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The U.S. population grew by the smallest rate in at least 120 years from 2019 to 2020.Figures released Tuesday by the U.S. Census Bureau show the U.S. population grew by 0.35% from July 2019 to July 2020, an increase of 1.1 million people in a nation with an estimated population of more than 329 million residents.Demographer William Frey says population growth in the U.S. already had been stagnant over the past several years due to immigration restrictions and a dip in fertility.However, the pandemic exacerbated that lethargic-growth trend.Even during the height of the Spanish flu, the growth rate was higher — 0.49%. 632

The Supreme Court appears deeply divided about whether it can address partisan gerrymandering and come up with a standard to decide when politicians go too far in using politics to draw congressional districts that benefit one party over another.Hearing a case on Wednesday challenging a district in Maryland, several of the justices suggested that the issue could be addressed by the courts, but grappled with how to devise a manageable standard to govern future legislative maps.How the court rules could dramatically impact future races, as Democrats try to win back the House amid widespread unhappiness at President Donald Trump. Recently a state court in Pennsylvania redrew congressional districts there, possibly serving to erase the Republicans' 12-6 district advantage.Wednesday's case was brought by a group of Republican voters in Maryland who say Democrats went too far in redrawing districts after the last census.At one point during their one hour of oral arguments, Justice Stephen Breyer wondered whether the court should take the two challenges it has already heard dealing with maps in Wisconsin and Maryland, and another case out of North Carolina and hold arguments again next fall.The suggestion could have interesting implications if Justice Anthony Kennedy, who has been considering retirement and could be a key vote in the case, were to step down at the end of this term.On the issue of partisan gerrymandering, Breyer acknowledged that there seemed like "a pretty clear violation of the Constitution in some form" but he worried that the court needed a "practical remedy" so that judges would not have to get involved in "dozens and dozens and dozens of very important political decisions."Justice Elena Kagan pointed to the case at hand and said that Democrats had gone "too far" and took a "safe" Republican district and made it into a "pretty safe one" for Democrats. She referenced a deposition that then Democratic Gov. Martin O'Malley gave where he said his intent was to create a map "that all things being legal and equal, would nonetheless be more likely to elect more Democrats rather than less."Kagan asked a lawyer for Maryland, "How much more evidence of partisan intent could we need?"Breyer seemed to urge his more conservative colleagues to step in, for the first time, and devise a framework for how to address gerrymandering.Pointing to the particular facts in the case he said, "We will never have such a record again.""What do we do, just say goodbye... forget it," Breyer asked.The challengers say former Democratic Gov. Martin O'Malley led the charge to redraw the lines to unseat long-time GOP incumbent Rep. Roscoe Bartlett. They argue that Democrats diluted the votes of Republicans in the district by moving them to another district that had a safe margin for Democrats.In 2010, Bartlett won his district with by 28 percentage points, but he lost after the new maps were drawn in 2012 by 21 percentage points.But Justice Samuel Alito seemed to be on the other side of the spectrum and said, "Hasn't this Court said time and again you can't take all consideration of partisan advantage out of redistricting?"Justice Anthony Kennedy, whose vote could be critical, did not tip his hand but indicated that the current map, no matter what happens in the court, would have to be used in the next cycle.While the Supreme Court has a standard limiting the overreliance on race in map drawing except under the most limited circumstances, it has never been successful in developing a test concerning political gerrymandering. If the justices do come up with a standard, it could reshape the political landscape.In court, Michael Kimberly, a lawyer for the challengers, said that the Democratic politicians violated the free speech rights of voters by retaliating against them based on their party registration and prior voting history.He said that government officials may not "single out" a voter based on the votes he cast before.Maryland Solicitor General Steven Sullivan defended the map and suggested that the courts should stay out of an issue that is "inherently political." He argued that if the challengers prevail in their First Amendment challenge, it will mean that any partisan motive by political players would constitutionally doom all district maps.Justice Neil Gorsuch, appearing to agree with Sullivan, noted that the maps had been approved by the legislature.The challengers suffered a setback in the lower court when a special three-judge panel of federal judges refused to issue a preliminary injunction.Last year, the Supreme Court heard a similar political gerrymandering case in Wisconsin.That case was a statewide challenge brought by Democratic challengers to Republican-drawn state legislative maps. Challengers rely on both the First Amendment charge and say the maps violated the Equal Protection clause of the 14th Amendment.It is unclear why the Supreme Court added the Maryland case to the docket after hearing arguments in the Wisconsin case. 5026

The walk to school turned terrifying for a Rochester, Michigan teen who says he was shot at after he stopped to ask for directions.Fourteen-year-old Brennan Walker missed the bus and tried to walk to school, but got lost after he couldn't remember the route.The freshman wasn't hit, as the shot missed him as he ran away.The situation began when Walker's alarm didn't go off. After missing his bus, he thought he could walk the roughly 4 miles to school.Once he became lost, he stopped at a home and knocked."I knocked on her door a few times and she came down yelling at me before I could say anything and she thought I was trying to break into her house," he said. "I was trying to explain to her that I wanted to get directions to go to my school. I told her no, I go to Rochester High I’m just looking for directions to Rochester High."Walker and his mother, Lisa, say the security video from the home shows the woman then yelled for her husband."The man of the house came down, pretty much just grabbed the shotgun to shoot at my son," says Lisa Walker."I saw it. I saw him holding it like this through the window and I guess I put my hand up, I don’t really remember, and I started to run," Brennan Walker says. "I looked back behind me I saw him aiming at me and I turned back. I turned back and I heard the gunshot. And I tried to run faster."The man has been taken into police custody."If someone is running from your house and chase them outside and shoot at them, you’re going to have criminal charges coming from us," Oakland County Sheriff Michael Bouchard said.Both Walker and his mother believe race was a factor in the incident."After watching the video and hearing the wife say 'why did these people choose my house' I knew it was racially motivated. I don't know what other these people she could possible have been talking about. He was by himself," Lisa Walker said."I didn’t want to believe that that type of stuff could happen here," said Brennan, who said he is just trying to process the shock of what happened."I don't, I don't know how you process getting shot at for asking for directions," he says. 2159

The Trump administration is taking steps to give telehealth a broader role under Medicare, with an executive order that serves as a call for Congress to make doctor visits via personal technology a permanent fixture of the program. The order President Donald Trump signed Monday applies to one segment of Medicare recipients — people living in rural communities. But administration officials say it’s intended as a signal to Congress that Trump is ready to sign more significant legislation that would permanently open up telehealth as an option for all people with Medicare. Trump says his administration is “taking action to make sure telehealth is here to stay.”"When the invisible enemy struck our shores, we took immediate action to eliminate regulatory barriers to telehealth, making it easier for patients to consult with doctors from safety and convenience and really, they have great safety and great convenience right from their homes," Trump said. While the CDC said in June it was working on expanding access to telehealth, it did list some drawbacks to the service:Situations in which in-person visits are more appropriate due to urgency, underlying health conditions, or inability to perform an adequate physical examThe need to address sensitive topics, especially if there is patient discomfort or concern for privacyLimited access to technological devices (e.g., smartphone, tablet, computer) needed for a telehealth visit or connectivity issuesLevel of comfort with technology for HCP and patientsCultural acceptance of conducting virtual visits in lieu of in-person visits by HCP and patientsInterstate licensure challenges and other regulatory issues that may vary by state 1701

The Trump Administration pushed through a million contract to study whether the active ingredient in Pepcid is an effective treatment for Covid-19. That contract is now under scrutiny after a government whistleblower accused a senior administration official of rushing the deal through without the scientific oversight necessary for such a large federal award. The Food and Drug Administration gave the clinical trial speedy approval even as a top agency official worried that daily injections of high doses of famotidine for already sick patients pushed the levels of what was considered safe “to the limits,” internal government emails show. And the doctors who initially pushed the Pepcid idea are locked in a battle for credit and sniping over allegations of scientific misconduct.The origins of the interest in famotidine are under dispute, but there were reports out of China that patients who took the drug survived the virus, while patients who took other heartburn medications were not surviving. Initial observational studies in the U.S. were promising, however scientists urged more research was needed. Meantime, the trial itself that was part of the million contract is on pause due to a shortage of hospitalized COVID-19 patients in New York, delaying it indefinitely. A vaccine or effective treatment could be available before the study is complete. 1380