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The United States set another record for daily confirmed coronavirus cases as several states posted all-time highs, underscoring the vexing issue confronting President Donald Trump or Joe Biden as a perilous pandemic surges with the holidays and winter approaching. The surging cases and hospitalizations happening around the country reflect the challenge that the winner of the too-early-to-call presidential race will face in the coming months.According to the New York Times, 1,130 coronavirus-related deaths were reported on Tuesday. The average number of deaths, while increasing, is not increasing at the same rate as cases. According to a Harvard risk assessment map, 26 states are are the highest alert level where 25 cases per day per 100,000 people. The states are mostly located in the central US. The map shows that North and South Dakota are experiencing the most widespread cases of the coronavirus. 921

The Senate Judiciary Committee on Thursday approved legislation to protect the special counsel from being fired, a rare bipartisan step that sends a warning signal to President Donald Trump not to remove Robert Mueller.The legislation, which would give Mueller and other special counsels the ability to challenge their firings in court, still has little chance of becoming law — Senate Majority Leader Mitch McConnell has vowed not to put it on the floor, House Republicans have shown no interest in the measure and Trump would be unlikely to sign it.But the committee's 14-7 vote to approve the measure still provides a symbolic message that the Senate would not tolerate Mueller's firing. Four Republicans voted yes: Senate Judiciary Chairman Chuck Grassley of Iowa, Thom Tillis of North Carolina, Lindsey Graham of South Carolina and Jeff Flake of Arizona. 867

The World Health Organization announced Wednesday that a coalition of nations and organizations are contributing billion to assist poorer nations fight the coronavirus.The two biggest contributors were the United Kingdom and Canada.The WHO says the “ACT-Accelerator, which was launched just five months ago, is an unprecedented global collaboration of the world’s top international health organizations working together to accelerate the development, production, and equitable delivery of COVID-19 tests, treatments, and vaccines.”The WHO said an additional billion is needed to realize its goals of producing 2 billion vaccine doses, 245 million treatments and 500 million tests. The WHO is working with the World Bank to secure billion in funding, which has to be first ratified by its shareholders.The United States government did not contribute to the fund as the government stopped funding the WHO in April. The Bill and Melinda Gates Foundation, however, were among the organizations to contribute to the fund.“One thing I've learned studying the history of pandemics is that they create a surprising dynamic when it comes to self-interest and altruism,” Bill Gates said. “Pandemics are rare cases where a country’s instinct to help itself is tightly aligned with its instinct to help others. The self-interested thing and the altruistic thing–making sure poor nations have access to vaccines–are one and the same.”The UK contributed 1 million to help poorer nations in providing support to battle the virus.“We have a duty to ensure vaccines, treatments and tests for COVID-19 are available to all—stopping the global spread of the pandemic protects the British people and will put humanity on the road to recovery. Collaboration through the ACT-Accelerator is critical to promoting development, production and access for all countries,” said UK Foreign Secretary Dominic Raab. 1906

The Russian embassy in Washington asked its Twitter followers to vote for which US consulate they'd like to see shuttered Monday, after the Trump administration announced it would close down the Russian consulate in Seattle and expel 60 alleged spies throughout the country.In the poll, they offer the three US consulate locations in Russia as options: St. Petersburg, Vladivostok and Yekaterinburg.The US decided to shut down the Seattle consulate because of its proximity to a submarine base, senior administration officials said Monday, and expel the diplomats for "aggressive" intelligence collection. The move is part of an international effort to punish Russia's government for the alleged poisoning of a former Russian spy and his daughter in Great Britain. 772

The use of telehealth has become a common practice during the pandemic. Now, some doctors hope it continues to be an important tool in the healthcare industry."There are a number of bills have been proposed," said Dr. Tesh Monteith, a neurologist and fellow with the American Academy of Neurology.Dr. Monteith says Congress is considering several bills to keep telehealth, which allows patients to video conference with a doctor instead of going in for a physical appointment, around for the long run.When the pandemic hit, rules regarding telehealth changed, allowing for doctors to be financially reimbursed for the virtual appointments."It's allowed patients to access care. They're patients that would normally have to take days off, or to keep providers, multiple providers, and if they can do that, they may have childcare issues and not be able to get to a clinic," said Dr. Monteith.The bills would allow for everything from permanent reimbursement for physicians to allowing doctors to virtually see patients across state lines."Some of these bills are proposing that there are not limitations within states. For example, there are issues of licensing. A doctor licensed in New York should they be able to see a patient with a specialized disorder in Minnesota or does that patient have to come in Minnesota," explained Dr. Monteith.While telemedicine has been an important part of making sure people received medical care and diagnoses during the pandemic, doctors agree that the virtual visits in no way can replace seeing your physician in person."Because I know my patients well, I’m a pediatrician, I can do so much over telehealth with the kids I know. When they're sick I can look at them. I can watch them breathe. I can ask them to jump up and down and have the parents press on their tummy, but I can’t look in their ears. I can’t listen to their heart, and if it’s a family that I don’t know, there is concern that I might miss something," said Dr. Tanya Altmann, a pediatrician in California.Dr. Altmann says telehealth can also be a very valuable tool.As for reimbursement for physicians, Dr. Altmann says, "anyway that a physician or healthcare provider reaches out to a family to help with anything medical, it should be compensated."Dr. Altmann says pediatricians can sometimes spend hours on the phone with patients at night, work they don't get paid for. Getting reimbursed for telehealth visits with patients would be a plus."Patients need to empower themselves to learn about telemedicine, to learn what questions to ask a doctor. Have an advocate or family member there to even help with the physical examination," suggested Dr. Monteith.Dr. Monteith says medical professionals estimate there have been more than one billion telemedicine appointments since the pandemic began. She hopes Congress passes the telehealth-related bills to further expand medical access to people across the country. 2932

来源：资阳报