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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 White House physician assigned to Vice President Mike Pence, Jennifer Pena, has resigned, his office told CNN in a statement Friday. Pena worked in the White House Medical Unit."The vice president's office was informed today by the White House Medical Unit of the resignation. Physicians assigned to the vice president report to the White House Medical Unit and thus any resignation would go entirely through the Medical Unit, not the vice president's office," Alyssa Farah, Pence's press secretary, said in a statement to CNN.This comes after CNN reported Tuesday that Pence's doctor privately raised alarms within the White House last fall that President Donald Trump's doctor Ronny Jackson may have violated federal privacy protections for a key patient -- Pence's wife, Karen -- and intimidated the vice president's doctor during angry confrontations over the episode.A White House official later told CNN they felt Pence's doctor had misrepresented the extent of Jackson's actions.Trump nominated Jackson to lead the Department of Veterans Affairs, but Jackson withdrew his nomination last week amid burgeoning allegations of professional misconduct."The allegations against me are completely false and fabricated," Jackson said in a statement. "If they had any merit, I would not have been selected, promoted and entrusted to serve in such a sensitive and important role as physician to three presidents over the past 12 years."Though he returned to the White House Medical Unit, Jackson is no longer Trump's attending physician.According to copies of internal documents obtained by CNN, Pence's doctor accused Jackson of overstepping his authority and inappropriately intervening in a medical situation involving the second lady as well as potentially violating federal privacy rights by briefing White House staff and disclosing details to other medical providers -- but not appropriately consulting with the vice president's physician.The vice president's physician later wrote in a memo of feeling intimidated by an irate Jackson during a confrontation over the physician's concerns. The physician informed White House officials of being treated unprofessionally, describing a pattern of behavior from Jackson that made the physician "uncomfortable" and even consider resigning from the position.Farah, press secretary for the vice president, said Pence's physician "brought the issue to Mr. Ayers, who appropriately referred the matter to the proper channels."Current and former coworkers accused Jackson of abusive behavior and professional misconduct in interviews with Democratic staff on the Senate Veterans' Affairs Committee, which sources briefed on the matter say has investigated those episodes as well as the one involving Karen Pence. The Senate Armed Services Committee, which is considering Jackson's promotion in the Navy to become a two-star admiral, is aware of the incidents, according to sources familiar with the matter.Jackson and the vice president's physician have long had a "strained relationship," according to a former White House medical official.The-CNN-Wire 3109
The term "money laundering" was never more appropriate than this week, when Dutch police found around 0,000 stuffed inside the drum of a washing machine.A man present in the house during Monday's raid was arrested on suspicion of -- yes, you've guessed it -- money laundering.Authorities were checking for unregistered residents in western Amsterdam when they found the load."The municipal administration revealed that no one lived at the address," the police told CNN in a statement. "When the police did a search through the house they found �350,000 hidden in the washing machine."The police also confiscated several mobile phones, a firearm and a money-counting machine during the raid. The suspect, who is 24 years old, has not been named.The police news release included a picture of bundles of �20 and �50 bills crammed into the washing machine.They said in a statement that the raid was part of an investigation into "housing fraud, money laundering and other [signs] of crime." 997
The University Hospitals Fertility Clinic in Cleveland is facing dozens of legal actions after the failure in early March of a cryopreservation tank containing approximately 4,000 eggs and embryos belonging to at least 950 families."We currently represent well over 100 clients whose cases we will pursue as individual claims. That number is growing by the day," Cleveland attorney Tom Merriman said Monday.Also Monday, attorney Gloria Allred threw her hat into the ring, announcing litigation on behalf of three Pittsburgh women who are all cancer survivors. 567
The Republican National Committee has withdrawn from a joint fundraising agreement with Roy Moore, according to a Federal Election Commission filing posted Tuesday, as the GOP establishment continues to break ties with the Alabama Senate candidate.The National Republican Senatorial Committee was the first to drop itself from the agreement, which benefits Moore's campaign, ending its participation last Friday, according to FEC filings. 466
