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Rural hospitals across the country are in a difficult spot right now. COVID-19 is hitting them harder than many metropolitan hospitals as they deal with issues of lower staffing.According to the National Center for Biotechnology Information, about 20% of our nation’s population lives in rural areas, yet less than 9% of our nation’s physicians practice there.Add on the fact that according to CDC data, COVID is killing rural Americans at a rate 3.5 times higher than those living in metropolitan areas, and this issue is affecting staff and patient care.“I’m very worried about rural health care because rural health care is teetering on the brink right now,” said Dr. Kurt Papenfus, an ER doctor at Keefe Memorial Hospital in rural Cheyenne Wells, Colorado. “There’s a darkness in this illness that I can’t say I’ve said about any other illness.In late October, Dr. Papenfus contracted COVID-19 as he was traveling back from the Northeast to visit his daughter.“I was very cognizant and was wearing a mask at all times, social distancing, and washing my hands,” Papenfus said. “But I remember having this thought on the train that this is a super-spreader event.”When he got home, Papenfus got tested and was confirmed positive for COVID-19. The diagnosis put Keefe Memorial in a tailspin as he served as the only ER doctor in the small 25-bed hospital.“We are a trauma level four hospital so keeping that physician on staff 24/7 is what we are required to do,” said Stella Worley, Keefe Memorial’s CEO. “And it is getting to be more of a challenge to have hired physicians out here in rural [America].”Within minutes of learning of Dr. Papenfus’ COVID-positive diagnosis, Worley was on the phone with several different hospitals working to find a replacement. Within a few hours, they had settled on a former ER doctor who moved to another hospital in Texas a few months prior.After she agreed, Keefe Memorial paid the doctor to drive 10 hours from Texas to Colorado and fill in immediately as Papenfus recovered at home for the next two weeks.“Worst-case scenario is you would have to divert patients if there’s no one in the door to care,” said Worley.Populations in rural America tend to be older, poorer, and less insured than the nation at large, according to the National Conference of State Legislatures.Since 2010, hospital closures in rural America have been growing as there have been 118, including 17 last year.The closures only exacerbate a growing lack of health care coverage in rural America, said Dr. Dan Derksen, a rural health care expert and family physician“Once a critical access hospital (25 beds with a 24/7 emergency department and at least 35 miles from another facility) closes, they almost never come back,” he said. 2756
SACRAMENTO, Calif. (KGTV) -- Amid mounting frustration over wait times at the California DMV, the department has redesigned portions of its website to make access to services easier. The redesigned portions include the website’s homepage and real ID page.“We are constantly modernizing our website with the customer in mind,” DMV Director Jean Shiomoto said.The changes come on the heels of news that California lawmakers can avoid the long lines at the DMV by visiting a private office near the Capitol not open to the public.RELATED: Private DMV office provides services to California lawmakersThe Sacramento Bee reported that the special DMV office in the legislative office building provides services for current and retired lawmakers as well as their staff and some other state employees.The redesign also comes amid mounting frustrations over longer and longer lines at statewide DMV offices and increased fees for vehicle registration.RELATED: California lawmakers ask DMV officials about long lines 1034

SACRAMENTO, Calif. (AP) -- Amid national angst over racial inequities in the criminal justice system, California voters rejected Proposition 25, an effort to roll back reforms targeting mass incarceration and reinstate tougher criminal penalties.But rejecting Prop. 25 meant the overturning of a state law that would have ended what critics call a predatory cash bail system.Analysts said Wednesday that the seeming incongruence does not undermine voters' recent shift away from get-tough practices.Rather, the bail change fell victim to an unusual coalition of opponents, leaving supporters scratching their heads on how to proceed.More than six in 10 voters backed reduced criminal penalties that they endorsed in previous ballot measures. 749
REXBURG, Idaho — Officials at BYU-Idaho are warning students about intentionally contracting COVID-19 in order to sell their plasma.In a news release issued Monday, the school says it is "deeply troubled" over reports that university students may be exposing themselves to the virus in order to contract it and sell the plasma that contains COVID-19 antibodies."The university condemns this behavior and is actively seeking evidence of any such conduct among our student body," the statement read. "Students who are determined to have intentionally exposed themselves or others to the virus will be immediately suspended from the university and may be permanently dismissed."Despite the warning, there has been no confirmation that any BYU-Idaho student has intentionally exposed themselves to COVID-19."We have been made aware of this information but at this point, it is only just rumors," said Mimi Taylor of Eastern Idaho Public Health. "We obviously do not support this type of behavior as it poses a risk to public health."EastIdahoNews.com reported earlier in October that plasma centers in the Rexburg area were offering more cash for those who have the COVID-19 antibody.The school also said it is monitoring rising COVID-19 trends in Idaho and Madison County. Should cases rise, the university may move to fully-online learning."We urge all members of the campus community to act respectfully and responsibly by observing all public health and university protocols and placing the well-being of others above personal benefit or convenience," the statement continued.This story was originally published by staff at KSTU. 1637
RICHMOND, Ind. — Nearly 77 years after a Marine from Indiana was killed in the South Pacific during World War II his remains will return to his hometown on Thursday.Marine Corps Pfc. Louis Wiesehan Jr., 20, of Richmond, was a member of Company F, 2nd Battalion, 8th Marine Regiment, 2nd Marine Division, which landed against stiff Japanese resistance on the small island of Betio in the Tarawa Atoll of the Gilbert Islands in November 1943, according to the Defense POW/MIA Accounting Agency.Over several days of intense fighting, approximately 1,000 Marines and Sailors were killed and more than 2,000 wounded. The Japanese were virtually annihilated, the DPAA said. Wiesehan was killed on the second day of the battle, Nov. 21, 1943. His remains were reportedly buried in Division Cemetery on Betio Island.According to the DPAA, the 604th Quartermaster Graves Registration Company centralized all of the American remains found on Tarawa at Lone Palm Cemetery in 1946 for later repatriation, however, almost half of the known casualties were never found. No recovered remains could be associated with Wiesehan so in Oct. 1949, a Board of Review declared him "non-recoverable."In 2014, History Flight Inc., a nonprofit organization, located Cemetery 27. Excavations at the site uncovered multiple sets of remains which were turned over to DPAA in 2015. DPAA said Wiesehan's remains were identified through anthropological analysis as well as material evidence. Scientists from the Armed Forces Medical Examiner System used mitochondrial DNA analysis.Wiesehan's remains were accounted for on Sept. 23, 2019.The Greenfield Police Department posted on Facebook that Wiesehan's remains will be passing through Greenfield on Thursday, between 5:30 p.m. and 6 p.m. on their way from the Indianapolis International Airport to Richmond. The escort is scheduled to come from Mount Comfort Road along U.S. 40 through town.This story was first reported by Bob Blake at WRTV in Indianapolis, Indiana. 1996
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