NEW YORK -- If you're looking for a unique gift for Valentine's Day, you might consider giving some peace of mind -- by deciding and sharing what type care you'd want in a health crisis.

The COVID pandemic has brought new urgency to the need for end-of-life planning. It may seem like an unlikely theme for a song, but the not-for-profit organization Compassion & Choices has put its advice to music to encourage people to prepare advance directives for end-of-life care.

Kim Callinan, the group's president and chief executive, said she hopes the song will help people find new ways to share messages of empowerment, gratitude and the importance of making plans aligned with their personal values and priorities.

"Valentine's Day is a time when you show your loved ones that you care about them," she said, "and one way to show that you care is to give the gift of clarity by documenting and discussing your end-of-life preferences."

The song, "This Is Your Show," features Broadway and film star Carmen Ruby Floyd. Callinan said the second verse captures the core message with the words, "You have the option to write your last chapter."

Brandi Alexander, national director of community engagement at Compassion & Choices, noted that surveys show African Americans are more likely to choose aggressive treatment to prolong life, but this group also is less likely than others to prepare advance directives, to let people know their wishes for end-of-life care.

"A lot of it has to do with a history of mistrust with the medical community, and really just not wanting to have the discussion," she said, "and therefore, we don't talk about it until it's almost too late or until we're in a time of crisis."

Alexander added that when her father died without making his own end-of-life wishes clear, it caused disagreement and tension in her family as they tried to decide what he would have wanted.

Callinan urged people to go through the process of deciding what level of care they want, and then communicating those wishes. The organization's website has a plan-your-care section that is free to use.

"That has a simple checklist that helps them to learn what priorities are most important to them and how to fill out an advance directive, how to make sure your doctor's aware of what you want; having conversations with your health care proxy and your loved one," she said.

She pointed out that end-of-life planning and discussions are about love, and how you or your family want to be cared for.

TALLAHASSEE, Fla. - Gov. Ron DeSantis is promising to block any state money from going to the parent company of ice-cream maker Ben & Jerry's unless it reverses a decision to stop selling its products in Israeli-occupied Palestinian territories.

DeSantis is one of several Republican politicians looking to punish Unilever, the London-based parent company of the ice-cream maker, for curtailing sales in the region. But as COVID cases continue to skyrocket stateside, state Rep. Fentrice Driskell, D-Tampa, said the governor should focus on containing the more contagious Delta variant.

"We've had the highest hospitalization rates than we've ever had," she said. "You have people who are dying from this variant - it's very aggressive - and we have a governor who is trying to distract from his failed response, and insert himself and say what an ice-cream company can and cannot do."

On Tuesday, DeSantis downplayed the spike in cases, but issued a statement saying, "I will not stand idly by as 'woke' corporate ideologues seek to boycott and divest from our ally, Israel."

Driskell said she thinks the governor's stance rings hypocritical when he positions himself to fight against discrimination in Israel - but signs into law a bill such as HB 1, to stop groups such as Black Lives Matter from peacefully protesting.

"And then," she said, "we have a governor who cracked down on those very same protesters, who basically were just asking to be treated equally; who were just asking for unarmed black people to not be killed at the hands of law enforcement."

Unilever now must either "cease its boycott" of Israel within 90 days or join the list of other companies Florida refuses to do business with because of their positions on Israel's West Bank policies. Unilever's 400 brands include Lipton tea, Dove personal-care products and Hellmann's mayonnaise. Unilever said it employs more than 2,000 people in Israel and "rejects completely and repudiates unequivocally any form of discrimination or intolerance."

SEATTLE - Speaking to folks who are hesitant about getting the COVID-19 vaccine has gained a new sense of urgency as the Delta variant pushes cases up across the country.

Dr. Peter Barkett, an internal-medicine specialist at Kaiser Permanente in Silverdale, said people can think of the virus like a fire. The vaccine is starving it of the fuel it needs to keep raging. He said it's important to keep having conversations with friends and family members about why it's important to be vaccinated.

"Even if they had it three to six months ago, back when the vaccine was pretty new," he said, "I think what they'll find is that many more people have gone through the vaccination process and have had a good outcome, and they should reconsider it."

Barkett said vaccine rates for Washingtonians ages 18 to 34 are lagging, in part because some in this age group don't think they need it. But he added that it's worth reminding people that even if COVID-19 doesn't get them sick, they could pass it on to vulnerable family members or friends who could be severely affected by the virus.

Barkett said it's important for people who are vaccine hesitant to hear from people they trust, which could be a family member, friend or religious figure. He noted that in one case, a patient wanted to speak to his rheumatologist before getting the shot because he had concerns about whether it would interact with his medication.

"I said, 'That's perfectly reasonable.' And I called up their rheumatologist while we were in the office together, put them on speaker phone, and we had a conversation," he said. "And the rheumatologist recommended that we go ahead and take the vaccine - and the patient did."

There have been reports about people who've been vaccinated testing positive for COVID-19 as the Delta variant takes hold. but Barkett noted that the vaccine is like a seat belt: It might not prevent a crash, but it will most likely keep you safe.

"So while the seat belt might not be perfect protection in a motor vehicle accident," he said, "we do know that it's very good protection, and it's far better than the alternative of not wearing a seat belt."

GREENSBORO, N.C. - Local health departments that rely heavily on Advanced Practice Registered Nurses say the costly contract requirement that they be supervised by a physician are draining already scarce resources and affecting North Carolina's most vulnerable populations.

By law, APRNs must must work under doctor supervision, have a collaborative practice agreement, and meet once every six months with their supervising physician.

Health Director at Guilford County Public Health Department Dr. Iulia Vann said her large APRN staff spans the fields of maternal health, primary care, family planning, and HIV and Sexually Transmitted Disease prevention and care.

"And all of these team members, they have to have a supervising physician," said Vann, "based on the requirements from the Board of Nursing in order for them to stay licensed and certified."

The SAVE Act, introduced in North Carolina this year, would remove supervision requirements statewide. But physician groups like the American Medical Association maintain patients are better served by an integrated care team led by a physician.

Vann noted her department shells out tens of thousands of dollars for supervision contracts.

"Our role in the community, and our services for the community are really nurse-driven," said Vann. "And we do not have the resources to include some of these collaborations all the time."

At the Craven County Public Health Department, Health Director Scott Harrelson said physician oversight costs his department around $91,000 a year. He explained that they rely mostly on primary-care physicians to help keep contract costs low.

"They can go from pediatrics and adult primary care, so you could see some maybe potential savings of just doing one contract for the whole shebang," said Harrelson, "especially if you're a smaller health department that doesn't have a whole lot of volume coming through on your primary care."

One 2018 study of rural health clinics in the Southeast found loosening supervision requirements for nurse practitioners improves the numbers of providers, healthcare access and quality of care in rural regions.