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If you recently waited in a crowded doctor’s office or you’ve called to make an appointment and were told the next slot available is in several weeks or months, you’ve already experienced the effects of America’s doctor shortage.It's become more common for doctors, like New Jersey urologist Dr. Thomas Mueller, to practice with a packed patient schedule."The amount of patients we see is borderline insane," Mueller says.“I'll be the first one to say I don’t think it’s the best thing in the world," he says. "The things that I do to combat it is I just invest a lot of time beforehand.”Mueller and the team of physicians at Delaware Valley Urology each see upward of 50-60 patients a day.And that’s still not enough. "With the baby boomers becoming, you know, in their 70s, there are a lot of people to be seen," the doctor says. "The overall structure of medicine, at least as far as training is concerned, they’ve never really increased the enrollment in medical schools.”Unless significant steps are taken, the Association of American Medical Colleges predicts the shortage is only going to get worse.“I think I am at my max (amount of patients)," Mueller says. "I don’t think I can do a whole lot more."To help with the issue, legislators are proposing several bills that would raise grant money for more medical residency slots, and to make it easier for foreign doctors to practice in the U.S.In addition, medical schools have increased scholarships. Some have even created specific residency slots for those willing to practice in rural areas.“There are folks who think that there is a shortage," says Dr. Bob Motley. "I think we have as much of a problem with the maldistribution.”Motley runs Thomas Jefferson University's Physician Shortage Area Program. “We have about 50% of all physicians in Pennsylvania that are actually clustered in three counties," he says. "But 75% of Pennsylvanians actually live outside those areas.”Motley’s program has graduated roughly 400 doctors, and almost 80 percent are now practicing in rural communities hit the hardest by this doctor shortage."There's a lot to be learned in health care and we definitely have not figured it out," Mueller says. "It’s not a broken system by any stretch of the imagination but it’s things that are ever changing. And I think everyone is striving to make it better.”In addition to seeing 50 to 60 patients a day, Mueller also trains residents to handle the patient load as it is now."It's not for the faint of heart," he says. "But at the same time we do it because we love it.” 2571

Kroger announced on Tuesday a temporary pay raise for all of its frontline employees as the chain of grocery stores have seen a surge in demand. The an hour raise will be applied to hours worked from March 29 through April 18. This announcement is in addition to a bonus that the company announced last week. The one-time bonuses, which is 0 for part-time employees, and 0 for full-time workers, will be paid out on Friday. “Our associates have displayed the true actions of a hero, working tirelessly on the frontlines to ensure everyone has access to affordable, fresh food and essentials during this national emergency,” said Rodney McMullen, Kroger’s chairman and CEO. “The Hero Bonus is just one more way we continue to convey our thanks and gratitude not only to our existing associates but also to the more than 30,000 new hires who have joined in the past two weeks and those who will soon join the Kroger Family of Companies.”“Recently, we announced an appreciation bonus for our hourly frontline associates. This gesture was to thank our associates for everything they have done during the past few weeks,” said Tim Massa, Kroger’s senior vice president and chief people officer. “However, we recognize that this crisis is far from over, and after reflecting on associate feedback and working together with our union partners, we want to further acknowledge our terrific team for their hard work to date as well as the work yet to come.”Kroger joins Target and Amazon in increasing worker pay by an hour temporarily. Target also increased the pay of its frontline workers to a minimum of an hour through May 2. Amazon also increased the pay of its frontline workers by through the end of May.Justin Boggs is a writer for the E.W. Scripps National Desk. 1796

Just hours after a heated interview aired on CBS where musician R. Kelly declared his innocence on charges of sexual abuse, he was back in custody on Wednesday for failing to pay child support. According to the Chicago Tribune, Kelly has failed to pay more than 1,000 in back child support. A Cook County, Illinois judge said that Kelly must pay the 1,000 in full in order to be released. He had previously been out on bond after spending four days in jail on charges of sexual abuse. Kelly had a friend help him pay the 10 percent of the million bond he needed in order to get out of jail. Kelly's publicist, Darryll Johnson, told the Chicago Tribune that Kelly had ,000 to ,000 ready to pay on Wednesday, but the judge wanted the full amount. “As you know, he hasn’t worked in a long time,” Johnson told the Tribune. Kelly will next appear in court on March 13. 892

In updated guidance issued by the CDC on Monday, it recommended that all cruise ship and river boat travel be avoided anywhere in the world during the spread of the coronavirus. The announcement comes as nearly 150 countires worldwide have reported a confirm case. The recommendation is especially important for older individuals, and those with a serious chronic medical condition. The CDC noted several recent examples of where the the coronavirus spread among passengers on board cruise ships. Recent examples include 696 cases and 8 deaths on the Diamond Princess cruise ship in Japan and 28 cases on the Grand Princess cruise ship in the United States, the CDC said. The CDC issued the following recommendations to tell patients who plan on going on cruise ships and river boats:Advise patients to defer all cruise ship travel, including river cruises, worldwide.Explain that their return travel to the United States may be impacted, and formal quarantine procedures may be implemented if confirmed cases are identified on board.Explain that appropriate medical care or medical evacuation may not be available internationally.Explain that some countries may refuse docking or disembarkation if there are known or suspected cases on board.For patients who still intend to cruise, advise them to practice social distancing and monitor their health both during travel and for 14 days from the time they disembark. Social distancing means staying out of crowded places, avoiding group gatherings, and maintaining distance (approximately 6 feet or 2 meters) from others, when possible.The guidance came on the same day that President Donald Trump and leading health officials suggested that gatherings of 10 or more people pose a risk to older and disabled people. The CDC also said all gatherings of 50 or more people should be outright postponed amid the spread of the coronavirus. 1895

John Paul Stevens, a former Supreme Court Justice appointed by Gerald Ford, has died at the age of 99 in Fort Lauderdale, Florida. According to a statement from the US Supreme Court, Stevens died from complications from a stroke. Stevens served on America's top court from 1975 through 2010. Stevens' 35-year term on the bench marked the third-longest in history. Stevens stepped away from the Supreme Court in 2010 and was replaced by Elena Kagan, an Obama appointee.Two years after Stevens stepped away, he was awarded with the Presidential Medal of Freedom by President Barack Obama. One of Stevens' final 621