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But Gawande is, first and foremost, a longtime surgeon. He brings an on-the-ground, clinical perspective to his new role, something that makes him relatively unique in the healthcare administration world. Most large healthcare CEOs don’t have MDs.

But President Donald Trump, who had clashed with fellow Republican McCain over various issues and said during his campaign that the senator was "not a war hero," wavered in his approach to what presidents normally treat as a gesture of courtesy and respect.

But not all matters will be up for negotiation, Trudeau said, adding that the Trans Mountain pipeline expansion project, which will transport oil from the provinces of Alberta to British Columbia on the west coast for shipment to Asian markets, will proceed, despite strong objection from the left-of-center New Democratic Party.

But people with visual disabilities, or who are engaged in related industries, said that they had heard little about it. And they suggested that Braille may not be the best way to help visually impaired passengers.

But a locked chain-link fence blocked access to the site and the nearby White House visitor's center and its bathrooms were closed, with a hand-scrawled sign directing visitors to portable toilets, which also were chained shut. "Kind of annoying when you've got young children," Forcherio said.