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Rural hospitals across the country are in a difficult spot right now. COVID-19 is hitting them harder than many metropolitan hospitals as they deal with issues of lower staffing.According to the National Center for Biotechnology Information, about 20% of our nation’s population lives in rural areas, yet less than 9% of our nation’s physicians practice there.Add on the fact that according to CDC data, COVID is killing rural Americans at a rate 3.5 times higher than those living in metropolitan areas, and this issue is affecting staff and patient care.“I’m very worried about rural health care because rural health care is teetering on the brink right now,” said Dr. Kurt Papenfus, an ER doctor at Keefe Memorial Hospital in rural Cheyenne Wells, Colorado. “There’s a darkness in this illness that I can’t say I’ve said about any other illness.In late October, Dr. Papenfus contracted COVID-19 as he was traveling back from the Northeast to visit his daughter.“I was very cognizant and was wearing a mask at all times, social distancing, and washing my hands,” Papenfus said. “But I remember having this thought on the train that this is a super-spreader event.”When he got home, Papenfus got tested and was confirmed positive for COVID-19. The diagnosis put Keefe Memorial in a tailspin as he served as the only ER doctor in the small 25-bed hospital.“We are a trauma level four hospital so keeping that physician on staff 24/7 is what we are required to do,” said Stella Worley, Keefe Memorial’s CEO. “And it is getting to be more of a challenge to have hired physicians out here in rural [America].”Within minutes of learning of Dr. Papenfus’ COVID-positive diagnosis, Worley was on the phone with several different hospitals working to find a replacement. Within a few hours, they had settled on a former ER doctor who moved to another hospital in Texas a few months prior.After she agreed, Keefe Memorial paid the doctor to drive 10 hours from Texas to Colorado and fill in immediately as Papenfus recovered at home for the next two weeks.“Worst-case scenario is you would have to divert patients if there’s no one in the door to care,” said Worley.Populations in rural America tend to be older, poorer, and less insured than the nation at large, according to the National Conference of State Legislatures.Since 2010, hospital closures in rural America have been growing as there have been 118, including 17 last year.The closures only exacerbate a growing lack of health care coverage in rural America, said Dr. Dan Derksen, a rural health care expert and family physician“Once a critical access hospital (25 beds with a 24/7 emergency department and at least 35 miles from another facility) closes, they almost never come back,” he said. 2756

SACRAMENTO, Calif. (AP) -- Amid national angst over racial inequities in the criminal justice system, California voters rejected Proposition 25, an effort to roll back reforms targeting mass incarceration and reinstate tougher criminal penalties.But rejecting Prop. 25 meant the overturning of a state law that would have ended what critics call a predatory cash bail system.Analysts said Wednesday that the seeming incongruence does not undermine voters' recent shift away from get-tough practices.Rather, the bail change fell victim to an unusual coalition of opponents, leaving supporters scratching their heads on how to proceed.More than six in 10 voters backed reduced criminal penalties that they endorsed in previous ballot measures. 749

SACRAMENTO, Calif. (AP) -- A three-judge panel of the 9th U.S. Circuit Court of Appeals has thrown out California's ban on high-capacity ammunition magazines.The panel's majority ruled Friday that the law banning magazines holding more than 10 bullets violates the constitutional right to bear firearms. California Rifle & Pistol Association attorney Chuck Michel calls it a huge victory.The ruling has national implications because other states have similar restrictions.California Attorney General Xavier Becerra did not immediately say if he would ask for a full court review or appeal to the U.S. Supreme Court.He also did not say if the state would seek a delay to prevent a buying spree. 705

SACRAMENTO, Calif. (AP) — The California Legislature is scheduled to keep meeting despite the threat of coronavirus.The U.S. Centers for Disease Control and Prevention has urged all gatherings of more than 50 people to cancel. California Gov. Gavin Newsom has asked all bars to close and for anyone 65 and older to stay at home. Legislative leaders have canceled all committee hearings at the Capitol. But the legislative sessions are still scheduled. At least one lawmaker, 71-year-old Assemblywoman Shirley Weber, stayed home Monday. State Sen. Richard Pan said the Legislature is going to continue its work. 618

SACRAMENTO, Calif. (AP) — A 60-year-old serial rapist in Northern California whose crimes went undetected for nearly three decades was sentenced to 897 years in state prison. The Sacramento Bee reported that Roy Charles Waller, dubbed the “NorCal Rapist,” showed no emotion Friday and sat with eyes closed during sentencing. He declined to address the victims or the court. A jury in Sacramento convicted Waller of raping nine women in their homes between 1991 and 2006 in six counties. Investigators used DNA technology and genealogy websites to zero in on Waller and arrested him more than two years ago. A woman raped in 2006 testified that the day Waller was arrested was the first time she could take a shower without fear. Waller says he is innocent. 764