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As COVID-19 continues to spread throughout the United States, traveling nurses jump from hot spot to hot spot, caring for patients and making sure hospitals are fully staffed. Grover Street is one of those nurses and specializes in trauma and intensive care.“I’ve worked in over 100 hospitals and probably 15 different states,” Street said.Street says just this year alone, he's been in New York, Miami, and California. He hops all over the country, doing four-week assignments for crisis nursing and coronaivurs relief. "Busy" and "intense" barely describe what he's experienced on the front lines.“I like going to the hot zones and really learning about this virus and learning about the different patients and human functionality and the way people think about this whole process because it’s probably never going to happen in my lifetime again,” Street said.While interesting from a scientific standpoint, he admits, it's natural to be afraid of this virus that has taken over our world.“I’ve worked with nurses that their families died, the nurse died,” Street said. “I worked with a physician, he died. This is real and I’ve been on the front lines since it started and its sad that a lot of people aren’t wearing masks and social distancing.”He says he prefers the traveling nurse aspect of his profession. There's more flexibility, and he says, it's better pay. As a former trauma nurse in the military, it's like a deployment. Except this time, he's being sent to a different type of war zone.“New York is starting to pick back up, Florida is starting to pick back up,” Street said. “I’m getting texts and emails everyday, 'Am I ready to go somewhere else as soon as this assignment ends?'”Lauren Pasquale Bartlett is the Senior Vice President of Marketing for Fastaff Travel Nursing, the agency for whom Street works. When asked how her organization fulfills the need, she said, “It's never a matter of how are we going to do it, it's at what scale.”“At this time last year, we had 3,000 nurses on assignment right, now we’ve got 6,000,” Pasquale Bartlett added.Traveling nurses, she says, have been backfilling hospitals for 30 years.“It really came out of the strike business when nurses were unionizing and going on strikes, they needed replacement nurses so the hospital started bringing in travel nurses to replace those striking nurses,” Pasquale Bartlett said.They answer the call when there are hurricanes, fires, intense flu seasons, and the coronavirus. Except, unlike those other short-lived events, there doesn't seem to be an end in sight.“I know everybody (is) tired of what’s going on, ready to get back out there, go shopping, have parties, but we need to control this before you die or before your family member dies and then it’s too late so just stay safe,” Street said.Street says the difference between responses in each state is fascinating. He's looking forward to a bit of rest and relaxation before his next assignment and says his only wish is that everyone does their part, by washing hands, and wearing a mask to help protect medical staff and each other. 3101

As a 58-year-old woman on disability, Robin Short of Wallingford, Connecticut, relies on her tax refund to catch up on bills. She filed her return electronically in February, opting for direct deposit so she could get her 3 refund quickly.She’s still waiting, as are millions of others. The IRS is slowly resuming operations after pandemic-related lockdowns, but delayed refunds are devastating some people’s finances.Tax refunds have become a lifelineTax refunds, which last year averaged ,979, are the largest single infusion of cash for about 30% of U.S. families, says Fiona Greig, consumer research director at the JPMorgan Chase Institute, which researches economic issues. While many Americans use refunds to save or to pay down debt, significant numbers rely on the money to cover bills or to get needed medical care — and that was true even before millions lost jobs and income during the COVID-19 pandemic.Delayed refunds can lead to evictions, hunger, creditor lawsuits and health problems from postponed medical care, among other ill effects. Many households live so close to the edge that they can experience hardship when a refund is delayed by two or three weeks, let alone several months, says John Thompson, chief program officer for the Financial Health Network, which researches financial challenges facing low- and moderate-income households.“Not everybody has got the kind of flexibility or resilience to just be able to hold on,” Thompson says.Pandemic shutters most IRS operationsThe IRS started shutting down tax return processing centers in March, along with its taxpayer help line, local offices and volunteer assistance programs. Soon after, it focused on sending out more than 159 million payments as authorized by the coronavirus relief package. By mid-May, the agency faced a backlog of 10 million pieces of unopened mail, including paper tax returns.People who filed electronically generally got their refunds unless those returns were flagged, commonly because of identity theft concerns or a mismatch between the information on the return and what was provided by employers or financial institutions.In Short’s case, the TurboTax software she used counted a ,800 annual pension payment twice, as both 1099 income and as W-2 income. The IRS sent her a letter about the error and advised her not to contact the agency for 60 days while the issue was resolved. Then, the lockdowns happened.Short says her pension and monthly Social Security disability checks don’t cover her expenses. She makes arrangements to pay overdue bills, such as her power bill, when her refund arrives. Otherwise, she says, the math of living on a low fixed income gets grim.“Either you miss a payment on the electric bill, or you don’t get your medicine,” says Short, a former facilities manager and insulin-dependent diabetic who was severely injured when her car was hit by a drunk driver.Using refunds to catch upPutting off bills, then using tax refunds to catch up, is a common practice among strapped households, Thompson says. A survey of people who used free filing methods for lower- and moderate-income taxpayers last year found roughly half said they needed their refunds for bills, rent, groceries and other everyday expenses, according to Prosperity Now, a nonprofit that promotes financial security.People also increase their health care spending significantly after refund checks arrive. A 2018 study of 1.2 million checking account holders found health care spending rose 60% in the week after people received refunds, indicating many were catching up on care, Greig says.It’s not clear how long it will take the IRS to address the backlog or when taxpayers can expect their money. People can try using the “Where’s My Refund?” tool on the IRS site or call the taxpayer help line, but getting through to a human is difficult even in normal times. Congress has cut the IRS’ budget by 20% since 2010, leading to a 22% reduction in staff, according to acting National Taxpayer Advocate Bridget Roberts. Without adequate staff, the agency answered less than one-third of its calls last year. Another option is to contact the Taxpayer Advocate Service, which has representatives in each state.Rather than wait for the IRS to return their money each year, taxpayers can adjust their withholding so they get more money in their paychecks. But many don’t feel comfortable changing their withholding in case they wind up owing big sums, Thompson says.“You’d have to predict how the year is going to go,” Thompson says. “And what could we possibly predict about this year?”This article was written by NerdWallet and was originally published by The Associated Press.Liz Weston is a writer at NerdWallet. Email: lweston@nerdwallet.com. Twitter: @lizweston. 4782

An eruption from the Kilauea volcano's summit shot ash and smoke into the air early Thursday on Hawaii's Big Island, and the resulting plume is expected to cover the surrounding area, according to the Hawaiian Volcano Observatory.Nearby residents are being asked to shelter in place if they are in the path of the ash plume, which the wind is carrying to the southeast of the volcano."Driving conditions may be dangerous so if you are driving pull off the road and wait until visibility improves," an alert from the observatory warned.Thursday's eruption is just the latest volcanic activity contributing to the nightmare on the Big Island since the volcano first went off May 3.An ash plume Wednesday rose roughly 12,000 feet into the air, and on Tuesday, the US Geological Survey issued a red alert, which means a major eruption is imminent or underway and ash could affect air traffic.It is not clear if this was a phreatic eruption, which US Geological Survey officials have been saying is capable of sending ash plumes as far as 12 miles away from the summit.These are steam-driven explosions that occur when water beneath the ground or on the surface is heated by magma, lava, hot rocks or new volcanic deposits, the USGS says. The intense heat may cause that water to boil and result in eruptions.The lava lake in the crater has been dropping since May 2, which increases the chances for a phreatic explosion, but it will be difficult to warn residents who may be in the path of such an eruption.Phreatic eruptions are "notoriously hard to forecast, and can occur with little or no warning," Hawaiian Volcano Observatory geologist Janet Babb said.While the ash being launched into the sky is not poisonous, Hawaii County officials have warned residents about toxic sulfur dioxide seeping out of 21 fissures caused by the volcano."Severe conditions may exist such as choking and inability to breathe," the county's Civil Defense Agency said Wednesday. "This is a serious situation that affects the entire exposed population."The-CNN-Wire 2051

Amid the pandemic, food banks are on average serving 60% more families than a year ago, according to a recent analysis by Feeding America. The analysis found that 80% of food banks in the Feeding America network have seen an increase in demand amid the pandemic.Despite this jump in demand, the organization says that food banks have “become accustomed” to increased demand for services. Feeding America’s analysis says that 40% of those going to food banks this year are doing so for the first time.Compounding issues for many families, food prices have jumped in the last year, according to USDA analysis. According to the USDA, the average cost of food prepared at home has increased 4% from October 2019 through October 2020. In the last 20 years, the average increase of food prices per year is 2%.The increase in prices has been most pronounced in meat, poultry and dairy. From October 2019 through October 2020, meat prices jumped 6.6%. Previously, meat prices generally increased 3% a year.The issue of increased prices was something that Feeding America leaders addressed last month as lawmakers have failed to come to an agreement on a new stimulus plan.“With food prices increasing at the fastest rate in 50 years and predictions that 1 in 4 children could face hunger this year, a 15 percent increase to the maximum SNAP benefit is the most effective way to meet the moment,” Kate Leone, Chief government relations officer at Feeding America, wrote. “Boosting SNAP benefits will provide families more resources to purchase the food they need through purchases at local grocers and businesses, which will stimulate economies across the country.“With the nation’s public health and economic crises continuing without an end in sight, our economy and families are being pushed to the very brink. We need our government to invest in the hunger-relief measures today because families struggling with hunger need it now.”Feeding America said that Americans can help by volunteering at their local food bank or donating to their local food bank or Feeding America’s COVID-19 Response Fund. Feeding America said that 60% of food banks in its network are in need of volunteers. 2188

As COVID-19 first started to spread in the U.S., hospitals around the country were forced to stop elective surgeries. Now, hospital officials say they're facing perhaps the biggest financial crisis in their history."We've had to curtail regular operations, some of which involve these non-emergent procedures that you mention, and as a result from March to June, we saw a loss of revenue of 0 billion or billion a month," said American Hospital Association President Rick Pollack.Hospitals have also taken on major expenses when it comes to preparing and caring for COVID-19 patients. Plus, many patients they treat don't have insurance.Pollack says hospitals collectively are one of the largest employers in the country, employing more than 5 million people."Half of hospitals' budgets, over half, is devoted to labor costs. So, of course, when all regular operations are shut down and you’re incurring additional expenses to prepare for treating the virus for the community, you have to find ways to cut costs," explained Pollack.Some hospitals have resorted to laying off or furloughing staff."So, it's the last choice,” Pollack said. “It's a bad choice and we try to avoid it, but sometimes, it's inevitable to just stay afloat.”"Whether the disruptions in the health industry remain temporary or permanent is an interesting case because it affects everyone," said Jack Strauss, the Miller Chair of Applied Economics at the University of Denver.Strauss is concerned about how the healthcare industry will recover from the COVID-19 pandemic, especially amid a possible second wave of infections."They make their money on elective surgery and those were not occurring, and so, they're not probably positioned to recover," said Strauss.While a number of states are allowing elective procedures again, the wait time for these patients may be detrimental."Whether it's the detection for a tumor or a scan of a part of a body for a diagnostic procedure, a replacement of a heart valve. So, when you talk about electives, they're really not all that discretionary and we’re really concerned in the period that we shut down all non-emergent procedures that there was a deferral of care,” said Pollack. “We do hear, anecdotally, that the people that are coming back are in a much sicker position because they didn’t get the care that they needed.”Pollack says in order for the healthcare industry to recover, they're going to need a lot of help from the federal government."There's no question, if we don't get the additional assistance it will put the financial viability of a lot of hospitals at risk, particularly in rural areas and vulnerable urban areas," said Pollack.As possibly the biggest industry in the country that's been on the front lines of treating COVID-19, hospitals hope they're one of the first to get major federal help so that the healthcare industry can survive this pandemic. 2909