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The Trump administration is taking steps to give telehealth a broader role under Medicare, with an executive order that serves as a call for Congress to make doctor visits via personal technology a permanent fixture of the program. The order President Donald Trump signed Monday applies to one segment of Medicare recipients — people living in rural communities. But administration officials say it’s intended as a signal to Congress that Trump is ready to sign more significant legislation that would permanently open up telehealth as an option for all people with Medicare. Trump says his administration is “taking action to make sure telehealth is here to stay.”"When the invisible enemy struck our shores, we took immediate action to eliminate regulatory barriers to telehealth, making it easier for patients to consult with doctors from safety and convenience and really, they have great safety and great convenience right from their homes," Trump said. While the CDC said in June it was working on expanding access to telehealth, it did list some drawbacks to the service:Situations in which in-person visits are more appropriate due to urgency, underlying health conditions, or inability to perform an adequate physical examThe need to address sensitive topics, especially if there is patient discomfort or concern for privacyLimited access to technological devices (e.g., smartphone, tablet, computer) needed for a telehealth visit or connectivity issuesLevel of comfort with technology for HCP and patientsCultural acceptance of conducting virtual visits in lieu of in-person visits by HCP and patientsInterstate licensure challenges and other regulatory issues that may vary by state 1701

The Trump campaign has filed a second lawsuit to stop ballot counting the day after the election. This time in Pennsylvania.In a release sent to supporters, the president’s campaign says they are taking several legal actions concerning Pennsylvania ballots. The first is they are “moving to intervene in the existing Supreme Court litigation over the Pennsylvania Supreme Court’s unlawful extension of the mail-in ballot receipt deadline.”Trump’s campaign is also filing suit to stop ballot counting because they claim election officials are counting and processing ballots out of sight of Republican poll observers.“In Philadelphia and elsewhere, Democrat officials forced our observers to stay 25 feet or more from the counting process, leaving no meaningful way whatsoever for our observers to do their jobs,” the statement from Justin Clark, Trump’s deputy campaign manager, reads.With about 84 percent of the ballots counted, Trump leads Biden by almost 300,000 votes. This is similar language used by the Trump campaign when they said they filed in Michigan Wednesday morning. The Trump campaign says it is calling for a temporary halt in the counting in Michigan until it is given “meaningful access” in numerous locations and allowed to review ballots that already have been opened and processed. Trump is running slightly behind Democratic nominee Joe Biden in Michigan. 1387

The Sinaloa drug cartel, once run by one of the most wanted men in the world, El Chapo, has made its way to Northeast Ohio. It's a drug-trafficking ring moving large amounts of drugs from Mexico onto the streets."I don't think people understand how significant and embedded it is in Northeast Ohio," said Keith Martin, Assistant Special Agent in Charge of Cleveland's Drug Enforcement Administration. Authorities recently found a stash house in a Maple Heights neighborhood and another on Cleveland's west side. "The unfortunate fact is the drugs on our streets come from somewhere. Coco plants don't grow in Cleveland. Poppy plants don't grow in Parma, they come from somewhere else. They are, increasingly, in almost every case, the drugs are coming from Mexican cartels," said Justin Herdman, U.S. Attorney for the Northern District of Ohio. A three-year long DEA investigation, dubbed "Operation Loaded Deck," focused on taking down the local arm of the notorious Sinaloa cartel. During the investigation, authorities seized large quantities of heroin, cocaine and fentanyl, some of which were concealed in hidden compartments in cars. The drugs were moved across the U.S.-Mexican border and transported in these cars outfitted with secret traps. "Often times they'll go to great lengths, whether they've constructed a trap in a vehicle or a natural void in the vehicle," Major Gene Smith with the Ohio State Highway Patrol said.Just as astonishing, Cartel members were hiding in plain sight the whole time, even taking in a Cavaliers game — courtside."These aren't street-level dealers, they were dealing in massive quantities and, in return, huge amounts of cash," Herdman said. By the end of the investigation, 29 kilos of cocaine, eight kilos of heroin, a kilo of fentanyl and four pounds of marijuana were seized, along with nearly 0,000, guns, vehicles and dozens of cell phones. Operation Loaded Deck ended with 19 people sent to federal prison for their roles in the drug trafficking organization. 2115

The scariest thing at Wormtown Brewery in Worcester, Massachusetts this fall has nothing to do with Halloween. This small independent brewery ran out of aluminum cans for the first time in company history."We have had a couple of loads of cans canceled on us, but last week was the first time we truly ran out of cans," said co-owner David Field.Shipments of cans are becoming very rare for breweries and beverage producers nationwide. Americans are drinking less at bars and restaurants and more at home, putting greater demand on liquor stores and breweries like Wormtown.Typically, this craft beer producer would send out about 20 percent of their product in kegs to area bars, but because of the pandemic, close to 100 percent of the beer they produce is being sent directly to consumers."People drink more often at home; they drink more in small social circles," Field said.In the U.S., there are only a small handful of can distributors. Most years, they produced about 100 billion aluminum cans. However, this year, there's a nationwide shortage of close to 10 billion cans.Everyone-- from major soda companies to small craft breweries--has started to feel the impact. Part of the shortage is being caused by the explosion of hard seltzers into the market. Only making the situation worse, many recycling plants were forced to go offline during the spring.But, mostly, experts say the can shortage is simply being caused by supply and demand."It's going to catch up with everybody. If they haven’t been hit, they will be, and it looks like it’s gonna be a little while," Field added.Perhaps one of the biggest buzzkill for small breweries is if customers can’t find their product on a shelf, they might be gone for good and turn to another product that's more available. Field says that could have long-lasting impacts on his company's bottom line."That person who loves our beer might be introduced to somebody else’s beer they like and may not come back to us," he said.The problem is impacting brewers all over the country. The Brewers Association, which represents more than 5,000 breweries, says they're even hearing about some manufacturers having a difficult time getting glass bottles."There’s been a huge increase in demand for cans that then when the pandemic hit, was just accelerated. Not just with beer, but all package types to cans," explained Chuck Skypeck, who serves as the group's technical brewing projects manager.What it all means for the American consumer is fewer options for beer and other soft drinks as well. It’s a difficult task for the nation's brewers as they try their best to quench this country's thirst for beer. 2662

The restaurant industry has been reshaped in the past six months. We’ve seen more pivots to take-out and outdoor dining, but could we see a more drastic shift.New data from Bank of America shows sales at independent chains are still down about 15%."Right now, it is just sad. People are exhausting their personal savings. They are shutting their businesses and they just don’t know what to do,” said Andrew Rigie.Rigie is with the New York City Hospitality Alliance. In NYC alone, at least 1,289 restaurants have closed since March, according to the Office of New York Comptroller. Across the country, Yelp has gathered data from its platform that show that number is around 16,000.“It’s a really dire situation,” added Rigie.The situation is the direst for independent restaurants, because the same Bank of America study that showed sales still down 15% at mom and pop restaurants, shows chain restaurant sales are now up 2% higher than they were pre-pandemic.Industry experts believe a continuing trend of these numbers could reshape the industry.Chains restaurants are now in a better position to replace space occupied by folded restaurants or struggling ones, potentially shifting the flavor of the restaurant industry toward chain food.“I’m not knocking or saying there is anything bad about a chain, but we really want our beloved mom and pop businesses,” said Rigie. "We really need support from the federal, state and local governments to ensure these places are able to recover.”Legislation was presented to Congress in June, the Restaurants Act, to help struggling independent restaurants with grant money. However, there has been no vote on the bill or any signs it could pass.Without additional help, the latest estimate by the Independent Restaurant Coalition is that upwards of 85% of independent restaurants could fold by the end of the pandemic. 1870

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