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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

On Monday morning, Pfizer announced that so far in Phase 3 trials, its COVID-19 vaccine candidate has been 90% effective in promoting protection against the virus. And while the announcement has many Americans seeing the light at the end of the tunnel, the pandemic is still far from over.Pfizer's announcement on Monday is an encouraging sign, as it means that the company is on track to file for Emergency Use Authorization for the vaccine in the coming weeks. It also keeps the U.S. on a timeline to have at least one vaccine approved and available for distribution by the end of 2021.But Monday's announcement does not mean a vaccine is imminent. Pfizer is currently mass-manufacturing its vaccine candidate in the event it does receive Emergency Use Authorization from the FDA, and hopes to have 100 million doses of the vaccine ready to ship by year's end. But even if Pfizer is able to fulfill that ambitious order by Dec. 31, it would only be able to vaccinate about one-third of everyone in the county.Once the initial vaccine order has been completed, it will need to be rationed for those who need it most — likely health care workers, essential employees and people in high-risk populations. While it is unclear who exactly will be eligible to receive the vaccine first, the Department of Health and Human Services (HHS) says the early distribution of a COVID-19 vaccine will be "constrained tightly" and will be "highly targeted" to "achieve coverage in priority populations."Eventually, the U.S. hopes to grant emergency use authorization to several vaccine candidates — many of which are currently in production on orders from the U.S. government. HHS hopes that by the middle of next year, several vaccines will be approved and widely available. But at that point, officials will run into a second major hurdle — vaccine skepticism.Skepticism about vaccines has been on the rise in recent years, fueled in part by the spread of misinformation online. In particular, baseless conspiracies linking vaccines to autism have spread on social media, eroding public confidence in medicine. In addition, polarized politics in the U.S. have led to speculation that government leaders will approve an unsafe or ineffective vaccine for political purposes.Vaccines are only effective if enough members of the public become inoculated against a virus — if a virus has nowhere to spread, it will eventually die out. But Gallup polling released in October shows that just 50% of Americans say they would receive a COVID-19 vaccine if it had been approved by the FDA and available at no cost — far below the threshold for herd immunity, according to many health experts.The Gallup polling is consistent with AP polling from earlier this year that also only found 50% willingness to take a COVID-19 vaccine.All the while, the final push for a COVID-19 vaccine will be occurring during what members of the White House coronavirus task force warn will be the most concerning and deadly period of the pandemic. The virus is currently spreading in the U.S. faster than it has at any other point during the pandemic, just as Americans are moving social gatherings indoors where the virus is more likely to spread.To be clear, health officials' efforts to develop a safe and effective COVID-19 is a momentous and historic achievement — approving a vaccine for emergency use by the end of the year would shatter all previous records for vaccine development. But while there may be light at the end of the tunnel, it may take several months — or years — to reach the end of the pandemic. 3586

Nothing, not even the COVID-19 pandemic, will stop Santa from delivering toys to good boys and girls every Christmas Eve — and nothing will stop the North American Aerospace Defense Command (NORAD) from tracking the big guy's flying sleigh.This year, NORAD launched its 2020 Santa-tracker website, which will be updated regularly throughout the month season with new Holiday-themed games, music and videos.The Santa tracker is live now, and can be watched live at any time on Christmas Eve at NORADSanta.org. "Thanks to the dedicated men and women who keep a watchful eye over North American airspace 24 hours a day, 365 days a year. NORAD tracks everything that flies in and around North America. On December 24, we also have the special mission of tracking and escorting Santa,” said Major-General (Maj.-Gen.) Eric Kenny, Commander of the Canadian NORAD Region. “Utilizing the North Warning System's powerful radar and satellite systems, we are able to see into the North better than ever, allowing us to track Santa more precisely, ensuring he has a safe trip through North American airspace.”Visitors to the site will be able to track Santa's progress as he makes his rounds to homes across the globe.Last month, NORAD said that it would still be tracking Santa this holiday season despite COVID-19 staffing cutbacks. Though the command's Santa Tracker Hotline, 1-877-Hi-NORAD, will still be active on Christmas Eve, not every child will get to speak to a live volunteer and will get a pre-recorded message instead.However, children will still be able to track Santa via social media pages, Amazon Alexa, Onstar and a new mobile app that is available for download now on Apple's App Store and Google Play.According to the Associated Press, NORAD has been tracking Santa every year since 1955, when Col. Harry Shoup of the Continental Air Defense Command took a call from a child who dialed a misprinted department store telephone number looking for Santa. 1967

On Twitter, the iconic Navy Pier in Chicago announced they will shut down after Labor Day due to the COVID-19 pandemic.They hope to reopen in spring 2021. 162

On a typical day, police officers make more than 50,000 traffic stops.According to the Stanford Open Policing Project, which looked at nearly 100 million traffic stops, there are significant racial disparities in policing.Black drivers are stopped more frequently than white drivers, and Black and Hispanic drivers are more likely to be searched.“The public has to have confidence and trust in highway safety enforcement and law enforcement and that trust has been reduced because of recent events,” said Jonathan Adkins, Executive Director at the Governors Highway Safety Association.The association came out with its first ever recommendations on how to reduce racism in traffic enforcement. They include making sure the demographics of law enforcement officers match the communities they serve, collecting data on race in traffic enforcement, incorporating that data in grants and funding, and getting perspectives from minorities and low-income communities.The association doesn't believe widespread agency defunding or pulling officers from stops is the answer.“If someone is speeding, driving aggressively, driving drunk, you don’t want a social worker pulling them over, that needs to be a law enforcement officer with a weapon to protect him or herself,” said Adkins.The association points to more training on racism, bias and de-escalation.Another important component to building public trust is positive stops.“If someone is doing the right thing and you have an encounter with them, give them a dollar certificate for ice cream, give them an award, thanks for having your child buckled up correctly in the backseat,” said Adkins.Adkins says at the same time, you don’t want to pull back on traffic enforcement. He says we saw the results of that early on in the COVID-19 pandemic. More people were speeding and traffic deaths were up. 1853