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Rural hospitals across the country are in a difficult spot right now. COVID-19 is hitting them harder than many metropolitan hospitals as they deal with issues of lower staffing.According to the National Center for Biotechnology Information, about 20% of our nation’s population lives in rural areas, yet less than 9% of our nation’s physicians practice there.Add on the fact that according to CDC data, COVID is killing rural Americans at a rate 3.5 times higher than those living in metropolitan areas, and this issue is affecting staff and patient care.“I’m very worried about rural health care because rural health care is teetering on the brink right now,” said Dr. Kurt Papenfus, an ER doctor at Keefe Memorial Hospital in rural Cheyenne Wells, Colorado. “There’s a darkness in this illness that I can’t say I’ve said about any other illness.In late October, Dr. Papenfus contracted COVID-19 as he was traveling back from the Northeast to visit his daughter.“I was very cognizant and was wearing a mask at all times, social distancing, and washing my hands,” Papenfus said. “But I remember having this thought on the train that this is a super-spreader event.”When he got home, Papenfus got tested and was confirmed positive for COVID-19. The diagnosis put Keefe Memorial in a tailspin as he served as the only ER doctor in the small 25-bed hospital.“We are a trauma level four hospital so keeping that physician on staff 24/7 is what we are required to do,” said Stella Worley, Keefe Memorial’s CEO. “And it is getting to be more of a challenge to have hired physicians out here in rural [America].”Within minutes of learning of Dr. Papenfus’ COVID-positive diagnosis, Worley was on the phone with several different hospitals working to find a replacement. Within a few hours, they had settled on a former ER doctor who moved to another hospital in Texas a few months prior.After she agreed, Keefe Memorial paid the doctor to drive 10 hours from Texas to Colorado and fill in immediately as Papenfus recovered at home for the next two weeks.“Worst-case scenario is you would have to divert patients if there’s no one in the door to care,” said Worley.Populations in rural America tend to be older, poorer, and less insured than the nation at large, according to the National Conference of State Legislatures.Since 2010, hospital closures in rural America have been growing as there have been 118, including 17 last year.The closures only exacerbate a growing lack of health care coverage in rural America, said Dr. Dan Derksen, a rural health care expert and family physician“Once a critical access hospital (25 beds with a 24/7 emergency department and at least 35 miles from another facility) closes, they almost never come back,” he said. 2756

SACRAMENTO (KGTV) -- California's attorney general disclosed an ongoing probe into Facebook's privacy practices Wednesday, as it sued the company over its repeated refusal to turn over documents and answer questions.California Attorney General Xavier Becerra said his probe has been going on for more than a year. He said he was disclosing it now because his office was making a public court filing to force the company to comply with subpoenas and requests for information."Facebook is not just continuing to drag its feet in response to the Attorney General's investigation, it is failing to comply," the lawsuit said.The lawsuit was filed in state Superior Court in San Francisco.The California probe, one of many legal and regulatory inquiries into Facebook, began as a response to the Cambridge Analytica scandal and grew into an investigation into whether Facebook misrepresented its privacy practices, deceived users and broke California law.Cambridge Analytica, a data mining firm, gathered details on as many as 87 million Facebook users without their permission. The Federal Trade Commission fined Facebook billion this summer for privacy violations in an investigation that also grew out of that scandal. California officials say questions have been raised about what Facebook knew and why it didn't prevent third parties such as Cambridge Analytica from misusing user data.The court filing said Facebook hasn't given answers on 19 of the attorney general's questions and hasn't given any new documents in response to six document requests. The filing also said Facebook has refused to search the emails of top executives Mark Zuckerberg and Sheryl Sandberg, as the state requested.Becerra's office said it requested additional information after Facebook took a year to respond to an initial subpoena.Investigators sought communications among executives on developers' access to user data, the relationship between ad spending and access to data and the introduction of new privacy features and privacy-related news stories. Officials also sought information on the effects of privacy settings on third-party access to data and Facebook's enforcement of policies.Facebook, which has its headquarters in Menlo Park, California, didn't respond to requests for comment.California hadn't joined a separate probe involving attorneys general from New York and other states. The New York probe is looking into Facebook's dominance and any resulting anticompetitive conduct. California is also a holdout in a separate probe into Google's market dominance.The District of Columbia and Massachusetts have also gone after Facebook on privacy. The Massachusetts attorney general's office is set to argue in a state court Thursday why Facebook should be compelled to stop resisting and turn over documents for its investigation.Facebook's various legal troubles have yet to make a significant financial dent on the company. Even the FTC's billion fine, the largest ever for a tech company, came to just under one-tenth of Facebook's revenue last year. The penalty was criticized by consumer advocates and a number of public officials as being too lenient.___AP Technology Writers Mae Anderson and Frank Bajak contributed to this report. 3248

SACRAMENTO, Calif. (AP) — California's ballot harvesting law is creating controversy this election year. The law allows individuals to collect ballots from voters and return them to county election offices. Republicans have set up unofficial drop boxes in some counties with closely contested U.S. House races. State officials say the boxes are illegal and have ordered the party to remove them. But party leaders say they are using the boxes to collect ballots as the law allows. At least one Democratic campaign is using neighborhood hubs where designated volunteers receive ballots at their homes from voters. 620

SACRAMENTO, Calif. (AP) — A new report says California, which has a declining prison population, could save more than billion by closing eight lockups. The Legislative Analyst’s Office released a report Thursday saying the state has seen a reduction in its inmate population because of early releases and other actions linked to the COVID-19 pandemic. The report also says parole and sentencing law changes may flatten the prison population in the next few years. The report says the population changes, coupled with closing five adult prisons and three juvenile facilities, could save the corrections system .5 billion a year by 2025."The administration has indicated it plans to close one prison in 2021?22 and another in 2022?23 in order to accommodate the ongoing decline in the inmate population, primarily resulting from Proposition 57 (2016)" the analysis reads. "The budget package includes legislation requiring CDCR to inform the Legislature of the specific prisons to be closed by January 10, 2021 and January 10, 2022. The administration estimates the closures will result in 0 million in ongoing savings annually within a few years." 1162

SACRAMENTO, Calif. (AP) — Democratic Gov. Jerry Brown helped his party become dominant in California politics during his eight years leading the nation's most populous state, and less than a month before leaving office, he is predicting it will be difficult for his successor to control Democrats' hunger for more spending and rules.The leader of California Democrats has kept lawmakers in check by limiting spending on social programs in favor of saving it to protect against a future economic downtown. He sometimes butted heads with legislative leaders, warning spending too much now could hurt taxpayers or require budget cuts later.Democrats hold all statewide offices and expanded their supermajority in the Legislature last month, allowing them to approve tax hikes and virtually any law without Republican support."I'd say we're in for contentious times and for too many rules, too many constricting mandates and probably too much spending," Brown told The Associated Press in an interview Tuesday.He said Gov.-elect Gavin Newsom may have a hard time keeping fellow Democrats in check because "he's got to please some of these groups enough of the time to still be viable as a political leader."In the interview, Brown, 80, called for more blunt discussions about the danger of wildfires to force officials and residents to act, pushed back against critics who say he's too friendly to oil companies, and chided world leaders for failing to tackle climate change with urgency.He leaves office Jan. 7 after wrapping up a record four terms, first from 1975 to 1983 and again since 2011.The governor's comments on Democratic priorities reflect the more frugal attitude he brought to Sacramento. He entered office with a billion deficit and leaves a nearly billion rainy day fund and a surplus.Brown, however, has backed his own expensive plans. He used Democratic majorities to pass a controversial gas tax increase for road maintenance and has steadfastly defended a billion project to build a high-speed rail line between Los Angeles and San Francisco that's seen repeated delays and cost overruns.While he warned against overspending, he said he expected dissonant voices among the Democratic majority — a result of what he called the party's greater diversity of people and ideas. Republicans, he said, hold a "slavish adherence" to a limited agenda and President Donald Trump.Brown is leaving office on the heels of the deadliest U.S. wildfire in a century. Flames tore through the town of Paradise last month, killing at least 86 people and destroying 14,000 homes. He's blamed climate change for more destructive blazes in recent years and warned things will worsen.The governor called the need to limit building in areas at high risk for wildfires "obvious" but said it's "politically painful" to implement when people want to rebuild their homes and developers see opportunities.People who choose to live in high-risk areas need to plan escape routes, build cellars and manage vegetation, he said. And the state must provide more information about the true danger of wildfires, he said."I don't think governments lay out for people the stark warning: You may die in this particular environment," Brown said.Wildfires offer Brown an opportunity to call for swifter action against climate change, which is making California drier and more prone to flames. He's urged action beyond California, working with the U.N., creating a global coalition to reduce climate emissions and holding meetings in China and Russia.He's working on a climate-focused partnership between the University of California system and Tsinghau University in Beijing he can dive in to when he leaves office, he said. His spokesman Evan Westrup declined to provide more details.Critics say Brown has a blind spot when it comes to oil because he keeps allowing drilling permits and new wells. Brown scoffs at the claims, saying the state's overall oil production has dropped steadily since the 1980s. He says simply stopping it won't halt demand. He's pushed to make electric vehicles more accessible and worked to improve public transit."The problem is burning oil, consuming it," he said. "The only way you stop that is electric cars, land use so you don't have to travel so far and other forms of reducing carbon emissions."He said climate change advocates still must be careful to not overplay their hand. He pointed to a planned fuel tax in France that led to violent protests. French President Emmanuel Macron early this month backed down on the tax, which critics said would hurt the working class.Brown said Macron didn't add enough rebates or tax credits to cushion the blow for low-income people."You have to get the right idea, you have to be careful and nuanced and then you have to be very skillful in the execution, and you can fail in many different ways," Brown said.In a common theme, he ended the interview with a global wake-up call."The threat of nuclear annihilation and climate change on a permanent basis looms, and therefore it is time for new leaders to rise up and make the case and mobilize the people for what needs to be done," he said. "What needs to be done is unprecedented, and therein lies the dilemma." 5238

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