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Point out Obamacare Exchanges Practical experience Rising Pains

March 25,2020 by: admin

Enlarge this imageAn Obtain Overall health CT locale in New Britain, Conn.Courtesy of Acce sibility Health CThide captiontoggle captionCourtesy of Obtain Well being CTAn Obtain Wellne s CT location in New Britain, Conn.Courtesy of Acce s Wellne s CT Pictures – Health NewsHow Well being Insurance policies Exchanges Are Like Flea Marketplaces The states that create their very own coverage marketplaces don’t have anything to get rid of in King v. Burwell, the large Supreme Court docket situation which will be made the decision with the stop of June. But that doesn’t mean individuals states are breathing effortle s. With various levels of i sue, all of the state-based exchanges are struggling to figure out tips on how to turn out to be fiscally self-sufficient given that the spigot of federal start-up money shuts off. Right here are dispatches from Minnesota, Colorado and Connecticut on this challenging changeover. Minnesota Hard Politics Despite the fact that Minnesota’s exchange, MNsure, ran a great deal a lot more effortle sly in its second 12 months than its disastrous to start with, some Republicans opposed to Obamacare within the commencing hoped to accomplish absent with it this legislative se sion.Shots – Well being NewsHow A Series of Faults Hobbled Minnesota’s Wellne s Exchange”This has been an abject failure from working day 1 to current. For anyone who is denying that, your head is within the sand,” says state Rep. Nick Zerwas. His colleague, Rep. Mary Franson, agrees: “We must have under no circumstances gotten in the trade. We should just transfer straight to your federal exchange and bypa s the point out of Minnesota.” Even the Democratic architect of your law that created MNsure wanted to di solve its board and make MNsure a condition company. In the conclusion, lawmakers ended their se sion leaving MNsure intact. But they voted to talk to the feds to allow Minnesotans to get tax subsidies for wellne s coverage regardle s of whether they store to the open market or as a result of MNsure. The legislature also made a bipartisan proce s power to take into consideration MNsure’s foreseeable future. Republican Rep. Matt Dean suggests these reasonably smaller actions generate a ma sive stage. “The last settlement I feel that we’ve visiting the governor at this moment acknowledges that there’s important problems with MNsure, that the current situation just isn’t sustainable,” Dean stated.Democratic Sen. Tony Lourey served develop MNsure. He likes the idea of allowing Minnesotans store outside of MNsure and still get subsidies, but, he says, “I’m not notably optimistic that it could be accepted by federal officers. If it were being permitted, I think we’d really need to speak about then how can we composition the financing of the trade.” He claims it might be much more tricky to fund the trade with far le s consumers until they could carry in new funds. 1 solution is to add a tax to all wellne s plans sold, not only those bought on MNsure. In the meantime, with much le s folks signing up for options through MNsure than predicted, profits is way down. That coupled with federal income drying up by Evgeny Svechnikov Jersey year’s conclude has MNsure moving to chop $2.five million from its price range more than the following three many years. –Mark Zdechlik Colorado Glitches And Fees Colorado’s exchange has cleared its political hurdles for the most part, but complex glitches and money problems stay. Enlarge this imageMarc Drillings suggests it took quite a bit of energy to acquire an inaccurate insurance subsidy mounted.JohnDaley/Colorado Public Radiohide captiontoggle captionJohnDaley/Colorado General public RadioMarc Drillings claims it took lots of exertion to obtain an inaccurate insurance policy subsidy fixed.JohnDaley/Colorado Public RadioMarc Drillings knows this all far too well. He wished to get insurance plan about the Link for Wellbeing, Colorado’s trade. But when he went on-line to enroll, the procedure mistakenly showed that his month-to-month quality could be $800 for him and his spouse, way increased than it should have been. He made an effort to resolve it, he says, and his application acquired stuck in limbo for two months. “You enter bureaucratic hell, where no one can determine out what is wrong, how to correct it, or who to even speak to get it performed,” says Drillings. He is a chiropractor so he’s utilized to dealing with insurance policies types, but sorting it out took neverthele s took him at the least fifty several hours he claimed. Inevitably, he enrolled in the system for around $300 per month. As quite a few as 10 percent of people that signed up confronted this sort of troubles. Repairing them chewed up employees time and price thousands and thousands, suggests Kevin Patterson, the exchange’s interim CEO. “I believe it truly is truthful to state we do po se s a slight hit for the manufacturer,” Patterson claims. His predece sor, Gary Drews, factors out the exchange’s succe ses. He claims its enrollment figures are strong, as well as the state’s uninsured amount fell from seventeen % to 11 per cent. Nonethele s, Drews admits, the takeoff has long been bumpy even from the second yr. “It’s a little bit like trying to fly as you’re placing the wings on,” he suggests.Photographs – Health and fitne s NewsDespite Setbacks, Bipartisan Guidance Stays For Colorado Exchange Colorado’s exchange faced highly-priced complex fixes, leadership turnover and queries from point out auditors about its economic controls. Include to which the ma sive whammy: $183 million in federal startup income is managing out. Hence the trade plans to tighten its belt and consumers will really feel the pinch. Fees on rates will go up up coming yr. “I don’t know if it can be sustainable,” says Republican state senator Ellen Roberts, who heads a legislative oversight committee. She says another major challenge for Colorado is Medicaid. The point out experienced a smoother signup approach for Medicaid than lots of other states, along with the trade footed the significantly on the bill. Now the trade is asking the feds to choose up some of individuals fees. The exchange experienced bipartisan help, but Roberts said it’ll be challenging for making the changeover to self-sufficiency. “Either we’ll check out and make our greatest initiatives to kind this out, or individuals will throw up their hands and wander absent,” she claims. –John Daley Connecticut Succe s In a Price Connecticut’s trade did well enough from the 1st calendar year that it is promoting its services to other states which are continue to struggling.Photographs – Overall health NewsConnecticut Can take Obamacare Into the People And generally, Obtain Health CT is aquiring a smoother transition from startup to founded busine s. “The first two many years, we would have liked a a great deal greater simply call middle for being ready to answer thoughts and speak about how to navigate our web-site and things like that. We would have liked a significantly more substantial know-how group,” suggests CEO Jim Wadleigh. The task forward will be to modify and shrink the group to match its new mi sion. Wadleigh claims he’s letting consultants’ contracts expire and leaving some senior positions unfilled. “All of our groups have gotten smaller,” he claims. The exchange does convey in upwards of $26 million a Mike Green Jersey 12 months by charging insurers who promote individual and tiny group guidelines on or off of your trade. That may be the greatest supply of funds likely forward. Advertising its administrative solutions to other exchanges could provide in extra money, as well. “We have experienced some conversations with probably a few half a dozen states at this time about exactly what are some of those people po sibilities,” he suggests. But with more than $150 million in federal cash gone and not coming back, Wadleigh has two plans. One particular is keeping shopper rates as low as they can be as well as the second is keeping customers content with the exchange’s support. “I consider we are there,” he suggests. But that self-a surance arrives in a price tag: Connecticut needed to increase the evaluation that insurers pay back on every single program they sell on and off the trade to fund easy operations. –Jeff Cohen This story is an element of the reporting partnership with NPR, local member stations and Kaiser Overall health Information.

5-Hour Line Turns Barbecue Pilgrims Into Hard cash Cow For Locals

March 25,2020 by: admin

Enlarge this imageLine-sitters waited for several hours exterior Franklin Barbecue in Austin, Texas, on July three.Jorge Sanhueza-Lyon/KUThide captiontoggle captionJorge Sanhueza-Lyon/KUTLine-sitters waited for hours outside the house Franklin Barbecue in Austin, Texas, on July three.Jorge Sanhueza-Lyon/KUTTexas provides a barbecue joint known as much for your line of folks waiting around outside the house as for its tender brisket. At Franklin Barbecue in Austin, individuals start lining up all around 5 a.m., waiting around six hrs, chatting with other folks in line till the cafe opens at 11 a.m. This barbecue put is such a major offer that busine s people like Desmond Roldan are cashing in on its supporters. “People know me. I am an enormous offer,” he suggests, chuckling.The SaltWhy Food stuff Pilgrims Will Hold out Four Hours For the Flavor From the Sublime This 13-year-old could be the experience of BBQ Quick Move, a line-sitting services he started to provide the persons who’d fairly spend than wait around. Roldan waits for several hours on their behalf. But he will not eat any from the meat. Roldan states he is employed by hedge fund administrators who want to impre s a shopper, or travellers. “The men and women I hold out for … they’re from Ny,” Roldan states. “They wanna have [the barbecue] plus they do not contain the time for [waiting].” Robin Staab from Bartlesville, Okla., even so, determined to create enough time for it with a Sunday this summer months. She received to your line all around 7 a.m. which has a plan for a way to attend: “talk while using the other folks in line, satisfy new men and women, examine my apple iphone, browse the paper, drink coffee,” she suggests. Enlarge this imageDesmond Roldan (ideal) could be the 13-year-old guiding BBQ Rapidly Pa s, the line-sitting service. He’s noticed here together with his close friend Jiovani Acosta on July 3.Jorge Sanhueza-Lyon/ Ondrej Palat Jersey KUThide captiontoggle captionJorge Sanhueza-Lyon/KUTDesmond Roldan (right) is definitely the 13-year-old powering BBQ Quickly Pa s, the line-sitting company. He’s found listed here along with his pal Jiovani Acosta on July three.Jorge Sanhueza-Lyon/KUTDrinking coffee is particularly quick because you can discover an espre so device on Franklin’s side lawn. It is really yet another undertaking that’s cropped as much as provide the line-sitters. “My sweetheart and that i po se s Legend Espre so Co. suitable next to Franklin Barbecue,” suggests Annie Welbes, who begun Louis Domingue Jersey offering coffee in January. Her trailer is open exactly the same days as Franklin, in the course of the key barbecue line several hours.”It was constantly inside the back of my brain that this will be an extremely amazing spot to begin a company,” she adds. Daily, Welbes will get organization from about a quarter of the individuals waiting around, people that hail from all around the U.S. and the earth. Back again on the line, Benjamin Jacob, Franklin’s normal supervisor, is strolling and asking buyers if they’re carrying out all ideal as they hold out. Enlarge this imageAnnie Welbes serves consumers at her Legend Espre so Co. close to Franklin Barbecue.Jorge Sanhueza-Lyon/KUThide captiontoggle captionJorge Sanhueza-Lyon/KUTAnnie Welbes serves shoppers at her Legend Coffee Co. next to Franklin Barbecue.Jorge Sanhueza-Lyon/KUT”You fellas all know what is happening? How long you are waiting around previously? Any person talked to y’all, all about that?” he suggests to a group halfway down the line. “I’m gonna to s a very nuts variety at you: 2 o’clock.” At this stage, it is about nine a.m., and previously some one hundred men and women are in line for just a food they won’t reach eat for a median of 5 hrs. “It’s a crazy factor,” Jacob claims. “It shocks us everyday, this line. We are neverthele s shocked by it.” Every time they moved to this developing in 2011, Franklin cooked three hundred pounds of meat every day. Now it is about 2,000 lbs . every day. Above that point, more people have come all over to help make income off barbecue followers. Enlarge this imageWhat the fu s is all about: an purchase of sausage, brisket and ribs at Franklin BarbecueA Vandalay/Flickrhide captiontoggle captionA Vandalay/FlickrWhat the fu s is about: an buy of sausage, brisket and ribs at Franklin BarbecueA Vandalay/Flickr”The chair guy was a person on the initial guys,” Jacob suggests about 1 of your first entrepreneurs, Derek Kipe. “He sat up to the corner here on 11th Street and he experienced like two hundred chairs fundamentally that he would hire for $5 a pop.” The chair guy’s now not all over. In recent times you may discover Eddie James, who a sists individuals come acro s parking and in addition cleans windshields. That service started off earlier this calendar year each time a woman named him about to her vehicle for aid. “I went over there and i saw it was some chook poop within the roof of her car all of the way down the driver’s side doorway, and it experienced dried,” he recalls. “So I cleaned it and she or he gave me ten bucks.” James will take whatsoever men and women can spare. He from time to time helps make $50 daily. Roldan of BBQ Quick Go incorporates a pricing program, although. It is based upon the working day from the week plus the dimension on the purchase. He expenses around $150. Since university has started, Roldan functions only on weekends. His father helps him produce barbecue for people who pay back him to face in line and convey them the food stuff a support that is an additional $20. Usually, Roldan’s purchasers arrive change out with him in the line, just before the clock strikes eleven a.m. When Franklin at last opens, you could listen to the road waiters closest on the door cheer as they can start strolling within.

Lamb Dumplings, Lentils And a Bittersweet Style Of Household

March 25,2020 by: admin

Enlarge this imageTraditional de serts, like these served in 2010 with the unique Naranj cafe in Damascus, offer you sweet, common flavors in the restaurant’s numerous spots from the Middle East. A platter like this exhibits up at the conclusion of every food at Naranj, and each of the pastries are made in- Evander Kane Jersey house.Jan Smith/Flickrhide captiontoggle captionJan Smith/FlickrTraditional de serts, like these served in 2010 with the authentic Naranj cafe in Damascus, present sweet, common flavors on the restaurant’s a variety of spots during the Middle East. A platter like this displays up at the end of every single meal at Naranj, and many of the pastries are made in-house.Jan Smith/FlickrFor people dwelling in a new place, a style of property is often a strong psychological working experience. Every one of the a lot more so when you’ve still left your nation on account of war. Iraq has taken in a couple of quarter-million persons fleeing Syria’s civil war. During the northern Iraqi town of Irbil, one of Syria’s most popular places to eat is re-creating the tastes of Damascus. Naranj cafe keeps a list of the world leaders who’ve dined at its branch again in Syria. The listing is a minimum of twenty five names long, and that is not counting the movie stars. Rumor has it Syrian President Bashar A sad eats with the Damascus place 2 times each week. Ba sam Awwad, foods and beverage manager for Naranj Irbil, claims the rumor is sort of correct. He will come “when he desires,” Awwad suggests. “Not accurately 2 times. Probably … regular monthly.” Awwad has been with the organization for just a ten years. He moved from Damascus to Irbil a few yr in the past. His spouse and son still live in Syria. “It’s so difficult,” he says. “But when you place your fingerprint in yet another planet, and folks know … this is Damascus delicacies we’re proud about that.”The first restaurant within the previous metropolis of Damascus continues to be working, which makes it challenging for that Irbil employees to speak about politics. Steer the conversation towards the war, and Awwad diplomatically claims, “Ah, enable us talk in regards to the food stuff.” There’s a great deal to say concerning the foodstuff at Naranj. The menu is usually a thick guide, with dishes from all over Syria. Some are familiar to Individuals, like hummus and tabouli. Other individuals are distinctly regional dishes: lamb dumplings in yogurt sauce; a bowl of lentils with frizzled onions, pomegranate seeds, a green herb paste and bits of dough which can be both of those boiled like pasta and fried into a puffy crunch. When Awwad describes the meals, he will not speak about components. “Naranj is regarding how your mother [cooks] inside the household,” he states. “You should put a thing from your delicate within the food stuff.” Practically the many substances, within the wheat for the olive oil, originate from Syria. Even the hookahs that men and women smoke are created in Syria and have Syrian tobacco, providing the entire cafe within the sounds to the smells a powerful feeling of place. Maya Elzen lived in Damascus for 13 a long time and went to Naranj there each weekend. “So it is like dwelling,” Elzen states. “Now, we occur listed here in its place.” She’s over a girls’ night time out with six of her best pals. It is really an enjoyable outing, but there is also a little bit of mourning for that Syria that’s long gone. “I know I’m not gonna be ready to go there anymore,” she claims. “I normally explain to my good friends that the kinds who did not pay a visit to Syria have skipped it. They cannot see it the way it had been before, and that is a disgrace.” Naranj now has six destinations all-around the Mideast. For those who’ve remaining Syria no le s than these rich more than enough to pay for a food in a cafe as great as this Naranj is a form of lifeline. Shadi Jaber, a Syrian plastic surgeon, claims that in Irbil he acknowledges lots of Naranj employees a sociates from after they ended up in all Damascus. Jaber experienced in France and would normally fly from Damascus to Paris. “Every time, I was going to Naranj the day in advance of my departure,” he suggests. “I have to taste their delightful food right before my departure.” In Irbil, he now eats at Naranj just as typically as he utilized to. When he is there, he posts about this on social networking, and will get wistful replies from Syrian pals close to the world who pa s up that taste of household.

This Year On ‘House Of Playing cards,’ It really is Challenging To be The Boss

March 25,2020 by: admin

Enlarge this imageKevin Spacey’s President Frank Underwood is embattled and infrequently disappointed in the 3rd season of Netflix’s House of Cards.David Giesbrecht/Courtesy of Netflixhide captiontoggle captionDavid Giesbrecht/Courtesy of NetflixKevin Spacey’s President Frank Underwood is embattled and infrequently pi sed off inside the 3rd period of Netflix’s Residence of Cards.David Giesbrecht/Courtesy of NetflixWhen Property of Cards’ 3rd season opens, Kevin Spacey’s murderous politician Frank Underwood is fooling the earth all over again. From your quite initial scene, he’s bringing a presidential motorcade to his little hometown of Gaffney, S.C., pretending to honor his father’s grave with the pre s. “Nobody showed up for his funeral other than me, not even my mom,” Underwood suggests in one of individuals sly asides wherever he speaks specifically to your viewers. “But I’ll inform you this: Whenever they bury me, it will not be in my yard. And after they pay their respects, they will have to wait in line.” As he claims this, Underwood relieves himself on his father’s grave, outside of the media’s sight. That’s after we see the authentic male: manipulative, arrogant and ruthle sly centered on his po se s legacy. That is a significant concept for this hottest season of Dwelling of Playing cards or no le s than, through the first six episodes manufactured offered to critics (Netflix releases all episodes for your year to shoppers nowadays). Last period finished as Frank Underwood was appointed president. As this year’s story begins, he is been on the task for 6 months, and we see a man accustomed to winning hit a lot more than the usual few roadblocks. Television’House Of Cards’ Is Constructed To LastTelevisionAntihero Or Villain? In ‘House Of Cards,’ It truly is Tough to Notify One among the primary signs of difficulties is Underwood’s struggle to explain a whole new positions application about the Colbert Report, which Stephen Colbert neverthele s hosts during the Dwelling of Playing cards universe. “This is really a e sentially various appear at the best way to solve the problems of unemployment,” Underwood tells Colbert. “It has the dimensions along with the scope of the New Offer.” Colbert’s reply goes or even the jugular: “Oh, so it can be a socialist redistribution of prosperity whereby the infant boomers will latch on to the millennials like a lamprey and just maintain sucking right until they’re as dry for a crouton.” You will find even difficulties with Underwood’s Lady Macbeth of the spouse, Claire Underwood, who reacts to the disaster of conscience by publicly undercutting her partner. That enrages President Underwood. Enlarge this imageRobin Wright, as to start with lady Claire Underwood, starts to problem her spouse on his machinations this season.David Giesbrecht/Courtesy of Netflixhide captiontoggle captionDavid Giesbrecht/Courtesy of NetflixRobin Wright, as to start with lady Claire Underwood, begins to problem her husband on his machinations this season.David Giesbrecht/Courtesy of Netflix”You want to know very well what usually takes authentic bravery?” he snarls at his spouse. “Keeping your mouth shut. No matter what you could be experience. Holding everything together, once the stakes are this substantial.” Claire Underwood, played with steely reserve by Robin Wright, is uncharacteristically conflicted. “We’re murderers, Francis,” she tells him. “No we are not,” Frank replies. “We’re survivors.” These setbacks actually addre s an i sue critics famous in Dwelling of Cards’ initially two seasons: Every thing worked much too nicely. At a time of real-life congre sional paralysis, Frank Underwood received a historic training monthly bill handed. He also killed a political patsy and an investigative journalist hunting into his crimes. But as Colbert notes, Frank Underwood the president provides a various observe history. “You’ve been president for 6 months,” Colbert states to Underwood. “Unemployment has long gone up, our trade deficit with China has amplified … I am not entirely certain that you will be capable of eradicate unemployment the best way you’ve been ready to eradicate your approval polls.” A few of this could certainly obtain a tiny cumbersome. Watching Underwood drive a presidential fee into reducing Social Stability for his work system looks like watching a spectacular looking at of a subcommittee meeting on C-SPAN. And there’s a thing irritating for viewers in seeing the show’s central character turned from the devilish antihero with many of the answers into an often-impotent villain. However, the brand new season’s early episodes certainly are a binge-watcher’s delight. Bingeing on some demonstrates is a small dangerous; it truly is simple to mi s vital information within the rush to uncover the next plot level. But House of Cards rewards from hurried viewing. It retains you from noticing the amount of of a political cleaning soap opera it truly is, or questioning who to root for, due to the fact every significant character is just distinctive shades of self-obse sed and power-hungry. And when Claire Underwood really decides to fight her husband’s evil, it could be the Tv showdown of your yr redeeming the society of Washington politics though gratifying the binge watchers another time.

Why Infants Appreciate (And Study From) Magic Tips

February 02,2020 by: admin

Enlarge this imageResearchers at Johns Hopkins College set out to review how infants use whatever they by now know to encourage foreseeable future finding out.Len Turner, Dave Schmelick and Deirdre Hammer/Johns Hopkins University Busine s office of Communicationshide captiontoggle captionLen Turner, Dave Schmelick and Deirdre Hammer/Johns Hopkins College Office of CommunicationsResearchers at Johns Hopkins College established out to review how infants use what they currently know to encourage upcoming mastering.Len Turner, Dave Schmelick and Deirdre Hammer/Johns Hopkins University Office environment of CommunicationsTo endure, we humans really need to have the ability to do a few i sues: breathe, needle s to say. And consume and consume. Individuals are obvious. We’ll focus now over a much le s apparent but no significantly le s very important human functionality: studying. For the reason that new exploration out today within the journal Science sheds mild on the pretty setting up blocks of learning. Imagine an 11-month-old sitting down inside of a superior chair opposite a little stage in which you may well count on, say, a puppet present. Except this is a lab at Johns Hopkins University. Rather of the puppeteer, a researcher is rolling a pink and blue striped ball down a ramp, towards a little bit wall at the base. Even babies seem to know the ball are not able to experience that wall, neverthele s not e sentially for the reason that they figured out it. It can be what some experts contact core awarene s some thing, they are saying, we’re born with. “Some parts of data are so fundamental in guiding common, each day interactions while using the surroundings, navigating by way of house, achieving out and selecting up an item, staying away from an oncoming item these things are so e sential to survival that they’re definitely picked for by evolution,” says Lisa Feigenson, a profe sor of psychological and mind sciences at Hopkins and certainly one of the scientists driving this research.Which points out why the child seems truly surprised when the ball rolls down the ramp and does endure the wall as a result of some sleight of hand because of the scientists:Resource: Len Turner, Dave Schmelick and Deirdre Hammer/Johns Hopkins University Busine s office of CommunicationsCredit: LA Johnson/NPR This is where the training component of our tale kicks in. Not only did the babies in the examine react if the ball seemed to go through the wall or maybe a toy vehicle floated over the stage …Source: Len Turner, Dave Schmelick and Deirdre Hammer/Johns Hopkins College Workplace of CommunicationsCredit: LA Johnson/NPR … but their surprise appeared to make them much better learners. If the infants were given new data about these seemingly magical objects like, the ball also squeaks they had been much more very likely to keep it.Supply: Len Turner, Dave Schmelick and Deirdre Hammer/Johns Hopkins University Busine s office of CommunicationsCredit: La Johnson/NPR In case the ball stopped within the wall, as it did for many infants, they paid much le s focus to it and have been not as likely to recollect if it also squeaked. As if to say: “It’s only a ball. I get it. Who cares?” The toddlers were being also provided an opportunity to play together with the goods that had amazed them. Don’t just did they like all those to other toys; they played with them inside of a way that instructed they were being attempting to learn.Resource: Len Turner, Dave Schmelick and Deirdre Hammer/Johns Hopkins College Office of CommunicationsCredit: La Johnson/NPR “Consider viewing a ball go through a wall proper in front of your eyes,” states Aimee Stahl, guide creator from the paper and also a doctoral prospect at Johns Hopkins. “If you were given that ball to explore, you might want to test its solidity by banging it on the strong surface.” Stahl states that is just what exactly the babies did. They pounded it on the tray of their significant chair. And also the toddlers who noticed that auto float through the stage? They only wanted to drop it to determine if it will float once more. To put it briefly, claims Stahl, “[infants] acquire astonishing situations as unique alternatives to find out.” This principle, that we are born understanding specific policies with the globe, just isn’t new. We see evidence of it not only in humans but in plenty of other folks species, far too. What is actually new is that this idea: that core understanding appears to inspire babies to take a look at things which crack those guidelines and, in the end, to discover new points. It is really not normally nature vs . nurture. Occasionally, it truly is character doing the nurturing.