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When Dr. Harold Bornstein described in hyperbolic prose then-candidate Donald Trump's health in 2015, the language he used was eerily similar to the style preferred by his patient.It turns out the patient himself wrote it, according to Bornstein."He dictated that whole letter. I didn't write that letter," Bornstein told CNN on Tuesday. "I just made it up as I went along."The admission is an about face from his answer more than two years when the letter was released and answers one of the lingering questions about the last presidential election. The letter thrust the eccentric Bornstein, with his shoulder-length hair and round eyeglasses, into public view."His physical strength and stamina are extraordinary," he crowed in the letter, which was released by Trump's campaign in December 2015. "If elected, Mr. Trump, I can state unequivocally, will be the healthiest individual ever elected to the presidency."The missive didn't offer much medical evidence for those claims beyond citing a blood pressure of 110/65, described by Bornstein as "astonishingly excellent." It claimed Trump had lost 15 pounds over the preceding year. And it described his cardiovascular health as "excellent."The White House didn't respond to a request for comment about Bornstein's claim.Later, as questions mounted over the health both of Trump and his rival Hillary Clinton, Bornstein offered a more businesslike assessment, listing things such as Trump's height, weight and prescription medications.He later told CNN's Drew Griffin he'd dashed off the first letter as he was seeing patients."I was just rushed for time," he said in September 2016. "I had people to see."He insisted then that the words were his own."Did I really write that letter? Yeah," he said.Now, as Bornstein re-enters the spotlight claiming Trump's ex-bodyguard Keith Schiller robbed his office when Schiller retrieved Trump's medical records, the story behind the letter is becoming clearer."That's black humor, that letter. That's my sense of humor," he said. "It's like the movie 'Fargo': It takes the truth and moves it in a different direction."He said Trump read out the language as Bornstein and his wife were driving across Central Park."(Trump) dictated the letter and I would tell him what he couldn't put in there," he said. "They came to pick up their letter at 4 o'clock or something." 2369

Who gets to be first in line for a COVID-19 vaccine? U.S. health authorities hope by late next month to have some draft guidance on how to ration initial doses, but it’s a vexing decision.“Not everybody’s going to like the answer,” Dr. Francis Collins, director of the National Institutes of Health, recently told one of the advisory groups the government asked to help decide. “There will be many people who feel that they should have been at the top of the list.”Traditionally, first in line for a scarce vaccine are health workers and the people most vulnerable to the targeted infection.But Collins tossed new ideas into the mix: Consider geography and give priority to people where an outbreak is hitting hardest.And don’t forget volunteers in the final stage of vaccine testing who get dummy shots, the comparison group needed to tell if the real shots truly work.“We owe them ... some special priority,” Collins said.Huge studies this summer aim to prove which of several experimental COVID-19 vaccines are safe and effective. Moderna Inc. and Pfizer Inc. began tests last week that eventually will include 30,000 volunteers each; in the next few months, equally large calls for volunteers will go out to test shots made by AstraZeneca, Johnson & Johnson and Novavax. And some vaccines made in China are in smaller late-stage studies in other countries.For all the promises of the U.S. stockpiling millions of doses, the hard truth: Even if a vaccine is declared safe and effective by year’s end, there won’t be enough for everyone who wants it right away -- especially as most potential vaccines require two doses.It’s a global dilemma. The World Health Organization is grappling with the same who-goes-first question as it tries to ensure vaccines are fairly distributed to poor countries -- decisions made even harder as wealthy nations corner the market for the first doses.In the U.S., the Advisory Committee on Immunization Practices, a group established by the Centers for Disease Control and Prevention, is supposed to recommend who to vaccinate and when -- advice that the government almost always follows.But a COVID-19 vaccine decision is so tricky that this time around, ethicists and vaccine experts from the National Academy of Medicine, chartered by Congress to advise the government, are being asked to weigh in, too.Setting priorities will require “creative, moral common sense,” said Bill Foege, who devised the vaccination strategy that led to global eradication of smallpox. Foege is co-leading the academy’s deliberations, calling it “both this opportunity and this burden.”With vaccine misinformation abounding and fears that politics might intrude, CDC Director Robert Redfield said the public must see vaccine allocation as “equitable, fair and transparent.”How to decide? The CDC’s opening suggestion: First vaccinate 12 million of the most critical health, national security and other essential workers. Next would be 110 million people at high risk from the coronavirus -- those over 65 who live in long-term care facilities, or those of any age who are in poor health -- or who also are deemed essential workers. The general population would come later.CDC’s vaccine advisers wanted to know who’s really essential. “I wouldn’t consider myself a critical health care worker,” admitted Dr. Peter Szilagyi, a pediatrician at the University of California, Los Angeles.Indeed, the risks for health workers today are far different than in the pandemic’s early days. Now, health workers in COVID-19 treatment units often are the best protected; others may be more at risk, committee members noted.Beyond the health and security fields, does “essential” mean poultry plant workers or schoolteachers? And what if the vaccine doesn’t work as well among vulnerable populations as among younger, healthier people? It’s a real worry, given that older people’s immune systems don’t rev up as well to flu vaccine.With Black, Latino and Native American populations disproportionately hit by the coronavirus, failing to address that diversity means “whatever comes out of our group will be looked at very suspiciously,” said ACIP chairman Dr. Jose Romero, Arkansas’ interim health secretary.Consider the urban poor who live in crowded conditions, have less access to health care and can’t work from home like more privileged Americans, added Dr. Sharon Frey of St. Louis University.And it may be worth vaccinating entire families rather than trying to single out just one high-risk person in a household, said Dr. Henry Bernstein of Northwell Health.Whoever gets to go first, a mass vaccination campaign while people are supposed to be keeping their distance is a tall order. During the 2009 swine flu pandemic, families waited in long lines in parking lots and at health departments when their turn came up, crowding that authorities know they must avoid this time around.Operation Warp Speed, the Trump administration’s effort to speed vaccine manufacturing and distribution, is working out how to rapidly transport the right number of doses to wherever vaccinations are set to occur.Drive-through vaccinations, pop-up clinics and other innovative ideas are all on the table, said CDC’s Dr. Nancy Messonnier.As soon as a vaccine is declared effective, “we want to be able the next day, frankly, to start these programs,” Messonnier said. “It’s a long road.”___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 5581

WILMINGTON, Del. – Sen. Kamala Harris of California will be Joe Biden’s running mate in the 2020 presidential election.The presumptive Democratic nominee announced Tuesday that Harris will join him on the ticket. If she and Biden win in November, she would become the first woman and African-American elected as vice president.Biden’s selection comes after weeks of vetting several candidates for the role, all of which were women because the former vice president vowed to run alongside a female prospect.The Biden campaign said Harris and Biden will deliver remarks from Delaware on Wednesday.Tweeting from her official account, Harris said, "Joe Biden can unify the American people because he's spent his life fighting for us. And as president, he'll build an America that lives up to our ideals. I'm honored to join him as our party's nominee for Vice President, and do what it takes to make him our Commander-in-Chief."Harris is a U.S. senator and African American leader from California. She also made a name for herself as a presidential candidate, running against Biden himself during this election. Some Biden advisers don't like how she attacked Biden during the campaign, not to mention her time as a prosecutor could hurt her with some voters.Biden officially clinched the party’s nomination in June, when he reached the 1,991 pledged delegates needed.Biden is expected to accept the nomination during the Democratic National Convention, which will be held virtually next week due to COVID-19 concerns. It was originally set to be held in Milwaukee. Harris will also speak during the event, along with other top Democrats.This story is breaking and will be updated. 1685

WINTER PARK, Fla. (AP) — Police say a man punched and kicked a 70-year-old man who'd asked him to practice social distancing inside a central Florida gas station. An arrest report says 24-year-old Rovester Ingram wasn't wearing a mask so the older man asked him to back away on Sept. 8. The man then paid for his items and left the store. Police say Ingram followed him outside and began punching and kicking him. The man went back inside. But Ingram followed him and dragged him back out. Police confirmed the incident through witnesses and surveillance video. They arrested Ingram. 591

What are Apple’s Black Friday 2020 plans?As we all know, Apple doesn’t have “discount” in its DNA. While Apple tempts us with its latest technology, Black Friday deals often come from retailers clearing out last-generation inventory. Apple has introduced the iPhone 12 Pro and iPhone 12 Pro Max, but any discounts you find will likely be tied to contracts with carriers.All of which means you might have to do a little more work to find Black Friday deals on Apple tech. We’ve done some of that shopping reconnaissance for you.What are Apple’s Black Friday 2020 deals?Here’s what we know so far:AT&T is offering a credit up to 0 on an eligible smartphone trade-in with an upgraded or new line and the purchase of an iPhone 12.Best Buy will be offering discounts up to 0 on select MacBook Pros and up to 0 on select iPad Pros (through Nov. 28).Walmart will have AirPods Pro for 9 ( savings) and Apple Watch Series 3 (GPS) for 9 ( savings), both online only.Amazon hasn’t leaked any significant Apple discounts yet; off here, there. The best we’ve found is a 2017 model iPad Pro for 0.84 (.16 savings).How can you save money on Apple products?Here are a couple of ways to save on Apple products. First, with an Apple Card, you can get 3% cash back when you buy directly from Apple. You’ll also have the option to pay in monthly installments with zero interest charged, with approved credit.And iPhone or iPad owners can receive up to a 0 credit toward the purchase of a new Apple product with Apple Trade In.What were Apple’s Black Friday 2019 deals?Apple products are customer magnets during the holidays. Here are some of the Black Friday specials from last year:Apple offered gift cards ranging from to 0 with the purchase of select Apple and Beats products.HomePods were discounted to 9.99 (regularly 9).Target featured a 0 gift card with the qualified activation of an iPhone 11 or iPhone XS with Verizon or AT&T.Walmart sold the Apple Watch Series 3 (GPS) 38mm for 9 (regularly 9).More From NerdWalletSmart Money Podcast: The Holiday Shopping EpisodeIPhone Black Friday 2020 Deals: Are They Worth It?Cell Phone Black Friday 2020 Deals: Are They Worth It?Hal M. Bundrick, CFP is a writer at NerdWallet. Email: hal@nerdwallet.com. Twitter: @halmbundrick. 2332