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President Donald Trump announced Wednesday he will replace his Veterans Affairs Secretary David Shulkin with Ronny Jackson, who currently serves as physician to the President.Trump thanked Shulkin via Twitter for his "service to our country and to our GREAT VETERANS" and said Robert Wilkie, the under secretary of defense for personnel and readiness, will serve as acting secretary until Jackson is confirmed.Jackson, who is an active duty Navy physician, was nominated last week for a military promotion by the President.Shulkin's departure from the administration is a stark reversal of fortunes for the VA leader, who served as undersecretary of health in the Obama administration. He'd been held in high regard by Trump, who publicly praised him and touted a series of legislative wins regarding veterans issues.Trump even joked last year that his signature phrase, "you're fired" would never be used with Shulkin."We'll never have to use those words on our David. We will never use those words on you. That's for sure," Trump said of Shulkin last June.Things soured early this year as Shulkin was the subject of a damning report from the department's inspector general that found "serious derelections" by Shulkin and senior VA officials on a Europe trip last year, and concluded that Shulkin had spent a good deal of the trip sightseeing and had inappropriately accepted a gift of Wimbledon tickets.The report fueled Shulkin's critics, both within his own agency and outside it, and brought into the open the power struggle over how to best care for the nation's veterans. Expanding private health care for veterans was a talking point of Trump's on the campaign trail, and a White House priority, and Shulkin's critics have said he was a roadblock to achieving that goal.As the year went on, Shulkin grew increasingly isolated and at odds with top aides, including those in charge of VA communications efforts, was so wide that the secretary had recently been conducting his own crisis communications effort via his personal cell phone, telling reporters that there were political staffers working to oust him.Shulkin's public comments rubbed White House officials, including chief of staff John Kelly, the wrong way. That frustration reached the White House recently, with Trump reportedly floating the idea in private of replacing Shulkin with Energy Secretary Rick Perry.His efforts to turn around the troubled VA were met with acclaim last year. However, over the last few months his standing with the White House grew more dubious, with political appointees saying that he wasn't going far enough to advance the Trump administration's goal of moving more care into the private sector.The inspector general's report also damaged Shulkin's standing, though he remained widely popular on Capitol Hill and retained the support of many of the nation's major veterans organizations.The leaders of some of those groups publicly implored Trump to keep Shulkin on board at VA, saying they were concerned a potential replacement could be inexperienced or in favor of privatizing healthcare for the nation's veterans. 3127
President Donald Trump publicly undermined his attorney Rudy Giuliani on Friday, saying the former New York City mayor had only a loose grasp of the Stormy Daniels business when he spoke about it earlier this week.A clarifying statement from Giuliani issued four hours later did little to illuminate the matter. Instead, the series of pronouncements only lent further confusion to an issue that has deeply undercut the administration's credibility and has fueled the impression of a West Wing in crisis."He''ll get his facts straight," Trump stipulated of his longtime friend on Friday morning, before adding: "There has been a lot of misinformation. I say, You know what? Learn before you speak. It's a lot easier."Calling Giuliani a "great guy," Trump nonetheless insisted his attorney wasn't fully up to speed when he told an interviewer that Trump had reimbursed another lawyer for hush money paid to Daniels, an adult film actress who claims she had sex with Trump in 2006. Trump has denied the encounter."He really has his heart into it. He's working hard," Trump said of Giuliani, before adding: "He's learning the subject matter."By midday, Giuliani had issued a statement he said was "intended to clarify the views I expressed over the past few days." But it did little to spell out when precisely Trump knew of the payment, or how involved he was in reimbursing Cohen."My references to timing were not describing my understanding of the President's knowledge, but instead, my understanding of these matters," Giuliani wrote.He asserted the payment would have been made "whether he was a candidate or not." 1623

President Donald Trump and first lady Melania Trump will travel to Pittsburgh on Tuesday, White House press secretary Sarah Sanders said Monday.She called the "heinous killing" at the Tree of Life Synagogue in Pittsburgh "a chilling act of mass murder" and an "act of hatred," adding that anti-Semitism is a "plague to humanity" and something that all Americans "have a duty to confront.""The American people reject hatred, bigotry, prejudice and violence," she said during the first White House press briefing in 26 days.Sanders noted that the President -- whose daughter, son-in-law, and three grandchildren are Jewish -- "adores" and "cherishes" the Jewish community, her voice breaking up at times. 710
President Donald Trump brought his hard-line economic nationalism to a summit of Pacific Rim leaders here Friday, issuing a stern rebuke of trade practices that have harmed American workers. But the President also continued to insist his US predecessors are to blame."We are not going to let the United States be taken advantage of anymore," Trump said in a speech at the start of the Asia-Pacific Economic Cooperation summit. "I am always going to put America first, the same way I expect all of you in this room to put your countries first."It was a familiar message delivered to an audience that's still coming to grips with Trump's protectionist views. Even as Trump makes his debut appearance at this yearly set of meetings, other leaders are hoping to announce a revamped Trans-Pacific Partnership -- the landmark trade accord negotiated by the Obama administration but scrapped by Trump -- that doesn't included the United States. 945
POWAY, Calif. (KGTV) - Who should get vaccinated against Hepatitis A? Everybody.It's true, the hepatitis A outbreak is hitting the homeless population around downtown San Diego the hardest but even a North County doctor is advising her patients the vaccine is a good idea for most everyone."I felt it be best if I get protected against the current outbreak," Beverly Asbill-Gumbs said. She joined hundreds of others at the downtown library to take advantage of free vaccinations against Hepatitis A.RELATED: Vaccination, sanitation and education plan to end hepatitis A outbreakThe virus is most commonly spread through direct contact among those without access to adequate hygiene, which is why it's hit the homeless population so hard.But what about other parts of the county; more insulated from the heart of the outbreak?"So, I don't want people to be inappropriately concerned but i do think there needs to be some awareness," Dr. Elizabeth Salada, of Palomar Health in Poway, said.RELATED: Health officials say Los Angeles hepatitis A cases tied to San Diego outbreakSalada serves patients from largely affluent neighborhoods. So, you might be surprised to hear her advise to them on getting vaccinated for Hepatitis A."I do believe it's probably prudent for people to get vaccinated if they can," Salada said. "Just the fact that it's in the community and we're a very mobile society and we touch things that other people have touched, then, we're at risk."The recent scare at a popular Pacific Beach restaurant -where a worker was discovered to be infected- points out the risk can pop-up anywhere.RELATED: El Cajon joins in sanitation campaign to stop hepatitis A outbreak"We do have an obligation to each other. Number one by good hygiene and hand washing and number two by vaccinating if appropriate," Salada said.For the downtown area, the City of San Diego will be offering free hepatitis A vaccinations Thursday, Sept. 21, 2017, for at-risk populations, particularly homeless individuals. Vaccinations will be given by qualified providers at Golden Hall, 202 C St., from 7 a.m. to 4 p.m.MORE COVERAGE: 2148
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