Slide Show: 10 of the best tropical islands for retirees

4. Roatan, Honduras

The largest of the Bay Islands, Roatan lies a short ferry ride off the coast of Honduras (it also has direct flights). The island is adjacent to the Mesoamerican Barrier Reef, the second largest in the world and the largest in the Western Hemisphere. As a result, Roatan is ideal for active expats who want easy access to a wealth of aquatic adventures. In addition to scuba diving and snorkeling, you can spend your time island hopping, sport fishing or kayaking through the mangroves. On land, there are zip-lining tours of the canopy, ATV rentals, jungles to explore and indigenous villages to visit. If a less heart-pumping lifestyle is more your speed, there are plenty of remote spots far removed from the cruise ship docks and tourist operations of the busy West End. On Roatans northern shores, you can find a stretch of deserted beach to enjoy a picnic or a relaxing swim. There are plenty of properties for sale and, according to Steve Hasz of Roatan Life Real Estate, prices are often far below those of other Caribbean locations.

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Slide Show: 10 of the best tropical islands for retirees

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Human genetics of malaria has uncovered some new clues about susceptibility to severe malaria
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Human genetics of malaria has uncovered some new clues about susceptibility to severe malaria - Video

Khin July Soe: "Karenni State is desperate for health care workers and better healthcare services" – Video


Khin July Soe: "Karenni State is desperate for health care workers and better healthcare services"
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Health care amendments generate controversy

Published: Friday, October 3, 2014 at 6:26 p.m. Last Modified: Friday, October 3, 2014 at 6:26 p.m.

Two constitutional amendments on the Nov. 4 ballot could help secure more reliable health care funding for Louisiana's poor and uninsured residents, but critics say the changes could negatively impact other major areas of the state budget such as higher education.

The amendments have generated organized support and opposition on a level usually reserved for more hotly contested congressional and Senate races.

Passed during the 2013 legislative session, the amendments must be approved by a majority of voters statewide before taking effect. Fourteen total amendments are on the Nov. 4 ballot, which also includes congressional elections and a U.S. Senate race.

Both of the proposed amendments affecting health care would allow the state to take fees charged to health care providers and leverage them for matching federal money to compensate for care of the uninsured.

Constitutional Amendment 1 would give additional protection to the Louisiana Medical Assistance Trust, an existing pool of money designed to be a state match to draw down federal money through the Medicaid program.

To fund the trust, the state assesses a fee on nursing homes, community pharmacies and care facilities for the developmentally disabled. The state uses that money to draw down matching federal funds, then pays those dollars back to the providers to cover the costs of providing uninsured care.

Louisiana has collected the assessments since 1993 and similar systems are used in all but a handful of states. Over the years, however, Louisiana lawmakers have dipped into the fund to cover other health care costs instead of repaying the providers who paid the fees.

Constitutional Amendment 1 would protect the money in the Louisiana Medical Assistance Trust from being diverted to other areas of the budget and ensure that the matching federal money flows back to the providers. The amendment would not increase the current fees medical providers pay, nor would it cost taxpayers any additional money.

The goal of the amendments is to strengthen our healthcare system without increasing healthcare costs for patients or businesses, the Louisiana Hospital Association says in its promotional materials urging voters to approve both amendments.

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Health care amendments generate controversy

Mike Pence talks health care with Obama

As soon as Air Force One touched down in Indiana on Friday, Gov. Mike Pence met President Barack Obama on the tarmac with a plea: Expand the state's access to government-sponsored health insurance.

The catch: Pence wants to do it with a conservative twist.

At least, that's how he's selling his proposal. And his political future could hinge on whether the first-term Republican can convince conservatives that he's not just rebranding the Affordable Care Act.

Pence has spent much of his first two years in office trying to strike a bargain on one of the health care law's core components. Indiana will expand Medicaid coverage, Pence says, but only if it's allowed to do it through a tweaked version called the "Healthy Indiana Plan," which also requires users to make small payments into health savings accounts.

He spent five minutes chatting with Obama at the Evansville airport, lobbying to have the Health and Human Services Department green-light Indiana's request, before the president visited a factory in Princeton, Indiana.

"The president and I talked through a number of substantive issues that have arisen in our discussions over the Healthy Indiana Plan," Pence said afterward, "and I appreciated the opportunity to call the matter to his personal attention."

He said he also spoke last night with top Obama adviser Valerie Jarrett and will meet Monday with Health and Human Services Secretary Sylvia Mathews Burwell.

Pence's focus on a health care expansion is at the center of his effort to evolve from a firebrand conservative congressman to an executive with a record of accomplishment ahead of a White House run that many Republicans close to him see as a question of when -- not if.

As he flirts with a 2016 bid, Pence could be the best test of whether a conservative can run nationally after expanding a government-sponsored health system. Mitt Romney faced hurdles with conservatives during his 2012 presidential bid, in part because of the health care system he put in place when he was the governor of Massachusetts.

Other governors who could seek the 2016 GOP nomination -- including New Jersey's Chris Christie and Ohio's John Kasich -- have accepted the Affordable Care Act's extension of Medicaid coverage to hundreds of thousands of their state's residents.

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Mike Pence talks health care with Obama

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