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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, Calif. (AP) -- A man accused of being the rapist and killer who terrorized California residents in the 1970s and 1980s has agreed to plead guilty to dozens of crimes in return for being spared the death penalty.A law enforcement source and a victim's relative said Monday that Joseph DeAngelo, suspected of being the Golden State Killer, is expected to plead guilty on June 29.The former police officer is then expected to be sentenced in August to life without the possibility of parole after the surviving victims and relatives of those killed confront him in court.Sacramento County public defenders did not respond to comment requests. 659

RICHMOND, Va. – A military veteran who died of a heart attack while onboard a Richmond city bus was robbed while unconscious. Several burobbed while unconsciouss riders jumped in to help the man while he went into cardiac arrest, but they ultimately got off the bus, with the exception of one.Police say 20-year-old Demontea Chappell stayed behind under the guise of giving aid but was seen on camera taking the man's wallet.A video reveals the heartbreaking details."Pop? What you name is Pop?" said a young man, as the older bus passenger struggled unconsciously and not breathing."Trying to find his wallet. Where the wallet at?" that young man continues.Chappell, according to police, was acting as if he was giving aid to the Air Force veteran, but the bus video showed he went inside the man’s wallet and then slid the cash into his own pocket.Sources told WTVR's Jon Burkett that the veteran always carried cash, but how much money he had that day was unknown.Police now have a warrant for Chappell's arrest.The veteran died on the bus near the corner of First and Federal last Thursday morning.Sources tell WTVR that after family members questioned why their loved one’s wallet was empty, officials with the Greater Richmond Transit Company (GRTC) went to the recordings and alerted police. The investigation led police to Chappell, who is still on the run.GRTC is helping police in this investigation. If you know the whereabouts of Damontea Chappell, call the police.This story was originally published by Jon Burkett at WTVR. 1544

SACRAMENTO, Calif. (AP) — California's governor vowed on Monday to continue expanding taxpayer funded health benefits to adults living in the country illegally next year, ensuring the volatile issue will get top billing in the 2020 presidential election as Democrats vying for the nomination woo voters in the country's most populous state.Democratic Gov. Gavin Newsom signed a 4.8 billion operating budget last week that includes spending to make low-income adults 25 and younger living in the country illegally eligible for the state's Medicaid program. California is the first state to do this, with an expected cost of million to cover about 90,000 peopleDemocrats in the state legislature had pushed to also cover adults 65 and older living in the country illegally, as well as all adults regardless of age. But Newsom rejected those proposals because they were too expensive — about .4 billion for all adults living in the country illegally in California.But Monday, Newsom told a crowd of supporters at Sacramento City College "we're going to get the rest of that done.""Mark my words," Newsom said. "We're going to make progress next year and the year after on that. That's what universal health care means. Everybody, not just some folks."If Newsom follows through, it will ensure California's legislature will be debating the issue at about the same time California voters are voting for a Democratic presidential nominee. The state has an outsized role in the selection process this year because its primary is scheduled for March 3.Republicans seemed to welcome the debate. Speaking to reporters on Monday, Trump said California doesn't "treat their people as well as they treat illegal immigrants.""At what point does it stop? It's crazy what they are doing," he said. "And it's mean. And it's very unfair to our citizens, and we're going to stop it. But we may need an election to stop it, and we may need to get back the House."Newsom's comments highlight how quickly Democrats have embraced using tax dollars to provide services for people living in the country illegally. Former Democratic President Barack Obama's health care law dramatically expanded Medicaid coverage in 2014, but only for people living in the country legally.Last week, all 10 Democratic presidential candidates during the second night of a televised debate raised their hands when asked if they supported expanding Medicaid to cover people living in the country illegally. They included front-runners like former Vice President Joe Biden, Vermont U.S. Sen. Bernie Sanders and California U.S. Sen. Kamala Harris."I think the anti-immigrant stance by the Trump administration has in some sense created this as the bigger issue," said Larry Levitt, executive vice president for health policy at the Henry J. Kaiser Family Foundation. "The Trump administration has pushed Democrats even further to defend immigration and provide services to people who are already here."California's 4.8 billion operating budget, which took effect Monday, also brings back an Obama-era tax on people who refuse to purchase private health insurance. State officials will use the money from the tax to help middle income families — including families of four who earn as much as 0,000 a year — pay their monthly health insurance premiums."To Donald Trump: eat your heart out," Newsom said.___This story has been corrected to show the budget bill signing was last week. 3457

Robert Grays was having the game of his life on Saturday as his Midwestern State University squad was beating Texas A&M-Kingsville 35-13. The 19-year-old sophomore had matched a career-high with seven tackles, with his team about to improve to 2-0 on the season. Saturday ended up being Grays' final game.  With 3:24 remaining in the fourth quarter, Grays went in for a tackle, severely injuring his neck. After being transported to Houston for treatment, Grays died on Tuesday from the injury. Grays was the squad's starting cornerback, and also played on special teams. Grays was a graduate of Fort Bend L.V. Hightower High School in Missouri City, Texas."We are saddened by the loss of Robert Grays, one of our own. This is not an easy time for anyone associated with the football program," MSU coach Bill Maskill said. "He was a tremendous individual. I really believe he might have been the most popular man on our team."He always had a smile on his face. I never saw him have a bad day. He was an uplifting spirit for all of us. He was an exciting, fun loving guy. He's going to be sorely missed. Somehow, someway we'll find a way to fight through it. Robert would want us to forge ahead."Saturday marked a deadly day in college football. Fellow college football player Clayton Geib died on Sunday, one day after being hospitalized for severe cramping and hyperventilating following a game. CBS Sports reported that Grays' death was the fifth involving a college football player this year. Midwestern State competes at the NCAA Division II level.  1650