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Rural hospitals across the country are in a difficult spot right now. COVID-19 is hitting them harder than many metropolitan hospitals as they deal with issues of lower staffing.According to the National Center for Biotechnology Information, about 20% of our nation’s population lives in rural areas, yet less than 9% of our nation’s physicians practice there.Add on the fact that according to CDC data, COVID is killing rural Americans at a rate 3.5 times higher than those living in metropolitan areas, and this issue is affecting staff and patient care.“I’m very worried about rural health care because rural health care is teetering on the brink right now,” said Dr. Kurt Papenfus, an ER doctor at Keefe Memorial Hospital in rural Cheyenne Wells, Colorado. “There’s a darkness in this illness that I can’t say I’ve said about any other illness.In late October, Dr. Papenfus contracted COVID-19 as he was traveling back from the Northeast to visit his daughter.“I was very cognizant and was wearing a mask at all times, social distancing, and washing my hands,” Papenfus said. “But I remember having this thought on the train that this is a super-spreader event.”When he got home, Papenfus got tested and was confirmed positive for COVID-19. The diagnosis put Keefe Memorial in a tailspin as he served as the only ER doctor in the small 25-bed hospital.“We are a trauma level four hospital so keeping that physician on staff 24/7 is what we are required to do,” said Stella Worley, Keefe Memorial’s CEO. “And it is getting to be more of a challenge to have hired physicians out here in rural [America].”Within minutes of learning of Dr. Papenfus’ COVID-positive diagnosis, Worley was on the phone with several different hospitals working to find a replacement. Within a few hours, they had settled on a former ER doctor who moved to another hospital in Texas a few months prior.After she agreed, Keefe Memorial paid the doctor to drive 10 hours from Texas to Colorado and fill in immediately as Papenfus recovered at home for the next two weeks.“Worst-case scenario is you would have to divert patients if there’s no one in the door to care,” said Worley.Populations in rural America tend to be older, poorer, and less insured than the nation at large, according to the National Conference of State Legislatures.Since 2010, hospital closures in rural America have been growing as there have been 118, including 17 last year.The closures only exacerbate a growing lack of health care coverage in rural America, said Dr. Dan Derksen, a rural health care expert and family physician“Once a critical access hospital (25 beds with a 24/7 emergency department and at least 35 miles from another facility) closes, they almost never come back,” he said. 2756

SACRAMENTO, Calif. (AP) -- California lawmakers won't move forward this year on a plan to build denser housing in some single-family-home neighborhoods and closer to transit stations and jobs.The Senate Appropriations Committee voted Thursday to make the proposal a two-year bill, meaning action will be delayed until next year.The legislation was one of the more contentious proposals related to California's housing storage. Backers including tech companies and trade unions have argued allowing more homes around transit stations and loosening other rules could curb California's housing crunch.Making It in San Diego: Buy a deeply discounted condoBut critics say the measure threatened to change the character of some neighborhoods, worsen traffic and override local decision makers.State Senator Scott Wiener, a Democrat from San Francisco, says he's disappointed by the move. 889

Roseanne Barr's firing from her namesake show is definitely not the first instance of a celebrity being removed for offensive comments or acts.Other high profile cases include Kathy Griffin, Phil Robertson, Paula Deen, Charlie Sheen, Gilbert Gottfried and Isaiah Washington. One key difference is that the programs continued in some capacity, besides Deen's.  372

Rudy Giuliani said Wednesday that President Donald Trump's legal team has responded to the special counsel, the latest effort in ongoing negotiations over a possible interview."We have now given him an answer. Obviously, he should take a few days to consider it, but we should get this resolved," Giuliani said during an interview on the radio show of fellow Trump attorney Jay Sekulow."We do not want to run into the November elections. So back up from that, this should be over by September 1," Giuliani said.Sekulow confirmed in a statement that the legal team "responded in writing to the latest proposal" from the special counsel, but declined to comment on the substance of the response.Giuliani had previously told CNN that the team planned to send its counteroffer to special counsel Robert Mueller regarding a potential interview on Wednesday."It is a good faith attempt to reach an agreement," Giuliani, one of Trump's lawyers on the Russia investigation, told CNN.The former New York City mayor similarly would not describe the contents of the counteroffer, except to say that "there is an area where we could agree, if they agree."Giuliani wouldn't say if that area has to do with collusion or obstruction.The President has previously said that he wants to speak with the special counsel and has insisted there was no collusion or obstruction, while deriding the investigation as a "witch hunt."But Trump's public attacks on the Russia probe have sparked questions over whether his actions could constitute obstruction of justice. Those questions intensified earlier this month when the President called on Attorney General Jeff Sessions to shut down the investigation, an escalation that Giuliani attempted to downplay as Trump merely expressing an opinion.The President's team has sought to limit any potential interview to questions about collusion. But Giuliani told CNN they would be willing to consider questions relating to any obstruction of justice inquiry as long as they are not "perjury traps," a phrase favored by the Trump legal team as a way to raise questions about the fairness of the special counsel, though it also speaks to the risks of having the President sit down for an interview."For example: 'What did you say about Flynn?' 'Why did you fire Comey?'" They already know our answer," Giuliani said, referring to former national security adviser Michael Flynn and former FBI director James Comey, whom Trump abruptly fired in May 2017. The former FBI director later testified to Congress that Trump had pressed him to drop an investigation into Flynn, a claim that Trump has denied. "If they can show us something in that area that didn't involve those direct questions, that we don't consider perjury traps, we would consider it," Giuliani said, but conceded he "can't think of what that would be."Mueller has indicated to the team that the special counsel wants to ask the President obstruction questions in an interview.The President's lawyers had previously offered the special counsel written answers to obstruction questions and limiting the interview to matters before his presidential inauguration, which are largely confined to collusion.The back and forth over an interview comes as the special counsel investigation faces its first major test in court as Trump's former campaign chairman Paul Manafort stands trial in the Eastern District of Virginia where he is accused of bank fraud, tax evasion and other financial crimes.Manafort's case isn't about the 2016 presidential campaign, but he is the first defendant Mueller's team has taken to trial. 3603

SACRAMENTO, Calif. (AP) — California prosecutors announced Wednesday they will seek the death penalty if they convict the man suspected of being the notorious "Golden State Killer" who eluded capture for decades.The move comes less than a month after Gov. Gavin Newsom announced a moratorium on executing any of the 737 inmates on the nation's largest death row. Newsom's reprieve lasts only so long as he is governor and does not prevent prosecutors from seeking nor judges and juries from imposing death sentences.Prosecutors from four counties briefly announced their decision one after another during a short court hearing for Joseph DeAngelo, jailed as the suspected "Golden State Killer." He was arrested a year ago based on DNA evidence linking him to at least 13 murders and more than 50 rapes across California in the 1970s and '80s.He stood expressionless in an orange jail uniform, staring forward from a courtroom cage, as prosecutors from Sacramento, Santa Barbara, Orange and Ventura spoke. Although prosecutors from six counties were in court for the four-minute hearing, charges in those four counties include the special circumstances that could merit execution under California law.His attorney, public defender Diane Howard, did not comment. DeAngelo, 73, has yet to enter a plea and his trial is likely years away.Prosecutors wouldn't comment after the hearing, but Orange County District Attorney Todd Spitzer said several prosecutors and family members of murder victims planned a Thursday news conference to denounce Newsom's moratorium. An announcement from Spitzer's office said victims' families "will share their stories of losing their loved ones and how the governor's moratorium has devastated their pursuit of justice.""These are horrific crimes," Newsom said in a statement. "Our sympathies are with the victims and families who have suffered at the hands of the Golden State Killer. The district attorneys can pursue this action as is their right under the law."California has not executed anyone since 2006, but Newsom said he acted last month because 25 inmates have exhausted their appeals and court challenges to the state's new lethal injection process are potentially nearing their end. He endorsed a repeal of capital punishment but said he could not in good conscious allow executions to resume in the meantime knowing that some innocent inmates could die.He also said he is exploring ways to commute death sentences, which would permanently end the chance of executions, though he cannot act without permission from the state Supreme Court in many cases.Voters narrowly supported capital punishment in 2012 and 2016, when they voted to speed up executions by shortening appeals.Criminal Justice Legal Foundation legal director Kent Scheidegger said prosecutors' decision made sense despite Newsom's moratorium."It's a perfect example of a killer for whom anything less would not be justice," said Scheidegger, who is fighting in court to resume executions. "I think it's entirely appropriate for DAs to continue seeking the death penalty in appropriate cases, because the actual execution will be well down the road and the governor's reprieve won't be in effect by then. Something else will have happened." 3257

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