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MEDICARE AND MEDICAID

Issue

This is the 50th anniversary of Medicare and Medicaid. For 50 years, Medicare and Medicaid have provided more than just a safety net – they have provided a lifeline to millions of Americans. These programs serve those who are most in need, and they have made a tremendous difference in the lives of so many, but also a difference in how we think about our social responsibility in this country.

US Congressman Joe Crowley says “We have moved so far from the days when seniors were going without health care because they couldn’t afford insurance, and from the days when working families worried about how to get health care for their children. Now we must keep that going for the next generation.

With Medicare and Medicaid, the US government made a promise to take care of those who need health care the most – a promise we continued with the Affordable Care Act, but that work is far from done.

CITY IMAGES salutes all who will fight to ensure that the next 50 years are marked by the same kind of progress and commitment to strengthening health care in this country as the past 50 years. Stand up to those who would do away with the guarantee of Medicare, ot would undermine Medicaid, and shred our nation’s social safety net into threads.

https://www.medicare.gov/

There are 2 main ways to get your Medicare coverage — Original Medicare or a Medicare Advantage Plan (Part C). Use these steps to help you decide which way you want to get your coverage. Before you make a decision, you can get local, personalized Medicare counseling from the State Health Insurance Assistance Program (SHIP).

http://www.medicaid.gov/

US Centers for Medicare & Medicaid Services (CMS) launched a new set of outreach and educational materials (called Living Well) to help Medicaid and Children’s Health Insurance Program (CHIP) agencies and partners emphasize the importance of the preventive services Medicaid and CHIP offer, like checkups, vaccines and screenings. The materials feature ready-to-use, posters, fact sheets, and social media posts, as well as tips for implementation.

http://www.hhs.gov/

The Health Insurance Marketplace established by the Affordable Care Act allows consumers to compare health insurance plans based on key factors, such as covered services, providers, and importantly, price. According to a report released today, choice and competition increased in the 2015 Marketplace and consumers benefitted as new issuers entered and price competition intensified. In 2015, 86 percent of Marketplace-eligible consumers could choose from at least three issuers, up from 70 percent in 2014.

TOWN HALL MEETING

Announcement
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The Bronx Town Hall meeting will be held to inform area residents about Legionnaires' Disease. The event is being held at the Bronx Museum of the Arts, 1040 Grand Concourse, at 6 p.m.

NYC public health officials report a fourth person has died in The Bronx with the disease. The outbreak that has resulted in dozens of cases. There have been a total of 65 reported cases of people with the disease and 55 have been hospitalized. 20 people have been reportedly discharged.

Legionnaires' disease usually develops two to 10 days after exposure to legionella bacteria. It frequently begins with the following signs and symptoms:

Headache
Muscle pain
Chills
Fever that may be 104 F (40 C) or higher

By the second or third day, you'll develop other signs and symptoms that may include:

Cough, which may bring up mucus and sometimes blood
Shortness of breath
Chest pain
Gastrointestinal symptoms, such as nausea, vomiting and diarrhea
Confusion or other mental changes

Although Legionnaires' disease primarily affects the lungs, it occasionally can cause infections in wounds and in other parts of the body, including the heart.

A mild form of Legionnaires' disease — known as Pontiac fever — may produce signs and symptoms including fever, chills, headache and muscle aches. Pontiac fever doesn't infect your lungs, and symptoms usually clear within two to five days.
When to see a doctor

See your doctor if you think you've been exposed to legionella bacteria. Diagnosing and treating Legionnaires' disease as soon as possible can help shorten the recovery period and prevent serious complications. For people at high risk, prompt treatment is critical.

What to know about Legionnaires' disease http://ti.me/1OKUDMB via @TIMEHealth

CNN: Four dead in Legionnaires' disease outbreak in New York http://cnn.it/1Djwg86

Officials Seek Source of Legionnaires’ Outbreak in the Bronx http://nyti.ms/1OJCEpP

BEAUTIFUL OLD BRIDGE

Attraction
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My wife Yirong and I met up with friends, along the border of New York and Pennsylvania for a delightful weekend at a fellow journalist and long time colleague's country home, where the weather could not have been better.

One of the places we visited was Roebling Bridge, aka BOB is the oldest existing wire suspension bridge in US. It runs across the Delaware River, from Minisink Ford, New York, to Lackawaxen, Pennsylvania.

This bridge opened in 1849 as an aqueduct connecting two parts of the Delaware & Hudson Canal, it has since been converted to carry automotive traffic and people.

NYC PIGEONS MISSING

Issue

Hundreds of pigeons have mysteriously disappeared from NYC's Washington Square Park. Dozens have apparently been reported and lured with bird seeds, scooped up by a net, then loaded into a white van. The NYPD Animal Cruelty Investigation Squad is apparently investigating this case of the missing birds. http://www.washingtonsquareparkblog.com/

Pigeon trapping on private, commercial or public property without a permit is illegal in New York City, however the city does not accept complaints about netting, "the use of nets to collect large amounts of pigeons," according to NYC.gov.

FLAG FREEDOM?

Announcement
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Many people living in The United States of America may have assumed the Confederate flag had been finally retired for good after South Carolina and Alabama officially removed it and presidential candidates from both parties declared it too divisive for display.

However, some people are still flying it, and not just in the South, despite announcements by leading flag-makers and retailers that they no longer sell products showing the secessionist battle flag.

Those who display it may be motivated by pride in their ancestry, or enthusiasm for Southern history. Others see it as a symbol of their right to challenge to authority. And some have hoisted Confederate flags in recent weeks precisely because it's generating controversy again.

Here is an old Confederate flag hanging from his weather-beaten front porch on a heavily traveled street in New York State, along the Delaware River and directly in front of Roebling's Delaware Aqueduct, also known as the Roebling Bridge. This is the oldest existing wire suspension bridge in the United States. It runs 535 feet over the Delaware River, from Minisink Ford, New York, to Lackawaxen, Pennsylvania.

NYC VIOLENCE

News

Homicides and shootings are way up in New York City and NYPD says many of them are related to drug deals. Multiple shootings over the weekend killed three people and wounded 19 with nine shot at one Brooklyn house party early Sunday.

9 shot in at party in East New York; 19 shot over all in NYC over weekend http://7online.com/898447/ via @ABC7NY

Nine wounded during shooting at Brooklyn house party http://nydn.us/1Ufy3zo

3 Dead And 19 Injured In String Of Shootings Overnight In NYC http://thesource.com/2015/08/02/3-dead-and-19-injured-in-string-of-shoot...

LOLLAPALOOZA

Attraction
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Paul McCartney, Metallica and many other well know acts will be performing during this weekend's Lollapalooza Festival, in Chicago. However, if you cant make it there, it is possible to watch the music festival from the comfort of your own home.

Lollapalooza fans begin lining up at Grant Park http://abc7chicago.com/895192/ via @abc7chicago

No Lollapalooza tickets? Here's the livestream schedule http://ti.me/1I6zIC3 via @TIMECulture

Lollapalooza 2015: Paul McCartney, Metallica among headliners http://fw.to/Y6NGhhS

PLANNED PARENTHOOD

News

We doubt that the organization ever planned for this scenario. Lawmakers are currently seeking to cut all federal funding, $500 million a year, that Planned Parenthood receives and redirect that money to other providers of women's health. A series of videos shot incognito have out the organization between a rock and a hard place.

Planned Parenthood reports second website hack in a week http://reut.rs/1H4Buj3 via @Reuters

CNN: Anti-abortion group releases fourth Planned Parenthood video http://cnn.it/1M01Yu3

SAVING OUR JOINTS

Issue

Our range of motion how far we can move a joint in various directions is determined by many things, starting with the inner workings of the joints involved. Also important is the amount of tension in the muscles surrounding the joint, which can be affected by scarring or our habitual posture (passive factors), or by involuntary muscle spasms or purposeful muscle contractions (active factors).

Stretching exercises can help extend our range of motion. To understand how, it helps to know what joints, tendons, and ligaments do:

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