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As COVID-19 first started to spread in the U.S., hospitals around the country were forced to stop elective surgeries. Now, hospital officials say they're facing perhaps the biggest financial crisis in their history."We've had to curtail regular operations, some of which involve these non-emergent procedures that you mention, and as a result from March to June, we saw a loss of revenue of 0 billion or billion a month," said American Hospital Association President Rick Pollack.Hospitals have also taken on major expenses when it comes to preparing and caring for COVID-19 patients. Plus, many patients they treat don't have insurance.Pollack says hospitals collectively are one of the largest employers in the country, employing more than 5 million people."Half of hospitals' budgets, over half, is devoted to labor costs. So, of course, when all regular operations are shut down and you’re incurring additional expenses to prepare for treating the virus for the community, you have to find ways to cut costs," explained Pollack.Some hospitals have resorted to laying off or furloughing staff."So, it's the last choice,” Pollack said. “It's a bad choice and we try to avoid it, but sometimes, it's inevitable to just stay afloat.”"Whether the disruptions in the health industry remain temporary or permanent is an interesting case because it affects everyone," said Jack Strauss, the Miller Chair of Applied Economics at the University of Denver.Strauss is concerned about how the healthcare industry will recover from the COVID-19 pandemic, especially amid a possible second wave of infections."They make their money on elective surgery and those were not occurring, and so, they're not probably positioned to recover," said Strauss.While a number of states are allowing elective procedures again, the wait time for these patients may be detrimental."Whether it's the detection for a tumor or a scan of a part of a body for a diagnostic procedure, a replacement of a heart valve. So, when you talk about electives, they're really not all that discretionary and we’re really concerned in the period that we shut down all non-emergent procedures that there was a deferral of care,” said Pollack. “We do hear, anecdotally, that the people that are coming back are in a much sicker position because they didn’t get the care that they needed.”Pollack says in order for the healthcare industry to recover, they're going to need a lot of help from the federal government."There's no question, if we don't get the additional assistance it will put the financial viability of a lot of hospitals at risk, particularly in rural areas and vulnerable urban areas," said Pollack.As possibly the biggest industry in the country that's been on the front lines of treating COVID-19, hospitals hope they're one of the first to get major federal help so that the healthcare industry can survive this pandemic. 2909

As a massive caravan of migrants treks north, US officials have been negotiating with Mexico about how to handle the caravan should it reach the US border.Officials are weighing the legality of certain steps the Trump administration could take and looking at whether any processes could be changed to speed up the removal of migrants who have no legal basis to remain in the US, according to a senior Department of Homeland Security official.The official says the administration hasn't made any "firm decisions" about how to respond if the caravan reaches the border.Among the topics being discussed with Mexico is whether migrants from the caravan could be held there before entering an official port of entry, the DHS official said. The official said this is already being done to some extent, and described this as a more official process of what is known as "metering," when Customs and Border Protection officers keep immigrants in Mexico to limit the flow into the US. This process has been sharply criticized by advocates, who accuse officials of illegally trying to block immigrants from claiming asylum.A spokesperson for Customs and Border Protection referred all questions on the caravan to DHS.Additionally, the US is negotiating with Mexico about whether migrants from the caravan could be deported there, regardless of their country of origin. This process, known as "return to territory," which was included in President Donald Trump's January 2017 executive order on border security, isn't currently carried out by Immigration and Customs Enforcement, because Mexico would need to agree to take foreign nationals back."A lot of these (options) depend on cooperation and discussions with Mexico," the official said.There were 401 claims for asylum from the caravan that made its way to the US last spring, with 374 of those receiving "credible fear referrals," which is the initial screening to ensure a claim could have merit, according to Citizenship and Immigration Services data.ICE has been talking with contractors to discuss the possible need for additional detention capacity, according to the DHS official. ICE is also preparing for the possibility that it might need more officers at the border, the official said, stressing that while officials are preparing for various possibilities, they have not taken action.DHS has not responded to a request for comment on these policy considerations, but on Tuesday, DHS spokesperson Tyler Houlton tweeted that "stopping the caravan is not just about national security or preventing crime, it is also about national sovereignty and the rule of law. Those who seek to come to America must do so the right and legal way."On Tuesday, another senior administration official said the "administration wants the ability to return whole entire Central American families and also minors after apprehension."This official called the asylum system the "world's largest immigration loophole.""You simply come up to the border, you make a totally fraudulent assertion and it puts you into a legal system that takes more time to play out than we can detain you for, and so it becomes a ticket to catch and release," said the official on Tuesday. 3211

An engineer for the company that designed a pedestrian bridge that collapsed Thursday, killing at least six people, left a voice mail two days earlier for a Florida Department of Transportation employee advising there was "some cracking that's been observed on the north end of the span."The state employee was out on assignment Tuesday and didn't hear the voice mail from W. Denney Pate of FIGG Bridge Engineers until he returned to the office Friday, the DOT said. 474

An intoxicated Mansfield woman was arrested on Saturday after making lewd comments to the Easter Bunny.Ladonna Hughett, 54, was arrested at Richland Carrousel Park in Mansfield, Ohio.Witnesses told police the woman made several lewd comments while taking a photograph with the Easter Bunny and appeared to be intoxicated. Afterward, Hughett went for a ride on the carrousel.Police said Hughett appeared to be under the influence when they arrived. She was charged with drunkenness and taken to Richland County Jail. No word on the toll all this egg-citement took on the Easter Bunny. 641

As a number of students across the country head back to school remotely, many children are getting online for their classes every day. But school districts across the country are approaching the use of computer cameras differently."One of the things we're so worried about our kids missing out on is oxytocin. I know we don't think about it that way but that's the chemical we get when we get to be with or see or hear people that are important to us. The feeling of connectivity, that feeling of being okay is really benefited by seeing faces," said Dr. Deborah Gilboa, a family physician and youth development expert also known as "Doctor G" who has created an e-course for parents and educators to help them navigate back to school virtually. Dr. G says if schools have the secure, virtual platforms for live classroom learning, students should turn their cameras on so teachers and other students can see them.As for whether having your camera on or off during class can be appropriate depending on a child's age, Dr G says "parents are experts of their own kids and there may be individual instances where it would be valuable for a child in certain situations to leave their camera off."Dr. G says parents and teachers have a lot more to fear from kids disengaging than engaging uncomfortably. "Middle school is an uncomfortable experience for almost everyone. And I don't mean to diminish that at all but uncomfortable is not the same as unsafe. Helping our kids navigate more uncomfortable situations is often more valuable than protecting them from uncomfortable situations," said Dr. G.At Sanger Unified School District in California, administrators recommend their 12,000 students leave their cameras on when in their virtual classrooms but it's not required."The students do have somewhat of a choice to do that and we know some of our low socio-economic status students, sometimes they're just a little concerned with the background or there’s a lot going on they don't want to show. Or it could be, I don't want someone looking into my bedroom," said Tim Lopez, the Associate Superintendent of Educational Services at Sanger Unified. Lopez says the district is moving to a new virtual learning platform that will allow students to create a virtual background. He believes that and the optional cameras helps level the playing field among students while they're learning from home."There's other things like bandwidth. I've noticed even in my own meetings with adults, they're going on and off and it's like, 'Hey, turn your camera off so we can just listen to what you have to say,'" said Lopez. Whether students' cameras are on or off, both Sanger Unified and Dr. G say teachers will be prepared to ensure students are paying attention in class."I think that our teachers have learned a ton in the last six months about virtual classroom management, just like they spent a lot of time at school learning about in-person classroom management. Mostly, parents don't need to jump in to this conversation unless the teacher asks us to," said Dr. G.Navigating a new digital classroom with brand new online expectations. 3137

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