Screening mammograms are used to check for breast cancer in women who have not yet shown any signs or symptoms of the disease. Diagnostic mammograms, on the other hand, are used when additional images are needed after the screening mammogram discovers possible indicators of breast cancer.
These indicators include lumps and dense breast tissue; the latter is an important indicator because women with extremely dense breasts are four to six times more likely to develop cancer than women with fatty breasts, according to Densebreast-info, Inc., an online educational resource. Additionally, it is often hard to detect cancer via routine screening mammograms in higher-density breasts, thus necessitating further tests.
Beyond more in-depth X-ray diagnostic mammograms, other detection tests include ultrasounds (sonograms) and magnetic resonance imaging (MRIs). Since 2010, under the Affordable Care Act, insurance providers must cover screening mammograms once a year for women ages 40 to 74 with average risk for breast cancer, and once every two years for all other women. However, insurance providers are not required to cover diagnostic tests under federal law.
As of September, Illinois and Minnesota were among the 15 U.S. states that banned all drivers from using handheld devices, according to the Governors Highway Safety Association. These are all primary enforcement laws, which means that police can stop drivers for violating the ban; no other infraction needs to have occurred. (With secondary offenses, officers must have first stopped the driver for another violation.)
Kansas and Nebraska have among the strongest laws in the nation to prevent sex trafficking of minors and to help victims of these crimes, according to the advocacy group Shared Hope International. Both of those Midwestern states received “A” grades in the group’s national report card for 2019. These grades are based on 41 components of state law — for example, the criminal penalties for perpetrators and facilitators of trafficking crimes; the types of legal protections and services provided to victims; and the investigative tools given to law enforcement.
Nearly every state in this region identifies certain professions and workers that must report known or suspected cases of neglect. Earlier this year in Ohio, for example, police officers joined the state’s list of mandatory reporters, the result of legislation signed into law in late 2018 (HB 137). The Ohio statute already was fairly extensive, covering professions ranging from attorneys and podiatrists, to animal control officers and speech pathologists.
Ohio’s list also includes the professions most commonly included in the mandatory-reporting statutes of states across the country, according to a study released this year by the U.S. Department of Health & Human Services’ Administration for Children & Families. In the Midwest, for example, with the exception of Indiana, every state singles out law enforcement, teachers and other school personnel, and doctors and/or other health care workers as mandatory reporters. Most states in the region also include child care providers, members of the clergy, social workers and counselors.
A decade ago, Ami Wazlawik, now a member of the Minnesota House, was graduating from college at an inopportune time — in the middle of the nation’s Great Recession. “I was like everyone else,” she recalls, “looking for a job.”
Instead, she found community service, working with students for a school year as a part of Minnesota’s Reading Corps, an experience that had a lasting impact not only on the students she tutored, but on her own life. Wazlawik says Reading Corps helped cement her commitment to being an active citizen, and is one reason she ran for public office.
And the program itself is often cited as a national model for how states can leverage the power of public service to address longstanding challenges or long-term goals.