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BALTIMORE — A doctor described as providing care to the "sickest patients" in Baltimore died of COVID-19, Mercy Medical Center said in a Facebook post.Dr. Joseph J. Costa, the chief of critical care at the hospital, was 56 years old."Joe was more than a trusted colleague; he was also a true friend to many. He dedicated his life and career to caring for the sickest patients. And when the global pandemic came down upon us, Joe selflessly continued his work on the front lines—deeply committed to serving our patients and our City during this time of great need. His memory will live on as an example to us all," the hospital said in a Facebook post.Costa joined Mercy in 1997 and became Chief of Critical Care in 2005. From 2010 to 2016 he served as an officer of the Mercy Medical Staff, culminating with his 2-year tenure as President of the Medical Staff."Joe was admired and respected among providers throughout the Baltimore region for his clinical expertise. He was beloved by his patients and their family members—known for his warm and comforting bedside manner as well as his direct and informative communication style. When he counseled our patients and families, he did so with great compassion and empathy. For all the nurses and staff who worked closely with Joe on the Intensive Care Unit, he was like an older brother that all admired and revered," the post continued.Read the full letter below. Dear Friends of Mercy, It is with great sadness that we mourn the loss of Joseph J. Costa, M.D., Chief, Division of...Posted by Mercy Medical Center, Baltimore, MD on Saturday, July 25, 2020 This story was originally published by Brandon Ingram on WMAR in Baltimore. 1702

Average rates on long-term mortgages continue to fall to new record lows, as the key 30-year loan dropped below 3% for the first time in 50 years. The stagnant economic recovery in the face of the coronavirus pandemic is keeping inflation tamped down despite pent-up homebuying demand. Mortgage buyer Freddie Mac says the average rate on the 30-year home loan fell this week to 2.98% from 3.03% last week. These are the lowest levels since Freddie Mac began tracking averages in 1971. The rate averaged 3.81% a year ago.In their update, Freddie Mac says the low rates has led to increased homebuyer demand. Meanwhile, according to the Mortgage Bankers Association, refinancing applications increased recently, about 12 percent in the last week. However, Freddie Mac warns that with an increase in coronavirus cases, the economy can stagnate and cause temporary job layoffs to possibly become permanent. The average rate on the 15-year fixed-rate mortgage declined to 2.48% from 2.51%, from last week. 1008

As President Donald Trump and Vice President Mike Pence prepared to gather for their weekly lunch in August 2017, the President told his staff to add two more plates.Both men had just welcomed new chiefs of staff -- retired Marine Corps Gen. John Kelly and Nick Ayers, a 34-year-old Republican political consultant from Georgia -- and Trump decided to wave the pair into his private dining room off the Oval Office.Until then, a Cabinet member would occasionally join them, but the meals were largely a chance for Trump and Pence to spend time together alone, chatting about politics, policy and whatever popped into Trump's mind -- sometimes prompted by the television in the room tuned to Fox News.But in August 2017, the lunch went from a regular tête-à-tête to a four-man affair, one that became a more formal opportunity for the two offices to coordinate on strategy, policy and scheduling. For Ayers, Pence's new chief of staff, they were useful in another, perhaps more important way: he now had regular face-time with the President. With each passing lunch, Trump grew to know and like Ayers more, two sources close to the President said, allowing Ayers to build a strong personal rapport that could end up paying dividends.As the President considers replacing his chief of staff, Ayers has emerged as a top contender, multiple people familiar with the situation told CNN. Interviews with nearly two dozen current and former White House officials, former Ayers colleagues, sources close to the President and Republican congressional staffers portray an ambitious aide who has worked to insulate his current boss from the chaos of the West Wing, while also angling for a bigger job that would place him squarely in the middle of it.Trump has begun to envy the smoothly operating vice president's office, which Ayers has managed to keep distanced from the daily scrum and scandal of the White House. Ayers has cultivated key allies, including Ivanka Trump and Jared Kushner. He also boasts an impressive track record in Republican politics that could serve the President well in the run-up to his 2020 re-election.But Ayers' meteoric rise has also earned him his fair share of critics, including a few inside the White House. While plans were floated earlier this month for Ayers to become the new chief of staff, multiple sources told CNN, they have stalled amid the President's reluctance to fire Kelly -- who typically does the firing for Trump -- and the backbiting Ayers has faced from some of his West Wing colleagues.Several of Trump's top advisers have voiced concerns to him about Ayers, with some threatening to quit if he is tapped for the job. One of Ayers' top West Wing detractors during the process has been Kellyanne Conway, the combative counselor to the President who vehemently opposed Ayers' hire as Pence's chief of staff last year, two former White House officials and a source familiar with the matter said.Conway disputes those allegations, telling CNN: "I have zero beef with Nick Ayers."Outside the White House, former colleagues of Ayers say his relative youth and outsized ego -- conspicuous even in a world known for naked ambition and self-aggrandizement -- have rubbed fellow political operatives the wrong way. His allies say that people are just jealous or insecure."I think every job he's ever had he's been one of the youngest people to ever have it. And I think that's threatening to some people," said Alex Conant, who worked with Ayers on former Minnesota Gov. Tim Pawlenty's 2012 presidential campaign.Though he's only 36, Ayers has amassed a small fortune that, according to recent financial disclosures, is between million to million. That's been built up through financial investments, fees generated by his own political consulting firm and his former role as a principal in an ad-buying firm called Target Enterprises, which has served as the media buyer on nearly every race Ayers has worked on since he joined in 2011.The arrangement allowed Ayers to earn a consultant's salary while also influencing campaign spending in a way that benefited him financially, a practice that is not illegal but has raised consternation among fellow consultants. A source familiar with the matter insisted all of the candidates Ayers has serviced were aware of the financial arrangement behind his consulting.Still, his finances and involvement with political dark money groups could become political baggage down the road. One of them, Freedom Frontier, for whom he consulted, is the subject of two recent ethics complaints, the most recent of which was filed with the IRS on Tuesday. That complaint, filed by Citizens for Responsibility and Ethics in Washington, contends the group's political spending exceeded legal limits in violation of campaign finance laws.Efforts to reach officials with Freedom Frontier for comment were unsuccessful.  4901

ATLANTA — Leading congressional Democrats are reacting furiously to lightly-substantiated claims that immigrants held at a detention center in Georgia are undergoing questionable hysterectomies.In a complaint filed Monday, a nurse alleges that the Irwin County Detention Center performed questionable hysterectomies, refused to test detainees for COVID-19 and shredded medical records.Democrats seized on the most explosive allegations in her complaint, that a gynecologist called the “uterus collector” was performing “mass hysterectomies.”A top medical official with U.S. Immigration and Customs Enforcement released a statement “vehemently” disputing the claims, according to the Washington Post, saying only two women have been referred for hysterectomies from the facility since 2018.A follow-up news conference Tuesday in Atlanta provided little information to substantiate the claims. The nurse, Dawn Wooten, and her lawyers refused to release her full statement made to the Department of Homeland Security’s Inspector General. She also declined to take questions after making comments to the media.Wooten worked full-time as a licensed practical nurse at the immigration detention facility until July, when she was demoted. She had missed some work because she had coronavirus symptoms, according to NBC. Wooten says she was demoted because she asked her superiors about the lack of COVID-19 testing and PPE at the facility.The gynecologist is not named in Wooten’s whistleblower complaint. Multiple media outlets report women from the facility have been taken to a local doctor named Dr. Mahendra Amin.Scott Grubman, a lawyer for Amin, said in a statement to the Washington Post that he was confident the doctor would be cleared of any wrongdoing.“Dr. Amin is a highly respected physician who has dedicated his adult life to treating a high-risk, underserved population in rural Georgia,” Grubman said.Amin has previously been accused by state and federal authorities of falsely billing Medicare and Medicaid in an investigation that ultimately led to a 0,000 settlement in 2015, according to the Department of Justice.“If true, the appalling conditions described in the whistleblower complaint – including allegations of mass hysterectomies being performed on vulnerable immigrant women – are a staggering abuse of human rights,” House Speaker Nancy Pelosi, a California Democrat, said in a statement. 2422

As we shield ourselves in any way possible from the novel coronavirus, there are some parts of the country handling social distancing better than others.“This is a public health problem; it’s not a private health problem,” explained Dr. Bhaskar Chakravorti, who leads the Fletcher Institute for Business at Tufts University. “If I get sick, I could make three other people sick.”Over the past few months, Dr. Chakravorti and his colleagues have been analyzing mobility data from across the country.What did he and his team discover?The top three states who were practicing social distancing the most were New York, New Jersey and Massachusetts. Nebraska, South Dakota, Arizona were among the worst when it came to practicing social-distancing procedures. Dr. Chakravorti says that has led to higher contagion rates in those areas.“In this post-pandemic moment, each state is going in somewhat a different direction as far as how it's managing the pandemic,” he added.In bigger cities with higher rates of infections, the study found that people responded better to restrictions because they could see the impact the coronavirus was having around them. Dr. Chakravorti hopes public health officials use his findings to make more uniform policies nationwide.“This whole issue of COVID has become a political issue, so even the act of wearing a mask has become a political statement,” he said. “You never want to mix politics with anything. You definitely don’t want to mix it with public health. That’s a dangerous combination.” 1534