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Given a paragraph, generate a claim that is supported by the given paragraph. 1) The claim must contain information from within the paragraph. 2) A sentence within the paragraph can be used as a claim. 3) The claim should not have contradictions within the paragraph. 4) The claim should be at most one sentence long.
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- Frustration over limited time spent with patients. - Inordinate amounts of time inputting required data. - Side effects including high levels of stress. The patient? Herself. The remedy? "I did the research and found direct primary care," said Anderson-Elder of Windsor. And in June she joined Dr. Frank Morgan at Balance Health in Greeley, a direct primary care clinic he founded four years ago in Greeley. Leaving her family practice at UCHealth Medical Clinic in Windsor after seven years wasn't an easy decision, she said, but it was the right decision for her. Many physicians from all specialties share Anderson-Elder's frustration and levels of stress incurred while working in insurance-based health care systems. In the 2018 Medscape National Physician and Depression Report, 42 percent of family physicians admitted to having burnout or depression, listing "too many bureaucratic tasks (charting, paperwork)" and "too many hours at work" as the leading factors in burnout. Although direct primary care has been around for some time, it is just now gaining a toehold with both physicians contemplating the switch to a different way of providing care and patients willing to give it a shot, so to speak. In 2017, there were more than 600 direct primary care clinics in the U.S., 10 percent of those in Colorado, according to the Colorado Independent. Anderson-Elder said in her research she found 1,000 out of the 80,000 family doctors practicing in the U.S. have gone the direct primary care route. DIRECT PRIMARY CARE What is direct primary care? And why the interest? First and foremost, the major difference is that direct primary care does not accept insurance. Patients instead pay a monthly membership fee that includes unlimited visits, calls and emails, along with many routine services and access to prescriptions and lab work at a reduced cost. For the physician, it means quality time spent with patients and no more time filling out paperwork to satisfy health insurance company regulations. What the monthly fee is varies from clinic to clinic. At Balance Health, it is $99 for adults, $180 for couples and $30 for children. Those who sign up for direct primary care are asked to sign an annual contract but can be released from it with 30 days' notice, Anderson-Elder said. "We want to be accessible to our patients. We don't want them to go to urgent care or ER if they don't have to," she said. And yes, that includes calls at 3 a.m., but if it can wait till morning, the patient is worked into that day's schedule. Anderson-Elder typically sees eight to 17 patients per day, depending on whether it's cold and flu season. And she spends as much time as needed with them. At her previous practice, she was limited to spending 15 to 20 minutes per patient. "People service their cars," she said. "They should do the same thing with their bodies. You should be looked at and tuned up." While most people think of going to the doctor only when they don't feel well or need a physical for work or school, Anderson-Elder said she likes to see patients even when they feel healthy so she can check in on their well-being and talk about proper nutrition. "Oftentimes patients think they're healthy, but then we do an exam and sometimes find things," she said. Direct primary care works best when combined with a high-deductible health plan, Anderson-Elder said, for those times when unexpected surgeries are scheduled and for patients who suffer from chronic illnesses. But she said about one-third of her patients have no health insurance at all. She also noted direct primary care should not be confused with concierge medicine, which also provides direct access to providers for a flat fee but still bills insurance companies for services provided. Another key distinction between the two is direct primary care is mentioned in the Affordable Care Act as an acceptable option for receiving medical care without insurance, while concierge medicine is not, according to the American Academy of Family Physicians. And last year, Colorado Gov. John Hickenlooper signed Colorado HB17-1115, which establishes that direct primary health care can operate without regulation of the division of insurance. Windsor Republican Rep. Perry Buck was a primary sponsor of the bill. Patients at Balance Health also can tap into other healthy-living services for additional fees. Dr. Dana Morgan, a family care physician, specializes in bioidentical hormone replacement therapy. Balance Health also has a small fitness gym replete with trainers and classes. Wellness coaching also is offered. Leaving her practice in Windsor, though a hard decision, has been the right prescription for her, she said. "I no longer take paperwork home," she said. "I'm happier and less stressed." ___ Information from: The Tribune of Greeley, Co, http://greeleytribune.com
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Windsor doctor joining direct primary care movement.

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CES is allowing space for sex tech companies as a one-year trial. At the show, such companies were scattered throughout the health and wellness section, near startups pitching fitness trackers and infrared saunas. Lora DiCarlo, a startup that pushed for changes after organizers revoked its award, showed off its Ose robotic "personal massager." It's one of a dozen companies at the show focused on vibrators, lube dispensers and other sex tech products. Founders of these startups say their products are about empowerment and wellness for women, something they say has often been overlooked in tech. The historically male-dominated tech trade show has received criticism in past years for having an all-male lineup of speakers and for previously allowing scantily clad "booth babes," fostering a "boys' club" reputation. Besides allowing sex tech, CES organizers brought in an official "equality partner," The Female Quotient, to help ensure gender diversity. The Female Quotient, which trains companies in equality practices, will hold a conference for women during the four-day show, which opened Tuesday. "It's been a process," said Gary Shapiro, the head of the Consumer Technology Association, which puts on CES. It's been a longer process for many sex tech companies to convince investors that they are part of a growing trend that has enough customers. Much of the push has come from the startups' female founders and from younger consumers who talk more openly about sexuality. As with other technologies, some exhibitors including Lora DiCarlo had prominent booths at CES, while others such as the wearable vibrator company Crave were tucked away. Crave's exhibit included a camper with a "Build-a-Vibe-Workshop," where attendees could get an engraved vibrator to wear around their neck. Sex tech has existed in some form for decades. But the gates really began to open in 2016, said Andrea Barrica, founder of sex education site O.school. That year, several other "fem tech" companies made progress in areas such as menstruation and menopause. Those paved the way for sex tech to grow and get investors interested. "Larger institutions are starting to take note, all the way from VC firms to large Fortune 100 companies," said Barrica, who recently published the book "Sextech Revolution: The Future of Sexual Wellness." Large institutions like CES had no choice but to look at sex tech, she said. The journey hasn't been easy. Sex tech founders, many of them women, recount being turned down by dozens of investors. They faced decency arguments and entrenched corporate standards that equated them with porn. But investors are becoming more receptive, said Cindy Gallop, a former advertising executive turned sex tech entrepreneur and founder of the website MakeLoveNotPorn. "It's entirely because of our refusal to allow the business world to put us down," she said. Founders insist that their devices ranging from vibrators to lube dispensers to accessories have effects outside the bedroom. "Sexual health and wellness is health and wellness," said Lora DiCarlo, CEO and founder of the company of the same name. "It does way more than just pleasure. It's immediately connected to stress relief, to better sleep, to empowerment and confidence." DiCarlo's $290 Ose device has gotten $3 million worth of advance sales, bolstered in part by the attention it received after CES organizers overturned a decision by an independent panel of judges to give the vibrator a prestigious Innovation Honoree Award in the robotics and drone category. The organizers, CTA, told the company it reserved the right to rescind awards for devices deemed "immoral, obscene, indecent, profane or not in keeping with CTA's image." DiCarlo and other female founders pushed back for banning them but allowing humanoid sex robots meant to serve men the previous year. Following criticism, CES organizers ultimately reinstated the award and apologized. A few months later, the show announced policy changes such as a dress code to prevent skimpy outfits and new "Innovation for All" sessions with senior diversity officials. Ose began shipping to customers this month. DiCarlo said the company is planning to introduce new devices, including less expensive options. Sex tech companies still face major barriers to growth. Polly Rodriguez, CEO of sexual wellness company Unbound, said the company is profitable and customers are more open about buying products than they once were. But she said she still faces roadblocks advertising on social media, and many traditional investors snub the company. "Things are better, but there's just still this genuine fear of female sexuality more broadly within the institutional side of technology," she said. And while Gallop offered to speak at CES, conference organizers declined, saying sex tech was not a part of its conference programming. ___ AP Business Writer Joseph Pisani contributed to this report. ___ AP's CES coverage: https://apnews.com/Consumerelectronics
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Sex tech from women-led startups pops up at CES gadget show.

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The Miami-based hurricane center issued a tropical storm warning for islands including hurricane-hit Abacos and Grand Bahama, saying the system could become a tropical depression or storm before making landfall as early as Friday. Hurricane Dorian slammed into the Bahamas on Sept. 1 as a Category 5 storm, one of the strongest Atlantic hurricanes on record to hit land, packing top sustained winds of 185 miles per hour (298 km per hour). The tropical cyclone was not expected to bring anywhere near that level of devastation, but was capable of winds of 30 miles per hour and 2 to 4 inches of rain through Sunday, according to the hurricane center. Aid groups rushed shelter material to residents living in the shells of former homes or whose homes had been stripped of their roofs. "We're seeing plastic tarps go out all over the islands, and that's extremely important because now you've got another tropical storm coming," said Ken Isaacs, vice president of programs for U.S. relief organization Samaritan's Purse. The prime minister of the Bahamas, Hubert Minnis, on Wednesday said the official death toll was 50 but was expected to rise. Former Prime Minister Hubert Ingraham said he believed "hundreds" were dead on Abaco "and significant numbers on Grand Bahama," the Nassau Guardian newspaper reported on Thursday. Minnis said there were problems coordinating aid due to the level of devastation and he was trying to remove "bureaucratic roadblocks." With 1,300 people still missing, according to the Bahamian government, relief services are focused on search and rescue as well as providing life-sustaining food, water and shelter. Officials have erected large tents in Nassau to house those made homeless by Dorian and plan to erect tent cities on Abaco capable of sheltering up to 4,000 people. A flood of aid has caused bottlenecks at docks and airports, creating "a lot of delays" in relief supplies, said Nat Abu-Bonsrah of the Adventist Development and Relief Agency, the global humanitarian organization of the Seventh-day Adventist Church. Due to a shortage of functioning vehicles and facilities on Grand Bahama, the group turned to church members to lend their cars and kitchens for its program providing hot meals to over 400 people a day in Freeport. "We've not been able to reach them as much as we want," he said of efforts to get hundreds of hygiene kits to survivors. Groups like Samaritan's Purse, with their own aircraft or logistics chains, said they had not encountered issues with coordination or government red tape. "I think we're accomplishing our mission, any roadblocks we have right now are our own," said Dennis Clancey, a field operations manager for relief group Team Rubicon, which has deployed mobile medical units to treat patients.
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Tropical storm warning issued for Bahamas; 1,300 still missing.