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The Trump administration is taking steps to give telehealth a broader role under Medicare, with an executive order that serves as a call for Congress to make doctor visits via personal technology a permanent fixture of the program. The order President Donald Trump signed Monday applies to one segment of Medicare recipients — people living in rural communities. But administration officials say it’s intended as a signal to Congress that Trump is ready to sign more significant legislation that would permanently open up telehealth as an option for all people with Medicare. Trump says his administration is “taking action to make sure telehealth is here to stay.”"When the invisible enemy struck our shores, we took immediate action to eliminate regulatory barriers to telehealth, making it easier for patients to consult with doctors from safety and convenience and really, they have great safety and great convenience right from their homes," Trump said. While the CDC said in June it was working on expanding access to telehealth, it did list some drawbacks to the service:Situations in which in-person visits are more appropriate due to urgency, underlying health conditions, or inability to perform an adequate physical examThe need to address sensitive topics, especially if there is patient discomfort or concern for privacyLimited access to technological devices (e.g., smartphone, tablet, computer) needed for a telehealth visit or connectivity issuesLevel of comfort with technology for HCP and patientsCultural acceptance of conducting virtual visits in lieu of in-person visits by HCP and patientsInterstate licensure challenges and other regulatory issues that may vary by state 1701

The World Health Organization announced Wednesday that a coalition of nations and organizations are contributing billion to assist poorer nations fight the coronavirus.The two biggest contributors were the United Kingdom and Canada.The WHO says the “ACT-Accelerator, which was launched just five months ago, is an unprecedented global collaboration of the world’s top international health organizations working together to accelerate the development, production, and equitable delivery of COVID-19 tests, treatments, and vaccines.”The WHO said an additional billion is needed to realize its goals of producing 2 billion vaccine doses, 245 million treatments and 500 million tests. The WHO is working with the World Bank to secure billion in funding, which has to be first ratified by its shareholders.The United States government did not contribute to the fund as the government stopped funding the WHO in April. The Bill and Melinda Gates Foundation, however, were among the organizations to contribute to the fund.“One thing I've learned studying the history of pandemics is that they create a surprising dynamic when it comes to self-interest and altruism,” Bill Gates said. “Pandemics are rare cases where a country’s instinct to help itself is tightly aligned with its instinct to help others. The self-interested thing and the altruistic thing–making sure poor nations have access to vaccines–are one and the same.”The UK contributed 1 million to help poorer nations in providing support to battle the virus.“We have a duty to ensure vaccines, treatments and tests for COVID-19 are available to all—stopping the global spread of the pandemic protects the British people and will put humanity on the road to recovery. Collaboration through the ACT-Accelerator is critical to promoting development, production and access for all countries,” said UK Foreign Secretary Dominic Raab. 1906

The RV industry has seen a significant increase in rentals and sales over the summer. One company, RVshare, reported more than a 1,000% increase in rentals.Now, the trend seems to be moving beyond just a summer vacation alternative. Some are turning to it as a new way to home-school and work during this pandemic.Some families are turning these RVs into their primary or secondary homes."I think it is difficult for families to be cooped up," said Julie Partridge.Partridge was already considering making the switch to RV life before the pandemic, but after five months of social distancing and quarantining in her home, she decided to finally do it.She sold the family home and hit the road to live, home-school her kids and work from an RV."Obviously our camper is much smaller than our house,” said Partridge. “Substantially smaller, but you have this vast open world available to you. You feel less cooped up in this camper than you do in this 3,000 square foot house."She also feels the move to full-time RV life this fall will also give her kids a unique educational opportunity."We really want to see the national parks,” said Partridge. “I want my kids to do the park ranger program. I want to use that as their science and social studies curriculum from the road. So, we are really excited about those parts."The Partridge family is just one of many either committing to or newly considering RV life in the fall, according to a survey done by the RV rental company RVshare."We have, from our survey, seen that over 30% of people are considering homeschooling from the road and over 40% of people are considering working from the road and that is something that is new to the industry," RVshare Jon Gray."You have school not opening on time, you have a lot of employers turning to work from anywhere models for the extended future and those things have made it to where RVs are appealing deep into the fall," said Gray.The pandemic has changed so much in our lives. Many people are looking to get away from the uncertainty and continued concern with it. This seems to be one way for some to do that."It is saving us money, it is teaching them lessons, it has really been kind of refreshing," said Partridge. 2224

The US Department of Justice said it is working on two fronts to ensure a fair and free election: To protect against voting fraud and to ensure voters’ civil rights are protected.As President Donald Trump continually claims that voting fraud is prevalent throughout the US, the Department of Justice said it has launched voting fraud hotlines to handle claims of voting fraud.While Trump has claimed that voting fraud could cast doubt on the legitimacy on the elections, there have been relatively few instances of recorded voting fraud. The White House released a Heritage Foundation report that found 1,071 instances of voting fraud, but those instances date back into the 20th century, making up a very small fraction of 1% of all votes cast since then.Department of Justice attorneys say they stand at the ready to assist voters in ensuring they will be able to vote on Election Day.“Ensuring free and fair elections depends in large part on the cooperation of the American electorate,” the US Attorneys’ Office said in a statement. “It is imperative that those who have specific information about discrimination or election fraud make that information available.”The DOJ said it will have FBI special agents available in each field office and resident agency throughout the country to receive allegations of election fraud and other election abuses on Election Day. In addition, those who believe federal voting rights have been violated can reach the FBI at 800-253-3931, or by filing a report here.What are possible violations of law?“Federal law protects against such crimes as intimidating or bribing voters, buying and selling votes, impersonating voters, altering vote tallies, stuffing ballot boxes, and marking ballots for voters against their wishes or without their input,” the US Attorneys Office said. “It also contains special protections for the rights of voters, and provides that they can vote free from acts that intimidate or harass them. For example, actions of persons designed to interrupt or intimidate voters at polling places by questioning or challenging them, or by photographing or videotaping them, under the pretext that these are actions to uncover illegal voting may violate federal voting rights law. Further, federal law protects the right of voters to mark their own ballot or to be assisted by a person of their choice (where voters need assistance because of disability or illiteracy).”For those looking to report possible instances of voting fraud, the Department of Justice encourages voters to call their region’s US Attorneys Office. 2586

The Trump administration announced Thursday it is enacting new sanctions on Russia for its election meddling, a month-and-a-half after missing a congressionally mandated deadline.The Associated Press also reports that the administration has accused Russia of an ongoing, deliberate attempt to penetrate the US energy grid.The new punishments include sanctions on the Internet Research Agency, a Russian troll farm that produced divisive political posts on American social media platforms during the 2016 presidential election. Yevgeniy Viktorovich Prigozhin, a financial backer to the Internet Research Agency with deep ties to Russian President Vladimir Putin, is also included.Known as "Putin's chef," Prigozhin was indicted by special counsel Robert Mueller earlier this year for his involvement with the Russian troll farm.In total, the administration applied new sanctions on five entities and 19 individuals on Thursday, including Russians who posed as Americans and posted content online as part of the IRA's attempts to sow discord ahead of the presidential contest.The sanctions were applied through executive power as well as through the Countering America's Adversaries Through Sanctions Act, which Congress initially passed this summer hoping to pressure Trump into punishing Russia for its election interference.Trump signed the bill reluctantly in August, claiming it impinged upon his executive powers and could dampen his attempts to improve ties with Moscow.The measure imposed an October deadline on the administration to produce lists of individuals and entities that could be subject to potential sanctions, and a January deadline to impose them. The law required the administration to identify entities that conduct significant business with the Russian defense and intelligence sectors.The administration missed both by several weeks, claiming necessary work was underway at the State and Treasury Departments to complete the lists.The delay was seen as sign of Trump's unwillingness to punish Russia for its meddling, which he has downplayed in the past. Members of Congress expressed frustration that their law, which passed almost unanimously, wasn't being enacted.On Thursday, administration officials insisted the new measures weren't the end of their efforts to punish Russia."By no means will this constitute the end to our ongoing campaign to instruct Mr. Putin to change his behavior," a senior administration official told reporters.The-CNN-Wire 2485

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