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It looked down over Celina, Tennessee like a watchful eye, and for decades, Cumberland River Hospital provided a sense of security for this struggling rural county.But now, the hospital sits empty and dark; its hallways filled with silence. The death of this county’s only hospital has thrust this place into darkness, and dozens more like it across the country are potentially about to suffer the same fate.“We are seeing a huge divide in healthcare among Americans,” explained Johnny Presley, the owner of this small rural hospital.Hospitals across the country are struggling now more than ever, as patients are still avoiding elective surgeries because of COVID-19. Those are the bread and butter of most hospital's bottom line.In Celina, Tennessee, a town of about 1,400 people, the hospital also served as the county’s biggest employer. Presley spent months fighting with Medicare for reimbursement payments until he was finally forced to close the emergency room.He’s poured million of his own money into the hospital in an attempt to save its life.“When people can’t live in the rural communities they grew up in without access to healthcare, it’s almost like you’re in a prison,” he said.The cruel irony of a hospital closing in the middle of a pandemic is not lost on anyone who lives in this or any other rural community in America. At this hospital alone, they were able to stabilize or save more than a dozen COVID-19 patients over the past few months. Patients that now will be forced to drive more than an hour for care to the next closest emergency room.“So, many people are going to die. They’re gonna die because they don’t get the emergency care they need,” said Stephen Headrick, who lives in Celina and has relied on this emergency room countless times over the years.Since 2005, a staggering 174 rural hospitals have shut down nationwide. Fifteen of those closures happened this year alone, leaving a vacuum of care in their absence. Texas and Tennessee lead the nation in hospital closures.By the end of this year, hospitals across the country are expected to lose more than 0 billion, a staggering statistic that ripples far beyond the walls of any emergency room.When Cumberland River closed, nearly 100 doctors, nurses and staff were let go. By some estimates, 2020 may end up claiming the lives of nearly 200 more hospitals.“To keep our hospitals open during this pandemic, the government has to intervene,” Presley explained.With federal aid, Presley could reopen the hospital tomorrow, but so far, his pleas to politicians have gone unanswered.“I think it’s just a travesty that this country is going through. This country is so polarized that the most basic human needs of food and healthcare are being overlooked,” he said.Rural lifelines are on life support as American lives hang in the balance. 2841

IOWA CITY, Iowa — A young child died due to complications from coronavirus in June, the first confirmed death of a minor in Iowa during the pandemic, the state health department belatedly announced Sunday evening.The Iowa Department of Public Health said the state medical examiner’s office concluded its case investigation Aug. 6 into the death of the child, who was under the age of 5. But the death wasn’t reported in the state’s statistics until Saturday, more than two weeks later.“The child’s death was publicly reported this weekend after ensuring the individual’s identity would remain protected and notifying the family,” the department said in a statement. “We have made every effort to protect the identity of this child, while the family grieves this devastating loss. Again, we send our sincerest condolences.”The department says the medical examiner performed a full range of testing to determine the cause of death and the child’s health history was taken into account.“Ultimately, COVID-19 was deemed the cause of death,” the statement said.The confirmation of the state’s first child death comes one day before dozens of school districts are prepared to begin the school year on Monday — a development that has many educators and parents already on edge.Iowa Gov. Kim Reynolds has ordered schools to reopen for at least 50 percent in-person instruction, despite a pandemic that has already killed 1,036 people and seen infections soar in recent days. 1475

ISLA, Mexico (AP) — Patience among 4,000 Central American migrants appeared to be wearing thin on Saturday, as exhausted members of the caravan journeying toward the United States openly disagreed with organizers who are shepherding the group through southern Mexico.Several thousand migrants opted to rest in the towns of Juan Rodriguez Clara, Veracruz and Isla, Veracruz, which are about 40 miles (64 kilometers) from their previous rest stop in Sayula. Another contingent splintered off by hitchhiking rides and walking to Tierra Blanca, Veracruz, which lies about 80 extra miles (128 kilometers) to the north.Many said they no longer had faith in those organizing the large group after confusion broke out regarding buses that would have taken migrants on a route to Mexico City.On Friday, Veracruz Gov. Miguel Angel Yunes reneged on a brief offer to provide transportation, saying that it would not be correct to send the migrants because Mexico City's water system was undergoing maintenance and 7 million of its people would be without water over the weekend.In the lapse between his decisions, organizers told members of the caravan that buses would indeed be available, causing some migrants to go to sleep with the impression that they should wake up early to stake out a place in line.Human rights activist Ernesto Castaneda said there's still a possibility that bulk transportation will be arranged Saturday.But as migrants struggle with exhaustion, blisters, sickness, and swollen feet hundreds of miles from the closest U.S. border, tempers flared within their ranks."People are mad and confused," said Saira Cabrera, a 36-year-old traveling with her husband and two children aged 7 and 13.Gerardo Perez, a 20-year-old migrant, said he was tired."They're playing with our dignity. If you could have only seen the people's happiness last night when they told us that we were going by bus and today we're not," he said.It remained to be seen if the group would stick together and continue employing the 'strength in numbers' strategy which has enabled them to mobilize through Mexico and inspire subsequent migrant caravans to try their luck.On Friday, another caravan — this time from El Salvador — waded over the Suchiate River into Mexico, bringing 1,000 to 1,500 people who want to reach the U.S. border.That caravan initially tried to cross the bridge between Guatemala and Mexico, but Mexican authorities told them they would have to show passports and visas and enter in groups of 50 for processing.The Salvadorans opted instead to wade across a shallow stretch of the river to enter Mexico. Police in the vicinity did not try to stop the migrants, who later walked along a highway toward the nearest large city, Tapachula.Mexico is now faced with the unprecedented situation of having three caravans stretched out over 300 miles (500 kilometers) of highways in the states of Chiapas, Oaxaca and Veracruz, with a total of more than 6,000 migrants.The first, largest group of mainly Honduran migrants entered Mexico on Oct. 19. The caravan has shrunk to less than 4,000 migrants, although it has become difficult to give exact numbers as migrants advance toward small towns any way they can.Another caravan, also of about 1,000 to 1,500 people, entered Mexico earlier this week and is now in Mapastepec, Chiapas. That group includes Hondurans, Salvadorans and some Guatemalans.Mexican officials appeared conflicted over whether to help or hinder their journeys.In the smaller caravans, immigration agents and police have at times detained migrants. There has also been pressure on the main caravan, with federal police pulling over freight trucks and forcing migrants off, saying that clinging to the tops or sides of the trucks was dangerous.But several mayors have rolled out the welcome mat for migrants who reached their towns - arranging for food and camp sites. Mexico's Interior Department says nearly 3,000 of the migrants in the first caravan have applied for refuge in Mexico and hundreds more have returned home.With or without the government's help, uncertainty awaits.President Donald Trump has ordered U.S. troops to the Mexican border in response to the caravans. More than 7,000 active duty troops have been told to deploy to Texas, Arizona and California.Trump has also told the U.S. military mobilizing at the southwest border that if U.S. troops face rock-throwing migrants, they should react as though the rocks were rifles. He plans to sign an order next week that could lead to the large-scale detention of migrants crossing the southern border and bar anyone caught crossing illegally from claiming asylum.Though some migrants clashed with Mexican police at a bridge on the Guatemala border, they have repeatedly denied coming with any ill intentions, saying they're fleeing poverty and violence."We aren't killers," said Stephany Lopez, a 21-year-old Salvadoran with the first caravan. 4935

It’s a simple message: “Count every vote."It's what a crowd in Pennsylvania is chanting, as officials continue counting ballots in the battleground state. For Kierstyn Zolfo, it’s a personal one.“We believe that every vote needs to be counted,” she said. “I voted by mail-in, and I do that regularly anyway because I have disability issues.”Her mobility may be limited, but her voice--and those of others in this crowd--are not. Just 30 miles north of Philadelphia, in the all-important suburbs and outside the Bucks County Elections Office, residents rallied.“We're also here to celebrate that we're outside of the place that the votes were being counted,” said Marlene Pray, who organized the rally.It’s an effort called Protect The Vote. They are pushing to make sure every vote in the state, no matter the party affiliation, gets counted.“It's a completely nonpartisan effort. We just want to make sure that every vote gets counted,” said Bob Edwards with Protect The Vote. “I mean, what could be more simple and what more American than that?”Yet, the Trump campaign is suing Pennsylvania on several legal fronts, hoping to block certain mail-in votes, votes that the Pennsylvania Secretary of State said were legally cast by the millions there in the largest numbers ever seen in the state.The potential for multiple legal challenges here in Pennsylvania looms large, especially for ballots received after Election Day, which by state law, can still be counted if they were postmarked on Election Day and are delivered to elections offices by Friday.“This is profoundly important,” Pray said.It is something Kierstyn Zolfo sees, as well.“This is about American principles,” she said, “counting every vote.” 1719

It’s not uncommon to convert an old warehouse into lofts or apartments.But what about converting something a little more unique, a little more historic?Something like, a church?That’s what developers did in a Denver, Colorado neighborhood. The Gothic-revival, Methodist Episcopal church was built in 1889, designed by Denver architect Franklin E. Kidder. It was declared an historic landmark in 1970. But that didn't stop it from ending up abandoned as the neighborhood changed.Enter developers with a vision. They re-envisioned the church as The Sanctuary Lofts. They preserved much of the church’s unique features, like the stained-glass windows, exposed brick, and wood paneling, and converted the church into condominiums. There’s even a confessional in one of the condos serving as the room’s focal point.One of the 12 condos in this church was recently on the market. Realtor David Wheaton said each unit offers different pieces of the past. “In some units we actually have stained glass windows exposed and holy items that were a part of the church that are actually infused into the units," said Wheaton. “Many of these buildings such as this church, the congregation wasn’t able to support it financially. It kind of fell into disrepair for a while and it was deconsecrated at some time.”While this conversion was done long before the current housing crisis, it underscores the need to find places to live. In this case, the condos come with a completely unique twist on what’s possible.This converted church is just one example of creative living makeovers.The Arcade, the first indoor shopping mall in the United States, is now home to 48 apartments.  The Arcade is in Providence, Rhode Island and was built in 1828. It is on the National Register of Historic Places and a National Historic Landmark.In Charleston, South Carolina, the Cigar Factory is another example of an historic building beginning a new chapter.  It was built in 1881 as a cotton manufacturing facility before converting to cigar production in 1903. While plans to transform it into condos 100 years later were ultimately scrapped, it’s now home to office, restaurant and event space.  2265