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Hurricane Maria was upgraded to a Category 5 hurricane on Monday, with top sustained winds of 160 MPH. As the hurricane continues to churn in the Atlantic Ocean, it is expected to strike Puerto Rico on Wednesday. The hurricane could prove to be a disastrous blow to more than 3 million Americans in Puerto Rico. Because of the threat posed to the US territory, Puerto Rico was placed under a hurricane warning by the National Hurricane Center.Earlier on Monday, forecasters predicted Maria's rapid intensification. "Significant strengthening is forecast during the next 48 hours, and Maria is expected to become a dangerous major hurricane before it moves through the Leeward Islands," according to the National Hurricane Center's latest update.  Maria has prompted a hurricane warning for Martinique, Guadeloupe, Dominica, St. Kitts, Nevis and Montserrat. As of early Monday evening, the storm was passing over Dominica. Torrential rainfall could cause deadly flash flooding and mudslides on islands that it crosses. Maria could dump 6 to 12 inches of rain across the Leeward Islands -- including Puerto Rico, the US Virgin Islands and the British Virgin Islands -- through Wednesday night."We want to alert the people of Puerto Rico that this is not an event like we've ever seen before," Gov. Ricardo Rosselló told reporters Monday.And for the first time in 85 years, Puerto Rico is expected to suffer a direct landfall from a Category 4 or 5 hurricane. Puerto Rico's governor has declared a state of emergency ahead of that landfall, which will likely happen Wednesday."It's time to wrap up your preparations now, Puerto Rico," CNN meteorologist Chad Myers said. 1719

If you've ever had a surgical procedure, you know it can often mean a high hospital bill. Now, more people are turning to surgery centers for a lower cost.Sandi Bowen is one of those people.Something as simple as picking out a shirt is more challenging for Bowen than she ever thought it'd be. On Easter, she found a lump in her breast. Doctors told her it was cancer."It was very very very confusing," Bowen says. "It still is. It brings tears to my eyes, because I don't understand how I got it."Instead of a lumpectomy, she decided to remove her entire breast. And instead of going to a hospital for breast reconstruction, Bowen opted for the Kaiser Permanente Ambulatory Surgery Center, where she got the surgery. In less than 24 hours, she was back home recovering.  "I felt very special," Bowen says. "They were there every time I moved. They came in and talked to me, even goofed around with me."Dr. Mike Sawyer, the director at the center, says they've worked hard to address concerns regarding patient care."If it's a patient that just needs physicians to kind of come to the bedside, and maybe we have to have some kind of intervention, we're able to do that because are here and we are present," Dr. Sawyer says. "On site, as they say. If it's really something that requires a higher level of care, that again allows us to do a pretty quick transfer process over to one of our partner hospitals."Compared with hospitals, Kaiser Permanente says its patients are seeing an average cost savings of 30 percent on their procedures. It can be anything from simple orthopedic procedure to joint procedures.However, Dr. Sawyer says there are important questions you need to ask before determining if a surgery center is the best option for you."Does your physician feel comfortable with this operation there?" Dr. Sawyer says. "Have you and your physician discussed all the ramifications of that procedure? And then what sort of plans does that ambulatory surgery center have if you were required a higher level of care?" 2037

HOUSTON, Texas — Houston's police chief says four police officers have been terminated after an internal investigation determined they did not use reasonable force when they fired their weapons 21 times at a man who had been experiencing a mental health crisis.The man, 27-year-old Nicolas Chavez, was already injured and on the ground when he was shot and killed by the officers on the night of April 21.During a news conference Thursday, video footage was presented from body cameras showing Chavez, who had already been shot and was bleeding, kneeling on the ground and grabbing a stun gun when the four officers shot him.WARNING: The video below contains graphic clips and may be difficult to watch."Let me be clear, it's objectively not reasonable to utilize deadly force when a man's already been shot multiple times, has been tased, has been on the ground, has shown that he really cannot get up," said Police Chief Art Acevedo on Thursday. "I cannot defend that."At the briefing, Mayor Sylvester Turner said the dismissal of the four officers isn’t an indictment of the police department and its nearly 5,300 others officers.“But when you are wrong, there are consequences,” he continued. “And for the good of every police officer who serves, for the good of everyone that followed the rules, that protect this city, it is important for us to call a ball a ball, and a strike, a strike."Turner acknowledged the effect Chavez’s death has had on the city and expressed sympathy for his family."What happened the night of April 12 has dramatically affected many people and this City,” said the mayor. “Nicolas Chavez’ life was taken, and his family must live with their personal loss and anguish for the rest of their lives."Leaders with the Houston Police Officers’ Union denounced the firings, saying the officers followed tried to de-escalate the situation but were forced to shoot Chavez.“This unjust and deplorable decision by Chief Acevedo has sent a shock wave through HPD, even if you deescalate, retreat, follow policy, training and the law...you will still lose your job as a Houston Police Officer,” tweeted Joe Gamaldi, the president of the Houston union.Harris County District Attorney Kim Ogg said in a statement Thursday that prosecutes will be conducting an independent review of all the evidence in Chavez’s death and once it’s complete, the findings will be presented to a grand jury. They’ll determine whether charges will be brought against the officers involved. 2496

If Monday's opening statements were any indication, Judge Amy Coney Barrett's nomination to the Supreme Court will face a bitter partisan fight in the days and weeks ahead.Given the timing — less than a month ahead of the 2020 general election — and the implications of appointing a sixth Supreme Court justice nominated by a Republican president, Democrats painted a bleak picture of America should Barrett be nominated to serve on the Supreme Court.Barrett's confirmation process was already set to be fraught with political controversy, given that Republicans successfully blocked President Barack Obama's nomination of Judge Merrick Garland for over half a year ahead of the 2016 presidential election, claiming that voters should have a say in the confirmation processIn fact, Ranking Member Dianne Feinstein, D-CA, used her opening statement to share a 2016 quote from Senate Judiciary Committee Chairman Lindsey Graham, in which he said he would wait to fill a Supreme Court seat if it came open between the opening of the primary process and the 2020 election.Feinstein also added that Democrats intended to focus on the "consequence" of "rushing" a Supreme Court nominee through the Senate.Senators will question Barrett beginning at 9 a.m. ET Tuesday, a process that will last into Wednesday. Graham says he hopes to have the confirmation hearing process wrapped up by Thursday.Democrats warn of loss of health careSeveral Democrats noted that in the past, President Donald Trump has only promised to nominate justices who will undo the Affordable Care Act — the law that enacted public health care and offered more consumer protections. They also pointed to Barrett's past criticism of Supreme Court decisions that have upheld parts of the law.Other Democrats, like Sen. Cory Booker, argued that Barrett's nomination was a ploy by Republicans to undo public healthcare initiatives and protections afforded by the Affordable Care Act, saying that a Barrett nomination would look like "deciding between buying medicine and buying groceries."Sen. Kamala Harris — the current Democratic vice presidential nominee — echoed those statements, claiming that President Donald Trump was attempting to "bypass the will of the American people" so they can strike down the Affordable Care Act. Sen. Mazie Hirono, herself a cancer survivor, wondered aloud if she would have survived had she been in a position that many Americans may find themselves in without government-backed healthcare.Graham has said that he expects Barrett to be confirmed to the Supreme Court a week before the Nov. 3 election. On Nov. 10, the Supreme Court is scheduled to hear a key case to determine the legality of portions of the ACA.COVID-19 fears shape hearingSeveral Democrats called out their Republican colleagues for even holding hearings amid a pandemic. Appearing virtually, Harris claimed it was "reckless" for the Judiciary Committee to hold in-person hearings and called out Graham for not requiring Senators to test negative for the virus before appearing in the room.At least two of the senators on the committee — Sen. Mike Lee, R-Utah, and Sen. Thom Tillis, R-North Carolina — have recently tested positive for the virus. Both at Barrett's nomination ceremony at the White House in late September — an event that has been described as a "superspreader" after about a dozen people in attendance, including President Donald Trump, tested positive for COVID-19. Lee, having been cleared by a Congressional physician, appeared in person. Tillis appeared on video teleconference.Graham said Monday that the hearing room had been deemed by the Capitol architect to be in compliance with CDC social distancing guidelines. Other Democrats said their time would be better spent working on passing more COVID-19 stimulus — something Trump has been willing to entertain in recent days.Republicans defend Barrett's character, call out those questioning her faithRepublicans defended Barrett's character by accusing Democrats of attacking her Catholic faith, often pointing to constitutional statues against "religious tests" as a qualifier for public office. Sen Josh Hawley, R-Missouri, specifically accused Harris of "anti-Catholic bigotry" by questioning past judiciary appointments fitness for office due to their membership in the Knights of Columbus, a Catholic organization.Sen. Joni Ernst, R-IA, further defended Barrett's character against those who she says had labeled her a "handmaid," saying that such accusations were "demeaning to women.""We don't have to fit a narrow definition of womanhood," Ernst said. At this point, Republican Senators have the votes to confirm Barrett. Graham has said he expects the process to be finished in the next two weeks — about seven days ahead of election day.Barrett pays homage to Scalia, GinsburgIn her opening statement, which was obtained and published by several media outlets, Barrett paid tribute to the late Justice Antonin Scalia — a conservative icon for whom Barrett worked for as a clerk early in her career. She said she shared in Scalia's philosophy of "textualism" — apply the law directly as it is written."A judge must apply the law as written, not as the judge wishes it were," Barrett said.Her opening statement also offered condolences to the justice whose seat she hopes to fill, Justice Ruth Bader Ginsburg."I have been nominated to fill Justice Ginsburg's seat, but no one will ever take her place," Barrett will say. "I will be forever grateful for the path she marked and the life she led." 5554

I am pleased to inform you that, for the sake of accuracy in reporting, I am considering posting my interview with Lesley Stahl of 60 Minutes, PRIOR TO AIRTIME! This will be done so that everybody can get a glimpse of what a FAKE and BIASED interview is all about...— Donald J. Trump (@realDonaldTrump) October 20, 2020 327