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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 US Secret Service said it is reviewing an incident in which an agent blocked a CBS News reporter on Tuesday from questioning Jared Kushner, the President's son-in-law and a senior White House advisor, about the disappearance of Saudi journalist Jamal Khashoggi.In video posted to Twitter by the journalist, Errol Barnett, a US Secret Service agent physically prevented him from questioning Kushner. When Barnett explained that he was a member of the press, the agent replied, "I don't give a damn who you are. There's a time and a place."In a statement provided to CNN, a spokesperson for the US Secret Service said the agency was "aware of the video" posted by Barnett. 682

The State of Washington will soon have to rehab a lake that is overrun with an invasive species: Goldfish.The fish have filled West Medical Lake, along with Koi, and are crowding out other fish species.Pet owners likely dumped goldfish into the lake, and that may be the source of the problem, says the Division of Fish and Wildlife. Officials say while some believe it's a service to goldfish to release them into a lake, it is a disservice to the ecosystem.Goldfish are a domesticated version of a wild carp from East Asia and were developed due to artificial selection created by humans.Simply put, goldfish are mostly for visual effect.West Medical Lake, near Spokane, Washington, is known as one of the best producing opening day trout lakes in the state, according to the Washington Dept. of Fish and Wildlife. It gets stocked with thousands of native trout every year, but that trout is unable to flourish because of the goldfish, which is taking resources such as food and oxygen away. 1016

The terror attack on New York City's West-Side bike path has President Trump calling for congress to eliminate the "Diversity Visa" program.Congress created it in 1990. It was signed into law by President George W. Bush.Among the San Diegans who are here because of the visa program is Anna Riazanova.In 1993, Riazanova, a native of Russia, entered the U.S. on a student visa and began studying to become a paralegal."I fell in love with the country, the people," said Riazanova.A year later, she applied for the Diversity Visa Lottery program, aimed at diversifying immigration by randomly selecting 50,000 green card applicants every year from countries with historically low U.S. immigration rates. 709

The United States Coast Guard embodies the saying, "always ready."When forecasting natural disasters, however, those two words become much more than a motto -- they could mean the difference between life and death.“With natural disasters, they’re unpredictable," said USCG Capt. Will Watson, commander, Sector New Orleans. "There’s uncertainty but what you have to do is lean back on your training.” With U.S. Coast Guard stations across the country on standby, Watson said his teams are ready to help whenever and wherever they are needed.“When the time comes, and you face something that you maybe weren’t otherwise prepared for, that’s when you exercise on-scene initiative,” he said. “You think critically. You think creatively. Remain adaptable and flexible and act.”Southeast Louisiana locals are calling the U.S. Coast Guard, “heroes,” saying they saved more than lives during past natural disasters.“One day, I got stuck in a boat and they come over here, five of them come here, and helped me out,” said local fisherman Tony Buffone, who lost his house during Hurricane Katrina -- one of the most deadly and expensive natural disasters to hit U.S. soil.During recent storms, Buffone is now using lessons he learned from the U.S. Coast Guard.“It’s good to have good Coast Guard,” he said. “We got a good Coast Guard crew right there.”As the Gulf Coast deals with another massive hurricane, the U.S. Coast Guard is doing what it does best: staying “always ready”.“We have resources, assets, people from all across the Coast Guard ready to support this fight,” Watson said. “And we’re ready; ready to respond to Hurricane Laura.” 1643