By DEVI SHASTRI, Associated Press

Colorado football coach Deion Sanders was diagnosed with an aggressive form of bladder cancer earlier this year, had surgery to remove the organ and is now considered cured by his doctors, the Pro Football Hall of Famer said Monday.

Sanders said he is upbeat and plans to coach the Buffaloes this fall.

Bladder cancer is the 10th leading cause of cancer death in the United States. But recent advancements in its treatment have improved outcomes for people who are diagnosed, according to the American Cancer Society.

The 57-year-old Sanders shared the details of his diagnosis and treatment, which involved surgeons reconstructing a section of his intestine to function as a bladder, and said it “was a fight, but we made it.”

Here’s what you should know about bladder cancer.

What is bladder cancer?

This cancer starts when the cells in the bladder, which stores urine, grow out of control and form tumors. In some cases, the cancer spreads to other parts of the body.

The most common symptom for bladder cancer is blood in the urine, which can cause urine to look orange, pink, or rarely, dark red. The color change can come and go, the American Cancer Society says, and early tumors may not cause pain.

Pain or burning while urinating, weak stream, frequent urination or urge to go when the bladder isn’t full can also be signs of bladder cancer. Symptoms of advanced bladder cancer can include an inability to urinate, bone pain, loss of appetite, weakness, swollen feet and lower back pain on one side.

If you have symptoms, it is worth getting checked out, because all of those symptoms might be from other health issues. Blood in the urine is most often from an infection, a benign tumor, a kidney stone or bladder stone or other benign kidney disease, the American Cancer Society said.

Sanders said during a news conference on Monday that the cancer was found when he went for a precautionary annual CT scan; he has a history of blood clots in his legs.

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How common is bladder cancer?

Bladder cancer is more common in men than women.

The American Cancer Society estimates there will be nearly 85,000 new cases in 2025, with more than 65,000 in men.

The incidence rate for bladder cancer has decreased by 1% per year in recent years. Death rates have stayed relatively stable, declining by 1% per year since 2013.

What can cause bladder cancer?

Smoking is the biggest risk factor, the American Cancer Society said. The recent decline in incidence rates are likely due to fewer people smoking.

Other risk factors include working in jobs that expose you to chemicals — like painters, metal and leather workers, miners and firefighters. People who use a urinary catheter for a long time are also at higher risk.

What is the outlook for bladder cancer patients?

Outcomes for bladder cancer patients improve based on if and how much the cancer has spread.

The five-year relative survival rate is 72% to 97% if the cancer has not spread outside the bladder, but drops to 40% if the cancer has spread to lymph nodes or other nearby parts of the body, and 9% if it has spread further.

Treatment can include surgery to remove the tumor, parts of the bladder or the whole bladder; radiation; chemotherapy; targeted drug therapy and immunotherapy.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

By JONEL ALECCIA, Associated Press

A quarter-size device that tracks the rise and fall of sugar in your blood is the latest source of hope — and hype — in the growing buzz around wearable health technology.

Continuous glucose monitors, small patches that provide 24-hour insight into concentrations of sugar in the blood, could be a tool for Americans to “take control over their own health,” Health Secretary Robert F. Kennedy Jr. recently told federal lawmakers.

“They can take responsibility,” Kennedy said. “They can begin to make good judgments about their diet, about their physical activity, about the way they live their lives.”

The devices have lifesaving benefits for people with diabetes, the disease caused when blood sugar remains high because their bodies don’t make enough insulin or become resistant to it. The condition, which affects more than 38 million people in the U.S., raises the risk of serious health problems such as heart and kidney disease and vision loss.

But the devices have surged in popularity among people without diabetes. Sales have been driven by high-profile marketers such as Casey Means, the nominee for U.S. surgeon general.

There’s scant evidence the monitors are useful for people with normal blood sugar levels, said Dr. Jody Dushay, an endocrine specialist at Beth Israel Deaconess Medical Center.

Healthy bodies can effectively regulate glucose after meals and provide the energy they need to function. Glucose monitors may lead people to misinterpret normal swings in blood sugar that happen after eating or activity. In addition, the devices can be “notoriously inaccurate,” providing misleading readings, she said.

“The problem with wearing these is that you can just be zooming in on and creating pathology when it’s not there,” Dushay said.

Here’s what you need to know about the devices:

Here’s what a continuous glucose monitor does

The device is a small patch, about the size of two stacked quarters, usually placed on the upper arm or stomach. It uses a needle to painlessly pierce the skin for a tiny sensor.

The sensor measures the glucose in fluid under the skin, delivering a signal every few minutes to a phone app or a handheld display. The apps typically record blood sugar levels and help people track the foods they eat and how they impact those levels.

When healthy people eat a meal that contains carbohydrates, their blood sugar rises, peaks and falls in response to the food.

A healthy fasting blood glucose level for a person without diabetes is roughly 70 milligrams per deciliter to 99 milligrams per deciliter. A range from 100 to 126 milligrams per deciliter indicates prediabetes and above 126 milligrams per deciliter indicates diabetes, according to the American Diabetes Association.

In adults without diabetes, blood sugar levels can climb to 140 milligrams per deciliter or more within an hour of a meal, before falling back to baseline levels within two or three hours, according to the association. It’s a sign the body is processing sugar normally.

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Continuous glucose monitors have been available since the late 1990s

For decades, these devices were available only for people with diabetes. The monitors revolutionized care by allowing more precise adjustment of insulin used to treat diabetes and giving people the ability to modify meals and activity more accurately.

Last year, the U.S. Food and Drug Administration approved the first over-the-counter monitors. Since then, many companies have emerged to market them, claiming to provide intensive, individualized health monitoring. Cost is generally about $100 a month.

They’ve really caught on with consumers curious about how food and activity affect their blood sugar levels. For instance, Noom, the weight-loss and fitness app, launched a blood glucose feature last year that has proven extremely popular, said Alexander Fabry, a company executive.

“Of the people who are using a CGM, the vast majority of them don’t have a diabetes diagnosis,” he said.

Who can use the monitors?

The devices have been lifesaving for people with diabetes. And they can be helpful for people with risk factors for the disease, including obesity, prediabetes, a history of gestational diabetes or a family history of the condition.

The devices can allow users to see how specific food and activity choices affect their blood sugar in near real-time, said Dr. Alaina Vidmar, a pediatric obesity specialist at Children’s Hospital Los Angeles.

“After a large meal, you may watch your blood sugar go up and sort of learn something about yourself,” Vidmar said. “For example, I drink a sugar-sweetened soda and my blood sugar goes up really high, really fast. And maybe I don’t feel as good, right?”

What are the cautions?

People without risk factors for diabetes may turn to the monitors just because they’re curious, said Dr. David Kessler. A former FDA commissioner, Kessler doesn’t have diabetes, but he wore a monitor for a couple months during research for his recent book, “Diet, Drugs and Dopamine.”

“I think it’s a very interesting tool to experiment with if you’re so inclined,” Kessler said.

But, he noted, the devices can’t be used to diagnose or treat disease. Even experts don’t agree on how to interpret or provide health advice for people without diabetes based on blood sugar data.

“No one knows what’s optimal in the nondiabetic state,” he said.

Before using a monitor, Dushay asks patients to consider their motives.

“What do you think you’re going to get from the data?” she said. “What is to be gained from wearing that monitor?”

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

By Eliza Haverstock, NerdWallet

Graduate school can boost your career prospects and earnings — but it can come at a steep price. Nearly half of grad students take out loans, with an average balance of $77,300, according to a 2023 report from the National Center for Education Statistics.

That debt can be tough to manage — it adds up fast. All grad school loans, whether federal or private, accrue interest while you’re in school, says Brittany Brinckerhoff, a Chapel Hill, North Carolina-based certified financial planner and certified student loan professional.

You also have fewer repayment options than you do with federal undergrad loans, says Brinckerhoff, who’s worked with attorneys and medical professionals repaying hundreds of thousands of dollars in grad school debt.

If graduate school loans are holding you back from achieving your financial goals, consider these expert-approved strategies.

Understand your debt — and your full financial picture

The first step is understanding your debt. Your loan type can determine what repayment plans are available, says Glenn Sanger-Hodgson, a Tallahassee, Florida-based accredited financial planner and certified student loan professional who specializes in medical school debt.

Log into your StudentAid.gov account for federal loan details, including balance, loan type, interest rate and repayment plans. The Education Department’s loan simulator can help you understand federal repayment options. For private loans, check your loan documents or contact your lender.

Once you understand your debt and repayment options, it’s time to choose a path forward. Use the rules of thumb below as a starting point. But also run the numbers on all available repayment plans to find the one that best fits your financial goals and career plans, Sanger-Hodgson says.

If your debt is double your income, consider forgiveness

If your student debt is about twice as much as your income, you’re a good candidate for Public Service Loan Forgiveness (PSLF) or income-driven repayment (IDR) forgiveness, Sanger-Hodgson says. Consider the full list of student loan forgiveness programs.

Forgiveness is usually time-based. For example, you can get forgiveness after 10 years of payments while working a public service job, or after 20 to 25 years of payments on an IDR plan.

So if you aim for forgiveness, choose the repayment plan with the smallest monthly payment. That way you maximize the amount of debt forgiven when you reach the finish line.

For most borrowers, that means signing up for an IDR plan. The IDR plan called Income-Based Repayment (IBR) is the only IDR plan that’s not going away in 2028 as a result of the recent budget reconciliation bill.

“Your goal needs to be paying as little as possible over the life of the loan,” Sanger-Hodgson says. If you put extra money toward your debt while on a forgiveness path, “you’re just throwing money away that would have been forgiven otherwise.”

If your debt is equal to or less than your income, aggressively pay it off

If your student debt is roughly equal to or less than your income, you’re less likely to benefit from a forgiveness program. With an IDR plan, you could end up paying off your debt in full before achieving forgiveness.

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Instead, assuming you’re on track for other financial goals, try “aggressively throwing every financial resource [you] have at getting those student loans paid off as quickly as possible,” Sanger-Hodgson says.

Consider a few key strategies to pay off grad school debt quickly:

Stick to the standard 10-year repayment plan for federal student loans.
Make additional lump-sum payments. If you have federal student loans, call your servicer and ask if you can apply extra payments toward the principal, rather than interest. And if you have multiple student loans, tackle the ones with a higher interest rate first.
Refinance, if you qualify for a lower interest rate.

Carefully consider the decision to refinance if you have federal student loans. They will be replaced with private loans, and you’ll permanently exit the federal student loan system. That means forfeiting access to income-driven repayment plans, forgiveness and other relief.

If you refinance, “you’ve got to be 110% certain that you’re gonna be paying off your loans in full and that you’re not going to need forgiveness at any point,” Sanger-Hodgson says.

Stay informed about your student loans

Government policies, including the recent budget reconciliation bill, are poised to reshape student loans repayment and forgiveness options. Keep an eye on the news and official Education Department announcements.

“There are tremendous changes on the horizon for student loans,” Sanger-Hodgson says.

Eliza Haverstock writes for NerdWallet. Email: ehaverstock@nerdwallet.com. Twitter: @elizahaverstock.

The article Grad School Debt Holding You Back? How to Get It Under Control originally appeared on NerdWallet.

By MATT SEDENSKY, Associated Press National Writer

NEW YORK (AP) — As a child, Heidi Barley watched her family pay for groceries with food stamps. As a college student, she dropped out because she couldn’t afford tuition. In her twenties, already scraping by, she was forced to take a pay cut that shrunk her salary to just $34,000 a year.

But this summer, the 41-year-old hit a milestone that long felt out of reach: She became a millionaire.

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A surging number of everyday Americans now boast a seven-figure net worth once the domain of celebrities and CEOs. But as the ranks of millionaires grow fatter, the significance of the status is shifting alongside perceptions of what it takes to be truly rich.

“Millionaire used to sound like Rich Uncle Pennybags in a top hat,” says Michael Ashley Schulman, chief investment officer at Running Point Capital Advisors, a wealth management firm in El Segundo, California. “It’s no longer a backstage pass to palatial estates and caviar bumps. It’s the new mass-affluent middleweight class, financially secure but two zeros short of private-jet territory.”

Inflation, ballooning home values and a decades-long push into stock markets by average investors have lifted millions into millionairehood. A June report from Swiss bank UBS found about one-tenth of American adults are members of the seven-digit club, with 1,000 freshly minted millionaires added daily last year.

Thirty years ago, the IRS counted 1.6 million Americans with a net worth of $1 million or more. UBS — using data from the United Nations, World Bank, International Monetary Fund and central banks of countries around the globe — put the number at 23.8 million in the U.S. last year, a nearly 15-fold increase.

The expanding ranks of millionaires come as the gulf between rich and poor widens. The richest 10% of Americans hold two-thirds of household wealth, according to the Federal Reserve, averaging $8.1 million each. The bottom 50% hold 3% of wealth, with an average of just $60,000 to their names.

Federal Reserve data also shows there are differences by race. Asian people outpace white people in the U.S. in median wealth, while Black and Hispanic people trail in their net worth.

Barley was working as a journalist when her newspaper ended its pension program and she got a lump-sum payout of about $5,000. A colleague convinced her to invest it in a retirement account, and ever since, she’s stashed away whatever she could. The investments dipped at first during the Great Recession but eventually started growing. In time, she came to find catharsis in amassing savings, going home and checking her account balances when she had a tough day at work.

Last month, after one such day, she realized the moment had come.

“Did you know that we’re millionaires?” she asked her husband.

“Good job, honey,” Barley says he replied, unfazed.

It brought no immediate change. Like many millionaires, much of her wealth is in long-term investments and her home, not easy-to-access cash. She still lives in her modest Orlando, Florida, house, socks away half her paycheck, fills the napkin holder with takeout napkins and lines trash cans with grocery bags.

Still, Barley says it feels powerful to cross a threshold she never imagined reaching as a child.

“But it’s not as glamorous as the ideas in your head,” she says.

All wealth is relative. To thousandaires, $1 million is the stuff of dreams. To billionaires, it’s a rounding error. Either way, it takes twice as much cash today to match the buying power of 30 years ago.

A net worth of $1 million in 1995 is equivalent to about $2.1 million today, according to the U.S. Bureau of Labor Statistics.

A seven-figure net worth is, to some, as outdated a yardstick as a six-figure salary. Nonetheless, “millionaire” is peppered in everything from politics to popular music as shorthand for rich.

“It’s a nice round number but it’s a point in a longer journey,” says Dan Uden, a 41-year-old from Providence, Rhode Island, who works in information technology and who hit the million-dollar mark last month. “It definitely gives you some room to breathe.”

No other country comes close to the U.S. in the sheer number of millionaires, though relative to population, UBS found Switzerland and Luxembourg had higher rates.

Kenneth Carow, a finance professor at Indiana University’s Kelley School of Business, says commonalities emerge among today’s millionaires. The vast majority own stocks and a home. Most live below their means. They value education and teach financial responsibility to their children.

“The dream of becoming a millionaire,” Carow says, “has become more obtainable.”

Jim Wang, 45, a software engineer-turned finance blogger from Fulton, Maryland, says even if hitting $1 million was essentially “a non-event” for him and his wife, it still held weight for him as the son of immigrants who saved money by turning the heat off on winter nights.

Jim Wang, a software engineer and finance blogger, records a video in his home office, Thursday, July 24, 2025, in Fulton. (AP Photo/Stephanie Scarbrough)

The private jets he envisioned as a kid may not have materialized at the million-dollar threshold, but he still sees it as a marker that brings a certain level of security.

“It’s possible, even with a regular job,” he says. “You just have to be diligent and consistent.”

The resilience of financial markets and the ease of investing in broad-based, low-fee index funds has fueled the balances of many millionaires who don’t earn massive salaries or inherit family fortunes.

Among them is a burgeoning community of younger millionaires born out of the movement known as FIRE, for Financial Independence Retire Early.

Jason Breck, 48, of Fishers, Indiana, embraced FIRE and reached the million-dollar mark nine years ago. He promptly quit his job in automotive marketing, where he generally earned around $60,000 a year but managed to stow away around 70% of his pay.

Jason Breck and Daravy Khiev work in their home, Wednesday, July 23, 2025, in Fishers, Ind. (AP Photo/Darron Cummings)

Now, Breck and his wife spend several months a year traveling. Despite being retired, they continue to grow their balance by sticking to a tight budget and keeping expenses to $1,500 a month when they’re in the U.S and a few hundred dollars more when they travel.

Hitting their goal hasn’t translated to luxury. There is no lawn crew to cut the grass, no Netflix or Amazon Prime, no Uber Eats. They fly economy. They drive a 2005 Toyota.

“It’s not a golden ticket like it was in the past,” Breck says. “For us, a million dollars buys us freedom and peace of mind. We’re not yacht rich, but for us, we’re time rich.”