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A dire warning from the National Weather Service has forced an evacuation around the College Lake Dam in Lynchburg, Virginia.A flash flood warning issued Thursday night by the NWS reports "if a complete failure of the dam occurs, the water depth at Lynchburg could exceed 17 feet in 7 minutes." The area impacted would be the city of Lynchburg, which is one mile downstream from the dam.An updated report issued just after midnight by the NWS said the dam has not failed, and is being closely monitored by emergency personnel for any signs of structural failure."Lynchburg Water Resources Department reported that 4 to 6 inches of heavy rain earlier in the evening caused College Lake to fill beyond its capacity.Piper Van dePerre, with the Lynchburg Department of Emergency Services, told CNN affiliate WDBJ that crews are working with a list of 124 residences that need to be evacuated because of the imminent threat of a dam break. It's not certain if all the structures are occupied along the rain swollen Blackwater Creek.The University of Lynchburg, which is nearby, says it has not ordered an evacuation because it is not downstream of the dam, according to affiliate WSLS.The CNN Weather Center said there a forecast of 1-3 inches of rain through Friday evening and that rain hasn't been above average, but the runoff is a contributor to the area flooding.The-CNN-Wire 1384
A bomb threat has caused the evacuation of parts of Facebook's headquarters in Menlo Park, Calif. on Tuesday, prompting a large police response. According to KGO-TV, a tip was received by Crime Stoppers in New York, and relayed to authorities in California. The phone call was anonymous and no other details were shared. Many of Facebook's 33,606 employees work out of the company's Menlo Park headquarters. 415
A doctor is opening up about working at one of the first hospitals in the country dedicated solely to treating people with severe cases of COVID-19.“Hope gave way to frustration as heartwarming images of mutual sacrifice were replaced by images of protest about the sanctity of dining out and getting haircuts,” said Dr. Ben Trappey at Bethesda Hospital in St. Paul, Minnesota. “Now, even frustration has given way to bone deep sense of weariness and resignation. I’m running on fumes.”Trappey spent nearly three months away from his wife, quarantining at a hotel while caring for patients at Bethesda Hospital near Minneapolis.He destresses through reflective writing and teaches it to other residents and physicians.His essay “Running on Fumes” was recently published in the Journal of the American Medical Association (JAMA). It reflects how he feels still being on the front lines of COVID-19, but not feeling like the rest of the world is behind him.“The thing that made me feel most supported early on was just that everybody was making these sacrifices together and now when there are so many people who refuse to acknowledge that a sacrifice even needs to be made is really frustrating,” said Trappey.He says one of his challenges is not knowing which COVID-19 patients will get better.Many hospitals have provided support like counseling and buddy systems.Trappey is now on parental leave at home with his wife and newborn son.“It’s hard to think about what things will be like as we get further into the fall and we have other respiratory viruses in place as well. It’s pretty worrisome, so I’m just trying not to let myself think too much about that,” said Trappey.The doctor says he hopes people realize they're not alone in the pandemic. 1758
A federal judge in Texas said on Friday that the Affordable Care Act's individual coverage mandate is unconstitutional and that the rest of the law must also fall."The Court ... declares the Individual Mandate ... unconstitutional," District Judge Reed O'Connor wrote in his decision. "Further, the Court declares the remaining provisions of the ACA ... are inseverable and therefore invalid."The case against the ACA, also known as Obamacare, brought by 20 Republican state attorneys general and governors, as well as two individuals. It revolves around Congress effectively eliminating the individual mandate penalty by reducing it to A man berated employees and customers for speaking Spanish in a New York restaurant, describing them as undocumented and threatening to call immigration officials in a rant captured on video.The incident happened Tuesday at a Fresh Kitchen in Manhattan, according to Edward Suazo, who posted a video of the encounter on Facebook, saying his wife and her friend were the target of the man's anger.The video starts with a man in a white collared shirt confronting employees and customers in the restaurant. 512 as part of the 2017 tax cut bill.The Republican coalition is arguing that the change rendered the mandate itself unconstitutional. They say that the voiding of the penalty, which takes effect next year, removes the legal underpinning the Supreme Court relied upon when it upheld the law in 2012 under Congress' tax power. The mandate requires nearly all Americans to get health insurance or pay a penalty.The Trump administration said in June that it would not defend several important provisions of Obamacare in court. It agreed that the zeroing out the penalty renders the individual mandate unconstitutional but argued that that invalidates only the law's protections of those with pre-existing conditions. These include banning insurers from denying people policies or charging them more based on their medical histories, as well as limiting coverage of the treatment they need.But the administration maintained those parts of the law were severable and the rest of the Affordable Care Act could remain in place.Because the administration would not defend the law, California, joined by 16 other Democratic states, stepped in. They argued that the mandate remains constitutional and that the rest of the law, in any event, can stand without it. Also, they said that eliminating Obamacare or the protections for those with pre-existing conditions would harm millions of Americans.In oral arguments in September, a lawyer for California said that the harm from striking down the law would be "devastating" and that more than 20 million Americans were able to gain health insurance under it.The lawsuit entered the spotlight during the midterm elections, helping propel many Democratic candidates to victory. Protecting those with pre-existing conditions became a central focus of the races. Some 58% of Americans said they trust Democrats more to continue the law's provisions, compared to 26% who chose Republicans, according to a Kaiser Family Foundation election tracking poll released in mid-October.The consumer protections targeted by the administration are central to Obamacare and transformed the health insurance landscape. Their popularity is one of the main reasons GOP lawmakers had such difficulty repealing Obamacare last year."Guaranteed issue" requires insurers to offer coverage to everyone regardless of their medical history. Prior to the Affordable Care Act, insurers often rejected applicants who are or had been ill or offered them only limited coverage with high rates.Under the law's community rating provision, insurers are not allowed to set premiums based on a person's health history. And the ban on excluding pre-existing conditions from coverage meant that insurers cannot refuse to pay for treatments because of a policyholder's medical background.All these provisions meant millions of people with less-than-perfect health records could get comprehensive coverage. But they also have pushed up premiums for those who are young and healthy. This group would have likely been able to get less expensive policies that offered fewer benefits prior to Obamacare. That has put the measures in the crosshairs of Republicans seeking to repeal the law and lower premiums.It's no wonder that politicians on both sides of the aisle promised to protect those with pre-existing conditions during the election. Three-quarters of Americans say that it is "very important" for the law to continue prohibiting health insurers from denying coverage because of medical histories, according to the Kaiser Family Foundation's September tracking poll -- 58% of Republicans feel the same way. And about the same share of Americans say it's "very important" that insurers continue to be barred from charging sick people more. 4383
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