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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 U.S. continues to lead the world in deaths linked to COVID-19 with more than 222,000 — and some experts believe that figure is much higher. But according to a new study, at least 130,000 of those deaths could have been avoided.According to a study by the National Center for Disaster Preparedness at Columbia University, the U.S. could have avoided between 130,000 and 210,000 COVID-19 deaths had the country adopted mitigation policies similar to those used by other "high-income nations."It's clear that the U.S. has disproportionately felt the affects of the pandemic — though it has just 4% of the world's population, it accounts for 20% of COVID-19 cases worldwide. The U.S. death toll stands in stark contrast to countries with similar resources, like South Korea, Japan, Australia, Germany, Canada, and France.To calculate the U.S.'s "avoidable deaths," the study applied the death rates of those countries to the U.S.'s population. Researchers then subtracted that figure from the U.S.'s current death count.By that calculation, researchers concluded that 130,000 lives could have been saved had the U.S. adopted policies similar to that of Canada's, and that as many as 215,000 lives could have been saved had the country adopted policies similar to South Korea.In explaining why U.S. deaths are disproportionately high, the Columbia researchers cited four key mistakes:Insufficient testing capacity: Researchers cited issues the U.S. had early on in the pandemic in developing and acquiring tests, while countries like South Korea were prepared almost immediately to test for the virus on a widespread scale.Delayed response: A previous Columbia University study determined that instituting national social distancing measures just one or two weeks earlier would have saved 36,000 of lives.Lack of a national mask mandate: Top health officials recommended against masks early on in the pandemic, fearing that doing so would lead to a shortage. Even today, masks have become politicized in some circles despite evidence showing that wearing one reduces the spread of droplets that can carry the virus.Failure from federal leadership: The Columbia study cited the Trump administration's "hostility to much of the critical guidance and recommendations put forth by its own health agencies," specifically citing the president's attempts to "downplay" the virus.Read more about the Columbia University study here. 2430
The stockpiling frenzy that occurred in the spring during the first wave of COVID-19 may rear its ugly head again.Research from Inmar Intelligence shows that 57% of shoppers are planning to rebuild their stockpile as worldwide coronavirus cases surge in what experts call a second wave.In the months following the pandemic's beginning, cleaning supplies and toilet paper disappeared from store shelves as quickly as they were stocked.According to Inmar, 64% of shoppers said they took part in the spring stockpiling.By far, toilet paper (67%) and hand sanitizer (57%) are on top of the list when it comes to products that shoppers plan to hoard should they find it necessary to create another stockpile.Inmar Intelligence says it is now the responsibility of retailers to make sure supply meets demand as communities once again face possible shutdowns in the face of rising COVID-19 cases."Today's shoppers still have concerns around safety, availability, and convenience, and will continue to look to their local retailers to deliver consistency and seamless customer service across all touchpoints," said Inmar Chairman and CEO David Mounts in a press release. "As we enter one of the busiest shopping seasons, it will be important for retailers not only to prepare for this new surge in demand but also to deliver value to customers during this time of crisis to maintain heightened trust and customer loyalty."The firm stated that 27% of shoppers are considering a winter stockpile because they're concerned certain products won't be in stock when they need them.In comparison, another 27% are concerned about in-store shopping safety if a second wave were to happen.Other products that consumers have stocked up or plan to stock up on are paper towels (52%), disinfecting wipes (53%), and canned goods (54%).45% of shoppers said they plan to purchase new items such as frozen dinners, pasta, snacks, and cleaning products, which weren't in their first stockpile.This story was first reported by Jeff Tavss at KSTU in Salt Lake City, Utah. 2051
The Sarasota County, Florida School District confirms they are looking into a racially offensive promposal that was posted to social media. A spokesperson for the district confirms the Riverview High School senior posted a picture that they worry will be a disruptor to the school and student safety. The post made to Snapchat reads, "If I was Black I'd be picking cotton, but I'm white so I'm picking U 4 Prom?"The district tells us they have not concluded if the 18-year-old will be banned from prom as it's an ongoing investigation. Sarasota County Schools has released the following statement on the incident: 636
The Trump administration will no longer seek to automatically release pregnant immigrants from detention -- a move in line with the overall efforts by the administration to hold far more immigrants in custody than its predecessors.The change in policy was sent by Immigrations and Customs Enforcement to Congress on Thursday morning and obtained by CNN.According to the new directive, immigration officers will no longer default to trying to release pregnant women who fall into immigration custody, either because they are undocumented or otherwise subject to deportation. The Obama administration policy urged officers to presume a pregnant woman could be released except for extreme circumstances.But a FAQ sent with the directive makes clear that ICE is not going to detain all pregnant immigrants. The policy will require a case-by-case evaluation, the FAQ explains, and will keep in custody "only those whose detention is necessary to effectuate removal, as well as those deemed a flight risk or danger to the community."ICE will also lean towards releasing pregnant women if they are in their third trimester, and will also make an effort for detention facilities to provide services to pregnant women and parents.The move follows controversial efforts by the Department of Health and Human Services to keep unaccompanied minor immigrants in custody rather than releasing them to obtain abortions, a policy that has been the subject of intense litigation.The-CNN-Wire 1482