You Won’t Believe How Much Diabetes is Costing the U.S.
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The budget-busting price of Sovaldi, a drug used to treat hepatitis C has generated wave after wave of media attention, but it’s far from the only drug creating cost problems for patients and insurers.
As Michelle Andrews of Kaiser Health News points out, diabetes affects 29 million Americans, or 10 times as many people as hepatitis C, and the costs of treating it have been rising quickly. And because it’s a chronic condition, people require lifetime care.
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In 2011, the average annual health spending for individuals with diabetes was $14,093. Two years later, it had risen to $14,999, according to the Healthcare Cost Institute. In contrast, a person without diabetes spent about $10,000 less in medical costs in 2013. Pharmacy provider Express Scripts said earlier this year that 2014 marked the fourth year in a row that medication used to treat diabetes were the most expensive of any traditional drug class.
In all, diabetes costs totaled an estimated $245 billion in 2012, including both direct medical expenses and indirect costs from disability and lost work productivity.
While some of the most popular diabetes drugs aren’t particularly expensive, the new brand-name drugs that are continually being introduced offer more effective treatment and fewer side effects — but also come with a higher price tag. Less than half of the diabetes prescription treatments filled in 2014 were generic.
Nearly a century after its discovery in 1921, insulin is still a common form of treatment for the millions of people with type 1 diabetes, yet there is still no generic form available. Patent protection has been extended in some cases due to improvements in existing formulations. Once those patents expire, Andrews notes, biologically similar drugs could replace them and reduce the price by up to 40 percent.
Related: This Disease Hikes Health Care Costs By More than $10,000 a Year
The financial ramifications of diabetes don’t just stem from the cost of drugs or medical treatment — it’s also been proven that people with diabetes have a high-school dropout rate that is six percentage points higher than those without the disease, according to a Health Affairs study. In addition, young adults with diabetes are four to six percentage points less likely to attend college than those without the disease.
Diabetes also contributes to lower employment and wages. On average, a person with diabetes earns $160,000 less over the course of their lives than people who don’t develop the disease. By age 30, a person with diabetes is 10 percent less likely to be employed.
So even if it’s not generating as many headlines as hepatitis C at any given point in time, the costs of diabetes can’t be ignored.
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How the Stock Market’s Wild Swings Have Helped Homebuyers
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The rollercoaster week on Wall Street could pay off nicely for some homebuyers.
The sharp selloff in global markets, caused by the economic uncertainty in China, caused investors running for safety to buy up U.S. government bonds, driving interest rates down. That sent the rate on benchmark 30-year fixed-rate mortgages down to its lowest level since May.
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Mortgage giant Freddie Mac said Thursday that the average for 30-year fixed-rate loans fell to 3.84 percent, with an average 0.6 points, over the week ending August 27. That’s down from 3.93 percent last week and 4.10 percent a year ago. For 15-year fixed-rate loans, the average was 3.06 percent, down from 3.15 percent last week and 3.25 percent a year ago.
The average on 30-year fixed-rate mortgages has now been below 4 percent for five straight weeks. Just how long they stay there will be determined in part by when the Federal Reserve decides to raise interest rates for the first time since 2006. Many economists had expected the Fed to raise rates next month — but that was before the stock market’s latest shakeup.
"There are indications, though, that the unsettled state of global markets will make the Fed think twice before taking any action on short-term interest rates in September,” Sean Becketti, Freddie Mac’s chief economist, said in a statement. “If that's the case, the 30-year mortgage rate may remain subdued in the short-to-medium term, providing support for continued strength in the housing sector."
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Greg McBride, chief financial analyst with Bankrate.com, said mortgage rates may trend a bit higher from here as financial markets settle down, but he added that the Fed’s hike, whenever it comes, isn’t going to dramatically affect mortgage rates that are still historically low.
“That the initial move by the Fed is to a large extent already reflected in mortgage rates,” McBride said. “You might see a little bit of a further bump, but not much. Mortgage rates are not going to skyrocket. That’s the main point. Increases that we see in mortgage rates in the coming months are likely to be very limited."
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A Red-Hot Tesla Burns Rubber on Consumer Reports
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The Tesla Model S P85D sedan just broke the Consumer Reports rating system.
By definition, a car can’t exceed a score of 100 on the road test. But after the P85D racked up a score of 103, Consumer Reports was forced to create a new benchmark for the system and overhaul the ratings process according to a news release. The new system caused the car to slip to a score of 100.
A few characteristics of the car that allowed it to perform better in the test than any other car ever before include its rapid acceleration ability (0 to 60 mph in 3.5 seconds), its remarkable energy-efficiency (the car gets the equivalent of 87 miles per gallon) and its better breaking and handling system than the former top-scoring standard Model S. Two years ago, the base model version of the Model S received a 99 out of 100, which at the time was the highest rating ever for a vehicle.
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The report is careful to note that even with a perfect score, the Tesla isn’t a perfect car. Besides a price tag of $127,820, beyond the means of the average person and the most expensive car Consumer Reports has ever reviewed, the car is louder than the base Model S and isn’t as plush as other luxury vehicles.
In addition, a long drive might be problematic if there aren’t any nearby charging stations along the route due to the vehicle’s 200-plus mile range. The rating also doesn’t account for the Tesla’s reliability, but the Model S comes with average reliability, according to owner-survey responses.
Imperfections aside, the car received an enviable final assessment. “It’s a remarkable car that paves a new, unorthodox course, and it’s a powerful statement of American startup ingenuity,” the report reads.
North Dakota Police Can Now Legally Use Taser Drones
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It’s a classic case of unintended consequences. A Republican lawmaker in North Dakota put forth legislation meant to prevent law enforcement officials from using unmanned aerial vehicles to conduct surveillance on private property without a warrant. It was transformed by fellow lawmakers into a bill allowing the police to mount Tasers, pepper spray, sound cannons and other “less-than-lethal” weapons on flying drones.
The legislation, House Bill 1328, was passed and signed into law earlier this year, but got little attention until this week, when a Daily Beast report pointed out the implications of the legislation: Law enforcement officers many miles away from suspects could have the authority to stun or otherwise incapacitate them.
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To be clear, the fact that something like this is technically legal doesn’t mean that state and local police departments will necessarily embrace the practice of remotely subduing suspects. Police officers are generally subject to local and departmental rules that can substantially limit what tactics are allowed.
The original version of the bill included language that would have barred law enforcement from mounting weapons of any kind on a drone: “A state agency may not authorize the use of, including granting a permit to use, an unmanned aircraft armed with any lethal or nonlethal weapons, including firearms, pepper spray, bean bag guns, mace, and sound-based weapons,” it said.
Supporters of the state’s police union introduced an amendment to the bill that would allow less-than-lethal weapons to be mounted on drones, according to the Daily Beast’s Justin Glawe. The amended bill was ultimately passed and signed into law.
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State Rep. Rick Becker this spring voiced his dismay at the changes to the bill in a public hearing, saying, “In my opinion there should be a nice, red line: Drones should not be weaponized. Period.”
Drones have, of course, been weaponized for years — the strikes just haven’t been in the U.S. If North Dakota is taking the lead, however, that might be about to change.
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Why Big Salary Raises May Be Gone for Good
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If you’re hoping for a big raise this year, prepare to be disappointed. Sure, you might be among the lucky people who get a healthy bump in salary, but a recent survey by professional services firm Towers Watson found that companies are planning pay raises of 3 percent on average for workers.
A new survey by human resources and management consultancy Aon Hewitt confirms that forecast: Even as the job market continues to improve, salaried employees can expect their base pay to increase 3 percent, or about a percentage point smaller than the raises employers were handing out 20 years ago.
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From 1996 through 2000, salaries went up by about 4.1 percent a year, according to Aon Hewitt data. From 2011 through 2015, annual raises have averaged about 2.8 percent. And even as we get further away from the recession, that downward shift appears to be permanent, as companies look to keep a lid on their fixed costs.
"The modest increases we've seen over the past 20 years are an indication that employers have changed their compensation strategies for good, and we shouldn't expect to see salary increases revert back to 4 percent or higher levels that were commonplace in the past," said Aon Hewitt’s Ken Abosch.
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On the bright side, at least for some workers, employers are planning on doling out more money in the form of bonuses, cash awards and other so-called variable pay. Aon Hewitt’s survey found that workers will see their variable pay rise by 12.9 percent this year.
That shift favors higher-level white-collar workers, since companies have been cutting back on bonus and incentive pay for clerical or technical workers. In 2011, only 43 percent of companies gave bonuses or other cash incentives to those hourly workers eligible for overtime pay, down from 61 percent in 2009, according to data Aon Hewitt shared with The Washington Post. On the other hand, 93 percent of companies offer incentive programs to employees with a fixed salary.
As Abosch told the Post: “It’s the haves and the have nots.”
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Retirement? Bah! Let’s Spend it Now
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Americans may be taking their #YOLO lifestyle a bit too far. You do only live once, after all, but most people also only get one shot at retirement.
More than a third of Americans say that they’re not saving for tomorrow because they are unwilling to sacrifice their quality of life today and would rather spend their money on things like dinners and vacations, according to a new study by Charles Schwab.
Maintaining their current lifestyle was the number one reason that people aren’t saving for retirement, followed by unexpected expenses (31 percent), covering monthly bills (31 percent), and paying off credit card debt (24 percent).
Even if they’re not prioritizing saving for retirement, they do want to work for a company that offers a retirement plan. Nine in 10 of those surveyed said that they would think twice about taking a job if the company did not offer a 401(k) plan, and 80 percent said they wouldn’t be confident in their ability to save for retirement without a 401(k) plan.
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Those who do have 401(k) plans said they don’t feel they’re getting enough guidance. Nearly half of those surveyed said that the materials explaining investment options are more confusing than those explaining health and medical benefits.
More than two-thirds of employees said that they want personalized investment counseling, but only 12 percent are currently getting professional advice. About half of those surveyed said that they would expect better performance if they used professional advice.
Nearly three-quarters of people said they’d rather have their 401(k) balance grow by 15 percent this year than lose 15 pounds. Maybe if they stopped eating dinners out, they could have both.
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