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WASHINGTON, D.C. — Federal officials say the key component to getting the COVID-19 vaccine distributed across the country will lie in the hands of states, with help from major pharmacy chains, like CVS and Walgreens.“We want to replicate what the experience you have with the flu vaccine — convenient to you, a tried-and-true system that we do hundreds of millions of vaccines through every year,” said U.S. Health and Human Services Secretary Alex Azar. “That's the backbone of the approach we're taking.”Yet, if flu vaccine rates are any indication, that backbone may not suffice.Dr. Eric Schneider is with The Commonwealth Fund, an independent organization that studies health policy. They recently delved into previous vaccination rates to see how it might unfold for COVID-19.“Our health care system does well at developing new technologies like these vaccines, which are really quite amazing, scientifically speaking,” Dr. Schneider said. “But we don't do as well at making sure those technologies are distributed to the people who need them most. And we're seeing that in the prior vaccination experience, and I’m worried we will see that with COVID-19.”What did they find?A mere 51% of Americans got the flu vaccine last year and only 38% got the H1N1 swine flu vaccine 10 years ago, which had a similar vaccine development timetable and pressure to COVID-19.Those low vaccination rates matter because in order for the COVID-19 vaccine to create herd immunity in the U.S., between 70 and 90% of all Americans will need to get vaccinated.“The concept of herd immunity really is developed out of vaccination programs because the question is ‘What proportion of the population needs to be vaccinated to prevent the circulation of a virus in the population?’” Dr. Schneider said.Just getting that shot could vary depending on where you live, as the federal government is leaving that up to each state.“That's going to be up to the nation's governors as they prioritize within their states,” HHS Secretary Azar said.However, Dr. Schneider said that in order for the states to pull it off, they are going to need federal help.“States are in incredible difficulty right now with their budgets and they need federal support,” he said. “Congress is considering a federal rescue package. That funding is really necessary to get states the support they need to vaccinate large numbers of people.”Large numbers of people are now waiting for a rescue of their own from a virus that’s changed everything.For a closer look at the results of the study on vaccination rates from The Commonwealth Fund, click here. 2612

WASHINGTON, D.C. – The U.S. remains in the grip of the coronavirus pandemic with more than 8 million cases, spiking in multiple states, like Montana.“There are many, many people not taking this seriously and not playing their part in mitigating the spread of this virus,” said Trisha Gardner, Cascade City-County, Montana health officer.Now, there are concerns that getting COVID-19 could land you in the same category as someone with diabetes or high-blood pressure – having a preexisting condition.“This has flown under the radar to some extent,” said Dr. Eric Schneider, senior vice president of policy and research at The Commonwealth Fund, a century-old foundation that examines health policy in the U.S.Since COVID-19 can have lingering effects on people who contract it, Dr. Schenider says there’s a possibility it could be labeled as a preexisting condition.So, who decides that?“The preexisting condition language really traces to the insurance industry,” Dr. Schneider said, “really on a case by case basis, which diseases, which conditions, will actually count.”That hasn’t mattered so much lately because the Affordable Care Act – Obamacare – prohibits health insurers from denying people coverage based on preexisting conditions.Next month, though, a case before the U.S. Supreme Court could get Obamacare thrown out.If that happens, there is no official plan yet from either party to replace it, nor to protect people with preexisting conditions.“If the Supreme Court undoes that solution, there will definitely be a need for a new solution,” Dr. Schneider said.How many could be affected?The U.S. Department of Health and Human Services says about 133 million people in the country currently have a preexisting condition. The Commonwealth Fund looked at how COVID-19 survivors would affect that number.Researchers excluded people who already had a preexisting condition before contracting the coronavirus, as well as anyone over the age of 65. They found that 3.4 million people who recovered from the coronavirus but never had a preexisting condition before could join the ranks of now having a preexisting condition.What’s more, based on current COVID-19 infection rates, that number is growing in the U.S. by 20,000 people a day.“That number is also tied to how well we control the pandemic,” Dr. Schneider said.So far, no insurance company has indicated it will add COVID-19 as a potential preexisting condition.However, health care policy experts warn it could all come down to what the justices decide about the health care law in next month’s case before the Supreme Court. 2603

WASHINGTON (AP) — The Pentagon is banning displays of the Confederate flag on military installations, using a carefully worded policy that doesn’t mention the word ban or that specific flag. The policy is laid out in a memo signed by Defense Secretary Mark Esper obtained by The Associated Press. It was described by officials as a creative way to bar the flag’s display without openly contradicting or angering President Donald Trump, who has defended people’s rights to display it. "The flags we fly must accord with the military imperatives of good order and discipline, treating all our people with dignity and respect, and rejecting divisive symbols," the memo reads. The memo lists the types of flags that may be displayed at military installations, such as the U.S. and state banners and the POW/MIA flag. The Confederate flag is not on the list.The change applies to all "public displays or depictions of the flag by Service members and civillian employees in all Department of Defense work places, common access areas, and public areas." Other uses of flags not on the list are not prohibited, such as museum displays, educational purposes, grave sites, monuments or other such areas. 1203

WASHINGTON (AP) — President Donald Trump’s campaign says six staff members setting up for his Saturday night rally in Tulsa, Oklahoma, have tested positive for coronavirus.The campaign’s communications director, Tim Murtaugh, says that “quarantine procedures” have been initiated and no staff members who tested positive will attend the event.He says no one who had immediate contact with those staffers will attend, either.Murtaugh says campaign staff members are tested for COVID-19 as part of the campaign’s safety protocols.Campaign officials say everyone who is attending the rally will be given temperature checks before they pass through security. 662

WASHINGTON, D.C. – Kamala Harris is sure to come up a lot in conversation now that she’s been announced as Joe Biden’s running mate.Although Harris has been a prominent figure in the Democratic party for several years now, some Americans still may not be familiar with her and may struggle to pronounce the U.S. senator’s first name correctly.Even people in the media struggle to get the pronunciation right some times. Just Tuesday night, Fox News host Tucker Carlson pronounced her name incorrectly and lashed out at a guest who corrected him.Tucker Carlson loses it when a guest corrects his pronunciation of Kamala Harris's name pic.twitter.com/1fHIrPGuwN— nikki mccann ramírez (@NikkiMcR) August 12, 2020 Harris is no stranger to people mispronouncing her name, though. In fact, when she was running for her California Senate seat in 2016, she released a video with kids explaining how to say it.People pronounce my name many different ways. Let #KidsForKamala show you how it’s done. pic.twitter.com/7QoQGN0B4k— Kamala Harris (@KamalaHarris) May 24, 2016 And during an interview on “The View” in January 2019, Harris provided a mnemonic device when Whoopi Goldberg asked her how to pronounce her name correctly.“It’s Kamala,” she said. “Just think like ‘comma,’ and add a ‘la.’”The name Kamala is actually derived from the Sanskrit word for “lotus.” The vice presidential nominee explained the symbolism behind the name at a book event last year.“The symbolism is that the lotus flower sits on water, but never really gets wet,” Harris said, according to The Washington Post. “Its roots are in the mud, meaning it is grounded. One must always know where they come from.” 1684