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In many ways, we have come a long way since March when the pandemic first began, but in other ways, we have not.Infections and hospitalizations around the country from COVID-19 are rising quickly, as the United States just surpassed 250,000 deaths from COVID-19. The country is also setting records for the number of positive coronavirus cases. It has forced states to consider similar shutdown measures to the ones we saw in spring.Michigan, Washington state, Oregon, and New Mexico are mostly closed, as states like Colorado have recently announced more closures coming this weekend, including moving restaurants to take-out and delivery only.“It has been very busy [in the ICU] and it has really, as you mentioned, gone up in the last two weeks,” said Dr. Julia Limes of UCHealth in Colorado.Dr. Limes has been spending the last few weeks working out logistics for the ICU at the University of Colorado Anschutz Medical Center.“We have started deploying people from other parts in the hospital to come and help us on both the COVID floors and in the COVID ICU,” said Dr. Limes.“We already surpassed the numbers from the first surge, so it’s like what’s next?” added Maddie Smith, a critical care nurse in the hospital’s COVID-19 ICU.Smith has worked in the hospital’s COVID-19 ICU since March. She says the fear, stress, and unpredictability of this current surge might have consumed her once more if it was not for the lessons learned in the COVID-19 unit during the spring months.“We just know how to treat them better, and we know how to intervene with interventions, so that’s been really helpful,” said Smith.In the spring, hospitals were experimenting with different drugs to treat serious COVID-19 complications. Since then, the FDA has approved Remdesivir as a treatment option for certain patients 12 and older, based on findings that it helped some patients recover faster.Smith says doctors and nurses are now more familiar with the arc of how a patient might respond to symptoms so they can manage bed space and ventilator use better.All this comes as both Moderna and Pfizer announced this week they have both developed vaccines with 95 percent effectiveness.“[Caring for patients] is easier and it’s smoother than it was in the spring,” said Dr. Limes.Not only has patient care gained more clarity, but so too has self-care on the part of first responders, according to Smith.“It was hard,” she said. “I think the biggest part that got to all of us is these people don’t have family to be with. That first surge, it all hit us pretty hard because of the sadness that happened down here. We just kind of lean on each other to get through it.”How far this current wave will go is unknown, but by drawing from the past, these first responders say they will be ready to deal with it no matter what is thrown their way.“We just have a better sense of the trajectory, and that is hugely valuable as we go into this next surge,” said Dr. Limes. 2962

Instead of planes, trains, automobiles, and hotels, more and more travelers are considering renting an RV for upcoming trips.After all, there is virtually no risk of contracting COVID-19 when you are sleeping and eating in your own home on wheels.But while it appears a great way to travel, you need to know the pros and cons before you rent a camper (that you pull) or motor home (that you drive).It's the vacation rage of 2020, according to Money magazine, which calls RV's "virus friendly," since you drive across the country with your own bedroom and kitchen.But Money says many people end up surprised at the total cost, which can total a lot more than you first think.Know the real costRV rental can range from 0 to 0 per night, similar to a hotel room.Campsites are another to as much as 0 a night, depending on location and amenities.Gas can cost to 0 per day, even with today's low gas prices, as most motor homes get just 5 to 10 miles per gallon.Your auto insurance may not cover the full value of that RV, and your credit card may not cover it at all. That means you may have to pay or more per day for RV insurance.Add it up and you can end up spending 0 - 0 per night, though it is still cheaper than a 0 a night luxury resort.One other downside: many rental RV's are budget models, without all the high-end amenities you see at RV shows. Tour the model first, before you rent.Pull-behind camper or motor home?Campers that you pull tend to rent for less than models you drive.But think twice about a pull-behind camper if you have never towed a vehicle before. You will need an SUV or pickup built for towing, with a tow package that includes brake light hookups.And if you have never towed anything, you could be in for a surprise when you try to back up.A small or mid-size motor home that you drive is usually best for first-timers, experts say.And you have your own COVID-free accommodations, which can be well worth the cost.Bottom line: Campers are a great way to travel safely during the pandemic. Interested? Check a major rental firm like Cruise America. Or rent directly from owners at RV Share.Just know all the costs involved, so you don't waste your money.___________________________Don't Waste Your Money" is a registered trademark of Scripps Media, Inc. ("Scripps").Like" John Matarese Money on FacebookFollow John on Instagram @johnmataresemoneyFollow John on Twitter (@JohnMatarese)For more consumer news and money saving advice, go to www.dontwasteyourmoney.com 2534

In the midst of a global pandemic, there's a new challenge to millions of Americans’ health insurance. The Supreme Court will hear arguments Tuesday on the Affordable Care Act.“If the ACA is repealed, millions of people across the country will lose access to their health care, but not only that, millions of people who have preexisting conditions will lose protections, which were put in place through the ACA that allows them to not be discriminated against from insurance companies,” said Rosemary Enobakhare, Director of HealthCareVoter.org.Texas is arguing the ACA is unconstitutional since Congress got rid of the tax penalty it carried if you didn't have insurance.Even though the high court has a new conservative judge and majority, legal experts don't think the justices will strike down the entire law.Even advocates for the ACA admit it needs to be improved, but don't want to see vulnerable populations lose coverage in the meantime.“When all the dust settles, and everything clears, and it's time to get to work, we’ve got to make sure to remind people what they ran on and we’ve got make sure that we have people fighting for folks in their lives and making sure they're prioritize health care,” said Enobakhare.Healthcare Voter would like to see Medicaid expanded in all states. They also want lower costs for prescription drugs.“In the United States, people pay 0 to 0 a viable. Folks who have diabetes need multiple vials of insulin in order to be able to manage their condition and so people are paying thousands of dollars, monthly, and this is with insurance to be able to stay alive. That is unacceptable,” said Enobakhare.The Supreme Court will not issue a ruling on the ACA until next year. 1728

In one of the most divisive political seasons in U.S. history, finding common ground has been a challenge. But one activist decided to put rubber to the pavement in the hopes of finding what connects us.Seth Gottesdiener recently embarked on a cross country odyssey on his bicycle.“It's my preferred method of transportation and I find it really meditative,” said the avid cyclist. “It's one of my favorite things to do athletically outdoors.”The 33-year-old social justice activist mounted his two-wheeler back in late September for what he called "The Great American Bike Ride."“I thought why don't I bike across America and talk to people,” said Gottesdiener. “I'll talk to just denizens of the country and see where they're at and see how this year has affected them and their opinions.”The 45-day journey began in Los Angeles. His plan was to pedal his way through 22 cities and 13 states, concluding his expedition in the nation’s capital on Election Day.“I was not prepared for the great Southwest,” he said. “It was very intense. It was very unrelenting. The heat was over 100 degrees a lot of the days, giant mountains, really dry.”All along the way, Gottesdiener met with Americans from all walks of life. He interviewed them as part of a feature documentary.“I want people to hear voices that they would have never come encounter with on their own. I want to connect Americans together.”The ride also took him on a journey of self-discovery.“There’s parts of the country that I hadn't ever seen before, like Arkansas, like Kentucky, and a lot of Tennessee. And it was beautiful,” he said.It was also an opportunity, he says, to gain a better understanding of fellow citizens bitterly divided by politics. He hopes the journey reminds one another of the human spirit that connects us all.“Be there for each other. Help each other. Pull each other up by the bootstraps, rather than be so divided as we've seen this year.”One of the questions that Gottesdiener asked people on his journey was: “If there's one thing you could say to all Americans right now, what would it be?”He knows what he would say.“I would just say ‘Listen.’” 2147

In just the latest reminder of the dangers of pollution in our oceans, a dead whale in Indonesia has been found with 13.2 pounds (six kilograms) of plastic waste in its stomach.The 31.17-foot sperm whale was found near Kapota Island in Wakatobi National Park, southeast of Sulawesi.Park officials found bags, plastic bottles, sandals and 115 plastic cups in the whale's stomach, as well as a sack containing more than 1,000 pieces of string."Although we have not been able to deduce the cause of death, the facts that we see are truly awful," said Dwi Suprapti, marine species conservation coordinator at WWF-Indonesia, in a statement to CNN.The macabre discovery was made in an area popular with tourists and comes at a time of increasing concern over the impact of plastic pollution on marine life.In June, a short-fin male pilot whale died in southern Thailand and was later found to have ingested more than 17 pounds of plastic bags and packaging.During an autopsy, veterinarians found more than 80 plastic bags in the whale's stomach.A 2015 report by Ocean Conservancy and the McKinsey Center for Business and Environment found that over 50% of the plastic leaking into world oceans comes from China, Indonesia, the Philippines, Thailand and Vietnam, suggesting that the two whales died in dangerous waters for marine life.The report claims that a 65% reduction in plastic waste leakage in those five countries would lead to a 45% reduction globally.Without intervention, the amount of plastic cluttering the Earth's oceans will triple within a decade, according to a recent study by the UK government.However, there is evidence that lawmakers are taking notice of the threat, as the European Parliament voted to ban single-use plastics in October.The proposal covers items such as straws, cotton swabs and cutlery, in addition to obliging EU states to recycle 90% of plastic bottles by 2025.In October, the dangers of plastic were underlined when a decades-old bottle washed up almost intact on a UK beach.The plastic bottle of dishwashing liquid was at least 47 years old, with its branding still clearly visible.The-CNN-Wire 2140

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