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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 administration is considering a new travel ban to replace its original executive order, which has had its legality questioned and is up for a Supreme Court hearing next month, White House national security adviser H.R. McMaster said Sunday."Well, this is something that we're looking at, is how to protect the American people better, how to ensure that we know who these people are who are moving," McMaster told George Stephanopoulos on ABC's "This Week."This renewed discussion of the travel ban comes after Friday morning's terrorist attack in London, in which 30 passengers on a London Underground train were injured after a bomb went off.In a tweet Friday in response to the attack, President Donald Trump called for a "larger, tougher and more specific" travel ban and also called for shutting down terrorist group's use of the internet for indoctrination and recruitment.McMaster echoed the point Sunday."Because of the strength of these terrorist organizations -- why this is a greater danger than ever -- is, first of all, their ability to communicate, to connect what would otherwise be disconnected cells in other places in the world," he said. "The second part of this is their ability to travel and to move and to move people and money and weapons, oftentimes drugs and other illicit goods, internationally. So part of the strategy must be to interdict these networks, interdict them from how they use information, and communicate, but how they move physically, as well.The Supreme Court is set to hear?oral arguments in the travel ban case early next month.The President's executive order would suspend travel from six Muslim-majority countries (Iran, Libya, Somalia, Sudan, Syria and Yemen) for 90 days while the secretary of homeland security and others submit a report on the results of a worldwide review to identify what additional information will be needed from each country to make sure an individual seeking entrance is not a public-safety threat.Responding to a lawsuits from states challenging the ban, the Supreme Court let much of the ban take effect in late June, meaning the 90-day clock started and will hit on or around September 24.Administration officials have not divulged the specifics of their future plans.At a recent homeland security conference in Washington DC, acting Customs and Border Protection Deputy Commissioner Ronald Vitiello said, "We are in the process of action planning about each of the opportunities that the US government has to interview and/or vet potential inbound travelers."That could include "looking at things like social media, looking at things like smart phones, those kinds of windows, if you will, into people's backgrounds and their activity," he said.The-CNN-Wire 2771

The White House defended President Donald Trump's Sunday tweet that included a video of his supporters yelling the phrase "white power" at protesters at a Florida retirement community.On Sunday morning, President Donald Trump retweeted a video that was reportedly taken at The Villages, a large retirement community in central Florida. At one point in the video, a man in a golf cart adorned with Trump flags yells "white power" at anti-Trump demonstrators.The protesters can also be heard in the video shouting profanities at Trump supporters and also calling Trump a "Nazi" and "racist."Trump included a message in his retweet of the video, writing, "Thank you to the great people of The Villages." The tweet was live for more than three hours before it was deleted from his feed.Though the tweet was deleted, it sparked condemnations from some members of his own party. Sen. Tim Scott, R-South Carolina, called Trump's endorsement of the video "indefensible."In a statement on Sunday evening, White House spokesperson, Judd Deere defended the president's actions, saying that he "didn't hear" the racist language used in the video."President Trump is a big fan of The Villages. He did not hear the one statement made on the video. What he did see was tremendous enthusiasm from his many supporters," Deere said, according to CNN and The Associated Press. 1365

The U.S. Surgeon General is talking about structural racism, saying it's partly why the coronavirus has disproportionately affected Black and Latino Americans.Surgeon General Jerome Adams plans to focus on two initiatives soon, high blood pressure and maternal mortality, which is women dying from pregnancy or childbirth issues.The office plans to put out science-based summaries designed to create urgent action on both issues that disproportionately affect communities of color.Earlier this month, the Institute for Health Metrics and Evaluation declared racism a public health crisis.“Racism is a public health issue,” said Dr. Ali Mokdad with the Institute for Health Metrics and Evaluation. “I’ve been on record saying it’s more dangerous than COVID-19, simply because we're going to find a vaccine for COVID-19.”They are currently working with the National Institutes of Health on providing data down to the county level of the burden of disease by race.Mokdad used life expectancy as an example. He says within a county there are high disparities, sometimes 15 years less based on where minorities or lower income people live.“Provide data in order to tell people this is what we see. These are the problems, keeping in mind you cannot change what you cannot measure,” said Mokdad.The CDC is also now requiring states to collect data about race, ethnicity, gender, and zip code for coronavirus cases.Racism in healthcare affects everyone, socially and economically.“What people don’t realize is we are paying for it one way or another and right now when you look at the United States, we spend more money on health than every other country,” said Mokdad.Mokdad and other health professionals we talked to all pointed to universal health care as another obvious solution to addressing structural racism. 1818

The Tampa Police Department is searching for a young man who was caught on camera doing a skateboard trick across a custom-painted car in Ybor City.A spokesperson for the police department said the case is being investigated as a felony criminal mischief. Detectives would like to speak with Dalton Newbury as a person of interest. According to those who have shared the video that's getting thousands of shares on Facebook, it was originally posted to Instagram by the skateboarder himself. The video has since been deleted from instagram. Tampa Police obtained the video and shared it on their YouTube page. Watch the video below:  661