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It looked down over Celina, Tennessee like a watchful eye, and for decades, Cumberland River Hospital provided a sense of security for this struggling rural county.But now, the hospital sits empty and dark; its hallways filled with silence. The death of this county’s only hospital has thrust this place into darkness, and dozens more like it across the country are potentially about to suffer the same fate.“We are seeing a huge divide in healthcare among Americans,” explained Johnny Presley, the owner of this small rural hospital.Hospitals across the country are struggling now more than ever, as patients are still avoiding elective surgeries because of COVID-19. Those are the bread and butter of most hospital's bottom line.In Celina, Tennessee, a town of about 1,400 people, the hospital also served as the county’s biggest employer. Presley spent months fighting with Medicare for reimbursement payments until he was finally forced to close the emergency room.He’s poured million of his own money into the hospital in an attempt to save its life.“When people can’t live in the rural communities they grew up in without access to healthcare, it’s almost like you’re in a prison,” he said.The cruel irony of a hospital closing in the middle of a pandemic is not lost on anyone who lives in this or any other rural community in America. At this hospital alone, they were able to stabilize or save more than a dozen COVID-19 patients over the past few months. Patients that now will be forced to drive more than an hour for care to the next closest emergency room.“So, many people are going to die. They’re gonna die because they don’t get the emergency care they need,” said Stephen Headrick, who lives in Celina and has relied on this emergency room countless times over the years.Since 2005, a staggering 174 rural hospitals have shut down nationwide. Fifteen of those closures happened this year alone, leaving a vacuum of care in their absence. Texas and Tennessee lead the nation in hospital closures.By the end of this year, hospitals across the country are expected to lose more than 0 billion, a staggering statistic that ripples far beyond the walls of any emergency room.When Cumberland River closed, nearly 100 doctors, nurses and staff were let go. By some estimates, 2020 may end up claiming the lives of nearly 200 more hospitals.“To keep our hospitals open during this pandemic, the government has to intervene,” Presley explained.With federal aid, Presley could reopen the hospital tomorrow, but so far, his pleas to politicians have gone unanswered.“I think it’s just a travesty that this country is going through. This country is so polarized that the most basic human needs of food and healthcare are being overlooked,” he said.Rural lifelines are on life support as American lives hang in the balance. 2841

In what proved to be the most deadly week of the pandemic so far, the U.S. averaged more than 2,000 reported deaths a day from COVID-19 between Nov. 29 and Dec. 6.According to the COVID Tracking Project, the U.S. saw an average of 2,171 reported deaths every single day for the last week. Three of those days — Dec. 2 through Dec. 4 — the U.S. reported more than 2,500 deaths per day.The 7-day rolling average of 2,171 reported deaths a day is now the highest it has ever been since the start of the pandemic, even dating back to April when Americans were dying as a result of the uncontrolled spread of the virus.And while last week was bleak, all indications are that deaths will continue to rise in the weeks to come. The rate of infection in the U.S. exploded last week, jumping from an already-high 158,000 new cases a day to about 192,000 a day. That number is expected to continue climbing in the days ahead, as test results from those who contracted the virus at Thanksgiving gatherings continue to be processed. The increased spread of infections comes at a concerning time, as a record 101,000 Americans are already in the hospital with COVID-19. Because virus hospitalizations typically lag behind confirmed infections, health experts worry that many more Americans will need to be hospitalized at a time when bed space is dwindling.For instance, hospitals in Southern California currently have only about 15% of ICU bed space available. Passing that threshold triggered a new wave of restrictions in the region this weekend, like the closing of some non-essential businesses and advisories against in-person gatherings.As of Monday morning, according to a Johns Hopkins database, the U.S. had seen 14.8 million COVID-19 infections since the start of the pandemic and 282,000 deaths. 1809

It doesn’t take much to upend many Americans’ finances. A car that won’t start, a furnace that dies or a trip to the hospital can leave households struggling to make ends meet.According to the Federal Reserve, 44% of U.S. adults say they would have trouble coming up with 0 to cover an unexpected expense. Even families who have more in the bank can flounder. Surveys by The Pew Charitable Trusts found that 51% of families with at least ,000 in savings reported trouble paying the bills after a financial shock.Yet it is hardly a shock if an appliance wears out or a car breaks down.It’s time to rethink what we mean by unexpected expenses. Some bills may be unpredictable in their amount or their timing, but they’re still inevitable. In other words: If you have a car, or a home, or a body, sooner or later it’s going to cost you.A better approach, especially for households currently living paycheck to paycheck, is to save for the most likely costs and have some kind of Plan B to handle the truly unexpected.Here’s how that might work with three of the most common unexpected expenses Pew found: 1119

INTERACTIVE MAP: Where the Woolsey?Fire is burning in Ventura and LA countiesLOS ANGELES (CNS) - A smoke advisory remained in effect Saturday due to the Woolsey Fire, which was causing unhealthy air quality affecting everyone in areas directly impacted by smoke, including central and northwest coastal Los Angeles County, the San Fernando Valley and the western San Gabriel Valley.A growing blanket of brown smoke crept across the Southland sky on Saturday, as the fire in Los Angeles and Ventura counties grew to 70,000 acres with zero percent containment."It is difficult to tell where ash or soot from a fire will go, or how winds will affect the level of dust particles in the air, so we ask everyone to be aware of their immediate environment and to take actions to safeguard their health," said Dr. Muntu Davis, health officer for Los Angeles County."Smoke and ash can be harmful to health, even people who are healthy," Davis said. "People at higher risk include those with heart or lung diseases, children and older adults."Early Saturday, the smoke created an eerie, fog-like presence that extended far south along the coast, including the Marina del Rey and LAX area. That lifted by around noon, but as the afternoon wore on the sky grew gradually darker over large swaths of Los Angeles County.Davis urged everyone in areas where there is visible smoke or the smell of smoke to avoid unnecessary outdoor exposure and to limit physical exertion, whether indoor or outdoor, such as exercise.Children and people who have air quality-sensitive conditions, such as heart disease, asthma and other chronic respiratory diseases, should follow the recommendations and stay indoors as much as possible, even in areas where smoke, soot or ash cannot be seen or there is no smell of smoke, according to DPH officials.The health department is "also advising schools and recreational programs that are in session in smoke-impacted areas to suspend outside physical activities in these areas, including physical education and after- school sports, until conditions improve," Davis said. "Non-school-related sports organizations for children and adults are advised to cancel outdoor practices and competitions in areas where there is visible smoke, soot or ash, or where there is an smell of smoke. This also applies to other recreational outdoor activity, such as hikes or picnics, in these areas."According to DPH, people can participate in indoor sports or other strenuous activity in areas with visible smoke, soot or ash, provided the indoor location has air conditioning that does not draw air from the outside and all windows and doors are closed.Wildfire smoke is a mixture of small particles, gases and water vapor, and the primary health concern is the small particles, which can cause burning eyes, runny nose, scratchy throat, headaches and bronchitis, health officials said. In people with sensitive conditions, the particles can cause difficulty breathing, wheezing, coughing, fatigue, and/or chest pain.DPH offered the following recommendations:-- If you see or smell smoke, or see a lot of particles and ash in the air, avoid unnecessary outdoor activity to limit your exposure to harmful air. This is especially important for those with heart or lung disease (including asthma), the elderly and children.-- If outdoor air is bad, try to keep indoor air as clean as possible by keeping windows and doors closed. Air conditioners that re-circulate air within the home can help filter out harmful particles.-- Avoid using air conditioning units that only draw in air from the outside or that do not have a re-circulating option. Residents should check the filters on their air conditioners and replace them regularly. Indoor air filtration devices with HEPA filters can further reduce the level of particles that circulate indoors.-- If it is too hot during the day to keep the doors or windows closed and you do not have an air conditioning unit that re-circulates indoor air, consider going to an air conditioned public place, such as a library or shopping center, to stay cool and to protect yourself from harmful air.-- Do not use fireplaces (either wood burning or gas), candles, and vacuums. Use damp cloths to clean dusty indoor surfaces. Do not smoke.-- If you have symptoms of lung or heart disease that may be related to smoke exposure, including severe coughing, shortness of breath or difficulty breathing, wheezing, chest tightness or pain, palpitations, nausea or unusual fatigue or lightheadedness, contact your doctor immediately or go to an urgent care center. If life-threatening, contact 911.-- When smoke is heavy for a prolonged period of time, fine particles can build up indoors even though you may not be able to see them. Wearing a mask may prevent exposures to large particles. However, most masks do not prevent exposure to fine particles and toxic gases, which may be more dangerous to your health.-- Practice safe clean-up following a fire. Follow the ash clean-up and food safety instructions at http://bit.ly/SafeFireCleanup.The following is recommended for pets:-- Avoid leaving your pets outdoors, particularly at night. Pets should be brought into an indoor location, such as an enclosed garage or a house.-- If dogs or cats appear to be in respiratory distress, they should be taken to an animal hospital immediately. Symptoms of respiratory distress for dogs include panting and/or an inability to catch their breath. Symptoms for cats are less noticeable, but may include panting and/or an inability to catch their breath. 5583

INDIANAPOLIS -- After Papa John's CEO John Schnatter blamed the NFL and protests during the national anthem for his company's falling pizza sales, he gained some new fans -- just ones he doesn't want. After Schnatter's comments, neo-Nazi website The Daily Stormer claimed Papa John's was the official pizza of the alt-right. The website posted a photo of a pizza with pepperoni in the shape of a swastika.Papa John's has since denounced its new supporters. 494