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In 2016, President Obama used the Affordable Care Act to extend federal sex discrimination protections to people who identify as transgender.But after a recent move by the Trump administration, some of those protections are now gone.“What happened with the recent Trump administration ruling is that they basically said they were taking out that definition of sex discrimination and stated that it only applied to a person’s birth sex and couldn’t be applied to their gender identity and that they were no longer going to enforce any protections on the basis of gender identity," said Dr. Eliabeth Kvach. “I think there’s something to be said, to think about what it’s like to be a person where the government says you don’t deserve to get accessible health care,” said Andrew MillerKvach and Miller both work at Denver Health in Colorado. Both call the recent rule change in DC a direct threat to the lives of transgender men and women.“We have for example, 300 patients on our list to be able to receive vaginoplasty or gender confirming surgery for transgender women. And if you’re waiting years to get that surgery and then all of a sudden you’re worried about whether your insurance is going to cover it, that is enormously psychologically devastating to people,” said Kvach.“I think that we’re already seeing that with cases coming out of hospitals denying care to transgender and non-binary folks," said Miller.“I certainly think that it is dangerous to the lives of transgender and non-binary people,” said Kvach.Denver Health is a LGBTQ+ Center of Excellence. For the health system it means any patient regardless of sexual orientation, gender identity, or other LGBTQ identification can receive treatment from any doctor for any health need“LGBTQ health care isn’t specialty care, it’s just health care,” said Miller.And while Miller is an employee at Denver Health, this is an extra important issue for him personally.“I identify as a transgender man, and as I said before, my pronouns are he, him, his. I was born female, and at a certain point in my life, I recognized that being a woman didn’t fit for me, it was like I was living this false life,” said MillerFor him, and many trans people, being called the wrong name or the wrong pronoun isn’t just a simple mistake“When we say hey, my name is Andrew, that’s what I go by, but you call me my birth name, what I hear is, 'It doesn’t matter that I told you my name.' You get to be more of an expert on me than I get to be on me. Why should I feel safe that you’re going to actually take care of me, if you can’t even call me my name?” Miller said.For trans people around the country, this rule change might mean they could be denied hormone therapy or gender reassignment surgery. Procedures the transgender and health care providers who treat them, deem medically necessary.“Medical treatment with hormones and with surgery help a person’s body align with who they are, with their gender identity,” Kvach said.But it also means they have to be worried about being denied treatment for anything from a sore throat to life saving surgery.“I’m from the south, I think about it all the time. What it would be like to go back home and have a medical emergency and not be able to get care. To be a person denied health care, and it’s terrifying,” said Miller.And that increased anxiety can lead to bad health outcomes from avoiding preventative treatment to suicide.A survey from the Trevor Project released this month shows that more than half of kids who identify as transgender and nonbinary have seriously considered suicide in the last 12 months.While this rule change may be disheartening to many, institutions like Denver Health reaffirm their commitment to treating transgender people, like people“I want folks to be able to go to the doctor and feel safe. I want my community to survive,” Miller said. 3878

I can’t even describe what this meant to me and my sisters, my brother, my mom and closest friends to experience together. Thank you so much Kanye for this memory that will last a lifetime ? Here’s a more close up view to see the incredible detail. pic.twitter.com/XpxmuHRNok— Kim Kardashian West (@KimKardashian) October 29, 2020 338

In an op-ed in USA Today, White House staffer and Assistant to the President Peter Navarro denounced Dr. Anthony Fauci — the Director of the National Institute of Allergies and Infectious Diseases — as being "wrong about everything I have interacted with him on" when it comes to the coronavirus pandemic.In the column, Navarro claimed Fauci — who, until recently, was one of the most publicly available members of the coronavirus task force — did not properly warn the public about the dangers of COVID-19."When I warned in late January in a memo of a possibly deadly pandemic, the director of the National Institute of Allergy and Infectious Diseases was telling the news media not to worry," he wrote in his op-ed.Navarro claimed in the column that Fauci "fought against" President Donald Trump's decision to ban travel between the United States in China, despite ample evidence to the contrary.Finally, Navarro chastised Fauci for "flip-flopping on the use of masks."Fauci and several other government officials and agencies — including the CDC and Surgeon General Jerome Adams — initially recommended against the use of masks by the general public in the hopes of preserving a depleted national stockpile. However, Fauci has often advocated for the use of masks in public since the CDC changed its guidance in April, and has since admitted the inconsistent guidance was "was detrimental in getting the message across."Navarro's op-ed is just the latest attempt by White House officials to discredit the administration's top infectious disease expert in the middle of a pandemic. Over the weekend, reports emerged that an anonymous White House official told several news agencies that the administration was concerned about Fauci's track record on the virus.President Donald Trump has also publicly broken with Fauci on several points, including reopening schools, testing and the current outlook. On Monday, Trump maintained that he and Fauci have a "very good relationship."A New York Times poll indicates that 76% of Americans trusted Fauci to provide "accurate information" regarding COVID-19, while just 26% of Americans said the same for Trump. 2162

If you’re feeling cabin fever lately but still aren’t ready to jump on an airplane, you might be inclined to opt for an RV road trip this fall or winter.In a lot of ways, recreational vehicles mitigate a number of travel risks, like potentially sitting for hours in a metal tube near a sick passenger or walking through hallways and sharing elevators with other hotel guests. You reduce exposure to potential germs lingering in a room, and you’ll likely be able to skip restaurants in favor of cooking on your own with regularity.RV rental company Cruise America said in an email that such concerns have led to a 50% year-over-year increase in first-time RV renters between April and August 2020. In fact, one-third of leisure travelers say a road trip will be their reentry point into travel once it’s safe to do so, according to Kampgrounds of America’s 2020 North American Camping Report.But with so many novice RV renters comes a lot of new realizations. A spokesperson for Cruise America told us the company’s experienced a 30%-40% year-over-year increase in time spent on the phone with customers to answer questions, adding that some customers are uncertain about how to drive their vehicles and how to use campgrounds.And some first-time RV renters are realizing that RV road trips aren’t automatically a safer bet than a more traditional vacation. Here are seven RV safety concerns you should be aware of before booking your first RV rental.1. Rented RVs might not be as clean as you thinkWhile renting an RV can avoid some of the hygiene challenges that hotels present, RVs come with their own sets of high-touch areas including the steering wheel, seat belts, tables, microwaves and doorknobs.Some RV rental companies have instituted stricter cleaning procedures because of the coronavirus. Cruise America says it sanitizes every vehicle after it’s returned to a level that it claims exceeds Centers for Disease Control and Prevention guidelines for disinfecting nonemergency transport vehicles. But a cleaner RV rental isn’t necessarily a guarantee, particularly if you’re renting directly from a private owner.Nerd tip: No matter where you stay, conduct your own cleaning to your level of comfort, whether it’s wiping down surfaces with your own disinfectant, or going all out with your own mop and bleach.The alternative: A hotel (it might be cleaner). A number of major hotel chains have pledged to increase cleaning procedures and add safety requirements, such as mandatory face coverings for employees and guests. We rated the major hotel chains based on how well they have handled COVID-19, and Hilton, Hyatt and Marriott snagged the top three spots. Hilton even partnered with Lysol-maker RB to publicly pledge enhanced sanitation measures, including extra disinfection of frequently touched guest room areas like light switches, thermostats and TV remotes.2. Uncertain weather and natural disaster could complicate your travelsBetween lightning strikes causing the biggest fires in recorded California history to the U.S. witnessing a record number of landfalls for any hurricane season, 2020 has already been a wild year for weather. Some experts expect that things could still get worse.Research led by Stanford environmental scientist Michael Goss suggests that autumn coincides with extreme fire danger, exacerbated by increases in temperature and decreases in precipitation over the past four decades. Meanwhile, hurricane season doesn’t end until Nov. 30, according to the National Oceanic and Atmospheric Administration.“This year, we expect more, stronger, and longer-lived storms than average,” said Gerry Bell, who has a doctorate in atmospheric sciences from the State University of New York at Albany and is the lead seasonal hurricane forecaster at NOAA’s Climate Prediction Center, in a statement.Aside from dangers of driving in the midst of a natural disaster, severe weather might mean some campgrounds are temporarily closed, as was the case at Yosemite National Park during the California wildfires.3. Driving comes with accident risksIn the five-year span from 2014 through 2018, U.S. air carriers experienced one fatality, according to Bureau of Transportation Statistics data. For 2018 alone, that’s a fatality rate of 0.012 fatalities per 100 million miles traveled.Meanwhile, 36,560 deaths occurred in 2018 alone due to motor vehicle crashes — a fatality rate of 1.13 deaths per 100 million miles, more than 93 times the airline fatalities in the same year.RVs come with their own challenges that traditional cars typically don’t have, including risk of accident from overloaded or unevenly loaded RVs, increased rollover risk due to a higher center of gravity and larger blindspots.To reduce your risk, use basic common sense while driving an RV:Travel during daylight hours. According to 2016 National Highway Traffic Safety Administration data, 68% more fatal accidents occurred between the hours of 3 p.m. and midnight versus between 3 a.m. and noon.Don’t make hasty driving decisions. If you realize that the exit is approaching but you’re still in the far lane, don’t try to quickly change lanes; just wait for the next exit and backtrack. You might end up five minutes behind schedule, but the whole point of a road trip vacation is to slow down and relax anyway.Take wider corners. Your overswing (the distance that your vehicle swings out when making a sharp turn) is likely much greater in an RV than the car or truck you are used to driving. Pay attention to your overswing and take wider corners while driving to avoid hitting curbs or fire hydrants.Drive slower than you usually would and keep wider distances between cars. RVs brake slower than most cars, so watch for brake lights in front of you, prepare to stop well in advance and take it slow to begin with.“It should never be a case of ‘go big or go home,’” says Geneva Long, CEO of luxury travel trailer-maker Bowlus Road Chief. “Anything over 26 feet or 4,500 pounds will severely restrict your ability to drive, park, enjoy national parks or camp. You don’t want to hate the experience, and it’s almost a guarantee you otherwise will once you add in high winds, poor driving conditions, heavy traffic and limited camping locations due to your oversize.”Nerd tip: Opt for a smaller RV if you’re an RV newbie.4. Shared bathrooms and showers could facilitate the spread of germsIf your RV doesn’t have its own shower or bathroom, you might find yourself resorting to shared facilities at a campground — yet some experts warn against using public bathrooms to prevent against COVID-19 spread. Studies have found that infectious aerosols can spread viruses through faulty plumbing and ventilation systems in public bathrooms.The alternative: Bring your own portable toilet and shower. Depending on where you’re camping, you might be able to go in the woods (skip this option if you’re in a campground near other people or near a body of water). Otherwise, consider your own travel toilet and camping shower.5. You’ll likely still encounter staff and campers at RV campgroundsYou might have opted for a road trip to avoid people. But if you’re staying at an RV campground, you’ll probably find yourself interacting with campground staff at the check-in office, and there may be other campers too.Michelle Fishburne, a writer who travels in an RV as part of a project profiling ordinary Americans, says she’s found herself in a campground office on more than one occasion where other guests or staff didn’t have face coverings on.“When I am in my RV, I feel very safe, of course, because it’s my own self-contained unit,” she says. “My only concern arises when I have to go into the campground office, and people are not wearing masks and standing way too close to each other.”The alternative: Consider a vacation rental. If the thought of interacting with an unmasked employee or guest makes you uncomfortable, a vacation rental or Airbnb might be your best bet. While some rental homes or Airbnbs require you to still meet with the host at check-in, many don’t (instead typically allowing you to gain access to the home through a lockbox or keypad). If booking through Airbnb, use the “self check-in” filter to ensure you don’t have to interact with a human when you arrive.Nerd tip: Book a campground with curbside check-in. Fishburne suggests seeking out campgrounds that offer curbside check-in to avoid going into an office. But even Fishburne cautions it isn’t perfect. One campground she visited in Virginia offered curbside check-in, but the employee wasn’t wearing a mask.6. Maintenance issues become your responsibilitySure, it’s annoying when you’re sitting on the tarmac and your flight won’t take off because a door won’t close. But aside from a potential delay, you don’t have to worry about a thing besides when the snacks will finally arrive.With an RV, you’re on the hook for any and all maintenance issues.“Always check tire pressures and be aware of gas mileage before you set out, so you are not stuck somewhere in 107-degree heat,” Long says.And maintenance isn’t just limited to how the vehicle operates while driving; it encompasses living spaces too. If a hotel has a power outage, the front desk can probably help you deal with it. If your RV has a power outage, hopefully you’re familiar with the RV’s electrical lines. Before taking off on an RV road trip, familiarize yourself with the RV’s sewer lines and control panel — and read the user manual.7. You might make a lot more gas station stopsCruise America says on average its rentals get around 6-10 miles per gallon, which means you might find yourself at the gas station a lot more than usual.While touching a gas pump isn’t necessarily any riskier than touching other public objects like door handles, that’s still a few extra stops that you wouldn’t need to make if you opted to remain stationary once arriving at your vacation destination.When pumping gas, the CDC recommends using disinfecting wipes on handles and buttons before you touch them. And after fueling, the CDC recommends using a hand sanitizer with at least 60% alcohol and then washing your hands with soap and water once you’re near a sink.The bottom line on RV safetyThis year, an RV road trip can reduce a number of risks that you might be concerned about on a more traditional vacation where you’d fly on an airplane to stay at a hotel. But you shouldn’t automatically assume an RV is safer overall.Traveling in an RV has plenty of benefits. You might find your RV road trip turns out to be cheaper than your usual vacation. Head somewhere like a national park and you’ll likely end up spending more time outdoors, which the CDC says improves overall health and wellness thanks to increased opportunities for physical activity, along with promoting mental health and stress reduction.But all travel comes with some level of risk, and RVs aren’t necessarily exempt.More From NerdWalletCoronavirus Scrambles Hotel Breakfast Buffets for the BetterWhat Will Holiday Travel Be Like?6 Items to Add to Your Packing List for COVID-Era TravelSally French is a writer at NerdWallet. Email: sfrench@nerdwallet.com. Twitter: @SAFmedia. 11197

If you're a night owl, you may want to consider spending your winters in northern Alaska.Utqiagvik, Alaska, formerly known as Barrow, experienced its last sunrise and sunset on Sunday for about two months.The town of about 4,000 people is now beginning its 65-day period of darkness, known as polar night.Polar night is a common term in places that don't experience sunrise for more than 24 hours, according to CNN meteorologist Judson Jones."This happens every year," Jones said. "If you live above the Arctic Circle, there will be a day when the sun sets for the rest of winter. The good news? It will return and then during the summer when it won't set for days."The northern third of Alaska lies above the Arctic Circle, the ring of latitude that encircles the frigid Arctic polar region.Although Utqiagvik is not the only Alaskan town to experience this phenomenon, it is the first one on the polar night location list because of how far north it is.For about one to two months, the residents of Kaktovik, Point Hope and Anaktuvuk Pass will also be without the sun. Their final sunsets will happen between late November and early December, according to CNN affiliate KTUU.The sun officially set at 1:43 p.m. Sunday in Utqiagvik, starting its 65-day hiatus from the town. It won't peek above the horizon again until January 23, 2019.The-CNN-Wire 1357