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As COVID-19 first started to spread in the U.S., hospitals around the country were forced to stop elective surgeries. Now, hospital officials say they're facing perhaps the biggest financial crisis in their history."We've had to curtail regular operations, some of which involve these non-emergent procedures that you mention, and as a result from March to June, we saw a loss of revenue of 0 billion or billion a month," said American Hospital Association President Rick Pollack.Hospitals have also taken on major expenses when it comes to preparing and caring for COVID-19 patients. Plus, many patients they treat don't have insurance.Pollack says hospitals collectively are one of the largest employers in the country, employing more than 5 million people."Half of hospitals' budgets, over half, is devoted to labor costs. So, of course, when all regular operations are shut down and you’re incurring additional expenses to prepare for treating the virus for the community, you have to find ways to cut costs," explained Pollack.Some hospitals have resorted to laying off or furloughing staff."So, it's the last choice,” Pollack said. “It's a bad choice and we try to avoid it, but sometimes, it's inevitable to just stay afloat.”"Whether the disruptions in the health industry remain temporary or permanent is an interesting case because it affects everyone," said Jack Strauss, the Miller Chair of Applied Economics at the University of Denver.Strauss is concerned about how the healthcare industry will recover from the COVID-19 pandemic, especially amid a possible second wave of infections."They make their money on elective surgery and those were not occurring, and so, they're not probably positioned to recover," said Strauss.While a number of states are allowing elective procedures again, the wait time for these patients may be detrimental."Whether it's the detection for a tumor or a scan of a part of a body for a diagnostic procedure, a replacement of a heart valve. So, when you talk about electives, they're really not all that discretionary and we’re really concerned in the period that we shut down all non-emergent procedures that there was a deferral of care,” said Pollack. “We do hear, anecdotally, that the people that are coming back are in a much sicker position because they didn’t get the care that they needed.”Pollack says in order for the healthcare industry to recover, they're going to need a lot of help from the federal government."There's no question, if we don't get the additional assistance it will put the financial viability of a lot of hospitals at risk, particularly in rural areas and vulnerable urban areas," said Pollack.As possibly the biggest industry in the country that's been on the front lines of treating COVID-19, hospitals hope they're one of the first to get major federal help so that the healthcare industry can survive this pandemic. 2909

Among the many casualties of social-distancing directives is the child’s birthday party. So when coronavirus lockdowns came to Truckee in the California mountains, Craig Fierro wanted to do his part. Fierro runs a shop specializing in motorized vehicles, parts and maintenance northwest of Lake Tahoe. He also carries brightly colored toy replicas of the motorbikes that are a favorite of kids who come to the shop. So he started dropping them off as wrapped birthday presents for tots and teens in the community in mid-April. According to the Sierra Sun, Fierro posted on Facebook asking if there were kids celebrating during the pandemic. After he handed out what he had in his story, Fierro got a surprise when he went to re-order. When the distribution center learned what he was doing, they reportedly sent him double his order. As of last count, he'd delivered about 50 after extending the gift-giving through June. 929

As coronavirus cases reached a new high on Friday in the US, Dr. Anthony Fauci now believes a mask mandate is necessary to stop the spread of the virus.But Dr. Fauci acknowledges enforcing a mask mandate is a challenge. Adding to the challenge, officials in recent days say that family gatherings are becoming a significant reason why cases are growing throughout the US.“I think that would be a great idea to have everybody do it uniformly,” Fauci said in an interview on CNN on Friday. “And one of the issues though, I get the argument say, 'Well, if you mandate a mask, then you're going to have to enforce it and that'll create more of a problem.' Well, if people are not wearing masks, then maybe we should be mandating it."The University of Washington’s Institute for Health Metrics and Evaluation projects that near universal mask wearing outside of the household would save anywhere from 60,000 to 160,000 lives in the US between now and February 1.While many public institutions, such as grocery stores, restaurants, and other facilities have implemented mask and social distancing policies to help slow the virus, public health officials say smaller, more interment gatherings, are where many are letting their guard down.With colder weather setting in and major holidays upcoming, public health officials are becoming increasingly concerned as cases increase throughout much of the US.“Smaller more intimate gatherings of family, friends and neighbors may be driving infection as well especially as these gatherings move indoors and adherence to face coverings and social distancing may not be optimal,” said Dr. Jay Butler, deputy director of infectious diseases at the CDC. “I recognize that we are all getting tired of the impact that COVID-19 has had on our lives. We get tired of wearing masks but it continues to be as important as it’s ever been and I would say it’s more important than ever as we move into the fall season.”Health and Human Service Secretary Alex Azar agrees with Dr. Butler’s assessment.“We’ve got to keep focused on washing our hands, watching our distance and wearing our face coverings when we can't watch our distance and in particular being careful in household gatherings. This has become a major vector of disease spread,” Azar told CNN’s Jim Sciutto. 2303

As families along the Gulf Coast deal with the aftermath of Hurricane Laura, people in Iowa are still without power after a derecho with winds of up to 140 miles per hour hit parts of the state on August 10.The term derecho was derived in the state to characterize a line of fast-moving thunderstorms that can produce hurricane-force straight-line winds.“It’s just a mess,” said Steve Becker who farms 800 acres of corn and soybean crops just west of Cedar Rapids.The storm began in the western part of the state and roared to the east, damaging between 10 million and 14 million acres of farmland in the state.In Cedar Rapids, apartment buildings sit without rooves and cars lay totaled. The city was the hardest hit in the state as the National Weather Service measured wind speeds equivalent to that of a Category 4 hurricane.As you drive into Cedar Rapids, however, you see the most widespread damage as once tall-standing corn now bends at 45-degree angles or is completely flattened.“We had a good crop coming. We really did,” said Becker. “I mean, the biggest worry of everybody out there is how we get through this stuff. What are we going to do?”Shortly after the storm passed through, President Donald Trump surveyed the damage. Iowa’s Farm Bureau estimates around 6 million acres, or 40% of Iowa’s corn crops alone, were damaged. It has asked the governor to make a billion request for disaster assistance from the federal government.“This will have a dramatic emotional effect on a lot of producers, a lot of farmers,” said Craig Hill, president of Iowa’s Farm Bureau.Many farmers work on credit. They can spend millions of dollars on equipment such as grain bins, combines, and tractors, to name only a few. They then can spend hundreds of thousands of dollars on supplies for that year’s harvest, all relying on the money they earn to help pay off the debt and set themselves up for success the following year.Some corn is salvageable, but it will not weigh the same or produce the same quality, meaning farmers might make back a quarter of what they expected.Iowa accounts for around 20% of the nation’s corn supply. Considering its importance to livestock, meat and ethanol, the market effects could be far-reaching.“It’s going to be very difficult for us to get the work done on a timely basis and then the frustration of everything being slowed,” said Hill of the impending harvest set to begin at the end of September.“It’s just the way it is. Nothing you can do,” added Becker. 2508

As lawmakers begin bipartisan talks for another round of COVID-19 stimulus funding, divisions between the White House and Congress are threatening its passage.Republican congressional leaders met with Trump on Monday at the White House as cases spike across the country and key provisions of the last stimulus package, like increased unemployment benefits, are set to expire in the coming days.Trump says “good things” are happening, but the administration is stiffening its opposition to more testing money and interjecting other priorities that could complicate passage.According to The Washington Post, a bill coming together between GOP lawmakers will embrace Trump's priorities like payroll tax cuts, measures incentivizing schools to reopen in the fall with additional funding and little aid to state and local governments. Some of those points have already raised concerns with several Republican lawmakers, while the bill will undoubtedly face pushback from Democrats.According to The Associated Press, Senate Majority Leader Mitch McConnell is prepared to roll out the Republican plan in a matter of days, which should total about trillion in funding. The Democrats introduced a trillion HEROES Act stimulus package in May, which has already passed the House. McConnell and the Republican-controlled Senate have not considered that bill for passage. 1372

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