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Friday, January 1, 2021

Hospitals required to list charges for services up front in 2021 - ABC 12 News

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MID-MICHIGAN (WJRT) - Nearly every store and business lists its prices up front, giving customers a chance to comparison shop before agreeing to a transaction.

Except hospitals -- until Friday.

Starting Jan. 1, hospitals are required to list how much they charge for certain services ahead of time. The change comes after the American Hospital Association lost an appeal of a new rule from the federal Centers for Medicare and Medicaid Services.

The rule requires all hospitals to post a list of standard charges online for 300 services that patients may choose to shop around for, such as X-rays and basic surgical procedures. The prices listed may not be the final price, as other factors like insurance deductibles and hospital financial assistance may factor into what patients actually pay.

Hospitals that fail to comply with posting prices online face fines of up to $300 per day, which totals $109,500 per year. Some experts worry that hospitals may opt to pay the fine and avoid listing their prices as required.

Here are links to chargemaster files for several Mid-Michigan hospitals:

Copyright 2021 WJRT. All rights reserved.

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Contractor box left in front of state office building prompts THP response - NewsChannel5.com

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NASHVILLE, Tenn. (WTVF) — A report of a suspicious package, which had been left in front of the state office building in downtown Nashville, prompted a response from the Tennessee Highway Patrol, Friday morning.

THP confirmed the package was not a threat, saying it was a contractor box that had been left at the location without anyone's knowledge.

The incident also prompted some street closures in the area.

The box was found one week after the Christmas Day bombing rattled downtown Nashville. Since then, at least 10 buildings along 2nd Avenue have been deemed unsafe.

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Should Vietnam Embrace Middle Power Status? - The Diplomat

Scholars are calling for Vietnam to see itself as a middle power and to behave like a true middle power to accommodate its growing role in regional settings. But is Vietnam already a middle power or just one in the making?

While there remains a range of perspectives on defining the typical features a middle power should possess, I suggest looking into Cooper’s middle power notion, with positional, geographic, normative, and behavioral approaches. A comprehensive probe into Vietnam’s normative and pragmatic power would provide a critical answer to its current status.

Vietnam satisfies the status condition of being situated in between large developed and large developing countries. With more than 97 million people, Vietnam ranks 15th out of 251 countries and territories by population. The young and vibrant population — mostly living in bustling metropolises like Ho Chi Minh City, Hanoi, and the central coastal city Da Nang — has constituted the emergence of Vietnam as a “next top model of growth,” with a psyche of being hungry for success. Vietnam’s economic resiliency, with real GDP growth of 7 percent in 2019, has accounted for “its deep integration with the global economy.” Via embracing trade liberalization, domestic reforms, and heavy public investments, Vietnam has become one of the top five economic freedom gainers in the Asia-Pacific region, ranking 21st among 42 regional countries. The country’s economic rise as the fastest-growing digital economy in the Asia-Pacific has made it a prime alternative manufacturing hub in Asia. According to the 2020 Lowy Institute Asia Power Index, Vietnam ranked 12th of 26 regional nations for comprehensive power and 11th in military capability. It was hailed as “a middle power in Asia.”

A geographic approach offers a strategic and long-term evaluation of Vietnam’s geopolitical status. Besides sitting next to northern giant China, Vietnam is located at the heart of Southeast Asia, facing the South China Sea with a coastline of more than 3,260 km and ringed by regional countries. Vietnam occupies an important strategic location, with a bridging role for continental and maritime Southeast Asian countries. Unlike the lingering tense relations between China and Taiwan and tumultuous inter-Korean relations, after the 1975 reunification, Vietnam has been quite successful in walking a delicate balance between the United States and China while seeking closer ties with like-minded countries. The emergence of the Indo-Pacific region offers more room for Vietnam to maneuver as its strategic location facilitates the interests of regional powers, like Japan, South Korea, India, and Australia, which have been striving to deepen their engagement with ASEAN. Now Vietnam seems to seek a favorable equilibrium amid regional great power rivalry and political uncertainties.

Vietnam’s diplomatic discourse has showcased its virtuous and trustworthy commitment to regional security and economic cooperation. Vietnam has established a network of 30 strategic and comprehensive partners, aiming to enhance ties and deepen engagement with its partners via proper frameworks. Vietnam has successfully pursued economic integration by joining the Comprehensive and Progressive Agreement for Trans-Pacific Partnership (CPTPP) and demonstrating its proactive participation and strong commitment toward regional free trade integration. Vietnam’s 2019 National Defense White Paper showcased its advocacy of mutual understanding and strategic trust with countries globally, laying stress on the “Four Noes” principle, i.e. no military alliance, no affiliation with one country to act against another, no foreign military base on Vietnamese soil to counteract other countries, no using force or threatening to use force in international relations. Regarding the South China Sea issue, Vietnam has emphasized respect for norms and principles in line with international law and dispute-solving mechanisms via dialogue and peaceful means. In October 2020, Vietnam further asserted it would welcome nations’ stance on the South China Sea with good faith and a sense of responsibility for the 1982 United Nations Convention on the Law of the Sea.

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A behavioral approach suggests that Vietnam has endeavored and pursued multilateralism in solving regional and global issues, which is tantamount to adopting “good international citizenship” as the guiding star for its diplomacy. At the Ninth Party Congress in 2001, Vietnam officially adopted a motto of diversification and multilateralization of foreign relations, aiming to become a friend and a reliable partner with all nations in the world community. Vietnam’s regional profile has been elevated due to its significant contributions to regional peace, like playing a proactive role in hosting the second Trump-Kim summit in February 2019 and leveraging its ASEAN chairmanship in 2020 to promote ASEAN’s centrality amid the COVID-19 pandemic with decisive leadership while providing invaluable experience to countries worldwide with its COVID-19 success story so far. Vietnam has left strong imprints in vital U.N. agencies, such as the United Nations Security Council (UNSC), the U.N. Human Rights Council, and the U.N. Economic and Social Council, while serving as a non-permanent member of the UNSC for the 2020-2021 tenure. Additionally, Vietnam has demonstrated its responsibility to the international community by dispatching peacekeepers to fulfill U.N. missions. Vietnam has so far dispatched about 200 peacekeepers to the Central African Republic and South Sudan to join the fight against COVID-19 while undertaking their U.N. peacekeeping mission in the country.

According to this multidimensional approach, Vietnam is undertaking certain middle power roles while it has not identified itself as such. Vietnam seems to remain categorically reluctant and circumspect about assuming middle power status in its public statements and official guiding records, like the party documents for National Congresses and the Defense White Paper.

Vietnam is scheduled to launch the 13th National Congress in January 2021 to elect its leaders and to set the socio-economic agenda over the next 10 years. Vietnam’s foreign relations and forthcoming policies will also be of vital consideration. The time is ripe for Vietnam to undertake a new power-ranking position as this all-in political event offers an excellent chance to reassess and accommodate Vietnam’s foreign policy behavior capability.

Should the next administration in Vietnam be serious about further promoting the country’s influence regionally and internationally, its leaders should embrace the notion of a middle power in the official documentation published in Vietnamese, English, and other languages. The primary source documents can be guiding documents, foreign statements, joint statements, and diplomatic speeches. 

The second aspect of promoting Vietnam’s middle power diplomacy is framing itself as a responsible and trustworthy emerging nation via adopting a principle-based order, multilateralism, and inclusiveness in its foreign policy. Vietnam’s middle power status may suit the current logic of power diffusion and diversification and lay out a practical framework to bring out foreign policy congruent with its interests and reputation.

Huynh Tam Sang is a lecturer of the faculty of international relations and research fellow of the Center for International Studies at the University of Social Sciences and Humanities, Vietnam National University, Ho Chi Minh City.

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All quiet on cross-Channel front as new era opens in Dover - Yahoo News

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As dawn broke Friday over Dover, Britain's trading gateway to the European Union, the first ferry sailings to and from France of the new post-Brexit era left without delay or drama in holiday-thinned traffic.

A small but steady stream of lorries arrived through the morning at the port in southeast England -- Europe's busiest for roll-on, roll-off freight -- with new customs processes appearing to work smoothly.

As drivers approached its eastern ferry docks, they were met by police officers checking that they had completed Covid-19 tests, before being waved through if they showed a negative result.

The driver of a red van with Polish number plates was one of very few turned away for not having a test result, and redirected to sites north of the port where rapid testing is being conducted.

"It's good to see the port's done its job and there's no backlog," Alan Leigh, 52, of nearby Folkestone, told AFP while taking an early New Year's Day stroll on the famous white cliffs above the docks.

Beneath him P&O's "Pride of Kent" vessel sailed out of Dover on time at 0750 GMT, as Britain began life outside the EU's single market and customs union.

"They've had plenty of time to prepare," Leigh said of officials and government departments. "They’re experts — you’ve got to have faith in them."

A last-ditch trade deal between London and Brussels, signed only on Christmas Eve, has averted the need for tariffs and quotas that could have severely disrupted trade.

Scores of lorries also passed through the Channel Tunnel connecting Folkestone to France by rail early Friday "without any problem", its operator Getlink said.

- 'Concerning' -

However, those involved in cross-Channel trade still fear potential trouble in the coming weeks and months, as customs checks and more paperwork for European travel and trade are needed for the first time in decades.

Ferry group Stena Line tweeted that six freight loads bound for EU member Ireland were turned away at the port of Holyhead in north Wales on Friday for not having the correct paperwork.

However, freight traffic is expected to be lower than usual over the coming days after firms scrambled to move extra shipments ahead of the end of an 11-month Brexit transition period at 2300 GMT Thursday.

Friday was a public holiday for New Year's Day in both Britain and France, and officials expect a bigger test when cross-Channel traffic picks up next week.

Last week saw queues of lorries backed up for miles (kilometres) on the M20 motorway through the county of Kent into Dover, as France temporarily shut its borders to traffic from Britain following the emergence of a new coronavirus variant.

Locals fear a repeat of the chaotic scenes, due to the new Brexit bureaucracy, although the government is issuing fines to any truck drivers arriving in Kent without a new permit -- dubbed "Kermits" -- showing they have pre-cleared customs checks.

"It's concerning," said Dover resident Chris Waller, 39, as nearby some hardy swimmers took a New Year's Day dip in bracing Channel waters.

"We'll take things as they come. I don't have confidence in the abilities of the powers that be to organise things," he added.

Luigi Del Duca, 69, an Italian who has lived in Dover for 43 years -- nearly as long as Britain was an EU member -- said he feared the changes could mean fewer European visitors, hurting his fish and chip shop.

"It's too soon to see the impact of this Brexit," he told AFP.

"Maybe they'll still come but not as many as used to... (it) may put people off."

jj/jit/ pma

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Middle Tennessee Volleyball Announces 2021 Spring Schedule - GoBlueRaiders.com

MURFREESBORO, Tenn. – The Middle Tennessee volleyball team released its schedule for the 2021 spring season, as announced by head coach Chuck Crawford on Friday.
 
"It has been more than one calendar year since we competed in a live match, and we are all very excited," said head coach Chuck Crawford. "We will reflect on 2020 and count the simple blessings in life. While we are not out of the woods, competition adds a measure of normalcy for our student-athletes."
 
"I would like to offer my sincere gratitude as I thank our administrators, team doctors and athletic trainers for the tireless work they have done to allow us the opportunity to play a game we love so much," said Crawford. "There have been many logistical hoops and hurdles they have had to jump through and climb over for all of our athletic programs this year. I am truly grateful!"
 
The Blue Raider's schedule pans across eight weeks against two non-conference opponents and six C-USA foes – Florida Atlantic, Old Dominion, Charlotte, Marshall, FIU, and WKU. Middle Tennessee kicks off the season against Lipscomb in a home contest on Jan. 22 and an away match on Jan. 24. The team will face North Alabama in a home and away contest on Jan. 29 and Jan. 31.
 
The Blue Raiders will kick off C-USA play when it travels to Florida Atlantic, Feb. 14 and Feb. 15. Middle Tennessee will then be set to welcome Old Dominion to Alumni Memorial Gymnasium for a pair of matches on Feb. 21 and Feb. 22. The Blue Raiders will continue their conference slate the following weekend traveling to face Charlotte on Feb. 28 and Mar. 1. The team will then return home to take on Marshall on Mar. 7 and Mar. 8. Middle Tennessee will then travel to FIU with two matches on Mar. 14 and Mar. 15 before concluding the season at home against rival WKU, Mar. 20-21.
 
Middle Tennessee returns six letter winners from the 2019 season, including C-USA All-Freshman honoree Kayla Henley. Henley played a significant role for the Blue Raiders last season as a freshman, as she was third on the team in kills with 202, third in blocks with 53, and fifth on the team in digs with 158. Middle Tennessee also welcomes seven newcomers, including Arkansas transfer Maylin Garrett
 
Follow Us
Keep up with Blue Raider Volleyball online: Middle Tennessee Blue Raider Volleyball on Facebook, @MT_Volleyball on Twitter, and @mt_volleyball on Instagram.
 
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Guest commentary: Why I quit being a doctor in the middle of a pandemic - The Denver Post

As a physician anesthesiologist, I am well-trained in managing airways and placing breathing tubes in patients. Therefore it is no surprise that my colleagues and I were summoned as the first line of providers to intubate Covid patients who require a ventilator. This is one of the most dangerous procedures a physician can do for a Covid patient.

During my career, medicine has changed dramatically.  In the beginning, I owned my own practice and had the autonomy to make intelligent decisions for my patients. Now, most of my previous practices have been sold, either voluntarily or by force, to large corporations funded by private equity. My experience with these large companies is that profits are more important than the health and safety of our patients.

When Covid arrived in March of 2020, things went from bad to worse. One hospital where I formerly worked irresponsibly continued to do elective cases despite urgings from the U.S. Surgeon General to stop.  An expose´ was published by NPR showing that elective cases continued despite the fact that the hospital was running out of PPE and the ICUs were filled to capacity with Covid and other critically ill patients.

Providing care for Covid patients does not reimburse well and many physicians, myself included, were warned that salaries would be cut drastically. The financial burden of Covid did not land on corporate investors, but landed squarely on physicians and taxpayers who bailed out many of these companies.

Despite the drop in salary, long shifts, and late nights I was willing to work and give back to my community. However, I was told that our hospital didn’t have enough PPE. The message from administrators to our community was that they had ample supply and there was no need to panic. But behind closed doors, healthcare workers were told to reuse masks indefinitely unless they were visibly torn or soiled. I asked neighbors and friends for PPE donations, and they generously stepped up with N95 masks, face shields, and respirators. But when I tried to wear the N95 or respirator in my hospital, I was told that it was against hospital policy and that I was scaring patients.

It would be nice if physicians could turn to the government to protect us during the Covid epidemic, but that hasn’t occurred. The arrival of a vaccine is a welcome turn of events, but there isn’t yet enough to go around. Not all health care providers are being offered the vaccine and some hospitals aren’t getting any at all. However, the Senate Majority Leader, Speaker of the House and President Elect, appear to have full unencumbered access to the vaccine.

I have two young daughters at home and I have realized that I can stay healthy and raise them, or continue to work under these conditions and put my own life at risk. Talking to my colleagues, I am not the only one leaving or contemplating an urgent departure from medicine. I recently submitted a recommendation for one of my very experienced colleagues who is leaving medicine to go to law school. I foresee a massive shortage of physician specialists right when our country and healthcare system will need them most. The corporatization of medical practices, the mismanagement of hospitals, and Covid created a perfect storm for many of us to decide it is time to hang up our stethoscopes.

Cases will surge in the coming weeks mainly due to people who ignored the suggestion to stay home and isolate for the holidays. The good news is we now have enough ventilators for patients. The problem is we may not have enough physicians willing to run them.

Dr. Justin Meschler is an anesthesiologist with over 15 years of experience. He has a PhD in pharmacology and physiology and has authored and published multiple scientific articles. He served as the OR medical director at a Level One Trauma Center in Central Georgia before moving to Colorado. He is now retired from medicine at the age of 48.

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Florida Atlantic vs. Middle Tennessee - Game Preview - January 1, 2021 - ESPN

The Middle Tennessee Lady Raiders (2-3, 0-0 C-USA) host the Florida Atlantic Owls (2-2, 0-0 C-USA) in C-USA action at Murphy Athletic Center on Friday, January 1, 2021. The matchup tips at 7:00 PM ET.

Middle Tennessee Team Stats

Middle Tennessee had a 71 points per game average a season ago, 2.1 more than the 68.9 Florida Atlantic gave up per contest. The Lady Raiders went 17-0 in games when they put up at least 69 points.

As a team, the Lady Raiders shot 62.5 percent from the free throw line last year, good for 10th in the C-USA. Anastasia Hayes led Middle Tennessee, knocking down 4.8 free throws a game while shooting 62 percent from the charity stripe.

Florida Atlantic Team Stats

The Owls scored 66.3 points per game last season, more than the 64.6 Middle Tennessee allowed. When Florida Atlantic reached the 65-point mark, it went 8-3 on the year.

The Owls made 71.7 percent of their free throws as a team last season, the fourth-best mark in the C-USA. Crystal Primm hit 4.6 free throws per game to lead Florida Atlantic while knocking down 64 percent of her attempts at the line.

Middle Tennessee Last Season Leaders

Anastasia Hayes was Middle Tennessee's leading scorer, averaging 18.7 points a contest, and best passer with 4.4 assists per game last season. Aislynn Hayes added 14.1 points and 3.1 assists for the Lady Raiders, and Taylor Sutton contributed 12.6 points per game.

Averaging 2.5 made three-pointers a contest last season, Sutton was Middle Tennessee's most prolific three-point shooter, knocking down 33 percent of her shots from downtown.

Florida Atlantic Last Season Leaders

Crystal Primm was Florida Atlantic's top scorer last season, tallying 15.4 points a contest, and leading rebounder with 7.9 rebounds per game. Lotta Vehka-Aho averaged 12.6 points and 1.6 steals for the Owls, while Gauthier averaged 11 points and 7.2 rebounds per game.

Juliette Gauthier helped space the floor for Florida Atlantic last season, leading the Owls by averaging 1.7 made three-pointers per game while shooting 31 percent from beyond the arc.

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