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By Vanessa G. Sánchez, KFF Health News (TNS) LOS ANGELES — President-elect Donald Trump’s promise of mass deportations and tougher immigration restrictions is deepening mistrust of the health care system among California’s immigrants and clouding the future for providers serving the state’s most impoverished residents. At the same time, immigrants living illegally in Southern California told KFF Health News they thought the economy would improve and their incomes might increase under Trump, and for some that outweighed concerns about health care. Community health workers say fear of deportation is already affecting participation in Medi-Cal, the state’s Medicaid program for low-income residents, which was expanded in phases to all immigrants regardless of residency status over the past several years. That could undercut the state’s progress in reducing the uninsured rate, which reached a record low of 6.4% last year. Immigrants lacking legal residency have long worried that participation in government programs could make them targets, and Trump’s election has compounded those concerns, community advocates say. The incoming Trump administration is also expected to target Medicaid with funding cuts and enrollment restrictions , which activists worry could threaten the Medi-Cal expansion and kneecap efforts to extend health insurance subsidies under Covered California to all immigrants. “The fear alone has so many consequences to the health of our communities,” said Mar Velez , director of policy with the Latino Coalition for a Healthy California. “This is, as they say, not their first rodeo. They understand how the system works. I think this machine is going to be, unfortunately, a lot more harmful to our communities.” Alongside such worries, though, is a strain of optimism that Trump might be a boon to the economy, according to interviews with immigrants in Los Angeles whom health care workers were soliciting to sign up for Medi-Cal. Since Election Day, community health worker Yanet Martinez said, people are more reluctant to hear her pitch for subsidized health insurance or cancer prevention screenings. “They think I’m going to share their information to deport them,” Martinez said. (Vanessa G. Sánchez/KFF Health News/TNS) Clinics and community health workers encourage immigrants to enroll for health coverage through Medi-Cal and Covered California. But workers have noticed that fear of deportation has chilled participation. (Vanessa G. Sánchez/KFF Health News/TNS) Community health workers like Yanet Martinez encourage people to enroll for health benefits. But many California immigrants fear that using subsidized services could hurt their chances of obtaining legal residency. (Vanessa G. Sánchez/KFF Health News/TNS) Since Election Day, community health worker Yanet Martinez said, people are more reluctant to hear her pitch for subsidized health insurance or cancer prevention screenings. “They think I’m going to share their information to deport them,” Martinez said. (Vanessa G. Sánchez/KFF Health News/TNS) Selvin, 39, who, like others interviewed for this article, asked to be identified by only his first name because he’s living here without legal permission, said that even though he believes Trump dislikes people like him, he thinks the new administration could help boost his hours at the food processing facility where he works packing noodles. “I do see how he could improve the economy. From that perspective, I think it’s good that he won.” He became eligible for Medi-Cal this year but decided not to enroll, worrying it could jeopardize his chances of changing his immigration status. “I’ve thought about it,” Selvin said, but “I feel like it could end up hurting me. I won’t deny that, obviously, I’d like to benefit — get my teeth fixed, a physical checkup.” But fear holds him back, he said, and he hasn’t seen a doctor in nine years. It’s not Trump’s mass deportation plan in particular that’s scaring him off, though. “If I’m not committing any crimes or getting a DUI, I think I won’t get deported,” Selvin said. Petrona, 55, came from El Salvador seeking asylum and enrolled in Medi-Cal last year. She said that if her health insurance benefits were cut, she wouldn’t be able to afford her visits to the dentist. A street food vendor, she hears often about Trump’s deportation plan, but she said it will be the criminals the new president pushes out. “I’ve heard people say he’s going to get rid of everyone who’s stealing.” Although she’s afraid she could be deported, she’s also hopeful about Trump. “He says he’s going to give a lot of work to Hispanics because Latinos are the ones who work the hardest,” she said. “That’s good, more work for us, the ones who came here to work.” Newly elected Republican Assembly member Jeff Gonzalez, who flipped a seat long held by Democrats in the Latino-heavy desert region in the southeastern part of the state, said his constituents were anxious to see a new economic direction. “They’re just really kind of fed up with the status quo in California,” Gonzalez said. “People on the ground are saying, ‘I’m hopeful,’ because now we have a different perspective. We have a businessperson who is looking at the very things that we are looking at, which is the price of eggs, the price of gas, the safety.” Related Articles National Politics | Mexico tests cellphone app allowing migrants to send alert if they are about to be detained in US National Politics | Trump wants mass deportations. For the agents removing immigrants, it’s a painstaking process National Politics | Advocates train immigrants to ‘prepare to stay’ in the US under Trump National Politics | A key Trump ally on immigration explains how mass deportations could work National Politics | ‘You don’t know what’s next.’ International students scramble ahead of Trump inauguration Gonzalez said he’s not going to comment about potential Medicaid cuts, because Trump has not made any official announcement. Unlike most in his party, Gonzalez said he supports the extension of health care services to all residents regardless of immigration status . Health care providers said they are facing a twin challenge of hesitancy among those they are supposed to serve and the threat of major cuts to Medicaid, the federal program that provides over 60% of the funding for Medi-Cal. Health providers and policy researchers say a loss in federal contributions could lead the state to roll back or downsize some programs, including the expansion to cover those without legal authorization. California and Oregon are the only states that offer comprehensive health insurance to all income-eligible immigrants regardless of status. About 1.5 million people without authorization have enrolled in California, at a cost of over $6 billion a year to state taxpayers. “Everyone wants to put these types of services on the chopping block, which is really unfair,” said state Sen. Lena Gonzalez, a Democrat and chair of the California Latino Legislative Caucus. “We will do everything we can to ensure that we prioritize this.” Sen. Gonzalez said it will be challenging to expand programs such as Covered California, the state’s health insurance marketplace, for which immigrants lacking permanent legal status are not eligible. A big concern for immigrants and their advocates is that Trump could reinstate changes to the public charge policy, which can deny green cards or visas based on the use of government benefits. “President Trump’s mass deportation plan will end the financial drain posed by illegal immigrants on our healthcare system, and ensure that our country can care for American citizens who rely on Medicaid, Medicare, and Social Security,” Trump spokesperson Karoline Leavitt said in a statement to KFF Health News. During his first term, in 2019, Trump broadened the policy to include the use of Medicaid, as well as housing and nutrition subsidies. The Biden administration rescinded the change in 2021. KFF, a health information nonprofit that includes KFF Health News, found immigrants use less health care than people born in the United States. And about 1 in 4 likely undocumented immigrant adults said they have avoided applying for assistance with health care, food, and housing because of immigration-related fears, according to a 2023 survey . Another uncertainty is the fate of the Affordable Care Act, which was opened in November to immigrants who were brought to the U.S. as children and are protected by the Deferred Action Childhood Arrivals program. If DACA eligibility for the act’s plans, or even the act itself, were to be reversed under Trump, that would leave roughly 40,000 California DACA recipients, and about 100,000 nationwide , without access to subsidized health insurance. On Dec. 9, a federal court in North Dakota issued an order blocking DACA recipients from accessing Affordable Care Act health plans in 19 states that had challenged the Biden administration’s rule. Clinics and community health workers are encouraging people to continue enrolling in health benefits. But amid the push to spread the message, the chilling effects are already apparent up and down the state. “¿Ya tiene Medi-Cal?” community health worker Yanet Martinez said, asking residents whether they had Medi-Cal as she walked down Pico Boulevard recently in a Los Angeles neighborhood with many Salvadorans. “¡Nosotros podemos ayudarle a solicitar Medi-Cal! ¡Todo gratuito!” she shouted, offering help to sign up, free of charge. “Gracias, pero no,” said one young woman, responding with a no thanks. She shrugged her shoulders and averted her eyes under a cap that covered her from the late-morning sun. Since Election Day, Martinez said, people have been more reluctant to hear her pitch for subsidized health insurance or cancer prevention screenings. “They think I’m going to share their information to deport them,” she said. “They don’t want anything to do with it.” This article was produced by KFF Health News , which publishes California Healthline , an editorially independent service of the California Health Care Foundation . ©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.49 jili slot 。

If you're looking to spice things up in the bedroom, or your New Years resolution is to try new things and explore the boundaries of your own pleasure, Lovehoney has a massive sale on sex toys, including best-sellers. This sale would be a great place to start, as the sexual wellness retailer is offering up to 60% off across a selection of top-rated items. If you want a new toy that you can use solo or with a partner, and that comes well reviewed, the Womanizer Classic 2 Marilyn MonroeTM Edition Clitoral Suction Stimulator is a great jumping off point. Read more: Star signs with most compatible sex lives - including Leo and Sagittarius pair Read more: The most dangerous sex position for women revealed - and its a popular one Designed to ignite clitoral pleasure , it is latex-free and phthalate-free for anyone with allergies or sensitivities, and has a run time of 180 minutes. While wands and bullets will always be cornerstones of the industry when it comes to vibration focused pleasure, suction toys are having a moment. It works by surrounding the clirotus with air in a small vacuum, which causes a pulsing, vibrating sensation without the toy actually touching the clitoris. It seals air into the space around the clitoris and causes pulses in the air that are intensely pleasurable. While usually designed for the clitoris, they can also be used gently and at the correct angle on the frenulum of the penis, depending on what kind of sensation the owner of the appendage enjoys. It's also waterproof (IPX7), making it easy to enjoy anywhere and simple to clean. For beginners to clitoral stimulation, there are ten modes and varying intensities so you can start low and slow and find out what works for you, or for those who prefer something more powerful, there are more high energy modes. It also includes two sizes of stimulator heads to ensure that everyone can enjoy their Womanizer Classic 2, as people come in all shapes and sizes. The vibrator has over 200 reviews, many of them 5 stars. "My wife was not into toys at all, they just didn’t float her boat, but this one is a game changer," one said. "It is “outstanding” and whilst she always had an orgasm anyway during sex, she now has multiple ones. She also uses it for self pleasure and in her words “it’s mind blowing." Another wrote: "As a lifelong fan of a wand vibrator I was initially reluctant to try this when I received it as a gift as I thought it wouldn’t hit the button the same way."

SANTA CLARA – Practicing behind a patchwork line is not how Brock Purdy dreamed of spending his 25th birthday Friday, never mind that he just gifted 49ers linemen a caravan of trucks and sports-utility vehicles on two-year leases. The 49ers are poised to field their most inexperienced offensive line in at least coach Kyle Shanahan’s eight seasons. Monday night’s chore for whoever blocks: protect Purdy and clear lanes for ball carriers Isaac Guerendo and Deebo Samuel against the NFC-leading Detroit Lions at Levi’s Stadium. Injuries have so thoroughly depleted the Niners (6-9) that 3-of-5 spots could feature linemen making their 49ers’ starting debuts. The only healthy starters are center Jake Brendel and right guard Dominick Puni, who might have to shift to other spots to provide for the best five-man look. Left tackle Trent Williams and his backup, Jaylon More, both went this week on injured reserve, which is where left guard Aaron Banks is expected to land before Monday night’s 5:15 p.m. kickoff. Right tackle Colton McKivitz did not practice Thursday, after being limited by a knee issue, and versatile backup Spencer Burford has been out with a calf injury he sustained as the sub at left tackle in Sunday’s loss at Miami. Offensive linemen Ben Bartch and Jon Feliciano are on injured reserve. Nick Zakelj is expected to make the first start of his career, most likely at left guard. “I know it’s just an amazing opportunity to have,” Zakelj said. “I can’t wait to go grasp it and go out there, fly off the ball and let it loose.” Charlie Heck, poached Wednesday off the Arizona Cardinals’ practice squad, made 21 career starts for the Houston Texans from 2020-23, and Thursday acquisition Matt Hennessy made 22 starts as the Atlanta Falcons’ 2020-22 center. No other linemen have starting experience, including Zakelj, Austen Pleasants, Sebastian Gutierrez, Isaac Alarcon and undrafted rookie center Drake Nugent. If McKivitz is healthy, he’s an option to move to left tackle, where he made spot starts at left tackle in 2021 and ’22 in place of Williams. Burford, unbeknownst until last game, had practiced as the No. 3 left tackle most of the season. LYNCH’S STATE OF FRANCHISE General manager John Lynch, speaking for the first time since Sunday’s official elimination from the playoffs, is in the investigation process of examining the 49ers’ 2024 woes and potential cures. “I can’t believe we’re here, but we are. We have to accept that. We have to learn from that,” Lynch said on KNBR 680-AM. “We can’t just chalk it up to, ‘There were a lot of injuries.’ The team we’re playing, Detroit, they had a lot of injuries but they found a way. We have to look at the root, and we have been looking at the root causes. We’ll fix it.” One obvious issue is the 49ers’ inability to close out games, something that’s carried over from past playoff defeats to this season’s four NFC West defeats. Lynch noted that the absences of All-Pros Williams and Christian McCaffrey factors into that. “But we can’t chalk it up to just that. We have to go deeper,” Lynch said. “There are ways we could have gotten it done. When you have division opponents (down) multiple scores, you have to put people away, and that’s what we didn’t do this year. We have to own that. We have to get to the bottom of why exactly that happened, with every decision we make.” HEALTH CENTER Fullback Kyle Juszczyk did not practice because of illness. Juszczyk has played every game this season after taking a pay cut in the spring. He is aiming for his ninth straight Pro Bowl invitation. Running back Isaac Guerendo participated in a second straight practice and looks on track to make his third career start; he did not play in Sunday’s loss at Miami because of hamstring and foot injuries. Running back David Montgomery (knee) was the only player on the Lions’ active roster not to practice. Cornerback Terrion Arnold (illness) was limited after missing Thursday’s session. Full participants were guard Graham Glasgow (knee), wide receiver Kalif Raymond (foot) and linebacker Jalen Reeves-Maybin (neck). GAMEDAY GUIDE Levi’s Stadium parking lots are to open at 1:45 p.m. Stadium gates open 30 minutes later for club- and suite-ticket holders, with entry for all others starting at 3:15 p.m. Halftime entertainment will feature MIMS and Freedom Williams (from the C+C Music Factory). Tony Lindsay will perform the national anthem.

Outnumbered creator breaks silence on 'depressing' storyline after Christmas backlashArtificial intelligence. Abortion. Guns. Marijuana. Minimum wages. Name a hot topic, and chances are good there’s a new law about it taking effect in 2025 in one state or another. Many of the laws launching in January are a result of legislation passed this year. Others stem from ballot measures approved by voters. Some face legal challenges. Here’s a look at some of the most notable state laws taking effect: California, home to Hollywood and some of the largest technology companies, is seeking to and put some parameters around social media stars. New laws seek to prevent the use of digital replicas of Hollywood actors and performers without permission and allow the estates of dead performers to sue over unauthorized AI use. Parents who profit from social media posts featuring their children will be required to set aside some earnings for their young influencers. A new law also allows children to sue their parents for failing to do so. New social media restrictions in several states face court challenges. A Florida law bans children under 14 accounts and requires parental consent for ages 14 and 15. But enforcement is being delayed because of a lawsuit filed by two associations for online companies, with a hearing scheduled for late February. A new Tennessee law also to open accounts on social media. NetChoice, an industry group for online businesses, is challenging the law. Another new state law requires porn websites to verify that visitors are at least 18 years old. But the Free Speech Coalition, a trade association for the adult entertainment industry, has filed a challenge. Several new California measures aimed at are also being challenged, including one requiring large social media platforms to remove deceptive content related to elections and another allowing any individual to sue for damages over the use of AI to create . In a first nationally, California will start enforcing a law prohibiting school districts from adopting policies that require staff to notify parents if their . The law was a priority for Democratic lawmakers who wanted to halt such policies passed by several districts. Many states have passed laws since the U.S. Supreme Court overturned a nationwide right to the procedure in 2022. One of the latest is the Democratic-led state of Delaware. A law there will require the state employee health plan and Medicaid plans for lower-income residents , copayments or other cost-sharing requirements. A new Minnesota law prohibits guns with “binary triggers” that allow for more rapid fire, causing a weapon to fire one round when the trigger is pulled and another when it is released. In Delaware, a law adds colleges and universities to a list of school zones where guns are prohibited, with exceptions for those working in their official capacity such as law officers and commissioned security guards. Kentucky is becoming the latest state to let people use . To apply for a state medical cannabis card, people must get written certification from a medical provider of a qualifying condition, such as cancer, multiple sclerosis, chronic pain, epilepsy, chronic nausea or post-traumatic stress disorder. Nearly four-fifths of U.S. states have now legalized medical marijuana. Minimum wage workers in more than 20 states are due to receive raises in January. The highest minimum wages will be in Washington, California and Connecticut, all of which will top $16 an hour after modest increases. The largest increases are scheduled in Delaware, where the minimum wage will rise by $1.75 to $15 an hour, and in Nebraska, where a in 2022 will add $1.50 to the current minimum of $12 an hour. Twenty other states still follow the federal minimum wage of $7.25 an hour. In Oregon, using drugs on public transit will be considered a misdemeanor crime of interfering with public transportation. While the measure worked its way through the legislature, multiple transportation officials said drug use on buses and trains, and at transit stops and stations, was making passengers and drivers feel less safe. In Missouri, law enforcement officers have spent the past 16 months issuing warnings to motorists that handheld cellphone use is illegal. Starting with the new year, penalties will kick in: a $150 fine for the first violation, progressing to $500 for third and subsequent offenses and up to 15 years imprisonment if a driver using a cellphone cause an injury or death. But police must notice a primary violation, such as speeding or weaving across lanes, to cite motorists for violating the cellphone law. Montana is the only state that hasn’t , according to the National Conference of State Legislatures. Tenants in Arizona will no longer have to pay , thanks to the repeal of a law that had allowed cities and towns to impose such taxes. While a victory for renters, the new law is a financial loss for governments. An analysis by Arizona’s nonpartisan Joint Legislative Budget Committee estimated that $230 million would be lost in municipal tax revenue during the first full fiscal year of implementation. Meanwhile Alabama will offer tax credits to businesses that help employees with child care costs. Kansas is eliminating its 2% sales tax on groceries. It also is by dropping the top tax rate, increasing a credit for child care expenses and exempting all Social Security income from taxes, among other things. Taxpayers are expected to save about $320 million a year going forward. An Oklahoma law expands voting privileges to people who have been convicted of felonies but had their sentences discharged or commuted, including commutations for crimes that have been reclassified from felonies to misdemeanors. Former state Sen. George Young, an Oklahoma City Democrat, carried the bill in the Senate. “I think it’s very important that people who have gone through trials and tribulations in their life, that we have a system that brings them back and allows them to participate as contributing citizens,” Young said.

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Syrian insurgents reach the capital's suburbs. Worried residents flee and stock up on suppliesWISeKey’s Subsidiary SEALCOIN 2025 Roadmap: Leading Machine-to-Machine Transactions Through ...