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United Methodist churches and clergy could face removal from the denomination if they do not affirm its stance against gay marriage and noncelibate LGBT clergy by 2021. The church reached the decision in a vote at a General Conference in St. Louis on Tuesday.Church leaders say the move will almost surely lead more liberal members to leave the mainline denomination.The vote for the "Traditional" plan came after the church voted to reject an earlier proposal, known as the "One Church" plan, which would have allowed local churches to perform same-sex weddings and hire openly LGBT clergy. That move was pitched by proponents as a way to keep the increasingly fractious denomination together amid widespread disagreements about scripture and the morality of same-sex relationships."Many of us have members who are saying they will leave," said the Rev. Tom Berlin of Virginia, a member of the church's legislative committee. "A virus of conflict will spread."Instead, United Methodists voted to push forward the "Traditional" plan, which passed with a vote of 438 to 384."Today, more than 800 worldwide General Conference delegates affirmed the Traditional Plan as The Way Forward for The United Methodist Church," Bishop Scott Jones said in a statement. "This decision resolves a long-standing debate about how we can best accomplish our mission of making disciples of Jesus Christ for the transformation of the world.""Our views on same-sex marriage have not changed. We will continue to welcome lesbian, gay, bisexual, transgendered and queer persons to our churches and affirm their sacred worth," the statement said.Rejection of the "One Church" plan, which had support among United Methodist bishops in the United States, drew criticism."The United Methodist Church's special General Conference failed Tuesday to love LGBTQIA people, recognize their gifts in the church, maintain our unity in the midst of diversity, and to live out our Gospel mandate to seek justice and pursue peace," General Secretary Susan Henry-Crowe of the General Board of Church and Society of The United Methodist Church said in a statement."We worship a fully-inclusive, justice-seeking God," the statement said.Several members from African nations had stood on Tuesday to support the "Traditional" plan, saying it accords with scripture's teachings on sexuality."Today the church in Africa is growing in leaps and bounds because we are committed to biblical Christianity," said the Rev. Jerry Kulah, who is from Liberia. "You cannot be performing Christianity differently in America and Africa and suggest that we are one church."Several young Americans, on the other plan, pleaded to have their voices heard.Shayla Jordan, a 21-year-old delegate from the church's Kansas-based Great Plains Conference, said 15,000 young United Methodists had signed a petition opposing the "Traditional" plan."We need a church that is still alive. This is our church, too, and I have thousands of people with me urging you to hear this call," Jordan said.Cara Nicklas, a delegate from Oklahoma, said that she's received numerous messages from people calling her support for the church's current stance on LGBT relationships "mean-spirited and unloving.""Surely you don't want to be united with me if I am as mean and unloving as you say," she said. "You will not stop trying to make me fit your idea of a loving person."The General Conference took an unusual turn later Tuesday afternoon when Carlene Fogle-Miller, a young delegate from Florida, proposed an investigation into "vote buying" at the conference. The proposal to send the matter to the church's ethics committee passed 417-388."If there is nothing to hide, there is no need to fear an ethics investigation," Fogle-Miller said on Twitter. "Period."The United Methodists' Book of Discipline states that all people are of "sacred worth" but denounces the "practice of homosexuality" as "incompatible with Christian teaching."Openly gay and lesbian clergy members can be removed from ministry, but church trials on the matter are rare.In 2016, dozens of United Methodist clergy members came out as lesbian, gay or bisexual defying their church's ban on "self-avowed practicing homosexuals" serving in ministry and essentially daring their supervisors to discipline them.In a public letter posted online, 111 pastors, deacons, elders and candidates for ministry said church rules require "that we not bring our full selves to ministry, that we hide from view our sexual orientations and gender identities."That campaign came after a similar letter issued by 15 Methodist ministers in New York, who also openly acknowledged that they are gay or lesbian.In some parts of the United States, openly gay clergy serve with few if any restrictions. Conservatives argue that such policies threaten to break up the church into small, self-governing branches.For more than a decade, liberal United Methodists have sought to push the church to adopt more lenient provisions, without success.After the earlier vote to reject the more liberal proposal, Reconciling Ministries, a pro-LGBT church group, tweeted, "God weeps. The Spirit rages. The children of God are undefeated." 5204

When the New Year's confetti comes down at midnight, so will a wave of new laws across the country.From jury duty to pet purchases, here's a look at some of the changes for 2019:Minimum wages will get a boostAt least 19 states will increase their minimum wages on or around New Year's Day, according to the 319

WASHINGTON, D.C. (AP) — The House has easily passed an .3 billion measure to battle the coronavirus outbreak in the U.S. The sweeping bipartisan vote came just nine days after President Donald Trump requested action.The legislation came together unusually quickly, a rarity in a deeply polarized Washington. The legislation more than triples the .5 billion plan unveiled by Trump just last week. It would speed development of vaccines and new medicines to battle the virus, pay for containment operations, and beef up preparedness. Trump is expected to sign the measure, which has the blessing of top Republicans. Next up is the GOP-controlled Senate, which hopes to pass the bill Thursday for Trump's signature.The Center for Disease Control and Prevention would receive about .2 billion of the funding, while .1 billion would go to a public health and social services emergency fund, according to The Washington Post. Top Senate Democrat Chuck Schumer says “there is no reason to be penny-wise and pound-foolish” when it comes to Americans' health.As of Wednesday afternoon, 11 people in the United States have died from COVID-19, the illness associated with the new virus. All but one were in Washington state. Worldwide, more than 3,200 people have died from COVID-19, according to 1306

US women's soccer captain Megan Rapinoe sent a message to President Donald Trump on Tuesday, telling him he's excluding groups of Americans with his message and that he needs to do better in caring for every single American.When asked by CNN's Anderson Cooper what she would say to Trump, Rapinoe looked into the camera and said, "Your message is excluding people. You're excluding me, you're excluding people that look like me, you're excluding people of color, you're excluding Americans that maybe support you."The back-to-back World Cup champion added that "we need to have a reckoning" with the implications of Trump's Make America Great Again slogan, because "you're harking back to an era that was not great for everyone -- it might have been great for a few people, and maybe America is great for a few people right now, but it's not great for enough Americans in this world," she said, still directing her message to the President. 952

Two centuries after its invention, the stethoscope — the very symbol of the medical profession — is facing an uncertain prognosis.It is threatened by hand-held devices that are also pressed against the chest but rely on ultrasound technology, artificial intelligence and smartphone apps instead of doctors’ ears to help detect leaks, murmurs, abnormal rhythms and other problems in the heart, lungs and elsewhere. Some of these instruments can yield images of the beating heart or create electrocardiogram graphs.Dr. Eric Topol, a world-renowned cardiologist, considers the stethoscope obsolete, nothing more than a pair of “rubber tubes.”It “was OK for 200 years,” Topol said. But “we need to go beyond that. We can do better.”In a longstanding tradition, nearly every U.S. medical school presents incoming students with a white coat and stethoscope to launch their careers. It’s more than symbolic — stethoscope skills are still taught, and proficiency is required for doctors to get their licenses.Over the last decade, though, the tech industry has downsized ultrasound scanners into devices resembling TV remotes. It has also created digital stethoscopes that can be paired with smartphones to create moving pictures and readouts.Proponents say these devices are nearly as easy to use as stethoscopes and allow doctors to watch the body in motion and actually see things such as leaky valves. “There’s no reason you would listen to sounds when you can see everything,” Topol said.At many medical schools, it’s the newer devices that really get students’ hearts pumping.“Wow!” ″Whoa!” ″This is awesome,” Indiana University medical students exclaimed in a recent class as they learned how to use a hand-held ultrasound device on a classmate, watching images of his lub-dubbing heart on a tablet screen.The Butterfly iQ device, made by based by Guilford, Connecticut-based Butterfly Network Inc., went on the market last year. An update will include artificial intelligence to help users position the probe and interpret the images.Students at the Indianapolis-based medical school, one of the nation’s largest, learn stethoscope skills but also get training in hand-held ultrasound in a program launched there last year by Dr. Paul Wallach, an executive associate dean. He created a similar program five years ago at the Medical College of Georgia and predicts that within the next decade, hand-held ultrasound devices will become part of the routine physical exam, just like the reflex hammer.The devices advance “our ability to take peek under the skin into the body,” he said. But Wallach added that, unlike some of his colleagues, he isn’t ready to declare the stethoscope dead. He envisions the next generation of physicians wearing “a stethoscope around the neck and an ultrasound in the pocket.”Modern-day stethoscopes bear little resemblance to the first stethoscope, invented in the early 1800s by Frenchman Rene Laennec, but they work essentially the same way.Laennec’s creation was a hollow tube of wood, almost a foot long, that made it easier to hear heart and lung sounds than pressing an ear against the chest. Rubber tubes, earpieces and the often cold metal attachment that is placed against the chest came later, helping to amplify the sounds.When the stethoscope is pressed against the body, sound waves make the diaphragm — the flat metal disc part of the device — and the bell-shaped underside vibrate. That channels the sound waves up through the tubes to the ears. Conventional stethoscopes typically cost under 0, compared with at least a few thousand dollars for some of the high-tech devices.But picking up and interpreting body sounds is subjective and requires a sensitive ear — and a trained one.With medical advances and competing devices over the past few decades, “the old stethoscope is kind of falling on hard times in terms of rigorous training,” said Dr. James Thomas, a cardiologist at Northwestern Medicine in Chicago. “Some recent studies have shown that graduates in internal medicine and emergency medicine may miss as many of half of murmurs using a stethoscope.”Northwestern is involved in testing new technology created by Eko, a Berkeley, California-based maker of smart stethoscopes. To improve detection of heart murmurs, Eko is developing artificial intelligence algorithms for its devices, using recordings of thousands of heartbeats. The devices produce a screen message telling the doctor whether the heart sounds are normal or if murmurs are present.Dennis Callinan, a retired Chicago city employee with heart disease, is among the study participants. At age 70, he has had plenty of stethoscope exams but said he feels no nostalgia for the devices.“If they can get a better reading using the new technology, great,” Callinan said.Chicago pediatrician Dr. Dave Drelicharz has been in practice for just over a decade and knows the allure of newer devices. But until the price comes down, the old stalwart “is still your best tool,” Drelicharz said. Once you learn to use the stethoscope, he said, it “becomes second nature.”“During my work hours in my office, if I don’t have it around my shoulders,” he said, “it’s as though I was feeling almost naked.” 5223