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The US House of Representatives passed a federal "right-to-try" bill Wednesday night, leaving many Americans wondering what the move could mean for their health and that of their loved ones.The bill, backed by President Donald Trump, would give terminally ill patients the right to seek drug treatments that remain in clinical trials and have passed phase one of the Food and Drug Administration's approval process, but they have not been fully approved by the FDA.The bill passed the House 267 to 149, after failing to pass last week. Now the legislation needs approval from the Senate.Right-to-try laws exist in 38 states -- Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Washington and Wyoming -- but this federal bill would introduce legislation across state lines.The central question, however, remains: Would a federal right-to-try bill help or hurt some of the country's most fragile patients? Here's what you need to know, according to experts on both sides of the legislation. 1320

The U.S. Census Bureau says only a tiny percentage of records are affected by data irregularities that are putting in jeopardy a year-end deadline for turning in numbers used for divvying up congressional seats. However, released internal documents show the "high complexity" problems could push the release to February 2021. The Census Bureau told a congressional committee Thursday that the anomalies are being resolved as quickly as possible. House Democrats however say documents they obtained from Census sources, despite Trump administration stonewalling, show hundreds of thousands of records are affected.Fixing the irregularities could mean missing a Dec. 31 deadline for the Census Bureau to turn reapportionment numbers in to Congress. The internal Census documents shared by House Democrats show the data issues, which include several "high complexity" problems, could delay the once-a-decade report until February. Although the documents do not specify the extent of the larger issues, they do say incorrect handling of the issues could skew the count smaller or larger in some areas. They also say the Census Bureau estimates they need an additional 20 days for data processing. The bureau says the timeline remains in flux.The Census Bureau issued a statement asserting that "these kinds of anomalies and issues are expected and are similar to the Census Bureau's experience in prior decennial censuses." The Census Bureau Director acknowledged the issues in mid-November, more details and the delayed timeline are coming out now. The timeline is getting attention because it may or may not be after President Donald Trump leaves office on January 20. Trump has expressed interest in excluding unauthorized immigrants from the Census count. There have been challenges in court and questions about whether this could legally be done, and also whether it physically can be done by coming up with a reliable number to exclude. Three lower courts have blocked the directive from Trump saying it violates federal law that says the census should could the "whole number of persons" in each state. The Supreme Court just this week heard arguments in the case. They have not issued their ruling yet. 2215

The use of telehealth has become a common practice during the pandemic. Now, some doctors hope it continues to be an important tool in the healthcare industry."There are a number of bills have been proposed," said Dr. Tesh Monteith, a neurologist and fellow with the American Academy of Neurology.Dr. Monteith says Congress is considering several bills to keep telehealth, which allows patients to video conference with a doctor instead of going in for a physical appointment, around for the long run.When the pandemic hit, rules regarding telehealth changed, allowing for doctors to be financially reimbursed for the virtual appointments."It's allowed patients to access care. They're patients that would normally have to take days off, or to keep providers, multiple providers, and if they can do that, they may have childcare issues and not be able to get to a clinic," said Dr. Monteith.The bills would allow for everything from permanent reimbursement for physicians to allowing doctors to virtually see patients across state lines."Some of these bills are proposing that there are not limitations within states. For example, there are issues of licensing. A doctor licensed in New York should they be able to see a patient with a specialized disorder in Minnesota or does that patient have to come in Minnesota," explained Dr. Monteith.While telemedicine has been an important part of making sure people received medical care and diagnoses during the pandemic, doctors agree that the virtual visits in no way can replace seeing your physician in person."Because I know my patients well, I’m a pediatrician, I can do so much over telehealth with the kids I know. When they're sick I can look at them. I can watch them breathe. I can ask them to jump up and down and have the parents press on their tummy, but I can’t look in their ears. I can’t listen to their heart, and if it’s a family that I don’t know, there is concern that I might miss something," said Dr. Tanya Altmann, a pediatrician in California.Dr. Altmann says telehealth can also be a very valuable tool.As for reimbursement for physicians, Dr. Altmann says, "anyway that a physician or healthcare provider reaches out to a family to help with anything medical, it should be compensated."Dr. Altmann says pediatricians can sometimes spend hours on the phone with patients at night, work they don't get paid for. Getting reimbursed for telehealth visits with patients would be a plus."Patients need to empower themselves to learn about telemedicine, to learn what questions to ask a doctor. Have an advocate or family member there to even help with the physical examination," suggested Dr. Monteith.Dr. Monteith says medical professionals estimate there have been more than one billion telemedicine appointments since the pandemic began. She hopes Congress passes the telehealth-related bills to further expand medical access to people across the country. 2932

The University of Notre Dame has withdrawn as the host site of the first presidential debate, the university announced on Monday.Notre Dame had been set to host the first presidential debate on Sept. 29.In a statement, the university said it made the decision to withdraw after consultation with the St. Joseph County Health Department and with the unanimous support of the executive committee of the university's board of trustees.The Rev. John Jenkins, president of the University of Notre Dame, made what he called "this difficult decision because the necessary health precautions would have greatly diminished the educational value of hosting the debate on our campus."Notre Dame follows the University of Michigan in opting not to host a debate. The Oct. 15 debate that was originally scheduled to be held in Ann Arbor, Michigan, will be held in Miami instead.In a letter to the campus community, Jenkins said that "the inevitable reduction in student attendance in the debate hall, volunteer opportunities and ancillary educational events undermined the primary benefit of hosting — to provide our students with a meaningful opportunity to engage in the American political process."The Commission on Presidential Debates on Monday announced that the first presidential debate will now be co-hosted by Case Western Reserve University and Cleveland Clinic and held at the Health Education Campus in Cleveland.It will be the second CPD-sponsored debate hosted by Case Western Reserve University. In 2004, the university was the site of the Vice Presidential Debate."We are honored to host this presidential debate at our shared Health Education Campus,” Cleveland Clinic CEO and President Tom Mihaljevic, M.D., and Case Western Reserve University President Barbara R. Snyder said in a joint statement. “This pandemic has highlighted the critical importance of health care and scientific discovery in unprecedented ways. To have the presidential candidates discuss these issues in our innovative learning space represents a tremendous opportunity for both institutions – and our entire region.”Notre Dame has hosted six presidents at commencement ceremonies through the years — more than any university in the nation other than the military academies — but this would have been the university's first presidential debate, the university said in a statement."I am grateful to the many members of the university community who have devoted countless hours planning this event, and to the Commission on Presidential Debates leadership for their professionalism and understanding," Jenkins said. "But in the end, the constraints the coronavirus pandemic put on the event — as understandable and necessary as they are — have led us to withdraw."This year's debates, sponsored by the Commission on Presidential Debates, are:Tuesday, Sept. 29 — Case Western Reserve University and Cleveland Clinic, ClevelandWednesday, Oct. 7 — Vice presidential debate at the University of Utah, Salt Lake CityThursday, Oct. 15 — Adrienne Arsht Center for the Performing Arts, Miami, Fla.Thursday, Oct. 22 — Belmont University, Nashville, Tenn.This article was written by WRTV in Indianapolis and WEWS in Cleveland. 3201

The three-star general is leaving Puerto Rico, ending his mission of providing relief from the devastation of Hurricane Maria.Troops are being pulled out, too, along with helicopters that have flown supplies and equipment to communities cut off by landslides and broken roads.Yet government statistics say power is still not on for more than half of homes and businesses, and water is out for more than 1 in 10.Lieutenant General Jeffrey Buchanan recognizes that Puerto Rico is far from back to normal, but seven weeks after the hurricane hit, he insists the time is right to pass the baton."I think we're in the right place to transition," he tells CNN on the last day of his deployment. 696

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