The first flight of a SpaceX rocket tailored to fly astronauts to the International Space Station is set for liftoff from Kennedy Space Center in Florida on January 7, NASA said on Wednesday.

The launch test is a crucial milestone in the space agency’s Commercial Crew Program, which aims to launch humans to space from U.S. soil for the first time in nearly a decade.

The U.S. National Aeronautics and Space Administration said SpaceX’s Crew Dragon spacecraft — which will shuttle three astronauts to space from the same launch pad that sent Apollo 11’s three-man crew to the moon in 1969 — will make its debut flight atop SpaceX’s Falcon 9 rocket on January 7.

While NASA did not detail the flight path, it said the test would provide data on the performance of the Falcon 9, Crew Dragon capsule, and ground systems, as well as on-orbit, docking and landing operations.

SpaceX and Boeing Co are the two main contractors selected under NASA’s Commercial Crew Program to send astronauts to space as soon as 2019, using their Crew Dragon and CST-100 Starliner spacecraft respectively.

Since the U.S. space shuttle program was shut down in 2011, NASA has had to rely on Russia to fly astronauts to the space station, a $100 billion orbital research laboratory that flies about 250 miles (402 km) above Earth.

The Demo-1 launch is the latest test in a rigorous certification timeline imposed under NASA’s Commercial Crew Program. While SpaceX is targeting early January, NASA spokeswoman Marie Lewis said the demo mission could be pushed back because “flying safely has always taken precedence over schedule.”

Founded by Tesla Inc Chief Executive Elon Musk, SpaceX said if the January 7 test is successful, it plans to launch its first crewed mission in June 2019, but the timeline may shift.

Boeing plans a similar test launch of the Starliner spacecraft atop its Atlas 5 rocket as soon as March, with a crewed mission following in August.

The Jan. 7 launch date announcement comes a day after NASA said it would conduct a “cultural assessment study” of the companies, “including the adherence to a drug-free environment,” prior to crew test flights.
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On a cold and rainy Saturday morning, hundreds of people have camped out all night in cars or huddled in sleeping bags, splayed out in a school parking lot that has been turned into a makeshift medical clinic in Charleston, West Virginia. 

By the time the doors open at 6 a.m., some will have been waiting for at least 14 hours to receive medical, dental, and vision care at this free mobile health clinic. Most here say they have no other health care option. 

“I’ve never had health insurance – never,” says Benny Cardenas, a construction worker who constantly worries he is an injury away from being in long-term debt. “This here, it’s free. It’s worth the sacrifice – a couple hours of no sleep (rather) than paying thousands of dollars.” 

Susan Stephenson, a truck driver from Houston, Texas, is already missing most of her upper teeth. Though she has medical insurance, she can’t afford to go to the dentist. “The copay is so outrageous, it’s like not having insurance at all,” says Stephenson, who drove four hours to attend the RAM Clinic. 

Insurance problems persist

Stephenson’s story is common. Most Americans get health insurance through their employers, or through government-provided insurance for older and lower-income people. Millions of other people have received health insurance in recent years under the Obama administration’s Affordable Care Act. But many still cannot afford basic dental or vision services. 

Since the 2010 passage of the legislation known as “Obamacare,” the uninsured rate has fallen from 16 percent to less than 9 percent, according to figures by the Centers for Disease Control and the U.S. Census Bureau. 

But 23 percent of Americans have no dental coverage, according to the National Association of Dental Plans. 

Even with insurance, costs can be prohibitive. Over 44 percent of Americans report difficulty paying for dental care and 11 percent of adults age 18-64 have foregone needed dental work altogether because of costs, according to a recent CDC study.

Ashley Bowman, who needs two cavities filled, has a state-subsidized health care plan, but it doesn’t include dental coverage. “I’m not sure why,” she says. “It just doesn’t.” 

So she’s huddled under an awning with several of her friends in the middle of the night – a small price to pay, she insists. “Just for one filling, that’s already half your rent! That’s a lot just for one tooth.” 

Partisan deadlock over voters’ top issue

Perhaps unsurprisingly, health care is a major priority for U.S. voters. According to exit polls taken during midterm elections, 41 percent of voters identified health care as their top concern – beating out every other issue, including immigration and the economy.

It’s not hard to see why. The U.S. spends approximately twice what other high-income nations do on health care, yet has the highest infant mortality rate and the lowest life expectancy, according to a March study published in the Journal of the American Medical Association. 

The high costs are not because Americans are getting more medical care. Rates of doctor visits are roughly equal to the 10 other countries in the study. Instead, it concluded health spending is being driven by factors including the steep costs of prescription drugs, administrative tasks, and physician and nurse salaries.

But any legislative movement on health care appears more unlikely than ever after the election, which saw Democrats take back the House of Representatives, creating a divided Congress. 

Many Republicans have called for a complete repeal of Obamacare, but would not be able to get such a plan through the Democratic-controlled House. 

More liberal-leaning Democrats have increasingly proposed a “Medicare for All” program to expand government-run health care plans to cover all Americans. But Republicans fiercely oppose the proposal, saying it amounts to an inefficient government takeover of health care. 

RAM filling the gap

Amid the partisan deadlock, privately-funded clinics like the one in West Virginia continue to provide free health care to as many people as they can across the country. 

Each year, Remote Area Medical operates more than 60 mobile medical clinics.  About 90 percent are in the U.S., mostly in rural areas.

RAM founder Stan Brock started holding the clinics in the 1980s in developing Latin American countries, such as Guyana, Mexico, and Haiti. It didn’t take long before he realized one of the biggest needs was at home. 

“You can blindfold yourself and put your finger on the map of the U.S. and we could go there and this will happen there,” says RAM’s Robert Lambert. “The need is just huge.” 

At this two-day clinic in Charleston, RAM provided about $300,000 worth of free medical care to 775 patients. That figure may be small when compared to the vastness of U.S. health care problems. But for people here, it’s a lifesaver. 

“If I didn’t have a place like this to get my glasses, I’d be totally lost,” says Rosemary Pauley, a retiree who says she’s “blind as a bat.” 

“I’d be sitting at home doing nothing,” she says.
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A global diabetes epidemic is fueling record demand for insulin but tens of millions will not get the injections they need unless there is a dramatic improvement in access and affordability, a new study concluded on Wednesday.

Diabetes — which can lead to blindness, kidney failure, heart problems, neuropathic pain and amputations — now affects 9 percent of all adults worldwide, up from 5 percent in 1980. The vast majority have type 2 diabetes, the kind linked to obesity and lack of exercise, and cases are spreading particularly rapidly in the developing world as people adopt more Western, urban lifestyles.

Researchers said the amount of insulin needed to effectively treat type 2 diabetes would rise by more than 20 percent over the next 12 years, but insulin would be beyond the reach of half the 79 million type 2 diabetics predicted to need it in 2030. The shortfall is most acute in Africa, where the team led by Dr Sanjay Basu from Stanford University estimated supply would have to rise sevenfold to treat at-risk patients who had reached the stage of requiring insulin to control their blood sugar.

“These estimates suggest that current levels of insulin access are highly inadequate compared to projected need, particularly in Africa and Asia,” Basu said.

​”Despite the U.N.’s commitment to treat non-communicable diseases and ensure universal access to drugs for diabetes, across much of the world insulin is scarce and unnecessarily difficult for patients to access.”

Global insulin supply is dominated by three companies — Novo Nordisk, Sanofi and Eli Lilly– which have various programs to try to improve access to their products.

Insulin, however, remains costly and prices can be especially out of reach in poorer countries where tortuous supply chains and high mark-ups by middlemen often make it unaffordable for many patients.

Overall, Basu and colleagues calculated that global insulin use was set to rise to 634 million 1,000-unit vials by 2030 from 526 million in 2018.

Their study, published in the Lancet Diabetes; Endocrinology journal and funded by the Helmsley Charitable Trust, was based on projections of diabetes prevalence from the International Diabetes Federation.

Dr Hertzel Gerstein from Canada’s McMaster University wrote in an accompanying commentary that it was important to estimate and ensure insulin supplies, but added the forecasts should be treated cautiously as they were based on mathematical models.
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Public health officials in the United States and Canada on Tuesday warned against eating romaine lettuce while they investigate an outbreak of E. coli that has sickened 50 people in the two countries, including 13 who were hospitalized. 

The alerts, issued as millions of Americans plan their Thanksgiving Day menus, covered all forms of romaine, including whole heads, hearts, bags, mixes and Caesar salad. 

Officials were uncertain of the source of the tainted lettuce. 

“Consumers who have any type of romaine lettuce in their home should not eat it and should throw it away, even if some of it was eaten and no one has gotten sick,” the U.S. Centers for Disease Control said in its food safety alert. 

Refrigerator drawers and shelves where romaine lettuce had been stored should be sanitized, the CDC said. 

The Public Health Agency of Canada, which is investigating 18 of the E. coli cases, directed its romaine lettuce alert at consumers in Ontario and Quebec. 

In the United States, the CDC said the outbreak affected 32 people in 11 states between Oct. 8 and Oct. 31. No deaths have been reported, it said. 

Symptoms of the infection often include a moderate fever, severe stomach cramps, vomiting and diarrhea, which is often bloody, the CDC said. Most people get better in five to seven days, but it can be life-threatening, it said. 

The agency said the current outbreak is unrelated to another multistate rash of E. coli infections related to romaine lettuce earlier this year that left five people dead and sickened nearly 200. 

The U.S. Food and Drug Administration and the CDC traced the origin of that contamination to irrigation water in the Yuma, Ariz., growing region. 
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Biologists are trying to save the last of the endangered Puerto Rican parrots after more than half the population of the bright green birds with turquoise-tipped wings disappeared when Hurricane Maria hit Puerto Rico and destroyed their habitat and food sources.

In the tropical forest of El Yunque, only two of the 56 wild birds that once lived there survived the Category 4 storm that pummeled the U.S. territory in September 2017. Meanwhile, only 4 of 31 wild birds in a forest in the western town of Maricao survived, along with 75 out of 134 wild parrots living in the Rio Abajo forest in the central mountains of Puerto Rico, scientists said.

And while several dozen new parrots have been born in captivity and in the wild since Maria, the species is still in danger, according to scientists.

“We have a lot of work to do,” said Gustavo Olivieri, parrot recovery program coordinator for Puerto Rico’s Department of Natural Resources.

Federal and local scientists will meet next month to debate how best to revive a species that numbered more than 1 million in the 1800s but dwindled to 13 birds during the 1970s after decades of forest clearing.

The U.S. and Puerto Rican governments launched a program in 1972 that eventually led to the creation of three breeding centers. Just weeks before Maria hit, scientists reported 56 wild birds at El Yunque, the highest since the program was launched.

But the population decline is now especially worrisome because the parrots that vanished from El Yunque were some of the last remaining wild ones, said Marisel Lopez, who oversees the parrot recovery program at El Yunque for the U.S. Fish & Wildlife Service.

“It was devastating. After so many years of having worked on this project…,” she stopped talking and sighed.

The Puerto Rican Amazon is Puerto Rico’s only remaining native parrot and is one of roughly 30 species of Amazon parrots found in the Americas. The red-foreheaded birds grow to nearly a foot in length, are known for their secrecy and usually mate for life, reproducing once a year.

More than 460 birds remain captive at the breeding centers in El Yunque and Rio Abajo forests, but scientists have not released any of them since Hurricane Maria. A third breeding center in a forest in the western rural town of Maricao has not operated since the storm. Scientists are now trying to determine the best way to prepare the parrots for release since there are such few birds in the wild they can interact with, and whether Puerto Rico’s damaged forests can sustain them.

One proposal scientists will consider is whether to capture some of the remaining wild parrots in the Rio Abajo forest and place them in the same cage as birds that will be released to the wild, so they can learn to emulate their social behavior to ensure their survival, said Jafet Velez, a wildlife biologist with U.S. Fish & Wildlife Service.

Scientists are tentatively planning to release 20 birds next year in Rio Abajo.

Another proposal is to release more parrots in Maricao, which was not as heavily damaged by Maria.

“Our priority now is not reproduction. … it’s to start releasing them,” Lopez said, adding that breeding centers can hold only so many parrots.

But first, scientists need to make sure the forests can offer food and safe shelter.

Jessica Ilse, a forest biologist at el Yunque for the U.S. Forest Service, said scientists are collecting data about the amount of fruit falling from trees and the number of leaves shed. She said the canopy still has not grown back since Maria and warned that invasive species have taken root since more sunlight now shines through. Ilse said that many of the large trees where parrots used to nest are now gone and noted that it took 14 months for El Yunque’s canopy to close after Hurricane Hugo hit Puerto Rico in 1989 as a Category 3 storm.

Scientists also are now collecting new data on the number of predators at El Yunque, including el guaraguao, a red-tailed hawk that hunts Puerto Rico parrots. Without a canopy and proper camouflage, wild parrots have become an easy target.

Ilse said local and federal scientists plan to help the forest recover through planting. By the end of November, they expect to have a map detailing the most damaged areas in El Yunque and a list of tree species they can plant that are more resistant to hurricanes.

“People keep asking us, ‘How long is it going to take?'” Ilse said.

But scientists don’t know, she added.

“The damage is more extensive than [hurricanes] Hugo and Georges. … It’s been a complete change to the ecosystem.”
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Mars is about to get its first U.S. visitor in years: a three-legged, one-armed geologist to dig deep and listen for quakes.

NASA’s InSight makes its grand entrance through the rose-tinted Martian skies on Monday, after a six-month, 300 million-mile (480 million-kilometer) journey. It will be the first American spacecraft to land since the Curiosity rover in 2012 and the first dedicated to exploring underground.

NASA is going with a tried-and-true method to get this mechanical miner to the surface of the red planet. Engine firings will slow its final descent and the spacecraft will plop down on its rigid legs, mimicking the landings of earlier successful missions.

That’s where old school ends on this $1 billion U.S.-European effort.

Once flight controllers in California determine the coast is clear at the landing site — fairly flat and rock free — InSight’s 6-foot (1.8-meter) arm will remove the two main science experiments from the lander’s deck and place them directly on the Martian surface.

No spacecraft has attempted anything like that before.

The firsts don’t stop there.

One experiment will attempt to penetrate 16 feet (5 meters) into Mars, using a self-hammering nail with heat sensors to gauge the planet’s internal temperature. That would shatter the out-of-this-world depth record of 8 feet (2 { meters) drilled by the Apollo moonwalkers nearly a half-century ago for lunar heat measurements.

The astronauts also left behind instruments to measure moonquakes. InSight carries the first seismometers to monitor for marsquakes — if they exist. Yet another experiment will calculate Mars’ wobble, providing clues about the planet’s core.

It won’t be looking for signs of life, past or present. No life detectors are on board.

The spacecraft is like a self-sufficient robot, said lead scientist Bruce Banerdt of NASA’s Jet Propulsion Laboratory.

“It’s got its own brain. It’s got an arm that can manipulate things around. It can listen with its seismometer. It can feel things with the pressure sensors and the temperature sensors. It pulls its own power out of the sun,” he said.

By scoping out the insides of Mars, scientists could learn how our neighbor — and other rocky worlds, including the Earth and moon — formed and transformed over billions of years. Mars is much less geologically active than Earth, and so its interior is closer to being in its original state — a tantalizing time capsule.

InSight stands to “revolutionize the way we think about the inside of the planet,” said NASA’s science mission chief, Thomas Zurbuchen.

But first, the 800-pound (360-kilogram) vehicle needs to get safely to the Martian surface. This time, there won’t be a ball bouncing down with the spacecraft tucked inside, like there were for the Spirit and Opportunity rovers in 2004. And there won’t be a sky crane to lower the lander like there was for the six-wheeled Curiosity during its dramatic “seven minutes of terror.”

“That was crazy,” acknowledged InSight’s project manager, Tom Hoffman. But he noted, “Any time you’re trying to land on Mars, it’s crazy, frankly. I don’t think there’s a sane way to do it.”

No matter how it’s done, getting to Mars and landing there is hard — and unforgiving.

Earth’s success rate at Mars is a mere 40 percent. That includes planetary flybys dating back to the early 1960s, as well as orbiters and landers.

While it’s had its share of flops, the U.S. has by far the best track record. No one else has managed to land and operate a spacecraft on Mars. Two years ago, a European lander came in so fast, its descent system askew, that it carved out a crater on impact.

This time, NASA is borrowing a page from the 1976 twin Vikings and the 2008 Phoenix, which also were stationary and three-legged.

“But you never know what Mars is going to do,” Hoffman said. “Just because we’ve done it before doesn’t mean we’re not nervous and excited about doing it again.”

Wind gusts could send the spacecraft into a dangerous tumble during descent, or the parachute could get tangled. A dust storm like the one that enveloped Mars this past summer could hamper InSight’s ability to generate solar power. A leg could buckle. The arm could jam.

The tensest time for flight controllers in Pasadena, California: the six minutes from the time the spacecraft hits Mars’ atmosphere and touchdown. They’ll have jars of peanuts on hand — a good-luck tradition dating back to 1964’s successful Ranger 7 moon mission.

InSight will enter Mars’ atmosphere at a supersonic 12,300 mph (19,800 kph), relying on its white nylon parachute and a series of engine firings to slow down enough for a soft upright landing on Mars’ Elysium Planitia, a sizable equatorial plain.

Hoffman hopes it’s “like a Walmart parking lot in Kansas.”

The flatter the better so the lander doesn’t tip over, ending the mission, and so the robotic arm can set the science instruments down.

InSight — short for Interior Exploration using Seismic Investigations, Geodesy and Heat Transport — will rest close to the ground, its top deck barely a yard, or meter, above the surface. Once its twin circular solar panels open, the lander will occupy the space of a large car.

If NASA gets lucky, a pair of briefcase-size satellites trailing InSight since their joint May liftoff could provide near-live updates during the lander’s descent. There’s an eight-minute lag in communications between Earth and Mars.

The experimental CubeSats, dubbed WALL-E and EVE from the 2008 animated movie, will zoom past Mars and remain in perpetual orbit around the sun, their technology demonstration complete.

If WALL-E and EVE are mute, landing news will come from NASA orbiters at Mars, just not as quickly.

The first pictures of the landing site should start flowing shortly after touchdown. It will be at least 10 weeks before the science instruments are deployed. Add another several weeks for the heat probe to bury into Mars.

The mission is designed to last one full Martian year, the equivalent of two Earth years.

With landing day so close to Thanksgiving, many of the flight controllers will be eating turkey at their desks on the holiday.

Hoffman expects his team will wait until Monday to give full and proper thanks.
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Most healthy children between the ages of four and 10 grow about five centimeters (two inches) a year. So, one family knew something was wrong when their son fit into the same clothes, season after season. Doctors were able to get him growing once again after testing for a growth hormone.

Eleven year-old Spencer Baehman is passionate about baseball. 

“My goal is to play college baseball,” Spencer said.

There was only one problem. Spencer was the shortest player on his team. It didn’t stop him from playing, but the height difference was noticeable. And it made Spencer feel different.

“I want to be as tall as these kids,” Spencer said.

At first, Spencer’s parents thought their son was just small, but gradually, they suspected something was wrong. His mom, Stephanie Baehman, became worried. 

“It really set in one year coming out of winter into spring when he got out his cleats for spring baseball and he put them on, and they fit. And they never should have fit. Those were from the spring prior,” Baehman said.

Spencer’s parents set up an appointment with Dr. Bert Bachrach, the chief of pediatric endocrinology at University of Missouri Health Care. Nurses measured Spencer’s height. 

After careful testing, Dr. Bachrach determined a growth hormone deficiency was causing Spencer’s growth failure. Hormones are basically chemicals that send messages from one cell to another. 

“Growth hormone just doesn’t affect your growth, it affects your muscle mass and fat distribution, so that affects your cholesterol, that affects you overall, it also affects your overall sense of wellbeing,” Bachrach said.

Growth hormone insufficiency is a disorder involving the pituitary gland which is a small, pea-sized gland located at the base of the brain. It’s this gland that produces human growth hormone, among others. 

Every day, Spencer’s mother gives him a daily hormone injection. Since he started getting these injections two years ago, Spencer has grown about 15 centimeters (six inches). But just in case he doesn’t grow tall, he has a reminder written in each of his baseball caps.

“It says HDMH, which means height doesn’t measure heart,” Spencer read. 

And heart is something Spencer has plenty of. 
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Most healthy children between the ages of four and 10 grow about five centimeters (two inches) a year. So, one family knew something was wrong when their son fit into the same clothes, season after season. VOA’s Carol Pearson reports doctors were able to get him growing once again after testing for a growth hormone.
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