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Some first responders worry if current COVID-19 hospitalization numbers do not start falling, the general population looking for care might get turned away.Bed space in intensive care units is not available in several major metropolitan areas around the country, as more COVID-19 patients come in.Last week, 224 ICU beds in the Albuquerque, New Mexico were reported as occupied despite the availability of only 192 within hospitals that reported data to the U.S. Department of Health and Human Services.According to data from HHS, 1 in 3 Americans is living in an area where hospitals have less than 15 percent of available intensive care beds, and 1 in 10 Americans are in an area with less than 5 percent capacity.“It’s scary,” said Maria Pais, an RN Supervisor at University of New Mexico Health. “We’re scared.”Since March, Pais has been helping the hospital convert areas into ICU chambers so it can handle the influx of patients.“Social distance so we can get through this and so we can have the beds we need in this hospital to care for you and your family,” she said.“It takes a toll on everybody, because daily, as we come into work, we never know what we’re going to be doing,” added Patrick Baker, director of the hospital’s Rapid Response Team.“I don’t envy the providers who have to sit there and make the plans for if and when we have to determine who gets care and who doesn’t,” he said.Baker says surgery units have been converted into ICUs as UNMH has reached a point where emergency rooms are now seeing effects as well.“It’s not just affecting COVID patients,” said Baker. “COVID patients coming in is a big deal, but how would you feel if you had to go to the emergency room because you got in a car accident and you weren’t able to be seen?”And the issue is not just affecting people coming into these hospitals but the men and women tasked with keeping them running.“Staff to take care of the patients in the beds is more likely the limiting resource that we have,” said Barclay Berdan, CEO of Texas Health Resources, which oversees the Dallas-Fort Worth area. According to the newest numbers from the Department of Health and Human Services, 93 percent of ICU beds are occupied in the Dallas region, straining the limited number of nurses, doctors, and pharmacists who tend to them.Berdan says it means the need for more trained staff as well as the possibility of transferring patients to hospitals that might have more room, but might be out of the patient’s network.“Wear a mask, wash your hands frequently, stay out of crowds,” he said.It has led these first responders to repeat what we have heard so many times before in an effort to avoid a situation that is worse than the one we are currently in.“There’s a real possibility that you show up somewhere to get care if you get in that car accident, and they say, 'Sorry, we can’t help you,'” said Baker. 2890

Should the country's most populous state be split into three separate states? California voters might be able to make that decision this fall.A local venture capitalist's proposal to break up California, "CAL 3," gained nearly double the necessary signatures to get it on the ballot in November, which will allow state voters to decide on the partition.Tim Draper announced Thursday that his initiative had gotten more than 600,000 signatures from registered voters across all of the state's 58 counties, surpassing the 365,880 signatures required by state law."This is an unprecedented show of support on behalf of every corner of California to create three state governments that emphasize representation, responsiveness, reliability and regional identity," Draper said. 800

Social distancing is pushing more people waiting to vote beyond the limit some states have for keeping political persuasion away from the polls.Within a week of Election Day, hundreds of thousands of ballots have been cast in the 2020 general election, and long lines have stacked up outside of polling places across the country.Social distancing measures put in place to stem the spread of the coronavirus has stretched voters into longer lines, and security expert Doug Parisi, director of training with Safedefend, said the longer lines expose more people to potentially aggressive electioneers.States have various rules about how close to a polling place any political persuasion can be, some as close as 50 feet from where ballots are cast. Beyond that limit, electioneers can yell, wave signs, and try to influence voters as they approach the ballot box."The biggest thing COVID has done for us is that it has spread us out," Parisi said.He said the combination of political passions running high this year and large groups of voters on Election Day could create the recipe for emotional confrontations."There are organizations out there that have told their people to go vote early so you can express your voice on Election Day," Parisi said. "So there are plans to disrupt things."Parisi said people should do several things to prepare for a potential confrontation.First, he said to stay alert while waiting in long lines by regularly pulling your attention away from a phone or book and scanning the crowds."I don't mean just momentarily," he said. "I mean you actually have to make eye contact and break concentration."Read the crowd's emotions, keep an eye out for unusual packages or bags, know the neighborhood, and identify multiple exits out of any indoor polling location."In situations where there is a crisis, or something happens, God forbid, you need to have an alternative," he said.Parisi also advised voters not to engage with any electioneer.He said talking politics while waiting to vote wouldn't help anything, but, if you get into a situation where you're forced to talk with someone, it's OK to lie."If you need to tell something to somebody outside just to get them to agree with that, that's my advice," he said, "just go along to get along. Once you get inside, vote your conscience."Parisi stressed that, if a situation escalates to violence, no one should attempt to handle it themselves.He said to tell a poll worker or call the authorities.His final advice; vote with a group of people you know.He said there's strength in numbers, and asking other people to vote with you would increase the number of people casting ballots.This story originally reported by Sean DeLancey on ktnv.com. 2730

Senate Majority Leader Mitch McConnell, R-Kentucky, said Thursday that he hasn't visited the White House in more than two months and noted that he's avoided visiting President Donald Trump in-person due to the White House's lax COVID-19 protocols."I actually haven't been to the White House since August the 6th because my impression was their approach to how to handle this is different from mine and what I insisted that we do in the Senate, which is to wear a mask and practice social distancing," McConnell said at an event in Kentucky on Thursday.McConnell added that he and the Trump speak "frequently" on the phone.Given McConnell's status as the most powerful lawmaker in the President's party, Thursday's revelation was surprising. In the past two months, the Senate has been negotiating more COVID-19 stimulus and begun the process of filling a Supreme Court vacancy, all while both McConnell and Trump embark on re-election campaigns that are intrinsically linked.Several White House officials have tested positive for COVID-19 in recent days, including Trump. While Trump has said that he supports masks, he himself rarely wears them, and White House officials are often spotted without them. In the days prior to testing positive for COVID-19, Trump ridiculed Democratic presidential nominee Joe Biden for wearing masks during a presidential debate.Less than a week before confirming he had contracted the virus, dozens of top Republican lawmakers visited the White House to celebrate the nomination of Judge Amy Coney Barrett to the Supreme Court. While the ceremony itself took place outdoors, many later moved indoors and were photographed shaking hands and hugging without masks or face coverings. Nearly a dozen people who were in attendance at that ceremony have since contracted the virus.USA Today also reports that after regularly testing and conducting temperature checks for visitors in the late spring and early summer, the White House eased off those protocols in recent months.Trump was hospitalized for about three full days last weekend while battling the virus but has since said he's feeling much better. McConnell said he's also seen improvement in Trump's health."I think he's perfectly fine. He seems normal," McConnell said Thursday. "And we've been discussing the very issues that you all are discussing with me right now. And of course, the biggest thing that we're doing at the moment is the Supreme Court." 2453

Senate Republicans and the White House reached tentative agreement for more testing funds in the next COVID-19 relief package, but deep disagreements over the scope of the trillion in federal aid remain ahead of Thursday’s expected roll out.Facing a GOP revolt, Senate Majority Leader Mitch McConnell was preparing a “handful” of separate COVID-19 aid bills, according to a top lawmaker involved in the negotiations. McConnell is set to unveil the package on Thursday, according to a Republican unauthorized to discuss the private talks and granted anonymity.“Very productive meeting,” Treasury Secretary Steven Mnuchin said while exiting a session late Wednesday at the Capitol.A key holdup remains President Donald Trump’s push for a payroll tax cut, according to a Republican granted anonymity to discuss the private talks. Hardly any GOP senators support the idea. Instead, McConnell and some Republicans prefer another round of direct ,200 cash payments to Americans.Mnuchin said the negotiators have agreed to an amount on direct payments, but declined to share details.The rest of the legislation is taking shape even as key Senate Republicans are rejecting the overall rescue, which is almost certain to grow. There will be no new money for cash-strapped states and cities, which are clamoring for funds, but they will be provided with additional flexibility to tap existing aid funds.Republicans propose giving 5 billion to help schools reopen and billion for child care centers to create safe environments for youngsters during the pandemic.The centerpiece of the GOP effort remains McConnell’s liability shield to protect businesses, schools and others from COVID-related lawsuits. The bills will also include tax breaks for businesses to hire and retain workers, and to help shops and workplaces retool with new safety protocols.Still unresolved is how to phase out the 0 weekly unemployment benefit boost that is expiring, starting Friday. Republicans appear to be settling on 0 a week that would ultimately be adjusted according to state jobless benefits rates.The breakthrough on testing money, though, was key after days of debate between Republicans and the White House, showing a potential shift in the administration’s thinking about the importance of tracking the spread of the virus. Republicans wanted billion but the Trump administration said the billion in unspent funds from a previous aid deal was sufficient. The two sides settled on adding billion to the unspent funds to reach billion, senators said.Despite deep differences among Republicans, McConnell is trying to push forward with what he calls a “starting point” in negotiations with Democrats.“I think what the leader has decided he wants to do is to have a handful of bills now instead of just one bill, so maybe that comes together,” Sen. Roy Blunt, R-Mo., told reporters at the Capitol.Exasperated Democrats warned the GOP infighting with Trump is delaying needed relief to Americans during the crisis, with the U.S. pandemic death toll climbing past 142,000.With millions out of work and a potential wave of evictions ahead, the severity of the prolonged virus outbreak is testing Washington’s ability to respond. Schools are delaying fall openings, states are clamping down with new stay-home orders and the fallout is rippling through an economy teetering with high unemployment and business uncertainty. A new AP-NORC poll shows very few Americans want full school sessions without restrictions in the fall.“We’re hopeful we’ll be able to get there,” McConnell told reporters earlier Wednesday.Pressure is mounting as the virus outbreak deepens, and a 0 weekly unemployment boost and a federal eviction moratorium come to an end starting Friday. But some GOP senators simply oppose big spending.“I just don’t see the need for it,” Sen. Ron Johnson, R-Wis., told reporters Wednesday.Democrats, who already approved House Speaker Nancy Pelosi’s more sweeping trillion package two months ago, said time is running out for Trump and his GOP allies to act.“We’re still on the 20-yard line?” Senate Democratic Leader Chuck Schumer said, referring to White House comments. “Where have the Republicans been?”The White House negotiators, Mnuchin and Mark Meadows, the president’s acting chief of staff, arrived late at the Capitol. After a raucous meeting Tuesday, senators did not discuss the package at Wednesday’s lunch. Still, Meadows said other talks had progressed, pushing Republicans to “the 35-yard line.”As the Republicans battle over their priorities, Democrats warn they are wasting precious time.“We are just days away from a housing crisis that could be prevented,” said Sen. Elizabeth Warren, D-Mass.As Trump and his GOP allies are tangled over details, a stopgap measure may be needed to prevent the unemployment benefits from being shutoff.“We cannot allow there to be a cliff in unemployment insurance given we’re still at about 11% unemployment,” said Sen. Rob Portman, R-Ohio.Portman’s bill to provide tax cuts to retool workplaces with safety features appears to be included. Another Republican, Sen. Joni Ernst of Iowa, has been pushing for child care funds.Of the 5 billion for education, Republicans want propose billion to help K-12 schools reopen, billion for colleges and billion for governors to allocate. The Trump administration wanted school money linked to reopenings, but in McConnell’s package the money for K-12 would likely be split between those that have in-person learning and those that don’t.Sen. Marco Rubio, R-Fla., said there will be another boost for small business lending in the Payroll Protection Program. “It’s going to be big,” he said.Mnuchin and Meadows made it clear during a private meeting Tuesday with Pelosi and Schumer that the White House was resisting Democratic proposals for new spending on virus testing, housing aid or money for cash-strapped states, according to a person granted anonymity to discuss the private talks.Republicans said some 0 billion allotted previously to state governments is sufficient to avert sweeping layoffs, and they said more housing protections are not needed.Democrats are calling for 0 billion to reopen schools, bigger unemployment benefits and direct aid checks, and a sweeping trillion for state and local governments. They also want a fresh round of mortgage and rental assistance and new federal health and safety requirements for workers.Sen. Mitt Romney, R-Utah, who opposes direct checks in favor of more targeted aid, lamented the White House’s handling of the crisis. “I don’t think it’s been a great example for the world to see,” he said. “We’re still struggling.”Congress approved a massive .2 trillion aid package in March, the biggest of its kind in U.S. history. Pelosi pressed on, passing her trillion House bill in May. McConnell at the time said he wanted to “pause” new spending.___Associated Press writers Andrew Taylor, Mary Clare Jalonick and Padmananda Rama contributed to this report. 7061