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The Trump administration has finalized a regulation that overturns Obama-era protections for transgender people against sex discrimination in health care. Friday's action is certain to be challenged in court by LGBTQ groups and others.The policy shift, long-sought by the president’s religious and socially conservative supporters, defines gender as a person’s biological sex. The Obama regulation defined gender as a person’s internal sense of being male, female, neither, or a combination.The Trump administration said that the new rules come with a .9 billion budget reduction over the course of five years. The costs are associated with enforcement efforts. “HHS respects the dignity of every human being, and as we have shown in our response to the pandemic, we vigorously protect and enforce the civil rights of all to the fullest extent permitted by our laws as passed by Congress. We are unwavering in our commitment to enforcing civil rights in healthcare,” Roger Severino, Director of the Office for Civil Rights at HHS.The Human Rights Campaign already announced it will sue the Trump Administration to stop the move.“We cannot and will not allow Donald Trump to continue attacking us. Today, the Human Rights Campaign is announcing plans to sue the Trump administration for exceeding their legal authority and attempting to remove basic health care protections from vulnerable communities including LGBTQ people. And, to add insult to injury, the administration finalized this rule on the anniversary of the Pulse shooting, where a gunman killed 49 people in an LGBTQ nightclub,” said HRC President Alphonso David. “LGBTQ people get sick. LGBTQ people need health care. LGBTQ people should not live in fear that they cannot get the care they need simply because of who they are. It is clear that this administration does not believe that LGBTQ people, or other marginalized communities, deserve equality under the law. 1940
The United States Supreme Court is expected to rule on several major cases next week impacting everything from abortion rights to the presidential election. Traditionally, the court issues all of it's rulings by the end of June to go on recess by early July. It's unclear this year however if the Supreme Court will extend its rulings if they are behind because of the pandemic. The Supreme Court said in advance what days justices will issue opinions, but would not announce which specific opinions will be announced on those days. Rulings typically come down around 10 a.m. ET.EXPECTED CASE #1 SEPARATION OF CHURCH AND STATE CHANGES?In Espinoza v. Montana Department of Revenue, the ruling could allow students in religious schools the ability to seek private scholarships funded through state income-tax credits. For years such programs were thought to be incompatible with Montana's constitutional ban on public aid to religious schools, however the Supreme Court could allow the program to exist. Because similar bans exist in 38 states, the ruling could change the definition of the separation of church and state. EXPECTED CASE #2CHANGE TO ABORTION RIGHTS?In June Medical Services LLC v. Russo, the ruling could impact the future of abortion rights across the country. The ruling examines whether a Louisiana law, which requires abortion providers to have admitting privileges in nearby hospitals, is constitutional. Abortion-rights activists say it will lead to clinics being shut down because most providers don't work with hospitals. More importantly, the ruling could tell anti-abortion leaders across the country that the High Court may be open to changes to Roe v Wade in the future. EXPECTED CASE #3ELECTORAL COLLEGE CONFUSION?In Colorado Department of State v. Baca, the ruling could result in major confusion in the 2020 election. The case is out of Colorado where in 2016, state electors to the electoral college attempted to vote for someone other than the winner of Colorado, Hillary Clinton. The electors were removed and replaced with someone to deliver the actual result, however it raised questions over how much power do these electors really have. EXPECTED CASE #4PRESIDENT TRUMP TAX RETURNS?In Trump v. Mazars USA, LLP and Trump v. Deutsche Bank, the question is whether the president has to comply with subpoenas for personal records. Does the power of the presidency allow President Donald Trump to say "no" when it comes to revealing his tax returns? If the Supreme Court rules against President Trump, it could create a new controversy for the President ahead of the election. 2615

The Trump administration is taking steps to give telehealth a broader role under Medicare, with an executive order that serves as a call for Congress to make doctor visits via personal technology a permanent fixture of the program. The order President Donald Trump signed Monday applies to one segment of Medicare recipients — people living in rural communities. But administration officials say it’s intended as a signal to Congress that Trump is ready to sign more significant legislation that would permanently open up telehealth as an option for all people with Medicare. Trump says his administration is “taking action to make sure telehealth is here to stay.”"When the invisible enemy struck our shores, we took immediate action to eliminate regulatory barriers to telehealth, making it easier for patients to consult with doctors from safety and convenience and really, they have great safety and great convenience right from their homes," Trump said. While the CDC said in June it was working on expanding access to telehealth, it did list some drawbacks to the service:Situations in which in-person visits are more appropriate due to urgency, underlying health conditions, or inability to perform an adequate physical examThe need to address sensitive topics, especially if there is patient discomfort or concern for privacyLimited access to technological devices (e.g., smartphone, tablet, computer) needed for a telehealth visit or connectivity issuesLevel of comfort with technology for HCP and patientsCultural acceptance of conducting virtual visits in lieu of in-person visits by HCP and patientsInterstate licensure challenges and other regulatory issues that may vary by state 1701
The RV industry, like every other sector of the travel industry, took a hit in business at the start of the coronavirus pandemic.“April was down about 30 to 35%,” said Jim Bracking.Bracking is the manager of the Loveland RV Resort in Colorado.“For every reservation we were gettingm we were getting a couple of cancellations,” Bracking added.However, about a month after a slew of cancellations came in, things have started to pick up significantly.“Reservations are up quite a bit,” said Bracking. “If you have been in the office, you could see the reservation clerks are very busy.”Vacationers started rebooking road trips as soon as Colorado and other states started to reopen.“You just got to get some form of normalcy back and yet be safe. This is one of the only ways we know how to do it,” said Suzie Limppo, who is vacationing in an RV at Loveland RV Resort.RV resorts, RV parks, and RV rentals are seeing a bounce back across the country.“We are now up over 1,000 percent from where we were in April,” said Jon Gray with RVshare.RVshare rents RV to vacationers and it’s just one RV rental company that has seen dramatic increases in rentals.“There is a premium on keeping your distance. There’s a premium on driving to where you want to go instead of flying, because people are afraid to get on airplanes right now,” said Gray. “So, we thought those things benefitted our business, but we didn’t realize it benefitted it as much as it has. It has been truly amazing.”The RV industry is one of the only sectors of travel and leisure seeing such a strong rebound, and until the threat of COVID-19 is behind us, industry experts expect continued high demand.“It is clear that this summer is a moment for the RV industry, for drive-to travel and for people kind of experiencing travel in a different way,” said Gray.Because of high demand, RV rental companies and resorts warn those interested in taking road trips and camping should book soon.“If somebody want to go camping, they should book their reservations now,” said Bracking. “For this year and even next year, because they are filing up and I suspect by July 4 they are going to be very full.” 2165
The skies over several US states and Ontario, Canada, lit up briefly on Wednesday as a presumed fireball streaked over the daytime sky.Despite the midday sun, the fireball was clearly visible in videos captured at the time of the event.According to the American Meteor Society, dozens of eyewitnesses reported seeing the fireball shortly after 12 p.m. ET. The reports were clustered around Lake Ontario, but the organization received reports from Michigan, Ohio, and even as far away as Maryland and Virginia.An eyewitness in Ohio reported to the American Meteor Society, “It was like a ball of fire with a tail...surreal to see in the daytime.”Another eyewitness in Ontario said, “Astonishing, amazing, still get goosebumps talking about it.”What caused the bright flash hasn’t been confirmed, but is presumed to be a meteor. Meteors are not uncommon events, as small rocks and objects enter the Earth’s atmosphere on a daily basis. Most of the time, the atmosphere causes these objects to burn up before reaching the ground. 1034
来源:资阳报