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Black people were nearly four times more likely than white people to be hospitalized with COVID-19 among people with Medicare, the government said Monday.The analysis from the federal Centers for Medicare and Medicaid Services also found that having advanced kidney disease was an even more severe risk indicator for hospitalization than race, ethnicity, or being poor.“It reconfirms long-standing issues around disparities and vulnerable populations,” said Medicare administrator Seema Verma, adding that “race and ethnicity are far from the only story.″Medicare’s analysis confirms what The Associated Press and other media organizations have previously reported about African Americans and Latinos bearing the brunt of the pandemic, while adding new details.The group covered by Medicare is considered the most vulnerable to the coronavirus. Most of its 60 million enrollees are age 65 and older. Also covered are younger people who qualify because of disabilities.From Jan. 1-May 16, more than 325,000 Medicare recipients were diagnosed with COVID-19, and nearly 110,000 were hospitalized, according to the analysis of claims data. Medicare spent .9 billion for hospital care, an average of about ,000 per case for people enrolled in the traditional fee-for-service part of the program.The analysis found that:— Black people with Medicare were hospitalized at a rate of 465 per 100,000 enrollees, or nearly four times the rate for whites, which was 123 per 100,000.— The rate for Hispanics was 258 per 100,000, or about twice the rate of whites. Asians were about one-and-a-half times more likely than whites to be hospitalized for COVID-19.— Low-income Medicare recipients who are also covered by their state Medicaid programs had a hospitalization rate that was slightly higher than the rate for African Americans.— There were fewer COVID-19 cases and hospitalizations among Medicare recipients in rural areas, when compared to cities and suburbs.But all in all, having advanced kidney disease was by far the biggest risk factor, the study found. People whose kidneys have stopped working to the point where they can’t live without dialysis or a transplant had a hospitalization rate of 1,341 per 100,000, or nearly three times higher than the rates for low-income beneficiaries and African-Americans.Verma said this may reflect the fact that people with advanced kidney disease generally also suffer from other medical problems that worsen COVID-19 outcomes, such as diabetes. Patients typically have to travel to a special facility to get dialysis, and the treatment can bring them together with others who may have been exposed.Medical problems such as high blood pressure and heart conditions also tend to be more prevalent among Blacks and Latinos, increasing their risks for severe coronavirus infections.Taken together, the Medicare data call for a greater focus on social conditions that contribute to poor health, Verma said, as well as continuing to expand coordinated care for patients trying to cope with several chronic conditions at a time.The Medicare data released Monday lack complete information about deaths, since they only record those who passed away in a hospital. 3206
Big tech made a show on Sunday night and Monday of moving against conspiracy theorist Alex Jones and his media company InfoWars. But Apple and Google are both still selling its app, which contains some of the same type of content that both tech giants have pulled from elsewhere on their platforms.It's unclear how long the app has been available in the two app stores, but InfoWars has been publicizing the app's availability since at least July 13.Both stores categorize InfoWars as "news." On the Apple App Store, InfoWars' app has gone as high as #23 among free news apps, ahead of offerings from legitimate news outlets like the Associated Press, CBS News, USA Today, NPR, Bloomberg, MSNBC, Washington Post, NBC News, Politico and the Financial Times.InfoWars and Jones regularly traffic in conspiracy theories, including the claim that the Sandy Hook Elementary School shooting was a hoax and that the September 11, 2001 terror attacks were an inside job.The InfoWars podcasts that Apple removed from the iTunes store are recordings of the company's live shows -- which are still being streamed live and hosted through the app available through Apple's app store.Last week, Apple declined to comment for this story. But asked on Monday why the app remained live even after the podcasts had been pulled, an Apple spokesperson responded in a statement, "Apple does not tolerate hate speech, and we have clear guidelines that creators and developers must follow to ensure we provide a safe environment for all of our users. Podcasts that violate these guidelines are removed from our directory making them no longer searchable or available for download or streaming. We believe in representing a wide range of views, so long as people are respectful to those with differing opinions."A Google spokesperson told CNN, "While we don't comment on specific apps, we can confirm that our content policies are designed to provide a great experience for users and developers. If an app violates our policies, we take action."Both Apple and Google approve all apps sold in their stores. Any developer who has an app approved can then apply to have that app listed as "news;" the companies do not limit the category only to those created by legitimate news outlets.Apple and Google did not respond to CNN's inquiries about whether it was appropriate to list the conspiracy theory website in the same category as legitimate news organizations.Apple does explicitly say it may ban apps for objectionable content, such as "Defamatory, discriminatory, or mean-spirited content, including references or commentary about religion, race, sexual orientation, gender, national/ethnic origin, or other targeted groups..."Google has similar language, saying it does not allow "apps that promote violence, or incite hatred against individuals or groups based on race or ethnic origin, religion, disability, age, nationality, veteran status, sexual orientation, gender, gender identity, or any other characteristic that is associated with systemic discrimination or marginalization."In addition to its conspiracy theories, InfoWars and Jones publish content that is Islamaphobic, xenophobic and/or transphobic to their sites, in addition to pushing it on their live streams. Either way, it would then end up in the apps.InfoWars recently published to both apps an article that claimed to reveal the "transgenderism movement" was created to "ultimately collapse society." It also recently published to both apps a claim that former CIA director John Brennan converted to "radical Islam and was a registered communist." Another post encouraged people to watch something it described as "Islamic invasion ships slam into Spain." The footage was of a migrant boat landing on a Spanish beach.InfoWars did not immediately respond to CNN's request for comment. In a message posted Monday on Twitter, after the other platforms had taken down some of his and his company's content, Jones told his fans to watch live streams on the InfoWars website, calling it "the one platform that they CAN'T ban."Apple and Google have both banned apps before.Gab, which bills itself as a conservative alternative to Twitter from their app stores, was blocked by Apple in January 2017 over what Apple termed hate speech. Google pulled the app from their store in August 2017 over hate speech as well.At the time, Gab founder Andrew Torba told Mashable that it was another example of the "ideological echo chamber in Silicon Valley.""You see all these companies one after another coming out with the same exact message, same exact stance," he said. "There's nobody saying 'no, we stand for free speech. We hate some of the vile things that are said.' Either you support free speech or you do not. Period."Just last month, Apple removed the conspiracy theory app "QDrops" from its stores after NBC News reported that the app pushed the "QAnon" conspiracy theory.The QDrops app had until the removal been one of the top paid apps in the "entertainment" category in the Apple store; it's still on sale in the Google app store. 5086
Both the COVID-19 pandemic and conversations about race happening now are shining a light on mental health.One in five adults experience mental illness each year. Only one in three Black adults who need mental health care are getting it.The reasons range from socioeconomic disparities, like access to health insurance, to the stigma in the Black community around getting this care.Another issue, the latest numbers from the American Psychological Association show 4% of psychologists in the U.S. are Black.“You know, I think a lot of these guys, they've been going to the same barber since they were 5 years old or maybe only went to a couple of barbers in their whole life and so it's their relationship,” said Lorenzo Lewis, founder of The Confess Project, which trains barbers to become mental health advocates.That training includes learning active listening, positive communication, validation and stigma reduction.Lewis says the barbershop is a good place for this because it's really the only place in the Black community, besides the church, where everyone from all socioeconomic backgrounds come. And they visit more frequently than they would their own doctor.He says he recognized the need for mental health help among black men, but saw it wasn't accessible to them.He is hearing conversations in barbershops change especially now with the issues the Black community is facing.“I think, if nothing else, it is more of a preparation conversation around life success and what in which we know when individuals are successful in life, career, health and their relationships, that they will have a quality mental health,” said Lewis.The mental health training for barbers is being offered in some cities in person, or you can take the virtual course. You can sign up at TheConfessProject.com.The Confess Project trains barbers to become mental health advocates 1877
BALTIMORE, Md. - "I never thought that I would be on Facebook again, and going on Facebook is literally what changed my life."It was a lifesaving change for Rachel Rockwell.Her old classmate Kate Corzine would be her agent of change.“After having this condition for 12 years and knowing that I eventually needed to look for a liver donor, the time had come.”Rachel opened up on Facebook about her autoimmune disease, Primary Sclerosing Cholangitis. It was attacking her liver. She needed a transplant to survive.She and Kate hadn't spoken in about 15 years.Kate, a nurse, and mother of five did her research on live liver transplants answered Rachel's call for help."I approached my husband and said an old classmate of mine Rachel needs help and I think that this is something that we can do. I'd like to offer my help and after hearing a bit more he said, go for it."There was an outpouring of support for Rachel on social media. More than 50 people responded, but Kate ended up being the perfect match.They met for lunch two weeks prior to their Sept. 29 surgery date in the middle of a pandemic."It has been a challenging year for a lot of people and to have this hope that is shared and the joy that comes from it, it's pretty amazing."There's a lot of darkness and for people to see an opportunity for light and then see that happen so abundantly with Kate is very moving."While Rachel's grateful for Kate, both women are grateful for the medical team at Johns Hopkins that made it happen.Their surgeon, Dr. Andrew Cameron says the amazing story of Kate's willingness to share more than half of her liver with a former classmate.... is a testament to the importance of transplants.Their road to recovery is smooth so far.....Kate's liver is regenerating....and Rachel is on the mend with her PSC thanks to her new organ.“I'm on a lot of medication to keep the liver happy, Kate's liver happy, but a year from now it'll probably seem like my liver."While the two shared sisterhood at Bryn Mawr graduating from the girls' school in 1997. Now they consider themselves liver sisters.It's the piece of Kate that's giving Rachel a new lease on life. Kate has no regrets just advice.“Whether you have a loved one or a friend or you come across a bumper sticker or a Facebook post and you say wow that’s someone who needs help I think I can give that help, I would encourage you to do it."This story was first reported by Kelly Swoope at WMAR in Baltimore, Maryland. 2472
BRUSSELS (AP) — Britain and the European Union have struck a provisional free-trade agreement that should avert New Year’s chaos for cross-border commerce and bring a measure of certainty to businesses after years of Brexit turmoil. The breakthrough on Thursday came after months of tense and often testy negotiations that whittled differences down to three key issues: fair-competition rules, mechanisms for resolving future disputes and fishing rights. In a statement from Downing Street, the Prime Minister's residence, said, "We have got Brexit done and we can now take full advantage of the fantastic opportunities available to us."Now comes the race to approve and ratify the deal before the U.K. leaves the EU’s economic structures on Jan. 1. The British and European parliaments both must hold votes on the agreement. And key aspects of the future relationship between the 27-nation bloc and its former member remain unresolved. 944