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First it was catastrophic lava. Then it was sulfur dioxide. Now Big Island residents have yet another danger to worry about.Laze -- a mashup of "lava" and "haze" -- is a nasty product formed when hot lava hits the ocean, sending hydrochloric acid and volcanic glass particles into the air.And now it's a real threat after lava crossed Highway 137 late Saturday night and entered the Pacific Ocean, the Hawaiian Volcano Observatory (HVO) said.Laze can cause lung, eye and skin irritation. And it's proven deadly in the past."This hot, corrosive gas mixture caused two deaths immediately adjacent to the coastal entry point in 2000, when seawater washed across recent and active lava flows," the HVO said.Officials are warning people to stay away from areas where lava meets the ocean. But further inland, residents have other problems. 857

Five-figure signing bonuses, free housing, college tuition for employees and their children.Hospitals and other medical facilities are getting so desperate to recruit and retain nurses they're offering all sorts of pricey perks and incentives."These are some of the grandiose examples we've heard from our members," said Seun Ross, director of nursing practice and work environment at the American Nurses Association. "Who knows what employers will come up with next?"America is undergoing a massive nursing shortage. Not only are experienced nurses retiring at a rapid clip, but there aren't enough new nursing graduates to replenish the workforce, said Ross.The nation's aging population is exacerbating the problem. The American Nurses Association estimates the U.S. will need to produce more than one million new registered nurses by 2022 to fulfill the country's health care needs.UCHealth, which operates nine acute-care hospitals and more than 100 clinics across Colorado, Wyoming, and Nebraska, currently has 330 openings for registered nurses. Since the nonprofit health system can't find all the nurses it needs locally, it has been seeking out candidates from other states -- and sometimes other countries.To entice these new recruits, it has offered relocation allowances and signing bonuses of up to ,000, said Kathy Howell, chief nursing executive for UCHealth.UCHealth is trying to sweeten the pot in other ways, as well. It provides nurses with up to ,000 a year to invest in continuing education. And it offers the Traveler RN program, which allows nurses to do a 13-week rotation at different UCHealth facilities.Meanwhile, across the country, Inova Health System is offering candidates who have at least two years of critical care experience and live more than 50 miles from one of its six Washington, D.C.-area hospitals a ,000 sign-on bonus and up to ,000 in reimbursable relocation costs, said chief nursing officer Maureen E. Sintich. Candidates who live within 50 miles of one of Inova's hiring hospitals are offered a ,000 signing bonus.This fall, West Virginia's WVU Medicine, which operates eight hospitals in the state, will start offering tuition reimbursement for employees and their children."It's for nurses and for all of our staff who've been here for five or more years. We're also extending it for their children to fully cover their college tuition if they go to West Virginia University or partially cover tuition if they go elsewhere," said Mary Fanning, director of WVU Medicine Nursing Administration.WVU, which is currently looking to hire 200 nurses, also offers free housing to some of its nurses as part of its commuter program. The perks, it said, are aimed at both attracting new recruits and retaining existing staff.Lacy Russell, 24, applied for a job as an intensive care unit nurse with WVU after she learned about the commuter program from a friend.Under the program, nurses who live 60 to 90 miles away from WVU's hospital in Morgantown, West Virginia, are offered a free place to stay. Russell, who was hired in 2016, lives an hour and 20 minutes away from the hospital. She stays at the hospital-owned lodging during her shifts Friday through Sunday."I save so much on gas by not having to drive back and forth," she said. "I graduated from nursing school with ,000 in student debt. So this really helps."She plans to work at the hospital for at least a few more years and also take advantage of the tuition reimbursement at some point so she can continue to advance her training and skills.Did you recently go to the emergency room and receive a big bill? Tell us about it here.Bonuses and incentives may help, but hospitals have another big force working against them: The booming US economy.Periods of economic upswing aren't necessarily good for the nursing industry, said Susan Salka, CEO of AMN Healthcare, one of nation's largest providers of medical staffing services."During economic downturns, nurses stay put in their jobs and attrition dips," she said. "When the economy is booming, attrition goes up. Nurses feel more comfortable pulling back on their hours or moving ahead with their retirement decision."In two-income households, if their partner is doing well financially, some nurses feel comfortable dropping out of the workforce to take a break from a grueling job, said Salka.The American Nurses Association's Ross worries that rich bonuses and creative perks may not go far enough to retain nurses in the long run."What's to stop nurses from accepting a job because of the perks and then hop to another hospital after two years because of their perks," she said.A better approach would be to invest in improving the work environment for nurses and offering better pay, career development and hours to help make sure they don't burn out, she said."All it takes is for one nurse to tell her friend that where she works is a great place for these reasons and applications will come in," Ross said. 5015

For Rep. Martha McSally, there may be another way to get to the Senate: an appointment.A day after the Arizona Republican conceded her Senate campaign to Democratic Rep. Kyrsten Sinema, the state's other senator, Jon Kyl, told CNN on Tuesday he has decided whether to leave office before his term ends at the end of next year. He wouldn't reveal his decision, but said he will talk to Gov. Doug Ducey about it.He also praised McSally, who once worked on his staff as a national security adviser, when asked about her as a potential replacement if he resigns."Martha McSally would be a very good member of the United States Senate, however she got there," Kyl said. "And I regret that she didn't make it in her election.""I can't think of anybody more qualified than Martha McSally," he added.In the interview, Kyl made clear that an appointment would be Ducey's decision, saying he didn't "want to try to try to influence that." He said his comments "have nothing to do with any potential candidate to replace me."Later Tuesday, in a separate interview, Kyl continued to praise McSally, but said his praise was meant outside the context of an appointment "because it is strictly the governor's job and he's got a lot of factors to consider and I'm not getting in the way of that."In September, Ducey tapped Kyl to temporarily replace former Sen. John McCain, who died in late August. At the time, Kyl said he would remain in office at least through this year -- but that he would not run for re-election in 2020, when a special election will be held to fill the remaining two years of McCain's term. It left open the possibility that Ducey would be choosing a second replacement after the midterm elections.Kyl said Tuesday that he and his family have "pretty much come to the conclusion of what we want to do," but would not reveal that decision.When asked if he would continue to serve in the Senate in 2019, Kyl said, "I'm going to be discussing my plans with the governor, and everybody else will be the second to know."Aides and operatives close to Ducey deflected questions about a potential replacement for Kyl early this week."The governor is hopeful that Kyl will continue to serve in the appointed Senate seat through 2020," said Ducey senior adviser Daniel Ruiz. "At this point we would not speculate on a vacancy that does not exist."Kyl said he talks to Ducey "all the time" and not to expect an announcement "anytime soon" about his future.But in the wake of Sinema's victory in the race for Arizona's other Senate seat, some Republicans in the state buzzed about the possibility of McSally replacing Kyl."I don't think it's an unreasonable thing to think that he would do. The governor's kept his cards very close to his chest," said Chuck Coughlin, a veteran Arizona Republican strategist.There are, several Arizona Republicans pointed out, significant downsides to appointing McSally, too: She's the only Republican to lose a Senate race in Arizona in 30 years. And she cast aside what had been a more moderate record on issues like immigration to align herself closely with Trump -- a departure from the tactics of Ducey, who ran as an independent-minded, business-focused governor in a runaway re-election victory."Hopefully she'll have learned something from this election, in terms of making herself more friendly to the Arizona electorate," Coughlin said of McSally.McSally and Ducey aren't particularly close, Arizona Republicans said -- and McSally is just one of several possible selections. Others on the list include Karrin Taylor Robson, an Arizona Board of Regents member and real estate developer, who is well-liked by the GOP donor community; Kirk Adams, a former Arizona House speaker who is Ducey's chief of staff but widely expected to leave his office soon; and Eileen Klein, a chief of staff for former Gov. Jan Brewer who Ducey appointed state treasurer in April.Ducey's appointment wouldn't preclude other Arizona Republicans from running in the 2020 primary in a race that's likely to be among the nation's most competitive.Former Arizona attorney general Grant Woods, a former chief of staff for McCain, has said he is considering running for Senate as a Democrat. Former astronaut Mark Kelly, the husband of former Rep. Gabby Giffords, has also openly mulled a run. Rep. Ruben Gallego and Greg Stanton, the former Phoenix mayor who was elected to the House last week, are also on the list of potential candidates Democratic strategists have mentioned. 4510

For so many Americans, 2020 has been one of the most challenging years of their lifetimes. From an unprecedented pandemic, to the fight for racial justice, there are scars that still show as we prepare to usher in the new year. But amid the struggle, there have been signs of hope for a better future.The working manTens of millions of Americans have felt the devastating blows the year has brought with it, particularly Chad Whitenmeyer.“Some of [the conversations we had this year] were very scary,” he said. “We had the ‘what are we going to do for money?’”Whitenmeyer, 39, worked for a factory where he relied on the 12-hour days to feed his family of six. But when COVID-19 hit, he was one of the first people he knew to contract the virus.“When I took a breath, it felt like I wasn’t taking a full breath,” he said inside of his mobile home in Loveland, Colorado. “I thought I was in the process of dying.”Chad first lost some motor function as he stayed quarantined at home. Then, he lost his job and along with it, his family’s insurance.“You go down this black hole that you can’t get out of,” he said.After four months of short-term disability, Whitenmeyer applied for unemployment, but because he contracted COVID-19 so early in the pandemic, he was not able to get a test, meaning he had no proof he was actually diagnosed.It forced his wife to find temporary employment while Chad, a man who had prided himself on being the family’s breadwinner for two decades, to stay at home and provide for their kids in a different way.“It’s one of the worst feelings I’ve had about myself in my entire life,” he said. “It feels as though you can’t provide any worth to anyone around you.”The transplant patientOn June 26, 52-year-old Carl Werden was like so many other Americans: trying to stay healthy, while leading a modest life as a contractor.But on June 27, everything changed when Werden, a man with no underlying conditions, contracted the virus when he went to visit his daughter in Massachusetts.In only a matter of days, Werden’s condition deteriorated and he was sent to the hospital, a place he would remain for the next six months.“I think a lot of people think if they get sick with COVID, they’ll just be in the hospital for a few days and then they can go home, but that’s not how it works,” he said from his hospital bed over a Zoom call.For four months, Werden slipped in and out of consciousness as he battled the virus, but in October, his lungs had finally given up. Doctors said if he did not get a double lung transplant, it would only be a matter of days until he died.“Because of the COVID, there was a lot of fibrosis in my lungs and it just kept getting worse,” said Werden. “They cut me open, then they cut my rib cage in half.”Much like COVID-19, Werden does not know where those donated lungs came from. But, no longer paralyzed by fear, he is thankful to still be here.“I want people to realize there are people who are perfectly healthy, like I was, that go from being perfectly healthy to having a double lung transplant,” he said.The pastorIn San Diego, while still grappling with the effects of the pandemic, Pastor Miles McPherson, 60, was dealing with the fallout of a different virus that had taken control of the country in May.“The symbolism of how [Derek Chauvin] killed George Floyd, how I received it was, you are nothing, there’s nothing you can do about it,” said McPherson.After watching the 8 minute and 43 second video of George Floyd’s death in Minneapolis, McPherson saw the country come to grips with an outspoken racial reckoning that took hold of his community, as it did so many others across the country.“This was protracted, lengthened out murder,” he said. “It was as cold-hearted as I’ve seen.”McPherson, a Black man, grew up watching his father serve as a police officer, a path his son is now following as well.“There are a lot more people saying we have to do something, what that is, a lot of people don’t know, but that’s something,” he said. “And that’s the beginning of change.”McPherson is working to be a part of that change through a program called The Third Option Similarity Training. He developed it after publishing his book "The Third Option," recognizing the need for a racial reconciliation training program based on honor.The program is being used by schools, churches, and businesses, teaching people how to honor the similarities between us and use those similarities to establish connection and mutual understanding. The training provides actionable steps and creates space for conversations aimed at creating real change.The resolutionAs we come to the final chapter of 2020, it is easy to look at the negatives, but that’s not where the sights of Whitenmeyer, Werden, and McPherson lie. They are focused on a brighter future.As a stay-at-home dad, Whitenmeyer has invested in a camera where he shoots and edits videos of the daily adventures he has with his kids and posts them on YouTube.“Even though this year, for my body, physically speaking, has been the worst year of my life, I’ve gotten to do what I’ve wanted to do, which is to be a dad,” he said.Carl Werden, while still in the hospital, has not only regained the function of his new lungs, but has started walking as he progresses through rehab.“I’m thankful every day,” he said.Pastor Miles McPherson, along with many of his congregants, feel that in the face of extreme racial tension, our country is well on its way to becoming more unified.“I am always hopeful there’s going to be a victory in the end, not only for Black people, but us as a people, because we’re all one race,” he said.In a year that has left us all paralyzed in so many different ways, there are still reasons to keep moving forward, to put one foot in front of the other and work towards a better tomorrow. 5833

Former President Barack Obama on Tuesday criticized President Donald Trump's decision to exit the Iran deal, a pillar of Obama's legacy on foreign policy."Indeed, at a time when we are all rooting for diplomacy with North Korea to succeed, walking away from the JCPOA risks losing a deal that accomplishes -- with Iran -- the very outcome that we are pursuing with the North Koreans," Obama said in a statement. "That is why today's announcement is so misguided."Trump announced on Tuesday afternoon that he was withdrawing the US from the nuclear agreement with Iran and said he would impose new sanctions.In his statement defending the multiparty agreement with Iran, known as the Joint Comprehensive Plan of Action, Obama cited many who support the deal, including the US' European allies, and he invoked the support of US Secretary of Defense James Mattis, who has said it is in the interest of the US to stay in the agreement."In a democracy, there will always be changes in policies and priorities from one Administration to the next," Obama's statement continued. "But the consistent flouting of agreements that our country is a party to risks eroding America's credibility, and puts us at odds with the world's major powers."The former President was joined in his disapproval of Trump's decision on Tuesday by former Vice President Joe Biden and former Secretary of State John Kerry.Biden said in a statement following Trump's announcement that the decision is "a profound mistake" and that it would put Iran on the path to developing nuclear weapons without diplomatic recourse."This wholly unnecessary crisis could ultimately put the safety of our country and our fellow citizens, including thousands of men and women in uniform serving across the Middle East, at risk by setting us back on a path to war with Iran," Biden said.Kerry condemned the move by Trump to abandon the agreement he had helped forge."Today's announcement weakens our security, breaks America's word, isolates us from our European allies, puts Israel at greater risk, empowers Iran's hardliners, and reduces our global leverage to address Tehran's misbehavior, while damaging the ability of future Administrations to make international agreements," Kerry's statement said.In the leadup to Trump's announcement, Kerry called for Trump to keep the agreement intact, and on Monday, Trump criticized Kerry on Twitter for what he called "shadow diplomacy." 2482

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