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OCILLA, Ga. — A nurse at an immigration detention center in Georgia says authorities performed questionable hysterectomies, refused to test detainees for COVID-19 and shredded medical records.Advocacy group Project South has filed a complaint with the Homeland Security Department's internal watchdog that relies heavily on the nurse's words.That nurse, Dawn Wooten, worked at the Irwin County Detention Center in southern Georgia. In addition to holding detainees for Immigration and Customs Enforcement, it also serves those arrested by the U.S. Marshals and the Irwin County Sheriff's Department.In her complaint, Wooten called a gynecologist who works outside the facility, "the uterus collector." She claimed that nearly every inmate who saw the doctor received a hysterectomy and claimed the doctor removed the "wrong ovary" on at least one patient.Wooten said it was unclear if the patients — particularly immigrant women — knowingly agreed to the procedure, which would prevent them from having children in the future.She says she saw a sick-call nurse shred a box of detainee complaints without looking at them.Wooten claimed she was eventually fired from the facility for raising concerns about COVID-19. She said she was demoted after she missed time for presenting symptoms of the virus.She claims that inmates were likely infected with the virus at a rate much higher than reported because the facility declined to use two rapid-testing COVID-19 machines. Wooten said no staff members had been trained to use the machines and she only saw them in use once.U.S. Immigration and Customs Enforcement said it will defer to the Homeland Security inspector general."That said, in general, anonymous, unproven allegations, made without any fact-checkable specifics, should be treated with the appropriate skepticism they deserve," the agency said in a statement.LaSalle Corrections, a private company that owns and operates the facility, did not respond to The Associated Press' request for comment. 2013

On Veterans Day, the National Museum of the American Indian, part of the Smithsonian museums in D.C., unveiled the new National Native American Veterans Memorial.This new memorial stands on the grounds of the National Museum of the American Indian on the National Mall.It features a stainless steel circle balanced on a carved stone drum. There are benches for gathering and remembering, and four lances where veterans, family members, tribal leaders, and others can tie cloths for prayer and remembrance.It does not include veterans’ names or tribal identification; many veterans asked during the design consultation process said they did not wish to have them added, as the memorial is timeless and is dedicated to all Native veterans, past, present and future. 771

Nursing homes are facing a new mandate for COVID-19 testing.Officials at the Centers for Medicare and Medicaid Services (CMS) say if they're not doing it, they'll be fined 0 a day or over ,000 for each instance of noncompliance.The government says nursing homes need to do widespread testing of residents and staff if any resident shows symptoms or tests positive.Nursing homes will also be required to test staff more often, depending on the virus activity in the area.The Trump administration says it is giving facilities .5 billion to help with costs.Nursing homes continue to raise concerns about the cost of this testing and additional expenses like personal protective equipment and additional staffing due to the pandemic.The mandate also comes as their sources of revenue have changed along with the number of residents declining.With the added costs and revenue change, LeadingAge, the association of nonprofit providers of aging services, is hearing from some of its members that they may be forced to close. At least one nursing home in Rhode Island has had to do it already. Others are looking at the possibility of having to consolidate or alter the services provided.Nursing homes get paid through Medicaid, Medicare and private payments. According to a Kaiser Family Foundation analysis of Certification and Survey Provider Enhanced Reports data, nationwide 62 percent is paid through Medicaid, 26 percent is paid through private payments and 12 percent is paid through Medicare.Post-acute care through Medicare is a big revenue source for nursing homes. That means you're coming out of the hospital and need to rehab for a few weeks in a nursing home."With elective surgeries being closed down, there is no steady flow of residents who need that level of care. That's been cut off entirely," said Katie Smith Sloan, President and CEO of LeadingAge.Sloan says they need those elective surgeries to start up again everywhere to fill that gap in revenue lost as a result of the pandemic.The most recent survey from insurance company Genworth Financial finds the national median cost for a private room at a nursing home is more than 0,000 a year.Depending on your financial situation, you may start paying this and then have Medicaid start paying later.Leading Age says they haven't heard from their members that they'll be increasing prices because of the financial challenges they're facing."Nursing homes charge what the market will bear, and I don't think the market can bear much more than that," Sloan said. "I mean 0,000 a year is a lot of money for an individual living in a nursing home. It's a lot of money because it costs a lot to operate a nursing home."LeadingAge looked at nursing home closures right before the pandemic started. It found more than 500 closed since June 2015. Some of these closures were because of low occupancy. Others were because of not getting enough money from Medicaid.This story has been updated to include more information regarding costs facing nursing homes and how nursing home payments work. 3071

One day after Papa John's CEO John Schnatter claimed that decreased TV viewership in response to NFL player protests over racial inequality was causing a decline in business, Pizza Hut said on Thursday that NFL boycotts have not caused any decline in business. Yum Brands, parent company of Pizza Hut, held an investors' conference call on Thursday and declared same-store sales were up 3 percent. That is compared to just a 1 percent increase for Papa John's. While Schnatter cited the response to NFL player protests as the reason for lower-than-expected growth at Papa John's, Yum Brands offered no such criticism. "We're not seeing any impact from any of that on our business," Yum Brands CEO Greg Creed said. While Creed admitted that live sports is important facet of business, he said other factors such as food quality are important. "The foundations are not always sexy, but I think delivering hot, reliable pizza is important, and I do believe the team is making progress on all the areas in the foundation that will enable us to build, longer term, a strong Pizza Hut position," Creed added.Schnatter, on the other hand, called the player protests during the national anthem a "debacle." “The NFL has hurt us by not resolving the current debacle to the players’ and owners’ satisfaction… NFL leadership has hurt Papa John’s shareholders,” he said on Wednesday.Just as Colin Kaepernick began leading protests among some NFL players last August, Papa John's renewed its contract to be the official pizzeria of the NFL. The brand has also aligned itself with popular NFL personalities, such as former Indianapolis Colts great Peyton Manning. But some on social media are accusing Schnatter, who was a donor to President Donald Trump's 2016 presidential campaign, of playing politics. According to campaign filings, Schnatter donated ,000 to Trump's campaign last year. He also donated ,400 to the Republican National Committee last August. Earlier in the NFL season, Trump delivered a sharp rebuke of players who kneeled or sat during the national anthem. Also, Vice President Mike Pence walked out of a Colts game before kickoff, per the orders of the President, due to members of the 49ers taking a knee during the national anthem. But there is no question NFL viewership is down in 2017 compared to 2016. According to Fox Sports, viewership has declined from an average of 15.6 million viewers per game to 14.8 million at the same point last year."This year, the ratings have gone backwards because of the controversy. And so the controversy is polarizing the customer, polarizing the country, and that’s the big difference here," Schnatter said. 2780

One suburban Georgia county has become a flashpoint for concerns over voter suppression for rejecting hundreds of mail-in absentee ballots weeks before Election Day.Gwinnett County, located northeast of Atlanta, now faces two federal lawsuits and accusations from voting rights activists who say the rejections disproportionately affect minority voters, particularly Asian Americans and African Americans.The county has rejected 595 absentee ballots, which account for more than a third of the total absentee-ballot rejections in the state, even though Gwinnett County accounts for only about 6% of absentee ballots submitted in Georgia, according to state data analyzed by CNN Friday.Officials tossed out the ballots due to missing birthdates, address discrepancies, signatures that do not match those on registration records and other issues, according to the data.A lawsuit brought by the Coalition for Good Governance on behalf of a group of Georgia voters demands that a judge order the county to notify voters within one day of the rejections and provide adequate time to address the discrepancies. 1112

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