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We heard a lot about flattening the curve during the beginning of the pandemic. It had to do with making sure hospitals didn't get overwhelmed with patients sick from the virus.Stay-at-home orders and canceling elective medical procedures were necessary. Now, there's a second curve researchers are concerned about flattening. It has to do with what's expected to be a rush on the health care system when all those procedures that were put on hold get rescheduled.Researchers at Johns Hopkins University are studying what's happening in real-time. They are also able to point to some past events that might give them an idea of what could happen.In the case of Ebola, patients didn't come back in for elective surgeries and treatments right away.“You started from very low but then very, very quickly that rebounded at a very surprisingly fast pace,” said Tinglong Dai, a professor at Johns Hopkins Carey Business School.So, as more states restart elective procedures, the curve and demand on the health care system will go up and researchers suggest if not prepared, it could catch them off guard.Plus, with concerns about a second wave of the coronavirus, there's potential to reach capacity.“On the supply side, you could have nurses getting sick, doctors getting sick and in fact you may not have enough testing because even now we don’t have enough testing,” said Dai.The research is looking at what's happening right now in Johns Hopkins dermatology with nearly all skin cancer treatments on hold.They hope to come up with the best models to flatten the curve on elective procedures to help reduce the negative implications on patient outcomes and added costs. They hope to have the papers ready by January. 1725

Voting rights groups and the head of the Democratic National Committee want the states with remaining primary elections to offer voting by mail as a way to ensure that voters can safely cast their ballots amid the coronavirus outbreak.A quick and easy fix? Not always.For states that don’t already have vote-by-mail or that greatly restrict it, such a change could require amending state law. It also would require major changes to state and county voting and tabulating systems. Buying the equipment and software to track ballots and read the signatures on them could cost millions. And that’s not to mention deciding who pays for return postage — individual voters or taxpayers?So far this year, there have been quick moves to extend mail voting in only two cases, both limited in scope: Maryland postponed its primary but decided to hold next month’s special congressional election by mail. And the Democratic Party in Wyoming, which already was sending all its members ballots, has canceled the in-person portion of its presidential caucus.As in Wyoming, the Democratic caucuses and primaries in Alaska, Hawaii and Kansas were already to be held largely by mail this spring. So far, none of the five states that have postponed their primaries — Georgia, Kentucky, Louisiana, Maryland or Ohio — have said they will mail ballots statewide.A bill in Louisiana seeking to expand vote-by-mail was introduced even before the state’s primary was pushed back, but it hasn’t received a legislative hearing and is opposed by the state’s top elections official. Pennsylvania lawmakers eased absentee ballot rules last year, and now Democrats want to expand voting by mail. Republicans, who control the statehouse, have generally resisted voting changes, and it’s unclear if the virus crisis is enough to overcome concerns about the costs of greatly expanding vote-by-mail.Opposition isn’t unusual, typically because lawmakers or election officials believe it opens a pathway to voter fraud. The ability to receive a ballot in the mail is greatly restricted in 16 states.Those states allow absentee ballots only for voters who give a valid reason to get one — and require they be requested for each election. Of those, Delaware and New York are phasing in no-excuse mail voting.The hurdles to implementing voting by mail for all voters is why states might be better off taking only small steps at first, said Charles Stewart, a professor of political science at the Massachusetts Institute of Technology. That could mean simply making absentee ballots easier to get.“Hastily implemented changes to voting rules and laws can end up causing all types of problems that you didn’t anticipate,” he said.Doug Jones, an election security expert at the University of Iowa, said universal mail voting also raises concerns about voters illegally selling blank ballots or being coerced to vote a certain way.On Tuesday, after Ohio postponed its primary and poll workers failed to show up at some Florida and Illinois precincts, Democratic National Committee Chairman Tom Perez called a shift to voting largely by mail “the simplest tool” to balance health concerns and the need to carry out a fundamental function of democracy.A half-dozen states already have or are implementing systems where all voters are mailed ballots. They can mail them back, drop them off at designated spots or choose to vote in person on Election Day.Oregon has been conducting elections that way since the 1990s. Since then, California, Colorado, Hawaii, Utah and Washington have implemented or begun phasing in similar systems.With the coronavirus pandemic, the idea has generated more interest. The National Vote at Home Institute advocates for a switch to a mail-based voting system and consults with governments about it.Said chief executive Amber McReynolds: “It’s better than hoping people show up and aren’t scared, and hoping that you don’t have a giant poll worker shortage and hoping polling places aren’t closed.”___Mulvihill reported from Cherry Hill, New Jersey.___Associated Press writers Frank Bajak in Boston; Melinda Deslatte in Baton Rouge, Louisiana; and Mark Scolforo in Harrisburg, Pennsylvania, contributed to this report. 4215

WASHINGTON, D.C. – The U.S. Department of State has issued a level 4 travel advisory, advising Americans to avoid all international travel due to the global impact of COVID-19, the illness caused by the new coronavirus. Thursday afternoon, DOS said that if U.S. citizens are in countries where commercial departure options are still available, they should arrange for immediate return to America, unless they are prepared to remain abroad for an indefinite period of time. Travel Advisory: Level 4 - The Department of State advises U.S. citizens to avoid all international travel due to the global impact of 620

WASHINGTON (AP) — The Treasury Department wants to start issuing direct payments to Americans by early next month as the centerpiece of a trillion plan to stabilize the economy as the coronavirus epidemic takes a toll on taxpayers and businesses. In a memorandum issued Wednesday, Treasury is calling for two 0 billion cash infusions to individuals: A first set of checks issued starting April 6, with a second wave in mid-May. The amounts would depend on income and family size. The Treasury plan would require approval by Congress.This story is developing and will be updated. 596

US Secretary of Education Betsy DeVos met with lawmakers on Tuesday, and defended the Trump Administration for proposing nearly million in cuts to Special Olympics. Devos was questioned on the subject by Rep. Mark Pocan, D-Wis., who took issue with DeVos not knowing the number of participants in Special Olympics. “It’s 272,000 kids,” Pocan said,“Let me just say that I think Special Olympics is an awesome organization, one that is well supported by the philanthropic sector as well,” DeVos said.According to 2017 figures from Special Olympics, the organization had nearly 0 million in annual revenue. The majority of its budget comes from donations from individuals and corporations, which totals million a year.DeVos defended the move as one to save the government money. “We had to make some difficult decisions," she said. A number of prominent celebrities decried DeVos' testimony later on Tuesday. "Terrible. We should support athletes with disabilities, not rip away their opportunities," Chelsea Clinton tweeted. "The benefits of Special Olympics, which I have seen first hand as volunteer are IMMEASURABLE," actress Marlee Matlin tweeted. "DeVos proposal to cut their funding will adversely affect thousands with developmental disabilities. Don't let this happen!"According to Special Olympics, its mission is "to provide year-round sports training and athletic competition in a variety of Olympic-type sports for children and adults with intellectual disabilities, giving them continuing opportunities to develop physical fitness, demonstrate courage, experience joy and participate in a sharing of gifts, skills and friendship with their families, other Special Olympics athletes and the community." 1735

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