Nation & World briefs: 11-2-16

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Trump speaks with Taiwan’s president, risking China tensions

NEW YORK (AP) — Donald Trump has spoken with the president of Taiwan, a self-governing island the U.S. broke diplomatic ties with in 1979.

It is highly unusual, perhaps unprecedented, for a U.S. president or president-elect to speak directly with a Taiwanese leader. The U.S. cut formal diplomatic ties with Taiwan when it shifted diplomatic recognition of China to the communist government on the mainland, although Washington still has close unofficial ties with Taipei.

Trump’s transition team says the two leaders noted the “close economic, political, and security ties” that exist between Taiwan and the United States.

During first look at wildfire rubble, residents in a daze

GATLINBURG, Tenn. (AP) — Residents and business owners in Gatlinburg got their first look at the wildfire destruction on Friday, and many walked around the once-bustling tourist city in a daze, sobbing.

They hugged each other and promised that they would stay in touch.

“We love it up here so much,” said Gary Moore, his voice trembling. “We lost everything. But we’re alive, thank goodness. Our neighbors are alive, most of them. And we’re just so thankful for that.”

A county mayor raised the death toll to 13 and said the number of damaged buildings now approached 1,000.

After days of waiting to see their homes, some of the shock began to give way to anger, and local authorities bristled when asked why they waited so long to order the evacuation.

US health care tab hits $3.2T; fastest growth in 8 years

WASHINGTON (AP) — The nation’s health care tab grew at the fastest rate in eight years in 2015, driven by the coverage expansion in President Barack Obama’s law and by costly prescription drugs, the government said Friday.

The growth of 5.8 percent in 2015 boosted total health care spending to $3.2 trillion. That’s an average of $9,990 per person, although the vast share of that money is spent caring for the sickest patients.

Health spending grew about 2 percentage points faster than the overall economy in 2015, said the report from nonpartisan economic experts at the Department of Health and Human Services. That’s a problem because it makes it harder for government programs, employers, and individuals to afford the level of health care that Americans are used to having.

The report was disappointing news for the outgoing Obama administration, which had enjoyed a long stretch of historically low increases in health care spending, and had sought to credit its 2010 health care overhaul for taming costs. It’s a reality check for President-elect Donald Trump, who did not focus much on health care during his campaign and implied that problems could be easily fixed.