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tv   ABC World News With Diane Sawyer  ABC  September 30, 2013 6:30pm-7:00pm EDT

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stocks back then fell 3.7 percent. if that were to happen today, retirement savings accounts could lose as much as $9,000 in a span of just a couple of weeks, diane. >> the previous experience was rather limited, rather short. we're talking about an even bigger threat looming ahead. >> reporter: yes because we have another major battle. it's probably something for some that will say crises fatigue. the reality of the situation we're talking about once we faced this before we faced a credit crises in this country, trillions of dollars in wealth wiped out in a matter of couple of days, a debt downgrade and that will come october 17th when we run out of money. >> this is different. this is an even more seismic shift right now. thank you rebecca jarvis. of course one issue in the middle of all of this, the president says he will not stop that other historic event about to take place tonight at
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midnight, obama care. for the first time every american expected to have health insurance, 50 million uninsured will be able to start shopping tomorrow. paula faris tells us what to expect when you check in. >> reporter: max was dropped from his health iurance because of his pre-existing condition. >> i have asma and allergies. >> courtney says she can't afford it. >> i need good maternity coverage. >> reporter: we heard from so many of you. >> will i have more affordable health care? >> reporter: all part of the 48 million americans who do not have insurance, about 15 percent of the population. >> how do i sign up and when does the coverage begin. >> reporter: starting at midnight you can go on health care.gov where you'll be able to shop around, compare plans and buy. everyone regardless of age, gender, income or pre-existing condition will be able to get insurance. if you don't want to buy or have been delaying because of
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expense, you'll have until march 31st, six months to purchase a plan or face a fine from the government. >> i just want to be covered like anybody else. >> reporter: no one will know how good of a deal this is until midnight. but for people like max, he can breathe easier now knowing he has a choice. >> i just want to have that safety net. >> reporter: that is the big mystery. we will not know the details of these plans or how much they cost until midnight. tomorrow we're walking folks through it and really helping them understand who they can trust throughout the process. >> we'll be doing it right here and making it simple. thank you, paula. there is something happens all around you tonight proving that american health care costs have been out of control far and away the highest in the world. so people are taking their business abroad tonight. abc's byron pitts got on a plane with some of the 1 million
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americans who are in a sense paid by their employers to go on a surgical vacation. >> reporter: for 39-year-old joy gulon of hickory, north carolina. this is her first time on a plane. >> reporter: her destination? the sun soaked south american hot spot, costa rica. a four star hotel. local driver, personal concierge. but a full fledged vacation it's not. joy is a medical tourist. she's come to costa rica for wright loss surgery because of a family history of diabetes and heart disease. >> could you have afforded this at home? >> no. >> no chance? >> no. >> reporter: and what's more, her company is paying the entire bill. they gave joy as choice. a traditional insurance plan or out sourcing her care in a foreign country. >> out of pocket, how much we have t >> nothing, zero. >> reporter: back home joy's gastric sleeve surgery goes for $30,000.
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here, less than $18,000. her company, hsm, a furniture manufacturer in western, nc tells abc news it has saved nearly $10 million in health care cost the past 5 years by sending close to 250 employees abroad for medical procedures. another hsm employee on the costa rica trip is 65-year old gary harwell. a retired plant manager, gary's going for knee replacement. his doctor who earned his medical degree in latin america has received advanced training in the u.s. in the u.s. gary's knee replacement would have cost more than $50,000. in costa rica it's half that. in the u.s. gary and joy would have each paid $3,000 out of pocket. in costa rica, nothing. get this, when the bandages come off, joy and gary will get a bonus check for at least $2,500 from their company. a percentage of the corporate savings in insurance costs.
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but medical experts who are tracking the increasing number of americans going abroad for medical care are concerned. >> what are the biggest challenges? >> risk of infection. risk of a poorly performed procedure. >> reporter: at this private hospital there has been a very low rate of problems. for patients like joy, the opportunity outweighs the risk, the opportunity of a better, healthier life without breaking the bank. byron pitts, abc news. we move on. tonight we are learning about an extraordinary decision in the american military, two marine generals were fired for negligence, for failing to protect their troops and equipment at a large base in southern afghanistan. two marines were killed when the base was attacked by the taliban last year, the first time since the vietnam war that a general
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was fired for negligence after an enemy attack. next to chicago where investigators are searching for the mysterious caution of this collision with a run away train. an empty train slammed into a commuter train loaded with passengers. dozens were hurt. the morning rush hour came to a halt. the empty train has been in a repair yard when somehow it began rolling down the tracks. another bizarre incidents of road rage yesterday, motorcycle kl c occurreding a car with a dad. >> reporter: watch as 30 bikers take over this new york hare, surrounding this black range rover. look, one of the riders seems to stop short. the suv hits him, breaking his leg. within seconds the entire group grinds to a halt. they surround the suv police say attacking the car and slashing
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its tires. that the when the suv takes off, plowing over some of the bikers. watch again. police say the driver in the car with his wife and young daughter was afraid for his life. then a high speed chase. the bikers in hot pursuit. at one point they catch up. one biker tries to open the car door. but again it speeds away. the chase ends on the streets of manhattan. the driver trapped in traffic. the bikers surround the car again. this one smashing the driver's side window with his helmet. >> he's taken out of the car. he is assaulted. he received some stitches at columbia presbyterian hospital. >> reporter: tonight police are trying to track down the bikers and pouring over every second of that video. now the news tonight on the american student, amanda knox back in the spotlight once again on trial for the murder of her roommate. an appeals court in italy is
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again holding out the threat that she could be forced back to italy and back to jail. abc's gio benitez with the latest on what is happening to her tonight. >> reporter: as her third murder trial kicks off in italy, a world away in seattle, amanda knox says she's living a nightmare. >> the longer this plays out the longer it's going to take me to get my life back and to move on. >> reporter: it's been two years since knox returned home. after an italian appeals court overturned her murder conviction. she and her then boyfriend were accused of killing knox's roomate meredith kercher. back in the u.s. knox reenrolled in college, found a new boyfriend, and wrote a book. but then this spring, a crushing blow. the italian supreme court ordering a retrial. knox told diane, it was incredibly painful news. >> i felt like, after crawling
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through a field of barbed wire and finally reaching what i thought was the end, it just turned out that it was the horizon. >> reporter: knox has always said she's innocent. that she's not the sex-fueled murderess she was made out to be. but she's still refusing to return to italy for her retrial. >> i have plenty to fear because i was already imprisoned wrongrully, i was already convicted wrongfully. >> reporter: if knox is convicted again, italy could ask the us to force her to return. >> what are the changes that italy could seek the extradition? >> extradition is 90 percent politics and ten percent law. >> reporter: knox will now defend herself from the safety of seattle. >> not ever going to accept the idea that anyone can say that i did something that i didn't. >> reporter: gio benitez, abc news, new york. and tell ahead on "world
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news" -- >> how many people see water spouts and tornados from this perspective. >> why the coast guard is speaking out tonight about this trip heading straight towards a water tornado. and behind the scenes of last night's red hot finale, what it has in common with some of the television's greatest good-byes. so i can reach ally bank 24/7, but there are no branches? 24/7. i'm sorry, i'm just really reluctant to try new things. really? what's wrong with trying new things? look! mommy's new vacuum!
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friend, bode. they were off the florida keys when they spotted this rare weather system with multiple water spouts, basically mini tornadoes over water. >> not many people see water spouts or tornadoes from this perspective. >> reporter: all of a sudden those funnels were all around them. >> on the other side of this one there's three or four more. >> reporter: water spouts often form under thunderclouds. >> reporter: johnsen guns his boat, heading straight for the water spout. then hammers right through it, he seemed to have everything on him, the snorkel, the camera. he was missing one thing, the life jacket. the dog didn't have one either. johnsen called it a cal rated risk. >> these are 70 miles per hour or less. there was no real danger. >> what would you call this? >> wresless. he's putting his life in danger,
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passengers in dangers and responders in danger. >> reporter: still he says he would do it again. he just might need a bigger boat. matt gutman abc news, miami. still ahead driving through for fast food. we're going to tell you which drive through is really the fastest. but your erectile dysfunction - that could be a question of blood flow. cialis tadalafil for daily use helps you be ready anytime the moment's right. you can be more confident in your ability to be ready. and the same cialis is the only daily ed tablet approved to treat ed and symptoms of bph, like needing to go frequently or urgently. tell your doctor about all your medical conditions and medications, and ask if your heart is healthy enough for sexual activity. do not take cialis if you take nitrates for chest pain, as this may cause an unsafe drop in blood pressure. do not drink alcohol in excess with cialis. side effects may include headache, upset stomach, delayed backache or muscle ache. to avoid long-term injury, seek immediate medical help for an erection lasting mo than 4 hours. if you have any sudden decrease or loss in hearing or vision,
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or if you have any allergic reactions such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing, stop taking cialis and get medical help right away. ask your doctor about cialis for daily use and a 30-tablet free trial. see who does good work and compare costs. it doesn't usually work that way with health care. but with unitedhealthcare, i get information on quality rated doctors, treatment options and estimates for how much i'll pay. that helps me, and my guys, make better decisions. i don't like guesses with my business, and definitely not with our health. innovations that work for you. that's health in numbers. unitedhealthcare. hands for holding. feet, kicking. better things than the joint pain and swelling of moderate to severe rheumatoid arthritis.
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if you're trying to manage your ra, now may be the time to ask about xeljanz. xeljanz (tofacitinib) is a small pill for adults with moderate to severe ra for whom methotrexate did not work well. xeljanz can lower your ability to fight infections, including tuberculosis. serious, sometimes fatal infections and cancers have happened in patients taking xeljanz. don't start taking xeljanz if you have any kind of infection, unless ok with your doctor. tears in the stomach or intestines, low blood cell counts and higher liver tests and cholesterol levels have happened. your doctor should perform blood tests, including certain liver tests, before you start and while you are taking xeljanz. tell your doctor if you have been to a region where certain fungal infections are common and if you have had tb, hepatitis b or c, or are prone to infections. tell your doctor about all the medicines you take, and if you are pregnant, or plan to be. taken twice daily, xeljanz can reduce the joint pain and swelling of moderate to severe ra, even without methotrexate. ask if xeljanz is right for you.
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then i read an article about a study that looked at the long term health benefits of taking multivitamins. they used centrum silver for the study... so i guess my wife was right. [ male announcer ] centrum. always your most complete. here at the top of our "instant index" this monday night, how fast is your fast food? not as fast as it used to be. mcdonald's clocked at slowest average drive through speed in 15 years, 3 minutes 9 seconds. wendy's was the fastest at 2 minutes 14 seconds and chick-fil-a was the slowest at 3 minutes 23 seconds. the reason it turns out 70 percent of us are using those drive through lanes and the lines are longer and so are the choices on the menu. some breaking news. tubas don't have rearview
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mirrors. watch this marching band in texas lose just about the whole section. nobody was hurt. it reminds us of the symbol strap that broke during the star spangled banner, the player with no idea to do, no grownup advice, his intentions kicked in and he shuts for the rest of the song. the tuba players played on. and yesterday possibly the kwirkiest competition in america, the fifth annual surf city surf dog competition in huntington beach, california. four weight classes from under 20 pounds to more than 60. they can surf together with humans, the technique does vary but we're most interested in the ones who can surf backwards, hanging 20 as it were.
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and when we come back, how do you say good-bye? if you are "breaking bad" you do it with 10 million fans. the secrets of some of your favorite tv finales still ahead. the day my doctor told me i had diabetes, i remember thinking there's a lot i have to do... check my blood sugar, eat better. start insulin. today i learned there's something i don't have to do anymore. my doctor said with levemir® flexpen... i don't have to use a syringe and a vial. levemir® flexpen comes prefilled with long-acting insulin taken once daily for type 2 diabetes to help control high blood sugar. dial the exact dose. inject by pushing a button. no drawing from a vial. no refrigeration for up to 42 days. levemir® (insulin detemir [rdna origin] injection) is not recommended to treat diabetic ketoacidosis. do not use levemir® if you are allergic to any of its ingredients. the most common side effect is low blood sugar, which may cause symptoms such as sweating, shakiness, confusion, and headache. severe low blood sugar can be serious and life threatening. ask your health care provider about alcohol use, operating machinery, or driving.
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the end of an affair, another powerhouse had a grand finale last night, "breaking bad" and it made abc's david wright think of our favorite finales over the years and some of the secrets inside them we only know now. >> just get me home. >> reporter: finales are all about moments of redemption and or revenge. >> i read that you cried writing the last episode. >> i did because it was just so darn brilliant. >> reporter: breaking dad's finale tied up loose ends you might not even have noticed. for instance, when walt put his watch on the phone booth, he had to ditch the walt because they realized he wasn't wearing one in the flashback that started the final season. seinfeld series finale flashed back nine seasons. the show ended in prison, but
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listen closely. >> the second button is the key button. it literally makes or breaks the shirt. look at it, it's too high. >> reporter: the same conversation word for word from the pilot. >> the second button literally makes or breaks the shirt. look at it. it's too high. >> reporter: the friends finale, famously brought ross and rachel together. >> did she get off the plane? did she get off the plane? >> i got off the plane. >> reporter: the truth is it wasn't meant to be but a rabbi convinced the producer it was the happy ending fans wanted. friends was comedy, "breaking bad" tragedy. >> i did it for me. i liked it. i was good at it. >> reporter: 10 million people were hanging on every word. david wright, abc news, hollywood. >> we're grad you were watching. we're always there at abcnews.com.
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"nightline" later and i'll see you right back here again tomorrow.
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on "the list." yeah, it's really over. from "breaking bad" to "seinfeld", the things that make the perfect finale. and perfect cup cakes, new obsessions from dessert world, and i like it. plus, meet the real piano man. hi, i'm teresa straser.
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>> one reason for the debate of shutting down the government, whether you're for it or against it, chances are you are like the rest of us. totally confused. will your rates go up or fall? is it free? who qualifies? who doesn't? what more confusing than obama care? well, we found a list of things. why do they call it ovaltine? >> the mug is round. the jar is round. they should call it rounin snyder keeps getting movie roles. and what is breaking bad despite not watching the other 61 episodes. >> number two, the most trending story on google today, the finale of "breaking bad." as you know, last night the emmy-winning show that went from cult following to one of the most celebrated shows in all
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time endedity five-season run. and as a show for school teacher turns drug lord, its fans have no place to get a fix on sunday nights. millions will suffer what is called breaking bad withdraws. here is a list of ways to cope. one, lay down on a giant pile of money. number two, learn how to make meth, scratch it and make snicker doodles instead. three, spend more time with family. nah! four, turn off the tv and read a book. or stay tuned, more on the finale, coming up on the "the hot list." >> a new study claims the third year of marriage is the happiest time for a couple. they broke it down this way. year one is mainly post wedding bliss. >> you had me at hello. >> the second year is spent getting to know each other. in year three is comfortable. . this year, yeah, well forget happiness. the study shows couple gets
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tired with heavy workloads. and in some cases, kids. >> and number four, great, great, great, great, great, great grandpa's voice, that wasn't so great. new research shows our ancestors may have sound like this. >> yeah, that's your relatives. a linguist from university of kentucky and a recording he made for archaeologist magazine reconstructed what he believes is the sound of the preto endo european language for pie. >> i think he was just ordering a slice of pie at denny's and we thought all of our relatives sounded like this. at number five, that puburger i just fatty, it is cold too. >> welcome to the home of the good burger, can i take your order? >> it's not your imagination. you are waiting longer at the
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drive-through. the amount of people time wait at fast-food drive-through windows is getting longer. mcdonald's posting its slowest times in 15 years. what is causing the slow down? menu bloat. due to the complexity of menus added. not to be confused with the the bloat of what is on the menu that can be stkipped too. >> alanis morisette's nanny, not happy. and more on the hot list. >> i liked it. >> last night's final episode of "breaking bad" brought in huge ratings and huge surprise. walter white dies. social media burned up with positive reactions.

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