中山华都医院治痔疮需花多少钱好吗(中山华都痔疮医院好吗) (今日更新中)

WASHINGTON, D.C. – Louisiana is a state dealing with not one, but two multi-billion-dollar natural disasters within the span of six weeks: Hurricanes Laura and Delta.“This family had just moved in less than a week ago,” said Chuck Robichaux, mayor of the town of Rayne, Louisiana. “They’re just getting settled in, haven’t even put all their things in place, and they’re having to move out until we can get it repaired.”It’s a heartbreaking scenario playing out across the country this year.Up until Hurricane Delta, the National Oceanic and Atmospheric Administration said the country experienced 16 natural disasters this year, each with damages over a billion. Those included wildfires and droughts in the West, tornadoes, severe weather and flooding in the Midwest and hurricanes along the East and Gulf Coast.That number, 16, tied the record for the most billion-dollar disasters ever recorded in a single year, until Hurricane Delta broke the record with at least billion in damages.“The overall trend is one of an increasing number of billion-dollar disasters,” said Jeff Schlegelmilch, director of the National Center for Disaster Preparedness at Columbia University.He said there are two main reasons there have been more of these high-priced disasters.The first is climate change.“To deny climate change is to deny one of the critical drivers of these disasters,” Schlegelmilch said.The other reason, he said, comes down to where people choose to live. The population is growing, which is leading to more development in vulnerable areas, like in hurricane-susceptible coastlines and in wooded areas susceptible to wildfires.“Are we prepared to accommodate such large numbers of people in areas that are increasingly vulnerable to disasters?” Schlegelmilch said. “And, if not, what investments do we need to make in order to do that?”That might mean putting stricter building codes in place and rethinking disasters beyond just responding to them when they happen, the way FEMA and states do now.“It's not just about responding to the disaster, it's about preventing it, it's about mitigating it,” Schlegelmilch said. “So, looking at this more holistically, I don't think we yet have a great model for doing this federally or at the states or at the community level.”It’s more than just about the numbers, though, when it comes to billion-dollar disasters. There is a tremendous personal cost, too.“What we don't really capture as accurately within those numbers are the loss of lives, the loss of livelihoods and the communities that can actually be held back for a generation or more,” Schlegelmilch said.That leaves impacts felt both now and potentially by generations that follow. 2707

WASHINGTON (AP) — The Trump administration says people would drive more and be exposed to increased risk if their cars get better gas mileage, an argument intended to justify freezing Obama-era toughening of fuel standards.Transportation experts dispute the arguments, contained in a draft of the administration's proposals prepared this summer, excerpts of which were obtained by The Associated Press.The excerpts also show the administration plans to challenge California's long-standing authority to enact its own, tougher pollution and fuel standards.Revisions to the mileage requirements for 2021 through 2026 are still being worked on, the administration says, and changes could be made before the proposal is released as soon as this week.RELATED: California sues over plan to scrap car emission standardsThe Trump administration gave notice earlier this year that it would roll back tough new fuel standards put into place in the waning days of the Obama administration. Anticipating the new regulation, California and 16 other states sued the Trump administration in May.Overall, "improvements over time have better longer-term effects simply by not alienating consumers, as compared to great leaps forward" in fuel efficiency and other technology, the administration argues. It contends that freezing the mileage requirements at 2020 levels would save up to 1,000 lives per year.New vehicles would be cheaper — and heavier — if they don't have to meet more stringent fuel requirements and more people would buy them, the draft says, and that would put more drivers in safer, newer vehicles that pollute less.RELATED: EPA moves to weaken Obama-era fuel efficiency standardsAt the same time, the draft says that people will drive less if their vehicles get fewer miles per gallon, lowering the risk of crashes.David Zuby, chief research officer at the Insurance Institute for Highway Safety, said he's doubtful about the administration's estimate of lives saved because other factors could affect traffic deaths, such as automakers agreeing to make automatic emergency braking standard on all models before 2022. "They're making assumptions about stuff that may or may not be the same," he said.Experts say the logic that heavier vehicles are safer doesn't hold up because lighter, newer vehicles perform as well or better than older, heavier versions in crash tests, and because the weight difference between the Obama and Trump requirements would be minimal.RELATED: President Trump, California clash over key issues"Allow me to be skeptical," said Giorgio Rizzoni, an engineering professor and director of the Center for Automotive Research at Ohio State University. "To say that safety is a direct result of somehow freezing the fuel economy mandate for a few years, I think that's a stretch."Experts say that a heavier, bigger vehicle would incur less damage in a crash with a smaller, lighter one and that fatality rates also are higher for smaller vehicles. But they also say that lighter vehicles with metals such as aluminum, magnesium, titanium and lighter, high-strength steel alloys perform as well or better than their predecessors in crash tests.Alan Taub, professor of materials science and engineering at the University of Michigan, said he would choose a 2017 Malibu over a heavier one from 20 years earlier. It's engineered better, has more features to avoid crashes and additional air bags, among other things. "You want to be in the newer vehicle," he said.RELATED: Nearly every governor with ocean coastline opposes Trump's drilling proposalAn April draft from the Trump administration said freezing the requirements at 2020 levels would save people ,900 per new vehicle. But the later draft raises that to ,100 and even as high as ,700 by 2025.Environmental groups questioned the justification for freezing the standards. Luke Tonachel, director of the clean-vehicle program at the Natural Resources Defense Council, said the risk from people driving more due to higher mileage is "tiny and maybe even negligible."Under the Trump administration proposal, the fleet of new vehicles would have to average roughly 30 mpg in real-world driving, and that wouldn't change through 2026.California has had the authority under the half-century-old Clean Air Act to set its own mileage under a special rule allowing the state to curb its chronic smog problem. More than a dozen states follow California's standards, amounting to about 40 percent of the country's new-vehicle market.Asked if he thinks a freeze in U.S. mileage standards is warranted, EPA acting administrator Andrew Wheeler told a small group of reporters at EPA headquarters last week, "I think we need to go where the technology takes us" on fuel standards.Wheeler did not elaborate. Agency spokespeople did not respond when asked specifically if the EPA acting chief was making the case that modern cars could be both fuel efficient and safe.Wheeler also spoke out for what he called "a 50-state solution" that would keep the U.S car and truck market from splitting between two different mileage standards.The Department of Transportation said in a statement that the final fuel economy standards would be based on sound science. The department cautioned that a draft doesn't capture the whole picture of the proposed regulation.The draft said a 2012 analysis of fuel economy standards under the Obama administration deliberately limited the amount of mass reduction necessary under the standards. This was done "in order to avoid the appearance of adverse safety effects," the draft stated.___Krisher reported from Detroit. 5642

Watch out, Amazon and Walmart. Kroger is making a big move in the online grocery fight.America's largest grocery chain launched "Kroger Ship," a direct home delivery service, in four cities on Wednesday: Cincinnati, Houston, Louisville, and Nashville. It will expand to new markets in the coming months.Kroger already offers delivery from 1,200 of its stores through third-parties like Instacart and curbside pickup at 1,250. Both are valuable tools to help Kroger offer current and potential customers convenience and keep pace with rivals.Related: Kroger's online sales up 66%. Amazon and Walmart have a real competitorBut Ship new will give the company a new weapon as more shoppers order groceries online and legacy brick-and-mortar retailers Walmart and Target build up their digital capabilities to compete with Amazon. Amazon's Whole Foods acquisition last year blurred the lines between online and offline food retail."Kroger has now returned the favor," said Bill Bishop, the co-founder of grocery retail consulting firm Brick Meets Click."This move expands Kroger's online market potential since it gives Kroger a way to serve customers who don't have convenient access to their stores," he added.Kroger's delivery website went live on Wednesday, and shoppers can pick from more than 50,000 grocery, household, beauty, and pet food choices.The company is focusing on its private label collection with Ship by offering more than 4,500 of its own brands.These sales are valuable for Kroger since they come with higher profit margins, helping offset expensive online shipping costs. For example, Kroger is offering Bromley's for Men, a new shave line the company introduced last week.Kroger is offering free shipping on purchases above , but orders below will come with a .99 delivery fee. During the launch phase, the company is offering shoppers free shipping and 15% off their orders using a promo code.Ship also features an order-and-save subscription, which Kroger believes can help convince customers to make repeat purchases.Online purchases will be fulfilled directly from Kroger's two current fulfillment centers and a third one opening in the fall. The company is working with FedEx and the Postal Service to ship orders, which can be delivered as soon as the next day. 2299

WASHINGTON (AP) — The Border Patrol’s parent agency has fired four employees and suspended 38 without pay for inappropriate social media activity. The announcement comes one year after revelations of a secret Facebook group that mocked members of Congress and migrants. Customs and Border Protection said another 33 employees were disciplined with reprimands or counseling. Of 138 cases investigated, 63 were found unsubstantiated. Posts questioned the authenticity of images of a migrant father and child dead on a riverbank and depicted doctored images of Rep. Alexandria Ocasio-Cortez purporting to perform a sex act on President Donald Trump. 654

WASHINGTON (AP) — The Trump administration on Saturday unveiled a billion Palestinian investment and infrastructure proposal intended to be the economic engine to power its much-anticipated but still unreleased "deal of the century" Middle East peace plan.The scheme, which calls for a mix of public and private financing and intends to create at least a million new jobs for Palestinians, was posted to the White House website ahead of a two-day conference in Bahrain that is being held amid heavy skepticism about its viability and outright opposition from the Palestinians. Palestinian President Mahmoud Abbas on Saturday reiterated his rejection of the proposal and the conference.The "Peace to Prosperity" workshop on Tuesday and Wednesday will also take place amid heightened regional tensions over Iran that threaten to overshadow its goals.With no official participation from the two main protagonists, Israel and the Palestinians, and scant enthusiasm from others, continued uncertainty and strong doubts over the plan's political vision and the distraction of potential U.S.-Iran conflict, expectations are decidedly low. President Donald Trump's senior adviser and son-in-law Jared Kushner faces high hurdles in building support for the initiative.The 10-year plan calls for projects worth .5 billion in the West Bank and Gaza, and .1 billion, .4 billion and .3 billion for Palestinians in Egypt, Jordan and Lebanon, respectively. Projects envisioned include those in the health care, education, power, water, high-tech, tourism, and agriculture sectors. It calls for the creation of a "master fund" to administer the finances and implementation of the projects that is says are akin to the Marshall Plan that rebuilt Europe after World War II.The plan foresees more than doubling the Palestinian gross domestic product, reducing the Palestinian poverty rate by 50 percent and cutting the sky-high Palestinian unemployment rate to nearly single digits, according to the documents, which do not specify exactly how the projects will be funded.It also calls for linking the West Bank and Gaza with a modern transportation network, including high-speed rail service. Such ideas have been floated in the past in previous peace proposals but have run into Israeli security concerns."Generations of Palestinians have lived under adversity and loss, but the next chapter can be defined by freedom and dignity," the White House said, calling the plan "the most ambitious international effort for the Palestinian people to date."But an already tough sell that has vexed U.S. administrations for decades is made tougher not least because Trump and his aides have refused to endorse a two-state solution to the conflict that has long been seen as the only viable path to lasting peace. They have also suggested they are open to unilateral Israeli annexation of occupied territory in the West Bank. And, officials say there is no intention of discussing either issue or the most contentious parts of their proposal to end the long-running conflict.Thus, the core political issues that are key to resolving the dispute, such as borders, the status of the holy city of Jerusalem, Israel's security and the fate of Palestinian refugees, will not be raised. Such matters, U.S. officials have said, may have to wait until the fall, after Israeli elections, leaving numerous questions that potential investors almost certainly want answers to before making even tentative financial commitments.Palestinian leaders, angered by what they and their supporters see as blatant U.S. bias toward Israel, want nothing to do with the workshop and will not participate. The Palestinians have called for mass demonstrations against the conference on Monday, Tuesday and Wednesday."The plan cannot pass because it ends the Palestinian cause," Abbas said on Saturday. "We are not going to attend this workshop, the reason is that the economic situation should not be discussed before a political situation, so long as there is no political situation, we do not deal with any economic situation."Abbas spokesman Nabil Abu Rdeneh said a "political horizon" is essential for any Palestinian cooperation. "Our cause is a political one and should be dealt with as such. It is a strategic mistake and the American administration is committing daily mistakes against the Palestinian people. Without Palestinian approval, there is no value to any meeting, and without a political horizon, no one will deal with any effort. This conference was born dead just like the deal of the century."An economic adviser to Abbas said projects envisaged in the U.S. proposal could be considered, but only after the political question is agreed upon. "Yes, we need to build the infrastructure, the investment, the tourism sector ... but that cannot come before ending the Israeli occupation," Mohammed Mustafa, head of Palestinian Investment Fund, told The Associated Press.In Gaza, the rival Hamas militant group has also condemned the conference. "In one voice, we say no to the Manama workshop and the deal of the century," Hamas leader Ismail Haniyeh said. He appealed to Bahrain's king to "take a brave, strong, authentic Arab decision not to host this workshop" and called on Arab countries to cancel their planned participation.Complicating the Bahrain meeting is the fact that it coincides with a pledging conference in New York for the U.N. agency for Palestinian refugees, a 70-year-old institution that the Trump administration has defunded and wants to eliminate entirely. The U.N. Relief and Works Agency, or UNRWA, already provides health, education and other services to millions of Palestinians.Its supporters suspect the administration purposely scheduled the Bahrain conference to conflict with its event, noting that Kushner's peace plan partner Jason Greenblatt has publicly called for UNRWA's dissolution. Greenblatt argued last month that the agency perpetuates Palestinian victimhood, abets anti-Israel sentiment and is an inefficient drain on funds that could be better directed.Kushner's plan includes large sums of money for Jordan and Lebanon, countries with large Palestinian refugee populations, in an apparent attempt to have them absorbed into these nations.Regardless of American intent, the dueling meetings are likely to leave donors, particularly European nations, in an awkward position: torn between supporting an established international organization or a mystery concept being put together by a U.S. administration that has in two years reversed a half-century of American Middle East policy.Since Trump took office, he has recognized Jerusalem as Israel's capital, moving the U.S. embassy there from Tel Aviv, downgraded the consulate devoted to Palestinian issues, shut down the Palestinian office in Washington and slashed hundreds of millions of dollars in assistance to the West Bank and Gaza.Such steps have made Kushner's prospects for success in Bahrain even slimmer, according to experts."This is trying to dangle some benefits to the Palestinians to accept terms they already rejected," said Shibley Telhami, a Mideast scholar and the Anwar Sadat professor for peace and development at the University of Maryland. "A lure to get the Palestinians to accept the unacceptable is not going to work. It's impossible."Although Washington's Gulf Arab allies are supportive of the plan, Israel's immediate neighbors have been more reluctant to embrace it.Jordan and Egypt, the only two Arab countries with peace deals with Israel, are sending mid-ranking officials from their finance ministries and not Cabinet ministers to Bahrain.Jordanian foreign ministry spokesman Sufian al-Qudah reiterated Amman's position that a two-state solution, with a Palestinian state on the pre-1967 borders and a capital in east Jerusalem, "is the only way to resolve the conflict and achieve security, stability and comprehensive peace in the region."Egypt supports the same conditions, the state-run news agency quoted Foreign Ministry spokesman Ahmed Hafez as saying. 8073

来源：资阳报