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AUSTIN, Texas (AP) — The chairman of a panel considering changes to the U.S. military draft said Monday its recommendations to Congress won't be influenced by a federal judge's recent ruling that the current system is unconstitutional because it only applies to men.The military has not drafted anyone into service in more than 40 years, but American men must still register when they turn 18. Recent efforts to make registration also mandatory for women have set off intense debate in Washington.U.S. District Judge Gray Miller declared a male-only draft unconstitutional in his ruling late Friday, but he stopped of ordering the government to make any immediate changes. He said the time for debating "the place of women in the Armed Forces" is over. Women now make up 20 percent of the Air Force, 19 percent of the Navy, 15 percent of the Army and 8.6 percent of the Marines, according to Pentagon figures.The Justice Department declined comment Monday after losing the case out of Houston.RELATED: Federal judge rules male-only draft is unconstitutionalThe decision comes as Congress awaits a report next year from an 11-member commission to study the issue of selective service. It is chaired by former Nevada Rep. Joe Heck, who personally supports that women also be required to register for the draft.Heck said the ruling won't influence its report or hurry along the eventual recommendations to Congress. He described a generational divide in public comments his commission has collected about women and the draft."If you talk to those who would be impacted, that is males and females ages 18 to 25, they say, 'yes, women should have to register. It's a matter of equality,'" Heck said. "If you talk to an older population, they're the ones who seem to be reluctant."RELATED: Generals push for women draft registrationThe lawsuit in Texas was brought by the National Coalition for Men, a men's rights group. The Defense Department lifted the ban on women in combat in 2013, and Miller stopped of ordering the government to take any immediate action with the draft in his ruling late Friday."I actually thought the judge did that to give them time, because this is such a major change," said Marc Angelucci, a lawyer for the men's group.The last major decision on selective service was the U.S. Supreme Court ruling in 1981 that upheld excluding women because they were not allowed to serve in comment at the time.Miller, who was appointed by former President George W. Bush in 2006, noted that was no longer the case."While historical restrictions on women in the military may have justified past discrimination, men and women are now 'similarly situated for purposes of a draft or registration for a draft,'" Miller wrote. "If there ever was a time to discuss 'the place of women in the Armed Services,' that time has passed." 2843

As people prepare to travel for Christmas, experts are concerned about another spike in coronavirus cases.We are almost a month out from Thanksgiving, and according to the COVID Tracking Project, more than 47,000 people in the U.S. have died from COVID-19 since Thanksgiving.And although the CDC advised against traveling, the Transportation Security Administration screened 9.5 million travelers during the 10-day Thanksgiving travel period.TSA also screened more than 3.2 million people at airports nationwide this past weekend.And as people gear up to spend the Christmas holiday with loved ones, the surge of new COVID-19 cases continues with no end in sight.The Harvard Global Health Institute and Brown School of Public Health created a risk-assessment tool that color-codes states with over 25 new daily cases per 100,000 people. The color red on the map means the state is considered "at a tipping point."According to the Harvard and Brown researchers, the 10 worst states considered to be "at a tipping point" are Tennessee, Rhode Island, California, Alabama, Arizona, Oklahoma, Indiana, Utah, Arkansas, and Delaware.According to Johns Hopkins University data, in Tennessee, the state's positive rate is 19.2%.In Alabama, the state's positive rate is 40.4%. Arkansas's positive rate is 18.7%, Arizona's is 13.1%, Delaware's is 7.7%, 13.3% of COVID tests in California are positive, Oklahoma's positive rate is 21.1%, Indiana has an 11.6% positive rate, Rhode Island is at a 6.3%, and 17.6% of COVID tests in Utah are positive.According to the CDC, between 1.2 million to 2.3 million new cases are likely to be reported in the week ending January 9, 2021. 1671

As the coronavirus pandemic surges across the nation and infections and hospitalizations rise, medical administrators are scrambling to find enough nursing help — especially in rural areas and at small hospitals.Nurses are being trained to provide care in fields where they have limited experience. Hospitals are scaling back services to ensure enough staff to handle critically ill patients. And health systems are turning to short-term travel nurses to help fill the gaps.Adding to the strain, experienced nurses are “burned out with this whole (pandemic)” and some are quitting, said Kevin Fitzpatrick, an emergency room nurse at Hurley Medical Center in Flint, Michigan, where several left just in the past month to work in hospice or home care or at outpatient clinics.“And replacing them is not easy,” Fitzpatrick said.As a result, he said, the ER is operating at about five nurses short of its optimal level at any given time, and each one typically cares for four patients as COVID-19 hospitalizations surge anew. Hospital officials did not respond to requests for comment.But the departures are not surprising, according to experts, considering not only the mental toll but the fact that many nurses trained in acute care are over 50 and at increased risk of complications if they contract COVID-19, while younger nurses often have children or other family to worry about.“Who can actually work and who feels safe working are limited by family obligations to protect their own health,” said Karen Donelan, professor of U.S. health policy at Brandeis University’s Heller School for Social Policy and Management. “All of those things have been factors.”Donelan said there is little data so far on how the pandemic, which has killed more than 231,000 people in the country, is affecting nursing overall. But some hospitals had a shortage even before the virus took hold, despite a national rise in the number of nurses over the past decade.With total confirmed coronavirus cases surpassing 9 million in the U.S. and new daily infections rising in 47 states, the need is only increasing.Wausau, Wisconsin-based Aspirus Health Care is offering ,000 signing bonuses for nurses with at least a year of experience and hiring contract nurses through private staffing companies to handle a surge in hospitalizations that prompted the system to almost quadruple the number of beds dedicated to COVID-19 patients.Aspirus, which operates five hospitals in Wisconsin and four in small communities in Michigan’s Upper Peninsula, also is moving nurses around between departments and facilities as hot spots emerge, said Ruth Risley-Gray, senior vice president and chief nursing officer at Aspirus.Outside help still is needed, in part because some nurses have gotten sick from or were exposed to the cornavirus during the current wave, which “came with a vengeance” starting in August, Risley-Gray said. At one point in mid-October, 215 staffers were in isolation after showing symptoms or being exposed to someone who tested positive, and some are just starting to return to work.Aspirus recently was able to hire 18 nurses from outside agencies, and may need more if the surge continues.Because the pandemic is surging just about everywhere in the country, hospitals nationwide are competing for the same pool of nurses, offering pay ranging from ,500 a week to more than ,000, said April Hansen, executive vice president at San Diego-based Aya Healthcare, which recruits and deploys travel nurses.She said demand for their services has more than doubled since early in the pandemic when the greatest need was in hot spots like New York and New Jersey and then moved to southern states. In recent weeks the virus has been spiking across the country, with the new hot spots in places like the rural upper Midwest and southern-border communities such as El Paso, Texas.Now placing nurses where they’re needed is “like a giant game of whack-a-mole,” said Hansen, whose company has about 20,000 openings for contract nurses.In North Dakota, where infection rates are exploding, hospitals may cut back on elective surgeries and seek government aid to hire more nurses if things get worse, North Dakota Hospital Association president Tim Blasl said.In Texas, Gov. Greg Abbott recently announced he was sending 75 nurses and respiratory therapists to El Paso to help handle the city’s surge. Wisconsin Gov. Tony Evers, meanwhile, issued emergency orders making it easier for nurses from elsewhere to practice in his state and for retired nurses to come back.“This has been a challenge, and we’ve been pleading with the community members to protect themselves and others,” by wearing masks and social distancing, said Aspirus’ Risley-Gray, who said the positivity rate among community members tested by Aspirus rose from under 10% in September to 24% last week.To combat the emotional toll and fatigue that comes with caring for COVID-19 patients, including just donning and removing protective equipment all day, Aspirus has been giving nurses microbreaks and quiet places to get away and collect themselves when they feel overwhelmed.Travel nurses say the need at small hospitals tends to be greater than at larger facilities.Robert Gardner, who’s currently assigned to a hospital in a small town about 20 miles west of Atlanta, said he did search and rescue in the Coast Guard during Hurricane Katrina and the pandemic is “a lot worse.”He worked at a large New Jersey hospital when that state was swamped by the virus in the spring, and now worries that flu season could bring further chaos to hospitals. But he’s determined to stick it out, no matter what.“It’s not even a question,” Gardner said. “Nursing is a calling.” 5727

As our country works to rebound, we're helping you manage the pressure as the pandemic is shifting caregiving responsibilities.More millennials are taking on this responsibility now. They're becoming a greater percentage of what's known as the "sandwich generation." Those are people who are caring for both their own kids and their aging parents.New numbers from insurance company New York Life show a third of millennials are doing this now.“We're not replacing the typical 49-year-old woman who's the family caregiver. She's still doing it, but the need is so great that more and more young people are called into the role as well and that's going to continue well after the COVID pandemic,” said John Schall, CEO of the Caregiver Action Network.Nearly half of the so-called "sandwich generation" expect to be a caregiver in some capacity for six or more years.The added financial strain is one concern. Schall says out of pocket expenses can be about a thousand dollars a month.More than half of these caregivers say they're spending more than usual per month to care for others as a result of the pandemic. That means they're contributing less to their savings and their retirement.There's also the concern about the mental toll.“With millennial generation caregivers, you may not be thinking about depression, you know, at that age, but the fact is the sheer stress of the role of being a family caregiver increases that risk of depression twice as often,” said Schall.If you are feeling overwhelmed, the caregiver help desk from the Caregiver Action Network can be one place to turn. You can call them free of charge at 855-227-3640. 1648

As we focus on getting kids safely back to school this year, Nashville-area builders are trying to figure out how to limit the impact of potential future pandemic years down the road, which may require permanently changing the look of new schools, offices, and hospitals."Yes, we are definitely seeing clients ask questions," said Matthew Griffith, an architect with Gould Turner Group."Things like the materials we specify, how cleanable they are, rounded corners in rooms and antimicrobial surfaces," Griffith said.Griffith says with the thought of a future pandemic in mind — segmented spaces could be the norm for new schools."I think you will see a big focus on true flexible space, have demountable partitions and movable walls to where it can be segmented or more individualized on an as-needed basis," Griffith said.And that idea extends beyond school buildings. Griffith says the same can apply to hospitals and other office spaces."I think it's going to be common in a lot of designs to have dedicated spaces for temperature checks and things of that nature," Griffith said.A large building's heating and cooling system will likely be a large focus, according to Griffith. Rather than circulating air throughout the whole building, individual units may be able to keep the air within smaller areas in case of an outbreak.Schools have been through similar kinds of building trends before. In the early 2000s, it was all about security and hindering active shooters. Just like those changes, Griffith says COVID-19 will likely leave its mark on big building blueprints.WTVF's Jason Lamb first reported this story. 1629