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WASHINGTON, D.C. — U.S. officials estimate that 20 million Americans have been infected with the coronavirus since it first arrived in the United States, with millions never knowing they had it.Thursday's estimate is roughly 10 times the 2.3 million cases that have been confirmed in the U.S.“Our best estimate right now is that for every case that we’ve reported, there were actually 10 other infections,” said the director of the Centers for Disease Control and Prevention (CDC), Robert Redfield, during a phone briefing with reporters Thursday. Redfield said that estimate comes from analyzing blood samples from across the country for the presence of antibodies to the virus.Twenty million infections means that only about 6% of the nation’s 331 million people have had the virus, leaving the vast majority of the population still susceptible.“This is still serious,” Redfield said. “But I’m asking people to recognize that we’re in a different situation today than we were in March or April,” with more cases today in younger people who are not as likely to develop serious illness or die from infection, he said.The news comes as the Trump administration works to tamp down nationwide concern about the COVID-19 pandemic at a time when about a dozen states are seeing worrisome increases in cases.Also on Thursday, the CDC announced that it was broadening its list of people who are at a higher risk of getting seriously ill from the coronavirus. The CDC has removed the specific age threshold for severe COVID-19 illness. It now warns that among adults, risk increases steadily as you age, and it’s not just those over the age of 65 who are at increased risk.The agency has also updated its list of underlying medical conditions that increase the risk of severe illness from the coronavirus. 1806

WASHINGTON (AP) — Straining to stave off threatened U.S. tariffs, Mexican and American officials claimed progress in White House talks late Wednesday, but President Donald Trump declared it was "not nearly enough" to halt the import taxes he is holding out as a way to force Mexico to stanch the flow of illegal migrants at America's southern border.Talks continued into the night at the State Department and were to resume Thursday.Underscoring the scope of the border problem, the Department of Homeland Security announced separately that U.S. Border Patrol apprehensions of migrants illegally crossing the border hit the highest level in more than a decade in May: 132,887 apprehensions, including a record 84,542 adults and children together, 36,838 single adults and 11,507 children traveling alone.Trump, renewing his threat of import taxes on all Mexican goods, tweeted from Ireland that the Washington talks would continue "with the understanding that, if no agreement is reached, Tariffs at the 5% level will begin on Monday, with monthly increases as per schedule."Mexican Foreign Secretary Marcelo Ebrard said immigration, not tariffs, was the main focus at the White House meeting, which included Secretary of State Mike Pompeo, Vice President Mike Pence and other U.S. officials."We are optimistic," he said at a news conference at the Mexican Embassy.Meanwhile, Republicans in Congress are threatening their own confrontation with Trump, warning the White House that they are ready to stand up to the president to try to block his tariffs, which they worry would spike costs to U.S. consumers, harm the economy and imperil a major pending U.S.-Mexico-Canada trade deal .Without a deal, the first tariffs — 5% taxes on imports from Mexico, eventually increasing to 25% — are to go into effect next Monday, and Trump has said that is "more likely" than not to occur despite the stiff and vocal opposition from many fellow Republicans. His goal is to persuade Mexican leaders to do more to keep would-be migrants from other Central American countries from traveling across Mexico to the American border.Most are from Guatemala, Honduras and El Salvador, countries wracked by gangs, violence and poverty. Many of the travelers are expected to eventually request asylum.The tariffs carry enormous economic implications for both countries, and politically they underscore a major ideological split between Trump and his party. Trump has increasingly relied on tariffs as a bludgeon to try to force other nations to bend to his will, dismissing warnings, including from fellow Republicans, about the likely impacts on American manufacturers and consumers.Administration officials have said Mexico can prevent the tariffs by securing its southern border with Guatemala, cracking down on criminal smuggling organizations and entering into a "safe third country agreement" that would make it difficult for those who enter Mexico from other countries to claim asylum in the U.S.The U.S., however, has not proposed any concrete benchmarks or metrics to assess whether the U.S. ally is sufficiently stemming the migrant flow from Central America. And it is unclear whether even those steps would be enough to satisfy Trump on illegal immigration, a signature issue of his presidency and one that he sees as crucial to his 2020 re-election campaign.GOP Sen. Ron Johnson of Wisconsin said Wednesday he called the Mexican ambassador to underscore that Trump was "serious" about the tariffs and that it's unclear if Congress would be able to muster enough votes to block them from a presidential veto."I just wanted to make sure the Mexican ambassador realized" the situation, Johnson said. "If he enacts those tariffs, they're not going to be overridden."On a hopeful note, White House trade adviser Peter Navarro said on CNN that there were commitments Mexico could make to avoid the tariffs, which he said "may not have to go into effect precisely because we have the Mexicans' attention."Republican Chuck Grassley of Iowa, chairman of the Senate Finance Committee, said before the White House meeting that the Mexicans had "a long list of things they're going to offer to us, and it will preclude tariffs going into effect."Senate Majority Leader Mitch McConnell said Tuesday with understatement, "There is not much support in my conference for tariffs, that's for sure.""Deep concern and resistance," is how Sen. Ted Cruz of Texas characterized the mood.House Speaker Nancy Pelosi, a California Democrat, warned on Wednesday that the proposed tariffs would be "punishing" for both the U.S. and Mexico.Analysts were not optimistic that the initial phase of tariffs could be avoided."Trump has got his new tool and he wants to use it and he will use it ... because it's part of his negotiation tactics," said Duncan Wood, director of the Mexico Institute at the Wilson Center think tank in Washington."Mexico will offer to do a lot more on migration, but they will also say that they will retaliate against tariffs and a lot of people are going to lose a lot of money," he said.Tony Wayne, a former U.S. ambassador to Mexico, said the two sides could have a good meeting and reach a deal, but still not satisfy the "wild card" president."The tweets have said 'stop everybody' and 'stop drugs.' That would be an impossible task to do in the near term," he said.The stakes are clear: The 25-year-old North American Free Trade Agreement made trade with Mexico largely duty free. As a result, manufacturers have built up complicated supply chains that straddle the border. Americans bought 8 billion worth of Mexican imports last year, led by cars and auto parts. Mexico is America's No. 2 export market behind Canada.The back-and-forth could also imperil the NAFTA revamp, which Trump pressured Mexico and Canada to agree to last year. The U.S.-Mexico-Canada Agreement has been signed by all three countries but must be approved by their legislatures.___Associated Press writers Paul Wiseman, Lisa Mascaro, Darlene Superville and Padmananda Rama contributed to this report. 6081

We don’t often think of racism impacting people’s health. But Dr. Amber Johnson has made a career of studying how the two issues are intertwined.“We’re in Los Angeles at this moment. Black women are the most rent-burdened in this area, so you think about having the stresses of being in a low-class environment and having to deal with racism and cope with racism," said Dr. Johnson, a professor at California State Long Beach who focuses on racism in health care. "And a lot of times, there’s feelings of isolation and loneliness all those things contribute to early physiological wear and tear on our body. Our bodies are literally wearing down."Dr. Johnson says racism is ingrained in our health system. One reason she says implicit bias, which are attitudes or stereotypes that affect our understanding and our decisions, even if we don’t realize it.“These implicit biases are passed down through practice, beliefs, experimentation, all these other things that really contribute to these implicit biases that we see, that are, that become very apparent when black people present in health care fields,” she explained.But systemic racism may start before you get to the doctor's office. Some experts say it begins with access.“People of color face long-standing and persistent disparities in health and healthcare, and these span across a wide array of measures,” said Samantha Artiga, the Director of the Disparities Policy Project at the Kaiser Family Foundation. Artiga's job is to look at how people of different races, genders, and classes are treated differently within the health care system. She says disparities in health care and health outcomes start with access to care and works their way up through every imaginable facet of life.“People of color are more likely to be uninsured than white individuals. That translates into increased barriers to access and care because they’re more concerned about costs, may have less access to a provider, not have a huge source of care outside of the emergency room,” she explained.Those healthcare woes can then be tied directly to jobs because 159 million Americans of all races get health insurance through their employers.But experts say the root of the race and health care problem lies in the kinds of jobs filled mostly by Black and Brown Americans. This is because they are more likely to be working in industries that may not offer coverage to their employees, or when it is offered it may not be affordable to individualsResearch from the National Institute of Health and the Center for American Progress shows African Americans in the US are less likely to have health care coverage than white people. That may be why Black women are more likely to be overweight. Black children are more likely to have asthma. Black adults are more likely to have hypertension. Cancer kills Black people at a higher rate than any other group. Black people are more likely to be diabetic than white people. Black babies die at more than double the rates of all other races in the US, and Black women die more than three times as often during childbirth as white women.Those are just some of the disparities that exist.Over and over again while researching this story, we heard about another major healthcare issue for many people of color: a shortage of doctors, nurses, and other health care workers that look like them, sound like them and have similar life experiences.“Black physicians make up 4-5 percent of all doctors practicing nationwide, whereas, Blacks make up 13 percent of the US population,” said Dr. Leon McDougle, the president of the National Medical Association, a national group that represents Black physicians in the US. He says when he was in medical school, he didn’t have a lot of Black classmates.“I went to medical school here at the Ohio State in the mid-’80s and there weren’t many faculty doctors that looked like me, and when you saw a Black doctor, it almost became a mental image. So, that was inspiration for me to say this has to change,” said Dr. McDougle.He says in 2020 when he sees patients of color, it has an impact on them and they have an impact on him and his students.“More than half the time when I see patients, I have a medical student, and not too uncommonly, that student will be African-American or LatinX. And to just hear the patients give them, cause most of my patients are African American, and to hear them help uplift them in their pursuit of becoming a physician, I hear that all the time,” he said.So, there is hope that there will be more healthcare workers of color, but there is still a long way to go. According to the Association of American Medical Colleges, over the last five years, the number of Black medical students has gone up about one percent, from 6 percent to 7 percent.Many say that's not enough.And the people working for change say the opportunity to make it happen is now.“It’s hard work to move systems and move structures and I just hope we don’t miss the opportunity that is presented at this current time, in terms of the attention, focus, and movement to do something about it,”“It’s not just for me to say I did this, but it’s for me, it’s for my mom, for my grandmother, it’s for my daughter. That’s four generations of black women that I’ve seen negatively affected by racism,” said Artiga.“It’s killing Black people. It’s killing, it’s killing us,” said Dr. Johnson. 5410

WASHINGTON (AP) — The House has approved legislation that would reverse recent changes in U.S. Postal Service operations. The measure would also send billion in emergency funds to shore up the agency ahead of November's presidential election. Passage was 257 to 150 and came after heated debate. President Donald Trump had urged a no vote, calling concerns over mail delivery a “hoax," and the White House says he will veto the bill if it passes the GOP-led Senate. More than two dozen Republicans broke with the president and backed the legislation. 562

We stand united with our Jewish friends and neighbors against this disgusting act of vandalism, desecration, and hate toward our fellow human beings. Anti-Semitism must find no home in our community. https://t.co/yuf2oHTQco— Justin Amash (@justinamash) November 2, 2020 277