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When the Trump administration required nursing homes to report their COVID-19 cases, it also promised to make the data available to residents, families and the public in a user-friendly way.But some facilities that have had coronavirus cases and deaths turn up as having none on Medicare’s COVID-19 nursing home website. Those data may be incomplete because the reporting requirements don’t reach back to the start of the pandemic. Numbers don’t necessarily portray the full picture.“The biggest thing that needs to be taken away ... is in its current form, it is really leaving consumers in the dark,” Sam Brooks, project manager for Consumer Voice, said of Medicare’s data website. Consumer Voice is a national advocacy group for improved quality in long-term care.Nursing homes are only required to provide the government with data on coronavirus cases and deaths among residents and staff as of May 8, or more than two months after the first outbreak in a U.S. facility was reported. Nursing homes have the option of full disclosure, but not all have taken it, and there is no penalty for withholding older data that may reflect poorly.The missing information from early in the pandemic leads to some puzzling results on the website.For example, a nursing home that had one of the first major reported outbreaks in the country — Life Care Center of Kirkland, Washington — shows no confirmed COVID cases and no deaths on the CMS data page.A spokesman for Life Care Centers of America, a major chain, said the company is providing the information the government requested.“We are reporting what CMS is asking us to report to them,” said Tim Killian. “We are not evading them in any way.“The Kirkland facility is now COVID-free and it has been for some time,” Killian added. The data showing no cases “is a snapshot of what is currently in the facility.”The company said its cumulative count shows 100 residents tested positive, and 34 died. “You can ask us directly and we’ll give you the exact numbers,” said Killian.But consumer advocate Brooks said that information should be on the CMS site.As it stands, the site “doesn’t tell the whole picture,” he said. “You are not going to be able to look at a home and make an informed decision.”The federal Centers for Medicare and Medicaid Services, which sets standards for nursing homes, said protecting nursing home residents is a top priority, and “transparency and information sharing has proven to be one of the keys to the battle against this pandemic.”But CMS said it lacked the legal authority to require nursing homes to disclose COVID information from before the effective date of its reporting rule in May.On Capitol Hill, there is pressure for more information.Sen. Chuck Grassley, R-Iowa, recently introduced legislation that would require nursing homes to report coronavirus cases and deaths going back to Jan. 1, a push that has bipartisan support.The estimated 1.4 million people living in some 15,500 nursing homes represent a tiny share of the U.S. population, but they have borne a disproportionate share of coronavirus deaths. Nursing homes are only now starting to emerge from a national lockdown that took effect in mid-March.According to the latest CMS figures, more than 33,000 nursing home residents have died in the pandemic. A running tally by The Associated Press, which also includes other long-term care facilities and staff as well as residents, shows more than 55,000 deaths.Depending on the total count, that translates from about one-fourth of the deaths to more than 40%, strikingly high proportions in either case.Coronavirus data for nursing homes do not appear directly on Medicare’s NursingHomeCompare website, the main portal for consumers trying to research a facility on behalf of a family member or friend. Instead, a link takes users to a different COVID-19 site that features statistics and a national nursing home locator map.Finding information on individual nursing homes via the data website can be confusing.If users type in a ZIP code or the name of a nursing home, the website’s locator map will display some small red dots near a larger marker icon, which also has a big dot in the middle.Instructions say click on one of the dots. But which one?The data is under the small red dots, not the larger locator, which instinctively draws the user’s eye.“I would click on the big dot,” said policy attorney Toby Edelman of the Center for Medicare Advocacy, which represents enrollees. “Why would I look for this thing that I can barely see?”CMS said it has received no reports related to search problems although more than 100,000 individuals accessed the site in June.The agency says it will continue to evaluate the usability of the website to ensure it meets consumer needs. 4782

William and Catherine, the Duke and Duchess of Cambridge, have chosen an autumnal photo of their family sitting on a tree trunk for this year's Christmas card, which was made public on Friday.The Duchess can be seen smiling broadly as she holds baby Louis, while three-year-old Charlotte and five-year-old George hold on to their father.At the same time, Harry and Meghan, the Duke and Duchess of Sussex, released their own Christmas card that shows the pair embracing on their wedding night in May. 507

WILMINGTON, Del. – President-elect Joe Biden is promising that his team is “going to get right to work” and is downplaying concerns that President Donald Trump’s refusal to acknowledge his victory could undermine national security.Trump has blocked his Democratic rival from receiving the intelligence briefings traditionally shared with incoming presidents, according to someone with knowledge of the situation but not authorized to disclose private conversations.Asked about the Republican resistance on Tuesday, Biden said it “does not change the dynamic at all in what we’re able to do.” He said additional intelligence briefings “would be useful,” but he doesn’t see anything slowing them down.“It would be nice to have it, but it’s not critical,” said Biden. “We’re just going to proceed the way we have. We’re going to do exactly what we’d be doing if he would have conceded and said we’ve won, which we have. And so, there’s nothing really changing.”Watch Biden and Sen. Kamala Harris speak below:Biden said he and his team are moving along in a “consistent manor,” putting together their administration and reviewing who they’d like to pick for cabinet positions.“Nothing’s going to stop that,” said Biden. “So, I’m confident that the fact that they’re not willing to acknowledge that we won at this point is not of much consequence in our planning and what we’re about to do between now and Jan. 20.”Biden also responded to comments from Senate Majority Leader Mitch McConnell, who said Monday that he supports Trump’s legal actions, despite there being little evidence of widespread voter fraud. Biden said he hasn’t gotten a chance to speak to McConnell yet, but he expects to relatively soon.“I think that the whole Republican Party has been put in a position, with a few notable exceptions, of being mildly intimidated by the sitting president,” said Biden. “But there’s only one president at a time. He’s president. We’re going to have the Electoral College, they’ll be making their judgment in December and it’ll be announced in early January, but in the meantime, I hope to get a chance to speak to Mitch.”When asked about the Trump administration blocking funding for the White House transition, Biden said he thinks his team can get things done without the money.“We can get through without the funding,” said Biden. “We don’t see anything that’s slowing us down, quite frankly.”So far, Biden said he’s been able to speak with six world leaders since he was projected to win the presidency on Saturday.“I’m letting them know that America is back. We’re going to be back in the game. It’s not America alone,” he said. “I’m confident that we’ll be able to put America back in a place of respect that it had before.”Biden said he believes Trump’s post-election behavior won’t help his legacy.“I know from my discussions with foreign leaders thus far, that they are hopeful that the United States’ democratic institutions are viewed as being strong and enduring,” said Biden. “I think at the end of the day, it’s all going to come to fruition on Jan. 20. And between now and then, my hope and expectation is that the American people do know and do understand that there has been a transition, even among Republicans.”When asked during his briefing what he would say to Trump if he were watching, Biden said “Mr. President, I look forward to speaking with you.” 3383

With a growing number of Americans getting tattoos, there is also a larger number getting them removed. New technology is allowing the process to be more complete with less scarring and blistering.  In some ways, users believe it can undo bad choices.A recent Harris Poll shows tattoos are particularly prevalent among younger generations. About half of millennials and a third of Gen Xers say they have at least one, compared to just 13 percent of Baby Boomers. One in eight millennials have regrets about at least one tattoo. The men who own and run "ReversaTatt" David Cope and Wesley Henderson, say they are helping people erase those regrets, one laser session at a time.When a person gets a tattoo, it's a memory of the start of a chapter in life.  They can remember the whole experience of choosing the design and the placement.  In some ways, the laser can offer a page turn into a new chapter: one without that tattoo.Two women, Stephanie Goodman and Stephanie Gray, each came to ReversaTatt recently seeking tattoo removal assistance."They all came from different places and they all have different meanings, but I'm going to keep all these ones, they're not going anywhere," explained Gray.  Gray came to ReversaTatt for her first session to remove a design along her neck.  She says the story why it's coming off is private, but she would like this tattoo to disappear."It was a name, yeah, so it's going to be gone," said Gray.After a consultation, Cope points the PiQo laser at her neck and says, "here comes the heat." In 13 seconds, he backs off. The first treatment is done.  While the pain is a bit more intense than getting the tattoo, according to Gray, it's over quickly. "It was nothing," said Gray."The red from this little stripe here is completely gone," said board certified physician assistant David Cope, pulling up his sleeve and pointing at part of his tribal arm band.  Cope said he got his own tattoo when he was in a medical program as part of a pact to finish. Now, years later, he was encouraged by patients to remove the tattoo to understand the procedure better, so he agreed. "This is kind of an ink explosion kind of feeling in your skin, so it's not just something you've felt before," said Cope.Now, on his second session, parts of the tattoo have completely disappeared and others have started to fade. Getting a tattoo removed by their PiQo laser requires short sessions, a month or so apart, five to 12 times over. Laser tattoo removal clients are 70 percent female, according to recent studies. A Harris Poll of U.S. adults surveyed online in 2015 showed 47 percent of millennials and 36 percent of Gen Xers have at least one, and they're exponentially more likely than their elders to have multiple.  Tattoo removal clinics have grown by 400 percent in the last decade.Click here for FDA suggestions regarding health and safety regarding tattoo removal.ReversaTatt says the laser they use does not cause blistering or scarring like previous methods. The results are more complete too.  Cope claims his clients' tattoos will disappear 98 percent to 99 percent. ReversaTatt has seven locations in Florida including Delray Beach, Boca Raton, Jupiter and Port St. Lucie. 3415

White House officials and House Democrats said Friday they’re no closer to a deal with on a stimulus package, a week after extended unemployment benefits expired.While the White House said they believe a compromise can be made on some issues, the two sides remain far apart on funding state and local governments. Many states and municipalities are struggling due to decreased revenues and increased costs amid the pandemic.There is also disagreement among the parties, including Senate Republicans, on unemployment supplements as unemployment figures remain over 10%. From April into July, unemployed workers received an additional 0 unemployment supplement on top of standard unemployment benefits. But many Republicans grumbled that the supplement gave incentive for workers to stay home amid the pandemic.Generally, however, if an employer calls an employee back to work, they're no longer eligible for unemployment benefits.Treasury Secretary Steven Mnuchin told reporters on Capitol Hill Friday that he is going to recommend executive orders addressing student loan payments, evictions and unemployment supplements. Currently, federal student loan payments are frozen into October. Also, protection ended last week on evictions.President Donald Trump told reporters late Friday that he plans on signing the order "by the end of the week." But Trump said he expects there will be legal challenges to his order. Mnuchin and White House Chief of Staff Mark Meadows said that there is broad agreement on some issues, such as funding for schools to safely operate amid the pandemic. Previously, the sides also said there is agreement on providing Americans with ,200 stimulus checks for the second time this year. But Mnuchin and Meadows pointed the finger at House Democrats for not compromising on the unresolved issues.“Just to hear the comments from Senator Schumer and Speaker Pelosi saying they “want a deal” when behind closed doors, their actions do not indicate the same thing,” Meadows said.Meanwhile, Democrats pointed the finger back at the White House for not reaching a compromise.While the White House suggested that it would be okay with a partial stimulus package, Democrats are calling for a more comprehensive bill.“We’re asking them to be fair, to meet us in the middle, not to have a my way or the highway attitude, which they seem to have,” Senate Minority Leader Chuck Schumer said. “We can really get this done, because there are some areas where we didn’t come to an agreement on many things, but we narrowed our differences.”Both the House and Senate have adjourned for the weekend. 2622