Health & Science

Several states are questioning the cost of using pharmacy middlemen to manage their prescription drug programs in a movement that could shake up the complex system that manages how pharmaceuticals are priced and paid for.

In a shaded stream in the middle of Berlin's rambling Tiergarten park, fisherman Klaus Hidde lowered himself into the water recently. Several children stood on a platform above him and watched him wade in, wearing high rubber overalls. Hidde pulled a netted trap out of the water and shook it in the air.

"There's too few," Hidde says, shaking his head.

After more than three months, the volcanic eruption on Hawaii's Big Island appears to be slowing.

Geologists at the Hawaiian Volcanic Observatory say the flow of lava from a crack in the earth at the foot of the Kilauea volcano has greatly diminished in recent days. It was lava from that vent, Fissure 8, that ran toward the coast in a molten river, inundating two seaside communities and reshaping the island's southeast coast.

That doesn't mean the event is over. Tina Neal, the scientist in charge of the observatory, noted that eruptions like this typically wax and wane.

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ARI SHAPIRO, HOST:

Copyright 2018 NPR. To see more, visit http://www.npr.org/.

ARI SHAPIRO, HOST:

Tangier Island is disappearing. It lies 16 open-water miles from the closest mainland town in Virginia. The island loses around 15 feet of coastline per year, due to rising sea levels and erosion.

Tangier Island, and its 450 residents, vaulted onto the national stage after an interview the mayor and some town residents gave to CNN. In it, they asked President Trump for help in saving the island. Eighty-seven percent of island residents voted for Trump, who has previously called climate change a “hoax.”

Since Zika emerged as a threat to babies, it has been a mystery exactly how much of a danger the mosquito-borne virus poses to children.

But now, the largest study to follow kids who were exposed to the virus in the womb is providing more answers.

The study involved 1,450 babies who had been exposed to the virus, and who were 1-year-old by February 2018. Six percent were born with birth defects, and 14 percent developed problems that could be blamed on the virus by the time they turned 1, the study found.

Despite a dip in shootings and murders for the year, Chicago suffered one of its bloodiest weekends in recent history last weekend. Police say 33 shootings occurred between Friday and Sunday nights, fueled mostly by gang violence. The incidents left a dozen people dead and dozens wounded. Now, the city's mayor and police superintendent say the city's residents who live in troubled areas of the city should do more to help stop the bloodshed.

The violence occurred between 6 p.m. Friday and 11:59 p.m. Sunday night. Nearly 70 people including several children were wounded.

Taking a genetic test in your 20s or 30s could, indeed, affect your ability to get long-term-care insurance later — or at least the price you'll pay. And people who are considering enrolling in Medicare after age 65 would do well to read the fine print of the sign-up rules. Readers have insurance questions on these topics this month, and we have answers:

Q: Can getting a genetic test interfere with being able to buy long-term-care insurance in the future? If you do get a plan, can the insurer drop you after you find out the results of a genetic test?

A SpaceX Falcon 9 rocket lit up the sky around Cape Canaveral Air Force Station in Florida early Tuesday with a successful launch, placing an Indonesian telecommunications satellite into orbit and demonstrating the reusability of the company's upgraded booster.

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The antipsychotic drug Seroquel was approved by the FDA years ago to help people with schizophrenia, bipolar disorder and other serious mental illnesses. But too frequently the drug is also given to people who have Alzheimer's disease or other forms of dementia. The problem with that? Seroquel can be deadly for dementia patients, according to the FDA.

Lisa Iezzoni was in medical school at Harvard in the early 1980s when she was diagnosed with multiple sclerosis. She started experiencing some of the symptoms, including fatigue, but she wasn't letting that get in the way of her goal. Then came the moment she scrubbed in on a surgery and the surgeon told her what he thought of her chances in the field.

"He opined that I had no right to go into medicine because I lacked the most important quality in medicine," Iezzoni recalls "And that was 24/7 availability."

BuzzFeed host Tracy Clayton recently asked her Twitter followers to share a picture that they had uploaded to social media — one in which they looked great, but were actually going through a very difficult time.

The tweet went viral. An outpouring of smiling snapshots, accompanied with heart-wrenching behind-the-scenes anecdotes.

Mankaprr Conteh is one of the hundreds who responded. She remembers when the picture she shared was taken, two years ago, when she was 22. She was in the Caribbean.

YouTube, Apple and Facebook have removed main outlets for conspiracy theorist Alex Jones and his Infowars website, citing repeated violations of policies against hate speech and glorifying violence. Infowars responded by accusing the companies of censorship.

The streaming service Spotify also expanded a ban imposed last week on some of Jones' content, saying Monday that "The Alex Jones Show has lost access to the Spotify platform."

On Sunday, Apple and iTunes deleted five podcasts related to Infowars and Jones. The other bans then piled up in quick succession.

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