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A posthumous appeal by a US woman who died from cancer has raised enough money in less than a week to wipe out million of dollars in medical debt.

Casey McIntyre told followers in a social media message posted by her husband that she had arranged to pay bills owed by others as a way of celebrating her life.

While she had good health insurance cover, the New York City couple has seen some “terrifying” costs on paperwork for her care and wanted to assist those saddled by hefty charges.

Writing on the social media platform X, formerly known as Twitter, Ms McIntrye posted, “if you’re reading this I have passed away”.

She added: “I loved each and every one of you with my whole heart and I promise you, I knew how deeply I was loved.

“To celebrate my life, I’ve arranged to buy up others’ medical debt and then destroy the debt.”

The posts included a link to a fundraising campaign started through the non-profit RIP Medical Debt.

Ms McIntyre’s husband, Andrew Rose Gregory, posted the messages on Tuesday following her death on Sunday, and the campaign quickly exceeded its $20,000 (£16,000) goal and now tops more than $170,000 (£136,000) – enough to buy around $17m (£13.6m) in medical debt.

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Mr Gregory said: “What resonated for me and Casey is, you know, there’s good cancer treatment out there that people can’t afford.

“Instead of dreaming of a cure for cancer, what if we could just help people who are being crushed by medical debt?”

This family photo shows Casey McIntyre with her husband, Andrew Rose Gregory. Less than a week after her death from cancer on Sunday, Nov. 12, 2023, the New York woman has raised enough money to erase more than $13 million in medical debt for others with a posthumous plea for help. (Emily Wood via AP)
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The couple started planning the debt-buying campaign after she almost died in May. Pic: AP

Patients in the US healthcare system can quickly rack up big bills that push them into debt even if they have insurance.

This is especially true for people who need hospital treatment, regular care or prescriptions for chronic health problems.

A 2022 analysis of government data from the non-profit KFF estimates nearly one in 10 US adults owe at least $250 (£200) in medical debt.

Of those 23 million people, some 11 million owe more than $2,000 (£1,600).

RIP Medical Debt erases debt bought from hospitals, other health care providers and the secondary debt market.

It buys millions of dollars of debt in bundles for what it says is a fraction of the original value.

The group says every dollar donated buys about $100 (£80) in debt, and it aims to help people with lower incomes.

This family photo shows Casey McIntyre and her daughter, Grace. Less than a week after her death from cancer on Sunday, Nov. 12, 2023, the New York woman has raised enough money to erase more than $13 million in medical debt for others with a posthumous plea for help. (Andrew Rose Gregory via AP)
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Ms McIntyre with her daughter, Grace. Pic: AP

Spokesman Daniel Lempert said the organisation has never had a campaign where someone plans for it to start after their death.

Ms McIntyre, who was a book publisher, started treatment for ovarian cancer in 2019.

She spent about three months in the hospital over the past year, her husband said.

The couple started planning for her memorial and the debt-buying campaign after she almost died in May.

They were inspired by a video they saw of North Carolina churchgoers burning about $3m (£2.4m) in medical debt.

Ms McIntyre spent the last five months in home hospice care, giving her what Mr Gregory called a “bonus summer.”

She went on beach trips and spent time with their family, including the couple’s 18-month-old daughter, Grace.

He said: “Casey was very, very sick at the end of her life, and she couldn’t finish everything she wanted to finish.

“But I knew she wanted to do this memorial and debt jubilee. So I set that up and… did it the way I thought she would have wanted.”

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US election: Millions of Americans vote to decide between Trump and Harris

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US election: Millions of Americans vote to decide between Trump and Harris

Millions of Americans are voting in an historic election that could put Donald Trump back into the White House or make Kamala Harris the first woman to become US president.

The two candidates are neck and neck in the polls after bitter campaign that saw two assassination attempts against Republican Mr Trump as well as the shock withdrawal of President Joe Biden.

In around 100 days, Ms Harris has found her feet and mounted a fierce challenge to her opponent.

With just hours left before polls close, the election has come down to the wire and could be decided by a handful of crucial battleground states.

Follow live: Harris makes surprise stop in Washington

Voting on Tuesday appears to be smooth, with only scattered reports of delays from extreme weather, long lines or technical problems.

The FBI reported that there had been “non-credible” bomb threats to several states, some of which it said came from Russian email domains.

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Pic: AP
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Pic: AP

How the vote works

As well as those lining up at polling booths on Tuesday, tens of millions of Americans cast early ballots – voting by post or in person before today.

To become president, the winning candidate needs 270 electoral votes or more, with each state carrying a different number of votes.

If the polls predicting a close race are correct, the election will likely come down to a few battleground states: Arizona, Georgia, Michigan, Nevada, North Carolina, Pennsylvania and Wisconsin.

The first ballots cast on Tuesday mirrored the national divide. Overnight, the six registered voters in the tiny hamlet of Dixville Notch, New Hampshire, split their votes between the two candidates in voting just past midnight.

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Key issues for American voters

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Trump or Harris

Former President Mr Trump, 78, voted in Palm Beach, Florida, near his Mar-a-Lago club.

Wearing his trademark red “Make America Great Again” baseball cap, he said at the polling station that he was feeling “very confident”.

“I hear we’re doing very well,” he said. “It looks like Republicans have shown up in force.”

Elon Musk, the world’s richest man and Trump donor, said he will watch results unfold with the former president.

In the meantime, Ms Harris, the 60-year-old Democratic vice president, did radio interviews in the battleground states of Pennsylvania, Georgia and North Carolina.

Melissa Fehl votes, next to a cat named "Skye", in the 2024 U.S. presidential election on Election Day, at the Mattress Factory in Pittsburgh, Pennsylvania, U.S., November 5, 2024. REUTERS/Quinn Glabicki
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A cat seen at a polling booth in battleground state Pennsylvania. Pic: Reuters

What do the polls say?

Many polls are too tight to call and, with a large margin of error, most experts are refusing to predict the outcome.

Georgia could be among the first battleground to declare, with polls there closing at 7pm local time (midnight UK time). State election officials told Sky News they could have a result as early as 10pm (3am UK time).

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North Carolina could also give an early indication of how the vote is going.

Even so, it could be several days before the US has a definitive result.

An exit poll by conducted today by Sky News’ sister outlet NBC News and other US outlets suggests that democracy is the top issue on the minds of voters as they cast their ballots.

Some 35% of people said it was their most important issue, closely followed by the economy on 31% and with abortion ranked third at 14%.

Voters are not just selecting a president. A number of seats in the House of Representatives and the Senate are up for grabs. In addition, 10 states will hold abortion-related ballots, half of which would overturn existing restrictions.

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US election: Who will win the battleground states? Play our game and decide the new president

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US election: Who will win the battleground states? Play our game and decide the new president

Americans are choosing their new president today.

Either Kamala Harris or Donald Trump will be the new occupant of the White House in January.

For many people, their vote will make little difference.

The main crunch points are in seven states and one inner state district.

In the following game, you can predict who will win in each swing state.

We will tell you at the end who the new president will be – if you have made correct predictions.

Good luck!

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Trump or Harris? Millions of Americans set to decide next president

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Trump or Harris? Millions of Americans set to decide next president

Voters across 50 states are preparing to cast their ballots after a bitterly contested US election campaign, which will see Donald Trump or Kamala Harris become president.

In the last few hours, both candidates have been giving their final pitches. “The momentum is on our side,” Ms Harris told a crowd in Philadelphia that chanted back, “We will win”.

“Tonight, then, we finish as we started: with optimism, with energy, with joy,” she said, while enjoying the support of celebrity endorsements on the day from Katy Perry, Lady Gaga and Jon Bon Jovi.

US election latest updates

In contrast, Mr Trump ended his campaign in Michigan, repeating key messages about the economy and immigration.

A handful of states will play a crucial role in determining the outcome of the election. Arizona, Georgia, Michigan, Nevada, North Carolina, Pennsylvania and Wisconsin hold the keys to the White House.

To become president, the winning candidate needs 270 electoral votes or more, with each state carrying a different number of votes.

More on Us Election 2024

But the focus has been on Pennsylvania which carries 19 electoral votes, the most of all the swing states.

It has been a remarkable journey for both candidates – with Mr Trump surviving two assassination attempts and Ms Harris not even originally in the running.

Katy Perry performs after an appearance by Democratic presidential nominee Vice President Kamala Harris at a campaign rally at the Carrie Blast Furnaces in Pittsburgh, Monday, Nov. 4, 2024. (AP Photo/Gene J. Puskar)
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Katy Perry performed in Pittsburgh in support of Kamala Harris. Pic: AP

For more than a year, the 2024 presidential race seemed destined for a rematch between Joe Biden and Mr Trump – but a disastrous TV debate by Mr Biden eventually forced him to withdraw from the ticket.

The Democratic party’s decision to replace Mr Biden with his vice president transformed the race and shifted polls in Ms Harris’s favour. But only just.

Many polls are too tight to call and, with a large margin of error, most experts are refusing to predict the outcome.

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Later, attention will turn to those battleground states including Georgia, which is among the first polls to close at 7pm local time (midnight UK time).

State election officials told Sky News they could have a result as early as 10pm (3am UK time).

Even so, it could be several days before the US has a definitive result.

Voters are not just selecting a president. In addition, 10 states will hold abortion-related ballots, half of which would overturn existing restrictions.

Predict who you think will win in each swing state and we’ll tell you who the president will be if you’re right.

Tonight, Sky News will have access to the most comprehensive exit poll and vote-counting results from every state, county and demographic across America through its US-partner network NBC.

You can find out more about Sky News’ coverage here.

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