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Ticks are migrating, but scant surveillance may leave doctors in the dark when it comes to treating patients : Shots

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Carroll College professor of biology Grant Hokit drags a white cloth through brush outside of Condon, Mont., looking for ticks. Hokit surveys for ticks statewide for the Montana health department.

Aaron Bolton


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Aaron Bolton

CONDON, Mont. — Biologist Grant Hokit has come to this small meadow in the mountains outside Condon to look for ticks. A hiking path crosses the expanse of long grasses and berry bushes.

As Hokit walks the path, he carries a handmade tool made out of plastic pipes taped together that hold a large rectangle of white flannel cloth.

He jokes that this device is “sophisticated,” but the scientific survey is quite serious: He’s sweeping the cloth over the shrubs and grass, hoping that “questing” ticks will latch on.

Along the summer trail, ticks dangle from blades of grass, sticking their legs out and waiting for a passing mammal.

“We got one,” Hokit says. “So that came off of this sedge grass right here… simply pick them off with our fingers. We’ve got a vial that we pop them in.”

Any captured ticks will go back to Hokit’s lab in Helena for identification. Most of them will likely be identified as Rocky Mountain wood ticks.

But Hokit also wants to find out if new species are making their way into the state.

As human-driven climate change makes winters shorter, ticks are spending less time hibernating and have more active months when they can hitch rides on animals and people. Sometimes the ticks carry themselves — and diseases — to new parts of the country.

Hokit found deer ticks for the first time earlier this year in northeastern Montana. Deer ticks are infamous for transmitting Lyme disease and can infect people with other pathogens.

Hokit finds identifies ticks alongside a trail outside of Condon, MT. These surveys help public health officials understand where ticks are in Montana and detect new species that have migrated on large mammals like deer. Hokit found deer ticks, which are known to carry Lyme disease, earlier this year in northeast Montana.

Hokit finds and identifies ticks alongside a trail outside Condon, Mont. These surveys help public health officials understand where ticks are in Montana and detect new species that have migrated on large mammals like deer. Hokit found deer ticks, which are known to carry Lyme disease, earlier this year in northeast Montana.

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Aaron Bolton

Knowing a new species like the deer tick has arrived in Montana or other states is important for doctors.

Dr. Neil Ku is an infectious disease specialist at Billings Clinic in eastern Montana. He says most patients don’t come in right after they get bitten by a tick. They usually show up later, when they start feeling sick from a tick-borne illness.

“Fever, some chills, they may just feel bad, similar to many infections we may encounter throughout the year,” he says.

It’s rare that patients connect a tick bite to those symptoms and even more rare that they capture and keep the tick that bit them. Sorting out whether someone might have a tick-borne illness can be complicated.

Knowing what ticks are in the region will help doctors know that they might start encountering patients infected with new diseases after a tick bite, Ku says

That’s partially why the state is on the hunt for new tick species.

“The more we know about what’s in Montana, the better we can inform our physicians, the better care you can receive,” said Devon Cozart, a zoonotic illness and vector-borne disease epidemiologist with the Montana Department of Public Health and Human Services.

Cozart collects and tests the ticks from field surveys in Montana to see whether they are carrying any pathogens.

Whether a tick can get a human sick depends on the species, but the kind of mammal on which it feeds also plays a role.

“Usually it’s a rodent that might be carrying, for example, Rocky Mountain spotted fever. So, the tick will feed on that rodent, then will get the pathogen as well,” she said.

Because the prevalence of a particular disease can vary in mammal populations, ticks in one part of the state could be more or less likely to get you sick. That’s also important information for medical providers, says Cozart.

This kind of surveillance and testing isn’t happening in every state or county. A 2023 survey of nearly 500 health departments around the country found that roughly a quarter do some kind of tick surveillance.

Not all surveillance efforts are equal, says Chelsea Gridley-Smith, director of environmental health at the National Association of City and County Health Officials.

Field surveys can be expensive. For numerous local and state health departments, tick surveillance relies on a less expensive, more passive approach. Concerned patients, veterinarians and doctors must collect and send in ticks for identification.

“It does provide a little information about what ticks are actually interacting with people and animals, but it doesn’t get into the weeds of how common ticks are in that area and how often do those ticks carry pathogens,” said Gridley-Smith.

She says more health departments want to start tick surveillance, but getting funding is hard and might get harder as federal public health grants from agencies like the Centers for Disease Control and Prevention dry up.

Montana receives about $60,000 from a federal grant annually, but the bulk of that funding goes toward mosquito surveillance, which is more intensive and costly. What’s left funds trips into the field to look for ticks.

Hokit says he doesn’t have enough funding for his small team to survey everywhere he would like to in a state as large as Montana. That means he’s unable to monitor emerging populations of deer ticks as closely as he would like.

He found those new deer ticks in two Montana counties, but he doesn’t have enough data to determine whether they have begun reproducing there, establishing a local population.

In the meantime, Hokit uses data on climate and vegetation to make predictions about where deer ticks might thrive in the state. He has his eye on particular areas of western Montana, like the Flathead Valley.

He says that will help his team narrow down where to look next so they can let the public know when deer ticks — and the disease they can carry — arrive.

July in Teresa’s Maryland Garden

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Hi GPODers!

We’re heading to the Mid-Atlantic coast today to visit a new garden—brand new to Garden Photo of the Day and a relatively new creation on freshly developed property. These beautiful beds were cultivated by Teresa Eutsler in Worcester County, Maryland after moving from an extensive garden they tended for over 30 years. Looking to reduce the time she spent working in her new garden, Teresa aimed to create a low-maintenance landscape, but her passion for plants had other plans. She now has a stunning garden that is easy to care for, but she has too much fun experimenting in to stay out of for long.

Hi there. My name is Teresa Eutsler and I garden on the eastern shore in Worcester County, Maryland, zone 7b. My garden is about 15 miles from the Atlantic coast. I’ve been gardening over 40 years. My husband and I moved and built this home on a wide open piece of farmland in 2017 so this is a fairly young garden. There was nothing here at all and since I’m 65 and had left a garden I had worked on for over 30 years that was quite extensive I was determined to keep it simple! Easier said than done! 

Even though I’m getting older and am trying to make things a little easier one thing I’ve learned is that a garden is never really done because when you love your garden you are always trying new combinations or making room for a new plant or changing something you don’t like! That’s what a gardener does! Thank you for letting me share a small part of my garden with you!

The skies have been generous so the little limelight’s are enjoying the moisture and I’ve been very happy with Milena Fleur dahlia (Dahlia ‘Milena Fleur’, Zones 9–11 or as an annual). It has returned for me despite a very cold winter and is a beautiful color with the Hameln grass (Pennisetum alopecuroides ‘Hameln’, Zones 5–9) as it’s neighbor and the Tuscarora crepe myrtle (Lagerstroemia indica ‘Tuscarora’, Zones 6–9) behind along with the Casa Blanca lilies (Lilium ‘Casa Blanca’, Zones 5–8) in the background.

garden at sunsetA wider view shows the open farmland that the garden sits on. Just as small gardens are a challenge to plan, it can be equally difficult to build gardens that don’t look out of place in a large, open space. But building beds with a slight curve, like Teresa has here, is an effective way of making them feel more like more natural elements in the landscape.

water feature in front of dry creek bedThe dry river rock bed carries the water from our roof away from the house and when it rains really hard makes a beautiful little river running through it. The bed next to it is dry and pretty exposed so the Hameln grass, alliums, Autumn Joy sedum (Hylotelephium ‘Herbstfreude’, Zones 3–9), gaura, tall ageratum and self seeded verbena (Verbena bonariensis, Zones 7–10) don’t mind and are easy maintenance.

flowers in summer gardenIn the background are Emerald Green arborvitae (Thuja occidentalis ‘Smaragd’, Zones 4–8) , Little Lime hydrangea (Hydrangea paniculata ‘Jane’, Zones 3–9) and burgundy leafed dwarf weigela.

close up of dahlias and hydrangeaLastly, a closer look at those successful Milena Fleur dahlia along with one of the Little Lime panicle hydrangeas absolutely covered in perfect blooms. It’s clear that Teresa has a special touch with plants if this is what she is able to create on “easy” mode.

Thank you so much for sharing your gorgeous designs with us, Teresa! I can only imagine how beautiful your previous gardens were if you’ve been able to create these stunning scenes in such a short amount of time.

Follow the directions below to submit photos via email, or send me a DM on Instagram: @agirlherdogandtheroad.

 

We want to see YOUR garden!

Have photos to share? We’d love to see your garden, a particular collection of plants you love, or a wonderful garden you had the chance to visit!

To submit, send 5–10 photos to [email protected] along with some information about the plants in the pictures and where you took the photos. We’d love to hear where you are located, how long you’ve been gardening, successes you are proud of, failures you learned from, hopes for the future, favorite plants, or funny stories from your garden.

Have a mobile phone? Tag your photos on Facebook, Instagram, or Twitter with #FineGardening!

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How to Grow Chrysanthemums? – Homestead Gardener

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Chrysanthemums are one of the prominent flowering plants that bloom from summer through fall.

It’s easy to grow mums in your backyard, provided that you give them enough sunlight and well-drained and nutrient-rich soil.

Also known as a mum, Chrysanthemums are a great addition to your backyard if you’re looking to have colorful blooms even in autumn.

Planted in March, mums produce blossoms, particularly in the fall when many other plants start winding down.

Often referred to as “mums,” Chrysanthemums are versatile and relatively easy to care for flowering plants that are renowned for their vibrant colored blossoms.

Adequate sunlight, rich soil, well-drained and well-aerated growing medium are common requirements of Chrysanthemums.

Apart from just planting these fall flowering plants in your backyard, you must take proper care to keep them alive for the next blooming season.

If you’re looking to grow Mums in your garden, then you can propagate it through the division method or grow from cuttings. Seed propagation is also possible, but it takes time.

Once your plant is well established, ensure to give proper care, like enough sunlight and water, and enrich the soil with a balanced fertilizer.

Growing Requirements of Mums

Chrysanthemums

Prominent for enticing and long-lasting flowers, Mums are easy to care for and have only a few preferences, like full sunlight and moist soil, along with nutrient-rich soil to grow and produce blooms.

Though they are adaptable, it is essential to understand their basic growing requirements to have a healthy plant.

1. Sunlight (Choose a location that gets 6 hours of sunlight)

Mums can tolerate partial shade, but if you’re looking to have the best blossoms in your garden, then give them at least 6 hours of full sunlight.

In hotter climates, Mums can tolerate a bit of shade, but too much shade can cause the plants to become leggy and produce fewer flowers.

2. Soil (Well-drained and well-aerated soil)

Chrysanthemums prefer well-draining soil with a slightly acidic to neutral pH (6.5-7.0).

If your soil is heavy or clay-like, mix in some organic matter like compost to improve drainage.

Standing water or overly wet conditions can cause root rot, so good drainage is crucial.

3. Watering (Water 1 inch per week)

Plants need light, water, and nutrients to grow and produce blooms.

Nutrients in the soil are transported to plants through water.

Overwatering and underwatering are the most common cause of stunted plant growth.

Water the plant only when the top 1-2 inches of the soil is dry. Avoid excess watering as it can lead to root rot and plant death.

Water deeply at the base of the plant, ensuring the roots are hydrated.

Be careful not to get the leaves wet, as this can lead to fungal diseases. During dry spells, check the soil regularly and water as needed.

4. Fertilizing (Use balanced fertilizer)

Chrysanthemums benefit from regular feeding throughout the growing season.

Use a balanced fertilizer with equal parts nitrogen, phosphorus, and potassium (10-10-10) to promote healthy growth and abundant blooms.

Begin feeding your mums in early spring and continue until they start blooming in the fall. Once buds have formed, switch to a fertilizer higher in phosphorus to encourage flower production.

5. Pruning and Pinching

To keep your mums compact and complete, pinch them back in early summer.

Pinching encourages the plant to produce more branches, resulting in a bushier shape and more blooms in the fall.

Stop pinching around mid-July to allow buds to form for the fall bloom.

How to Grow Chrysanthemums?

Growing chrysanthemums rewards you with vibrant colored blossoms.

You can plant them in the garden or grow them in a container.

With dozens of different varieties, mums are easy to grow flowering plants that can bloom in fall.

1. Choosing the Right Location

Start by selecting a sunny location in your garden or yard. Mums need at least 6 hours of sunlight per day to produce the best blooms.

Avoid planting them in areas that are prone to flooding or where water tends to pool, as this can lead to root rot.

2. Preparing the Soil

Before planting, prepare the soil by loosening it to a depth of about 12 to 15 inches.

Mix in organic matter, such as compost or well-rotted manure, to improve drainage and provide nutrients.

Chrysanthemums prefer slightly acidic to neutral soil with a pH between 6.5 and 7.0.

3. Planting Chrysanthemums (Division, Cuttings or Seed)

It all depends on you.

You can grow chrysanthemums by division process or just by planting the cutting in the soil or starting from scratch through seeds.

Just plant the mums in a slightly larger hole than the root ball.

Place the plant in the hole, ensuring that the top of the root ball is level with the soil surface.

Backfill the hole with soil, firming it gently around the plant to eliminate air pockets.

Space your plants 18 to 24 inches apart to allow for proper airflow and growth.

4. Watering and Mulching

Water your mums deeply after planting to help them settle into their new environment.

Going forward, keep the soil consistently moist but not soggy.

Apply a layer of mulch around the plants to help retain moisture and suppress weeds.

5. Fertilizing

Feed your chrysanthemums regularly during the growing season.

Use a balanced fertilizer, such as a 10-10-10 formula, to provide essential nutrients for healthy growth.

As the plants begin to bud, switch to a fertilizer with higher phosphorus content to encourage more extensive and more vibrant blooms.

6. Pinching for Bushier Growth

To ensure your chrysanthemums grow bushy and full, pinch back the growing tips in early summer.

Pinching encourages the plant to branch out, resulting in more blooms.

Continue pinching every few weeks until mid-July to avoid cutting off flower buds for fall.

What Are Various Types of Chrysanthemums That You Can Grow?

Chrysanthemums come in a wide variety of forms, each with its unique flower shape and growth habit.

Below are some of the most popular types you can grow in your garden.

1. Single Chrysanthemums

Single mums resemble daisies, with a central disc surrounded by one or two layers of petals.

These are typically smaller and more delicate than other types, but they’re incredibly charming and look great in both garden beds and containers.

Single chrysanthemums require the same growing conditions as other mums, with plenty of sunlight and well-draining soil.

2. Pompom Chrysanthemums

Pompom mums have small, round, ball-like blooms that are densely packed with petals.

These are compact plants that make excellent borders or accent plants.

Pompom mums prefer full sun and regular feeding, just like other chrysanthemums, and their unique flower shape adds texture to garden beds.

3. Cushion Chrysanthemums

Cushion mums are known for their low, mound-like growth habit, making them perfect for ground covers or front-of-the-border plantings.

They produce masses of small flowers, often completely covering the plant. These hardy perennials are great for filling in garden spaces and require little maintenance once established.

4. Anemone Chrysanthemums

Anemone mums have a raised, cushion-like center surrounded by flatter petals, creating a striking contrast.

These blooms are often larger than single or pompom varieties and add a unique focal point to your garden. Like most chrysanthemums, they thrive in well-drained soil and full sunlight.

5. Spider Chrysanthemums

Spider mums are characterized by their long, tubular petals that spread out in all directions, resembling the legs of a spider.

These dramatic flowers are often used in floral arrangements but also look stunning in the garden.

Spider mums are slightly more delicate than other types, so be sure to plant them in a spot that provides shelter from strong winds.

6. Spoon Chrysanthemums

Spoon mums are named for their spoon-shaped petals, which give the flowers a distinctive and playful appearance.

These mums are unusual and can add an element of whimsy to your garden. Like other chrysanthemums, spoon mums require full sun and regular watering to thrive.

How to Care for Chrysanthemums?

Once your chrysanthemums are established, they require ongoing care to keep them looking their best.

Here’s how to care for your mums throughout the growing season:

1. Watering

Mums prefer consistent moisture, but be careful not to overwater. Water the plants deeply at the base to encourage root growth and avoid getting the foliage wet, as this can lead to fungal issues.

During dry spells, check the soil regularly and water when the top inch feels dry.

2. Fertilizing

Continue feeding your mums throughout the growing season with a balanced fertilizer.

Once buds have formed, switch to a fertilizer with higher phosphorus to promote abundant blooms.

 Fertilize once a month during the growing season and reduce feeding as the flowers start to fade.

3. Deadheading

To encourage continuous blooming, remove spent flowers (a process called deadheading).

This redirects the plant’s energy into producing new buds rather than wasting it on spent blooms. Snip off the faded flowers at the base of the stem.

4. Supporting

Some taller varieties of chrysanthemums may require staking or support, especially if they’re planted in windy areas.

Use bamboo stakes or garden twine to keep the plants upright and prevent the stems from breaking under the weight of the blooms.

5. Overwintering

In colder climates, garden mums may need some extra protection to survive the winter.

After the first frost, cut the plants back to about 6 inches above the ground and apply a thick layer of mulch around the base to insulate the roots.

In warmer climates, chrysanthemums may continue to grow and bloom year-round.

Are Chrysanthemums or Mums Perennial or Annual Plants?

Chrysanthemums can be either perennials or annuals, depending on the type and growing conditions.

The hardy garden mums that most people are familiar with are perennials, meaning they will return year after year if planted in the right environment.

These are the mums you often see planted in garden beds in the fall. With proper care, they’ll bloom each year, brightening up your landscape during the cooler months.

On the other hand, florist mums are typically treated as annuals. These are the mums you might buy in a decorative pot from the garden center, and while they can be planted in the garden, they often don’t survive winter conditions, especially in colder climates.

If you live in a milder climate, or if you’re willing to provide some extra protection, even these mums can potentially return the following year.

Conclusion

Having a garden in your backyard is a boon. Adding flowering plants like chrysanthemums is an excellent addition to it.

Apart from offering stunning blooms in a wide array of shapes, sizes, and colors, flowering plants benefit your vegetable garden by attracting pollinators.

With the right growing conditions, which include full sunlight, well-drained soil, and regular watering and fertilizing, your mums will thrive and reward you with an abundance of beautiful blooms.

By selecting a suitable variety and providing proper care, including pinching for bushier growth and overwintering in colder climates, you can enjoy chrysanthemums year after year.

From the delicate Single mums to the dramatic Spider variety, there’s a chrysanthemum to suit every garden style and climate.

With a little effort, you can grow and care for these iconic fall flowers, ensuring they remain a vibrant centre piece in your garden throughout the season.

Genetic blood tests during pregnancy may be cheaper if you don’t use your insurance : Shots

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The company Natera offers a blood test to pregnant women that checks for fetal abnormalities. Natera offers what it calls a “prompt-pay cash price” for these tests.

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When Mara Varona was pregnant she decided to take a common prenatal blood test to screen for genetic conditions. It was part of a proactive approach she and her husband took to pregnancy.

“We’re just information people,” says Varona, who works in finance and lives in Miami, Florida. “We’d rather have as much information as we can.”

Pay $349 now or …

Shortly after her blood draw, the testing company Natera emailed and texted her an offer to pay its cash price — $349 and skip insurance altogether. The offers said she was out of network and estimated Varona’s cost would be the balance of her deductible plus $100 to $200, according to a statement from Natera.

But Varona doesn’t recall seeing the offers at the time they were sent. She found them in her records as NPR was reporting this story. The email and text required her to click through to see the details. She let the bill go to her insurance assuming it would pick up most of the tab.

The blood test results came back with good news — no signs of genetic concerns.

But a few months later, other news arrived: a bill for $750, the amount of her unmet insurance deductible. According to the explanation of benefits, Natera had charged her insurance company $4,480. The insurer paid just 45 cents.

“I tend to be the type to just pay it and move on,” she says. “But something in me told me this just seemed unreasonably high. It was probably the highest medical bill I’d received throughout the pregnancy.”

Varona tried calling both Natera and her insurer to understand the charge, but didn’t get clarity. She put the bill aside until shortly after she gave birth. That’s when she received a notice that if she didn’t pay the bill it would go to collections.

“I wanted to take care of it,” she says.

Then she came across a Reddit thread. Other women were sharing a tip: Call Natera and ask to pay the cash rate instead of going through insurance.

A counterintuitive trend

While Varona’s experience might sound unusual it’s not. In fact, it reflects a reality of the U.S. health care system: Paying the out-of-pocket cash price can sometimes be cheaper than using health insurance.

This dynamic became more visible in 2021, when a new federal rule required hospitals to publish their prices online. Since then, researchers have found that for a wide range of services—like lab tests, X-rays, and even joint replacements—many hospitals charge cash-paying patients less than they charge insured ones.

A study published in JAMA Network Open in 2021 found that for half of the hospitals surveyed, cash prices were lower than the median price negotiated by insurance companies.

Ge Bai, a professor of health policy and management at Johns Hopkins University and co-author of the study, said she became interested in the topic after her own experience. She discovered that using her insurance for a blood test for her son would have cost three times more than paying in cash.

“We always believe insurance companies exist to use their bargaining power to get better prices,” Bai says. “But this ruined my faith in that idea.”

Bai says there are a few reasons for this price mismatch. One is administrative — providers are more willing to offer a discount when they don’t have to deal with insurance paperwork and delayed payments. Another is market behavior: Consumers paying cash are more likely to shop around for the best price.

There’s also a profit motive at play for insurers. Insurers are allowed to keep up to 20 percent of the premiums they collect for administrative costs and profit.

That means lower medical spending can actually reduce an insurer’s revenue.

And that’s why, Bai says, insurance companies cannot be relied upon to get us the lowest prices.

“Proactive approach”

NPR contacted Varona’s insurer, Independence Blue Cross, which confirmed she is a member and has access to Florida Blue’s network where she lives. Both insurers declined to answer questions about her case and explain why they only reimbursed 45 cents for her test.

NPR also asked Natera about its pricing policies.

“We recognize that health insurance can be difficult to navigate, and we provide patients with clear, upfront information about coverage and cost,” Brian Symmons, Natera’s senior vice president of patient experience wrote in a statement. “We provide cost estimates before billing insurance whenever possible. If Natera is out-of network with a patient’s insurer, or if our estimate shows their cost would likely exceed the cash price, we notify them and offer the option to pay the lower rate instead. Natera was one of the first in the industry to adopt this proactive approach.”

Natera did not answer NPR’s questions about how often it provides cost estimates for patients, but said the company needs valid contact info for patients to send the estimates.

A phone call that saved $400

Varona tested out the theory she read on Reddit about calling Natera and asking for what’s described on the company’s website as a “prompt-pay cash price.” To her surprise, it worked.

“I thought it was b******t that they can just suddenly come up with another amount,” she said. “But I was also happy I just saved $400.”

In the statement, Symmons writes that “Before billing, we contacted her by email and text, explained our out-of-network status, estimated her cost would likely fall between $100–$200 after her deductible was met.” That sum turned out to be $750, which was her unmet deductible. “In conversations with our team, Ms. Varona expressed confusion about her insurance benefits, and we therefore made a courtesy adjustment.”

Varona said her experience paying the cheaper cash rate has completely changed how she approaches medical bills.

“I question the bills now,” she said. “I don’t just pay them right away.”

A high insurance price and lawsuits

Part of the problem for consumers is the list price for insurers. In Varona’s situation, that was Natera’s $4,480 price. With a price that high, anyone in a high deductible plan using their insurance could easily owe their full deductible on one out-of-network blood test — hundreds of dollars, as in Varona’s case, or even thousands. Natera did not answer NPR’s question asking why it sets this list price at more than 10 times what it was willing to accept as a cash payment in Varona’s case. Symmons said in a statement that Natera offers the rate to patients with high deductibles or the uninsured but it’s not the primary way the company gets paid for these tests.

The company is facing some legal challenges for its billing practices.

One patient who paid more than $1,000 for these tests with insurance is part of a proposed class action lawsuit against Natera. The suit was filed in December 2023 in California. An earlier proposed class action suit alleging that the company was deceptive about its pricing was dismissed in 2023. That’s because the female plaintiff never ended up paying the full medical bill she alleged was hundreds of dollars more than the bill of up to $249 she had anticipated. In dismissing that lawsuit, the judge noted that the public-facing statements Natera provided to patients said “some patients will in fact pay more than $250 for a genetic test.”

Natera’s spokesperson Symmons wrote in a statement, “We strongly deny the allegations in the pending lawsuit. Our billing policies reflect our focus on transparency, patient choice, and affordability.”

23 of the Best Basil Varieties for the Home Herb Garden

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Full of flavor and wonderfully aromatic, basil, Ocimum spp., is one of the easiest herbs to grow. Its pungent, peppery taste with a hint of licorice makes it popular in a variety of cuisines.

This member of the mint, or Lamiaceae family is an annual herb grown for its flavorful leaves.

Like most herbs, the leaves are best enjoyed fresh. But the bright flavors can also be dried or frozen for winter use.

There are over 160 cultivars to choose from, and all are delicious, fragrant, and many add ornamental interest to the garden.

A close up of two different varieties of Ocimum basilicum, the top of the frame shows a green-leaved type, and at the bottom a cultivar with dark purple foliage.

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Flavors range from bold and spicy to mildly sweet – try growing the bold ones for savory dishes, the sweet ones for baked goods, desserts, and ice cream.

The majority are treated as annuals, although in warm, tropical regions a few can be grown as perennials.

This herb is easy to grow and you can propagate basil from seed, by cuttings, or purchase nursery starts.

If you need a refresher, our guide to growing basil has all you need to cultivate this delicious herb at home.

Here are 23 of our favorite cultivars:

23 Favorite Basil Varieties for Your Herb Garden

1. Blue Spice

‘Blue Spice’ is prized for its sweet, vanilla-like fragrance with spicy undertones and showy purple flower spikes that attract pollinators.

This variety grows to about 18 to 24 inches tall and 12 inches wide, and the leaves are excellent for teas, garnishes, or adding a hint of sweetness to summer dishes.

A square image of 'Blue Spice' basil growing in a terra cotta pot outdoors.A square image of 'Blue Spice' basil growing in a terra cotta pot outdoors.

‘Blue Spice’

You can find ‘Blue Spice’ seeds available at Eden Brothers in a variety of packet sizes.

2. Boxwood

‘Boxwood’ features small leaves that keep a perfect, shrub-like form even in the heat of summer – just like a boxwood plant. This variety grows to a mature height of 12 inches, with a 12- to 16-inch spread.

A close up of the mounding shape of Ocimum basilicum 'Boxwood' growing in the garden on a soft focus background.A close up of the mounding shape of Ocimum basilicum 'Boxwood' growing in the garden on a soft focus background.

‘Boxwood’

Wonderful for containers, edging, and knot gardens, the strong flavor is superb in pesto.

You can find packets of 100 seeds or three live plants available at Burpee.

3. Cardinal

With deep red flower clusters rising above green, aromatic foliage, ‘Cardinal’ is as ornamental as it is useful in the kitchen.

‘Cardinal’ reaches 18 to 30 inches tall and about 12 inches wide, and the blossoms are edible as well as eye-catching, making this a dual-purpose basil for herb and flower gardens alike.

A close up of the foliage and deep red flowers of 'Cardinal' Thai basil growing in a sunny garden.A close up of the foliage and deep red flowers of 'Cardinal' Thai basil growing in a sunny garden.

‘Cardinal’

You can find seeds in a variety of packet sizes available at Eden Brothers.

4. Cinnamon

‘Cinnamon’ is a sweet-flavored cultivar with a distinctive cinnamon taste that’s delicious in baked goods, jellies, and vinegars.

A top down close up picture of Ocimum basilicum 'Cinnamon' with bright green foliage and delicate purple flowers.A top down close up picture of Ocimum basilicum 'Cinnamon' with bright green foliage and delicate purple flowers.

‘Cinnamon’

Also known as Mexican spice basil, this cultivar has narrow leaves, dark colored stems, and pretty purple flowers that add great visual appeal.

Growing to a mature height of 12-18 inches with a similar spread, ‘Cinnamon’ makes a lovely addition to your container garden or flower beds.

Find packets of seeds in a variety of sizes available at Eden Brothers.

5. Dark Opal

‘Dark Opal’ has wonderful deep purple leaves and pinky-lilac flowers that give it great ornamental value. The flavor is anise-based with a hint of ginger and it can be used in savory or sweet dishes.

Brought to market by Ferry-Morse in the 1950s, ‘Dark Opal’ was a winner of the All-America Selections Award in the flower category in 1962.

A close up of the freshly harvested leaves of Ocimum basilicum 'Dark Opal' set on a wooden surface.A close up of the freshly harvested leaves of Ocimum basilicum 'Dark Opal' set on a wooden surface.

‘Dark Opal’

Delightful in containers, mixed beds, or anywhere you want to attract pollinators, this variety grows to a mature height of 14 inches in a compact, bushy form.

Find seeds in a variety of packet sizes available at Eden Brothers.

Learn more about growing ‘Dark Opal’.

6. Dolce Fresca

An All-America Selections winner, ‘Dolce Fresca’ maintains a dense, bushy habit that doesn’t sprawl, even after repeated harvests.

Plants reach 12 to 18 inches tall and wide and produce glossy leaves with a classic sweet basil flavor, perfect for container or small-space gardens.

A square image of 'Dolce Fresca' basil growing in a terra cotta pot outdoors on the patio.A square image of 'Dolce Fresca' basil growing in a terra cotta pot outdoors on the patio.

‘Dolce Fresca’

If ‘Dolce Fresca’ sounds appealing, you can find seeds available at Eden Brothers.

7. Emerald Towers

‘Emerald Towers’ is a tall, multi-branched Genovese type with a tidy columnar habit that produces an outstanding harvest. It has a full licorice taste and a scent of spicy cloves.

A close up of a blue ceramic pot with Ocimum basilicum 'Emerald Towers.' An upright, columnar plant with bright green foliage. In the background is a wooden chair and stone wall in soft focus.A close up of a blue ceramic pot with Ocimum basilicum 'Emerald Towers.' An upright, columnar plant with bright green foliage. In the background is a wooden chair and stone wall in soft focus.

‘Emerald Towers’

A generous herb in containers or in the ground, give these plants plenty of space to grow into as they can reach a mature height of 24 to 36 inches with a spread of eight to 12 inches.

You can find 100 seeds or a set of three plants available at Burpee.

8. Genovese

Genovese is the traditional heirloom Italian type with a pronounced anise flavor, sweet clove fragrance, and large, lustrous leaves.

This variety grows to a mature height of 16 inches tall, with a spread of 12 inches.

A close up of a white pestle and mortar with freshly harvested Ocimum basilicum 'Genovese,' set on a wooden surface, fading to soft focus in the background.A close up of a white pestle and mortar with freshly harvested Ocimum basilicum 'Genovese,' set on a wooden surface, fading to soft focus in the background.

Genovese

A must-have for the kitchen garden, it is perfect for pesto, fresh salads, and all things savory.

Seeds are available by the packet or in bulk at Eden Brothers.

Or get a jump on the growing season with a set of three plants available at Burpee.

Find more info on growing Genovese basil here.

9. Greek

The Greek type, O. basilicum var. minimum is a compact variety with small leaves, tiny white flowers, and a neat, globular growth habit that makes it attractive in containers, edging, or rockeries.

A close up of the small green leaves of Ocimum basilicum var. minimum on a light background. To the bottom right of the frame is a white circular logo with text.A close up of the small green leaves of Ocimum basilicum var. minimum on a light background. To the bottom right of the frame is a white circular logo with text.

O. basilicum var. minimum

It has a deeply spicy fragrance and strong flavor that’s best used in salad dressings, sauces, soups, and stews.

Perfect for container gardens, this dwarf variety grows to a mature height of just eight inches, with a similar spread.

You can find packets of seeds in a variety of sizes at True Leaf Market.

Learn more about planting and growing Greek basil.

10. Italian Large Leaf

This classic cultivar has the largest leaves of all basil plants. With a sweet and mild flavor, this variety is versatile in the kitchen and makes a delicious pesto.

A close up of the large foliage of Ocimum basilicum 'Italian Large Leaf' on a soft focus background. To the bottom right of the frame is a white circular logo with text.A close up of the large foliage of Ocimum basilicum 'Italian Large Leaf' on a soft focus background. To the bottom right of the frame is a white circular logo with text.

Italian Large Leaf

Plants grow to a mature height of 24-30 inches, with a 12-inch spread. Plant in containers, in a sunny spot in your herb garden, or on a windowsill.

Find seeds in a variety of packet sizes at True Leaf Market.

11. Lemon

A key ingredient in Indonesian cuisine, the lemon variety, O. basilicum var. citriodorum, is a hybrid with a fresh lemon scent and sweet-tart flavor. Plants grow to a mature height of 20-24 inches, with a 12-inch spread.

A close up of the leaves of Ocimum basilicum 'Lemon,' freshly harvested and set on a wooden surface, fading to soft focus in the background.A close up of the leaves of Ocimum basilicum 'Lemon,' freshly harvested and set on a wooden surface, fading to soft focus in the background.

Lemon

It’s popular eaten fresh in salads and wraps or incorporated into curries, soups, stews, and stir-fries.

Find packets of seeds in a variety of sizes available at Eden Brothers.

12. Lettuce Leaf

This Italian heirloom (O. basilicum crispum) is easy to spot thanks to its oversized, crinkled leaves that are mild and sweet.

Growing 18 to 24 inches tall and wide, it’s ideal for using in wraps, layering in sandwiches, or adding bulk to pestos without overpowering other flavors.

A close up square image of lettuce leaf basil with crinkly foliage growing in the garden.A close up square image of lettuce leaf basil with crinkly foliage growing in the garden.

Lettuce Leaf

You can find lettuce leaf basil seeds available at Eden Brothers.

13. Lime

Lime plants have a light, floral-citrusy flavor and fragrance – ideal for adding a touch of zest to beverages, salad dressings, sauces, and desserts.

A top down close up of Ocimum basilicum 'Lime' growing in the garden on a soft focus background.A top down close up of Ocimum basilicum 'Lime' growing in the garden on a soft focus background.

Lime

A lovely container plant wherever the tangy fragrance can be enjoyed, this cultivar grows to a mature height of 16 to 24 inches, with a 12-inch spread.

Packets of seeds in a variety of sizes are available at Eden Brothers.

14. Mammoth

O. basilicum crispum ‘Monstruoso,’ aka  ‘Mammoth,’ is a lettuce leaf cultivar that features huge savoyed leaves with ruffled edges and uniform growth.

A close up of the large foliage of Ocimum basilicum 'Mammoth' with wrinkled foliage on a soft focus background.A close up of the large foliage of Ocimum basilicum 'Mammoth' with wrinkled foliage on a soft focus background.

‘Mammoth’

It has a spicy clove fragrance and a sweetly pungent flavor similar to Genovese, but stronger.

Perfect for use in Italian recipes or for pesto, ‘Mammoth’ grows to a mature height of 16 inches, with a 12- to 16-inch spread.

You can find packets of seeds in a variety of sizes at Eden Brothers.

15. Minette

Minette is a compact, small-leaved Greek cultivar, O. basilicum var minimum, with a mounding habit that’s adorable as an edging plant, in containers, or in knot gardens.

A close up of three terra cotta pots containing Ocimum basilicum 'Minette' set on a concrete surface with a variety of other plantings in the background.A close up of three terra cotta pots containing Ocimum basilicum 'Minette' set on a concrete surface with a variety of other plantings in the background.

Minette

With a sweet anise flavor and scent of cloves, this variety grows to a mature height of just 10 inches with a comparable spread, and it forms a beautiful spherical shape.

You can purchase seeds at Eden Brothers.

16. Nufar

‘Nufar’ was the first fusarium-resistant basil introduced, and it remains a reliable choice for gardeners in humid climates.

This Genovese type grows 18 to 24 inches tall and 12 inches wide, producing large, glossy leaves with the classic flavor cooks expect for pestos and sauces.

A close up square image of 'Nufar' growing in the garden.A close up square image of 'Nufar' growing in the garden.

‘Nufar’

You can find ‘Nufar’ seeds available from High Mowing Organic Seeds.

17. Prospera Red

Prospera® Red is a hybrid that pairs downy mildew resistance with striking deep purple foliage.

Compact but productive, plants grow 20 to 24 inches tall and 12 to 18 inches wide, offering both ornamental appeal and dependable flavor through the season.

A close up square image of Prospera Red basil with deep purple leaves set in a wicker basket.A close up square image of Prospera Red basil with deep purple leaves set in a wicker basket.

Prospera® Red

You can find seeds for Prospera® Red available at High Mowing Organic Seeds.

18. Purple Petra

‘Purple Petra’ produces glossy, deep-purple leaves that bring dramatic color to beds and containers.

Reaching 18 to 24 inches tall and 12 to 16 inches wide, the plants offer a mild, slightly sweet basil flavor that shines in infused oils, vinegars, and garnishes.

A close up of a packet of 'Purple Petra' seeds with text to the left of the frame and a hand-drawn illustration to the right.A close up of a packet of 'Purple Petra' seeds with text to the left of the frame and a hand-drawn illustration to the right.

‘Purple Petra’

You can find ‘Purple Petra’ seeds available at Botanical Interests.

19. Red Rubin

This purple-leafed variety has a stronger, spicier flavor than many other colored basils.

‘Red Rubin’ grows 18 to 24 inches tall and 12 to 16 inches wide, with dark, flat leaves that stand out in the garden and add bold taste to herb butters, vinegars, and sauces.

A close up of a single sprig of 'Red Rubin' basil isolated on a white background.A close up of a single sprig of 'Red Rubin' basil isolated on a white background.

‘Red Rubin’

Seeds are available from True Leaf Market in a variety of packet sizes.

Read more about growing ‘Red Rubin’ basil here.

20. Siam Queen

O. basilicum var. thyrsiflora, ‘Siam Queen’ is a Thai basil variety with a sweet licorice flavor that’s rewarding in the kitchen and as an ornamental.

This heirloom type has lush green leaves and purple stems, and it grows to a mature height of 10-24 inches, with a similar spread.

A top down close up picture of Ocimum basilicum 'Siam Queen' with pale green leaves and a small purple flower, on a soft focus background.A top down close up picture of Ocimum basilicum 'Siam Queen' with pale green leaves and a small purple flower, on a soft focus background.

‘Siam Queen’

‘Siam Queen’ was an All-America Selections Winner in the vegetable category in 1997.

Use it to flavor curries, soups, and stir-fries but sow enough to allow some plants to bloom – the purple flower heads and pale pink blooms are gorgeous!

Packets of seeds in a variety of sizes are available at Eden Brothers.

21. Spicy Globe

This compact basil forms a tidy, rounded mound covered in petite leaves that pack plenty of flavor.

Plants grow to about eight to 10 inches tall and wide, making them a natural fit for containers, borders, or even as an edible alternative to boxwood.

A close up square image of 'Spicy Globe' growing in a garden border.A close up square image of 'Spicy Globe' growing in a garden border.

‘Spicy Globe’

You can find ‘Spicy Globe’ seeds available at Eden Brothers.

Learn more about growing ‘Spicy Globe’ here.

22. Sweet

One of the most popular varieties, sweet basil has a full licorice flavor and spicy clove fragrance that’s just as nice when used fresh in salads, sandwiches, and wraps or added to pesto, sauces, and savory dishes.

A close up of freshly picked leaves of Ocimum basilicum 'Sweet,' set on a wooden surface, on a soft focus background.A close up of freshly picked leaves of Ocimum basilicum 'Sweet,' set on a wooden surface, on a soft focus background.

Sweet Basil

Often called “common” basil, plants grow up to 24 inches tall and wide. Aromatic and flavorful, it goes fast, so be sure to plant plenty.

You can purchase seeds by the packet or in bulk at Eden Brothers.

23. Sweet Dani

An All-America Selections winner, ‘Sweet Dani’ is a lemon type that combines vigorous growth with a bright lemon fragrance.

Plants average 24 inches tall and 18 inches wide, yielding generous harvests for teas, marinades, and salads while also drawing pollinators to the garden.

A close up square image of 'Sweet Dani' growing in the garden. To the bottom right of the frame is a white circular logo with text.A close up square image of 'Sweet Dani' growing in the garden. To the bottom right of the frame is a white circular logo with text.

‘Sweet Dani’

You can find ‘Sweet Dani’ seeds in a variety of packet sizes available from True Leaf Market.

And check out our guide to growing ‘Sweet Dani’ basil to learn more!

Pesto and Beyond

Delicious, fragrant, and delightfully easy to grow, basil lends its unmistakable flavor to pesto and much more!

If you are new to growing herbs, check out our guide to starting your own herb garden.

A close up horizontal image of colorful basil plants growing in the garden pictured in bright sunshine.A close up horizontal image of colorful basil plants growing in the garden pictured in bright sunshine.

Are you ready to add basil to your herb garden? Let us know in the comments what variety you are planting!

To learn more about growing basil, put these guides on your reading list next:

Mashed Sweet Potatoes Recipe

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Mashed Sweet Potatoes Recipe

























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Wellness Tools and Habits I’m Loving

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I decided that I wanted to start a new monthly series with you all. These will share some of the highlights, discoveries, and small things I’ve been experimenting with lately. Sometimes these are new tools or products I’m testing, sometimes they’re small habits that are making a difference. Sometimes it’s just little things that are making my life more joyful. 

These are things I’m personally using and finding beneficial right now. However, I hope they spark ideas for you to experiment with in your own life. 

This August, my list includes a helpful tracking app, evening light tools, and a new drink that’s become a part of my daily routine. Plus how I’m releasing tension in my body and mind with some really helpful tools during a tough season. 

Here’s what I’m loving right now!

1. dminder: Sunlight, Vitamin D, & Circadian Support

Vitamin D has been one of the most studied nutrients in the last decade, yet many of us aren’t getting enough. It’s technically a hormone and  plays a role in immune health, bone strength, hormone balance, and even mood. Studies show low vitamin D levels mean higher infection risk, fatigue, and certain chronic illnesses.

The best source of vitamin D for most of us is still the sun. Personally I’ve found that vitamin D supplements do nothing to improve my tested vitamin D levels. Knowing how much sun is adequate (without overdoing it and burning) can be tricky. That’s where I like using the dminder app. You put in your location, skin tone, time of year, and how much skin is exposed. Then it helps estimate how much vitamin D you’re making from sunlight.

I’ve found it to be a helpful tool for dialing in on safe sun exposure. Recent research points towards sunburn as a risk factor for skin cancer, not healthy light exposure. Safe, gradual exposure not only supports vitamin D synthesis but also helps regulate circadian rhythm, serotonin, and melatonin.

These are some of my non-negotiables in my daily routine:

  • Morning sunlight to set my circadian rhythms and help me feel awake and sleep better
  • Midday sunlight to maximize vitamin D and other benefits without burning
  • Evening sunlight to tell my body it’s time to wind down and for free red light

The dminder app makes it easy to track that balance without overthinking it.

2. White Salt Lamp 

I’ve talked a lot before about how light is just as impactful as food or supplements when it comes to health. Our bodies are wired to respond to natural light cues, and modern artificial lighting often disrupts that rhythm. Especially the bright blue light from screens, flickering LEDs, and overhead bulbs after sunset.

We’ve always had Himalayan salt lamps in our house, but lately I picked up a beautiful white salt lamp. It gives off a soft, warm glow and is more neutral without the orange tone. It helps me wind down at night while I’m reading and relaxing. 

When our eyes see blue light at night (like most lightbulbs and screens) it suppresses our melatonin production. This makes it harder to fall asleep and stay asleep. Warm, low-level light (like firelight or a salt lamp) doesn’t have this effect. I’ve been pairing this lamp with blue-light-blocking glasses in my bedroom in the evening. 

It’s a simple habit, but one that’ brought me a lot of joy and helps signal to my brain it’s time to wind down. This is the white salt lamp that I have. 

3. Slacka for Clean Energy

Coffee will always have a special place in my heart, but I’m always looking for healthy alternatives. Too much caffeine can cause jitters and anxiety for many (myself included). My friend David created a new functional health drink and it’s become a favorite. It’s like drinking a healthy soda that gives me an afternoon energy boost in a gentler way without the jitters. 

Instead of caffeine, Slacka uses paraxanthine, a natural caffeine metabolite. When you drink coffee, your body breaks caffeine down into paraxanthine, which is actually what provides many of the focus and energy benefits. By skipping the middle step, Slacka gives you the clean, steady boost without some of the downsides people experience from coffee. Like racing heart, sleep disruption, or that “wired but tired” feeling. 

I love that it also has electrolytes for cellular hydration and 5-HTP to help stabilize mood. It also has natural compounds that support the body’s own GLP production. This translates to reduced cravings and better blood sugar balance

For me, it feels like a smoother, more focused version of caffeine. Plus it doesn’t seem to affect my sleep when I drink it in the afternoon. Paraxanthine is a newer trend, but I wouldn’t be surprised if it becomes the next big thing in functional health.

You can check out Slacka and try it for yourself here.

4. Facial Fascia Release

It seems like more and more people are talking about fascia lately. If you’ve ever had tight shoulders or knots in your back, you’ve experienced tight fascia first hand. Our body’s connective tissue can hold tension, kind of like a bad memory. I’ve recently learned fascia in the face can do the same thing.

There are different strategies available but I’ve found a program that focuses on facial fascia release. It’s been surprisingly transformative and I really feel like Savannah knows her stuff. Using gentle tools and techniques, I’ve been able to release tension I didn’t even realize I was holding in my face. 

Here’s what I’ve noticed so far:

  • Much less tension between my eyebrows (those “11” lines)
  • A subtle lift in my face overall
  • Reduced jaw tightness
  • Better sinus drainage

Fascia is like a web that surrounds and supports our muscles, nerves, and organs. When it gets tight or “stuck,” it restricts movement and blood flow. Releasing it improves circulation, lymphatic flow, and even nerve communication. In the face, that translates into both relaxation and visible changes.

Best of all, it feels so good. Doing this at night with my salt lamp on has become one of my favorite calming rituals. You can check out the program I’ve been using and fascia tools here.

5. Rapid Emotional Rewiring: A Mind Reset 

Ever wish you could just hit the rewind button on life? While time travel still isn’t possible, Rapid Emotional Rewiring may be the next best thing. 

On a deeper and more personal note, the past few months have been some of the hardest of my life. One tool that’s really supported me during this season is something called Rapid Emotional Rewiring.

Unlike traditional therapy, this process is more of a neurological reset. It uses guided techniques to help shift the brain out of old, looping patterns that keep us stuck. Many people describe it as feeling like the weight of months of talk therapy condensed into a single session. Personally I didn’t notice much improvement with traditional talk therapy. 

What I’ve appreciated most is that it’s simple and doesn’t require a lot of mental energy. During my toughest days, I didn’t have bandwidth for journaling or lengthy practices, but I could do this. Even one session left me feeling lighter and less reactive.

Right now, there are a limited number of free 30-minute sessions available (along with a simple five-day at-home program). You can check the program out for yourself here. 

Final Thoughts on August Favorites

This month’s favorites may seem like an eclectic mix but I’ve noticed a common thread. Those simple, consistent shifts can ripple into big changes over time. Each of these additions to my routine has helped me feel more supported and brought more joy into my daily rhythms. I’m discovering more and more that it’s not the big, flashy changes that make the most difference but the simple ones. 

What are some of your favorite things right now? What tools or rituals are making life feel more joyful for you? Leave a comment and let me know!

Episode 184: All-Time Favorite Vegetables

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Meet Our Favorite Vegetable Varieties to Grow

In this episode we’re digging into our all-time favorite vegetable varieties, the ones we can’t imagine our gardens (or dinner plates) being without: from not one, but two improved ‘Brandywine’-type heirloom tomatoes, to a cucumber that never fails to impress at the summer picnic. Carol even shares her must-have green bean variety (and tries to convince Danielle that it doesn’t taste like wood). We rounded out the hour with personal stories, growing tips, and a few surprising twists on how to combat a couple of dreaded veggie pests. 

Expert: Fionuala Campion is the owner and manager of Cottage Gardens of Petaluma in Petaluma, California. She is also a regional reporter for FineGardening.com. 


Danielle’s Favorite Vegetables

  • ‘Rose’ heirloom tomato (Solanum lycopersicum ‘Rose’, annual) 
  • ‘Tomatoberry’ cherry tomato (Solanum lycopersicum ‘Tomatoberry’, annual) 
  • ‘Tyria’ English cucumber (Cucumis sativus ‘Tyria’, annual) 
  • ‘Peter Pan’ patty pan squash (Cucurbita pepo ‘Peter Pan’, annual) 
‘Rose’ heirloom tomato (record size)
‘Tomatoberry’ cherry tomato
‘Tyria’ English cucumber
‘Tyria’ English cucumber growing on a teepee
Kermit pattypan fruit
‘Peter Pan’ patty pan squash Photo courtesy of Zenon Sych, Wikimedia Commons

Carols Favorite Vegetables

  • ‘Sugar Magnolia’ snap pea (Pisum sativum ‘Sugar Magnolia’, annual) 
  • ‘German Johnson’ tomato (Solanum lycopersicum ‘German Johnson’, annual) 
  • ‘Provider’ green bean (Phaseolus vulgaris ‘Provider’, annual) 
  • ‘Porcelain Doll’ pumpkin (Cucurbita maxima ‘Porcelain Doll’, annual) 
Sugar magnolia snap pea growing on trellis
‘Sugar Magnolia’ snap pea
‘German Johnson’ tomato
Provider bush bean harvest on a tray
‘Provider’ green bean
Porcelain Doll pumpkin
‘Porcelain Doll’ pumpkin

Expert Fionuala Campions Favorite Vegetables

  • ‘Zucchetta  Rampicante’ squash—AKA ‘Tromboncino’ squash (Cucurbita moschata ‘Zucchetta  Rampicante’, annual) 
  • ‘Snow White’ cherry tomato (Solanum lycopersicum ‘Snow White’, annual) 
  • ‘Listada de Gandia’ eggplant (Solanum melongena ‘Listada de Gandia’, annual) 
Zuchetta Rampicante vines
‘Zucchetta Rampicante’ squash
‘Snow White’ cherry tomato
‘Listada de Gandia’ eggplant

All photos from the contributors unless noted otherwise. 

$2,800 a month for ACA health insurance? Huge spikes are coming : Shots

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Ellen Allen, 63, needs health insurance to be able to keep paying for an expensive eye drop medicine that prevents blindness.

Ellen Allen


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Ellen Allen

Next year, when her health care premium balloons, “it’s gonna be a real hit,” Ellen Allen says. “I’m worried about it.”

Allen lives near Charleston, W.Va., and directs a small nonprofit called West Virginians for Affordable Health Care. She buys her insurance on HealthCare.gov, and right now, the 63-year-old pays $479 a month. “I’ve been really happy with my coverage,” she says.

All of that is changing soon. The federal tax credit that makes the coverage affordable for Allen and millions of other Americans expires at the end of the year. The credit was a pandemic-era relief measure that has contributed to record enrollment in the insurance sold through the Affordable Care Act marketplaces.

Average spike? 75%

The average enrollee will see their premium costs increase 75%, according to an analysis of insurance filings by the nonpartisan health research organization KFF. For many people, those increases will be even higher.

Allen, who’s well-versed in these issues because of her job, used KFF’s online calculator to estimate what her premium will be after the enhanced subsidies expire.

“Next year it’s gonna be like $2,800 a month,” she says, just for her individual plan. Her work organization is too small to provide affordable group coverage. She estimates that she could have $10,000 in out-of-pocket costs on top of her high premium.

She says it’s still worth it to her to have the plan because she has expensive prescriptions. “Like an asthma medication [that] can run $700 a month. There’s an eye drop medication that can be $800 a month,” she says. “And these are the differences in keeping my vision, for example, so I have to do that.”

She has started setting money aside every month and directing it into a separate account to start building up savings for those high premiums next year. “Luckily I can do that, but that’s money I won’t be able to save for investing in my 401(k) for retirement,” she says.

“I wish I were older”

One good thing, she says, is that she’ll turn 65 next year and will be able to enroll in Medicare, so she will be on the hook for the high premiums for only eight or nine months. “It’s the first time in my life I wish I were older,” she laughs.

Rates could change before open enrollment for HealthCare.gov and the state-based marketplaces begins Nov. 1. And Congress could also act before December to blunt the effect on enrollees, although the Republican lawmakers who control Congress have shown little interest in extending the subsidies. An extension of the tax credits was left out of President Trump’s tax and spending law passed in July.

People who can’t afford the higher premiums and are healthy enough will likely go without health insurance. Several enrollees told NPR that’s their plan — to roll the dice, taking the chance that they stay well and don’t have a big health expense.

The Congressional Budget Office estimates that the end of the enhanced tax credits will increase the number of uninsured people in the U.S. by 4.2 million over the next decade. More Americans are also likely to become uninsured because of cuts to the Medicaid program in the law, known as the One Big Beautiful Bill.

A new job, maybe a new wife

Sidney Clifton would really like to keep his HealthCare.gov plan. He says it works for him, and he has chronic health conditions. “Diabetes, I have congestive heart failure — just your normal overweight American, like everybody else,” he says.

Sidney Clifton is photographed driving in his car.

Sidney Clifton likes working for a small business, but he says he might need to look for a more corporate job with health benefits if he can’t afford his health insurance in 2026.

Sidney Clifton


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Sidney Clifton

Clifton is 54 and lives in Pasco County, in central Florida. “I work for a car dealership — it’s a mom-and-pop store, not very big, like 10 employees,” he says. He likes working for a small business, but it means no health benefits.

Right now, his full premium is about $1,100 per month, but with the enhanced subsidies, “my portion is $298.” He doesn’t know how much more he’ll have to pay every month next year without the subsidies.

“I could probably go up to $800 to $1,000,” he says. “$1,000 would be really, really pushing me hard.”

If it’s higher and he just can’t afford it, he says, he might look for a job at a bigger corporate dealership that has benefits.

Or, he says, “I’ll find me some woman [who has insurance] and get married again.” He says he’d rather not do that.