Internal Medicine Physician Dr. Jose Santiago Joins Dr. John Potomski’s CFP Care Group – SpaceCoastDaily.com

has more than 20 years experience

CFP Care Group has announced that Dr. Jose Santiago, left, has joined Dr. John Potomski, right, in his Brevard County offices, located at 720 East New Haven Avenue, suite 11 in Melbourne.

BREVARD COUNTY MELBOURNE, FLORIDA CFP Care Group has announced that Dr. Jose Santiago has joined Dr. John Potomski in his Brevard County offices, located at 720 East New Haven Avenue, suite 11 in Melbourne.

He will be practicing in rehabilitation, skilled nursing, assisted living and independent living facilities throughout the Space Coast.

Dr. Santiago is a graduate of Ponce School of Medicine in Ponce, Puerto Rico. He completed his residency in internal medicine at Highland Hospital University of Rochester, New York.

He is Board Certified in Internal Medicine and is a Fellow of the American College of Physicians. Dr. Santiago has more than 20 years experience in the Primary Care and General Internal Medicine. Dr. Santiago moved to Brevard County in 2004 and was formerly associated with a group practice in the area.

We are so privileged to have such an experienced and compassionate physician of his caliber to join our practice, said Dr. Potomski.

Dr. Santiagos professional interest include geriatrics, cardiovascular disease, diabetes, quality assurance and managed care, as well as Clinical Research and Medical Education.

For more information, or to make an appointment with Dr. Santiago, please call the CFP Care Group at 321-724-4545.

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Internal Medicine Physician Dr. Jose Santiago Joins Dr. John Potomski's CFP Care Group - SpaceCoastDaily.com

To Diversify Med Schools, Focus on Completion – Inside Higher Ed (blog)

To Diversify Med Schools, Focus on Completion
Inside Higher Ed (blog)
Approximately 54,000 students have started or are about to start their 2018 applications to medical school. Ideally, those who become doctors will both serve and represent our diverse population since many studies show that patients are more likely to ...

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To Diversify Med Schools, Focus on Completion - Inside Higher Ed (blog)

See Pauly Shore Mock Stephen Miller’s Statue of Liberty Presser – RollingStone.com

Pauly Shore plays Trump policy aide Stephen Miller in a Funny or Die sketch that mocks Miller's White House briefing room showdown with a reporter over the Statue of Liberty and the poem "The New Colossus."

In the sketch, which utilizes footage from that actual argument with CNN reporter Jim Acosta, Shore's Miller presents other revisionist "facts" about the Statue of Liberty, including informing reporters that Lady Liberty is holding an iPad.

"Why don't we talk a little history? In the year 2000, did you know a mutant known as Wolverine scaled the Statue of Liberty in a climatic showdown with Sabretooth," "Miller" asked. "Or when the Ghostbusters brought the Lady Liberty to life with the power of Ectoplasm? Was that violating in your opinion Jim Acosta the Statue of Liberty law of the land?"

"Look at me directly in my forehead and tell me I'm not lying," he added, later poking fun at Miller's "cosmopolitan bias" quote.

If, as rumored, Miller takes over the role vacated by Sean Spicer and, after a cameo appearance, Anthony Scaramucci, Shore's Funny or Die sketch serves as an audition tape for the inevitable Saturday Night Live impersonation with Melissa McCarthy's "Spicey" gone. However, Shore could face same competition for the role, as House of Cards actor Michael Kelly tweeted his desire to play the Miller role.

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Fallen Liberty Tree continues growth – News-Press Now

After St. Josephs 240-year-old Liberty Tree fell last year, ideas behind the use of its wood continue to grow.

The tree, which was dedicated as the citys Liberty Tree in 1976 in celebration of the nations bicentennial, is currently drying behind the St. Joseph Parks, Recreation & Civic Facilities Department building on Grand Avenue.

Director of the parks department Chuck Kempf said that a company from Wisconsin has reached out to the city with interest to make mementos from the wood.

We sent them some pictures of some of our prominent parks facilities and have asked them to do some diagrams of those, and they now have asked us if we could send them some pieces of the Liberty Tree that they can kind of run some tests on, Kempf said.

He said the city is interested in having some carvings made that will represent not only the Liberty Tree but St. Joseph as a whole.

They tend to do smaller ornaments, knick knacks, keychains, things like that, Kempf said.

He said the city also is interested in creating some more practical items from the tree.

Were still looking into the possibility of finding somebody who does larger wood working to possibly do a few benches for us, Kempf said.

Local Woodturner Bill Hinde presented a bowl made from the wood to Mayor Bill Falkner at the July 5 City Council meeting.

Hinde said he was originally going to the city to obtain wood from the trees that were cut down for the Blacksnake Creek project when he came across the Liberty Tree wood.

The city was kind enough to cut three pieces of log out for me, Hinde said. I brought them out here, split them, put them on the band saw, rounded them out, put them on the lathe and turned them.

Hinde said his first attempt at making a Liberty Bowl ended with cracked wood. He changed up his technique by fully lathing the bowls before putting them into his kiln to dry.

He said drying wood can take months, but he created a kiln out of an old refrigerator that uses a 60 watt bulb to heat the air inside up to 115 degrees, which limits the process to four to six weeks.

Hinde has worked with wood for over 20 years, and was happy to present the bowl to the council.

I started off building furniture, built a number of pieces for our house and for the kids house, Hinde said. Then kind of graduated into the lathe work and bowl turning and urn turning and that type of thing.

He said the actual turning on the lathe takes about two hours.

Hinde actually made three bowls from the tree. The official Liberty Bowl was dedicated to the mayor, City Council and citizens of St. Joseph. Two other bowls were given to the parks department.

The Liberty Bowl is currently in City Hall awaiting a plaque to commemorate it. It will be put into a display case on the first floor.

Hinde makes bowls, funeral urns and other items that he sells online. Those interested in his products can visit billturns.com.

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Fallen Liberty Tree continues growth - News-Press Now

Fall 2017 Preview: MV-BT/Liberty Football – Ozarks Sports Zone

2016 was business as usual for the Liberty Eagles.

Another 10-win season? Check. Another SCA title? Check. All-State quarterback? Check. Season-ending loss to Lamar? Check.

If Lamar didnt exist, MV-BT/Liberty would likely have two or three rings by now.

The Eagles are 98-17 in the last nine seasons and six of those losses have come against Lamar in the playoffs.

Still, that doesnt change the fact that Liberty Football has been one of Missouris best recently, claiming four consecutive conference championships and district titles in eight of the last nine years.

Liberty returns 16 starters entering the 2017 season, but must fill in the void left by three departing all-staters.

Josh Pruett became a Liberty legend over the last three years, finishing his career with 9,712 total yards and 137 touchdowns in that time, leading Liberty to a 35-4 record in that time.

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Backfield mate Marcos Rodriguez put together back-to-back 1,000-yard seasons and was a standout defensively. Brenton Bush had 1,949 all-purpose yards and 18 touchdowns last year, while also being the most productive defensive back in the SCA.

But, it wont be a rebuild for Liberty, just a reload.

This will be one of the biggest, most experienced offensive lines Acklin has had in years with four starters returning led by Chase Smith. All four of those returners weigh-in at 230lbs or more.

Senior Caleb Clark, Junior Brodyn Kenaga and sophomore Devin Wallander will return as starters to the offensive line, joining Smith to form a unit that led the way for Liberty to average nearly 400 yards per game.

Chase has been a starter for Liberty since he was a freshman, said Acklin. He is our anchor at left offensive tackle but has played every position on the OL except center. Smith can play multiple positions on defense, from DL, DE, or any LB position. Being versatile is one of his attributes that makes him a great football player.

Smith will also lead a defense that held opponents to one score or less six times last year, including six shutouts.

Libertys play up front will dictate its success, as will the health of senior Koel Orchard. Orchard will be a four-year starter when all is said and done, with his elite speed making him a home run threat every time he touches the ball. As a freshman and sophomore he primarily played running back. Last year he lined up all over the field, racking up 837 total yards and 14 touchdowns.

He also picked off five passes and finished with more than 100 tackles defensively.

Koel was all-everything last year and we expect the same this year, said Acklin. He can play multiple positions on offense and defense. Orchard will play everything from RB, WR, and QB on offense and can play anything from DE, LB, CB, and FS.

Acklin suggested that this year his offense could look as run-heavy as Thayer, or could be as pass-happy as Glendale based on who the Eagles are playing on that particular Friday night.

Several Eagles are poised for breakout seasons.

Kenaga has the size and length at 6-foot-4, 230lbs to create havoc on both sides of the line. Expect him to build on his 18 tackles for loss and six sacks.

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With Bush graduating and Orchard likely playing several different positions, look for Jackson Connor (Sr.), Colton Foster (Jr.) and Ethan Smith (So.) to shoulder much of the burden in the receiving game. Junior tight end Andrew Holden will also see an uptick in production as a matchup nightmare against opposing linebackers and safeties due to his 6-foot-4 frame.

Liberty has lost just one SCA game since 2013, which came against Ava. The Eagles have won seven straight against Mountain Grove and havent lost a game in Grove, the site of the 2017 regular-season meeting, since 2008.

The road to the SCA crown still goes through Liberty, but Acklin is confident this will be an extremely competitive year in the conference.

It never gets any easier in the SCA, said Acklin. Mountain Grove has a lot of talent returning at the skill positions, Thayer is always one of the best Class 1 teams in Missouri, Salem will be much better than some may think and Ava has the ingredients to have a very solid year because of their size, speed and experience.

Liberty opens the season on Aug. 18 at Cape Girardeau Central. The Eagles home open is in Week 2 vs. Aurora.

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Stephen Miller, the Trump adviser who disavowed the Statue of Liberty poem, could be the new White House … – The Week Magazine

John Oliver gave a brief kiss-off to Anthony Scaramucci on Sunday's Last Week Tonight, then spent a little time picking at the guy who might replace the Mooch as White House communications director: "Stephen Miller: policy advisor and vitamin D-deficient Minion." Oliver knows what you're thinking (maybe): "Yes, you might well think, 'That's unfair anyone can find a photo of someone looking a bit like a Minion.' But with Miller, it is genuinely hard to find a photo of him not looking like a Minion." He tried to prove his case with photographic evidence.

Oliver played the "incredible exchange" between Miller and CNN's Jim Acosta (the one where Miller disavows the Emma Lazarus poem on the Statue of Liberty, not the one where he dismissively calls Acosta "cosmopolitan"). Oliver disagreed with Miller's assessment of the poem's significance, using The Rock as supporting evidence, then gawked at Miller's age, 31, making him young enough that there's YouTube video of his run for student government at his fancy Santa Monica high school. In the speech, young Miller said he is "sick and tired of being told to pick up my trash when we have plenty of janitors who are paid to do it for us."

"Wow, he is truly one of the most revolting humans (Minions) I have ever seen," Oliver said. "You know, in a way, there is no more fitting spokesman for the Trump administration than an entitled, elitist a--hole who refuses to take responsibility for the messes he makes, and who can somehow manage to pick a fight with a f---ing statue." There is NSFW language, but the clip ends on a happier note. Watch below. Peter Weber

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Stephen Miller, the Trump adviser who disavowed the Statue of Liberty poem, could be the new White House ... - The Week Magazine

Mr. Petersen Goes To Washington – Being Libertarian

Unlike the protagonist in the Jimmy Stewart movie, Austin Petersen isnt entirely innocent when it comes to politics. In fact, you could say hes been angling for office for quite a while now, an opinion even more apparent since he announced he was going to challenge Democrat Claire McCaskill for her Senate seat in 2018.

But for those who arent entirely familiar with this former actor turned Libertarian activist, let me introduce you to the man who could permanently change Washington in ways Donald Trump never could.

Born in 1981, Petersen has played a pivotal role in libertarian politics since the early 2000s and has even developed something of a feud with his former boss, libertarian-Republican stalwart Ron Paul, which placed him in the middle of a fight over classical liberalism in the United States.

Even though Petersen originally studied musical theatre at Missouri State, his interest and activism in the libertarian movement led him to run in his partys primaries for the presidency in 2016. He ended up losing on the second ballot to Gary Johnson, but that didnt quench his thirst for public office. So, on July 4th, 2017, Petersen announced his bid for the US Senate, but as a Republican.

The decision shocked many of his supporters. However, Petersens large connections to media outlets such as Reason, Libertarian Republic (which he started), and Fox News was most likely a factor in the largely positive coverage he received.

Another big part of this good reception, in an otherwise difficult situation where youre trying to sell leaving your own party, is probably the interesting way Petersen is presenting himself.

Despite the rising tide of populism, libertarian-Republicans and self-proclaimed Constitutionalists such as Ted Cruz, Mike Lee, Rand Paul, and Ron Johnson are gaining leverage in the Senate. Petersen is currently following the same strategy himself.

These new Republicans have actually been around for a while, predating the MAGA movement and even in some cases the Evangelical surge during the Obama era. They represent a fresh dedication to economic conservatism, and in some cases even partially abandoning strong social positions.

In an interview with Reason Magazines Nick Gillespie, Petersen said many of these things himself.

Itd be good to have a more Libertarian Republican in her place to vote on the issues that we are about, Peterson said while discussing why he was better suited for the Senate than his potential Democratic opponent, Claire McCaskill.

Petersons presence in the Senate could lend a hand to this relatively small block of Republicans, and with battles over tax reform and healthcare still being hammered out, its very possible Petersen could help shift the balance of an extremely important war for the soul of the GOP.

The most important question is, Can this former Libertarian take his seat among the lions of the Senate?

Despite the fact that he could possibly get some high level endorsements and help from the aforementioned legislators, Petersen has a tough electoral mountain to climb.

He faces a potential primary field filled with strong Republican candidates like state attorney general Josh Hawley, whos much more likely to receive help from the state party. Even though Peterson has a bigger profile nationally than probably any of his future foes in the GOP primary, that doesnt necessary mean Republicans will be so accepting.

Even if he somehow managed to win the nomination, Missouri, despite being a tossup state, has a true conservative base that could view Petersens libertarian stances on social issues in a negative light.

Whoever the victor ends up being, the real enemy at the end of the day will be the wily Claire McCaskill, a rising star within the Democrat party. McCaskill, unlike other noticeable Democrats like Elizabeth Warren, Bernie Sanders, or Tulsi Gabbard, is known more for her moderate positions and ability to be dependable than her progressive record.

McCaskill first gained fame in 2006 when she beat Republican incumbent James Talent in her run for the Senate with a margin of 49.6% to 47.3%. She was the first ever female senator from her state, one of only 3 Democrats to hold that seat since 1953, and was one of the first senators to endorse Hillary Clinton during the 2016 Democratic presidential primaries, a series of record breaking feats that were topped off by perhaps her greatest asset: shrewd political skills.

When youre a Democrat that represents a state that has a past of going red on the national level, you develop a pair of very sharp political claws.

McCaskill truly showed off her effectiveness at shredding an opponent when she first defended her seat in 2012. Perhaps it was more Todd Akins own quotes (If its a legitimate rape, the female body has ways to try to shut that whole thing down.) that sabotaged his challenge, but McCaskills ability to use his words against him saved her from being poached by the GOP. She trounced Akin with 54.7% of the vote, surviving a red wave that gave Republican presidential nominee Mitt Romney that same year the state with 53.9% of the vote.

Despite running against someone who could be considered the smartest Democrat in the Senate, Petersen might be able to ride his way to victory by energizing the Trump voter base. The former businessman from New York won the state during the 2016 presidential race by almost 20%, a landslide victory.

However, in order for this strategy to work, it would mean Petersen would have to stray a little from his libertarian roots. But since hes already left his own party to have a shot at victory, it seems the former Fox News producer might do just about anything to win it. Or, perhaps in this case, trump it.

Featured image: Wikipedia

* Caleb Mills is an analyst, journalist, and political strategist from the American Midwest.

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Sport: Tahiti upset Cook Islands to keep RWC hopes alive – Radio New Zealand

Tahiti kept alive their Rugby World Cup qualifying hopes after beating the Cook Islands 13-9 in Rarotonga to win the Oceania Cup.

In wet and windy conditions, the French territory scored two unanswered tries and kept the Cookies scoreless in the second half.

Tahiti celebrate winning the 2017 Oceania Cup. Photo: Oceania Rugby

The test was marred by ill discipline, with Tahiti prop Martin Taeae, winger James Tekurio and Cook Islands centre Samuela Longo Leuta sent off amid a flurry of eight cards.

President of Tahiti Rugby Union, Charles Tauziet, claimed the "underdog" tag prior to kick-off but said the visitors ultimately won the game up front.

"We were most strongest in the forwards and it makes a difference and after we have a game-plan that was better because we put two tries and Cooks put only three penalties," he said.

"I think we had a problem was ill discipline - both teams - because during the game (there was) eight (players sent to the) bin - it was exceptional."

Tahiti outscored the Cook Islands two tries to none. Photo: Oceania Rugby

The President of the Cook Islands Rugby Union, Moana Moeka'a admitted it was a disappointing result.

"I guess we've got to move on from here and without having any Rugby World Cup pathway in front of us it's back to the drawing board and how we can actually make some progress on today's game," he said.

"The problem is we only play once or twice every two or three years...if you want to be playing international rugby you've got to be playing all the time. One, two, three games every four years is, in my view, just not good enough."

Three players were sent off, and eight cards handed out, in a fiery clash. Photo: Oceania Rugby

Tahiti will now face an Asian qualifier next year in a home and away playoff for a spot in the final World Cup repechage event.

Charles Tauziet was confident Tahiti's first ever victory against the Cook Islands will help them attract more sponsors and arrange more test matches over the next 12 months.

"Because the sponsors will be very happy with what we do - we come to Cook and beat Cook in Cook Islands - so I think they trust us now and we will have more sponsors and it will be more easy for us to organise a team, I'm sure, surely boost our budget towards the next round," he said.

"We have to work hard because we know the next step is higher and we have to watch our discipline and keep focused for the game."

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Sport: Tahiti upset Cook Islands to keep RWC hopes alive - Radio New Zealand

Israeli Scientists Develop First Haploid Human Stem Cells – NoCamels – Israeli Innovation News (press release) (blog)

Israeli scientists have developed the first haploid human stem cells, a discovery that will change our understanding of human genetics and medical research.

Already being used to predict whether people are resistant to chemotherapy drugs, the finding earned Igo Sagi, a PhD student at the Hebrew University of Jerusalem, the 2017 Kaye Innovation Award.

The long-sought haploid

Most of the cells in our body are diploid, which means they carry two sets of chromosomes (the structure in which DNA is contained) one chromosome from each parent. Haploid cells, in contrast, contain only a single set of chromosomes.

Scientists have long been trying to develop haploid stem cells. It is an important area of research, as embryonic stem cells are able to grow into any cell in the human body; this makes them extremely useful for treatment of diseases.

Haploid cells in particular are a powerful discovery, as they allow for a much better understanding of the human genetic makeup. For example, in diploid cells, it is difficult to identify the effects of mutations in one chromosome because the other copy is normal and provides a backup. Haploid cells dont have this limitation.

SEE ALSO: Five Israeli Biotech Companies Using Stem Cells To Change The Face Of Medicine

Up until now, scientists have only succeeded in creating haploid embryonic stem cells in animals such as mice, rats, and monkeys. The research conducted by Igo Sagi was the first time anyone was able to successfully isolate and maintain human haploid embryonic stem cells. These haploid stem cells were able to turn into many other cell types, such as brain, heart, and pancreas, while still retaining a single set of chromosomes.

The benefits are immense. Professor Nissim Benvenisty, who worked with Sagi on the research, explained: It will aid our understanding of human development for example, why we reproduce sexually instead of from a single parent. It will make genetic screening easier and more precise, by allowing the examination of single sets of chromosomes. And it is already enabling the study of resistance to chemotherapy drugs, with implications for cancer therapy.

SEE ALSO: Biological Breakthrough: Researchers Succeed In Creating Human Egg and Sperm Cells In Lab

Haploid Human Embryonic Stem Cells

Diagnosis of Chemotherapy Resistance

Based on this research, Yissum, the Technology Transfer arm of the Hebrew University, launched the company NewStem. The company is currently developing a diagnostic kit that can predict resistance to chemotherapy drugs. The large library of human haploid stem cells they are amassing will allow them to provide therapeutic and reproductive products, as well as personalized medication.

The haploid stem cells were developing have the potential to change the face of medical research as they hold a pivotal role in regenerative medicine, disease therapy and cancer research, revealed CEO of NewStem, Ayelet Dilion-Mashiah.

The research was conducted by Igo Sagi, a doctoral student at the Hebrew University of Jerusalem, along with Professor Nissim Benvenisty, Director of the Azrieli Center for Stem Cells and Genetic Research at the Hebrew University. The Kaye Innovation Awards at the Hebrew University of Jerusalem have been awarded annually since 1994 with the goal of encouraging academics to develop innovative methods and inventions with good commercial potential.

Photo:Azrieli Center for Stem Cells and Genetic Research at Hebrew University

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Israeli Scientists Develop First Haploid Human Stem Cells - NoCamels - Israeli Innovation News (press release) (blog)

Shrinking Bat Genomes Spark a New Model of Evolution – WIRED

Take an onion. Slice it very thin. Thinner than paper thin: single-cell thin. Then dip a slice in a succession of chemical baths cooked up to stain DNA. The dyed strands should appear in radiant magentathe fingerprints of lifes instructions as vivid as rose petals on a marital bed. Now you can count how much DNA there is in each cell. Its simply a matter of volume and density. A computer can flash the answer in seconds: 17 picograms. Thats about 16 billion base pairsthe molecular links of a DNA chain.

Original story reprinted with permission from Quanta Magazine, an editorially independent publication of the Simons Foundation whose mission is to enhance public understanding of science by covering research developments and trends in mathematics and the physical and life sciences.

Maybe that number doesnt mean much to you. Or maybe youre scratching your head, recalling that your own hereditary blueprint weighs in at only 3 billion base pairs. Huh? joked Ilia Leitch, an evolutionary biologist at the Royal Botanic Gardens, Kew, in England. Her reaction mimicked the befuddlement of countless anthropocentric minds who have puzzled over this discrepancy since scientists began comparing species genomes more than 70 years ago. Why would an onion have five times more DNA than we have? Are they five times more clever?

Of course, it wasnt just the onion that upended assumptions about a link between an organisms complexity and the heft of its genetic code. In the first broad survey of animal genome sizes, published in 1951, Arthur Mirsky and Hans Rispioneers in molecular biology and electron microscopy, respectivelyreported with disbelief that the snakelike salamander Amphiuma contains 70 times as much DNA as a chicken, a far more highly developed animal. The decades that followed brought more surprises: flying birds with smaller genomes than grasshoppers; primitive lungfish with bigger genomes than mammals; flowering plants with 50 times less DNA than humans, and flowering plants with 50 times more; single-celled protozoans with some of the largest known genomes of all.

Lucy Reading-Ikkanda/Quanta Magazine; Source: Animal Genome Size Database

Even setting aside the genetic miniatures of viruses, cellular genome sizes measured to date vary more than a millionfold. Think pebbles versus Mount Everest. Its just crazy, Leitch said. Why would that be?

By the 1980s, biologists had a partial answer: Most DNA does not consist of genesthose functional lines of code that translate into the molecules carrying out the business of a cell. Large genomes have vast amounts of noncoding DNA, Leitch said. Thats whats driving the difference.

But although this explanation solved the paradox of the clever onion, it wasnt particularly satisfying. It just opened up more cans of worms, said Ryan Gregory, a biologist at the University of Guelph who runs the online Animal Genome Size Database. Why, for instance, do some genomes contain very little noncoding DNAalso, controversially, often called junk DNAwhile others hoard it? Does all this clutteror lack of itserve a purpose?

This past February, a tantalizing clue arose from research led by Aurlie Kapusta while she was a postdoctoral fellow working with Cedric Feschotte, a geneticist then at the University of Utah, along with Alexander Suh, an evolutionary biologist at Uppsala University in Sweden. The study, one of the first of its kind, compared genome sequences across diverse lineages of mammals and birds. It showed that as species evolved, they gained and shed astonishing amounts of DNA, although the average size of their genomes stayed relatively constant. We see the genome is very dynamic, very elastic, said Feschotte, who is now at Cornell University.

To explain this tremendous DNA turnover, Feschotte proposes an accordion model of evolution, whereby genomes expand and contract, forever gathering up new base pairs and dumping old ones. These molecular gymnastics represent more than a curiosity. They hint at hidden forces shaping the genomeand the organisms that genomes beget.

The first signs that inheritance involves the transmission of more than just genes emerged around the time that Mirsky and Ris were marveling at the enormousness of the salamander genome. In the 1940s, a Swedish geneticist named Gunnar stergren became fascinated with odd hereditary structures found in some plants. stergren wrote that the structures, known as B chromosomes, appeared to have no useful function at all to the species carrying them. He concluded that these extraneous sequences were genetic parasiteshijackers of the host genomes reproductive machinery. Three decades later, the evolutionary biologist Richard Dawkins solidified this idea in his popular 1976 book The Selfish Gene ; the theory was quickly adapted to explain genome size.

By then, scientists had learned that B chromosomes are only a tiny fraction of the molecular parasites making genomes fat. The most prolific freeloaders are mobile strings of DNA called transposons, identified in 1944 by Barbara McClintock, the groundbreaking cytogeneticist who was honored with a Nobel Prize for that discovery. Transposons are popularly known as jumping genes, although they are rarely in fact true genes. They can get passed down from one generation to the next or transmitted between species, like viruses, and they come in several flavors. Some encode enzymes that snip a transposon out of its place in a genome and paste it elsewhere. Others copy themselves by manufacturing RNA templates or stealing enzymes from other transposons. (You can get parasites within parasites, Gregory said.)

Lucy Reading-Ikkanda/Quanta Magazine

Its not hard to see how these copies could quickly multiply, eventually taking over large portions of a genome. (More than 100 can pop up in a single generation of flies; they make up 85 percent of the maize genome and almost half of our own.) Proponents of the selfish DNA theory saw this pileup as the driving force of genome evolution: Within the ecosystem of a cells nucleus, natural selection would favor fast-multiplying transposons. But only up to a point. Once a genome reached a certain size, its bulk would start to interfere with an organisms well-beingfor example, by slowing the division of cells and thus the rate of the organisms growth. Selection would kick in again, preventing further expansion. The limit would depend on the organisms biology.

New evidence soon complicated this picture. In the late 1990s, Dmitri Petrov, then a doctoral student at Harvard University, began tracking small mutations in insectsrandom genetic changes of up to a few hundred base pairs that resulted from DNA damage, copying mistakes and poor strand repair. He started with flies. Analyzing defunct transposons, he showed that old code was being scrapped more quickly than new lines were being written (because random mutations are more likely to delete existing base pairs than to insert new ones). He wondered if this deletion bias might explain the flys relatively compact genome. He repeated the experiment in crickets and grasshoppers, whose genomes are, respectively, 10 and 100 times as large as the flys. This time, the deletion rates, although still dominant, were indeed considerably slower. Were some genomes bulkier than others simply because they werent as quick to clear out debris?

Based on these and similar observations, Petrov laid out a new model of genome size. Transposons, he argued, would always accumulate, sometimes very quickly. (Maize, for example, has doubled its genome in only 3 million years.) But over eons, small excisions would slowly chip away at a genomes bulk. Eventually, the pace of expunction would match the pace of creation, and the genome would settle into equilibrium. Any number of forces in the chaotic nucleus might setor resetthis balance.

Not everyone was convinced. Gregory, for one, maintained that spontaneous change happened too slowly to account for the dramatic morphing of genome size in many lineages. But no one could deny that loss was a powerful transformative force. As Gregory wrote in The Evolution of the Genome , there are more complex interactions between [transposons] and their hosts than strict parasitism. The tricky part was finding them.

For Feschotte, the tip-off came from a bat. By the early 2000s, following advances in DNA sequencing, labs had begun decoding whole genomes and sharing the data online. At the time, Feschottes group was not particularly interested in the evolutionary dynamics of genome size, but they were extremely curious about what transposons could reveal about the history of life. So when the genome of the common little brown bat ( Myotis lucifugus ), the first genome sequence from a bat, appeared in 2006, Feschotte was thrilled. Bats have strikingly small genomes for a mammaltheyre more like those of birdsand it seemed likely they would hold surprises.

The tiny red viscacha rat has the largest known genome of any mammal.

MICHAEL A. MARES; STEVE BOURNE

Southern bent-wing bats have some of the smallest mammalian genomes, despite resembling the viscacha rat in size and complexity.

STEVE BOURNE

Parsing the creatures 2 billion base pairs, Feschotte and his colleagues did stumble on something strange. We found some very weird transposons, he said. Because these oddball parasite sequences didnt appear in other mammals, they were likely to have invaded after bats diverged from other lineages, perhaps picked up from an insect snack some 30 to 40 million years ago. Whats more, they were incredibly active. Probably 20 percent or more of the bats genome is derived from this fairly recent wave of transposons, Feschotte said. It raised a paradox because when we see an explosion of transposon activity, wed predict an increase in size. Instead, the bat genome had shrunk. So we were puzzled.

There was only one likely explanation: Bats must have jettisoned a lot of DNA. When Kapusta joined Feschottes lab in 2011, her first project was to find out how much. By comparing transposons in bats and nine other mammals, she could see which pieces many lineages shared. These, she determined, must have come from a common ancestor. Its really like looking at fossils, she said. Researchers had previously assembled a rough reconstruction of the ancient mammalian genome as it might have existed 100 million years ago. At 2.8 billion base pairs, it was nearly human-size.

Next, Kapusta calculated how much ancestral DNA each lineage had lost and how much new material it had gained. As she and Feschotte suspected, the bat lineages had churned through base pairs, dumping more than 1 billion while accruing only another few hundred million. Yet it was the other mammals that made their jaws drop.

Mammals are not especially diverse when it comes to genome size. In many animal groups, such as insects and amphibians, genomes vary more than a hundredfold. By contrast, the largest genome in mammals (in the red viscacha rat) is only five times as big as the smallest (in the bent-wing bat). Many researchers took this to mean that mammalian genomes just dont have much going on. As Susumu Ohno, the noted geneticist and expert in molecular evolution, put it in 1969: In this respect, evolution of mammals is not very interesting.

Aurlie Kapusta, a research associate in human genetics at the University of Utah and the USTAR Center for Genetic Discovery.

Mary-Anne Karren

But Kapustas data revealed that mammalian genomes are far from monotonous, having reaped and purged vast quantities of DNA. Take the mouse. Its genome is roughly the same size it was 100 million years ago. And yet very little of the original remains. This was a big surprise: In the end, only one-third of the mouse genome is the same, said Kapusta, who is now a research associate in human genetics at the University of Utah and at the USTAR Center for Genetic Discovery. Applying the same analysis to 24 bird species, whose genomes are even less varied than those of mammals, she showed that they too have a lively genetic history.

No one predicted this, said J. Spencer Johnston, a professor of entomology at Texas A&M University. Even those genomes that didnt change size over a huge period of timethey didnt just sit there. Somehow they decided what size they wanted to be, and despite mobile elements trying to bloat them, they didnt bloat. So then the next obvious question is: Why the heck not?

Feschottes best guess points at transposons themselves. They provide a very natural mechanism by which gain provides the template to facilitate loss, he said. Heres how: As transposons multiply, they create long strings of nearly identical code. Parts of the genome become like a book that repeats the same few words. If you rip out a page, you might glue it back in the wrong place because everything looks pretty much the same. You might even decide the book reads just fine as is and toss the page in the trash. This happens with DNA too. When its broken and rejoined, as routinely happens when DNA is damaged but also during the recombination of genes in sexual reproduction, large numbers of transposons make it easy for strands to misalign, and that slippage can result in deletions. The whole array can collapse at once, Feschotte said.

Cedric Feschotte, a professor of molecular biology and genetics at Cornell University, recently of the University of Utah.

University of Utah Health

This hypothesis hasnt been tested in animals, but there is evidence from other organisms. Its not so different from what were seeing in plants with small genomes, Leitch said. DNA in these species is often dominated by just one or two types of transposons that amplify and then get eliminated. The turnover is very dynamic: in 3 to 5 million years, half of any new repeats will be gone.

Thats not the case for larger genomes. What we see in big plant genomesand also in salamanders and lungfishis a much more heterogeneous set of repeats, none of which are present in [large numbers], Leitch said. She thinks these genomes must have replaced the ability to knock out transposons with a novel and effective way of silencing them. What they do is, they stick labels onto the DNA that signal to it to become very tightly condensedsort of squishedso it cant be read easily. That alteration stops the repeats from copying themselves, but it also breaks the mechanism for eliminating them. So over time, Leitch explained, any new repeats get stuck and then slowly diverge through normal mutation to produce a genome full of ancient degenerative repeats.

Meanwhile, other forces may be at play. Large genomes, for instance, can be costly. Theyre energetically expensive, like running a big house, Leitch said. They also take up more space, which requires a bigger nucleus, which requires a bigger cell, which can slow processes like metabolism and growth. Its possible that in some populations, under some conditions, natural selection may constrain genome size. For example, female bow-winged grasshoppers, for mysterious reasons, prefer the songs of males with small genomes. Maize plants growing at higher latitudes likewise self-select for smaller genomes, seemingly so they can generate seed before winter sets in.

Some experts speculate that a similar process is going on in birds and bats, which may need small genomes to maintain the high metabolisms needed for flight. But proof is lacking. Did small genomes really give birds an advantage in taking to the skies? Or had the genomes of birds flightless dinosaur ancestors already begun to contract for some other reason, and did the physiological demands of flight then shrink the genomes of modern birds even more? We cant say whats cause and effect, Suh said.

Carrie Arnold

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John Pavlus

The Hunt for the Algorithms That Drive Life on Earth

Its also possible that genome size is largely a result of chance. My feeling is theres one underlying mechanism that drives all this variability, said Mike Lynch, a biologist at Indiana University. And thats random genetic drift. Its a principle of population genetics that driftwhereby a genetic variant becomes more or less common just by sheer luckis stronger in small groups, where theres less variation. So when populations decline, such as when new species diverge, the odds increase that lineages will drift toward larger genomes, even if organisms become slightly less fit. As populations grow, selection is more likely to quash this trait, causing genomes to slim.

None of these models, however, fully explain the great diversity of genome forms. The way I think of it, youve got a bunch of different forces on different levels pushing in different directions, Gregory said. Untangling them will require new kinds of experiments, which may soon be within reach. Were just at the cusp of being able to write genomes, said Chris Organ, an evolutionary biologist at Montana State University. Well be able to actually manipulate genome size in the lab and study its effects. Those results may help to disentangle the features of genomes that are purely products of chance from those with functional significance.

Many experts would also like to see more analyses like Kapustas. (Lets do the same thing in insects! Johnston said.) As more genomes come online, researchers can begin to compare larger numbers of lineages. Four to five years from now, every mammal will be sequenced, Lynch said, and well be able to see whats happening on a finer scale. Do genomes undergo rapid expansion followed by prolonged contraction as populations spread, as Lynch suspects? Or do changes happen smoothly, untouched by population dynamics, as Petrovs and Feschottes models predict and recent work in flies supports?

Or perhaps genomes are unpredictable in the same way life is unpredictablewith exceptions to every rule. Biological systems are like Rube Goldberg machines, said Jeff Bennetzen, a plant geneticist at the University of Georgia. If something works, it will be done, but it can be done in the most absurd, complicated, multistep way. This creates novelty. It also creates the potential for that novelty to change in a million different ways.

Original story reprinted with permission from Quanta Magazine , an editorially independent publication of the Simons Foundation whose mission is to enhance public understanding of science by covering research developments and trends in mathematics and the physical and life sciences.

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Shrinking Bat Genomes Spark a New Model of Evolution - WIRED

Scientists use gene editing to correct mutations in humans – DeathRattleSports.com

Each year, millions of people around the world are affected by diseases caused by mutations that occur in the very early stages of development.

But many of those diseases could soon cease to exist, thanks to a gene editing technique that uses the controversial CRISPR-Cas9 system.

In a world first, scientists have used the technique to correct a mutation for a heart condition in embryos, so that the defect would not be passed on to future generations.

The findings could pave the way for improved IVF outcomes, as well as eventual cures for some of the thousands of diseases caused by mutations in single genes.

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The work is a collaboration between the Salk Institute, Oregon Health and Science University (OHSU) and Koreas Institute for Basic Science.

Professor Juan Carlos Izpisua Belmonte, an author of the study, said: Thanks to advances in stem cell technologies and gene editing, we are finally starting to address disease-causing mutations that impact potentially millions of people.

Gene editing is still in its infancy so even though this preliminary effort was found to be safe and effective, it is crucial that we continue to proceed with the utmost caution, paying the highest attention to ethical considerations.

In the study, the researchers were able to correct a mutation that causes an inherited heart disease, called hypertrophic cardiomyopathy (HCM).

HCM is an inherited disease of your heart muscle, where the muscle wall of your heart becomes thickened.

A: An incredibly powerful gene-editing tool that is transforming the way DNA is manipulated and modified. First demonstrated in 2013, it is based on a system bacteria use to defend themselves against invading viruses.

A: In its most basic form, the gene editing tool kit consists of a small piece of RNA a genetic molecule closely related to DNA and an enzyme protein called Cas9.

The RNA component is programmed to latch onto a specific DNA sequence. Then Cas9 slices through the strands of DNA, like a pair of molecular scissors.

A: By cutting away precisely targeted elements of DNA, active genes can be switched off. Defective parts of a gene can also be removed, allowing the fault to be repaired.

A: Here, nature comes into play. Once a piece of DNA has been snipped out in a cell, natural repair systems kick in to try to repair the damage.

More advanced gene editing systems include additional template DNA the cell can use to mend the break, making it possible to re-write the genetic code.

This was what the scientists conducting the new research planned to do. In the event, the embryos went their own way.

Instead of adopting the researchers template, their cells exploited the fact that only one copy of the gene carried by sperm was defective.

They based their repairs on the other, functioning, copy of the gene inherited from the women who donated their eggs for the research.

A: A lot more research has to be done before the technique is shown to be safe and effective enough to be used in the clinic.

Also, altering nuclear DNA in a developing embryo is currently illegal.

A change in the law would be needed before such treatments can be considered, and this would involve addressing some profound ethical questions.

If in future gene editing of embryos is given the green light, it could potentially prevent thousands of diseases being passed onto future generations.

It is caused by a mutation in the MYBPC3 gene, and those affected have a 50 per cent chance of passing the disease on to their own children.

Using a skin biopsy from a man with HCM, the researchers generated stem cells to use in their study.

The researchers used a technique based on CRISPR-Cas9 a genetic tool that can cut and paste small sections of DNA, deleting or repairing flawed genes to correct the HCM mutation in the cells.

CRISPR-Cas9 works as a pair of genetic scissors designed to cut the DNA near the position of the mutation.

The cut is then spontaneously repaired by the cell with different mechanisms: one repairs the DNA without leaving any trace, while the other introduces some unwanted insertions or deletions of a few base pairs near the cutting site.

While previous studies have injected CRISPR-Cas9 after IVF, they faced problems due to mosaicism in which embryos have some repaired cells, and others that carry the mutation.

To overcome this issue, the researchers injected the CRISPR-Cas9 and the sperm into the egg at the same time.

Using this technique, they found that the mosaicism did not occur.

During testing, CRISPR-Cas9 cut the DNA at the correct position in all tested embryos.

Forty-two out of the 58 embryos tested did not carry the HCM mutation.

In other words, this technique increased the probability of inheriting the healthy gene from 50 per cent to 72.4 per cent.

The highly controversial technique is still at an early experimental stage.

There is no question of any attempt being made to create babies with the genetic modification, which would be illegal both in the US and the UK.

But a leading member of the team has hinted that first steps towards bringing the treatment to patients could take place in the UK under the direction of the fertility regulator the Human Fertilisation and Embryology Authority (HFEA).

Dr Shoukhrat Mitalipov, from Oregon Health and Science University (OHSU) in Portland, said in a telephone briefing with journalists: Maybe .. (the) HFEA might take a lead on this, but Im quite sure before these clinical trials can go on they have to go through, I believe, Parliament to change a law.

So there is still a long road ahead, particularly if you want to do it in a regulatory way.

US regulatory barriers to such research are so high they could be insurmountable.

In the US, taxpayer funds cannot pay for research that destroys human embryos.

And Congress has banned the US Food and Drug Administration (FDA) from even considering the possibility of human clinical trials involving embryos with edited inherited genes.

More liberal Britain has already blazed a trail by becoming the first country officially to sanction mitochondrial replacement therapy (MRT), seen by some as opening the door to designer babies.

The researchers also found that human embryos have an alternative DNA repair system, where the Cas9-induced cuts in the DNA coming from the sperm are repaired using the healthy eggs DNA as a template.

This explained why the remaining 27.6 per cent embryos still had the HCM mutations.

Additionally, the researchers found that there were no off-target changes made during the testing.

Some people are voicing their opposition to the gene-editing technology.

Dr David King, director of Human Genetics Alert, said: If irresponsible scientists are not stopped, the world may soon be presented with a fait accompli of the first GM baby.

We call on governments and international organisations to wake up and pass an immediate global ban on creating cloned or GM babies, before it is too late.

There is absolutely no medical need to use this technology to avoid the birth of children with genetic diseases, since genetic selection techniques can prevent their birth, where that is appropriate.

So scientists racing to develop this technology must be driven by something else: irresponsible technological enthusiasm, the desire for fame, or the financial gain of being the first to market designer babies.

Dr Jun Wu, one of the papers first authors, said: Our technology successfully repairs the disease-causing gene mutation by taking advantage of a DNA repair response unique to early embryos.

During testing, none of the embryos were allowed to develop beyond five days after conception.

But had they produced offspring, those with the repair would no longer be at risk of developing HCM, or passing the defective gene onto their own children.

Dr Shoukhrat Mitalipov, who also worked on the study, said: Every generation on would carry this repair because weve removed the disease-causing gene variant from that familys lineage.

By using this technique, its possible to reduce the burden of this heritable disease on the family and eventually the human population.

While the results are extremely promising, the researchers warn that they are very preliminary, and that further studies will be needed to make sure there are no unwanted side effects.

Professor Belmonte said: Our results demonstrate the great potential of embryonic gene editing, but we must continue to realistically assess the risks as well as the benefits.

Dr Daniel Dorsa, senior vice president for research at OHSU added: The ethical considerations of moving this technology to clinical trials are complex and deserve significant public engagement before we can answer the broader question of whether its in humanitys interest to alter human genes for future generations.

But not everyone is happy about the study, and claim that it is the first step in the development of designer babies.

Dr David King, director of Human Genetics Alert, said: If irresponsible scientists are not stopped, the world may soon be presented with a fait accompli of the first GM baby.

We call on governments and international organisations to wake up and pass an immediate global ban on creating cloned or GM babies, before it is too late.

There is absolutely no medical need to use this technology to avoid the birth of children with genetic diseases, since genetic selection techniques can prevent their birth, where that is appropriate.

So scientists racing to develop this technology must be driven by something else: irresponsible technological enthusiasm, the desire for fame, or the financial gain of being the first to market designer babies.

James Clapper, US director of national intelligence was right to call the creation of GM babies a weapon of mass social destruction.

Charlie Gard would not have been saved by gene editing his embryo in the way described by Dr Shoukhrat Mitalipov and his fellow scientists.

The technique worked for the heart failure condition hypertrophic cadiomyopathy because the disorder is due to a fault in a single gene inherited from one parent.

Charlies illness, infantile onset encephalomyopathy mitochondrial DNA depletion syndrome (MDDS) is an autosomal recessive disorder, which only manifests itself if the gene fault is inherited from both parents.

The disease leads to a loss of mitochondrial DNA, housed in cellular power plants that supply energy to vital organs.

Because of the gene defect Charlie was unable to transfer energy to his muscles, kidneys and brain.

Although it affects mitochondrial DNA, the rare condition is triggered by a fault in the cell nucleus passed down by both a childs mother and father.

The American researchers admitted that fixing such a recessive genetic error caused by two mutated copies of a gene would be far more challenging.

This is because the repair they carried out depended on having one good copy of the gene.

The scientists used a molecular scissors technique called Crispr-Cas9 to snip away precisely targeted elements of defective DNA carried by fertilising sperm.

Once the dysfunctional DNA was removed, Mother Nature took over as the embryos own repair systems fixed the damage using the good gene copy inherited from the egg donor mothers as a template.

Without the mothers functioning genes, it is unlikely the fix would have succeeded.

Although the scientists introduced their own healthy gene template, at the end of the day this played no part in the repair.

Charlie died on July 28, aged 11 months, after being at the centre of a painful legal battle between his parents and Londons Great Ormond Street Hospital.

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Scientists use gene editing to correct mutations in humans - DeathRattleSports.com

Govs. Hickenlooper, Kasich urge bipartisan effort to move forward on health care – CBS News

Colorado Governor John Hickenlooper and Ohio Governor John Kasich say the next step toward changing the Affordable Care Act -- after lawmakers failed to follow through on health care reform-- should now include a bipartisan effort.

"Let's get a bipartisan group of people together, and include some governors, who are the guys who have to- the people who have to implement these plans, and look at how do we stabilize private markets, how do we, you know, deal with these high-cost pools, and what's the best way," Democratic Gov. Hickenlooper said on CBS News' "Face the Nation" on Sunday.

"There are some basic remedial steps that can improve our health care system without having to throw everything out the window," he added.

Hickenlooper noted that Americans will be "surprised" at the number of senators willing to "roll up our sleeves, and work on a bipartisan basis, and see how far we can go."

Kasich, who has been collaborating with Hickenlooper in recent weeks, echoed Hickenlooper's comments, saying that once lawmakers realize the system is "melting down," he's hopeful Congress can put aside their philosophical differences and provide a bipartisan solution.

"I think there is a hunger in the Congress at least in the Senate to try to do what they went to do, which is to solve problems. And you can't solve immense, difficult problems without both sides," Kasich said on Sunday.

When asked what compromises both parties would likely be making in such a bipartisan effort, Kasich said Democrats may have to be willing to allow more choices in the insurance marketplace to help drive costs down, while Republicans will have to admit that "there's going to be a group of people out there who are going to need help."

When asked for specific ways in which a revised policy could include a bipartisan solution on the issue of individual mandates, Hickenlooper said, "The key here is to recognize that when you let healthy people not be part of the pool, you're going to concentrate people with serious health issues, so much more expensive insurance risks, into the market. And that's of course going to raise the cost for everyone."

He added, "whether it's a mandate or a reinsurance type pool, that's where we can sit down."

Kasich said that while differences may persist in Washington, putting aside which party "wins" in the end could help ensure a successful outcome.

"If you don't worry about which party gets the credit or which politician gets the credit, it can work," he said. "Now, I can't guarantee you that Hickenlooper and I are going to agree on this, but I'm hopeful."

2017 CBS Interactive Inc. All Rights Reserved.

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Govs. Hickenlooper, Kasich urge bipartisan effort to move forward on health care - CBS News

Quora: Why Is Health Care So Difficult to Solve? – Newsweek

Quora Questions are part of a partnership between NewsweekandQuora, through which we'll be posting relevant and interesting answers from Quora contributors throughout the week. Read more about the partnershiphere.

Answer from Michael Lee, Public Policy Analyst:

Health care policy involves a lot of political challenges. Leaving aside the policy questions for the momentlets just talk politicsthe challenges include:

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With a stunning late-night vote, Republican Senators John McCain, Lisa Murkowski, and Susan Collins crossed party lines voting against the GOP's "skinny repeal" version of Obamacare reform. Zach Gibson/Getty

So when talking about the Republican health care proposal this year, even leaving aside the policy issues, we have a new government entitlement in the form of ACAs insurance subsidies that now has a constituency (both via the insurance industry and the covered individuals) that doesnt want things to change! But reversing field (even if Republicans were interested in building on ACA) isnt too workable either, because it would require new tax revenue to cover more people.

Remember, Democrats in 2010 passed ACA even though it had a lot of problems and didnt really reflect their policy priorities. And they did it because it moved the ball in their direction and they were convinced that theyd be rewarded by the voters for providing a new benefit. That hasnt happened quite yet, but voters still agitated against the Republican proposal because it would have reduced health insurance coverage compared to current law.

It remains to be seen where we go from here.

Why is the health care bill considered such a hard problem? originally appeared on Quora - the place to gain and share knowledge, empowering people to learn from others and better understand the world. You can follow Quora on Twitter, Facebook, and Google+. More questions:

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Quora: Why Is Health Care So Difficult to Solve? - Newsweek

In healthcare, big data alone isn’t enough – MedCity News

For what its worth, most hospitals and health systems have realized the value in investing in big data. Theyre eagerly raking in a plethora of data, focusing solely on the collection aspect.

But thats insufficient, Gray Matter Analytics president and CEO Sheila Talton proposed during an event last week at Chicago-based startup incubator MATTER.

The real story is: How do you have data thats accessible that can actually become information? Because data is not information, she said.

Most healthcare organizations have gotten the data gathering process down pat, and theyve become experts at utilizing data to report what happened. However, the industry needs to keep moving forward so that data can be used to get descriptive insights, predictive insights and prescriptive recommendations.

Systems are clearly impeded from making good use of the data they have. Part of the problem is the fact that much of the data is siloed.

For other organizations, its simply a budget issue. The majority of health systems can hardly obtain the financial resources to maintain their existing tools, let alone implement new processes and programs.

When a hospital does hop on the bandwagon and begin to manage data, its often pulled into believing in a one-size-fits-all model. Every tool and solution that a certain hospital utilizes will work for me, the hospital thinks.

Yet thats not the case, Talton stressed. Each hospital has a different patient population and budget, meaning it requires its own unique solution.

The need for better data integration is especially applicable in this day and age as the healthcare sector pushes for value-based care.

Value-based care is here to stay, Talton said. That continuum is continuing.

Since the industry is moving toward shared risk models, figuring out how to use data is more important than ever. Health system leaders need to ask, How do we manipulate and manage our data? How can we use it to make the lives of our clinicians easier?

On top of asking these questions, everyone from payers to providers needs to be finding ways to share data with each other. Only by doing so can the healthcare field glean meaningful insights and information.

In closing, Talton shared her belief of what a health systems number one focus should be: Becoming a data-centric entity. But it also boils down to planning for the long term. Instead of focusing solely on installing one-off solutions and collecting data, systems must consider their ultimate goals.

Photo: from2015, Getty Images

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In healthcare, big data alone isn't enough - MedCity News

Mental health services increase ROI for CHG Healthcare – Employee Benefit News

When Nicole Thurman first noticed the health issues that CHG Healthcare was treating its own employees at its Salt Lake City clinic anxiety, substance abuse and post-traumatic stress disorder, among others it became apparent that the medical staffing firm needed to hire a mental health counselor.

We have a young population, so we have an opportunity to help with mental health issues before they turn into substance abuse issues or physical health issues, says the senior director of talent management. I look at this as preventative care.

The staffing firm, which temporarily places physicians in hospitals and clinics, is still in its first year offering mental health counselors to its employees but this benefit has earned $1.73 on every dollar it spends on its Salt Lake City on-site clinic. The ROI was based on claims where high costs claims that cost more than $25,000 were not factored, according to CHG Healthcare.

The mental health counselors are solely available for about 1,300 CHG healthcare employees in the Salt Lake City location. CHG Healthcare plans to roll out the service to 600 employees in the Fort Lauderdale office this January, and is still thinking about its approach for bringing mental health services to locations with fewer than 100 employees. The company started out in Salt Lake City to find doctors and medical professionals for the rural west but it now has four subsidiary companies that all operate under CHG Healthcare. So far, only the Utah-based CHG Healthcare offers this service to its employees.

CHG Healthcare added three counselors to its on-site clinics in November 2016 and said about a third of the 75 visits each month are related to mental health.

We have a really high stress, high intensity workplace because most of our people are recruiters. They need to make their numbers, Thurman says. [The counselors] see a lot of people with anxiety, home and work-life balance problems, depression, marital issues, substance abuse, financial wellness. If we didnt have our clinic here, [our employees] would go elsewhere.

See also: This app tells you when youre depressed. Who else does it tell?

The clinic offers services such as primary care, health coaching, orthopedic injury treatment, pediatric services and womens health, among a myriad of other services, so its impossible for the company to know if an employee is seeking mental health services or treatment for a bad back, Thurman says.

Thurman declined to reveal the cost of the mental health services out of concern that it would deter other employers from offering similar services. However, she says the service is easily scalable.

Originally, the mental health services started out as a referral system, where CHG healthcare leaders could direct their employees. From there, CHG Healthcare has expanded its advertising to fliers, benefit brochures, online communications and physician assistant-led lunch-and-learn sessions, Thurman says.

There is an undercurrent that happens here, she says. Its all word of mouth. Someone will have a good experience and tell someone else. Its exciting to me because that stigma is broken down.

Thurman admits that the company has a good culture built upon trust, which makes a service like mental health counseling more widely used by employees.

Its convenient, its no cost and its high quality, Thurman says of the benefit that is not charged to the employees. Thats why it works.

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Mental health services increase ROI for CHG Healthcare - Employee Benefit News

Sen. Ron Johnson: Put healthcare reform on back burner and focus on other legislative issues – Washington Examiner

Sen. Ron Johnson, R-Wis., said it is probably time for legislators to focus on areas of work like taxes and the economy while continuing to negotiate on a healthcare bill in the background.

Johnson was asked by CNN's Jake Tapper about a tweet from President Trump aimed specifically at Congress' upper chamber, stating, "Unless the Republican Senators are total quitters, Repeal & Replace is not dead! Demand another vote before voting on any other bill!"

"I really do think we probably ought to turn our attention to the debt ceiling and funding the government and tax cuts until we can really get all the parties together," Johnson said. "From my standpoint that really is getting the governors, House members, senators [and] the White House on the same page in terms of healthcare."

Tapper noted that Trump has also been critical of the Senate for leaving town with numerous campaign pledges by Republicans and the president himself still unfulfilled or languishing, such as funding and construction of a border wall, tax cuts, and plan to repeal and replace of Obamacare.

"My preference would have been to stay in session, to grapple with those issues I was talking about," Johnson said. "At the same time, getting back to the state, talking to constituents -- on Friday I traveled with Agriculture Secretary Sonny Perdue and had some really informative discussions with farmers and agriculture interests in the state. We are not on vacation. We really are working. I continue discussions on healthcare as well as taxes with my colleagues even though we're not in Washington, D.C.

Johnson went on to note that Obamacare markets are still unstable, and that the issues around healthcare "aren't going away."

With regards to the ongoing Russia investigations, a bipartisan Senate bill was introduced that would protect special counsel Robert Mueller from being fired by President Trump.

"I don't see that Bob Mueller is going to be fired," Johnson said. "But at the same time I was pretty vocal, saying I would have preferred the congressional committees, the House and Senate Intel Committees finish their work, issue their report before we begin thinking about special counsel. Let's face it, the history of special counsel, special prosecutors, sometimes they go off the rails, they start going on witch hunts. And we have enormous challenges facing this nation. We don't really need that kind of distraction."

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Sen. Ron Johnson: Put healthcare reform on back burner and focus on other legislative issues - Washington Examiner

Bitcoin Just Reached a New All-Time High – Futurism – Futurism

In Brief Post fork, Bitcoin is surging up once more, reaching $3,000 for the first time since June, and surpassing $3,200 for the first time. This was accompanied by a peak in trade volume, and bitcoins market cap rests at around $54.13 billion at press time.

According to the CoinDesk Bitcoin Price Index (BPI), the price of bitcoin has shot up again, surpassing $3,200 for the first time. Market data indicates this latest surge started after 1:00 UTC on August 5, when the price of bitcoin surged past $2,900. By about 3:12 UTC, the price breached the $3,000 mark.

Although many predicted bitcoin would not fare well after the fork, these numbers seem to indicate otherwise. In fact, as Redditors have been discussing, Bitcoin is now worth more than $1 for each day it has existed. Senior Goldman Sachs technician Sheba Jafaris prediction about bitcoin starting a wave V during which its value could reach almost $3,700 is looking on point.Disclosure: Several members of the Futurism team, including the editors of this piece, are personal investors in cryptocurrency markets. Their personal investment perspectives have no impact on editorial content.

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Bitcoin Just Reached a New All-Time High - Futurism - Futurism

China to Start Using Blockchain to Collect Taxes and Send Invoices – Futurism

In Brief China has just announced that it will use blockchain technology for social taxation and issuing electronic invoices. This is just the latest example of the broad array of applications possible for the technology. Blockchain In China

The Chinese government listed blockchainin its Thirteenth Five-Year National Informatization Plan from 2015, and since that time the nation has been working diligently toward incorporate the technology into daily life. The techs inclusion in the plan signals the importance China has attached to it, and this was just confirmed by the governments announcement that it will utilize blockchain technology for social taxation and electronic invoice issuance matters.

This is a major development, and given that the Chinese economy is the worlds largest, with a 2016 GDP of over RMB 70 trillion (approximately U.S. $10.4 trillion), this should be an interesting test case for the implementation of blockchain technology. China has already launched a test of its own cryptocurrency based on the technology, so these initiatives should be able to build on each other.

Furthermore, we should also see implementation at the city level in China, as several local and provincial governments have recently promulgated pro-blockchain policies. In fact, asmart cities initiative has already enticed a Chinese automaker to integrate the tech into its business model. Additionally, blockchain-based industrial parks have gone up in Chengdu, Hangzhou, and other major cities, and agencies at different levels of government have created blockchain R&D teams.

This latest development in China is a good example of how blockchain technology can be used in a broad array of applications. Blockchain tech has been proposed for use in elections do to its potential for both transparency and security. Its these features that make it appealing for taxation as well.

Governments arent the only ones exploring the techs applications. Walmarthas started experimenting with a blockchain database that would protect consumers from contaminated food products as well as guard against product waste. Toyota is using blockchain to get its self-driving cars on the road faster, and the company plans to give customers access to their own data the same way.

Moving forward, we will see more and more innovative uses of blockchain technology as its potential is more fully realized. Transparency and security are both absolute essentials in a digital age, and China appears to be recognizing that need andputting this powerful techto use throughpolicy.

Disclosure: Several members of the Futurism team, including the editors of this piece, are personal investors in cryptocurrency markets. Their personal investment perspectives have no impact on editorial content.

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Report: The World Invested $264 Billion in New Renewables in 2016 – Futurism

In BriefREN21's latest Renewables Global Status Report claims thatmore solar energy technology installed worldwide in 2016 than anyother form of renewable energy. Overall, renewable energy isgrowing much faster than fossil fuels, with the former receivingdouble the investment dollars for the fifth consecutive year. Here Comes the Sun

The future of energy looks sunny. According to the latest Renewables Global Status Reportfrom REN21, more renewable power capacity was added in 2016 than all new fossil fuel capacity combined. In fact, for the fifth consecutive year, investment in new renewables was roughly double fossil fuel investments, with $264.8 billion invested in renewables worldwide in 2016.

Across the globe, renewable electricity costs are dropping, and of all the forms of renewable energy, REN21s report asserts that solar energy-capturing technology was the most popular in 2016.

This report is big news for the planet. Burning oil, coal, and other carbon-based fuels generates carbon dioxide (CO2) and other greenhouse gases that contribute to climate change. A trend toward clean energy sources like solar, wind, and hydropower can only help the environment, but thats not the only reason for the switch.

As Australian National University professor Andrew Blakers wrote in The Conversation, It is probable that construction of new coal power stations will declinebecause PV (solar photovoltaics)and wind are now cost-competitive almost everywhere.

The financial benefits of renewables may not be enough to spur their adoption in the U.S., however. The current administrationsAmerica First Energy Planwithdraws the nation from the Paris Agreement, rescinds the Clean Power Plan, and supports new investment in coal three acts that could stymie the switch to clean energy. Additionally, President Trumps position on trade has the solar industry, which manufactures mostly in China,nervous.

Despite being the star of the Global Status Report, solar faces its own environmental drawbacks, also. As IEEE outlines, huge amounts of energy are required to manufacture solar panels, and in China, that energy is often generated through the burning of fossil fuels.

The process requires lots of water, produces toxic chemicals, and can expose workers to unsafe working conditions. The price cuts that come from manufacturing solar panels abroad have been a huge boon to the industry, but it has further polishing to do before it can be considered truly green.

The overall tone of theRenewables Global Status Report is positive, and we can beencouraged to know that worldwideCO2 emissions from fossil fuels and industry remained stablein 2016 for the third year in a row. Of course, atmospheric CO2 levels continue to increaseto record highs,and they will continue to do so until our emissions reach zero.

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Report: The World Invested $264 Billion in New Renewables in 2016 - Futurism