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Pipes: Scope-of-practice reforms can address doctor shortage

Published Tue, 19 Nov 2024 09:28:54 GMT

America is facing a chronic doctor shortage. Solving that problem will require not just more doctors but a much bigger role for advanced-practice nurses in our healthcare system.A 2021 report found that the United States will need nearly as many as 48,000 more primary care doctors by 2034 to meet patient demand. It’s infeasible to train that many more new doctors over the next decade. We need to make better use of the supply of healthcare professionals we have.In nearly half of states, “scope-of-practice” laws prevent highly qualified nurse practitioners from delivering basic primary care.These laws were intended to protect patients from receiving substandard care. But they just create more work for doctors and unnecessary bottlenecks for delivering care. The result is that doctors are overburdened, fewer patients get seen, and qualified nurse practitioners are frustrated that they can’t exercise the full extent of their training.In today’s healthcare s...

For teens, regular summer jobs may beat side gigs

Published Tue, 19 Nov 2024 09:28:54 GMT

Teens looking for summer work may think “side hustles” and social media are the only ways to make money.“What we hear from a lot of young people is that they’d rather try to start a business than have traditional jobs,” says Ed Grocholski, chief marketing officer of Junior Achievement USA, an organization that helps young people prepare for career success.It’s easy to see why teens are excited. Social media influencers appear to be cashing in on their images and hobbies, and side hustle culture makes it look more feasible than ever to market and sell a product or service. But what teens might not realize is that early entrepreneurial endeavors usually take time to take off. Put another way, they don’t provide steady pay.But traditional jobs do, and for teenagers looking to eventually be their own boss online or off, such in-person work can lay beneficial groundwork. Here are some options for working-age teens and what lessons they could learn on the job.Restaurants remain a qu...

Dear Abby: Woman wants life partner, not hookups

Published Tue, 19 Nov 2024 09:28:54 GMT

Dear Abby: I’m a 32-year-old woman. My 20s were spent in a serious long-term relationship. It was a lot of firsts for me. After we split, I took a couple of years to sow my wild oats and find out who I am as an individual.I’m now looking for something more than “friends with benefits.” However, the last few men I’ve met and gone on dates with, as wholesome as they seemed on dating sites (which have been my main source of meeting men), were really just looking for hookups. I want to find a life partner.I have been chatting with a potentially great guy I met online, and we have a date scheduled. But I’m nervous that when we meet that he’ll expect more than a date. I’m over that. Like I said, I want an actual relationship.Can you give me some advice on what to do and say, or not, on a first or second date to help move it in the right direction without scaring the guy away? — Proceeding With CautionDear Proceeding: Your dating profil...

Koepka delivers another major performance to win PGA

Published Tue, 19 Nov 2024 09:28:54 GMT

PITTSFORD, N.Y. (AP) — Confidence was never an issue for Brooks Koepka until the injuries piled up, the doubts crept in and he began to wonder if he still belonged among golf’s elite.Koepka answered every question at the PGA Championship with a performance that ranks among his best. His fifth major title was the sweetest of them all. No doubt about that, either.“It feels damned good. Yeah, this one is definitely special,” Koepka said. “I think this one is probably the most meaningful of them all with everything that’s gone on, all the crazy stuff over the last few years.”One knee injury kept him from the Masters, another from the Presidents Cup in Australia. Two years ago, he tried to pop his knee back into place and shattered his knee cap. And then last summer, uncertain about his future, he decided to leave the PGA Tour for the guaranteed Saudi riches of LIV Golf, bringing a mixture of criticism and skepticism.And there he was Sunday at Oak Hill, looking good as new, d...

With all the politics and maneuvering, how is life in Florida changing for its residents?

Published Tue, 19 Nov 2024 09:28:54 GMT

TALLAHASSEE, Fla. (AP) — “Don’t say gay.” Regulation of books and classroom discussion. Teachers, parents and school librarians all navigating new and uncertain ground. LGBTQ+ rights under attack. A very public spat between state government and Disney. And at the center of it all is a governor who has emerged as a rival of former President Donald Trump and likely has his eyes set on the White House. This is Florida at this moment in history, in mid-2023. For many of those who live in Florida, recent months have brought some changes — many linked to Gov. Ron DeSantis. Here, longtime Florida-based Associated Press journalist Brendan Farrington, who has covered the state’s politics since 1997, reflects on the changes for different groups and puts them into the context of the cultural and political landscape. ___HOW LIFE IS CHANGING FOR … YOUR AVERAGE FLORIDIAN:For your average Floridian, cost of living concerns have become an issue and really are not being addressed a...

One year after Uvalde shooting, investigation of police response continues

Published Tue, 19 Nov 2024 09:28:54 GMT

AUSTIN, Texas (AP) — A criminal investigation in Texas over the hesitant police response to the Robb Elementary School shooting is still ongoing as Wednesday marks one year since a gunman killed 19 children and two teachers inside a fourth-grade classroom in Uvalde. The continuing probe underlines the lasting fallout over Texas’ deadliest school shooting and how the days after the attack were marred by authorities giving inaccurate and conflicting accounts about efforts made to stop a teenage gunman armed with an AR-style rifle.The investigation has run parallel to a new wave of public anger in the U.S. over gun violence, renewed calls for stricter firearm regulations and legal challenges over authorities in Uvalde continuing to withhold public records related to the shooting and the police response.Here’s a look at what has happened in the year since one of America’s deadliest mass shootings: POLICE SCRUTINYA damning report by Texas lawmakers put nearly 400 office...

Fire destroys main post office in Philippine capital, a nearly 100-year-old neo-classical landmark

Published Tue, 19 Nov 2024 09:28:54 GMT

MANILA, Philippines (AP) — A massive fire tore through Manila’s historic post office building overnight, slightly injuring one person and and razing the nearly 100-year-old landmark in the Philippine capital, police and postal officials said Monday.The fire started before midnight in the basement of the neo-classical, five-story building and was brought under control Monday morning more than seven hours after it began, firefighters said.An investigation was underway to determine the cause of the fire and what was damaged, officials said.The Manila Central Post Office was one of the capital’s busiest office buildings but was closed when the fire started. The building was the country’s main mail-sorting and distribution hub and was the central office for the Philippine Postal Corporation. Postal service in the Philippines began during the Spanish colonial period with horse-riding mail couriers. The building now recognized as a national landmark was built in 1926 with high columns in t...

Stock market today: Asian shares mostly rise despite worries about US debt talks

Published Tue, 19 Nov 2024 09:28:54 GMT

TOKYO (AP) — Asian shares mostly drifted higher Monday as investors fretted whether the United States government would be able to reach a deal to avoid a federal default. Japan’s benchmark Nikkei 225 was little changed in morning trading, gaining nearly 0.1% to 30,833.94. Australia’s S&P/ASX 200 slid 0.3% to 7,261.40. South Korea’s Kospi gained 0.9% to 2,560.16. Hong Kong’s Hang Seng jumped 1.2% to 19,691.82, while the Shanghai Composite edged up 0.1% to 3,287.30. Markets are closely watching a pivotal meeting set for later in the day at the White House between President Joe Biden and House Speaker Kevin McCarthy on the debt ceiling. A default on the U.S. debt would almost surely cause a recession in the American economy, which would have damaging effects on global economies. “It seems pretty likely that a full-fledged deal will be reached before early June, but the timing is hard to predict,” Stephen Innes, managing partner at SPI Asset Management, said ...

Debt ceiling explained: Why it’s a struggle in Washington and how the impasse could end

Published Tue, 19 Nov 2024 09:28:54 GMT

WASHINGTON (AP) — President Joe Biden and House Speaker Kevin McCarthy will meet face to face Monday after a weekend of on again, off again negotiations over raising the nation’s debt ceiling and mere days before the government could reach a “hard deadline” and run out of cash to pay its bills. The two sides are working to reach a budget compromise before June 1, when Treasury Secretary Janet Yellen has said the country could default. McCarthy and Republicans are insisting on spending cuts in exchange for raising the debt limit. Biden has come to the negotiating table after balking for months but says the GOP lawmakers will have to back off their “extreme positions.” On Sunday evening, negotiators met again and appeared to be narrowing on a 2024 budget year cap that could resolve the standoff. After speaking with Biden by phone as the president traveled home from a trip to Asia, McCarthy sounded somewhat optimistic. But he warned that “there’s no agreement on anyth...

Death of 8-year-old girl in Border Patrol custody highlights challenges providing medical care

Published Tue, 19 Nov 2024 09:28:54 GMT

SAN DIEGO (AP) — The recent deaths of an 8-year-old Panamanian girl and 17-year-old boy from Honduras who were under U.S. government supervision have again raised questions about how prepared authorities are to handle medical emergencies suffered by migrants arriving in the U.S., especially as agencies struggle with massive overcrowding at facilities along the southern border. Anadith Tanay Reyes Alvarez became unresponsive on a what was at least a third visit to medics Wednesday at a Border Patrol station in Harlingen, Texas, and died later in a hospital, U.S. Customs and Protection said. The girl had complained that day of vomiting and stomach pains.She died on her family’s ninth day in custody; the most time allowed is 72 hours under agency policy. The family told agents that the girl had a history of heart problems and sickle cell anemia, CBP acknowledged in its second statement on the death. She was diagnosed with influenza on the family’s sixth day in custody, whic...