppress their immune systems, for instance, because their bodies will struggle to produce antibodies lasix 40mg substitute. €œThere are many ways of exploiting this knowledge in a strategic way,” she says. Safety concerns remain No mix-and-match trials have yet reported severe side effects lasix 40mg substitute. In the Com-COV study, mixing treatments elicited more side effects than did administering two doses of the same treatment, according to preliminary data released in May.

But this wasn’t the case in the Charité and Saarland studies or CombiVacS, where side effects were no worse than for two shots of the same treatment. That’s probably lasix 40mg substitute due to the interval between doses, says Sester. Com-COV participants discussed in the latest paper received their second shot four weeks after the initial dose, whereas participants in the German studies had at least nine weeks between shots. Some Com-COV participants did receive doses at a longer interval.

Their data are anticipated lasix 40mg substitute in July. Some safety concerns remain, says Sander. €œYou’re combining two different treatments, both of which lasix 40mg substitute might have their own profile of adverse events and effects,” he says, which could amplify any problems. The studies so far have enrolled only a few hundred people.

This means that they are too small to pick up rare events such as the clotting conditions, which according to current estimates occur in around one in 50,000 people after the first Oxford–AstraZeneca treatment dose and in less than 1 in 1.7 million after the second. The condition has also been associated with an adenolasix treatment produced by pharmaceutical company Johnson lasix 40mg substitute &. Johnson in New Brunswick, New Jersey. In small studies, “you do not pick up your one-in-1,000 side effect, let alone your one-in-50,000 side effect”, said Matthew Snape, an Oxford treatment researcher who is leading the Com-COV study, at a press conference on 28 June.

The new lasix 40mg substitute norm?. The lingering possibility of rare side effects is one reason some researchers recommend that people stick to the standard two shots of a single treatment for now. €œTo my mind, you are better defaulting to the ones lasix 40mg substitute where we know that they work and there’s a known quantity when it comes to their safety,” says Snape. But as new variants of hypertension emerge, the results of mix-and-match trials could provide policymakers with the data they need to switch to more protective combinations.

€œIt’s good to have that data in readiness,” says Fiona Russell, a treatment researcher at the Murdoch Children’s Research Institute in Melbourne, Australia. Mix-and-match treatments could also be used to prevent roll-outs stalling lasix 40mg substitute because of supply issues. €œIf there’s a global shortage of one particular treatment, then rather than stopping the vaccination programme, it can continue,” says Russell. €œIf it’s an option of either getting a mixed schedule or no second dose, then certainly go for the mixed schedule,” says Snape.

The Com-COV study has already begun testing other treatments in people who have received an initial Oxford-AstraZeneca lasix 40mg substitute or Pfizer–BioNTech shot. One combination includes the yet-to-be-approved protein-based treatment developed by the pharmaceutical company Novavax in Gaithersburg, Maryland. Another uses the mRNA treatment from Moderna in Cambridge, lasix 40mg substitute Massachusetts, which has been approved for use in several countries. In the Philippines, a study combining the inactivated-lasix treatment CoronaVac, developed by the company Sinovac in Beijing, with the six other treatments approved in the country will run until November 2022.

And a study by AstraZeneca and the Gamaleya Research Institute in Moscow will test combinations of the Oxford–AstraZeneca jab and Gamaleya’s adenolasix-based Sputnik V shot. This article is reproduced with permission and was first published on July 1 2021.Cities on the Great Lakes lasix 40mg substitute and St. Lawrence River will face nearly $2 billion in damages from climate change through 2025, according to a new survey of municipalities in the basin.That's on top of nearly $880 million spent since 2019 as the world's largest freshwater system experiences more extreme weather events, unpredictable swings in lake levels, and changes in precipitation and evaporation rates, officials said."High water levels, paired with severe storm events and wave action, are leading to greater erosion and flooding that threaten public and private properties, critical infrastructure, and recreation and tourism amenities in shoreline communities," said Walter Sendzik, chair of the Great Lakes and St. Lawrence Cities Initiative and mayor of St.

Catharines, Ontario.The survey of 241 municipalities — from large cities to villages — found that 99% of responding communities witnessed consistent or rising interest in coastal zone issues, while more than 8 in 10 respondents said water level and flooding forecasts are "very important to their jurisdiction's work on coastal planning."Yet only 27% of respondents said their municipalities have staff that are "highly knowledgeable" of coastal issues, and only 11% reported having high capacity to respond to such issues.While the Great Lakes have always seen rising and falling water levels, usually over decadal cycles, and are famously stormy, experts say conditions are becoming more variable and that past events and conditions do not necessarily inform the lakes' future (Greenwire, March 21, 2019).In July 2019, for example, water levels on Lake Michigan soared to nearly 3 feet above mean summer levels, causing lasix 40mg substitute severe erosion on the lake's eastern shore where homes sit perilously close to the water's edge (Climatewire, Aug. 22, 2019).Big cities like Chicago and Milwaukee also have seen infrastructure damage from high water, wave action and seasonal storms (Climatewire, Nov. 26, 2019) lasix 40mg substitute. Lake Erie faces perennial risk from toxic algae blooms, a problem linked to agricultural runoff and warmer water temperatures (Climatewire, Nov.

1, 2019).Don Wuebbles, professor of atmospheric science at the University of Illinois and a nationally recognized expert on the Great Lakes, said climate change will affect shoreline communities in various ways, most notably rising and falling lake levels due to changes in precipitation and evaporation."What sounds like global warming is not just a trivial increase in temperature, it really is about extreme events," he said.The Great Lakes cities initiative, along with other regional organizations, say funding from federal, state and local governments — in both the United States and Canada — will be essential to help communities adapt to changing conditions.The Biden administration's $1.2 trillion infrastructure package, currently before Congress, could provide critical funding for adaptation and resilience projects, officials said. "Our coastal infrastructure is vital to the lasix 40mg substitute economic and recreational health of our communities, and coordinated action is required," Milwaukee Mayor Tom Barrett (D) said in a statement.Reprinted from E&E News with permission from POLITICO, LLC. Copyright 2021.E&E News provides essential news for energy and environment professionals.How do cicadas make such loud noises?. Many of us were asking this question over the past weeks in the cacophonous buzz of cicadas that emerged by the millions in May and June in Maryland, Virginia and other states.

What most people don’t realize, however, is that in asking this lasix 40mg substitute question we are following in the footsteps of one of the greatest scientists of all time. The scientist was Galileo Galilei, and his question about cicada sounds played a key role in his dealings with the Catholic Church—especially in his attempts to win the good graces of the Pope. More importantly, lasix 40mg substitute the results of this cicada episode challenge commonly held beliefs about science and religion. In 1623, right before the publication of one of Galileo’s most important books (The Assayer), his good friend, Cardinal Maffeo Barberini, was elected Pope.

Galileo immediately halted the printing process in Rome in order to dedicate it to him instead of the Medici family, to whom he had dedicated his previous book. Cardinal Barberini was a lavish sponsor of lasix 40mg substitute the arts and sciences, and, as Pope, he gathered under his wing some of the best artists and painters. Galileo was fully aware of this since he had previously been the object of Cardinal Barberini’s praises. Now, he also wanted to benefit from Barberini’s promotion to the top of the church’s hierarchy.

In Galileo’s words, this was "a marvelous conjuncture," because he lasix 40mg substitute could have his conviction that the Earth moved around the sun, and not the other way around, approved by the Pope himself. Or so he thought. In this book, Galileo wrote one of the most lasix 40mg substitute famous quotes in the history of science. That “the book of nature is written in the language of mathematics.” Yet, the excerpt that the Pope liked the most was not about mathematics, but about cicadas.

In a brilliant display of literary skills, Galileo carefully planned the book to culminate with a story about cicadas that became known in the Vatican as “the fable of sound.” Galileo spoke of a man “endowed by nature with extraordinary curiosity” who once at night heard “a delicate song” outside his house. He went out and discovered how different birds and insects produced these lasix 40mg substitute sounds, until he found a cicada. Unlike with the other animals, the man could not find an obvious explanation for the cicada’s “strident noise.” He dissected the insect with a needle but ended up sinking the needle too deep and killing the cicada without learning the answer. The moral of the story for Galileo was that some natural phenomena have explanations we haven’t yet learned.

Credit. Alamy This cicada story was usually a high point of lasix prices walmart the class that I used to teach at Johns Hopkins University on the Galileo affair. But what attracted my students the most was the fact that the Pope liked the fable so much that he had it read to him at meals. The students were fascinated by the fact that the Pope, the most powerful man in the Catholic Church, actually admired Galileo and his science.

Why then, they ask, did this same Pope end up condemning Galileo for his theory that the Earth orbited the sun?. The problem was that the Pope read the fable of the cicada in a different way. For Galileo the metaphor opened the path for him to argue in favor of the motion of the Earth. But the Pope read it as showing that it’s impossible to know the real causes of things.

When Galileo later ridiculed this idea in public, the Pope was offended. For this (and other reasons), the Pope condemned Galileo, creating an unfounded conflict between science and religion that endures to this day. Today we know that cicadas sing with internal membranes called tymbals and that the Earth does orbit the sun, as Galileo claimed. But there are still things we don’t know.

Unlike the Brood X cicadas whose emergence recently ended, the insects Galileo wrote about came out every year. But scientists still debate why this particular brood of North American cicadas only emerges every 17 years, which, intriguingly, is a prime number. Just as in Galileo’s time, cicadas continue to help us think more about the limits and possibilities of modern science. This is an opinion and analysis article.

The views expressed by the author or authors are not necessarily those of Scientific American.Narwhal tusks record decades of environmental information and clearly show a changing Arctic, researchers reported in Current Biology. Every year the spiraling tusks grow another layer, incorporating variants of carbon and nitrogen called isotopes and some of the mercury a narwhal consumes. The researchers bought 10 tusks from Inuit subsistence hunters in northwestern Greenland and found that the objects contained nearly 50 years' worth of information. Having access to such a long stretch of data “was just an amazing step forward in our understanding of the factors that affect things like diet and mercury [levels],” says lead author and McGill University marine biologist Jean-Pierre Desforges.

The researchers sliced open the whale tusks (which are actually teeth, made of dentine), ground parts of them into powder and analyzed the samples' isotope content. The results indicate where and what a narwhal might have eaten, as well as its exposure to mercury—a potent toxin whose accumulation affects animals' immune and reproductive systems. From the 1960s to the 1990s, when sea ice covered much of the narwhals' habitat, carbon and nitrogen isotopes suggest that the animals ate fish high on the food chain that swam near ice or near the seafloor, such as halibut. When sea-ice coverage plummeted after 1990, the carbon isotope profile began to change.

It indicated a diet of fish from an ice-free ocean, including polar cod and capelin, species that are a few links lower on the chain and so typically contain less mercury. Yet the narwhals still ingested more of the toxic metal. The researchers say this could possibly result from climate change or increasing emissions, or a combination of the two. Changing food sources affect narwhals' pollution exposure and access to nutrients, which could eventually alter population levels.

More broadly, the research demonstrates narwhal tusks' potential for tracking how the region and its organisms react to climate change, says University of Manitoba marine biologist Cortney Watt, who studies the whales but was not involved in the new research. €œI think they are a good sentinel for what's really being laid down in the environment,” she says. €œThey're a good archive of history—and what's happening in the Arctic.”A little before sunrise on July 4, A.D. 1054, imperial astronomers of the Song Dynasty in China spotted an unknown star lighting up the eastern sky.

€œIt’s as bright as Venus, with pointed rays in all four directions and a reddish-white color,” they wrote in notes delivered to the emperor. The glow, which remained visible to the naked eye during the day for almost a month, was from an explosion caused by the spectacular death of a star located 6,500 light-years away in the constellation of Taurus. Its relics are known today as the Crab Nebula, one of the most beautiful and well-studied objects in the sky. Scientists have long known the Crab Nebula as a very energetic astrophysical object beaming off radiation ranging from radio waves to gamma rays.

But recently, scientists discovered it is even more energetic than they thought. Using an array of state-of-the-art detectors on the eastern edges of the Tibetan Plateau, a team reported in Science this week that it had detected light particles with energies up to more than a quadrillion electron volts (1 PeV) from the famous supernova remnant, indicating that it is so energetic that it poses potential challenges to classical theories of physics. The Cosmic Accelerator Sitting 4,410 meters above sea level on the beautiful Haizi Mountain, the Large High Altitude Air Shower Observatory (LHAASO) has detected tens of thousands of very energetic photons from the Crab Nebula since 2019. And for the first time, the observatory made it possible to accurately measure the nebula’s energy spectrum—how many photons of each level of energy it emits—in the higher end of the range, between 0.3 and 1.1 PeV.

€œThe LHAASO results are important because they measured the spectrum of the Crab Nebula in a new energy regime not explored by any previous instrument,” says Rene Ong, an astrophysicist at the University of California, Los Angeles, who was not involved in the research. Particularly intriguing to experimentalists and theorists alike are the two photons carrying the highest energies ever detected from the Crab Nebula. One at 0.88 PeV, which the team had previously reported in a Nature paper, and the other at 1.1 PeV, which was revealed in the latest study. The tiny particles arrived at Earth with 10 times the energy of a Ping-Pong ball bouncing off a paddle.

“These events are extreme and almost beyond imagination from any point of view,” says Felix Aharonian, a co-author of the new paper at the Dublin Institute for Advanced Studies and the Max Planck Institute for Nuclear Physics in Heidelberg, Germany. How is the Crab Nebula accelerating these particles?. Born in the supernova explosion observed nearly 1,000 years ago, the nebula’s heart harbors a pulsar, an extremely dense neutron star spinning 30 times every second. The rotation of the pulsar generates an outward wind made of pairs of electrons and their antimatter counterparts, positrons, which then interact with the surrounding nebula to create shock waves and a natural particle accelerator, according to LHAASO’s principal investigator Cao Zhen of the Institute of High Energy Physics at the Chinese Academy of Sciences.

When accelerated particles finally gain the energy to escape, some bump into massless, low-temperature photons from the cosmic microwave background and pass a significant part of their energy on to these particles of light. The photons then dash outward, with some heading straight to Earth, bringing with them important information about the Crab Nebula itself. Scientists have been observing these high-energy particles from the Crab Nebula for decades, though none had been this energetic. In the early 2000s, scientists observed photons of 75 trillion electron volts (TeV) with an observatory on Spain’s Canary Islands.

More recently, a Japanese-Chinese experiment called Tibet AS-gamma caught photons with energies of up to 450 TeV. To send a record-breaking 1.1-PeV photon to Earth, the original electron from the Crab Nebula must have been about 2.3 PeV, scientists estimate. This energy is about 20,000 times what can be achieved by an electron accelerator on Earth. And physicists would expect the particles in the nebula to lose energy quickly because when electrons travel along curved paths, they release so-called synchrotron radiation, causing them to cool down.

At some point, the energy they lose will exceed the energy they gain from the accelerator. €œBut the pulsar is just about the size of our largest collider,” Cao says. €œThere must be an incredible mechanism in the Crab Nebula to maximize acceleration against energy loss.” So far, the 2.3-PeV electron scenario is “allowed by classical electrodynamics and ideal magnetohydrodynamics but very, very close to the theoretical limit,” Aharonian says. The acceleration efficiency is close to 100 percent.

Considering the fact that the rotation of the pulsar is the only energy source and that the acceleration process is so complex, “it’s really surprising nature’s accelerator works at such high efficiency, as if it was an ideally designed machine,” he says, “except that no one really designed it.” Bird eye's view of LHAASO experiment. Credit. Yudong Wang LHAASO Collaboration LHAASO When a very high-energy particle strikes Earth’s atmosphere, it triggers a cascade of secondary particles in an event known as an “air shower.” Ground-based detectors such as LHAASO record these air shower events and can then reconstruct the type, energy and trajectory of the primary particles, which are otherwise too elusive to trace. LHAASO is one of the largest and most sensitive instruments of its kind.

Sprawling over a total area of 1.3 square kilometers, it consists of three arrays of detectors. The largest is the Square Kilometer Array, with some 6,000 aboveground counters and more than 1,100 subsurface muon detectors to catch cosmic rays and gamma rays. The second array, the Water Cherenkov Detector Array, uses huge water ponds and light-activated scintillators to look for high-energy gamma rays. Finally, the experiment uses 18 wide-field-of-view Cherenkov telescopes for detecting blue radiation called Cherenkov light that is emitted during air showers.

When Cao first proposed building LHAASO in 2009, people told him he might not be able to see anything. €œThere was a popular belief that there’s a ‘cutoff’ in the energy spectrum of our galaxy at around 100 TeV, which seemed to be a theoretical ceiling,” he recalls. €œBut I didn’t buy it. As an experimentalist, my mission is to experiment, and LHAASO would go exactly for the unknown regime beyond 100 TeV.” The observatory’s construction started in 2017.

It began operations two years later, when LHAASO was not even half-complete. Using data from the first few months, Cao and his team reported a dozen PeV-level gamma-ray sources across the galaxy, almost doubling the total number of such sources discovered to date. €œOur results clearly showed there is no such cutoff at 100 TeV,” he says. €œInstead the energy spectrum keeps extending forward to, and beyond, 1 PeV, as in the case of the Crab Nebula.” The results did not come easy, especially because China was a latecomer to the field of gamma-ray astronomy.

Cao still remembers when he was an undergraduate student learning to set up China’s first gamma-ray detectors in a peach yard in suburban Beijing in 1986. On the other side of the Pacific Ocean at that time, the late astrophysicist and Nobel laureate James Cronin was already getting ready to detect PeV gamma rays via a project called CASA-MIA (the Chicago Air Shower Array–Michigan Muon Array) in the deserts of Utah. CASA-MIA was then the largest and most ambitious experiment to study gamma rays at energies above 100 TeV. Unfortunately, it did not detect any during its five years of observation.

€œCASA-MIA was very sensitive at the time, but it wasn’t sufficient to do the job,” says Ong, who was a part of the CASA-MIA team. No one tried that technique again until LHAASO. The new observatory is everything that CASA-MIA was, plus a bigger and better surface array, much better muon detectors, a cleverly designed layout and a higher altitude. €œAnd that’s why it worked,” Ong says.

€œPersonally, it’s extremely gratifying for me to see that someone took up what we had worked hard on for 10 years and did a really great job with it.” Looking Ahead Statistics about the PeV-level acceleration happening inside the Crab Nebula are so far limited to two photons, Cao admits. Because LHAASO is designed to detect at least one or two such events every year, however, the team hopes to confirm its findings in a couple of years. To answer the ultimate questions about cosmic accelerators and cosmic rays, LHAASO will need to work with other detectors. The experiment, though powerful enough to dominate its energy band in years to come, suffers from relatively low angular resolution and sky coverage, and it lacks the ability of instantaneous detection.

It will partner with the upcoming Cherenkov Telescope Array (CTA), a global effort to use more than 100 telescopes located in the Northern and Southern hemispheres to detect high-energy gamma rays in and out of our galaxy. Unlike LHAASO, CTA will use imaging atmospheric Cherenkov telescopes, and it will be highly complementary to that observatory. €œLHAASO and CTA will need to run together for a decade or so to really pin down the origin of cosmic rays,” says Ong, who is a co-spokesperson of CTA. LHAASO is ready to collaborate with other experiments from around the world, Cao says.

In fact, the team has already signed agreements with a number of observatories, including the Baikal Gigaton Volume Detector in Russia and the Very Energetic Radiation Imaging Telescope Array System (VERITAS) in Arizona. VERITAS has started follow-up observations of some of the sources LHAASO reported in its previous Nature paper. LHAASO will wrap up the last bit of its construction by the end of this month. €œThe work has just started, though it’s already very impressive,” Aharonian says.

The experiment reflects the quick rise of China, an ancient astronomical powerhouse, in the modern astrophysics arena, he says. The nation is in a good position to accomplish world-leading astrophysics research because of its well-trained young scientists and economic power, along with its government’s willingness to invest in basic science, he observes. €œLHAASO is just one project that shows how today’s China can do science in a timely and highly cost-efficient way,” Aharonian says..

Mixing hypertension medications treatments is emerging as a good way cost for lasix to get people the protection they need when faced with safety concerns and unpredictable supplies. Most treatments against hypertension must be given in two doses, but multiple studies now back up the idea that mixing the Oxford–AstraZeneca jab and the Pfizer–BioNTech treatment triggers an immune response similar to — or even stronger than — two doses of either treatment. Results announced on Monday 1 by a UK group suggest that the combination sometimes outperforms cost for lasix two shots of the same treatment, and a similar picture is emerging from German studies. People can now “feel a bit more comfortable” with the idea of mix-and-match, says immunologist Leif Erik Sander at Charité University Hospital in Berlin.

The results are also giving researchers confidence that combining other hypertension medications treatments, that haven’t yet been tested together, might also work. But at least cost for lasix 16 treatments have been approved for use in one or more countries, and mix-and-match studies so far have been small, so more extensive trials and long-term monitoring for side effects are sorely needed. Immune system boost Mix-and-match studies were prompted, in large part, by concerns over the safety of the treatment developed by the University of Oxford and pharmaceutical company AstraZeneca in Cambridge, both in the United Kingdom. The jab has been associated with rare instances of a blood-clotting condition known as thrombosis with thrombocytopaenia — and in March, some European countries decided to halt its use in some groups of people.

This left many people cost for lasix partially vaccinated, unless they switched to a different brand for their second dose. In May, researchers at the Carlos III Health Institute in Madrid announced results from the CombiVacS trial. The study found a strong immune response in people who were dosed with the treatment developed by pharmaceutical company Pfizer, based in cost for lasix New York City, and biotechnology firm BioNTech in Mainz, Germany, 8–12 weeks after receiving a dose of the Oxford–AstraZeneca treatment. A health worker prepares a vial of Chinese Sinovac treatment against hypertension medications hypertension disease inside a movie theatre turned into a vaccination centre in Taguig City suburban Manila on June 14, 2021.

Credit. Ted Algibe Getty Images There was no head-to-head comparison with people who received two doses of the same treatment, but the authors found that in laboratory tests, those who received the combination produced 37 times more hypertension neutralizing cost for lasix antibodies and 4 times more hypertension-specific immune cells, called T cells, than did people who had just one dose of the Oxford–AstraZeneca jab. By the end of June, more results had emerged showing a similar effect. Sander and his colleagues looked at 340 health-care workers who had received either two doses of the Pfizer–BioNTech treatment, or an initial shot of the Oxford–AstraZeneca treatment followed by a dose of Pfizer–BioNTech.

Both regimens triggered an immune response that included neutralizing antibodies and cost for lasix T cells. A third study, by researchers at Saarland University in Homburg, Germany, found that the mixed regimen was better at eliciting an immune responses than were two Oxford–AstraZeneca shots. It was also as good as cost for lasix or better than two shots of Pfizer–BioNTech. And on 25 June, the team behind the UK trial — known as the Com-COV study — posted a preprint online showing that a good immune response resulted irrespective of the order in which the two treatments were given.

However, the trials so far have been too small to test how effective combinations of treatments are at preventing people from developing hypertension medications. €œAs long as you don’t have any long-term or any follow-up studies with efficacy calculations, it’s hard to say” the level or cost for lasix duration of protection, says Martina Sester, an immunologist who led the Saarland study. Another limitation of the work so far is that there’s no easy way to compare different combinations between studies. Large-scale efficacy studies are becoming more difficult, says Sester.

That’s because, as rates decrease, the number of people in a study must increase to detect any difference in rates cost for lasix of and disease. Trials pitting mix-and-match treatment sequences against a placebo control would also be unethical, she adds. That’s one reason why efforts are under way to determine a ‘correlate cost for lasix of protection’ — a defined level of immune response that confers protection against and disease. €œThis is extremely urgent,” says Sander.

A nuanced picture But a nuanced picture is emerging of the magnitude and types of immune response that mixing treatments produces. And these cost for lasix differences could be exploited to provide the best protection. The Oxford–AstraZeneca treatment uses a harmless lasix called an adenolasix to carry genetic material from hypertension into cells. treatments using this technology have a good track record of inducing strong T-cell responses, says Sander, whereas treatments using messenger RNA, such as Pfizer’s, have proved “exceptionally good” at inducing high levels of antibodies.

Sester says that cost for lasix high levels of antibodies after the second shot are an indicator that the combination approach works. €œNeutralizing antibodies are probably a good surrogate for predicting efficacy,” she says, because they help to prevent viral . But T cells, especially ‘killer’ T cells that carry a protein called cost for lasix CD8, protect against severe disease by killing cells that have already been infected. In the Com-COV study, the highest antibody response was in people receiving the standard two shots of Pfizer–BioNTech, but the response was almost as high in the combination of Oxford–AstraZeneca followed by Pfizer–BioNTech.

This combination also had the best T-cell response — more than twice as high as that from the two Pfizer–BioNTech doses. Mixing an mRNA treatment and an adenolasix-based one could therefore provide “the best of two worlds”, Sander explains cost for lasix. Sester and her colleagues found subtle differences in T-cell populations depending on the treatments given. She says that understanding these nuances could lead to individualized strategies.

Combinations that cost for lasix provoke good T-cell responses might be better for people who have had organ transplants and are taking medication to suppress their immune systems, for instance, because their bodies will struggle to produce antibodies. €œThere are many ways of exploiting this knowledge in a strategic way,” she says. Safety concerns remain No mix-and-match cost for lasix trials have yet reported severe side effects. In the Com-COV study, mixing treatments elicited more side effects than did administering two doses of the same treatment, according to preliminary data released in May.

But this wasn’t the case in the Charité and Saarland studies or CombiVacS, where side effects were no worse than for two shots of the same treatment. That’s probably due to the interval between doses, says Sester cost for lasix. Com-COV participants discussed in the latest paper received their second shot four weeks after the initial dose, whereas participants in the German studies had at least nine weeks between shots. Some Com-COV participants did receive doses at a longer interval.

Their data are anticipated cost for lasix in July. Some safety concerns remain, says Sander. €œYou’re combining two different treatments, both of which might cost for lasix have their own profile of adverse events and effects,” he says, which could amplify any problems. The studies so far have enrolled only a few hundred people.

This means that they are too small to pick up rare events such as the clotting conditions, which according to current estimates occur in around one in 50,000 people after the first Oxford–AstraZeneca treatment dose and in less than 1 in 1.7 million after the second. The condition has also cost for lasix been associated with an adenolasix treatment produced by pharmaceutical company Johnson &. Johnson in New Brunswick, New Jersey. In small studies, “you do not pick up your one-in-1,000 side effect, let alone your one-in-50,000 side effect”, said Matthew Snape, an Oxford treatment researcher who is leading the Com-COV study, at a press conference on 28 June.

The new cost for lasix norm?. The lingering possibility of rare side effects is one reason some researchers recommend that people stick to the standard two shots of a single treatment for now. €œTo my cost for lasix mind, you are better defaulting to the ones where we know that they work and there’s a known quantity when it comes to their safety,” says Snape. But as new variants of hypertension emerge, the results of mix-and-match trials could provide policymakers with the data they need to switch to more protective combinations.

€œIt’s good to have that data in readiness,” says Fiona Russell, a treatment researcher at the Murdoch Children’s Research Institute in Melbourne, Australia. Mix-and-match treatments could also be used to prevent roll-outs stalling because of cost for lasix supply issues. €œIf there’s a global shortage of one particular treatment, then rather than stopping the vaccination programme, it can continue,” says Russell. €œIf it’s an option of either getting a mixed schedule or no second dose, then certainly go for the mixed schedule,” says Snape.

The Com-COV study has already begun testing other treatments in people cost for lasix who have received an initial Oxford-AstraZeneca or Pfizer–BioNTech shot. One combination includes the yet-to-be-approved protein-based treatment developed by the pharmaceutical company Novavax in Gaithersburg, Maryland. Another uses the mRNA treatment from Moderna in Cambridge, Massachusetts, which has been cost for lasix approved for use in several countries. In the Philippines, a study combining the inactivated-lasix treatment CoronaVac, developed by the company Sinovac in Beijing, with the six other treatments approved in the country will run until November 2022.

And a study by AstraZeneca and the Gamaleya Research Institute in Moscow will test combinations of the Oxford–AstraZeneca jab and Gamaleya’s adenolasix-based Sputnik V shot. This article is reproduced with permission and was first published on July 1 cost for lasix 2021.Cities on the Great Lakes and St. Lawrence River will face nearly $2 billion in damages from climate change through 2025, according to a new survey of municipalities in the basin.That's on top of nearly $880 million spent since 2019 as the world's largest freshwater system experiences more extreme weather events, unpredictable swings in lake levels, and changes in precipitation and evaporation rates, officials said."High water levels, paired with severe storm events and wave action, are leading to greater erosion and flooding that threaten public and private properties, critical infrastructure, and recreation and tourism amenities in shoreline communities," said Walter Sendzik, chair of the Great Lakes and St. Lawrence Cities Initiative and mayor of St.

Catharines, Ontario.The survey of 241 municipalities — from large cities to villages — found that 99% of responding communities witnessed consistent or rising interest in coastal zone issues, while more than 8 in 10 respondents said water level and flooding forecasts are "very important to their jurisdiction's work on coastal planning."Yet only 27% of respondents said their municipalities have staff that are "highly knowledgeable" of coastal issues, and only 11% reported having high capacity to respond to such issues.While the Great Lakes have always seen rising and falling water levels, usually over decadal cycles, and are famously stormy, experts say conditions are becoming more variable and that past events and conditions do not necessarily inform the lakes' future (Greenwire, March 21, 2019).In July 2019, for example, water levels on Lake Michigan soared to nearly 3 feet above mean summer levels, causing severe erosion on the lake's eastern shore cost for lasix where homes sit perilously close to the water's edge (Climatewire, Aug. 22, 2019).Big cities like Chicago and Milwaukee also have seen infrastructure damage from high water, wave action and seasonal storms (Climatewire, Nov. 26, 2019) cost for lasix. Lake Erie faces perennial risk from toxic algae blooms, a problem linked to agricultural runoff and warmer water temperatures (Climatewire, Nov.

1, 2019).Don Wuebbles, professor of atmospheric science at the University of Illinois and a nationally recognized expert on the Great Lakes, said climate change will affect shoreline communities in various ways, most notably rising and falling lake levels due to changes in precipitation and evaporation."What sounds like global warming is not just a trivial increase in temperature, it really is about extreme events," he said.The Great Lakes cities initiative, along with other regional organizations, say funding from federal, state and local governments — in both the United States and Canada — will be essential to help communities adapt to changing conditions.The Biden administration's $1.2 trillion infrastructure package, currently before Congress, could provide critical funding for adaptation and resilience projects, officials said. "Our coastal infrastructure is vital to the economic and recreational health of our communities, and coordinated action is required," Milwaukee Mayor Tom Barrett (D) said in a statement.Reprinted from E&E News with permission cost for lasix from POLITICO, LLC. Copyright 2021.E&E News provides essential news for energy and environment professionals.How do cicadas make such loud noises?. Many of us were asking this question over the past weeks in the cacophonous buzz of cicadas that emerged by the millions in May and June in Maryland, Virginia and other states.

What most people cost for lasix don’t realize, however, is that in asking this question we are following in the footsteps of one of the greatest scientists of all time. The scientist was Galileo Galilei, and his question about cicada sounds played a key role in his dealings with the Catholic Church—especially in his attempts to win the good graces of the Pope. More importantly, the results of this cicada episode challenge commonly held beliefs about cost for lasix science and religion. In 1623, right before the publication of one of Galileo’s most important books (The Assayer), his good friend, Cardinal Maffeo Barberini, was elected Pope.

Galileo immediately halted the printing process in Rome in order to dedicate it to him instead of the Medici family, to whom he had dedicated his previous book. Cardinal Barberini was a lavish sponsor of the arts and sciences, and, as Pope, he cost for lasix gathered under his wing some of the best artists and painters. Galileo was fully aware of this since he had previously been the object of Cardinal Barberini’s praises. Now, he also wanted to benefit from Barberini’s promotion to the top of the church’s hierarchy.

In Galileo’s words, this was "a marvelous conjuncture," cost for lasix because he could have his conviction that the Earth moved around the sun, and not the other way around, approved by the Pope himself. Or so he thought. In this book, Galileo cost for lasix wrote one of the most famous quotes in the history of science. That “the book of nature is written in the language of mathematics.” Yet, the excerpt that the Pope liked the most was not about mathematics, but about cicadas.

In a brilliant display of literary skills, Galileo carefully planned the book to culminate with a story about cicadas that became known in the Vatican as “the fable of sound.” Galileo spoke of a man “endowed by nature with extraordinary curiosity” who once at night heard “a delicate song” outside his house. He went out and discovered how cost for lasix different birds and insects produced these sounds, until he found a cicada. Unlike with the other animals, the man could not find an obvious explanation for the cicada’s “strident noise.” He dissected the insect with a needle but ended up sinking the needle too deep and killing the cicada without learning the answer. The moral of the story for Galileo was that some natural phenomena have explanations we haven’t yet learned.

Credit. Alamy This cicada story was usually a high point of the class that I used to teach at Johns Hopkins University on the Galileo affair. But what attracted my students the most was the fact that the Pope liked the fable so much that he had it read to him at meals. The students were fascinated by the fact that the Pope, the most powerful man in the Catholic Church, actually admired Galileo and his science.

Why then, they ask, did this same Pope end up condemning Galileo for his theory that the Earth orbited the sun?. The problem was that the Pope read the fable of the cicada in a different way. For Galileo the metaphor opened the path for him to argue in favor of the motion of the Earth. But the Pope read it as showing that it’s impossible to know the real causes of things.

When Galileo later ridiculed this idea in public, the Pope was offended. For this (and other reasons), the Pope condemned Galileo, creating an unfounded conflict between science and religion that endures to this day. Today we know that cicadas sing with internal membranes called tymbals and that the Earth does orbit the sun, as Galileo claimed. But there are still things we don’t know.

Unlike the Brood X cicadas whose emergence recently ended, the insects Galileo wrote about came out every year. But scientists still debate why this particular brood of North American cicadas only emerges every 17 years, which, intriguingly, is a prime number. Just as in Galileo’s time, cicadas continue to help us think more about the limits and possibilities of modern science. This is an opinion and analysis article.

The views expressed by the author or authors are not necessarily those of Scientific American.Narwhal tusks record decades of environmental information and clearly show a changing Arctic, researchers reported in Current Biology. Every year the spiraling tusks grow another layer, incorporating variants of carbon and nitrogen called isotopes and some of the mercury a narwhal consumes. The researchers bought 10 tusks from Inuit subsistence hunters in northwestern Greenland and found that the objects contained nearly 50 years' worth of information. Having access to such a long stretch of data “was just an amazing step forward in our understanding of the factors that affect things like diet and mercury [levels],” says lead author and McGill University marine biologist Jean-Pierre Desforges.

The researchers sliced open the whale tusks (which are actually teeth, made of dentine), ground parts of them into powder and analyzed the samples' isotope content. The results indicate where and what a narwhal might have eaten, as well as its exposure to mercury—a potent toxin whose accumulation affects animals' immune and reproductive systems. From the 1960s to the 1990s, when sea ice covered much of the narwhals' habitat, carbon and nitrogen isotopes suggest that the animals ate fish high on the food chain that swam near ice or near the seafloor, such as halibut. When sea-ice coverage plummeted after 1990, the carbon isotope profile began to change.

It indicated a diet of fish from an ice-free ocean, including polar cod and capelin, species that are a few links lower on the chain and so typically contain less mercury. Yet the narwhals still ingested more of the toxic metal. The researchers say this could possibly result from climate change or increasing emissions, or a combination of the two. Changing food sources affect narwhals' pollution exposure and access to nutrients, which could eventually alter population levels.

More broadly, the research demonstrates narwhal tusks' potential for tracking how the region and its organisms react to climate change, says University of Manitoba marine biologist Cortney Watt, who studies the whales but was not involved in the new research. €œI think they are a good sentinel for what's really being laid down in the environment,” she says. €œThey're a good archive of history—and what's happening in the Arctic.”A little before sunrise on July 4, A.D. 1054, imperial astronomers of the Song Dynasty in China spotted an unknown star lighting up the eastern sky.

€œIt’s as bright as Venus, with pointed rays in all four directions and a reddish-white color,” they wrote in notes delivered to the emperor. The glow, which remained visible to the naked eye during the day for almost a month, was from an explosion caused by the spectacular death of a star located 6,500 light-years away in the constellation of Taurus. Its relics are known today as the Crab Nebula, one of the most beautiful and well-studied objects in the sky. Scientists have long known the Crab Nebula as a very energetic astrophysical object beaming off radiation ranging from radio waves to gamma rays.

But recently, scientists discovered it is even more energetic than they thought. Using an array of state-of-the-art detectors on the eastern edges of the Tibetan Plateau, a team reported in Science this week that it had detected light particles with energies up to more than a quadrillion electron volts (1 PeV) from the famous supernova remnant, indicating that it is so energetic that it poses potential challenges to classical theories of physics. The Cosmic Accelerator Sitting 4,410 meters above sea level on the beautiful Haizi Mountain, the Large High Altitude Air Shower Observatory (LHAASO) has detected tens of thousands of very energetic photons from the Crab Nebula since 2019. And for the first time, the observatory made it possible to accurately measure the nebula’s energy spectrum—how many photons of each level of energy it emits—in the higher end of the range, between 0.3 and 1.1 PeV.

€œThe LHAASO results are important because they measured the spectrum of the Crab Nebula in a new energy regime not explored by any previous instrument,” says Rene Ong, an astrophysicist at the University of California, Los Angeles, who was not involved in the research. Particularly intriguing to experimentalists and theorists alike are the two photons carrying the highest energies ever detected from the Crab Nebula. One at 0.88 PeV, which the team had previously reported in a Nature paper, and the other at 1.1 PeV, which was revealed in the latest study. The tiny particles arrived at Earth with 10 times the energy of a Ping-Pong ball bouncing off a paddle.

“These events are extreme and almost beyond imagination from any point of view,” says Felix Aharonian, a co-author of the new paper at the Dublin Institute for Advanced Studies and the Max Planck Institute for Nuclear Physics in Heidelberg, Germany. How is the Crab Nebula accelerating these particles?. Born in the supernova explosion observed nearly 1,000 years ago, the nebula’s heart harbors a pulsar, an extremely dense neutron star spinning 30 times every second. The rotation of the pulsar generates an outward wind made of pairs of electrons and their antimatter counterparts, positrons, which then interact with the surrounding nebula to create shock waves and a natural particle accelerator, according to LHAASO’s principal investigator Cao Zhen of the Institute of High Energy Physics at the Chinese Academy of Sciences.

When accelerated particles finally gain the energy to escape, some bump into massless, low-temperature photons from the cosmic microwave background and pass a significant part of their energy on to these particles of light. The photons then dash outward, with some heading straight to Earth, bringing with them important information about the Crab Nebula itself. Scientists have been observing these high-energy particles from the Crab Nebula for decades, though none had been this energetic. In the early 2000s, scientists observed photons of 75 trillion electron volts (TeV) with an observatory on Spain’s Canary Islands.

More recently, a Japanese-Chinese experiment called Tibet AS-gamma caught photons with energies of up to 450 TeV. To send a record-breaking 1.1-PeV photon to Earth, the original electron from the Crab Nebula must have been about 2.3 PeV, scientists estimate. This energy is about 20,000 times what can be achieved by an electron accelerator on Earth. And physicists would expect the particles in the nebula to lose energy quickly because when electrons travel along curved paths, they release so-called synchrotron radiation, causing them to cool down.

At some point, the energy they lose will exceed the energy they gain from the accelerator. €œBut the pulsar is just about the size of our largest collider,” Cao says. €œThere must be an incredible mechanism in the Crab Nebula to maximize acceleration against energy loss.” So far, the 2.3-PeV electron scenario is “allowed by classical electrodynamics and ideal magnetohydrodynamics but very, very close to the theoretical limit,” Aharonian says. The acceleration efficiency is close to 100 percent.

Considering the fact that the rotation of the pulsar is the only energy source and that the acceleration process is so complex, “it’s really surprising nature’s accelerator works at such high efficiency, as if it was an ideally designed machine,” he says, “except that no one really designed it.” Bird eye's view of LHAASO experiment. Credit. Yudong Wang LHAASO Collaboration LHAASO When a very high-energy particle strikes Earth’s atmosphere, it triggers a cascade of secondary particles in an event known as an “air shower.” Ground-based detectors such as LHAASO record these air shower events and can then reconstruct the type, energy and trajectory of the primary particles, which are otherwise too elusive to trace. LHAASO is one of the largest and most sensitive instruments of its kind.

Sprawling over a total area of 1.3 square kilometers, it consists of three arrays of detectors. The largest is the Square Kilometer Array, with some 6,000 aboveground counters and more than 1,100 subsurface muon detectors to catch cosmic rays and gamma rays. The second array, the Water Cherenkov Detector Array, uses huge water ponds and light-activated scintillators to look for high-energy gamma rays. Finally, the experiment uses 18 wide-field-of-view Cherenkov telescopes for detecting blue radiation called Cherenkov light that is emitted during air showers.

When Cao first proposed building LHAASO in 2009, people told him he might not be able to see anything. €œThere was a popular belief that there’s a ‘cutoff’ in the energy spectrum of our galaxy at around 100 TeV, which seemed to be a theoretical ceiling,” he recalls. €œBut I didn’t buy it. As an experimentalist, my mission is to experiment, and LHAASO would go exactly for the unknown regime beyond 100 TeV.” The observatory’s construction started in 2017.

It began operations two years later, when LHAASO was not even half-complete. Using data from the first few months, Cao and his team reported a dozen PeV-level gamma-ray sources across the galaxy, almost doubling the total number of such sources discovered to date. €œOur results clearly showed there is no such cutoff at 100 TeV,” he says. €œInstead the energy spectrum keeps extending forward to, and beyond, 1 PeV, as in the case of the Crab Nebula.” The results did not come easy, especially because China was a latecomer to the field of gamma-ray astronomy.

Cao still remembers when he was an undergraduate student learning to set up China’s first gamma-ray detectors in a peach yard in suburban Beijing in 1986. On the other side of the Pacific Ocean at that time, the late astrophysicist and Nobel laureate James Cronin was already getting ready to detect PeV gamma rays via a project called CASA-MIA (the Chicago Air Shower Array–Michigan Muon Array) in the deserts of Utah. CASA-MIA was then the largest and most ambitious experiment to study gamma rays at energies above 100 TeV. Unfortunately, it did not detect any during its five years of observation.

€œCASA-MIA was very sensitive at the time, but it wasn’t sufficient to do the job,” says Ong, who was a part of the CASA-MIA team. No one tried that technique again until LHAASO. The new observatory is everything that CASA-MIA was, plus a bigger and better surface array, much better muon detectors, a cleverly designed layout and a higher altitude. €œAnd that’s why it worked,” Ong says.

€œPersonally, it’s extremely gratifying for me to see that someone took up what we had worked hard on for 10 years and did a really great job with it.” Looking Ahead Statistics about the PeV-level acceleration happening inside the Crab Nebula are so far limited to two photons, Cao admits. Because LHAASO is designed to detect at least one or two such events every year, however, the team hopes to confirm its findings in a couple of years. To answer the ultimate questions about cosmic accelerators and cosmic rays, LHAASO will need to work with other detectors. The experiment, though powerful enough to dominate its energy band in years to come, suffers from relatively low angular resolution and sky coverage, and it lacks the ability of instantaneous detection.

It will partner with the upcoming Cherenkov Telescope Array (CTA), a global effort to use more than 100 telescopes located in the Northern and Southern hemispheres to detect high-energy gamma rays in and out of our galaxy. Unlike LHAASO, CTA will use imaging atmospheric Cherenkov telescopes, and it will be highly complementary to that observatory. €œLHAASO and CTA will need to run together for a decade or so to really pin down the origin of cosmic rays,” says Ong, who is a co-spokesperson of CTA. LHAASO is ready to collaborate with other experiments from around the world, Cao says.

In fact, the team has already signed agreements with a number of observatories, including the Baikal Gigaton Volume Detector in Russia and the Very Energetic Radiation Imaging Telescope Array System (VERITAS) in Arizona. VERITAS has started follow-up observations of some of the sources LHAASO reported in its previous Nature paper. LHAASO will wrap up the last bit of its construction by the end of this month. €œThe work has just started, though it’s already very impressive,” Aharonian says.

The experiment reflects the quick rise of China, an ancient astronomical powerhouse, in the modern astrophysics arena, he says. The nation is in a good position to accomplish world-leading astrophysics research because of its well-trained young scientists and economic power, along with its government’s willingness to invest in basic science, he observes. €œLHAASO is just one project that shows how today’s China can do science in a timely and highly cost-efficient way,” Aharonian says..

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The funding lasix how it works was made available by the American Rescue Plan and is being administered by the Health Resources and Services Administration (HRSA) through the Rural Health Clinic treatment Confidence (RHCVC) Program."Rural health clinics play a crucial role in supporting our national vaccination effort to defeat hypertension medications," said HHS Secretary Xavier Becerra. "This funding will give trusted messengers in rural communities the tools they need to counsel patients on how hypertension medications treatments can help protect them and their loved ones." RHCs are well positioned to disseminate information about how and where to get vaccinated at the local level, and coordinate with existing vaccination sites and public health partners to identify strategies to increase treatment confidence among key populations. RHCs will lasix how it works also use this funding to improve health literacy, focusing on treatment safety and the benefits of broad vaccination for rural communities.

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Nonmetropolitan counties completed an average of 30,000 vaccinations per day from July 6-15. That raised the rural vaccination rate to 35.5% of the total nonmetropolitan population, an increase of 0.7 percentage points since lasix how it works the last Daily Yonder vaccination report. The vaccination rate in metropolitan counties increased at a slightly quicker pace, rising by 0.9 percentage points to 46.2% of the total population.

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Sign up for lasix how it works our newsletter. Mississippi raised its rural vaccination rate by 3.6 points to 31.8% from July 6-15. The state’s metropolitan vaccination rate climbed by 3.8 points to 34.5% lasix how it works.

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Today, the cost for lasix http://pedrotrotz.com/can-you-buy-ventolin-over-the-counter-usa// U.S. Department of Health and Human Services (HHS) provided nearly cost for lasix $100 million to rural health clinics across the country to support outreach efforts to increase vaccinations in rural communities. The funds will go to more than 1,980 Rural Health Clinics (RHCs) who will use these resources to develop and implement additional treatment confidence and outreach efforts as many communities face the Delta variant and work to get more people vaccinated and protected from hypertension medications in medically underserved rural communities.

The funding was made available by the American Rescue Plan and is being administered by the Health Resources and Services Administration (HRSA) through the Rural Health Clinic treatment Confidence (RHCVC) Program."Rural health clinics play a crucial role in supporting cost for lasix our national vaccination effort to defeat hypertension medications," said HHS Secretary Xavier Becerra. "This funding will give trusted messengers in rural communities the tools they need to counsel patients on how hypertension medications treatments can help protect them and their loved ones." RHCs are well positioned to disseminate information about how and where to get vaccinated at the local level, and coordinate with existing vaccination sites and public health partners to identify strategies to increase treatment confidence among key populations. RHCs will also use this funding to improve health literacy, focusing on treatment safety and the benefits of broad cost for lasix vaccination for rural communities.

These efforts will improve health care in rural areas by reinforcing key messages about prevention and treatment of hypertension medications and other infectious diseases. HRSA is making grant awards to RHCs based on the number of certified clinic sites cost for lasix they operate, providing approximately $49,500 per clinic site. RHCs are a special designation given to health care practices cost for lasix in underserved rural areas by the Centers for Medicare &.

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The National Organization cost for lasix of State Offices of Rural Health will work closely with the National Association of Rural Health Clinics, the technical assistance provider for the RHC hypertension medications Testing and Mitigation Program. Collaboration between HRSA and these organizations ensures RHCs will receive coordinated technical assistance to support their hypertension medications response and improve health care in rural communities. To view a state-by-state breakdown of cost for lasix this funding visit.

Www.hrsa.gov/hypertension/rural-health-clinics/confidence/funding For more information cost for lasix about HRSA's rural programs, visit. Https://www.hrsa.gov/rural-health/index.html To learn more about HRSA's Rural Health Clinic treatment Confidence Program, visit. Https://www.hrsa.gov/hypertension/rural-health-clinics/confidenceFull-page version of cost for lasix the map.

Nonmetropolitan counties completed an average of 30,000 vaccinations per day from July 6-15. That raised the rural vaccination rate to 35.5% of the total nonmetropolitan population, an increase of 0.7 percentage points since the last cost for lasix Daily Yonder vaccination report. The vaccination rate in metropolitan counties increased at a slightly quicker pace, rising by 0.9 percentage points to 46.2% of the total population.

Utah had cost for lasix the highest percentage-point increase in rural vaccinations, raising its rate by 5.6 points to 37.4%. Utah’s metropolitan vaccination rate climbed even cost for lasix more, rising 6.2 percentage points to 42.9%. Like this story?.

Sign up for our newsletter cost for lasix. Mississippi raised its rural vaccination rate by 3.6 points to 31.8% from July 6-15. The state’s metropolitan vaccination rate cost for lasix climbed by 3.8 points to 34.5%.

Mississippi, which previously ranked 41st in the nation for its rural vaccination rate, climbed to 37th. Other cost for lasix states that added a percentage point or more to their rural vaccination rate last week were. Alaska, up 2.4 points cost for lasix to 49.3%.Hawaii, up 2.2 points to 55.3%, the highest rural vaccination rate of any state outside New England.And West Virginia, up 1 point to 20.3%.

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