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The Trump administration is taking steps to give telehealth a broader role under Medicare, with an executive order that serves as a call for Congress to make doctor visits via personal technology a permanent fixture of the program. The order President Donald Trump signed Monday applies to one segment of Medicare recipients — people living in rural communities. But administration officials say it’s intended as a signal to Congress that Trump is ready to sign more significant legislation that would permanently open up telehealth as an option for all people with Medicare. Trump says his administration is “taking action to make sure telehealth is here to stay.”"When the invisible enemy struck our shores, we took immediate action to eliminate regulatory barriers to telehealth, making it easier for patients to consult with doctors from safety and convenience and really, they have great safety and great convenience right from their homes," Trump said. While the CDC said in June it was working on expanding access to telehealth, it did list some drawbacks to the service:Situations in which in-person visits are more appropriate due to urgency, underlying health conditions, or inability to perform an adequate physical examThe need to address sensitive topics, especially if there is patient discomfort or concern for privacyLimited access to technological devices (e.g., smartphone, tablet, computer) needed for a telehealth visit or connectivity issuesLevel of comfort with technology for HCP and patientsCultural acceptance of conducting virtual visits in lieu of in-person visits by HCP and patientsInterstate licensure challenges and other regulatory issues that may vary by state 1701
The recount effort underway in Georgia has uncovered roughly 2,600 ballots that hadn’t originally been included in the tally.State officials say county election officials in Floyd County didn’t upload in-person early votes from a memory card into a ballot scanning machine, according to the Atlanta Journal Constitution newspaper.Floyd County is located in northwest Georgia.In the uncounted votes, there were 1,643 new votes for President Donald Trump and 865 votes for President-elect Joe Biden. County officials say these ballots rectify their discrepancy between the number of people who checked-in to vote and the number of ballots counted in Floyd County.President Trump's campaign issued a statement Tuesday afternoon in response to reports of the previously unaccounted ballots."Recent revelations from Georgia's ongoing statewide recount have shown that President Trump was absolutely correct to raise concerns about widespread voting irregularities that have favored the Biden-Harris ticket," the statement reads. "The State of Georgia must not certify its results until the recount is done accurately and the results are correct."“It’s not an equipment issue. It’s a person not executing their job properly,” said Gabriel Sterling, the state’s voting system manager. “This is the kind of situation that requires a change at the top of their management side."The head of the Republican Party in Floyd County said the issue was concerning, but “doesn’t appear to be a widespread issue,” and he was glad the ballot audit revealed it.Georgia’s audit of the nearly 5 million ballots cast is set to be finalized Friday. 1632
The US Food and Drug Administration expanded?the list of drugs being recalled that contain valsartan. The drug is used as a component in a set of drugs used to treat heart failure and blood pressure.New to the list are some valsartan products manufactured by Hetero Labs Ltd. in India, which are labeled as Camber Pharmaceuticals Inc. Test results show that some of the products may be tainted.The FDA announced a valsartan recall in July after lab tests revealed that some drugs could have been tainted with a substance linked to higher risk of cancer. The drug had been recalled in 22 other countries. The expanded recall includes some drugs that contain valsartan and hydrochlorothisazide. Not all of the drugs containing valsartan were affected.N-nitrosodimethylamine or NDMA, the impurity the lab tests found, is considered a?possible carcinogen by the US Environmental Protection Agency. It is an organic chemical that has been used to make liquid rocket fuel, and it can be unintentionally introduced through certain chemical reactions. It's a byproduct of the manufacturing of some pesticides and fish processing.The medicines that are now a part of this expanded list?in the recall are tablets sold by AvKare, A-S Medication Solutions LLC, Bryant Ranch Prepack Inc, Camber Pharmaceuticals, Inc. H J Harkins Company, Northwind Pharmaceuticals, NuCare Pharmaceuticals Inc., Prinston Pharmaceutical Inc. (labeled as Solco Healthcare LLC), Proficient Rx LP, Remedy Repack, Teva Pharmaceuticals (labeled as Major Pharmaceuticals), Teva Pharmaceuticals USA (labeled as Actavis).The FDA also published a list of valsartan products that are not currently recalled. Only the drugs suspected of being tainted with NDMA are on the recall list. If you are taking a valsartan drug, look for the company name on your prescription bottle. If the information isn't on the label, you can call your pharmacy for those details.The recalled medicine is linked to a manufacturer in China. The substances were supplied by Zhejiang Huahai Pharmaceuticals, based in Linhai, in eastern China, which said it notified authorities as soon as it identified the impurity."We published our recall notice at midday on July 13 in China and overseas, and published the US market recall notice on July 14 Beijing time ... all the drug materials for the Chinese market were recalled by July 23," the company said in a statement to the Shanghai stock exchange last month.The FDA said on its website that it's working with drug manufacturers "to ensure future valsartan active pharmaceutical ingredients are not at risk."If you are worried that your drug could be on the recall list, talk with your doctor or pharmacist before changing any routine with your medicine. Because not all valsartan drugs are involved in the recall, they might be able to switch you to a version of the drug made by another company.If you know your drug is on the recall list, the FDA suggests you continue taking it until your doctor or pharmacist provides a replacement.To get a sense of what taking a tainted drug could mean, FDA scientists estimated that if 8,000 people took the highest dose of valsartan (320 milligrams) from the recalled batches every day for four years, there may be one additional case of cancer."The key with this is, patients should not stop taking their medication abruptly, that definitely can be harmful," Dr. Mary Ann Bauman, a representative for the American Heart Association, said in July. "You don't want to jump to any conclusions on your own about this medication, or any medication for that matter. Definitely talk with your doctor first." 3690
The votes are in and the people have spoken.The annual People's Choice Awards, which honor popular film, TV, music, podcasts and more, took place Sunday night.Check out the full list of winners below to see if your favorite won.Movie of 2018 249
The San Luis Obispo County (California) Sheriff's Office confirms one of its deputies was shot early Wednesday morning in Paso Robles, California.At a Wednesday afternoon press conference, Sheriff Ian Parkinson described the incident as an “unprovoked attack on law enforcement” by a suspect “laying in ambush” at the police department in Paso Robles.According to officials, the situation began with shots fired at the Paso Robles Police Department building.San Luis Obispo County Sheriff's Office spokesperson Tony Cipolla says shots were fired at the Paso Robles Police Department building at about 3:15 a.m.The deputy was airlifted to a trauma center and is reportedly in serious but stable condition.Paso Robles police called for help from other agencies as they responded to the shooter outside, and Parkinson says the gunman shot at police cars as they entered the downtown area to assist.Officials released photos (pictured above) of a possible suspect wanted in connection with Wednesday's shooting. 1015