成都脉管畸形去哪里治疗(成都治静脉扩张得多少钱) (今日更新中)

The Supreme Court appears deeply divided about whether it can address partisan gerrymandering and come up with a standard to decide when politicians go too far in using politics to draw congressional districts that benefit one party over another.Hearing a case on Wednesday challenging a district in Maryland, several of the justices suggested that the issue could be addressed by the courts, but grappled with how to devise a manageable standard to govern future legislative maps.How the court rules could dramatically impact future races, as Democrats try to win back the House amid widespread unhappiness at President Donald Trump. Recently a state court in Pennsylvania redrew congressional districts there, possibly serving to erase the Republicans' 12-6 district advantage.Wednesday's case was brought by a group of Republican voters in Maryland who say Democrats went too far in redrawing districts after the last census.At one point during their one hour of oral arguments, Justice Stephen Breyer wondered whether the court should take the two challenges it has already heard dealing with maps in Wisconsin and Maryland, and another case out of North Carolina and hold arguments again next fall.The suggestion could have interesting implications if Justice Anthony Kennedy, who has been considering retirement and could be a key vote in the case, were to step down at the end of this term.On the issue of partisan gerrymandering, Breyer acknowledged that there seemed like "a pretty clear violation of the Constitution in some form" but he worried that the court needed a "practical remedy" so that judges would not have to get involved in "dozens and dozens and dozens of very important political decisions."Justice Elena Kagan pointed to the case at hand and said that Democrats had gone "too far" and took a "safe" Republican district and made it into a "pretty safe one" for Democrats. She referenced a deposition that then Democratic Gov. Martin O'Malley gave where he said his intent was to create a map "that all things being legal and equal, would nonetheless be more likely to elect more Democrats rather than less."Kagan asked a lawyer for Maryland, "How much more evidence of partisan intent could we need?"Breyer seemed to urge his more conservative colleagues to step in, for the first time, and devise a framework for how to address gerrymandering.Pointing to the particular facts in the case he said, "We will never have such a record again.""What do we do, just say goodbye... forget it," Breyer asked.The challengers say former Democratic Gov. Martin O'Malley led the charge to redraw the lines to unseat long-time GOP incumbent Rep. Roscoe Bartlett. They argue that Democrats diluted the votes of Republicans in the district by moving them to another district that had a safe margin for Democrats.In 2010, Bartlett won his district with by 28 percentage points, but he lost after the new maps were drawn in 2012 by 21 percentage points.But Justice Samuel Alito seemed to be on the other side of the spectrum and said, "Hasn't this Court said time and again you can't take all consideration of partisan advantage out of redistricting?"Justice Anthony Kennedy, whose vote could be critical, did not tip his hand but indicated that the current map, no matter what happens in the court, would have to be used in the next cycle.While the Supreme Court has a standard limiting the overreliance on race in map drawing except under the most limited circumstances, it has never been successful in developing a test concerning political gerrymandering. If the justices do come up with a standard, it could reshape the political landscape.In court, Michael Kimberly, a lawyer for the challengers, said that the Democratic politicians violated the free speech rights of voters by retaliating against them based on their party registration and prior voting history.He said that government officials may not "single out" a voter based on the votes he cast before.Maryland Solicitor General Steven Sullivan defended the map and suggested that the courts should stay out of an issue that is "inherently political." He argued that if the challengers prevail in their First Amendment challenge, it will mean that any partisan motive by political players would constitutionally doom all district maps.Justice Neil Gorsuch, appearing to agree with Sullivan, noted that the maps had been approved by the legislature.The challengers suffered a setback in the lower court when a special three-judge panel of federal judges refused to issue a preliminary injunction.Last year, the Supreme Court heard a similar political gerrymandering case in Wisconsin.That case was a statewide challenge brought by Democratic challengers to Republican-drawn state legislative maps. Challengers rely on both the First Amendment charge and say the maps violated the Equal Protection clause of the 14th Amendment.It is unclear why the Supreme Court added the Maryland case to the docket after hearing arguments in the Wisconsin case. 5026

The way doctors treat asthma in both children and adults just got a major update.Speaking to the Journal of the American Medical Association, respiratory experts said the changes in guidelines focus on six key areas, including improving asthma diagnosis, management, and treatment.It’s the first published update in 13 years.“So, one of the goals of our update was to address the issue of who can use intermittent inhaled corticosteroids and when used, are they as effective as daily use,” said Michelle M. Cloutier, MD with UConn Health.One of the biggest changes is that many patients may not need to use an inhaler every day anymore.“Especially those families of young children who don’t necessarily buy into using daily medication when their children are having intermittent symptoms,” said Stephanie Lovinsky-Desir, MD, MS with Columbia University Irving Medical Center.The new recommendations for inhaler use vary by age and severity of asthma, so it’s important to talk to your doctor about the new guidelines.Asthma affects nearly 5% of adults and 10% of children.During the pandemic, because of the higher death rate of asthma patients from COVID-19, more people have been seeking treatment for the condition.The average annual cost of asthma per person is more than ,200. But research has also shown among other things, regular use of medication and flu vaccines can reduce the chances of someone with asthma being hospitalized, driving up those costs. 1472

The Trump administration is taking steps to give telehealth a broader role under Medicare, with an executive order that serves as a call for Congress to make doctor visits via personal technology a permanent fixture of the program. The order President Donald Trump signed Monday applies to one segment of Medicare recipients — people living in rural communities. But administration officials say it’s intended as a signal to Congress that Trump is ready to sign more significant legislation that would permanently open up telehealth as an option for all people with Medicare. Trump says his administration is “taking action to make sure telehealth is here to stay.”"When the invisible enemy struck our shores, we took immediate action to eliminate regulatory barriers to telehealth, making it easier for patients to consult with doctors from safety and convenience and really, they have great safety and great convenience right from their homes," Trump said. While the CDC said in June it was working on expanding access to telehealth, it did list some drawbacks to the service:Situations in which in-person visits are more appropriate due to urgency, underlying health conditions, or inability to perform an adequate physical examThe need to address sensitive topics, especially if there is patient discomfort or concern for privacyLimited access to technological devices (e.g., smartphone, tablet, computer) needed for a telehealth visit or connectivity issuesLevel of comfort with technology for HCP and patientsCultural acceptance of conducting virtual visits in lieu of in-person visits by HCP and patientsInterstate licensure challenges and other regulatory issues that may vary by state 1701

The way doctors treat asthma in both children and adults just got a major update.Speaking to the Journal of the American Medical Association, respiratory experts said the changes in guidelines focus on six key areas, including improving asthma diagnosis, management, and treatment.It’s the first published update in 13 years.“So, one of the goals of our update was to address the issue of who can use intermittent inhaled corticosteroids and when used, are they as effective as daily use,” said Michelle M. Cloutier, MD with UConn Health.One of the biggest changes is that many patients may not need to use an inhaler every day anymore.“Especially those families of young children who don’t necessarily buy into using daily medication when their children are having intermittent symptoms,” said Stephanie Lovinsky-Desir, MD, MS with Columbia University Irving Medical Center.The new recommendations for inhaler use vary by age and severity of asthma, so it’s important to talk to your doctor about the new guidelines.Asthma affects nearly 5% of adults and 10% of children.During the pandemic, because of the higher death rate of asthma patients from COVID-19, more people have been seeking treatment for the condition.The average annual cost of asthma per person is more than ,200. But research has also shown among other things, regular use of medication and flu vaccines can reduce the chances of someone with asthma being hospitalized, driving up those costs. 1472

The unemployment rate has dipped below 4 percent for the first time since 2000.The United States added 164,000 jobs in April, the Labor Department reported Friday. That was slightly below what economists expected. Unemployment dropped to 3.9 percent, the lowest since December 2000."The employment situation continues to surprise everyone," said Robert Frick, chief economist with Navy Federal Credit Union. "Getting down to 3.9 is quite a marker."Wages grew 2.6 percent from a year earlier. That was also slightly below expectations.The report indicates another month of solid job growth for an economy that has been expanding for almost nine years — the second-longest streak on record.Hiring gains in April were broad. Professional and business services added 54,000 jobs, health care added 24,000, and manufacturing posted an increase of 24,000 jobs.The mining sector added 8,000 jobs, extending its gains. Employment in mining has risen by 86,000 since October 2016.The wage growth number seemed unlikely to alarm Wall Street, which has been worried in recent months about inflation. Stock futures were little changed after the report came out.Inflation is closing in on the Federal Reserve's 2% target, gasoline is heading toward a gallon, and companies are reporting cost pressures. Faster inflation could force the Federal Reserve to raise interest rates more quickly than planned.Frick believes unemployment will keep falling as businesses offer more attractive wages and benefits to fill openings."There's still hundreds of thousands of more people who will enter the workforce," he said. "I think we can get down to 3.5 percent."If unemployment falls much further, it will reach territory not seen in half a century. Unemployment fell as low as 3.8 percent in April 2000, in the waning days of the technology boom. The last time it was lower than that was 1969. 1898

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