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WASHINGTON, D.C. — Federal officials say the key component to getting the COVID-19 vaccine distributed across the country will lie in the hands of states, with help from major pharmacy chains, like CVS and Walgreens.“We want to replicate what the experience you have with the flu vaccine — convenient to you, a tried-and-true system that we do hundreds of millions of vaccines through every year,” said U.S. Health and Human Services Secretary Alex Azar. “That's the backbone of the approach we're taking.”Yet, if flu vaccine rates are any indication, that backbone may not suffice.Dr. Eric Schneider is with The Commonwealth Fund, an independent organization that studies health policy. They recently delved into previous vaccination rates to see how it might unfold for COVID-19.“Our health care system does well at developing new technologies like these vaccines, which are really quite amazing, scientifically speaking,” Dr. Schneider said. “But we don't do as well at making sure those technologies are distributed to the people who need them most. And we're seeing that in the prior vaccination experience, and I’m worried we will see that with COVID-19.”What did they find?A mere 51% of Americans got the flu vaccine last year and only 38% got the H1N1 swine flu vaccine 10 years ago, which had a similar vaccine development timetable and pressure to COVID-19.Those low vaccination rates matter because in order for the COVID-19 vaccine to create herd immunity in the U.S., between 70 and 90% of all Americans will need to get vaccinated.“The concept of herd immunity really is developed out of vaccination programs because the question is ‘What proportion of the population needs to be vaccinated to prevent the circulation of a virus in the population?’” Dr. Schneider said.Just getting that shot could vary depending on where you live, as the federal government is leaving that up to each state.“That's going to be up to the nation's governors as they prioritize within their states,” HHS Secretary Azar said.However, Dr. Schneider said that in order for the states to pull it off, they are going to need federal help.“States are in incredible difficulty right now with their budgets and they need federal support,” he said. “Congress is considering a federal rescue package. That funding is really necessary to get states the support they need to vaccinate large numbers of people.”Large numbers of people are now waiting for a rescue of their own from a virus that’s changed everything.For a closer look at the results of the study on vaccination rates from The Commonwealth Fund, click here. 2612

Washington Football coach Ron Rivera has been diagnosed with a form of skin cancer. A team spokesman confirmed Rivera has squamous cell carcinoma after a self-care check.On Twitter, the team released a statement regarding Rivera's diagnosis, saying that he was working with several doctors and oncology specialists and is establishing a treatment plan with the team and an outside specialist.The team said the cancer is in the early stages and is considered "very treatable and curable." 495

WASHINGTON (AP) — The Pentagon is banning displays of the Confederate flag on military installations, using a carefully worded policy that doesn’t mention the word ban or that specific flag. The policy is laid out in a memo signed by Defense Secretary Mark Esper obtained by The Associated Press. It was described by officials as a creative way to bar the flag’s display without openly contradicting or angering President Donald Trump, who has defended people’s rights to display it. "The flags we fly must accord with the military imperatives of good order and discipline, treating all our people with dignity and respect, and rejecting divisive symbols," the memo reads. The memo lists the types of flags that may be displayed at military installations, such as the U.S. and state banners and the POW/MIA flag. The Confederate flag is not on the list.The change applies to all "public displays or depictions of the flag by Service members and civillian employees in all Department of Defense work places, common access areas, and public areas." Other uses of flags not on the list are not prohibited, such as museum displays, educational purposes, grave sites, monuments or other such areas. 1203

WASHINGTON, D.C. – President Donald Trump is continuing his futile appeal to battleground state lawmakers to subvert the votes of their constituents.The president has reached out twice to Pennsylvania House Speaker Bryan Cutler, a Republican, to see what might be possible for Trump to do about the state's presidential vote.A person briefed on the matter told The Associated Press that Trump pressed for the state’s legislature to replace the electors for President-elect Joe Biden with those loyal to Trump. The person was not authorized to speak publicly and spoke to The Associated Press on condition of anonymity.Cutler’s spokesperson, Mike Straub, says Trump did not pressure Cutler to take any sort of action and that the call was informational.Cutler and other top Republican lawmakers have said that, legally, the state legislature has no legal power to override the will of the voters and select a slate of presidential electors.Biden won Pennsylvania by more than 80,000 votes and the state has already certified its election. Nearly every other state has certified as well and Biden has secured more than the 270 Electoral College votes needed to take the White House.The Trump campaign has filed a series of lawsuits in several swing states, claiming widespread voter fraud without substantial proof. The suits have been tossed out of state and federal courts.Trump has also called on lawmakers in Georgia and Michigan to select slates of presidential electors, but they have all refused. 1509

WASHINGTON, D.C. – One hundred years after the 19th Amendment became law, eligible women voters could end up as the definitive political power in the 2020 election.“Women are the most consistent, reliable voting bloc across the country, across the elections, year in and year out,” said Jeanette Senecal with the League of Women Voters.The numbers bear that out. According to the Pew Research Center, women have outnumbered men in the voting booth in every presidential election since 1984.In 2016, 63% of eligible women voted, versus 59% of men.Those numbers have implications for both the Democratic and Republican parties, according to American University professor Jane Hall.“We are seeing a very striking acceleration of what has been a trend for some time, which is a gender gap between women voting for Democrats and men voting more for the Republican party,” Hall said.In the 2018 midterm elections, that gender gap became pronounced.Among registered voters, 50% of men identified as either Republican or leaning Republican, while 42% of men went with Democrats, a difference of 8%.Yet, among women, that gap more than doubled: 56% of women identified as Democrats, but only 38% with Republicans – a gap of 18%.How women choose to vote, though, is more complex than just two political parties, said Howard University political science professor Dr. Keesha Middlemass. There are differences in race and ethnicity, as well as levels of education and income.“We have to think about women as multiple blocs of voters,” Dr. Middlemass said. “They’re not a monolith.”That’s something the two presidential candidates seem to realize. President Donald Trump recently said he’s trying to appeal to what he calls “suburban housewives,” while Joe Biden picked a woman, California Senator Kamala Harris, as his running mate.“Anecdotally, talking to a lot of women: representation matters, seeing yourself there matters,” Hall said.What impact all of this has on the upcoming election remains to be seen.“Women want policies: ‘how are you going to make my life better?’ well, that requires policy,” Dr. Middlemass said. “But that whole idea of gender politics is going to be very evident in getting out the vote.”All of it is happening in an election where gender could tip the balance of power one way, or another. 2318

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