FEC Chair Says There’s No Separation of Church and State, Calls 2020 Election a ‘Spiritual War’ – Newsweek

Federal Election Commission (FEC) Chair James E. "Trey" Trainor III insisted that the separation of church and state is a "fallacy" while describing November's election as a "spiritual war" in multiple recent interviews.

Trainor, a devout Catholic and an appointee of President Donald Trump, made the comments in two recent interviews with Religion News Service (RNS) and Church Militant, a right-wing Catholic news outlet.

"What we see going on around the country is complete anarchy in places where the rule of law has been completely abrogated," Trainor told RNS. "So it is a spiritual war in that it is striking at the underlying foundations of our constitutional republic. It's getting rid of the Christian moral principles that are the basis of the foundation of the country."

Republican Trainor was nominated by Trump last year and his position with the FEC was confirmed by the Senate in May. He had previously worked as lawyer for Trump's 2016 campaign. The agency that regulates election finance has been stalled since the July resignation of former Commissioner Caroline Hunter, also a Republican, which left it without the quorum required to legally vote on actions.

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In Trainor's recent interviews, he claimed that Trump had nullified the Johnson Amendment to the IRS tax code, which prohibits religious groups from "participating in or intervening in any political campaign on behalf of (or in opposition to) any candidate for public office" or risk losing their tax exempt status. Although Trump did issue an order directing the Treasury Department to be lenient in enforcing the law, he lacks the Constitutional authority to revoke it by executive order.

Trainor blasted Catholic bishops for admonishing a priest who appeared in a viral video claiming that Democrats "cannot be Catholic" and would "face the fires of hell" if they do not repent, telling Church Militant "I don't think a bishop has the right to tell a priest that they can't come out and speak." He described the presidential election as "a battle between good and evil." Democratic presidential nominee Joe Biden is a practicing Catholic.

When speaking to RNS, Trainor claimed that comments from President John Adams meant that the Constitution was written for Christians only. His comments may have been based on a 1798 letter from Adams that said it was written for "a moral and religious people" but did not specify Christianity. President Thomas Jefferson also wrote a letter indicating that a "wall of separation" does exist between church and state. The Treaty of Tripoli, which has legal significance beyond both of the letters, also includes language that suggests there is separation.

"Regarding the separation of church and state, rather than misquoting John Adams' Oct. 11, 1798, letter to the Massachusetts Militia, a better measure of the founders' views can be taken from the Senate's ratifying and President Adams' signing, the year before, of the Treaty with Tripoli, which stated that 'the Government of the United States of America is not, in any sense, founded on the Christian religion,'" Trainor's Democratic colleague, FEC Commissioner Ellen L. Weintraub, told RNS.

Newsweek reached out to the FEC for comment.

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FEC Chair Says There's No Separation of Church and State, Calls 2020 Election a 'Spiritual War' - Newsweek

Beatification cause opened for spiritual son of Padre Pio – Catholic News Agency

Rome Newsroom, Sep 17, 2020 / 07:00 am MT (CNA).- An Italian archbishop has opened the cause for beatification of a Capuchin friar and spiritual son of St. Padre Pio.

Br. Modestino da Pietrelcina, born Damiano Fucci, died on Aug. 14, 2011, at the age of 94, with a reputation of holiness, Archbishop Franco Moscone of Manfredonia-Vieste-San Giovanni Rotondo said in his declaration opening the friars cause, signed in late July.

Damiano was born in 1917 in Pietrelcina,the southern Italian town that was alsoPadre Pios birthplace. Padre Pio knew Damianos family, because he grew up knowing Damianos mother, who was his neighbor.

When Padre Pio returned to Pietrelcina as a young man from 1908 to 1916 for health reasons, he would sometimes watch over Damianos older brother, Antonio, while the childs parents worked in the fields.

In 1940, Damiano went to find the man he had heard so much about at the monastery in San Giovanni Rotondo. After Damiano made a confession, the stigmatic priest encouraged the 23-year-old Damiano to walk straight and gave him his blessing.

The opening of Br. Modestinos cause marks the start of what is known as the diocesan phase of the cause. Those who knew Br. Modestino and havesignificant recollections or documents about him areinvited to share it with the archdiocese.

The archdiocese will collect as much information as possible about Br. Modestinos life and any evidence of his sanctity, which it will then present to the Congregation for the Causes of the Saints in Rome.

When Br. Modestino died in 2011, a newsletter from the provincial minister noted his life of prayer, calling it his daily bread.

Him sitting in front of the tabernacle for hours was the visible sign of a familiarity with God. This friendship with the Lord made him increasingly sensitive to the needs of his brothers, it said.

The Capuchin friar was also welcoming to pilgrims, listening to them and their sufferings, the newsletter noted.

He often repeated that his life was offered for sinners and in every circumstance he helped those he met on his way to cross the threshold of the confessional to ask Gods forgiveness, it said.

Damiano first felt a calling to a religious vocation while doing his military service in Rome.

He again visited Padre Pio and told him that he felt called to join the Benedictines. Padre Pio told him it was not his calling to join the Order of St. Benedict. He added that the young man could go to Rome if he wanted, but predicted that a very ugly disaster would happen to him there. (Three years later, Padre Pios prediction came true when the Benedictine abbot and a brother were killed by robbers.)

So Damiano stayed in San Giovanni Rotondo and eventually joined the Capuchin order, taking the name Br. Modestino. On hearingthis news, Padre Pio said, countryman, do not make me look bad!

But laterPadre Pio also encouraged him, saying: Br. Modestino, dont worry.I will always be near you and the gaze of St. Francis, from heaven, will always be upon you.

After Padre Pios death in 1968, Br. Modestino became the communitys porter, where he would assure visitors of his prayers for his countrymans intercession.

In 2005, Modestino published a short autobiography, Io... Testimonie del Padre, with memories of Padre Pio.

One of the stories he toldwas about his fathers death. Padre Pio revealed to him that his father was in purgatory after he died. With permission, Modestino returned to his hometown to tell his family and friends to pray and to offer every sacrifice for a single intention: the salvation of the soul of his father.

A few months later, Padre Pio communicated to Br. Modestino through another friar that his father had entered heaven.

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Beatification cause opened for spiritual son of Padre Pio - Catholic News Agency

SPIRITUALLY SPEAKING: Find your serenity in these crazy days – Wicked Local Georgetown

Serenity. If I look for it, really look for it, I can find it.

Everything passes, nothing remains. Understand this, loosen your grip and fine serenity.

--Surya Das, Buddhist poet, activist and author

Serenity. If I look for it, really look for it, I can find it.

Freshly sliced summer tomatoes and chilled mozzarella cheese, with a vinaigrette drizzle. Sweet corn, the kind that peaks in flavor and abundance just about now. And a cheeseburger, hot off the grill, pink and juicy, medium rare, just how I like it. The company as well, my Mom and brother, the three of us sharing a meal and conversation and connection on the last Thursday night of the last unofficial weekend of summer, a balmy night, peepers still peeping away as background music.

Then on my drive back home, there was a beautiful pink and red sunset too, those colors pushing up against a backdrop of dark clouds, the contrast so stark, the light so soft. It was the kind of dusk that somehow brings a day to a fitting end, with quiet and natural beauty.

And when I got home, Japanese baseball on the TV thats brought me joy this summer and so to end a really good day I watched the Orix Buffalos take on the Fukuoka Soft Bank Hawks in the Nippon Professional Baseball League. I only caught the ninth inning, but it was a tight game and even though I could not understand the commentary, it was still baseball, baseball with a live crowd in the seats, actually cheering. Something I have so missed in this odd summer, a summer that for the first time in so long, I didnt attend a game.

That was my serene Thursday evening.

Serenity: times in this life, when this life, just feels good somehow, even perfect in its presentation, there, right there for the taking and the enjoying but only if I am fully present to whatever graceful moment the universe is giving to me. If I do not pay attention, if I let the weight of my anxieties take me away from whatever is right in front of me, I wont find that peace of mind. Wont know serenity.

One of my favorite prayers and one of the most popular of well-known prayers is the Serenity Prayer, attributed to the American theologian Reinhold Niebuhr. It begins, God grant me the serenity, to accept the things I cannot change, courage to change the things can, and the wisdom to know the difference. On my really good days, when I actually realize all the simple blessings of this life, even in the midst of all the brokenness, I actually get to that serene place. A state of mind where I am able to see just what I do have ultimate and final control over my attitude towards everything and that which I do not have control over.

Just about everything else.

Acceptance does not mean I capitulate to the sharper edges of life, edges we are all experiencing right now in this year that has been a collective train wreck in so many ways. COVID. The election. The economy. The struggle for racial justice. How the church I serve will survive in the midst of the pandemic. The winter months looming ahead, long and cold months where I might have to return to inside isolation.

In the largest sense I do not have control over these happenings. And when I forget this truth: when I brood and am filled with worry and watch the news obsessively and grow dark in my view of the world, and become cynical or even worse, apathetic in the face of life, well there goes my serenity. Being centered in myself and God. Trusting somehow that this too shall pass and that 2020 will give way to better days.

Yes, I, all of us: we can and must do our parts in each of these places where we actually do have some personal control. We can be careful about COVID for ourselves and loved ones and neighbors and even strangers. Vote and be active civically. Work for a country where we are reconciled as brothers and sisters, regardless of race. I can do the best I can as a pastor. You can do the best in whatever your work is. We all can start planning now for how we will spiritually and emotionally survive what may be a very long winter.

But finally, I also have to cede ultimate control power these events, over all of life itself, to a power much greater than me, and trust that this power is working through all things for the good. In those rare times when I actually get to such a state of mind and heart and soul: thats when I find serenity. And perhaps, thats when you can find serenity too.

Serenity: not just in the more dramatic or obvious moments or of life but even more so in the basic and good gifts of life. Like a backyard barbecue with the people you love on an otherwise nondescript and unremarkable September Thursday evening.

That is good enough for me. That is where I find some serenity.

And so, in the days ahead, these crazy and unprecedented and wild days, may you seek, may you find and may you know serenity too.

The Rev. John F. Hudson is senior pastor of the Pilgrim Church, United Church of Christ, in Sherborn (http://pilgrimsherborn.org). If you have a word or idea youd like defined in a future column or have comments, please send them to pastorjohn@pilgrimsherborn.org.

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SPIRITUALLY SPEAKING: Find your serenity in these crazy days - Wicked Local Georgetown

Faith matters: Awaken the spiritual artist within | Lifestyle – thereporteronline.com

Do you consider yourself an artist? Most people would answer that question with a resounding NO. And if you saw my sketching efforts, well, you would probably join me in a big laugh. But lets rethink this for a moment because, especially during these times of immense suffering, loss and division, let us consider spiritual artistry -- and paint with broader brush strokes.

Regardless of our different faith traditions, we can gaze upon the vistas of creation and marvel at the creativity and artistry that surrounds us. We can also acknowledge that, however we come into this creation, we are the expressions of the Artist of All. Some say we are created in his (or her) image. As offspring of this Artist, we carry that creativity in our DNA -- to be manifested in a way that is reflective of our individual gifts.

These are the thoughts that came to me in meditation on the day of remembrance for September 11. A day when, in our memories of horrific pain and unspeakable tragedy, images crowd our thoughts. Images of colors and shapes and sounds that invite us to look deeper at ourselves and our world.

All of us, I believe, are spiritual artists, creating images that resonate throughout our communities. With what mediums do we paint and sketch? With what instrumentals is the air filled? Do we only use the dim shades of shadows or the melancholy minor keys or do we open up our world with creations of light and color? Are our orchestrations staccato or giocoso? Do we diligently dig into the marble to release the hard truth and the beauty of creation?

Every action is an artistic expression and an unveiling of who we are. Each word paints a visual picture of the glory and goodness that is possible. Each prayer sketches a poetic profile. Even as we might not consider ourselves artists, our ability to create is embedded in our cells. It is, perhaps, that ability that we have not yet fully tapped.

It seems as if now is the time to awaken the artist within. Now is the time for spiritual artistry to lead us out of the shadows where we have been safely hidden and cross the thresholds into the openness of creation.

Spiritual artists, like others, see with more than eyes, understand with more than intellect and hear with more than ears. They feel with more than touch. In spiritual artistry the inner view, the contemplative thought and the soulful sounds and textures bring us into a deeper relationship with the Divine. We live in the reality of the interconnectedness of all.

It is time to awaken our artist within and, graced with new tools, delight the world as we honor the Artist of All Creation.

The Reverend Dr. Deborah Darlington creates artistic celebrations that honor all of lifes passages for people of all traditions and beliefs. She can be reached at GraceMatters@TheSpaceForGrace.com.

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Leaders in Peace Building, Science, Mindfulness and Spirituality to Transmit the Experience of Peace to 40 Million People Across the Globe on…

New Delhi:International Day of Peace is celebrated on 21 September every year to promote peace amongst nations and people. It was established in 1981 by the United Nations with the hope that the children of tomorrow will inherit a better world. Heartfulness Institute in partnership with United Nations Information Centre, Global Citizens India, Give India, Spirit of Humanity Forum, the Fetzer Institute, Sewa International, Gandhi Foundation and many more, will bring humanity together through a guided meditation session to experience and promote peace. There will be two virtual events: Celebrate Peace at 8 p.m. local time, followed by Create Peace, the synchronized guided meditation at 9 p.m. local time on International Day of Peace:http://heartfulness.org/peaceday.

The Celebrate Peace event will be broadcasted in over 100 countries and translated into over 24 languages via online streaming platform partners. Similar virtual events organized by the Heartfulness Institute, such as the International Day of Yoga, have been viewed by over 22 million people, and the upcoming event is poised to reach over 40 million people.

Daaji, the Guide of Heartfulness said,At Heartfulness, we will be transmitting on that day throughout the 24 hours. And if you would like to join us in meditation, simply close your eyes and tune into with your innermost corner, where you find love in your heart. We will all be meditating together, for peace, harmony and serenity to engulf this planet.

BK Sister Shivani, a teacher from the Brahma Kumaris spiritual movement said,Its time to heal the planet and love is the energy which is a healing energy. So when we all come together for our love for the planet, for our love for each other, and for our love for humanity, and together we create peace, we are going to take that first step towards healing our world.

Deepak Chopra, well-known author and speaker, said, Bring the presence of peace wherever you go, and if you do that the people around you will feel peaceful not by what you say, not by what you do, even, but just by your presence.

Shekhar Kapur, noted director and actor, will steer the conversations between the renowned proponents of inner peace, includingDaaji, Javier Zanetti, Deepak Chopra, BK Sister Shivani, Sharon Salzberg, as well as Bruce Lipton, Amandine Roche, Bob Boisture, Thomas dAnsembourg, Marta Bassino and Michela Moioli. Renowned musicians who have volunteered their time for peace, will also be part of the event.

Confirmed partners include the United Nations Information Centre, the Fetzer Institute, Knauf Armstrong, Global Ecovillage Network, Amazoncare, ICSI, Red FM, the Spirit of Humanity Forum, Global Citizen India, Give India, Football for Peace, Education for Peace, Guerrand-Hermes Foundation for Peace, MIT World Peace University, Lovely University, International Cities of Peace, and more.

The Heartfulness network will be supporting Communities of Peace around the world leading up to the main day, by holding online events from 5 September 2020. To participate in your local activities in India, please call 1-800-121-3492 or send an email to[emailprotected].

21 September is a great occasion to come together to create peace to help safeguard and preserve all life on our planet. Please join to Create and Celebrate Peace.

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Leaders in Peace Building, Science, Mindfulness and Spirituality to Transmit the Experience of Peace to 40 Million People Across the Globe on...

Sultan Hanfareh Ali Mirah, the spiritual chief of the Afars, passed away – ethiopiaobserver.com

Sultan Hanfareh Ali Mirah, who was enthroned as the spiritual chief of the Afar people on November 2011, died at the age of 74. The Sultan was a member of the most powerful family group in Afar, and the son of Sultan Ali Mirah, who reigned from 1944 to 1975.

The Sultan was about to mark the 9th anniversary of his enthronement as the spiritual leader of Afar on Nomvember 10, a position held partly in exile and as a target of castigation by the EPRDF regime. In March 2016, the spiritual leader left Ethiopia after escaping, he told Le Monde, six attempted assassinations by bullets and poisoning. In the interview with the French paper, he had expressed his support for the revolt led by the Oromos and Amharas against the TPLF dominated regime. He returned to Ethiopia on August 2018 after Prime Minister Abiy Ahmed took office.

Mirahs father, Sultan Ali Mirah was a revered figure and one of the leading players in Ethiopian and regional politics for four decades. With the overthrow of Haile Selassie in late 1974, Ali Mirah soon became a target of the military leaders because of his alliance with the Emperor and his semi-autonomy. On 3 June 1975, the sultan fled to Djibouti and formed the ALF that declared an armed struggle against the Derg. Mirah along with his father fought in the guerrilla war against Mengistu Haile Mariam under the wing the ALF and later joined forces with the EPRDF collation, which came to power in 1991. When the new Afar region was set up in 1992, Mirah joined his father as an administrator of the Afar region set up in 1992 and later served as president of the Afar regional State (1995-96). He had been the leader of a faction of the Afar regional Front since 1996. He also served as ambassador of Ethiopia to Kuwait.

The Alf suffered from an internal dispute between Habib Ali Mirah, who was at loggerheads with the Meles Zenawi regime, and his pro-EPRDF brother Hanfraeh Ali Mirah, who became president of the Afar Region. In April 1995 Hanfareh was suspended by his father, Sultan Ali Mirah, as ALF chair in response to electoral dissension within the Front.

This article is published under aCreative Commons Attribution-NonCommercial 4.0 International licence. Please cite Ethiopia Observer prominently and link clearly to the original article if you republish. If you have any queries, please contact us at ethiopiaobserver@protonmail.com. Check individual images for licensing details.

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Sultan Hanfareh Ali Mirah, the spiritual chief of the Afars, passed away - ethiopiaobserver.com

350km from Lucknow, ‘Bhagwati Van’ to be the spiritual tourism hub in UP – Knocksense

The Uttar Pradesh government plans to develop an eco-tourism spot that could provide a perfect place for people looking for a spiritual sojourn. The government has decided to develop the Bhagwati Van along the Ganga, in Kasganj district, as a centre for spiritual tourism.

The Bhagwati Van is a man-made forest which is unique in more ways than one. The forest has been raised over 316 hectares of land, which has been reclaimed by the state government from encroachers. A total of 3.5 lakh trees, of more than 250 species, have been planted here.

Divisional forest officer (DFO), Kasganj, Diwaker Kumar Vashisht said, "We had been meeting villagers and convincing them since October last year to remove the encroachments. After the villagers agreed to vacate the land, we formed a local 'samiti' of villagers. It was all done without any public agitation."

The forest, which has its base in Puranic scriptures, is at Datlana Khaam village and has been declared as a Ganga 'gram'."It has Soronji 'teerth' and devotees from Rajasthan, Madhya Pradesh and other states come to this shrine," said Vashisht.

The entire reclaimed land is divided into three parts. The forest raised at the spot has trees planted in specific formations to create 'vatikas' (gardens) mentioned in religious scriptures.

"We planted over two lakh trees in Mahavan forest, which is one of the three parts and has species like Sheesham and Khair that are naturally found along the Ganga. The other part is 'Shreevan', which has connection with 'Arth Ganga' under the central government's Namami Gange project. This has species which will be economically beneficial to farmers. We had promised farmers that we would help them increase their income through this plantation," he said.

The third is 'Tapovan' which has 51,000 trees and Vyas and Vidur 'kutirs'. At present, the forest is being managed by the forest department but later local groups of villagers may look after it.

The 'Dhanvantari Vatika' has 75 types of medicinal plants and herbs. The 'Nakshatra Vatika' has 27 tree varieties, planted in specific positions to represent 27 'nakshatras' (planets).

The 'Navgrah Vatika', planted to manage planetary influences, is also a part of it. 'Harishankari', has trees like 'peepal, pakad and bargad' planted together. The three tree varieties represent the Hindu Trinity of Brahma, Vishnu and Mahesh. 'Panchvati', the garden of five tree varieties mentioned in the Ramayana, also finds place here.

- With inputs from IANS

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350km from Lucknow, 'Bhagwati Van' to be the spiritual tourism hub in UP - Knocksense

Free the Mass! A Call to Spiritual Arms for the Right to Worship – National Catholic Register

EDITORIAL: Religious liberty is Americas first freedom, and as such it cant be jettisoned without legitimate cause during this trying time of pandemic.

Free the Mass thats the rallying cry that was broadcast in mid-September by San Francisco Archbishop Salvatore Cordileone, as he marshaled his flock in opposition to the unjust restrictions against celebration of Catholicisms central sacrament that his citys mayor has imposed.

Archbishop Cordileones action was triggered by the continued failure of Mayor London Breed to grant fair treatment to the worship of local Catholics and other religious believers during the COVID-19 pandemic in the revised restrictions she communicated in September. While the mayors new provisions provided some relief from the extraordinarily harsh conditions in place in San Francisco for the previous several months which permitted only outdoor Masses with a maximum of 12 people participating the new limits will still have a cap of 50 people outdoors and 25 people indoors for religious services and a limit of one person at a time for private prayer within churches.

Meanwhile, much less restrictive policies apply to venues such as public parks, retail stores, indoor gyms, hair and nail salons and even massage parlors, as Archbishop Cordileone noted in a Sept. 13 memo to his priests outlining the Free the Mass initiative.

San Francisco is the most restrictive county in the entire country when it comes to public worship, but the state of California is not much better, with its limit of 100 people for an indoor worship service, he wrote. This is an overreach of the government into the life of the Church and an infringement of our right to worship as protected by the First Amendment of the Constitution.

San Franciscos shepherd also called attention to his previous efforts to work with city officials behind the scenes to implement sound public-health policies at Catholic churches and to communicate the positive outcome of the implementation of such measures nationwide by the U.S. bishops.

As three infectious disease specialists who reviewed the data of the more than 1 million public Masses that have taken place over the last 14 weeks put it, The Good News: For Catholic churches following these guidelines, no outbreaks of COVID-19 have been linked to church attendance, Archbishop Cordileone pointed out. Opening windows, sanitizing properly, closing off every other pew, socially distancing and the other protocols we developed work.

But all of this effort has been largely disregarded by Mayor Breed, the archbishop said, and believers, in consequence, continue to be singled out for uniquely punitive treatment.

The archbishop requested a three-pronged public response to San Franciscos egregiously unjust city policies with respect to religious assembly. He asked his pastors to invite their parishioners to sign a petition at FreeTheMass.com calling on Mayor Breed to lift the unfair restrictions; to encourage participation in a Sept. 20 Eucharistic procession to the U.N. Plaza adjacent to San Franciscos City Hall, marching while wearing masks and social distancing and bearing 100 banners declaring, We Are Essential: Free the Mass! and afterward processing to San Franciscos cathedral to celebrate multiple outdoor Masses there; and subsequently to display the Free the Mass banners on their churches in order to manifest an ongoing public witness to the issues importance.

At our demonstration, we will not be asking for special treatment, Archbishop Cordileone explained in a commentary published Sept. 17 by The Washington Post. We just dont want religious worshippers singled out for unfavorable treatment relative to people participating in activities with comparable risk profiles. All we are seeking is access to worship in our own churches, following reasonable safety protocols the same freedoms now extended to customers of nail salons, massage services and gyms. Its only fair, its only compassionate, and, unlike with these other activities, its what the First Amendment demands.

The severity of the problems Catholics have experienced in getting back to worship may be more acute in San Francisco than anywhere else in the nation, but unjustified restrictions unfortunately have been the norm in many other locations.

So Archbishop Cordileones call to spiritual arms, requesting Catholics to push back publicly in a respectful yet firm manner, can serve as a common assembly point for U.S. Catholics across the nation. Wherever authorities are wrongfully suppressing their right to celebrate Mass and engage in other necessary public expressions of their Catholic faith, they should be ready to push back in the same way, in line with Americas constitutional and legislative guarantees of religious freedom.

Religious liberty is Americas first freedom, and as such it cant be jettisoned without legitimate cause during this trying time of pandemic. It merits every bit as much acknowledgement in public-health policies as the right of public assembly, which San Francisco, like other U.S. cities, has scrupulously respected in the case of the ongoing public protests against racism even though those protests, unlike Catholic religious services, have routinely failed to observe local mandates regarding social distancing and the wearing of masks.

Theres no dispute that the restrictions on worship are exacting a serious toll on Catholics. A survey of U.S. bishops regarding the effect of pandemic policies, conducted by the Center for Applied Research in the Apostolate, reported that celebration of the sacraments and of sacramental preparation was very much affected in a substantial majority of dioceses. The survey of bishops also reported a significant negative effect on the morale of their clergy and lay staff, as well as the morale of the bishops themselves.

Bishop Thomas Paprocki of Springfield, Illinois, has outlined the spiritual harm stemming from the coronavirus-related locking down of religious worship in a recent article, published in the National Catholic Bioethics Centers Ethics & Medics journal, and he elaborates on these concerns in this issues In Person interview.

While there has been an unceasing stream of dire warnings from political leaders and public-health officials about the physical dangers associated with the virus, we have heard very few warnings about moral hazards that can kill the soul, he commented in his article. Some, for example, have said that access to liquor, cannabis, casinos, and abortion is essential, but going to church and access to the sacraments are not.

This downplaying of worship fails to acknowledge that, grave though the physical risks can be, they are no justification for depriving Catholics and other Americans of the spiritual sustenance they need and deserve particularly given how diligent Catholic churches have been in conforming with public-health requirements, even when those have been unjust.

Physical health is important, but the highest good is eternal life, Bishop Paprocki explained at the conclusion of his article. The free exercise of religion and access to the means of salvation established by Christ through the Church must have priority in the moral and legal order.

Those are words for all of Americas faithful to ponder, pray over and act upon, as needed.

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Free the Mass! A Call to Spiritual Arms for the Right to Worship - National Catholic Register

A Maltese artists quest for the spiritual – Times of Malta

In the words of novelist Jorge Luis Borges: All things have been given to us for a purpose and an artist must feel this more intensely. All that happens to us, including our humiliations, our misfortunes, our embarrassments, all is given to us as raw material, as clay, so that we may shape our art.

Artist Antonio Mifsud creates sacred narratives out of tablets of clay, his fingers teasing out figures from the inert material and develops narrative drama into his high-relief (altorilievo) friezes. The monochromatic earthiness imbues these sculptural works with a beguiling timelessness. At other times, Mifsud decides to breathe colour into the fissures and cracks, thus enriching the composition with chromatic rhythm.

Mifsud owes his academic grounding to his tutor, Alfred Camilleri Cauchi, who induced in him a love for the sacred art genre. The Catholic Maltese upbringing, the obligatory after-school lessons in catechism, and a simple life that centred around the village church activities also contributed to his pronounced inclination towards a sacred art that defines the artist.

The anecdotal quality woven into the narrative along the years provides the artist with the liberty to interpret and thus recreate a personal context for a biblical episode or its apocryphal version.

Sacred art is one that makes use of other genres to tell a story.

A glance at the work of past masters shows a proficiency in landscape, still life and portraiture. A roaring sea, a dramatic cloudy sky or a foggy winters sunset adds drama and volume to the episode as it enfolds if it has nature as its backdrop. A still life of food on a table or a floral one symbolising some saintly virtue enhances the pictorial narration if the context requires the stillness and sobriety of a room, rendered through contrasts in the theatrical play of light, shadow and contemplative silence, Mifsud says.

He adds that other factors can contribute to a work of sacred art, such as the materials used.

High relief integrates painting and sculpture

The materials used can also direct you towards a certain path. Painting and papier-mch (kartapesta) act in their idiosyncratic way, while bronze, marble and limestone offer other possibilities that can be alternatively developed but which can also prompt you towards the same result.

In his eight-station Via Crucis for the Mater Dei chapel in Msida, Mifsud breaks with tradition and offers an original and modern take on the centuries-old tradition that compartmentalised the account of the Passion of Christ into 14 tableaux.

He metamorphoses Christs death and resurrection in his Risen Crucifix for the Archbishops Seminary school at Tal-Virt, the colour-adding drama as the body of Christ is released from the heavy darkness of death into the golden glory that shines with eternal life and hope.

Mifsud is synonymous with high relief but admits that he was initially unaware that this would become his defining mode of expression.

With hindsight, I realise that my inclination towards relief was part of a natural process and it was more of a case of the technique choosing me rather than vice-versa. My inclination can be described as a two-way communication. A Lorenzo Ghiberti door exerts an attraction and draws my undivided attention, he notes.

The artist, who mentions the celebrated sculptor Antonio Sciortino, Giuseppe Briffa, Willie Apap and Anton Inglott, apart from Camilleri Cauchi, among his major influences, suggests that his original and initial predilection for painting could explain his preference towards altorilievo.

High relief integrates painting and sculpture, thus offering me more possibilities as I employ the idiosyncrasies of both. Although I occasionally produce three-dimensional sculptures, I feel that I express myself more eloquently through high relief. Many consider this to be my forte and my fingerprint, Mifsud remarks.

Melchiorre Caf was the first major Maltese artist to employ this technique, treading in the footsteps of such giants as Donatello, Ghiberti and Michelangelo. Although having strong roots in classical antiquity, sculptural relief was modernised by 20th-century artists like Pericle Fazzini, Francesco Messina, Emilio Greco, Giacomo Manz and even Lucio Fontana.

His landscapes, which are very expressionist and which nod towards geometrical abstraction, contrast with the traditional approach of his sculptural work. He occasionally needs these releases from the restraint and discipline that go into his reliefs.

The constituent elements of the landscape are abstracted as their chromatic spiritual and non-representational equivalents. His wet-on-wet technique in oils elicits spontaneity in handling the medium, imbuing the finished work with the freshness of a watercolour, capturing the transient atmospheric moods effectively.

The sacred themes are not limited only to Mifsuds sculpture. An example of this is his Annunciation, which is the main altarpiece for the Lunziata chapel in the limits of Rabat. By using a diptych format, he separates the terrestrial from the divine. However, the vibrant colour palette that is common throughout integrates the whole composition into one cohesive story of hope and salvation.

Mifsud claims that his profession as a nurse working at Mater Dei Hospital plays second fiddle to his being an artist.

I was first and foremost an artist much before I decided to pursue the nursing profession. I feel that my academic education in art provided me with the knowledge of technique and materials and with the tools to learn from my mistakes, he says. He chose nursing as his parents were rightfully concerned that he could not make a living as a full-time artist although they never discouraged him to pursue his dreams.

Nursing provides job security as otherwise his future would have been jeopardised; eking a living just out of art only is extremely hard in our country.

The nursing course furnishes students with a very good knowledge of human anatomy. This obviously increased the dexterity in my sculpture as regards musculature and the proportions of the human figure, he points out.

Besides this, a nurse deals with complex situations of human drama, of life and death situations, trying ones utmost to save lives.

Acknowledging the fact that notwithstanding ones best efforts, not all lives can be saved is a humbling experience that we nurses have to face in every moment of our working life. It is a fulfilling profession but one that is very hard and taxing. I guess these experiences are packed away and stored mentally and I must admit that, at times, they resurface years later in my art.

So is art a necessary therapeutic tool? Mifsud believes that one could look at it that way.

Nursing is not a joke, there is the necessity to psychologically unburden when back home. Art provides the necessary solitude and soul-searching that is balmy and redeems me to enjoy life with my wife and three children.

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Doctors Push For Health Care To Address Climate Change In New Teaching Framework – Here And Now

Climate change isn't just transforming our environment and weather it's impacting our health.

Thats why a group of doctors created a new education framework to teach medical residents how to address climate change with their patients.

Up until recently, future doctors lacked guidelines for working with climate change-related challenges, says lead author Dr. Rebecca Philipsborn of Emory University School of Medicine. The American Medical Association and other organizations have now called for health care professionals to heed the call to action, she says.

Experts in health, climate and medical resident education collaborated to design tangible guidelines that fit into what medical residents are already learning in school.

The framework is broken down into three parts: What are the harms to health from climate change? How does climate change require adaptations in our clinical practice? And how does climate change disrupt health care delivery? Philipsborn says.

Climate change is impacting nearly every organ in our bodies, she says, and hurts how professionals deliver quality health care to patients.

Wildfires and air pollution can worsen illnesses or severity of chronic conditions such as respiratory problems and asthma, she notes. And doctors have been noticing new conditions from climate change, she says, such as how extremely hot weather can cause heat-related nephropathy in the kidneys.

Across the board, doctors are observing more and more climate-related risks and challenges, she says. The severity of these illnesses can depend on where a doctor practices.

For example, Philipsborn says, during Hurricane Irma, when there were almost 7 million people under evacuation orders from Florida, we cared for mothers and their newborn babies who were displaced from their homes [and] their support system in this very vulnerable stage of that baby's life.

When shes working with medical students, she reminds them that patients spend more than 99% of their time outside of the exam room. We can't just deliver treatment in this safe clinical space and ignore the risk that patients face in the rest of their lives.

The new framework helps future health care professionals recognize the risks of climate change not only to treat and manage patients but also to prepare patients with the information they need to avoid risks when possible.

To address climate change within the health care industry, medical facilities need to recognize how human health and the environment are intertwined and related.

And if medical professionals goal, under the Hippocratic oath of physicians ethics, is to do no harm then addressing climate change needs to take priority, she says.

Our health care facilities are part of the problem in terms of the carbon emissions that we create that actually does harm to the patients that we hope to serve, she says. The health care industry is faced with this transition to producing less carbon, less greenhouse gas emissions in the care we provide, and I think physicians have an important voice in that discussion as well.

This story is part ofCovering Climate Now, a global journalism collaboration of more than 400 news outlets committed to better coverage of the climate crisis.This Sept. 21-28collaborative weekfocuses on the intersection of climate change and politics.

Want to help improve WBUR's climate coverage?Take this short surveyto let us know what you like and what you want more of from our reporting.

Cristina Kimproduced this story and edited it for broadcast withTinku Ray.Serena McMahonadapted it for the web.

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Doctors Push For Health Care To Address Climate Change In New Teaching Framework - Here And Now

Florida is falling behind on health care and voting rights | Column – Tampa Bay Times

In the last few months, thousands regained their right to vote after the governor took executive action in a move that was widely hailed as a huge step forward and the right thing to do.

Of course, this was not here in Florida, but in Iowa, a state with a very conservative state government. Similarly, in Oklahoma and Missouri, Medicaid expansion overwhelmingly passed through a ballot initiative making it 38 states (plus D.C.) that have expanded affordable health care access to millions.

That these very conservative states were able to pass such measures raises the question: Why cant we do the same here in Florida? If anything, it appears the country is moving forward and finding common ground while Florida stubbornly falls behind.

Efforts to put Medicaid expansion to a vote have been met with immovable opposition from Republicans, who hold the majority in the Florida Legislature. Similarly, the governor and Republican leaders in both chambers have gone above and beyond to make it harder for returning citizens to vote.

The lack of progress on voting rights for former felons is particularly glaring. Florida has the worst voter disenfranchisement record in the country, with over 1.6 million Floridians ineligible to vote due to the racist Jim Crow-era laws that overly penalize those who have served their time.

After Amendment 4 passed in 2018 with one million more votes than DeSantis earned to win the governorship, the Republican-led Legislature circumvented the will of the voters by enacting a law that makes the repayment of fines, fees, and restitution a necessary condition to regaining the ability to vote.

A federal judge struck down that law as unconstitutional, but Governor DeSantis successfully appealed the decision; now the case is likely to be decided by the U.S. Supreme Court, as thousands of Floridians remain in indefinite limbo as to whether they will be allowed to exercise their vote this November in an election with perhaps the greatest stakes weve seen in our lifetimes. Its important to note that the leadership demonstrated by other states on this issue (such as Iowa Governor Kim Reynolds' recent executive order) came with none of the ludicrous caveats weve seen in Florida.

Additionally, as we grapple with budget shortfalls spurred by COVID-19, the need to expand Medicaid has become more pressing. We are now only one of 12 states that refuses to expand Medicaid, despite knowing that expansion would extend health care to more than 800,000 Floridians who desperately need coverage, while filling budgetary gaps. We can recover billions of revenue lost during the pandemic and pay for Medicaid expansion by accepting the tax dollars we have already given to the federal government through our income taxes. Expanding Medicaid would also save Florida almost $200 million annually while bringing $14.3 billion in new federal funding over a 5-year period.

All of these harmful decisions circumvent the peoples will and threaten to make our state a backwater. Its up to us as legislators to fulfill our duty to listen to the people who elected us and act accordingly. If some of the most conservative states in our country can find bipartisan consensus to restore the right to vote to returning citizens and expand health care for hardworking families, so, too, can Florida.

Fentrice Driskell, a Democrat, is the state representative for Florida House District 63, serving parts of north Hillsborough County.

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Florida is falling behind on health care and voting rights | Column - Tampa Bay Times

Closing the rural health care access gap in Jackman, and maybe beyond – Mainebiz

Access to health care has always been a little precarious in northern Somerset County and things got worse three years ago, when 24/7 on-call emergency care ended at the Jackman Community Health Center.

With the nearest hospitals 90 minutes or more away, and the nearest paramedics about two hours away in Waterville in good weather Jackman-area residents needed a solution.

That solution, with its roots in an ongoing years-long effort to involve paramedics in community health care, has been found. The Critical Access Physician Extender Program, a pilot program funded in part with a recent $1.2 million grant, gives paramedics hospital training needed to provide emergency in-clinic services.

The program, while in some ways unique to Jackman, may be a model that will help solve rural health care access issues in Maine and beyond, says Lori Dwyer, president and CEO of Bangor-based Penobscot Community Health Care, which oversees the health center.

Solutions to rural health care access require out-of-the-box thinking, Dwyer says. The program gets paramedics off the ambulance so they can provide care wherever its needed.

Access and speedy care are a huge challenge in our area and all the areas we serve, Bangor and north of here, she says. But its also an issue in many parts of southern Maine.

Expanding care is the only way to solve the access challenge, she says. We cant physician-hire our way out of it.

Photo / Maureen Milliken

Lori Dwyer, president and CEO of Bangor-based Penobscot Community Health Care. The health care system, which oversees the Jackman Community Health Center, is partnering on a pilot program that allows paramedics to provide emergency medical care.

Created and directed by Jonnathan Busko, medical director of the emergency department at St. Joseph Hospital in Bangor, the program provides hospital training that, combined with a telehealth connection to the hospital, allows them to perform emergency care procedures.

The program is a partnership between Penobscot Community Health Care, St. Joseph Medical Center, Scarborough-based North East Mobile Health Services and the town of Jackman. Key to the program is the telehealth connection between the paramedics and emergency room doctors.

Busko, a former paramedic, based the program on a similar one in Alaska and came up with using paramedics in a new and different way, Dwyer says.

Paramedics are really good at the skills piece, says Butch Russell, chief operating officer at North East Mobile Health Services. The doctor is really good at telling if the patient is stable, or needs further care.

The two team up under the program, through a telehealth connection at St. Joseph Medical Center, with the paramedic as the hands-on caregiver and the doctor as the guide.

Russell says the program could take a lot of forms in different communities, and the model in Jackman could even change.

Its still in the development stages, he says. Once its been going for a while, the bigger picture aspects will begin to emerge.

A lot of this project is a credit to how tenacious that community is, Dwyer says. There are 800 people, but it can feel like 8,000.

For many years, the Jackman clinic was run by Mid-Maine Medical Center of Waterville, providing round-the-clock emergency care, as well as primary care and an attached nursing home. MaineGeneral kept the health center after Mid-Maine and Kennebec Valley medical centers merged in 1997 to become the health care system. But it was hard to sustain economically, and in 2014, MaineGeneral pulled out of the primary care end, and PCHC stepped in.

MaineGeneral continued to run the 18-bed nursing home, which provided nurses and 24-hour call service needed to keep round-the-clock emergency care going at the health center. When MaineGeneral closed the nursing home in September 2017, that ended.

At that point, people started saying We need an alternative way to do something here, says Patricia Doyle, the health centers primary care physician.

Photo / Courtesy North East Mobile Health Services

A North East Mobile Health Services truck at Attean Pond in Jackman

Since then, emergency care has been provided by Doyle, on call. Emergency medical technicians in the towns ambulance who dont have the same level of training as paramedics would either meet paramedics from Waterville in Caratunk, about the half-way point up U.S. Route 201, to transfer emergency patients. Sometimes they drove them the two hours to Waterville.

Under the new program, paramedics will work 48-hour shifts at the health center, in apartments created out of the nursing home space.

Theyll be on call, riding along with the ambulance crew on calls that require immediate emergency care, and also provide emergency care at the clinic, connecting with emergency physicians at St. Joseph for support. Theyll also help Doyle provide urgent care during business hours.

Russell, of North East Mobile, says that paramedics are already in Jackman, helping out.

The second phase, emergency room training at St. Joseph, will start this month with help from the $1.2 million Health Resources and Services Administration Rural Telehealth Network Grant that was announced Sept. 10.

The hospital experience will help them beyond just learning hospital procedures, program officials say.

While paramedics go through one to two years of training, there are things that will come up when theyre the provider in Jackman they may have not dealt with before, Doyle says.

You cant just take a paramedic and park them at the door and plunk down an emergency case and say, You take care of this, she says.

Using paramedics to fill the health care gap around Maine has been used to a lesser extent for the past decade, says Jay Bradshaw, executive director of the Maine Ambulance Association.

He says there has long been the need in many parts of Maine. Someone has to be there 24/7 for emergencies, but you dont have emergencies 24/7, Bradshaw says.

Community paramedicine using paramedics for things like home-based health checks and other medical services in rural areas began in the early 2000s. The program gained traction with legislation in 2012 that allowed up to a dozen paramedicine programs where there were health care access gaps in the state.

The program didnt provide funding. That had to come from the community. It was also understood that the paramedics would practice mostly outside of a hospital setting, something only cleared up with legislation this year that allows them to practice in a hospital setting with the permission of the hospital.

Their role was geared to the needs of the community, but it was largely to provide episodic patient evaluation, advice and treatment directed at preventing or improving a medical condition, according to a 2015 evaluation by the state.

Bradshaw says the fact that no funding source was provided was one reason the program is still not widely used. Free isnt a sustainable model, he says.

Some communities, however, have successful programs, though they focus on immediate on-site care and taking the person to the hospital.

Jackman is taking it to another level, Bradshaw says. Its exciting.

Photo / Maureen Milliken

Jay Bradshaw, executive director of the Maine Ambulance Association, praises the Jackman program.

Its always been difficult to recruit doctors to practice somewhere like Jackman.

Doyle, the clinics physician, arrived 33 years before through the National Health Services Corps. program. Most leave after their required service time is up.

Those involved in the program say that it will be easier to hire paramedics, and the program itself may make the job more enticing.

The added training with the Jackman pilot is a pathway to a more lucrative career, Russell says.

There are four stages to emergency medical service providers, beginning with emergency medical technicians and ending with paramedics, but the further clinical training bridges the gap between paramedic and becoming a registered nurse or physicians assistant, he says.

Bradshaw says, too, that EMS is a young persons game. The physical demands take a toll.

But the ability of paramedics to work in a clinical setting and do more of a variety of jobs means it could be a long career.

They already have a career where theyre talking to patients, theyre dealing with emergency medicine, theyre doing procedures, he says. Theyre ideal for it, for a long career.

The grant is also paying for a small similar program in Winterport, where physicians in PCHCs primary care practice can connect with emergency room doctors at St. Joseph to perform emergency care.

Dwyer says that primary care doctors dont have the extensive emergency room training emergency doctors do, and emergency patients are transported to the hospital. The Winterport program will serve the same purpose as the one in Jackman provide emergency services for the town, which is a half hour or more from the nearest hospital, in Bangor.

The grant will also be used to find a way to make the Jackman program, and future ones, economically sustainable.

The tangle of insurance, what Medicare covers, who gets billed and more, can make paying for such programs difficult, those involved with the Jackman pilot say.

Dwyer says that Jackman, while unique, is a perfect place to test it out.

The roads to the closest hospitals arent great roads, theyre not safe roads, she says. In a lot of ways, Jackman is an island.

For such a program to work it has to be collaborative, with buy-in from the entire community. This is a grassroots, bottoms-up community-based health care decision, she says. Its a different way of doing things in health care. Its non-competitive, its inclusive, its democratic. PCHC isnt carrying all the water on this, because we cant.

Of all the partners involved, its the community that was key to making it happen. The community rightfully sees health care as a key to the economy. You cant get tourists to come here if theres no emergency care.

She says that, in the bigger picture, Maine will likely react the same way. Its almost a uniquely Maine approach, Dwyer says. Its Yankee ingenuity. We have this problem, now how do we solve it?

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Digital engagement and transformation of healthcare in Singapore – Healthcare IT News

COVID-19 has pushed digital health technologies such as telehealth and remote monitoring /virtual care into the fore, and the nation-state of Singapore is no exception. Its whole of society approach to combating the pandemic, in which the government, private sector and citizens come together as a unit has resulted in an extremely low fatality rate of 0.05% (27 deaths out of more than 57,000 cases at the time of writing).

Another important component in Singapores effective approach in containing the pandemic is the Ministry of Healths method of risk profiling through multi-agency efforts to capture data, and subsequently having tiers to provide different levels of care based on the COVID-19 patient cases severity.

Bruce Liang, CEO of Integrated Health Information Systems (IHiS), Singapores national health IT agency, said during the first episode of the Singapore Digital Dialogue Series that the use of tech, together with the close alignment of the Health Ministrys risk stratification plans, has resulted in the adoption of a care model that is manpower light and tech heavy. With the majority of confirmed COVID-19 cases being relatively healthy, these patients can be managed with the use of remote monitoring tech in newly created Community Care Facilities (CCFs), while manpower can be focused on dealing with higher-risk patients.

HIMSS20 Digital

Never let a crisis go to waste

The telehealth program in Singapore has been running for about three years, and due to the pandemic, the number of use cases have tripled in the last six months with both new and existing users. While it is encouraging to see the significant rise in telehealth adoption, Liang noted that this period is a good opportunity to also iron out workflow issues and reimbursement models.

This is especially crucial in post-COVID Singapore to provide a seamless telehealth experience for both clinicians and patients and maintain or even increase the momentum of telehealth adoption.

Expressing similar sentiments, Dr Keren Priyadarshini, Regional Business Lead, Worldwide Health, Microsoft Asia said that the pandemic has resulted in more openness to try new ways of working for example, her company has partnered with neurologists to adopt mixed reality models for training.

She predicts that a hybrid model can be successful for healthcare in the future a blend of traditional in person healthcare services and telemedicine services like virtual/remote care.

As a result of the pandemic, the healthcare world has seen six major cases of cybersecurity breaches/incidents since June with specific issues like ransomware and botnets which has become a standardized way of attack, explained Evan Dumas Regional Director, South East Asia, Check Point.

Dumas advice for healthcare organizations was to focus on real time prevention rather than reacting to cybersecurity incidents when they actually happen. It is also critical to secure the organizations numerous disparate medical devices and systems as these can become potential points of unauthorized entry. Being able to consolidate these devices and systems, monitor them on a centralized platform will also aid in better overall visibility and enhance incident prevention.

Upcoming priorities

While Liang observed that there was no significance difference in terms of digital engagement with patients during the pandemic period, a key priority in the post COVID-19 period for IHiS is to enhance digital engagement with patients in a less transactional manner. For instance, other than using digital platforms for scheduling appointments and checking lab results, IHiS's focus would be to look at how on to improve the patient service journey.

Another area of challenge would be community care management/post discharge care management, as there are numerous types and varying levels of tech use especially in the private sector, which will be difficult to integrate and collaborate with.

Lastly, with most multiple tech and IT experiments running across most public healthcare providers, IHiS needs to balance between supporting these providers while needing to maintain a system-wide picture, support parallel innovations and ensuring interoperability between systems.

To meet these challenges, a new healthtech master plan has been set in place in Singapore, with the aim of redefining how technology and business partners can work together in the healthtech space.

Click here to register for the next episode HIMSS Singapore Digital Dialogue Series.

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From the Editor: The health care business adjusts to an ever-changing world – Mainebiz

In the past six months, weve seen a huge shift in how doctors practice, how patients receive care and how hospitals respond to crisis.

In our cover story, Medicines new virtual reality, Renee Cordes explains how telehealth went from being an option to a necessity. Story starts on Page 16.

Hospitals have gone through major changes, reducing the elective surgeries that had been revenue generators, and restructuring space to accommodate COVID-19 patients. But, as Laurie Schreiber reports in Safe return to business, theyve also played a key role in helping the business community prepare for a return to the office. See Page 22.

Rural health care continues to present challenges, no more so than during the pandemic. Even EMT service has been eliminated in places where towns look to cut budgets. But, as Maureen Milliken reports in Closing the rural health care access gap, the town of Jackman in Somerset County has adopted a pilot program that brought back round-the-clock emergency care. Some experts are saying the program could be adapted to other rural areas. See Page 26.

Clover Health Care in Auburn tops our list of Maines largest assisted living and skilled nursing communities. See Page 29.

Maine Medical Center is No. 1 on our list of Maines largest hospitals. See Page 34.

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From the Editor: The health care business adjusts to an ever-changing world - Mainebiz

The Coronavirus Is Creating A Mental Health Crisis For Health Care Workers – HuffPost

Front-line care workers have been called heroes throughout the coronavirus pandemic. Many of them dont feel like it.

Instead, they feel besieged and traumatized not only by the suffering and death theyve witnessed, but by a health care system they believe is showing it doesnt value them, a disjointed and ineffective governmental response, and members of the public who deny the reality of all that suffering and death.

Tragedy is part of the job for medical providers, but the relentlessness of the coronavirus outbreak is more than most have ever seen, said Nina Wells, a nurse practitioner and the president of the Service Employees International Union Local 121RN in Pasadena, California.

It is the vicarious trauma that is never-ending with this pandemic. And its from all angles, not just the disease itself. Its from the poor management, the lack of supplies, the lack of staffing it just goes on and on, Wells said. You get up and you do it again, day after day, without any reprieve, without any resources for the most part and its just mental cruelty.

There have been more than 6.7 million confirmed cases of COVID-19 in the U.S. and over 198,000 deaths, according to data compiled by Johns Hopkins University. While some of those deaths occurred at home, the rest happened in hospitals, nursing homes and other facilities where doctors, nurses and other staff are the only witnesses to patients final, lonely moments.

You can say were heroes I dont particularly like that term but were definitely not treated as such, said Erin McIntosh, a nurse in Riverside, California.

The mental health effects of the pandemic on health care workers can already be measured.

A Physicians Foundation surveyreleased this month found that 58% of doctors now say they frequently experience burnout, up from 40% two years ago. Half of physicians during the pandemic have had feelings of inappropriate anger, tearfulness or anxiety, 30% report feelings of hopelessness, 8% say they have contemplated self-harm and 18% are drinking or using drugs more.

Yet the same survey found that just 13% of doctors have sought mental health care during the pandemic. Not only do health care workers face the same limited access to mental health care services as everyone else, but the culture of medicine creates pressure to not admit to struggling,

Lonely Deaths And Nightmares

McIntosh works as a code blue nurse, which means shes called in when a patient is in serious trouble. In a typical month, she said, her hospital has 30 to 50 code blues. In April, there were more than 70.

I was just seeing patient after patient crashing and coding. We had a lot of deaths in the hospital and it did affect me, McIntosh said. Im seeing a lot of that in our field, a lot of mental health issues related to what weve been put through these last six months.

In April, McIntosh holed up at a hotel so she wouldnt risk infecting her family. During that time, she had a persistent nightmare that her husband caught COVID-19 but there was no ventilator available for him. In another recurring nightmare, she said, Im hearing code blue after code blue after code blue and I cant get to the patients. It definitely has a toll.

One incident has stuck with McIntosh. She intended to pay a brief visit to a COVID-19 patient who appeared to be stable. The woman asked her to stay and talk. She was isolated from friends and family and just wanted some company. McIntosh chatted with her for about 40 minutes. An hour later, the patient died.

That really hit home with me that not only are these patients dying theyre dying alone and lonely, McIntosh said. Thats just my one example. What about all these other patients that are in the rooms with closed doors, with no visitors, alone? Thats not a good feeling.

Health care providers can feel tremendous guilt that they werent able to do more, wondering if the huge numbers of patients, inadequate staffing and complexity of safety procedures meant they didnt get to someone they could have saved if somehow they had been quicker, McIntosh said.

They also carry intense anxiety about getting sick themselves and passing on the virus to co-workers, patients and their own families.

Nearly 1,200 health care workers in the United States have died because of COVID-19, according to a tally from Kaiser Health News and The Guardian. Two of them worked at McIntoshs hospital; their deaths are the subject of an ongoing lawsuit.

I have seen so many co-workers fall ill, McIntosh said. We all know people that have lost someone.

Compounding that grief is what McIntosh sees as mismanagement inside the hospital. As in many facilities around the country, personal protective equipment like masks is in short supply at her workplace. Directives from administrators about what safety equipment and procedures nurses should follow have contradicted her training and experience. Her hospital cut back on staff even as the high volume of COVID-19 patients demanded more resources, she said.

That was just an eye-opener to me and made me feel like, as a nurse, I wasnt valued. Its all about the almighty dollar, McIntosh said.

Meanwhile, she is confronted by people including some of her own relatives who refuse to believe the pandemic is real or to wear masks, and who want the country reopened.

Its a real slap in the face for those of us who have worked day in and day out, tirelessly trying to save lives, McIntosh said. Thats easy for people to say, but when youre there looking at someones face, holding their hand, FaceTiming their loved ones you cannot know how much that hurts.

Its all making her wonder if she can carry on. When I first became a nurse, my first job, I felt so empowered and so valued because I was making a difference in peoples lives. I dont know that I necessarily feel that anymore, and I think thats what a lot of people are feeling, she said. Nurses are leaving the profession in droves.

Professional Stigma

The pandemic has merely worsened what was already a crisis of health care worker burnout, said Aisha Terry, an emergency physician in Washington, D.C. Terry also serves on the board of directors of the Irving, Texas-based American College of Emergency Physicians.

Research before the pandemic found that as many as half of doctors reported being burned out, and other studies found up to 20% of nurses and emergency physicians experience symptoms of post-traumatic stress disorder. The rate of suicide among doctors is more than double that of the general public. The Physicians Foundation survey found that more than one-fifth of doctors know a fellow physician who died by suicide.

Matters have gotten worse half a year into a pandemic, Terry said, but the underlying reasons that health care workers suffer from mental health problems have persisted for a long time.

The problem is environmental and systemic, Terry said. Health care is increasingly business-oriented and profit-driven, which inherently competes with patients best interests and creates ethical conflicts for physicians. Knowing that financial and other constraints can prevent medical providers from offering the best care causes a moral injury to them, she said.

Whats more, admitting to or seeking mental health care is deeply stigmatized in medicine. Doctors and nurses arent supposed to show weakness or admit that the stress of their work is affecting them, even during extreme circumstances like a pandemic.

The culture that we train in and work in sometimes perpetuates a mentality wherein the toll of dealing with this kind of repetitive trauma to our mental health is minimized as just a part of the job, Terry said.

In addition, some states require physicians to disclose mental health diagnoses and treatments when applying for or renewing a medical license. This further discourages them from seeking help when they need it, she said.

The Hero Thing Just Gets Buried

Jennifer Casaletto, an emergency physician in Charlotte, North Carolina, said there has been no escape from the pandemic and the stress it creates. Normally, she can separate her negative experiences at the hospital from the rest of her life. Not now, she said.

This is one of those things that you dont avoid by leaving work. Its everywhere, said Casaletto, who is president-elect of the American College of Emergency Physicians North Carolina chapter. Its hard to limit your engagement even though you know you need to. Her husband, Jacob Debelak, is also a hospital-based physician and both treat COVID-19 patients.

Like McIntosh, Casaletto has grown frustrated with the spread of misinformation and disinformation about the virus and with people in her community who refuse to cover their faces and take other precautions.

Having neighbors and friends almost working against us is hard, Casaletto said. The hero thing just gets buried because of the amount of folks who are saying its a hoax and who arent willing to care for their neighbors and who dont believe any of the science. It just is really difficult to say, What do you think I gain by this being a hoax? I gain nothing.

The stress that can lead to mental health problems affects more than doctors and nurses. Trece Andrews works in the laundry at a nursing home in St. Clair Shores, Michigan. She said her employer was very dishonest in the early weeks of the pandemic, telling workers that no residents would be stricken with COVID-19. The employer was wrong. Residents fell ill, and then so did employees, Andrews said.

Just like medical professionals, Andrews and her co-workers face risks to their health and the health of their families. Although they arent treating patients, theyre in close proximity to them and to the doctors and nurses who care for them. Approximately 40% of COVID-19 fatalities in the U.S. have been nursing home residents, according to a New York Times analysis.

These conditions have led a number of Andrews fellow workers to quit their jobs, and their replacements often dont stick around once they realize the dangers. This turnover and short-staffing are undermining residents care, Andrews said.

When you guys put your parents and grandparents in a home, you want quality care for them. So if they dont get better or change some of this stuff thats going on in this particular industry, its going to take from the care and the well-being of these residents, Andrews said.

The American College of Emergency Physicians, the American Medical Association and other medical organizations have called for states to relax the requirements that doctors disclose their mental health histories. The emergency doctors group alsosupports bipartisan Senate legislation that would study health care workers mental health and create assistance programs. The bill is named after Lorna Breen, a New York physician who died by suicide in April.

While these workers await relief from the pandemic and help from their employers and the government, Casaletto also pleads with the public for help.

Its all of our responsibility to protect the most vulnerable of society as well as our own families, to make sure that we are taking this seriously, that we are wearing masks when were in public, and that were washing our hands frequently, Casaletto said. Please let us help you. And please know that we are there and have your back.

CORRECTION:A previous version misidentified Jennifer Casaletto. She is president-elect of the American College of Emergency Physicians North Carolina chapter, not the national group.

If you or someone you know needs help, call 1-800-273-8255 for theNational Suicide Prevention Lifeline. You can also text HOME to 741-741 for free,24-hour support from theCrisis Text Line. Outside the U.S., pleasevisit theInternational Association for Suicide Preventionfor a databaseof resources.

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The Coronavirus Is Creating A Mental Health Crisis For Health Care Workers - HuffPost

Letter: Wagner is clueless on health care and the pandemic – STLtoday.com

Im sick and tired of our elected representatives in the Republican Party adamantly refusing to get behind affordable health care for every American, even though their own supporters are just as likely as anyone to lose everything they possess, including their lives, should one of them become catastrophically ill.

Closer to home, Republican Rep. Ann Wagner of Ballwin has actively opposed affordable health care for her constituents, choosing rather to keep it prohibitively expensive and inaccessible while accepting more than $470,000 from corporate political action committees in the health care and pharmaceutical industries.

To add insult to injury, Wagner has been the loyal little toady of President Donald Trump, dismissing, denying, and lying about the pandemics true threat. On March 7, after numerous briefings on this dire threat, she has been quoted as saying, As I said, this is, its clear that the risk to our U.S. public is low. Anyone practicing due diligence at the time knew the reality, of course; however, those folks who solely looked to Trump and Wagner for their cues were at much greater risk, believing it was all much ado about nothing.

Incredibly, Wagner has neither a plan for the health care of her own constituents nor a cogent plan for dealing with this pandemic.

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Letter: Wagner is clueless on health care and the pandemic - STLtoday.com

Intermountain Healthcare: Fighting for greater health and inclusion for the LGBTQ+ community – ABC 4

Matt Bryan, MD, is proud of the recognition that Intermountain Healthcare just received from the Human Rights Campaign as a national equity leader for the health systems dedication and commitment to LGBTQ+ health and inclusion.

The national honor from the HRC, earned by five Intermountain hospitals, reflects Intermountains commitment to equity, inclusion, and to ensuring that all in the community feel welcome and safe when receiving care.

For Dr. Bryan, who serves as Intermountains associate medical director for LGBTQ+ Health, the recognition is nice. But far more important to him is knowing that he and his colleagues efforts to ensure equitable care is available to everyone in the community, including LGBTQ+ patients.

He is already seeing it make a difference in many individual lives.

LGBTQ+ people are an important part of our community. Theyre part of our families, our workplaces, our communities, and our lives, said Dr. Bryan, who had worked at Intermountain for four years in internal medicine before adding the role of associate medical director for LGBTQ+ Health in August of 2019.

Ignoring any important part of our community doesnt help anybody. It hurts everybody, he added. So, this is an effort were taking as the entire Intermountain system to ensure that everyone in the community receives the very best healthcare possible.

Dr. Bryans clinic is still focused on general internal medicine but with a specialization for LGBTQ+ patients. His guidance is helping at other clinics and hospitals throughout the system.

The five Intermountain hospitals earning HRC national designation this year each received the highest score of 100. They include:

Intermountain Medical Center in Murray

Alta View Hospital in Sandy

Primary Childrens Hospital in Salt Lake City

Riverton Hospital

LDS Hospital in Salt Lake City

The HRC uses a scoring system called the Healthcare Equality Index which looks at four categories including patient-centered care, patient services, and support, employee benefits, and policy, along with patient and community engagement.

Dr. Bryan said Intermountain recognizing a persons sexual orientation and gender identity is an important part of their overall health picture. Intermountain knows those in the LGBTQ+ community face some health issues at a higher rate but may be less likely to seek care.

Some examples cited by Dr. Bryan:

Lesbian and bi-sexual women are less likely to get screening services for cancer, and gay and bisexual men are at higher risk for sexually transmitted diseases and HIV.

LGBTQ+ people are two times more likely to experience sexual abuse before the age of 12, and transgender individuals have higher rates of victimization, mental illness, and suicidality.

Younger and older members of the LGBTQ+ community are particularly at risk. LGBTQ+ youth are two to three times more likely to die by suicide, he said.

Younger LGBTQ+ patients are more likely to be homeless, and nearly 60% of LGBTQ+ homeless youth have been sexually victimized. Older members of the LGBTQ+ community are more likely to suffer from isolation and lack of social services and family support than heterosexual seniors, added Dr. Bryan.

Just recognizing these disparities can help make care more equitable because it recognizes that these patients healthcare needs are different, and that they may face more barriers to accessing insurance and healthcare, said Dr. Bryan.

Also important is knowing how to make patients feel more comfortable in disclosing their gender identity and sexual orientation because these factors are often invisible disparities, noted Dr. Bryan.

For this reason, Intermountain now provides a space at the top of patients medical charts for patients preferred name and correct pronouns. Its also why education about LGBTQ+ patient needs arent just designed for clinical staff, but all employees at Intermountain, including call center and front-desk staff.

We need people everyone to feel comfortable walking through our doors. We cant have someone mis-gendering patients or using the wrong pronouns when they call or check in for an appointment, said Dr. Bryan. They may walk out or hang up and never come back. This is vital. This is a process that were continually working to improve on.

The HRC recognition highlighted Intermountains community-focused efforts, such as being a sponsor of the Salt Lake City Pride Parade, and teaming with the Utah Pride Center to create a Take Pride in your Health campaign directed at the LGBTQ+ community that focuses on their mental and physical well-being.

The campaign helps ensure that the Utah LGBTQ+ community knows Intermountain is a welcome resource and safe healthcare environment, said Kevan Mabbutt, executive sponsor of LGBTQ+ caregiver resource group at Intermountain.

We are proud of our leadership teams, Office of Diversity,LGBTQ+ Caregiver Resource Group, and caregivers who have demonstrated our commitment to more just and equitable healthcare, said Mabbutt. This recognition does not signal a victory but is a call to action to truly embody what it means to be a leader in LGBTQ+ healthcare and we are certainly up to the task.

The HRC recognition also cites Intermountains staff training, non-discrimination policies, and equitable employee benefits and policies, including insurance coverage for gender transition, and treating spouses the same in all sense no matter the gender of the people in the marriage.

HRC President Alphonso David said providing inclusive care for everyone in the community has been vital, especially during the COVID-19 pandemic.

The health care facilities participating in the HRC Foundations Healthcare Equality Index (HEI) are not only on the front lines of the COVID-19 pandemic, they are also making it clear from their participation in the HEI that they stand on the side of fairness and are committed to providing inclusive care to their LGBTQ patients, David said.

This is the first time Intermountain applied for the HRC consideration. Jan Stucki, from the Intermountain Healthcare Office of Diversity, Equity and Inclusion, said that Intermountain will apply for HRC recognition at all of its 24 hospitals next year.

We want people to live their healthiest lives, no matter their gender identity, sexual orientation or, in the case of our transgender patients, where they are on their transition journey if they are making one, she said. We have worked hard not just to create equity in care for these patients, but to also ensure that our staff are trained in how to talk to and work with our LGBTQ+ community so they feel welcome.

For more information on the HRC rankings clickhere.

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Intermountain Healthcare: Fighting for greater health and inclusion for the LGBTQ+ community - ABC 4

Walmart to open health care clinics in Kissimmee and throughout Florida – positivelyosceola.com

Walmart is on a mission to bring affordable, accessible healthcare to communities around the country, and that includes Florida, and specifically, Kissimmee.

Walmart has announced that in 2021 they will expand Walmart Health by opening low-cost health care clinics inside their stores in Florida. Positively Osceola communicated with Walmarts communications office, and they responded saying they have not released the locations where Walmart Health will come first, but according to the Orlando Business Journal, Walmart is seeking a construction approval from Osceola County for a 7,500-square-foot expansion of 904 Cypress Parkway in Kissimmee for a Health clinic.

According to Walmarts release, Walmart Healthwill offer low, transparent pricing for key healthcare services, regardless of insurance status. This could especially important for families and individuals that might lack access to affordable healthcare, which we know is an unfortunate reality for so many right now, amid the coronavirus pandemic.

According to the Walmart website, the retail behemoth is committed to helping their customers save money while living better and healthier.

We recognize we can make an impact by increasing access to quality, affordable and convenient healthcare as we invest millions of dollars and expand Walmart Health into Florida, which is home to the second highest number of Walmart stores in the country. Its also where we launched our $4 generic prescription program more than a decade ago, Sean Slovenski, SVP and President, Health & Wellness, Walmart U.S. shared on Walmarts website.

Walmart Health clinics will provide:

Low, transparent pricing for key healthcare services, regardless of insurance status. Care delivered by qualified medical professionals, including physicians, nurse practitioners, dentists, counselors and optometrists. State-of-the-art facilities that offer full-service primary and urgent care, labs, x-ray and diagnostics, counseling, dental, optical and hearing services all in one central facility. Specialized community health resources, online education and in-center workshops to educate the community about preventive health and wellness.

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Walmart to open health care clinics in Kissimmee and throughout Florida - positivelyosceola.com

Local VA receives 2020 Healthcare Organization of Distinction Award – Wgnsradio

The Tennessee Valley Healthcare System (TVHS) received theHuron-Studer Groups2020 Healthcare Organization of Distinction award for sustained employee engagement and quality outcomes.

Healthcare Organization of Distinction awards are presented to health care systems that demonstrate overall improvement in areas such as patient satisfaction and employee and physician engagement.

We want to ensure that TVHS is recognized for its dedication to achieving clinical and operational excellence, said Cara Dake, coach director and account leader with Huron-Studer Group.

TVHS partnered with the Huron-Studer Group in 2018 to advance its commitment of being a high reliability organization (HRO). An HRO operates in complex, high-risk environments without serious accidents and errors.

We are honored and so very proud of this recognition by the Huron-Studer Group, said Jennifer Vedral-Baron, TVHS health system director. This is a direct result of our continued commitment to excellence.

TVHS was one of only two hospitals in Tennessee to earn the LGBTQ Healthcare Equality Leader in the 2019 Healthcare Equality Index. In 2019, TVHS ranked 11thout of 141 VA facilities based on its annual All Employee Survey.

TVHS is an integrated tertiary health care system comprised of two hospitals, the Alvin C. York Campus in Murfreesboro and the Nashville Campus, as well as more than a dozen community-based outpatient clinics located in Tennessee and Kentucky. TVHS provides ambulatory care, primary care, and secondary care in acute medicine and surgery, specialized tertiary care, transplant services, spinal cord injury outpatient care, and a full range of extended care and mental health services.

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Local VA receives 2020 Healthcare Organization of Distinction Award - Wgnsradio

Law and order vs. health care as Dems, GOP vie for suburbs – The Associated Press

WASHINGTON (AP) In Republican hands for 28 years but now up for grabs, a suburban Missouri congressional district hugging St. Louis has become a lab for what each party considers one of its most lethal political weapons.

TV ads by GOP Rep. Ann Wagner show protesters stomping a police car as the narrator accuses Democratic challenger Jill Schupp of support from radical defund the police organizations. A Schupp spot says Wagner voted against people with preexisting conditions during COVID. The coronavirus causes COVID-19.

The pattern is similar outside Philadelphia, where GOP Rep. Brian Fitzpatrick accuses Democratic challenger Christina Finelo of supporting police defunding. Finelos first ad says Fitzpatricks backed ending coverage for people with preexisting conditions. Each contests the others charge.

Scores of suburban districts are back in play in the GOPs long-shot attempt to win House control in Novembers election. Democrats who used health care to capture the majority in 2018 are emphasizing it anew, saying theyll shield voters from Republicans trying to tear coverage away during a pandemic.

This is as current an issue as can possibly be, said Leslie Dach, who heads the Democratic-backed Protect Our Care Coalition.

In some races, Republicans are talking up lawlessness to try stemming defections of educated, moderate suburban voters from the GOP, spurred by aversion to President Donald Trump. But even where Republican candidates promote themes such as rebuilding the economy, Trumps blunt-force ads and his tweets on law and order have kept it in the forefront.

If I dont win, Americas Suburbs will be OVERRUN with Low Income Projects, Anarchists, Agitators, Looters and, of course, `Friendly Protesters, he tweeted recently.

Wagner has voted for bills that would have ended the coverage that former President Barack Obamas health care law guarantees people with preexisting conditions. Shes introduced bills to protect such coverage, her campaign says.

Schupp has said she opposes defunding police, a far-left call to restructure and even cut police agencies that many Democrats reject. Shes been backed by Indivisible, a progressive group that supports the proposal.

Each party says their messaging is poll-tested and will work.

Public safety and police defunding are an increasingly significant and powerful issue in suburbs, said Dan Conston, president of the Congressional Leadership Fund. Conston, whose group is aligned with House GOP leaders, said with health care, Democrats are betting their tired, dated arguments will work.

Health care is the number one issue that people care about, counters Rep. Cheri Bustos, D-Ill., who heads the Democratic Congressional Campaign Committee, House Democrats campaign arm. She says Democrats are on the right side on law and order, supporting peaceful marchers but denouncing people who are burning buildings.

So far, public polling offers scant evidence that the GOPs law and order arguments have taken hold.

A Monmouth University Poll this month showed voters nationally trust Democratic presidential nominee Joe Biden slightly more than Trump to maintain law and order. It also found just 13 percent say its highly likely that integrating suburbs would worsen crime and harm property values.

A September survey by The New York Times and Siena College found that while majorities in swing states Wisconsin and Minnesota called lawlessness a major U.S. problem, few considered it a primary concern at home.

Republicans say theyve detected growing support on the issue since last months violence in Kenosha, Wisconsin, after police shot a Black man. This summers racial justice protests have been largely peaceful, but images of violent ones have received widespread attention.

Defunding police is an absolute loser with suburban voters, said GOP consultant Liesl Hickey. She said the issue is a twofer because it plays into the bigger fear of what they see as the radical left.

Still, Republicans say they must use the theme carefully.

I think Democrats are vulnerable to it, said Sam Geduldig, who advised former House Speaker John Boehner, R-Ohio. But the harder you go on it, the more it turns off some of those wealthy suburban voters in some districts we need.

In 31 House races where Democrats have aired ads and Bustos organization is helping them, spots in 28 contests make health care arguments, according to committee figures.

One attacks Republican Nick Freitas, challenging Democratic Rep. Abigail Spanberger outside Richmond, Virginia. It criticizes him for accepting insurance company contributions and favoring repeal of Obamas health care law, even when the pandemic means Virginians couldnt be more in need of coverage. Freitas has said he thinks government intrusion into health care doesnt help.

Democrats have run health care themed ads against Republicans in numerous states including Colorado, Illinois, Indiana, Nebraska and Texas. According to data from the ad-tracking company Kantar/CMAG, Bidens campaign has run a spot in around 30 states. In it, he promises to protect peoples coverage the same way I would my own.

So far, Republicans have used law and order themes more selectively, including in New York and Nebraska. In Michigan, GOP Rep. Fred Upton has run a spot criticizing Democratic opponent Jon Hoadley, a state lawmaker who opposed a resolution urging local governments to not defund police departments.

The political extremists have gone too far, the ad says as protesters smash storefronts. On his campaign website, Hoadley says he favors changes such as training officers to avoid racial bias.

In a coastal district south of Los Angeles, Republican challenger Michelle Steel has talked about taxes, while Democratic Rep. Harley Rouda has focused on health care and prescription drug costs.

Recent Trump ads have largely emphasized restoring the economy, not blazing buildings. Many House GOP ads also use other issues, accusing Democrats of backing tax increases and linking them to House Speaker Nancy Pelosi, D-Calif., a favorite foil.

Even so, according to Kantar/CMAG, one Trump campaign spot thats run this month in a half-dozen states accuses Biden of wanting to defund the police.

The radical left has taken over Joe Biden, the announcer says as protesters batter windows. It adds, Dont let them take over America.

Biden has repeatedly said he opposes defunding the police.

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Salter reported from OFallon, Missouri. Associated Press writers Amy Taxin in Los Angeles and Marc Levy in Harrisburg, Pennsylvania, contributed to this report.

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Law and order vs. health care as Dems, GOP vie for suburbs - The Associated Press