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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 Democratic Party Chairman Eric Bauman was accused of inappropriate behavior on a campaign bus days before the Nov. 6 election, a Democratic official said Tuesday, a day after Bauman took a leave of absence.Bauman was among those aboard a bus during a statewide get-out-the-vote tour. Two young women on the bus reported alcohol was consumed and inappropriate sex talk occurred on Nov. 1, said David Campos, chairman of the San Francisco Democratic Party.The bus was scheduled to arrive in San Francisco the next day at an event with U.S. House Minority Leader Nancy Pelosi. Her campaign team learned of the incidents aboard the bus and told state party officials that Bauman and the bus should stay away, Campos said.It appeared Bauman engaged in the misbehavior and did not intervene to stop others from acting inappropriately, Campos said.RELATED: Top California Democrat on leave amid sex misconduct inquiry"We felt, and I felt, it was important for us, given we had serious credible allegations, not to have Chair Bauman attend this get-out-the-vote event in San Francisco," said Campos, who first shared details of the allegations with the Bay Area Reporter, a publication serving the LGBT community. Bauman is the party's first openly gay chairman.Allegations of misbehavior by Bauman first surfaced last week in a letter by party Vice Chairman Daraka Larimore-Hall. It appeared on social media and accused Bauman of sexual harassment and assault against unidentified accusers.On Saturday, Bauman acknowledged the party had started an investigation and on Monday he announced he was taking a leave of absence. He provided no details on the allegations. Campos said he doesn't know if Larimore-Hall's letter relates to the alleged incident on the bus or something else, but he said he was not aware of any allegations of sexual assault on the bus."We did not hear anything about possible sexual assault," he said.Larimore-Hall did not respond to multiple emails and a phone message from The Associated Press Tuesday. Jorge Aguilar, executive director of Pelosi's campaign, and Bauman did not immediately respond to emails seeking comment.In a statement Monday announcing Bauman's leave, party spokesman Mike Roth said "Bauman believes this decision is the best way to ensure the independence and integrity of the process. The Party is confident that the procedures in place will allow for all parties to come forward freely and provide for a thorough and complete review."Alex Gallardo-Rooker, another party vice chair, is serving as acting chairwoman during the investigation. 2627

SACRAMENTO, Calif. (AP) — California's attorney general said Tuesday that he won't charge two Sacramento police officers who fatally shot an unarmed black man last year, a killing that set off intense protests.Attorney General Xavier Becerra's announcement follows the Sacramento district attorney's finding this weekend that the two officers broke no laws when they shot 22-year-old Stephon Clark.Officers Terrance Mercadal and Jared Robinet say they mistakenly thought Clark was approaching them with a gun after he ran from them into his grandparents' backyard as police investigated vandalism.Becerra said his review found officers believed Clark was armed and their lives were in danger when they opened fire. Investigators found only a cellphone.RELATED: No charges for Sacramento officers who fatally shot Stephon Clark"Based on our review of the facts and evidence in relation to the law, I'm here to announce today that our investigation has concluded that no criminal charges against the officers involved in the shooting can be sustained," Becerra said.The attorney general emphasized the need for changes and called Clark's killing a "devastating loss." He met with Clark's mother, SeQuette Clark, before announcing his decision. Jamilia Land, a family spokesperson, said SeQuette Clark would speak to reporters later Tuesday.Clark was shot seven times on March 18, 2018, and his killing prompted protests in California's capital city and across the U.S. Sacramento County District Attorney Anne Marie Schubert's decision not to charge the officers has sparked new demonstrations, with more than 80 people arrested Monday in a wealthy Sacramento neighborhood.Clark's family and black community leaders urged Becerra to reach a different conclusion."I would like for the attorney general to prosecute the officers," brother Stevante Clark said Sunday. "I want justice and accountability."Both Becerra and Schubert concluded that the officers feared for their lives when they shot Clark, who they thought was holding a gun. They were pursuing him after receiving calls about someone breaking car windows.The attorney general and district attorney said the evidence showed Clark was advancing toward the officers when they shot him.The decision has increased support from top state officials to change California's legal standard for when police can use deadly force.Lawmakers have revived a measure introduced after Clark's slaying that would make California the first state to allow police to use deadly force only when it's necessary to prevent imminent and serious injury or death and if there's no reasonable alternative, such as warnings or other methods.Strong opposition from law enforcement agencies stalled it last year. 2747

ROSARITO, Baja Calif. (KGTV) - Mexican officials have rearrested two suspects who may be connected to the disappearance of Los Angeles firefighter Frank Aguilar who went missing in Mexico in August.Suspects Santos "N" and Fanny "N" were briefly released from a Baja jail overnight Sunday, according to media partner Televisa which confirmed the update with Mexican authorities.On Monday, ABC10 News interviewed Aguilar’s daughters, 17-year-old Bella and 23-year-old Amaris. “We were extremely devastated last night. It was probably the most hopeless we felt during this entire experience,” said Amaris.They told ABC10 News that their own sources have made significant discoveries about the suspects. They said the female suspect may have been dating their father. Officials have only said that it may have been a kidnapping setup and that the suspects were found in possession of Aguilar’s bank cards which had been used across Baja.“We don't know what happened for sure but after he went missing, between the seven weeks, they have been using his credit cards, his phone and there were blood traces [from] my dad in the location of the investigation,” said Bella.ABC10 News reported last Friday that the two suspects were arrested on Thursday but Aguilar still hasn't been found.Televisa has now learned from Mexican officials that on Sunday a judge allowed for their release but the state investigation agency got another arrest warrant at dawn and the two were apprehended.In September, ABC10 News reported that the 48-year-old's family learned that he may have been violently kidnapped from his second home in a guard-gated community in Rosarito.There were reports that his condo may have been ransacked, his vehicles were missing and Ring video showed a troubling scene.The two suspects reportedly have a new hearing scheduled for Monday night.“These people could be let out on bail and we have no other way of finding information until [they remain] incarcerated so this is our most desperate plea in our most desperate time of need,” added Bella.The San Diego FBI Office told ABC10 News on Monday that their agents are still assisting Mexican authorities with the investigation. 2193

SACRAMENTO, Calif. (AP) — Democrats have won two Republican-held California state Senate seats in the Central Valley, giving the party veto-proof supermajorities in both chambers of the Legislature.Vote totals updated since Election Day made winners Monday of Melissa Hurtado and Assemblywoman Anna Caballero.Hurtado won the open 12th District seat while Caballero defeated Republican Sen. Andy Vidak in the neighboring 14th District. Both are in the Fresno area.The victories give Democrats a two-thirds advantage in the Senate. The party also has that advantage in the Assembly.Supermajorities will allow Democrats to raise taxes, suspend legislative rules or override vetoes without Republican votes. 711

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