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WASHINGTON — The federal government is outlining a sweeping plan to make COVID-19 vaccines available for free to all Americans, but polls show a strong undercurrent of skepticism across the country. In a report Wednesday to Congress and an accompanying “playbook” for states and localities, federal health agencies and the Defense Department are sketching out complex plans for a vaccination campaign to begin gradually in January or later this year, eventually ramping up to reach any American who wants a shot. According to The Associated Press, facets of the playbook include:Most COVID-19 vaccines will require two shots to be taken three to four weeks apart. Those who receive these vaccines will need to receive doses made by the same drugmaker.Early in the vaccination campaign, supplies will be limited and will be reserved for health care and other essential workers, as well as vulnerable groups. Later phases of the campaign would expand distribution to the entire country.The vaccine will be free to those who receive it, thanks to funding allocated by Congress and the Trump administration.States and local communities will handle distributing the vaccine, and must submit plans to the federal government in about a month's time.The vaccination campaign faces an uphill battle from a skeptical public. An AP poll taken in May found only about half said they would get a COVID-19 vaccine. Experts say at least 70% of Americans need to be vaccinated or have immunity from a previous contraction in order to protect the country from the virus. 1562

WASHINGTON (AP) — Government scientists have classified 18 U.S. volcanoes as "very high threat" because of what's been happening inside them and how close they are to people.The U.S. Geological Survey has updated its volcano threat assessments for the first time since 2005. The danger list is topped by Hawaii's Kilauea , which has been erupting this year. The others in the top five are Mount St. Helens and Mount Rainier in Washington, Alaska's Redoubt Volcano and California's Mount Shasta ."This report may come as a surprise to many, but not to volcanologists," said Concord University volcano expert Janine Krippner. "The USA is one of the most active countries in the world when it comes to volcanic activity," she said, noting there have been 120 eruptions in U.S. volcanoes since 1980.RELATED: Hawaii's Kilauea could send 10-ton boulders half-mile into the airEleven of the 18 very high threat volcanoes are in Oregon, Washington and California.Government scientists use various factors to compute an overall threat score for each of the 161 young active volcanoes in the nation. The score is based on the type of volcano, how explosive it can be, how recently it has been active, how frequently it erupts, if there has been seismic activity, how many people live nearby, if evacuations have happened in the past and if eruptions disrupt air traffic.They are then sorted into five threat levels, ranging from very low to very high.RELATED: West Coast quake warning system now operational, with limitsDenison University volcanologist Erik Klemetti said the United States is "sorely deficient in monitoring" for many of the so-called Big 18."Many of the volcanoes in the Cascades of Oregon and Washington have few, if any, direct monitoring beyond one or two seismometers," Klemetti said in an email. "Once you move down into the high and moderate threat (volcanoes), it gets even dicier."The USGS said a dozen volcanoes have jumped in threat level since 2005. Twenty others dropped in threat level.RELATED: State's next big earthquake could be in SoCalThreat scores — and levels — change because of better information about the volcanoes, Klemetti said.Among those where the threat score — but not the threat level — is higher are Alaska's Redoubt, Mount Okmok, Akutan Island and Mount Spurr. Threat scores also rose for Oregon's Newberry Volcano and Wyoming's Yellowstone.None of the Big 18 changed in overall threat levels, even though 11 had overall threat scores dropping.Besides the top 5, the rest of the Big 18 are: Mount Hood, Three Sisters and Crater Lake in Oregon; Akutan Island, Makushin, Mount Spurr and Augustine in Alaska; Lassen and Long Valley in California; Mount Baker and Glacier Peak in Washington; and Mauna Loa in Hawaii. 2836

WASHINGTON (AP) — Military suicides have increased by as much as 20% this year compared to the same period in 2019, and some incidents of violent behavior have spiked. Service members are struggling with isolation and other effects of COVID-19, in addition to the pressures of deploying to war zones, responding to national disasters and addressing civil unrest. The data is incomplete and causes of suicide are complex, but Army and Air Force officials say the pandemic is adding stress to an already strained force. The numbers vary by service. The Army’s 30% spike pushes the total up because it’s the largest service. 629

VISTA, Calif. (KGTV) — Two brothers are behind bars after deputies say they got into a road rage incident and robbed a driver in Vista.On Tuesday, just before 9:30 a.m. near the 1300 block of Melrose Way, San Diego Sheriff's Department says Matthew, 29, and John, 23, Giordano were driving in a lifted grey Silverado pick-up truck. Deputies say for some reason, Matthew became angry and began to follow another vehicle and displayed a weapon to the driver.At one point, the truck cut off the driver and came to a stop, deputies say.Deputies said Matthew got out of his truck and started punching the driver's side window. Once the driver opened the door, Matthew took about ,000 worth of jewelry and money from the driver, deputies added.During the confrontation, John used a metal tool to smash the driver's windshield and the windshield of a second car not involved in the original incident, deputies say. The brothers then drove off.One of the victims suffered minor injuries from broken glass. Damage to both cars was estimated between ,000 and ,000.SDSO investigators say they gathered enough evidence to serve a search warrant in the 1500 block of Sapphire Lane, where the Giordanos were arrested on several charges, including conspiracy and robbery. 1271

WASHINGTON (AP) — Elizabeth Warren’s proposal to gradually move the country to a government-funded health care system has further inflamed the debate over “Medicare for All,” likely ensuring the issue will play a significant role in this week’s Democratic presidential debate.The Massachusetts senator announced Friday that her administration would immediately build on existing laws, including the Affordable Care Act, to expand access to health care while taking up to three years to fully implement Medicare for All. That attempt to thread the political needle has roiled her more moderate rivals, who say she’s waffling, while worrying some on the left, who see Warren’s commitment to a single-payer system wavering.The divide could complicate plans by Democrats to turn health care into a winning issue in 2020. The party successfully took back control of the House last year by championing programs that ensure that people with preexisting medical conditions keep their insurance coverage while arguing that Republicans want to weaken such provisions. But the Medicare for All debate is more delicate as advocates including Warren grapple with concerns that a new government-run system won’t provide the same quality of coverage as private insurance — and would be prohibitively expensive.“The Medicare for All proposal has turned out to be a real deal-breaker in who gets the Democratic nomination,” said Robert Blendon, a Harvard University School of Public Health professor whose teaching responsibilities include courses on political strategy in health policy and public opinion polling. “This is not just another issue.”Warren’s transition plan indicates she’d use her first 100 days as president to expand existing public health insurance options. That is closer to what has been supported by former Vice President Joe Biden and Mayor Pete Buttigieg of South Bend, Indiana. Both Democratic presidential candidates have criticized Medicare for All for wiping out private insurance — something they say many Americans aren’t ready for.Warren insists she’s simply working to expand health insurance in the short term to people who don’t have it while remaining committed to the full plan in the long run.“My commitment to Medicare for All is all the way,” Warren said while campaigning in Iowa over the weekend.Still, the transition signified a step toward pragmatism and an acknowledgement that the government has ways to expand health insurance coverage before embracing a universal system — something that would be difficult for any president to get through Congress. Consider that current entitlements, such as Social Security and Medicare, were phased in over years, not all at once.“If she’s looked at it and decides the sensible thing to do in order to not cause too much disruption in employment situations and within the medical system is to gear up over three years, she's probably right,” said Cindy Wolf, a customer service and shipping manager who attended the California state Democratic Convention on Saturday in Long Beach.Still, the move may prove politically problematic for a candidate who has long decried others settling for consultant-driven campaigns seeking incremental changes at the expense of big ideas.Vermont Sen. Bernie Sanders is the original architect of Medicare for All and has made fighting for it the centerpiece of his 2020 White House bid. He tweeted following the release of Warren’s transition plan: “In my first week as president, we will introduce Medicare for All legislation.”Campaigning in Nevada on Monday, California Sen. Kamala Harris said, “I believe that government should not be in a position of taking away people's choice.”“Especially on one of the most intimate and personal decisions people can make,” Harris said, “which is about how to address their health care needs.”The criticism from others was far sharper. Top Biden adviser Kate Bedingfield dismissed Warren’s plan as “trying to muddy the waters” by offering “a full program of flips and twists.” Buttigieg spokeswoman Lis Smith said it was a “transparently political attempt to paper over a very serious policy problem.”It’s easy to see the issue spilling into Wednesday’s debate because Warren rode a steady summer climb in the polls to become one of the primary field’s front-runners — but no longer seems to be rising. Polls recently show her support stabilizing, though not dipping, as focus on her Medicare for All ideas intensifies.The last two debates featured Warren failing to answer direct questions on whether she would be forced to raise middle class taxes to pay for the universal health care system she envisions. That set up a plan released two-plus weeks ago in which Warren vowed to generate -plus trillion in new government revenue without increasing taxes on the middle class — but that’s been decried by critics who accuse Warren of underestimating how much Medicare for All would really cost.And, though Warren never promised to begin working toward Medicare for All on Day 1 of her administration, the release of the transition plan, which spelled out that the process will take years, has unsettled some.Una Lee Jost, a lawyer who was holding “Bernie” signs in Chinese and English at the California Democratic Convention, called any lengthy transition to Medicare for All “a serious concern.”“We should have implemented this decades ago,” she said.___Associated Press writers Kathleen Ronayne and Michael R. Blood in Long Beach, Calif., and Michelle Price in North Las Vegas, Nev., contributed to this report. 5566