Here in the US, the Department of Homeland Security (DHS) has erected more than 650 miles of fence and other types of barrier along the almost 2,000-mile US-Mexico border. Even before President Donald Trump took office, federal law required the barrier to be expanded by another almost 50 miles. In December, DHS announced that it had completed most of a $292 million project to build 40 miles of steel wall to replace “an outdated and operationally ineffective barrier” in the San Diego, El Centro and El Paso sectors of the border. Lawmakers have until Feb. 15 to reach a compromise on a new border security plan or there could be another government shutdown.

Sen. Ben Sasse (R-NE)/read for the first time (1/31/19) —A bill to prohibit a health care practitioner from failing to exercise the proper degree of care in the case of a child who survives an abortion or attempted abortion; Sen. Catherine Cortez Masto (D-NV)/Judiciary (1/29/19)—A bill to establish the Interdiction for the Protection of Child Victims of Exploitation and Human Trafficking Program to train law enforcement officers to identify and assist victims of child exploitation and human trafficking.Rep. Carolyn Maloney (D-NY)/Judiciary (1/29/19)—A joint resolution proposing an amendment to the Constitution of the United States relative to equal rights for men and women.

Sonya Zalubowski writes: Her name was Delilah, intriguing, especially for a dog that didn’t even weigh six pounds.  Was she named after the Biblical tale of Samson and Delilah, the temptress that helped lead to the strongman’s downfall? Besides my own pop culture ignorance — I’d never heard of the song — I had no idea because she was a rescue dog that I found online. Someone else named her. That was just the beginning of the mystery about to unfold for me, the mystery involved in adopting such a dog, both the joys and sorrows.

In our mailbox today from Medicare: "Not sure if Medicare will cover your medical test or service? Medicare’s free “What’s covered” app delivers accurate cost and coverage information right on your smartphone. Now you can quickly see whether Medicare covers your service in the doctor’s office, the hospital, or anywhere else you use your phone... If you have or make a personalized account at MyMedicare.gov, and you’ve gotten your new Medicare card in the mail, you can go online anytime to log in and view or print a copy of your card. No more waiting for a replacement in the mail if your Medicare card takes an unexpected turn through the rinse cycle!"

Claims costs generally grew from 2014 to 2017, but selected issuers sometimes experienced wide swings in costs from year to year. Most issuers attributed the volatility in costs, in part, to large changes in the number and health of enrollees each year. Average monthly claims costs varied significantly across issuers in the same state. For selected issuers, differences in per member per month claims costs within a given state were often more than $100 — significant given that median per member per month claims costs were about $300. Selected issuers also varied significantly in their decisions to expand or reduce their participation in the exchanges and make changes to premiums and plan design.

During the Renaissance, a period spanning from the fourteenth to the sixteenth centuries, elaborately decorated wooden wedding chests known as cassoni were an integral part of Italian marriage rituals. Commissioned in pairs and shaped like ancient sarcophagi, they were paraded from the bride’s house to her husband’s after the wedding. Throughout the marriage, the chests continued to be used as storage and seating and were among the most prestigious furnishings in the home.

Congresswoman Nita M. Lowey is currently serving her fifteenth term in Congress, representing parts of Westchester and Rockland Counties. Lowey is a strong advocate for women, children, and families. She has been a champion of education throughout her career, fighting for school modernization, teacher development, and literacy programs. Under Lowey’s leadership, federal funding for after-school programs has increased from $1 million in 1996 to $1 billion today.

Jo Freeman writes: Sex, race and religion marched through the streets of Washington, DC over the long holiday weekend dedicated to the memory of Dr. Martin Luther King. There wasn’t much brotherly (or sisterly) love, which would have been a more fitting tribute to Dr. King’s memory; neither was there any physical violence, though there were some confrontations. The Women’s March was so successful in 2017 that it has become an annual event.  

A bill to increase the credit for employers establishing workplace child care facilities, to increase the child care credit to encourage greater use of quality child care services, to provide incentives for students to earn child care-related degrees and to work in child care facilities, and to increase the exclusion for employer-provided dependent care assistance. A bill to authorize the Office on Violence Against Women to improve the handling of crimes of domestic violence, dating violence, sexual assault, and stalking by incorporating a trauma-informed approach into the initial response to, and investigation of, such crimes. -A bill to provide women and girls safe access to sanitation facilities in refugee camps.

"Being a racial minority is usually equated with being poor, and so it’s assumed that black middle-class women should be fine because they’re not poor. But they’re not fine. They face substantial health challenges and differences in health outcomes. My work points to the persistence of racial discrimination across class, resulting in lower life expectancy and higher rates of infant mortality, and also highlights the unique challenges women in general and black women in particular face trying to be taken seriously and get their needs met by their doctors." Author Tina Sacks

Jo Freeman writes: Are we really as threatened by #MeToo and marching for women's rights as white Southerners were by the civil rights movement? Haven't we learned to talk about issues and not about people? Why is guilt by association still being used to attack social movements? As the anniversary of the Women's March and the federal holiday celebrating Dr. King both draw near, surely we've learned to do better in the last 60 years.

As of December 2018, HHS had identified 2,737 children who were separated from their parents and required to be reunified by a June 2018 court in the Ms. L v. U.S. Immigration and Customs Enforcement (ICE) litigation. However, this number does not represent the full scope of family separations. Thousands of children may have been separated during an influx that began in 2017, before the accounting required by the court. In addition, as of early November 2018, HHS has received at least 118 separated children since the court order. HHS officials estimate that ORR received and released thousands of separated children before the court order in Ms. L v. ICE. ORR was not legally required to identify or track separated children released before the court's order.

Jo Freeman Reviews: In a long chapter on Family, we learn why the name on his birth certificate is Michael Luther, and why he was called 'Little Mike' in his early years. In fact, Martin Luther King wasn't named for Martin Luther, but you'll have to read the book to find out why. Nonviolence came to him easily. Even as a boy he didn't want to fight, or hit those who hit him. In 1950, while studying at Crozer Theological Seminary, he went to a lecture on Gandhi by a well-known black preacher. He was so intrigued that he read everything that he could find on the Mahatma and his philosophy. The future leader didn't leave home until he graduated from Morehouse College. However, he was ordained at 18 and made associate pastor of his father's church when he was 21. His theological training was not necessary for a career as a Baptist minister; he was going into the family business.

"Foreign doctors have all kinds of different forms of training. But many are united by one common factor that seems to be operative especially in the Commonwealth countries — a great emphasis on the bedside exam and on clinical skills. In part, [this approach] was driven by the lack of ready access to all the kinds of sophisticated testing that we have now. But I think that kind of clinical training still serves me very well. It’s almost embarrassing to see how little emphasis we put on that here where the most glaring finding, one that could have been discovered by either a good history or by a discerning exam, instead requires this $2,000 MRI and interpretation to discover something that was really there for everyone to see and recognize had they only learned how to do that."

Rose Mula writes: First I had to liberate corn from a plastic-coated box which had been glued together with an impenetrable industrial-strength adhesive strong enough to attach the wings onto a 747. I was supposed to stir the corn frequently and cover the pan if it started to pop. Of course, every time I uncovered the pan to stir, several kernels popped and escaped to the kitchen floor. When what was left of the corn in the pan was a bit charred, I added the other veggies — a poblano and tomato (after coring, deseeding and dicing) and scallion (chopped, of course) and some cilantro (also chopped) with a drizzle of olive oil and a liberal sprinkling of salt and pepper. Eventually, all the veggies were charred (which was supposed to be a good thing) and the chicken and potatoes were cooked. Finally! The dinner was ready to be plated — but I was so exhausted and traumatized that I no longer was hungry.

Brain scientists and pharmacologists don’t know how to measure if and to what extent marijuana causes impairment. Existing blood and urine tests can detect marijuana use, but, because traces of the drug stay in the human body for a long time, those tests can’t specify whether the use occurred earlier that day or that month. They also don’t indicate the level at which a driver would be considered “under the influence.” “It’s a really hard problem,” said Keith Humphreys, a psychiatry professor and drug policy expert at Stanford University. “We don’t really have good evidence — even if we know someone has been using — [to gauge] what their level of impairment is.”

Jo Freeman writes: While many have greatly lauded this great leap upward over the 112 women who were M.C.s during 115th Congress, few have noted that this gain was almost entirely among Democrats. Of the 36 women elected to the House for the first time, only one is a Republican. Of the 3 new Senators, only one is a Republican. Women are now 25 percent of both houses of Congress, but not of both parties. Women are over one-third of the Democratic Caucus in both houses (36% and 39%), 15 percent of Republicans in the Senate, and only 8 percent of Republicans in the House.

Beyond the general critique of careless interpretations of seemingly sexy study findings, the authors make a subtler point about clinical trials. They screened 92 potential participants for the study, but only 23 were eligible and willing to participate. The authors suggest that this resembles common practice in clinical trials, where a small fraction of the patients screened are included. They add that prior research shows participants who might stand to gain the most from the experimental treatment often are less likely to be included in clinical trials.

In a series of interviews with heroin users in Rhode Island in 2017, Brown University researchers reported that users “described fentanyl as unpleasant, potentially deadly, and to be avoided.” They concluded that demand for the deadly contaminant was low and that its presence in the drug supply was “generating user interest in effective risk mitigation strategies, including treatment.” But in San Francisco’s gritty Tenderloin district, where fentanyl was only rarely seen until last year, drug users tell a starkly different story. For many of them, fentanyl is a high-value drug that, if used carefully, can prevent dope sickness and deliver a strong high for a fraction of the price of heroin. Amber Sheldon, right, greets a frequent client at the harm reduction program at Glide in San Francisco. The program offers clean syringes, drug tes…

Sonya Zalubowski writes: One of the most thrilling moments was our visit to the Alcazar in Segovia, the castle with foundations that date to Roman times, where Isabella and Ferdinand reigned in the 15th century. We stood in the very throne room where Christopher Columbus once knelt before her. The people are surrounded by remnants of a succession of cultures ranging all the way back to prehistoric to Roman, Visigoth and Moorish, to the kings and queens whose rule dominated Europe as they sent out Portuguese and Spanish explorers, to 20th-century despots and finally present day governments

While it is certainly admirable to pay off your mortgage before you retire, our experience is that retirees and pre-retirees over-estimate the impact. In today’s world of low mortgage rates, paying off the last $100,000 of your mortgage, may free up cash flow, but isn’t saving you much in interest cost. You are still left with paying insurance, and property taxes, which will continue to go up. If you consider the fact that the IRS allows for a building to depreciate over 27.5 years, it stands to reason that you may need to almost completely replace your home over 25-40 years. And if you are banking on your home to pay long-term care costs or for a move to a more elderly friendly environment, you might be disappointed in what you get.

Editor's Note: Two points about this lawsuit are it doesn't force an injunction and doesn't protect private contractors. "Our members put their lives on the line to keep our country safe,” said J. David Cox Sr., national president, American Federation of Government Employees, “requiring them to work without pay is nothing short of inhumane. Positions that are considered ‘essential’ during a government shutdown are some of the most dangerous jobs in the federal government. They are frontline public safety positions, including many in law enforcement, among other critical roles. A substantial number of those working without pay are military veterans."

New York City's Metropolitan Museum of Art exhibition (Floor 2, Gallery 999, Iris and B. Gerald Cantor Exhibition Hall) opens with a dramatic installation that emphasizes the universality of jewelry — precious objects made for the body, a singular and glorious setting for the display of art. Great jewelry from around the world will be presented in a radiant display that groups these ornaments according to the part of the body they adorn: head and hair; nose, lips, and ears; neck and chest; arms and hands; and waist, ankles, and feet.