The First Steps in Adding Ecommerce to a Brick-and-mortar Store – Practical Ecommerce

Brick-and-mortar retail businesses are turning toward ecommerce to generate revenue online and click-and-collect. As they make this digital transformation, those merchants will likely have questions about ecommerce platforms, themes, and design. While all of these are important, a companys initial focus should be on products and marketing, in my experience.

The act of merchandising and selling an item in a physical store is fundamentally different than promoting and selling the same product online.

Consider the advantages of physical retailing. In a physical store, a shopper can handle a product before buying it. He can, for example, pick up a new kitchen knife, feel its weight, and gauge how it fits in his hand. In some stores, he could even chop a few carrots before making the buying decision.

Similarly, a mother shopping for kids clothing can touch the fabric and have her child try on an outfit or two. For questions, a clerk is not far off.

A retail clerk can answer product questions in real-time and on a personal level. Photo: BBH Singapore.

Whats more, a physical location can be its own form of marketing.

An art supply store in a popular shopping center may have thousands of potential customers drive past it every day. Some of those passersby will see the stores sign for years. When those folks need a sketchbook and art pencils for their childrens drawing class, the brick-and-mortar store could come to mind.

Conversely, selling a kitchen knife, childrens clothing, sketchbooks, or anything on the Internet is different. Product images, product descriptions, and inventory management are critical for ecommerce but may be challenging for brick-and-mortar businesses selling online for the first time.

Images. To sell a product hanging on a hook at a physical store, a retailer simply needs the product and the hook. Online, however, a merchant requires at least one photograph to represent the item.

A merchant can either photograph every product or, alternatively, acquire photos from the manufacturer or distributor. Both of these tasks more time-consuming than what one might imagine.

At one of Sur La Tables physical stores, a shopper could handle this knife before spending $399 to buy it. But online, the knife is represented with an image.

It is not uncommon for a store to have thousands of SKUs and dozens of vendors. If it decided to download product photos from those vendors, a retail business would need someone to contact each vendor, gain access to the images, download and organize them, perhaps edit them, and upload them to the ecommerce site repeated hundreds of times.

But a methodical approach can help.

Good product photos are more important than a perfectly designed website when youre getting started.

Descriptions. Product descriptions are similar to product images: You dont need them in a physical store and generating them for an ecommerce site is a larger task than one might imagine.

Whether your company decides to write these or copy them from a manufacturer never copy a product description without express permission, however the steps will be similar to those for images.

Inventory management. Imagine a chain with 15 physical stores. Each store has one particular espresso machine 15 company-wide.

When it comes to managing inventory on an ecommerce platform, what are the available quantities for this espresso machine?

If it plans to fulfill from every location, the company might assume 15 machines are available to sell online. But that could be a problem.

What if three stores had an incorrect inventory count? Instead of having one machine in stock, they had none. And what if two other stores tossed the boxes because the espresso machines are on display? Those stores would have no way to ship them. And what if customers are buying the espresso machines at four other stores right now?

To make matters worse, inventory counts could be off by a lot if the chains physical point-of-sale system doesnt automatically update the ecommerce site.

The solution depends on a merchants systems and capabilities. But knowing that inventory quantities can be a problem goes a long way toward a fix.

The aforementioned art supply store resides in a popular shopping center, has a physical sign, and is known to thousands of potential customers.

No one will notice the business, however, when it opens online. A shopper could search for the store by name on Google or Bing, but there is no guarantee that those search engines have even indexed the new site yet.

Thus its not enough to open an ecommerce shop. Merchants must promote and market it. Marketing for a new ecommerce site should use a retailers traditional channels as well as new ones, such as pay-per-click and video ads.

For example, a retailer should continue with radio ads but now include the new digital offering. Similarly, a chain should continue inserting circulars in the local newspaper, but, again, now emphasize online or click-and-collect services.

Marketing a new ecommerce store is often more important than the platform, the theme, and other design elements.

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The First Steps in Adding Ecommerce to a Brick-and-mortar Store - Practical Ecommerce

The digital divide worsens the inequitable impacts of the climate crisis – GreenBiz

This story originally appeared in Grist and is republished here as part of Covering Climate Now, a global journalistic collaboration to strengthen coverage of the climate story.

One of the starkest inequalities exposed by the coronavirus pandemic is the difference between the digital haves and have-nots. Those with a fast internet connection are more able to work and learn remotely, stay in touch with loved ones and access critical services such as telemedicine. For the millions of Americans who live in an internet dead zone, fully participating in society in the age of social distancing has become difficult, if not impossible.

But if the pandemic has laid bare Americas so-called "digital divide," climate change will only worsen the inequality that stems from it. As the weather grows more extreme and unpredictable, wealthy urban communities with faster, more reliable internet access will have an easier time responding to and recovering from disasters, while rural and low-income Americans already especially vulnerable to the impacts of a warming climate could be left in the dark.

Unless, that is, we can bring everyones internet up to speed, which is what Democratic lawmakers on the House Select Committee on the Climate Crisis are hoping to do.

Buried in a sweeping, 538-page climate change plan the committee released last month is a call to expand and modernize the nations telecommunications infrastructure in order to prepare it, and vulnerable communities around the country, for future extreme weather events and climate disruptions.

The plan calls for increasing broadband internet access nationwide with the goal of getting everyone connected, updating the countrys 911 emergency call systems and ensuring cellular communications providers are able to keep their networks up and running amid hurricane-force winds and raging wildfires. This plan isnt the first to point out that Americas internet infrastructure is in dire need of an upgrade, but it is unusual to see lawmakers frame better internet access as an important step toward building climate resilience.

While the internet is often described as agreat equalizer, access to the web never has been equal.

To Jim Kessler, executive vice president for policy at the moderate public policy think tank Third Way, this framing makes perfect sense. "Youve got to build resilience into communities but also people," Kessler said. "And you cant do this without people having broadband and being connected digitally."

While the internet is often described as a great equalizer, access to the web never has been equal. High-income people have faster internet access than low-income people, urban residents are more connected than rural ones, and whiter counties are more likely to have broadband than counties with more Black and Brown residents.

Were not just talking about a few digital stragglers being left behind: The Federal Communications Commission (FCC) estimates that more than 18 million Americans lack access to fast broadband, which the agency defines as a 25 megabits per second download speed and 3 megabits per second upload speed. Monica Anderson, who studies the digital divide at Pew Research Center, says that many more Americans have broadband access in their area but dont subscribe because its too expensive. "What we see time and again is the cost is prohibitive," Anderson said.

A lack of broadband reduces opportunities for people in the best of times, but it can be crippling in wake of a disaster, making it difficult or impossible to apply for aid or access recovery resources.

Puerto Ricans experienced this in the aftermath of 2017s Hurricane Maria, which battered the islands telecommunications infrastructure and left many residents with terminally slow broadband more than a year after the storm had passed. Three years later, with a global pandemic moving vast swaths of the economy online for the foreseeable future, internet-impoverished communities around the country are feeling a similar strain.

To some extent, mobile networks have helped bridge the broadband gap in recent years. More than 80 percent of Americans own a smartphone, with similar rates of ownership among Black, white and Hispanic Americans. Nearly 40 percent of Americans access the internet primarily from a phone. As far as disaster resilience goes, this surge in mobile adoption is good news: Our phones allow us to receive emergency alerts and evacuation orders quickly, and first responders rely on them to coordinate on the fly. Of the 240 million 911 calls made every year, more than 80 percent come from a wireless device, per the FCC.

But in the age of climate change, mobile networks are becoming more vulnerable. The cell towers, cables and antennas underpinning them werent always built to withstand worsening fires and storms, a vulnerability that Verizon, T-Mobile and AT&T have all acknowledged in recent climate change disclosures filed with the CDP (formerly the Carbon Disclosure Project). And when these networks go down as nearly 500 cell towers did during Californias Camp and Woolsey fires in 2018, according to the new House climate change plan it can create huge challenges for emergency response.

"Everything from search-and-rescue efforts to sending out warnings to getting people directions to shelters is facilitated through various telecommunications and internet," said Samantha Montano, an assistant professor of emergency management at Massachusetts Maritime Academy. "Were pretty reliant on them."

Democrats new climate plan seeks to address many problems created by unequal and unreliable internet access in order to build a more climate-hardy web and society.

To help bring about universal broadband access, the plan recommends boosting investment in FCC programs such as the Rural Digital Opportunity Fund, a $20 billion fund earmarked for broadband infrastructure deployments across rural America. It also calls for increased investment in programs such as the FCCs Lifeline, which offers government-subsidized broadband to low-income Americans, and it recommends mandating that internet service providers suspend service shutoffs for 60 days in the wake of declared emergencies. Broadband improvements should be prioritized in underserved communities "experiencing or are likely to experience disproportionate environmental and climate change impacts," per the plan.

As far as mobile networks go, House Democrats recommend that Congress authorize states to set disaster resilience requirements for wireless providers as part of their terms of service. They also recommend boosting federal investments in Next Generation 911, a long-running effort to modernize Americas 911 emergency call systems and connect thousands of individually operating systems. Finally, the plan calls for the FCC to work with wireless providers to ensure their networks dont go offline during disasters for reasons unrelated to equipment failure, citing Verizons infamous throttling of data to California firefighters as they were fighting the Mendocino Complex Fire in 2018.

Kessler of Third Way said that Democrats climate plan lays out "the right ideas" for bridging the digital divide. "You want to be able to get the technology out there, the infrastructure out there, and you need to make sure people can pay for it," he said.

The call for hardening our internet infrastructure is especially salient to Paul Barford, a computer scientist at the University of Wisconsin, Madison. In 2018, Barford and two colleagues published a study highlighting the vulnerability of Americas fiber cables to sea level rise, and hes investigating how wildfires threaten mobile networks. In both cases, he says, its clear that the telecommunications infrastructure deployed today was designed with historical extreme conditions in mind and that has to change.

"Were living in a world of climate change," he said. "And if the intention is to make this new infrastructure that will serve the population for many years to come, then it is simply not feasible to deploy it without considering the potential effects of climate change, which include, of course, rising seas, severe weather, floods and wildfires."

Everything from search-and-rescue efforts to sending out warnings to getting people directions to shelters is facilitated through various telecommunications and internet.

Whether the House climate plans recommendations become law remains to be seen. Many specific ideas in the plan already have been introduced to Congress in various bills, including the LIFT America Act, which would infuse Next Generation 911 with an extra $12 billion in funding, and the WIRED Act, which would authorize states to regulate wireless companies infrastructure.

Perhaps most significantly, House Democrats recently passed an infrastructure bill that would invest $80 billion in broadband deployment around the country overseen by a new Office of Internet Connectivity and Growth. The bill would mandate a minimum speed standard of 100/100 megabits per second for federally funded internet projects, a speed stipulation that can be met only with high-speed fiber optics, says Ernesto Omar Falcon, a senior legal counsel at the Electronic Frontier Foundation, a digital civil liberties nonprofit.

Currently, Falcon estimates that about a third of Americans have access to this advanced internet infrastructure, with a larger swath of the country accessing the web via older, slower, DSL copper or cable lines. "It would connect anyone who doesnt have internet to a 21st century line," Falcon said. "Thats a huge deal."

The infrastructure bill seems unlikely to move forward in a Republican-controlled Senate. But the urgency of getting everyone a fast, resilient internet connection isnt going anywhere. In fact, the idea that internet access is a basic right seems to be gaining traction every day, even making an appearance last week in presumed Democratic presidential candidate Joe Bidens new infrastructure plan.

With the pandemic continuing to transform how we work, live and interact with one another, and with climate change necessitating even larger transformations in the future, our need to be connected digitally is only becoming greater.

"I think every day the pressure mounts, because the problem is not going away," Falcon said. "Its really going to come down to what we want the recovery to look like. And which of the problems COVID-19 has presented us with do we want to solve."

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The digital divide worsens the inequitable impacts of the climate crisis - GreenBiz

Skypath Security, Inc. Announces the Integration of a multi-functional Panic Button Alert System into its World Class Mobile Defense Platform – PR Web

Skypath Defender Panic Button

PROVIDENCE, R.I. (PRWEB) August 04, 2020

On August 4, 2020 Skypath Security, Inc. the leader in mobile intelligent and interactive threat assessment, threat awareness and personal safety which is linked, in real time, directly to first responders, is announcing today the integration of a wearable device, key fob and SmartPhone Personal Alert System into its World Class, Award Winning Mobile Defense Platform.

School Systems can use the wearable devices, key fobs or SmartPhone Personal Alert System as part of their overall school safety plan to save lives. The wearable devices, key fobs or SmartPhone Personal Alert System allow teachers and staff to tap a single button to make an emergency call while simultaneously sending an alert message including their EXACT location in the building or on campus by text, email and directly to dispatchers and emergency responders in car computers which have the blueprints, schematics and layout of the building through the Skypath Mobile Defense Platform.

The results are faster and more accurate response creating better situational awareness for first responders. Technology advancements have dramatically increased the number of options available for student safety. Only 31% of active shooter incidents last longer than five minutes, according to the Federal Bureau of Investigation. With such a small window to act, it is critical for first responders to be notified and dispatched quickly and for those at the scene to take immediate action. Seconds Saves lives.

This technology specifically complies with the State of Floridas newly passed bill SB 70 amending S.1006.07, F.S.; requiring each public school to implement a mobile panic alert system for specified purposes beginning in a specified school year.

Alert Systems in Public Schools;Citing this act as "Alyssas Law"; requiring each public school to implement a mobile panic alert system for specified purposes beginning in a specified school year; authorizing public school districts to implement additional strategies and systems for specified purposes; requiring the Department of Education to issue a competitive solicitation to contract for a mobile panic alert system

"Our first responders in the state of Florida require the best technology to make Floridians safer in their homes and in the community at large." saidJeff Marano, Vice President for Charters of the Florida Police Benevolent Association. Every single day emergency calls are made for medical, fire or general safety issues. The Skypath Security Panic Button Alert System and Mobile Defense Platform can instantaneously communicate with first responders and each other. It also has the ability to improve communication around non-emergency events, ensuring daily use and familiarity with the application. The result is improved safety and peace-of-mind. Mr. Marano concluded.

The Skypath Alert System (panic button) instantly notifies first responders while simultaneously immediately alerting on-site personnel of the emergency and opening up a communication channel between responders and others involved in the incident, said Amir Student, Skypath Security Vice President of Corporate Development It also allows our response teams to save precious minutes, which can be the difference between life and death. It enables us to better protect our community across the spectrum of ALL HAZARDS and is an invaluable integration into our core capabilities." Mr. Student concluded.

Skypath Security,is the leader in solutions that exemplify community safety and is working to offer cities, states and countries around the world to equip local authorities and first responders with FREE ACCESS to the tools they need to communicate with the public and protect front-line workers as they respond to every possible hazard.

If you are interested in learning more about Skypath Security OR would like to install the technology to protect your teachers, students or patrons please contact Skypath Security "Safety Ambassador" Gus Moyer at 401-351-7900 Ext 4911 (for 911)

About Skypath Security, Inc.Skypath Security is the leader in mobile intelligent and interactive threat assessment, threat awareness and threat safety which is linked directly to first responders has announced today the integration of a wearable device, key fob or SmartPhone Personal Alert System into its World Class, Award Winning Mobile Defense Platform. Skypath Security specializes in Certifying schools, retail stores, restaurants and all public buildings and spaces against threats with an interactive mobile defense platform linked directly to first responders and the development and commercialization of automated systems for control and tracking people, valuable assets through an online application that enables real-time information and live monitoring. Skypath Security Inc. is located at 1350 Division Rd Suite 303 West Warwick, RI 02893 and can be reached at 401-351-7900 or info@skypath.com and found on the web at http://www.skypath.com

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Skypath Security, Inc. Announces the Integration of a multi-functional Panic Button Alert System into its World Class Mobile Defense Platform - PR Web

Hospitals, health care facilities cry foul at exclusion from proposed COVID liability bill – The Nevada Independent

The planned introduction of a wide-ranging bill granting certain businesses enhanced immunity from COVID-19 related death or illness lawsuits has drawn the ire of officials from hospitals and other health care facilities, who say it unfairly opens them up to the threat of lawsuits.

Although a bill has not yet been formally introduced in the special session, a draft copy of its language obtained by The Nevada Independent indicates that the enhanced liability protections envisioned in the bill would be granted to casino resorts, government agencies, nonprofits and other kinds of business while explicitly carving out health care facilities. The bill is expected to be introduced in the Senate on Monday.

That exemption which includes hospitals, nursing homes, intermediate care facilities, hospice care, skilled nursing facilities and emergency medical care centers has drawn a sharp rebuke from the Nevada Hospital Association and other health care providers, who say it would prohibit them from transferring patients between facilities or prohibit visitors from coming to visit patients.

Nevada hospitals are the backbone of Nevada communities in the response to COVID-19 pandemic and should have the same protections as any other business as it relates to patient visitors, students, vendors and other guests, Nevada Hospital Association spokeswoman Amy Shogren said in an email. While we have only seen draft language at this point, we believe that by excluding certain health care providers, hospital capacity and ultimately access will be negatively impacted.

A spokeswoman for Dignity Health, which runs three acute-care hospitals in Southern Nevada, said the liability protection scheme created in the bill would also work for hospitals and deter those who will seek to exploit the pandemic for financial gain.

Hospitals are already held to the highest standards, following the stringent guidelines of the CDC, and if those rules are followed, there is no reason hospitals and their staff should be excluded from this protection, Dignity lobbyist Katie Ryan said in a message. Hospitals and our health care professionals have delivered when our state needed us most and we need the Legislature and governors office to do the same now.

As the Legislatures special session stretches into its fourth day and all other proposals outlined in Gov. Steve Sisolaks proclamation have been drafted and are moving through the legislative process, the last remaining puzzle piece for lawmakers remains the business liability and worker protection legislation.

The bill and behind-the-scenes negotiations have drawn in some of the states most powerful players: business groups including the Nevada Resort Association and various chambers of commerce, who have pushed for the bill; opposition from trial lawyers and progressive groups; and a push by the politically powerful Culinary Union to enshrine protections for resort casino employees into law.

But trial attorneys have largely played down the threat of a rush to the courthouse to file COVID-19 related litigation, saying that in many cases it would be difficult to prove where a person contracted the virus.

Matthew Sharp, a board member of trial attorney trade association Nevada Justice Association, said in an interview that the concerns listed by hospitals and other health care facilities were a veiled threat. He said that medical malpractice suits already require a higher burden of proof than whats in the under-consideration liability protection bill, and that concerns over liability generally didnt make sense as hospitals should be equipped to follow all necessary safety precautions.

Hospitals already have massive protections under the law that no other business gets, he said. So, if we believe in public safety, then hospitals should be willing to be held accountable as it exists under existing law. And this idea that they won't do that unless they're given immunity is, frankly, outrageous.

Data tracked by the law firm of Hunton Andrews Kurth shows that more than 3,900 lawsuits related to COVID-19 have been filed nationwide since the start of the year, but relatively few deal with personal injury or other employment law issues.

Per that tracker, nationwide there have been 74 lawsuits related to conditions of employment, such as lack of PPE, COVID-19 exposure at work or wrongful death.

Sharp also said that he believed the bill would include tighter language on whats called controlling health standards, which initially referred to businesses making a good faith effort to comply with state, federal and local health directives related to COVID-19.

Instead, he said the bill is expected to now only include mandatory health requirements issued by the state or federal government, which at this point only includes mask-wearing requirements and a prohibition on gatherings of more than 50 people.

If you're in the middle of a snowstorm, and you're driving 75 miles an hour, you're not violating any mandatory requirements, but you should not be driving 75 because you should be reasonably prudent to protect yourself and others from harm, he said. That's the problem with limiting it to mandatory.

But many businesses have said that litigation protection enshrined in law will help them get back to operations without the threat of pending litigation. Its a push that Senate Republicans in Congress have requested as part of another bailout deal, and, according to the National Law Review at least 12 other states have begun enacting similar liability shields related to the virus.

Other advocates of the bill have also publicly supported removing exclusion of hospitals and healthcare facilities. Mary Beth Sewald, the head of the Las Vegas Chamber of Commerce, said in a tweet on Sunday that she cant imagine the unintended consequences of excluding hospitals and healthcare facilities from limited liability protection.

The Vegas Chamber echoed her remarks in another tweet, writing on Sunday that without expanded liability for medical facilities, patient transfers from hospitals to lower levels of care, such as rehabilitation, skilled nursing, long term care & home care services, may not be possible.

On Sunday afternoon, the Clark County Education Association said in a press release that lawmakers should adopt legislation creating a rebuttable presumption that teachers who contract COVID-19 while working in-person at a school or place of employment shall be eligible for workers compensation.

The teachers union also requested that additional remedies in tort must be made available for school district employees who contract COVID-19 at a school site where the school did not implement reasonable safety and testing standards to prevent spread of the disease.

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Hospitals, health care facilities cry foul at exclusion from proposed COVID liability bill - The Nevada Independent

Overnight Health Care: Trump criticizes Birx over Pelosi, COVID-19 remarks: ‘Pathetic’ | Democratic leaders report ‘some progress’ in talks with White…

Welcome to Monday's Overnight Health Care.

President TrumpDonald John TrumpWhite House sued over lack of sign language interpreters at coronavirus briefings Wife blames Trump, lack of masks for husband's coronavirus death in obit: 'May Karma find you all' Trump authorizes reduced funding for National Guard coronavirus response through 2020 MORE attacked coronavirus task force coordinator Deborah Birx, and continued to hype hydroxychloroquine. Governors don't want the National Guard to leave the pandemic front lines, and the WHO is warning there won't be a miracle cure for coronavirus

We'll start with Trump drama:

Trump criticizes Birx over Pelosi, COVID-19 remarks: 'Pathetic'

President Trump on Monday publicly criticized Deborah Birx, the doctor who is coordinating the White Houses coronavirus response, suggesting she hurthim when she bluntly acknowledged that the pandemic is widespread across the United States.

Trump suggested Birx's warning was in response to criticismfrom Speaker Nancy PelosiNancy PelosiHillicon Valley: Trump backs potential Microsoft, TikTok deal, sets September deadline | House Republicans request classified TikTok briefing | Facebook labels manipulated Pelosi video Trump says he's considering executive action to suspend evictions, payroll tax Trump won't say if he disagrees with Birx that virus is widespread MORE (D-Calif.), who questioned Birxs credibility in responding to the pandemic. He appeared to call Birxs response to Pelosis criticism pathetic.

So Crazy Nancy Pelosi said horrible things about Dr. Deborah Birx, going after her because she was too positive on the very good job we are doing on combatting the China Virus, including Vaccines & Therapeutics, Trump tweeted. In order to counter Nancy, Deborah took the bait & hit us. Pathetic!

Why it matters: The tweet marks the latest instance of Trump undercutting one of his administrations top health officials in the middle of a pandemic, but it is the first time he has publicly criticized Birx. The tweet was even more jarring given White House officials had just spent the weekend praising Birx and defending her in the wake of Pelosis sniping.

Context: Pelosi said she doesnt have confidence in Birx because she is Trumps appointee. Birx said Sunday on CNN COVID-19 is extraordinarily widespread than it was in March and April. While Trump tried to tie Birx comments on the pandemic to Pelosis criticism, she has sounded the alarm on increases in cases across the country over the past several weeks.

Read more here.

Trump still hyping hydroxychloroquine

Trump continued to hype hydroxychloroquine to reporters on Monday, despite scientific evidence to the contrary and many of his administration's top health officials advising the public to move on because the drug does not work against COVID-19.

Hydroxy has tremendous support, but politically its toxic because I supported it, Trump told reporters at the White House. If I would have said, Do not use hydroxychloroquine under any circumstances, they would have come out and they would have said, Its a great, its a great thing.

When Trump was asked about the differing opinions of leading health experts, including Anthony FauciAnthony FauciWhite House sued over lack of sign language interpreters at coronavirus briefings Fauci warns of 'really bad situation' if daily coronavirus cases don't drop to 10K by September Overnight Health Care: Trump criticizes Birx over Pelosi, COVID-19 remarks: 'Pathetic' | Democratic leaders report 'some progress' in talks with White House | WHO chief: There may never be 'silver bullet' for coronavirus MORE, the nations top infectious-disease official, Trump doubled down.

I dont agree with Fauci on everything, Trump said

It's not just Fauci: White House coronavirus testing czar Adm. Brett Giroir said on "Meet the Press" Sunday that he can't recommend hydroxychloroquine to treat COVID-19, and said the public should "move on."

At this point in time, there's been five randomized-controlled, placebo-controlled trials that do not show any benefit to hydroxychloroquine, so at this point in time, we don't recommend that as a treatment, Giroir said.

Lessons: Trump almost hit upon an important lesson for politicians: let the scientists be scientists. When politicians wade into science and medicine, it muddies the whole process. Hydroxychloroquine would likely not have become such a political controversy if Trump had not been so fixated on it.

Related: Experts fear political pressure on COVID-19 vaccine

Democratic leaders report 'some progress' in talks with White House

Lawmakers are still struggling to come to an agreement on a coronavirus relief package, even after the enhanced unemployment benefits expired at the end of last week.

Democratic leaders announced slow progress with White House negotiators Monday after meeting for nearly two hours in SpeakerNancy Pelosis (D-Calif.) office on Capitol Hill.

At this rate, no deal is expected before the end of the week, even after millions of unemployed Americans saw the $600-a-week federal boost to state unemployment benefits expire last week.

Pelosi told reporters Monday that negotiators are still trying to map out possible common ground, while Senate Democratic LeaderCharles SchumerChuck SchumerMeadows: 'I'm not optimistic there will be a solution in the very near term' on coronavirus package Biden calls on Trump, Congress to enact an emergency housing program Senators press Postal Service over complaints of slow delivery MORE(D-N.Y.) said he thinks an agreement is still possible.

The Democratic relief proposal would increase the Supplemental Nutrition Assistance Programs maximum benefit by 15 percent. It would also provide a new 12-month moratorium on evictions for renters who do not pay.

The proposal from the White House and Senate GOP does not include an increase in food stamp benefits or an eviction moratorium, but it does provide $105 billion to help colleges and schools resume classes in the fall. More money in the proposal would go to schools that resume in-person classes.

Read more here.

Governors call for Trump to extend funding for National Guard coronavirus response

The National Governors Association (NGA) on Monday called on President Trump to extend federal funding for National Guard forces being used to respond to the coronavirus, warning that they need certainty on the issue.

The federal funding and benefits for the National Guard members helping states across the country operate testing sites, distribute food and medical supplies, and other tasks, is set to expire on Aug. 21.

Governors are warning that they have to start transitioning the forces to state control and funding well ahead of that deadline, though, disrupting planning for the coronavirus response.

While we appreciate the Administrations support over the past few months, short-term extensions and last-minute authorizations are adversely impacting and disrupting state plans and operations, the NGA, which represents governors in both parties, said in a press release on Monday.

The NGA called on Trump to extend the federal funding and benefits, known as Title 32 authority, without delay.

Read more here.

WHO chief: There may never be 'silver bullet' for coronavirus

The leader of the World Health Organization (WHO) warned Monday there may never be a "silver bullet" for defeating COVID-19.

"A number of vaccines are now in phase three clinical trials and we all hope to have a number of effective vaccines that can help prevent people from infection," WHO Director-General Tedros Adhanom Ghebreyesus said at a media briefing. "However, theres no silver bullet at the moment and there might never be."

He urged countries to continue testing, isolating and treating COVID-19 patients and tracing and quarantining their contacts as a means of stopping the pandemic.

Individuals should keep physical distance when in public, wear masks and regularly wash their hands, he added.

Why it matters: There are six potential COVID-19 vaccines in phase three trials the final phase that will determine whether a vaccine is safe and effective. Dr. Anthony Fauci, the nations top infectious disease expert, told Congress last week he is cautiously optimistic a vaccine will be approved by the end of the year given the favorability of existing data.

Read more here.

What were reading:How the pandemic defeated America (The Atlantic)

A coronavirus vaccine wont change the world right away (The Washington Post)

The biggest monster is spreading. And its not coronavirus. (The New York Times)

Fauci unfazed as scientists rely on unproven methods to create COVID vaccines (Kaiser Health News)

State by state:

Some people are COVID-19 test shopping for a negative result (Sun Sentinel)

On the first day of school, an Indiana student tests positive for coronavirus (The New York Times)

Thousands of Texans are getting rapid-result COVID tests. The state isnt counting them. (Houston Chronicle)

Op-eds in The Hill

Congress must act to preserve independent primary care practices

Generating legal cohesion across US responses to COVID-19

Trump's junk medicine puts his own supporters at deadly risk

Visit link:

Overnight Health Care: Trump criticizes Birx over Pelosi, COVID-19 remarks: 'Pathetic' | Democratic leaders report 'some progress' in talks with White...

Rep. Haley Stevens comes under attack on health care. We fact-checked the claim. – Detroit Free Press

Medicare for All is one of the most hotly debated topics in the 2020 election. But what is it? And how will it work? We explain. USA TODAY

This is onein a series of fact checks the Detroit Free Press is doing on public issues in conjunction with PolitiFact, a nonprofit national news organization. Suggest a fact-check here.

Republican Eric Esshaki, a former nurse, is vying to unseat incumbent Rep. Haley Stevens, D-Rochester Hills, in Michigan's 11th Congressional District, which she flipped from red to blue in 2018. In an ad, Esshaki attacks Stevens on health care, promising to stop her plan for socialized medicine.

Shed eliminate 100,000 doctors and nurses, the ad says.

Birmingham attorney Eric Esshaki is running in the Aug. 4, 2020 Republican primary to face U.S. Rep. Haley Stevens, D-Rochester Hills, in November's general election.(Photo: Taylor Hooper, Esshaki for Congress)

The evidence Esshaki's campaign cites comes from a report funded by a group lobbying against Medicare for All that makes problematic assumptions to support its analysis.

While some progressive Democrats are pushing for a single-payer system to replace private insurance, others are calling for a public option, a government-sponsored program that would be available alongside private plans through the Affordable Care Acts exchanges.

Stevens has publicly been on both sides of this divide, but her latest position is in favor of the public option.

At the time Esshakis campaign produced the ad, Stevens had already moved away from Medicare for All, campaigning instead on a public option. Although her stance on Medicare for All has shifted over time, she told PolitiFact Michigan she does not support Medicare for All.

Medicare for All would create a single, national health insurance plan supported by payroll taxes that would cover every American, mostly eliminating private health insurance.

Under public option proposals, by contrast, Americans would have the choice of a government health plan in addition to private insurance options.

Some critics argue this would inevitably lead to a single-payer national system if private insurers arent able to compete with the governments prices and quality.

But advocates of a public option have differing ideas of the role it would play in the health care system. Those who support a modest version envision the public plan as a kind of last resort for those who cannot find affordable private insurance, while others see it as a transitional step toward Medicare for All.

More: Michigan's August primary election is critical. Here's how to cast an informed vote.

More: FACT CHECK: Ad claiming congressional candidate supports forced vaccinations is false

Esshaki bases his claim that Stevens health care plan would eliminate 100,000 doctors and nurses on a report published this year by FTI Consulting, a global consulting firm with offices around the world, that projects a loss of nearly 45,000 physicians and 1.2 million nurses by 2050 under Medicare for All.

The report was funded by Partnership for Americas Health Care Future (PAHCF), a group of medical professionals, hospitals, health insurers and pharmaceutical companies lobbying against Medicare for All and public option proposals.

The report notes that countries where physicians are paid more have more physicians. The FTI analysis then assumes that Medicare payment rates would remain constant under Medicare for All, and looks at how a decline in incomes would affect the supply of physicians in the U.S.

But the relationship between physician salaries and physician supply is an association and not necessarily causal, warns Joelle Abramowitz, a University of Michigan economist. Meanwhile, the calculation assumes that all other components of Medicare as it is currently implemented for seniors will remain the same under Medicare for All, which is likely not the case, Abramowitz said.

Esshakis campaign shared another report with PolitiFact Michigan that found that a public option would eliminate the jobs of 420,000 health care employees. This report was also funded by PAHCF and assumes that a public option would reimburse health care providers at current Medicare rates. It does not specify how many doctors and nurses are included in this figure.

Robert Pollin, an economist at the Political Economy Research Institute of the University of Massachusetts-Amherst,told Kaiser Health News that Medicare for All would entail significant job losses. Every proponent of Medicare for All including myself has to recognize that the biggest source of cost-saving is layoffs, he said.

But experts predict most of the job losses under Medicare for All would be in the health insurance industry, such as insurance brokers, medical billing workers and other administrative roles. Some argue that Medicare for All, by decreasing the number of uninsured Americans, would increase demand for health care providers, including doctors, physician assistants and nurses.

During her 2018 campaign, Stevens advocated for Medicare for All. In a June 2018 tweet she wrote, Medicare for all. NOW. That same month, during a candidate forum, the former Obama administration official said, We absolutely need to propose legislation to provide Medicare for All.

U.S. Rep. Haley Stevens, D-Rochester Hills(Photo: Submitted, Haley Stevens)

This did not remain her position for long. A month before she won her seat, BuzzFeed reported Stevens supports a voluntary public option instead of Medicare for All. In a debate days before she was elected, Stevens said, I think that Medicare for All is a place where we can grow and go into, but for right now we need to focus on the cost of prescription drugs.

A Medium article written by a member of Michigan for Single Payer in early 2019 notedStevens has said in private that she supports a Medicare for All bill but has not done so publicly. Stevens has not co-sponsored Medicare for All bills introduced in the current Congress.

Back on the campaign trail, Stevens has said she supports a public option instead of Medicare for All. We need to work together to fix the Affordable Care Act (ACA), not dismantle it, her website reads.

When asked to clarify her stance on Medicare for All, Stevens told PolitiFact Michigan: I do not support Medicare for All. I believe we can expand and improve on the Affordable Care Act to achieve the goal I have spent my life fighting for: the right for every American to have health care.

Esshaki claims that 100,000 nurses and doctors would disappear under Stevens plan for socialized medicine.

The studies Esshakis campaign shared make problematic assumptions and were from a group lobbying against Medicare for All.

While Stevens has supported Medicare for All in the past, her current position is for a public option, and she told PolitiFact Michigan that she does not support Medicare for All.

The ad comes up short in offering a fair characterization of Stevens views and a credible assessment of the impact of her health care policies.

We rate its claims Mostly False.

The Free Press asked candidates up and down the ballot for their positions on a host of issues. Enter your address to see what the candidates on your Aug. 4 ballot had to say. Because the districts that these candidates run in can be very specific, you will only see an accurate ballot if you enter your full address. Your information, address and e-mail address if you enter one, will not be shared.

Clara Hendrickson fact-checks Michigan issues and politics as a corps member with Report for America, an initiative of The GroundTruth Project. Contact Clara at chendrickson@freepress.com or 313-296-5743 for comments or to suggest a fact-check.

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Rep. Haley Stevens comes under attack on health care. We fact-checked the claim. - Detroit Free Press

Wareham Healthcare sent termination notice by MassHealth – Wareham Week

Wareham Healthcare, the nursing home at 50 Indian Neck Road, was identified today by MassHealth as having failed to meet the standards and requirements set by the state during the pandemic and a historic record of poor performance.

The facility has been sent a termination notice, which is the first step in eliminating it from the MassHealth program -- which could lead to the facilitys closure. MassHealth is the name for Medicaid and the Childrens Health and Insurance Program in Massachusetts.

As of June 29, the facility had between one and ten coronavirus cases and zero deaths.

The facility, which was listed as being chronically low-occupancy and low quality by the Nursing Facility Task Force in January 2020, was only 59 percent occupied as of April 1, 2019. And 81 percent of the occupants were there through MassHealth.

In 2017 and 2019, the facility was ranked at one star out of a possible five by Medicare, which bases its ratings on health inspections, staffing, and quality of resident care measures.

MassHealth stated that Wareham Healthcare has demonstrated poor adherence to the most basic infection control practices, including a failure to properly use personal protective equipment and properly group patients who had tested positive for coronavirus. MassHealth also cited inadequate staffing ratios.

MassHealth said that the facility had poor coronavirus testing and reporting, inadequate staffing, and that it communicated poorly with the state and refused infection control assistance from the state.

Wareham Healthcare, along with the other facilities named -- Town and Country in Lowell and Hermitage Healthcare in Worcester -- will have the opportunity to dispute MassHealths findings.

MassHealth members and families can contact MassHealth with any questions by calling 800-841-2900, then pressing option 3 and then option 2.

MassHealth will help members wishing to transfer out of the facility during and after the termination process. Wareham Healthcare may also face an admissions freeze or other enforcement actions.

Officials at Wareham Healthcare, or its parent company Next Step Healthcare, could not immediately be reached for comment.

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Wareham Healthcare sent termination notice by MassHealth - Wareham Week

An automated health care system that understands when to step in – MIT News

In recent years, entire industries have popped up that rely on the delicate interplay between human workers and automated software. Companies like Facebook work to keep hateful and violent content off their platforms usinga combination of automated filtering and human moderators. In the medical field, researchers at MIT and elsewhere have used machine learning to help radiologistsbetter detect different forms of cancer.

What can be tricky about these hybrid approaches is understanding when to rely on the expertise of people versus programs. This isnt always merely a question of who does a task better; indeed, if a person has limited bandwidth, the system may have to be trained to minimize how often it asks for help.

To tackle this complex issue, researchers from MITs Computer Science and Artificial Intelligence Lab (CSAIL) have developed a machine learning system that can either make a prediction about a task, or defer the decision to an expert. Most importantly, it can adapt when and how often it defers to its human collaborator, based on factors such as its teammates availability and level of experience.

The team trained the system on multiple tasks, including looking at chest X-rays to diagnose specific conditions such as atelectasis (lung collapse) and cardiomegaly (an enlarged heart). In the case of cardiomegaly, they found that their human-AI hybrid model performed 8 percent better than either could on their own (based on AU-ROC scores).

In medical environments where doctors dont have many extra cycles, its not the best use of their time to have them look at every single data point from a given patients file, says PhD student Hussein Mozannar, lead author with David Sontag, the Von Helmholtz Associate Professor of Medical Engineering in the Department of Electrical Engineering and Computer Science, of a new paper about the system that was recently presented at the International Conference of Machine Learning. In that sort of scenario, its important for the system to be especially sensitive to their time and only ask for their help when absolutely necessary.

The system has two parts: a classifier that can predict a certain subset of tasks, and a rejector that decides whether a given task should be handled by either its own classifier or the human expert.

Through experiments on tasks in medical diagnosis and text/image classification, the team showed that their approach not only achieves better accuracy than baselines, but does so with a lower computational cost and with far fewer training data samples.

Our algorithms allow you to optimize for whatever choice you want, whether thats the specific prediction accuracy or the cost of the experts time and effort, says Sontag, who is also a member of MITs Institute for Medical Engineering and Science. Moreover, by interpreting the learned rejector, the system provides insights into how experts make decisions, and in which settings AI may be more appropriate, or vice-versa.

The systems particular ability to help detect offensive text and images could also have interesting implications for content moderation. Mozanner suggests that it could be used at companies like Facebook in conjunction with a team of human moderators. (He is hopeful that such systems could minimize the amount of hateful or traumatic posts that human moderators have to review every day.)

Sontag clarified that the team has not yet tested the system with human experts, but instead developed a series of synthetic experts so that they could tweak parameters such as experience and availability. In order to work with a new expert its never seen before, the system would need some minimal onboarding to get trained on the persons particular strengths and weaknesses.

In future work, the team plans to test their approach with real human experts, such as radiologists for X-ray diagnosis. They will also explore how to develop systems that can learn from biased expert data, as well as systems that can work with and defer to several experts at once.For example, Sontag imagines a hospital scenario where the system could collaborate with different radiologists who are more experienced with different patient populations.

There are many obstacles that understandably prohibit full automation in clinical settings, including issues of trust and accountability, says Sontag. We hope that our method will inspire machine learning practitioners to get more creative in integrating real-time human expertise into their algorithms.

Mozanner is affiliated with both CSAIL and the MIT Institute for Data, Systems and Society (IDSS). The teams work was supported, in part, by the National Science Foundation.

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An automated health care system that understands when to step in - MIT News

Sixteen individuals at the Princeton Health Care Center hospitalized overnight due to COVID-19 – Bluefield Daily Telegraph

By CHARLES OWENS

Bluefield Daily Telegraph

PRINCETON Sixteenindividuals at the Princeton Health Care Center were hospitalized Sunday night as a result of COVID-19, Bill Crouch, cabinet secretary of the West Virginia Department of Health and Human Resources, said Monday.

Overnight there were 16 individuals who were hospitalized at Princeton, Crouch, who spoke during Gov. Jim Justices daily COVID-19 briefing, said. So we have some real concerns. We have been in constant contact with the administration down there, with the CEO.

Crouch said the state is currently attempting to confirm if there have been additional deaths in Mercer County.

We have had three reported deaths, Crouch said of Mercer County. As some of you are aware, the Mercer County Health Department is in disarray. We have been in contact with them over the weekend and Dr. Ayne Amjad (the state health officer and commissioner of DHHRs Bureau for Public Health) has made herself available to provide any assistance that may be needed in Mercer County. We have three reported deaths, but again those deaths are reported through the local health department. We are trying to confirm additional deaths through the health department.

Justice, who spoke earlier, described the Princeton nursing home outbreak as one of three super hot spots in the state for COVID-19.

Another 19 individuals at the Princeton Health Care Center have tested positive for COVID-19, the center said in statement released online.

The latest statement released by the health care center indicated the number of residents and staff members who have tested positive for the virus is now 66.

Thats up from 47 cases on Friday.

State officials have confirmed that two of the three COVID-19 deaths in Mercer County have involved residents of the nursing home.

All current confirmed/suspected residents are being isolated to specific COVID-19 designated care areas, the statement said. Confirmed resident cases are being placed in a separate area and are being cared for by designated/dedicated staff members.

The statement added that the health care center is treating residents with Zinc, Vitamin C, fever reduction medications, as well as medications to help prevent potential blood clots, when indicated.

The statement further adds that West Virginia Department of Health and Human Resources Cabinet Secretary Bill Crouch has been in contact with the health center and has asked that testing from the health center be given priority at the state lab to achieve faster test results.

The statement goes on to say, The list of COVID like symptoms includes but is not limited to; fever, body aches, runny nose, cough, sore throat, pink eye, nausea, vomiting or diarrhea, weakness, loss of taste, loss of smell and in severe cases respiratory distress. Some never display symptoms at all.

Also Monday, the Virginia Department of Health reported six new COVID-19 cases in Tazewell County along with another hospitalization. That brings the cumulative total of virus cases in Tazewell County to date to 98 with six hospitalizations.

All six of those hospitalizations have occurred in recent weeks.

Contact Charles Owens at cowens@bdtonline.com

We are making critical coverage of the coronavirus available for free. Please consider subscribing so we can continue to bring you the latest news and information on this developing story.

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Sixteen individuals at the Princeton Health Care Center hospitalized overnight due to COVID-19 - Bluefield Daily Telegraph

Healthcare workers from 59 counties send Gov. Kemp a letter. Here’s what it said – 11Alive.com WXIA

The workers who signed the letter represent 59 counties in the state.

ATLANTA On Friday, a total of 2,169 Georgia healthcare workers sent a letter to Gov. Brian Kemp, copied to public health commissioner Dr. Kathleen Toomey, strongly recommending that he adjust his COVID-19 strategy.

The healthcare workers are employed in 59 counties across the state and include more than 1,200 physicians, 450 nurses, nurse practitioners, physician assistants, as well as other front-line healthcare workers, including pharmacists, social workers, psychologists, respiratory therapists, occupational therapists, physical therapists, laboratory technicians, and many others.

Our letter reiterates that basic public health interventions work, but they need to be forcefully implemented at the state level to be effective, Dr. Carlos del Rio, an infectious diseases physician and Executive Associate Dean for Emory at Grady.

11Alive News has reached out to the governor's office for a response to the letter.

Here is a copy that was provided to 11Alive:

Georgia is setting records for new COVID-19 diagnoses and current hospitalizations, and deaths areclimbing. Georgia healthcare workers are increasingly concerned about the direction of the pandemic inour state. Earlier this month, over 1400 of us wrote you to express our concerns, and today over 2,150of us write to ask again that you revisit your strategy for combatting the virus.

We appreciate that managing the state of Georgia is an enormous task and that you are trying tobalance controlling the virus against damage to the economy and the livelihoods of workers. We shareyour concerns, as economic well being directly impacts the health of our patients. We firmly believe thatif policy decisions are made based on science, economic benefits will follow. Likewise, this pandemicbegan with a new virus about which we knew very little, and we understand that keeping policies in linewith the rapid accumulation of scientific knowledge continues to be a challenge. Now is the time toupdate policies to align with current science.

Although our current strategy is falling short, the good news is that there are concrete steps that youcan take to dramatically curtail the surge without completely shutting down the state. Your actions inApril were effective in flattening the curve of cases and preserving our fragile hospital infrastructure.The recent surge of cases associated with decreased social distancing is placing our hospitals at riskagain, and aggressive actions are urgently needed.

Here are the troubling facts we now must confront.

We reached a new peak of 4,813 COVID-19 cases on July 24, and a peak 7-day average of 3,745on July 24. Prior to your shelter in place order on April 3, the highest number of cases reportedper day was 1,085 on March 31. Also, compared to March-April when most cases were in fewcounties, now cases are occurring in urban, suburban, and rural Georgia.

Our current hospitalizations have increased substantially since June 13, reaching a new record of3,200 on July 30 and more than 3,000 patients hospitalized with COVID-19 every day since July19. Hospitals are increasingly on total or ICU/CCU diversion across the state.

Our ICU capacity statewide is strained, with only 12-16% of beds available statewide, and half ofhospital regions having 15 or fewer ICU beds available on July 20.

Deaths also are moving upward, with 82 reported on 7/24, the second highest daily report ever.We know that deaths lag behind cases and hospitalizations by weeks, and that a strainedhospital system also will increase deaths.

Our percent positivity for tests has risen as high as 17.1% on July 23, when the ideal is below 5%and a level above 10% raises a red flag. This increasing positivity rate underscores that newcases are a result of worsening community transmission, not simply more testing and that casesare being missed and their contacts never traced.

Due to the sheer size of the outbreak encompassing multiple states, our testing infrastructure isstrained and wait time has increased substantially with many individuals reporting that it takesup to two weeks to receive results, effectively eliminating the benefit of contact tracing.

According to the July 14 White House Coronavirus Task Force report that is provided to Governorsweekly, Georgia is now in the Red Zone of states for which more stringent steps are recommended.Disease trends are moving in the wrong direction in Georgia, according to the Task Force. Georgiaqualifies for Red Zone status by having over 100 cases per 100,000 population as well as test positivityabove 10%. The Task Force made the following recommendations for Georgia:

1. Mandate statewide wearing of cloth face coverings outside the home.2. Allow local jurisdictions to implement more restrictive measures.3. In all counties with 7-day average test positivity > 10%, close bars & gyms, require strictsocial distancing within restaurants, limit gatherings to 10 or fewer persons.

In addition, the Task Force recommends specific actions aimed at increasing testing access, decreasingturn around time for tests, intensifying contact tracing, protecting seniors in long-term care facilities,and improving public health messaging about risk of serious disease in all age groups.

We endorse the Task Force recommendations, with modifications, as they mirror those we made inour letter of July 2. We have added some additional caveats to the recommendations cited above, andwe have added some additional recommendations. Our current recommendations and rationale are asfollows:

We recommend a temporary statewide face covering requirement outside the home, and foroutdoor situations in which social distancing of at least 6 feet cannot be maintained.

Governors of 30 states, including those of Texas, Alabama, Arkansas, Ohio, and Indiana, haveimplemented face covering mandates. We applaud you for wearing a mask whenever you are inpublic and for encouraging the use of masks by the public. Unfortunately, this has not beenenough to achieve widespread mask usage in Georgia. CDC recently published an articleentitled, Universal Masking to Prevent SARS-CoV-2 TransmissionThe Time Is Now,emphasizing the importance of universal masking to control the pandemic.1 Evidence shows thatface coverings are effective in preventing virus spread and that mandates are substantially moreeffective than recommendations in decreasing transmission. Projections estimate that newcases would decrease by as much as 40,000 if 95% of Americans wore masks until November 1.A recent survey by the Medical Association of Georgia found that 87% of 1300 physicianscompleting the survey said they believed Georgians/visitors should be required to wear a facemask or covering. Furthermore, CDC Director Dr. Redfield said recently that if everyone wore aface mask we could control this epidemic in 4 8 weeks. Why not mandate face coverings inGeorgia for an 8 week period?

We recommend that you close bars and nightclubs, and prohibit indoor dining as well asgatherings of more than 10 people, including at houses of worship. While we understand yourreluctance to shut down the state due to economic repercussions, the repercussions of notcontrolling the virus will take a heavy toll on our economy, as well as our health. Maintainingphysical distance is nearly impossible in bars and nightclubs which are ripe settings for viralsuper-spreading, especially among younger persons in whom the surge of cases is nowconcentrated. The risks of dining indoors have been well documented, as people cannot bemasked while eating. Numerous outbreaks across the country including in Georgia - havebeen associated with indoor worship services.

We recommend that you empower elected officials around the state to institute morestringent requirements as appropriate for their jurisdictions. As you have pointed out, thepandemic affects different areas of the state differently. There now are local epidemics all overGeorgia, each with different characteristics. Local control of local epidemics is essential, and

We recommend that you greatly expand testing and contact tracing in the state. Lines fortesting are so long that working people cannot devote the hours needed to stand in them.Appointments are booked for days ahead in many locations. In some rural counties, people arebeing referred to sites that are hours away. Turn around time for test results is sometimes overtwo weeks, eliminating the benefit of contact tracing. It is time to consult with local experts onmechanisms for expanding the capacity of academic and hospital labs around the state, and tocollaborate with academic, hospital, and public health labs that have capacity out of state.Testing sites must be rapidly expanded throughout the state, and contact tracing must beexpanded in collaboration with local communities and reported with transparency, as is done bystates such as Oregon.

Finally, we strongly recommend that you take action to eliminate Georgias racial and ethnicdisparities in COVID-19 cases, hospitalizations, and deaths. Resources must be targeted tomost impacted communities, specifically African-American and Hispanic/Latinx communities.Data must be appropriately collected in order to understand our local epidemics. As of today,Georgias most impacted racial group is unknown, and this is unacceptable. While weunderstand the complexities of collecting data on race and ethnicity through large commerciallaboratories, the state must mandate and enforce the collection of these data, and make thedata public.

We also invite you to visit one of the many hospitals currently caring for patients with COVID-19, and weare happy to arrange such a visit. By acting decisively now, you can save thousands of lives and avoidillness for hundreds of thousands of Georgians. Your actions will have immediate impact, although itmay take weeks to see cases decrease substantially. As cases decrease, the strain on testing, contacttracing, and PPE availability also will lessen, improving the efficiency of all of our systems. Decreasedcases will lead to improved economic outcomes and allow us to more safely open schools in the Fall.

Thank you for your thoughtful consideration of this urgent matter.

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Healthcare workers from 59 counties send Gov. Kemp a letter. Here's what it said - 11Alive.com WXIA

This is health care moonshot time: Pandemic pulls Biden, Dems further left – POLITICO

The clock is ticking on Joe Biden's decision for a running mate. POLITICO's Laura Barrn-Lpez breaks down why Stacey Abrams, Susan Rice and Gretchen Whitmer are under consideration to be Biden's No. 2.

The pandemic has been an emperor has no clothes moment when it comes to insurance companies, said Josh Orton, a Sanders delegate and member of the platform drafting committee who voted to approve the platform earlier this month. When everyone is getting thrown off of work, it becomes obvious why having your insurance connected to your employer is bonkers.

Biden has maintained his opposition to Medicare for All from the primaries and criticized the plan as too costly and unrealistic at a news conference Tuesday. And the Democratic National Committees platform committee on Monday all but ruled out formally endorsing the system in the partys 2020 plank in a lopsided 36-125 vote. The challenge for Biden will be to continue the work of a unity task force he set up with Sanders while pursuing incremental but decidedly progressive policies like auto-enrolling low-income people in the public option.

Theres no question that the pandemic has peeled back the cover on some real flaws in the American health system and made them much more stark, and it increases momentum towards a universal health care plan, said Kathleen Sebelius, the former secretary of Health and Human Services now advising the Biden campaign.

Bidens positions mark a noticeable shift from before the pandemic, when the discussion was centered more on containing health costs than expanding coverage. President Donald Trumps budgets, for example, proposed cutting billions of dollars from Medicare, despite his campaign pledge to leave the program alone. Bidens policies are also notably more ambitious than the Democrat-controlled House, where there has not been a vote on the public option, much less Medicare for All.

This is health care moonshot time, said Irwin Redlener, the founding director of the National Center for Disaster Preparedness at Columbia University who served on the Biden campaigns public health task force earlier this year. My sense is that were not going to see a moderate, watered down, gradual series of changes. I expect a huge plan that would forever change how Americans get health care.

Still, some inside and outside the campaign would like to see bolder proposals that edge closer to a single-payer health system, believing the countrys grim circumstances will make the public more receptive to progressive ideas than some politicians believe.

Theres been a shift toward more receptivity to bigger solutions to both of our biggest problems: coverage and affordability, said Ezekiel Emanuel, the chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania and a member of Bidens public health advisory committee. But peoples thinking hasnt caught up with the dire situation were in.

The pandemic accelerated an overdue discussion about the precarious nature of a health care system centered on private coverage tied to work and the need for more government intervention, according to more than a dozen Biden health care advisers, task force members and DNC platform committee members who spoke to Politico.

Its even more clear at a time when a lot of people have lost employer-based coverage and are struggling to get by, said former Surgeon General Vivek Murthy, a leading advisor to Biden.

The unity task force this month recommended several proposals that tack even further to the left. In addition to the beefed-up public option and Medicare at 60, the group called for free Covid-19 testing and treatment, bumping up the federal match for states that expand Medicaid, widening Medicare benefits to include dental, vision and hearing coverage, implementing direct government negotiation of drug prices and allowing undocumented immigrants to buy unsubsidized Obamacare coverage.

We didnt get everything we want. We didnt turn Biden into Bernie Sanders, but we were able to make enormous progress, said Rep. Pramila Jayapal (D-Wash.), lead author of the Houses Medicare for All bill.

But while sentiment among the Democratic voter base may have moved left, the actual delegates and party establishment are more centrist than in 2016 because Sanders performed far worse in the primaries.

Chris Jennings, an Obama White House policy adviser on health care and one of Bidens picks for the task force, said Bidens victory in the primaries showed that Democrats and the general public alike prefer the public option over single-payer health care a view backed up by polling.

In our primary, we had a debate around two bold visions, and one won over the other, he said. But relative to current law, theyre both very bold.

Sarah Bianchi, a top economic and domestic policy aide to Biden when he was vice president, told Politico that Bidens health platform will look even bolder in the general election when compared with Trump and his legislative and legal efforts to kill the Affordable Care Act.

The difference is that we used to compare it to Medicare for All, so people said, Its so moderate! So incremental! she said. Now Im sure well hear about it from the other side that its a slippery slope and its socialism.

The Trump campaign has already sought to paint Biden as a puppet of the left, and the health care industry throughout the primary ran ads slamming the public option as the first step on the path toward single-payer health care.

Bidens campaign acknowledges that even its centrist proposals would be difficult to pass through Congress but is trying to use opposition from moneyed interests to boost its progressive bona fides.

The vice president is very aware that there are pieces of his agenda that certain interests may be opposed to, maybe because it cuts into their profit margins, Murthy said. Hes clear on the fact that its going to require fights, in some cases, and hes prepared to do that. He is not deterred by political pressure or industry opposition.

Arielle Kane, health care director at the Progressive Policy Institute who crafted health policy for Michael Bloombergs campaign and has given advice to the Biden campaign, applauds this new, more aggressive rhetoric.

My critique of Biden [during the primary] was that he was mainly focused on upholding what Obama did instead of moving the needle, she said. But my sense is, that has changed. The combination of a public health crisis, him having secured the nomination and Bernies influence I feel theyre now receptive to hearing really progressive ideas and know that just defending and building on the ACA is not going to meet the moment.

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This is health care moonshot time: Pandemic pulls Biden, Dems further left - POLITICO

New Bill Lowers The Cost Of Healthcare For Some New Jerseyans – Long Valley, NJ Patch

NEW JERSEY - Governor Phil Murphy signed legislation Friday that will increase affordability and expand access to health care, according to officials.

The bill creates state-level subsidies to lower the cost of health insurance for residents purchasing coverage on the Marketplace this fall and restores a provision in the Affordable Care Act.

"As the federal government continues to attack critical provisions of the Affordable Care Act, our Administration remains committed to lowering the cost of coverage, expanding access to care, and improving health equity for our most vulnerable," said Murphy. "This action could not come at a more critical juncture, and will directly benefit our uninsured and underinsured populations at a time when many New Jerseyans have lost health coverage as a result of the COVID-19 pandemic."

The legislation establishes the New Jersey Health Insurer Assessment (HIA), which is a continuation of a federal assessment on health insurance companies that will sunset at the end of the year. Key notes:

"This law builds on the work we are doing to improve access to health insurance and allow more New Jerseyans to obtain affordable quality health coverage," said Department of Banking and Insurance Commissioner Marlene Caride. "These are funds that are going to be used exclusively to make health insurance more affordable. Now when the state launches its own Marketplace in the fall, we will be able to offer more financial help to our residents to improve affordability for those already covered on the Marketplace and families newly enrolling in health insurance."

The subsidy program will be available to New Jerseyans with annual income up to 400 percent of the Federal Poverty Level, which allows an individual earning up to $51,040, and a family of four earning up to $104,800, to qualify for the subsidy program. The estimated average subsidy for an individual would be at least $564 a year, and at least $2,256 a year for a family of four. Actual subsidy amounts will be based on an actuarial simulation study being conducted by the Department of Banking and Insurance in order to maximize the benefit for New Jerseyans.

The law sets the state HIA rate at 2.5 percent of net written premiums and applies it to certain fully insured health insurance markets. The assessment is expected to bring in more than $200 million in revenue starting in calendar year 2021.

"I cannot think of a more important time to help New Jersey residents and families afford coverage and access critical health care services and treatments," said Shabnam Salih, Director of the Office of Health Care Affordability and Transparency. "I want to thank Governor Murphy and Commissioner Caride for their steadfast leadership and our legislative leaders for their continued partnership and commitment to putting health care access for New Jerseyans first."

Under the law, this revenue can only be used to increase affordability in the individual market and providing greater access to the uninsured through a number of means including subsidies, reinsurance, and other efforts. An estimated $77 million will be dedicated to the reinsurance program to address high cost claims and lower premium costs in the individual market.

"This bill will help to ensure that people are able to afford health insurance during this critical time when a global disease is not only threatening their health, but their financial security in unimaginable ways," said Senator Joe Vitale, Chair of the Senate Health, Human Services and Senior Citizens Committee. "Of the many fissures exposed by COVID-19, the deficiencies in a system that relies on employer-based coverage is one that can't be ignored. These subsidies could not come at a more critical time, in the midst of a pandemic, when health insurance is more vital than ever."

In a joint statement, Brandon McKoy, President of New Jersey Policy Perspective, Elise Boddie, of the The Inclusion Project, Rev. Dr. Charles Boyer, Director of Salvation and Social Justice, Rev. Eric Dobson, Deputy Director of the Fair Share Housing Center Jerome Harris, Managing Director of The Harris Organization, Richard T. Smith, President of NAACP New Jersey State Conference, who are members of United Black Agenda, said:

"With a state-level health insurance assessment in place, New Jersey can get to work dismantling the barriers to care faced by Black residents in every corner of the state. For far too long, Black New Jerseyans have been disproportionately represented among the state's uninsured. This is a troubling manifestation of white supremacy and the nation's legacy of slavery. We thank Governor Murphy, Senator (Joe) Vitale, and Assemblyman (John) McKeon for their leadership on this critical measure to expand health coverage and reduce disparities in the health care system."

Murphy's Administration has taken numerous actions to improve access to health coverage, including the creation of a reinsurance program, instituting the shared responsibility requirement, and establishing a State-Based Exchange, among others. These actions have lowered insurance rates in the individual market, and attempted to set the foundation for improved health care outcomes in New Jersey.

"As the Trump administration has worked to dismantle the ACA, in New Jersey we moved to mirror what was available to people at the federal level, largely implementing it within our own state-based exchange," said Assemblyman John McKeon. "By replacing what stood at the federal level, this legislation simply serves as a state level continuation of a soon-to-expire assessment that insurers were already paying. This will allow us to more appropriately and significantly enhance the individual market in New Jersey and provide subsidies to keep rates down so insurance is more affordable for our families and individuals. Ultimately, this bill is a critical piece in our plan to safeguard access to affordable healthcare so that every New Jersey resident is insured."

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Global Veterinary Healthcare market is expected to reach $66.95 billion by 2027 – PRNewswire

GAITHERSBURG, Md., Aug. 3, 2020 /PRNewswire/ -- According to Stratistics MRC, the Global Veterinary Healthcare Market is accounted for $31.46 billion in 2019 and is expected to reach $66.95 billion by 2027 growing at a CAGR of 9.9% during the forecast period.

Some of the key players profiled in the Veterinary Healthcare Market include Bayer Healthcare, Boehringer Ingelheim International GmbH, Cargill Inc, Ceva Animal Health Inc, Elanco Animal Health, Eli Lilly and Company, IDVet, Koninklijke DSM N.V, Merck Ltd, MSD animal health, Novartis International AG, Nutreco N.V., Phibro Animal Health, Sanofi-Aventis, SeQuent Scientific Ltd and Zoetis Animal Healthcare.

Rise in the concern towards animal healthcare and advanced technology leading to innovations in animal healthcare are the major factors driving the market growth. However, rising regulation on antibiotics and increasing cost regulation related to animal testing are restraining the market growth. Increasing investment in veterinary hospitals to ensure quality service may provide ample opportunities for the market growth.

Request for sample here: https://www.strategymrc.com/report/veterinary-healthcare-market/request-sample

Veterinary medicine can be defined as the science associated with the diagnosis, treatment, and prevention of diseases in animals. The scope of Veterinary medicine is broad covering various animal species both domestic and wild. The increasing importance of the production of livestock animals is generating growth in the animal healthcare market. Ever-increasing population, a stable economy is expected to result in increased demand for protein-rich foods, especially in the developing countries.

Based on animal type, the companion animals segment is likely to have a huge demand due to rising pet ownership along with increased consumer awareness of health issues affecting pets in the developed countries. As indicated by the American Pet Products Association, 68% of U.S. households have a pet. Vaccines for pets provide immunity against diseases, providing a protective barrier for humans from contacting diseases from their animals who are more likely to come into contact with wildlife. New product development acts as a key strategy for the key players.

Access the complete report at: https://www.strategymrc.com/report/veterinary-healthcare-market

By geography, North America is going to have a lucrative growth during the forecast period. Veterinary healthcare is an integral part of the US economy. It is among the most innovative industries in the United States. Mexico and Canada are among the largest export markets for meat and dairy products for the United States, each year. Apart from the economic benefits, the social benefits of the animals are far-reaching and highly recognized by several communities. Thus, with several factors aiding to develop a better environment, the North American region plays a vital role in the growth of the market.

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What our report offers:

- Market share assessments for the regional and country-level segments

- Market share analysis of the top industry players

- Strategic recommendations for the new entrants

- Market forecasts for a minimum of 9 years of all the mentioned segments, sub-segments, and the regional markets

- Market Trends (Drivers, Constraints, Opportunities, Threats, Challenges, Investment Opportunities, and recommendations)

- Strategic recommendations in key business segments based on the market estimations

- Competitive landscaping mapping the key common trends

- Company profiling with detailed strategies, financials, and recent developments

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We offer a wide spectrum of research and consulting services with in-depth knowledge of different industries. We are known for customized research services, consulting services, and Full-Time Equivalent (FTE) services in the research world. We explore market trends and draw our insights with valid assessments and analytical views. We use advanced techniques and tools among the quantitative and qualitative methodologies to identify the market trends.

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Global Veterinary Healthcare market is expected to reach $66.95 billion by 2027 - PRNewswire

Proposed legislation would secure two weeks of sick leave for health care, service industry workers – ABC27

HARRISBURG, Pa. (WHTM) A new bill aims to give two weeks of paid sick leave to full-time and part-time essential workers. It would apply to those who work in health care and service industries, some of which arent covered by the federal Families First Coronavirus Response Act.

This week, Rep. Tom Mehaffie introduced House Bill 2777. Hes calling on his fellow lawmakers to take quick action on it.

Paid sick leave helps workers take care of their own health and protect customers, clients and coworkers from the potential spread of COVID-19, said Mehaffie. It is important to ensure our essential employees can continue to serve our communities, particularly the elderly, in a safe manner.

This legislation comes as coronavirus cases continue to rise, and many workers are forced to choose between losing a paycheck and going to work while sick.

Advocates say while that federal legislation definitely helped, more than 3 million workers in Pennsylvania could be left out as a result of the laws exemptions.

On top of that, the Philadelphia Inquirer reports a quarter of Pennsylvanias essential workers make less than $30,000 a year, and two-thirds make less than PAs household median income of $60,000, making those two weeks of paid sick leave essential for families to stay afloat.

Groups like SEUI Healthcare Pennsylvania have been pushing for this legislative change for months.

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Proposed legislation would secure two weeks of sick leave for health care, service industry workers - ABC27

Kindred Healthcare and Dignity Health Announce Plans for Second Inpatient Rehabilitation Hospital in the Phoenix Area – Business Wire

LOUISVILLE, Ky. & PHOENIX--(BUSINESS WIRE)--Kindred Healthcare, LLC (Kindred) and Dignity Health today announced a joint venture to build and operate their second inpatient rehabilitation hospital in the Phoenix market.

Kindred and Dignity Community Care opened Dignity Health East Valley Rehabilitation Hospital in Chandler, Arizona, in 2016. To serve the growing need for inpatient rehabilitation services in Phoenix, Kindred and Dignity determined that developing a second hospital would address increasing demand for these services.

This new 40-bed inpatient rehabilitation hospital will be located in Gilbert, Arizona, in Maricopa Countys growing East Valley. The 50,000-square-foot, two-story rehabilitation facility will have all private rooms and focus on acute rehabilitation for patients who suffer from stroke, traumatic brain injury, spinal cord injury, complex neurological disorders, orthopedic conditions, multiple trauma, amputation and other injuries or disorders. Large multidisciplinary therapy gymnasiums will be outfitted with the latest therapeutic technologies, including augmented reality balance training, therapy bionics and a full body exoskeleton. The hospital will also include a therapeutic courtyard with exterior amenities, such as a golf chipping range, pickle ball and cornhole.

We are excited to grow our relationship with Dignity Health one of the nations leading health care providers to offer the Phoenix community increased access to high-quality inpatient rehabilitation services, said Russ Bailey, Chief Operating Officer of Kindred Rehabilitation Hospitals. As with Dignity Health East Valley Rehabilitation Hospital, this new hospital will be dedicated to passionately advocating for and providing hope, healing and recovery to patients in its care.

Dignity Health East Valley Rehabilitation Hospital has provided high-quality and compassionate rehabilitative care, exceeding the national benchmark for patients discharged to their home or community, said Sharon Smeltzer, Division Vice President West, Kindred Hospital Rehabilitation Services. The communitys response has demonstrated the need for additional rehabilitation services in the Phoenix area, and we are eager to meet that need.

We are delighted to partner with Kindred to provide services that help patients function as independently as possible while safely returning to the activities they love, said Linda Hunt, Dignity Health Arizona Division President. Dignity Health continues to address the growing health care needs of our East Valley and the Gilbert community.

Kindred expects the hospital to open by the fourth quarter of calendar year 2021, subject to several regulatory and other approvals.

About Kindred Healthcare

Kindred Healthcare, LLC is a healthcare services company based in Louisville, Kentucky with annual revenues of approximately $3.2 billion(1). At March 31, 2020, Kindred through its subsidiaries had approximately 31,800 employees providing healthcare services in 1,731 locations in 46 states, including 64 long-term acute care hospitals, 21 inpatient rehabilitation hospitals, 10 sub-acute units, 95 inpatient rehabilitation units (hospital-based), contract rehabilitation service businesses which served 1,541 non-affiliated sites of service, and behavioral health services. Ranked as one of Fortune magazines Most Admired Healthcare Companies for nine years, Kindreds mission is to help our patients reach their highest potential for health and healing with intensive medical and rehabilitative care through a compassionate patient experience. For more information, go to http://www.kindredhealthcare.com. You can also follow us on Facebook, LinkedIn, and Twitter.

(1) Revenues for the last twelve months ended March 31, 2020

About Dignity Health in Arizona

Dignity Health in Arizona includes six acute care hospitals: Chandler Regional Medical Center, Mercy Gilbert Medical Center, St. Josephs Hospital and Medical Center, which includes Barrow Neurological Institute, St. Joseph's Westgate Hospital, Arizona General Hospital Laveen and Arizona General Hospital Mesa. From this foundation, Dignity Health in Arizona has expanded into a comprehensive health care system, which includes clinics, specialty hospitals, urgent cares, insurance providers, an accountable care organization and other clinical partnerships. The Dignity Health Medical Group includes hundreds of physicians in Arizona and a wide range of specialties. Dignity Health in Arizona is part of CommonSpirit Health, one of the nations largest health care systems.

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Kindred Healthcare and Dignity Health Announce Plans for Second Inpatient Rehabilitation Hospital in the Phoenix Area - Business Wire

Majority of Kingston aldermen view Kingstonian project tax pact favorably, with conditions – The Daily Freeman

KINGSTON, N.Y. A majority of members of the city's Common Council appear to favor, with conditions, a proposed payment-in-lieu-of-taxes agreement with the developers of The Kingstonian, a planned mix of residential, hotel and commercial space Uptown.

Their approval would be conditioned on the project meeting a number of requirements, including one that 14 housing units would remain "affordable."

City Assessor Dan Baker told members of the Common Council during a virtual caucus meeting on Monday, Aug. 3, that four amendments had been made to the minimum terms being recommended for a payment-in-lieu-of-taxes, or PILOT, agreement for The Kingstonian project proposed for construction at Fair and North Front streets.

Baker said those amendments include making sure the affordable housing remains so for the life of the project and that the developers pay $40,000 in property taxes for the first year of the agreement, increasing that payment by 3 percent each year thereafter. The base tax payment had been approximately $28,000 in an earlier version of the document, Baker said.

Additionally, if the project is more profitable than expected, the owners would share 5 percent of the additional profit with local taxing jurisdictions -- the city, Ulster County and the Kingston school district -- at a rate proportional to the current tax rate, Baker said. He said that was initially proposed to be a 3 percent share.

The fourth amendment was to ensure the tenants of the affordable housing units would pay 50 percent of what is charged to the market-rate units for parking in the development, Baker said. He said the developers are estimating that market-rate units would be charged $100 per month for parking, meaning the tenants of the affordable units would pay $50 monthly.

"And just to remind the council, this is a supporting framework resolution that we will be passing on to the (Ulster County) Industrial Development Agency and letting them know this is what we expect as the minimum qualifications for a payment-in-lieu-of-taxes agreement," Baker added.

The council is to vote on the resolution during a virtual meeting Tuesday evening, Aug. 4. The county Industrial Development Agency's board is then expected to resume considering a potential PILOT for the project during a meeting on Wednesday, Aug. 12.

The Kingstonian is proposed to be built on two sites at the intersection of Fair Street Extension and North Front Street, with each of the new buildings extending toward the Schwenk Drive side of the properties. Fair Street Extension would be closed to through traffic as part of the plan, which still is under consideration by the city Planning Board.

One of the properties is owned by the city and currently is used as a municipal parking lot.

The Kingstonian project is to consist of 143 apartments, of which 129 would be rented at market rates. In addition to the apartments, the project is to include 8,000 square feet of retail space, a 32-room boutique hotel, a pedestrian plaza, a footbridge crossing Schwenk Drive between the new development and Kingston Plaza, and a 420-space parking garage, of which 130 spots would be reserved for residents of The Kingstonian.

The project's cost is estimated to be $57.9 million. The developers are to receive $3.8 million from the $10 million Downtown Revitalization Initiative grant awarded to Kingston by New York state, as well as other government funding. The Downtown Revitalization Initiative funding is to be used on portions of the project that benefit the public.

Still outstanding is a lawsuit filed by the owners of some other Uptown properties challenging the city Planning Board's ruling that the project would have no significant environmental impact. The project also requires site plan approval from the Planning Board.

During Monday's caucusg, Alderman Jeffrey Ventura Morell, D-Ward 1, said he was glad the developers had listened to community input and agreed to make changes to the PILOT proposal. He said, though, that while he liked the project in theory, he wished his constituents had all the answers to every question they had about it. Ventura Morell said if the project is to be a private-public partnership, it is asking a lot for the public not to have all the details.

Other aldermen argued that the developers have provided more information than others have been asked to give on their projects. They also noted that it is a competitive market and the developers should not have to disclose all the financial details of their project.

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Majority of Kingston aldermen view Kingstonian project tax pact favorably, with conditions - The Daily Freeman

Officers on the street without ID or insignia is dangerous – News-Press Now

An editorial from the Joplin Globe:

The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue, but upon probable cause, supported by Oath or affirmation, and particularly describing the place to be searched, and the persons or things to be seized.

Fourth Amendment of the U.S. Constitution

Regardless of whether you think the federal law enforcement push into cities nationwide is political theater in an election year or a necessary effort to quell violence and social upheaval, one element of these recent interventions should concern us all.

Some law enforcers have been operating in tactical gear with no insignia and no identification. It happened with federal forces in Washington, D.C., and in Portland, Oregon. In some communities around the country, local police also have taken to covering or removing their name tags, badges and patches.

There has been talk about sending more federal officers to other cities, including some in Missouri, which raises a host of questions.

A primary one for us is the extent to which those officers will either display identifying insignia and badges or present a badge and identify themselves when making arrests, especially if using force.

This anonymity tactic is one Missouri lawmakers should prohibit. It also is one city leaders should prevent, too.

What is ignored is the risk to the public. Putting officers on the street without ID or insignia is dangerous.

When police arent identifying themselves, armed militias we see showing up at protests could usurp police authority. Conversely, civilians could refuse to follow lawful orders or resist unidentified law enforcers as a result of unnecessary confusion stemming from the practice. Most importantly, the power to identify is inherent to accountability, a fundamental issue involved in the wave of protests roiling our nation.

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Officers on the street without ID or insignia is dangerous - News-Press Now

"It’s the decent thing to do" – News – Fowler Tribune

Three patients of Pioneer Health Care Center in Rocky Ford who tested positive for COVID-19 (one test is awaiting confirmatory results) have died, Crowley / Otero Health Departments Director Rick Ritter told the Tribune-Democrat Friday. Ritter said the health department gives its condolences to their families.

"Any time this happens we are certainly sorry that they lost a loved one," Ritter said.

COVID-19 cases in Otero County totaled 36 as of Saturday, according to Colorado Public Health and Environment, although Ritter said in a news release that numbers reflected by the state were not up to date. In the same statement, Ritter confirmed that three coronavirus patients at Pioneer Health Care Center in Rocky Ford had died and at the nursing home two staff and a total of 13 patients tested positive for the novel coronavirus. Ritter noted that results of confirmatory tests for some patients were still awaiting results as of Saturday.

Following Gov. Jared Polis's executive order mandating mask use in indoor public facilities July 16, businesses and services have had to crack down on enforcing mask use. Although many businesses and public buildings have posted signs alerting prospective patrons to their mandated enforcement of mask use, others have posted notices that state they will not enforce mask use.

In some instances, the notices make questionable references to the Health Insurance Portability and Accountability Act, the 4th and 5th Amendments, or other facets of the U.S. Constitution or U.S. law.

Thaxton's Market in Fowler, for example, posted a sign in their window that read, "Due to HIPPA and the 4th Amendment, we cannot legally ask you what your medical condition is."

The sign continued to state that store employees would assume anyone entering without a mask was exempted from the statewide mandate. The Tribune-Democrat called Thaxton's Market last week to inquire about the store policy, but it did not hear back in time for publication.

Arkansas Valley Lumber outside Rocky Ford stirred up controversy when a sign it had posted in its entrance made rounds across local social media groups. The sign declared Arkansas Valley Lumber was no longer a public company and would only accept business from "United States citizens that believe in their constitutional right of freedom from oppression."

A day later, Arkansas Valley Lumber apologized on its official Facebook page and clarified that it would not discriminate against anyone, although it maintained that it would not enforce the use of masks.

Ritter isn't sold on Thaxton's claims or those of others, however.

"There's a lot of information I'm just going to come out and say it disinformation out there," said Ritter.

Ritter noted the statewide mask order makes exemptions for people with health conditions that complicate their breathing, such as asthma or COPD.

But contrary to what some businesses are claiming, a store is not legally prevented from offering patrons masks, nor is a store prohibited from asking someone who claims to have a medical condition that prevents mask use what that condition is, according to attorney to Otero County Nathan Schultz.

"I've seen a lot of people saying they're not going to ask about masks due to HIPPA," said Schultz. "The Fourth Amendment, then one store that says they're not going to ask about masks because of the Fifth Amendment. HIPPA is designed to protect information from covered entities, like doctors and hospitals, from disseminating that information without a release. That has absolutely no bearing on a grocery store. The Fourth Amendment and Fifth Amendment, both, any time you're trying to claim you have constitutional protection, there has to be government action."

Schultz agreed it was possible that some business owners might have conflated HIPPA with the American Disabilities Act, which prohibits discrimination based on disability. But even the American Disabilities Act allows for what Schultz called reasonable inquiry if someone doesn't have an obvious disability.

"I think the stores still have the duty to ask someone to wear a mask," Schultz said. "If they're saying they don't cause of health reasons, you can ask what the health reason is because then the store needs to establish what reasonable accommodations they can make."

Schultz said allowing someone to not wear a mask would probably not be a reasonable accommodation. Instead, though, a store could implement curbside service in such an instance, Schultz suggested.

Schultz said seeing misinformation circulate on social media has been frustrating. Counter to more claims from those opposed to mask use saying the governor's mandate was unlawful or does not have the same effect as law, Gov. Polis's executive order carries the full weight of law, Schultz said.

"Earlier this week, the public health order 20-31 came out, also mandating masks. Public health orders are enforceable by local law enforcement under 25-1-506," said Schultz. "Those can be punished civilly, they can do it administratively where they can pull your business license, or they can do it criminally up to a first degree misdemeanor."

Otero County Sheriff Shawn Mobley said his office will not enforce the mask mandate. Mobley referenced his short staffed department and ongoing criminal investigations. Schultz said he thinks Mobley's decision is okay, but that he was angered by sheriffs from other counties who claimed Polis's law was unconstitutional or did not carry legal weight.

Bent County Sheriffs Office also said in a joint statement with Bent County Public Health that the sheriffs office there would not be enforcing the mask mandate, although they did not provide additional reasoning with their statement.

Otero County will try to utilize civil and administrative means to regulate the mask mandate as opposed to pursuing criminal charges, Schultz said, noting it doesn't do anyone any good to start jailing more people right now.

Another piece of disinformation Schultz wanted to address was that of masks versus the size of COVID-19 particles. Schultz made the distinction that the novel coronavirus that causes COVID-19 is not airborne in the stirctest sense: The viruss primary mode of transmission from host to host is through respiratory particles in other words, spit.

"I'm still seeing a lot of misinformation about the cloth masks themselves," Schultz said. "A lot of people are pointing out micron sizes and all that. This virus has never been airborne, it's transferred through saliva droplets. So the cloth mask does nothing to protect the wearer, it's designed to protect the community from the wearer. So if everyone's wearing a mask, the saliva's less likely to spread to others.

In other words, posts on social media claiming that cloth masks dont stop COVID-19 from passing through them are missing the point, because COVID-19 travels primarily in much larger respiratory droplets that are stopped by a cloth face covering.

Health Director Rick Ritter stressed that many businesses have been compliant with the mask order and that the health department receives numerous calls daily from people looking to improve the safety of their establishments.

Ritter said hes seen people be dismissive of social distancing guidelines and mask use because they dont believe others are taking it seriously.

"To the people saying, 'Well nobody's doing it," that's absolutely wrong," said Ritter. "And that is disrespecting the businesses that are working hard to do what's right, to protect customers, employees, and this is not a hard thing to do, my gosh, we put on pants to cover our lower torso, we put on shirts, and that's not a violation of our constitutional rights.

"If I went out naked on the street, and you can print this, the police would be called. If I said, You can't make me put on pants, that's against my constitutional right to be naked, that wouldn't cut any ice. We're just covering our face and if somebody says, Well you put on pants for decency's sake, I say you put on a mask for decency's sake because you're protecting others.

"A mask is primarily worn to protect others, and that's what I'm saying. These cloth masks, if we all wear them like we're supposed to, it's a kindness to others, it's a consideration for others, and we're going to reduce risk."

Schultz added the health department is working around the clock to try to achieve the best outcome for the community.

Tribune-Democrat reporter Christian Burney can be reached by email at cburney@ljtdmail.com. Help support local journalism by subscribing to the La Junta Tribune-Democrat at lajuntatribunedemocrat.com/subscribenow.

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"It's the decent thing to do" - News - Fowler Tribune

What would the Founding Fathers do? – Smoky Mountain News

To the Editor:

He has erected a multitude of new officers and sent hither swarms of officers to harass our people

He has affected to render the military independent of and superior to the civil power.

These words were among the charges against tyrant King George III in declaring independence from England in 1776. History repeats itself. These charges have come alive today in the tyrannical actions of our would be king, Donald Trump.

To quote further from our Declaration of Independence: Governments are instituted among Men deriving their just power from the consent of the governed.

No governor of any state or mayor of any city, has given consent to Trumps sending his storm troopers to invade their cities. These storm troopers have unlawfully beaten, gassed and detain demonstrators in Portland, Oregon, violating their constitutional rights.

To quote from the First Amendment to our Constitution: Congress shall make no laws .... abridging the right of people peaceably to assemble and to petition the Government for a redress of grievances.

The Fourth Amendment states: The right of people to be secure in their persons against unreasonable searches and seizures, shall not be violated.

Donald Trumps use of storm troopers is in flagrant violation of our First and Fourth amendments. Please note Trump is only targeting states and cities with Democratic governors and mayors. His unidentified military force is creating urban warfare designed to convince Americans that Democrats are out-of-control rioters and anarchists. Trump is posturing as a law-and-order president. His use of this tactic is designed to sway voters to reelect him and his Republican supporters in November.

Do we still believe in the values expressed in the Declaration of Independence and our Constitution? Our Founders fought and died in the Revolution to secure this government for future generations of Americans. At the conclusion of the Constitutional Convention, Benjamin Franklin was asked What kind of government do we have? Franklin replied, A republic, if we can keep it. This question has yet to be determined.

What would our Founding Fathers do?

Margaret Abel

Franklin

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What would the Founding Fathers do? - Smoky Mountain News

Remembering the 10 best movies of 2010 | Culture | breezejmu.org – The Breeze

As Christopher Nolans Tenet is reportedly planning to open overseas on Aug. 26 while postponing a wide American release, American filmgoing remains in upheaval. While COVID-19 cases spike around the country and recent high quality releases like Netflixs The Old Guard, Amazons The Vast of Night and Hulus Palm Springs and The Assistant continue to premiere, the theatrical experience in the U.S. hovers at a standstill, with no likely ending in sight.

The box office for the 10 best picture Oscar-nominated movies.

With this in mind, its interesting to reflect on a year like 2010 and see how Americans relationship with the movies has changed. While only 10 years ago, the films of 2010 feel both bizarrely prescient and like remnants of a distant past. Here are the top 10 films of 2010:

From director Noah Baumbach, Greenberg is a beautiful, semi-autobiographical exploration of neurosis, anxiety and companionship, which brings together Baumbachs acidic approach to screenwriting and star Greta Gerwigs empathetic idealism. Starring Ben Stiller as an antisocial former musician who begins dating his brothers assistant (Gerwig) while struggling through a midlife crisis, Greenberg marks a turning point in Baumbachs career as an auteur, as Gerwig adds a youthful, lighthearted energy that had been missing from Baumbachs work since his directorial debut, 1995s Kicking and Screaming.

A conscious homage to Michael Manns 1995 film Heat, The Town marks Ben Afflecks arrival as a highly important director in modern Hollywood. Exploring the seedy criminal underground of Afflecks hometown, Boston, The Town succeeds behind a collection of scene-stealing supporting performances from Jeremy Renner, Jon Hamm and Blake Lively. A big-budget blockbuster geared toward adult audiences, The Town is a wonderful relic of a different era in commercial filmmaking.

One of the best animated films of the 2010s, Toy Story 3 serves as a perfect encapsulation of Pixars attempts to embed childrens movies with deeply meaningful and resonant morals. Following Buzz Lightyear, Woody and the rest of the gang of troublemaking toys, Toy Story 3 also acts as a meditation on the inevitable passage of time and impermanence of relationships. While most modern childrens movies feed off nostalgia, Toy Story 3 actively interrogates it, making it both a crowd-pleasing animated feature and a critique of the system that allows the movie to succeed.

A modern update of John Waynes Oscar-winning western, True Grit tells the story of teenager Mattie Ross (Hailee Steinfeld), who enlists the help of an aging U.S. Marshal (Jeff Bridges) to avenge the death of her father. From directors Joel and Ethan Coen, True Grit may be the Coen brothers most underrated film, serving as a romantic, old west counterpart to the outright nihilism of No Country For Old Men. While keeping with the filmmakers sense of removal and cynical tendencies, True Grit shows their capacity to tell a different kind of story about morality.

Easily one of the most important movies of the last decade, Inception continues to this day to captivate fans with its potent mixture of big-top action sequences and dream-logic mythology. While the films dream pseudoscience may not always hold together, Inception thrives on spectacle, giving each scene a sense of remarkable grandeur and finite precision. While Nolan is once again in the news because of Tenet, Inception remains a brilliant advertisement for both his talent as a filmmaker and the added value of the theatrical experience.

As director Darren Aronofskys story of obsession and art, Black Swan is far from the most pleasurable movie of 2010, but its certainly one of the most rewarding. Featuring an incredible lead performance from Natalie Portman, Black Swan is Aronofskys best effort yet to explore the ideas of an addictive personality, which hed been making films about since his directorial debut, Pi. At times off-putting, Black Swan'' relentlessly seeks to innovate and surprise, making it one of the best films of Aronofskys career.

A box office failure in its time, Scott Pilgrim vs. The World has emerged as easily one of the most beloved objects of cult movie obsession in the past decade. Featuring a jaw-dropping collection of stars whod dominate Hollywood in the years to come, Scott Pilgrim vs. The World may prove to be director Edgar Wrights crowning achievement. A veteran cinematic genius, Wright uses every element of pop culture iconography at his disposal, creating a profound text for fans of comic books, rock music, superheroes, martial arts movies and video games. While misunderstood in its time, Scott Pilgrim vs. The World will likely remain unparalleled in its audacity and adventurousness for years to come.

From director Kelly Reichardt, Meeks Cutoff is a masterful deconstruction of American Western mythology, throwing traditional iconography to the side in order to concentrate on elements of process and hardship. Using Reichardts technical mastery, Meeks Cutoff follows a group of settlers on the Oregon trail in 1845 who begin to believe that their eccentric guide may not know where they are. Taking an active look at the brutal realities of the old west and meditating on womens role in the settling of America, Meeks Cutoff is a brilliant work of stillness, subtlety and detail.

One of the most underrated movies in Martin Scorseses filmography, Shutter Island is a brilliant homage to the 1950s B-movies like Samuel Fullers Shock Corridor, which served as a basis for Scorseses film obsession. Starring Leonardo DiCaprio, Shutter Island unsettles a viewer with a sense of psychological unease, cinematic excess and convoluted, well-earned empathy that grants the film a feeling of invincibility. Much like DiCaprios other 2010 film, Inception, Shutter Island is a worthwhile exploration of dreams, nightmares and the lies characters tell themselves, making the movie a masterpiece of paranoia.

The best movie of the 2010s, The Social Network maintains its unassailable status as a thrilling exploration of greed, social acceptance and success. Charting Facebooks rise to a Silicon Valley behemoth, The Social Network continues to awe viewers with its shocking sense of prescience and innovation. As divisions abound through modern American society and social media envelopes the cultural landscape, The Social Network remains a reminder of the idealism, narcissism and inevitable moral corruption surrounding what people consume, making it one of the most important pop cultural artifacts of its time.

What stands out the most in reflecting on the 2010s is how much the industry has changed over the course of a decade. Superhero films, while existent, hadn't come to dominate the box office the way they would after the release of Avengers in 2012. Netflix and other streaming services were up and running, but Netflixs stranglehold of pop culture wouldnt begin until House of Cards and Orange Is The New Black were added in 2013.

While 2010 remains an exemplary year for movies, it is both a time prior to blockbuster over-saturation and the independent boom fueled by production companies A24, Neon and Blumhouse. The result is a year filled with extraordinarily successful highs, but a lack of diverse thought and art on the whole, making 2010 a relic of film history for better and worse.

Contact Chris Carr at carrtc@dukes.jmu.edu. For more on the culture, arts and lifestyle of the JMU and Harrisonburg communities, follow the culture desk on Instagram and Twitter @Breeze_Culture.

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Remembering the 10 best movies of 2010 | Culture | breezejmu.org - The Breeze