Tuesday October 22, 2019
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USA Finally Votes On Tuesday To Render Decision On Trump

Republicans are counting on Trump's frenetic campaign pace in the final days to help them retain or even expand their narrow Senate majority.

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Trump, Merkel discuss trade, security issues at G-20 Summit. VOA

A sharply divided U.S. electorate is voting Tuesday to elect a new Congress and to render a midterm verdict on President Donald Trump. The results could shift the balance of power in Washington and alter the next two years of Trump’s presidency.

All 435 seats in the House of Representatives are at stake Tuesday, plus 35 of the 100 U.S. Senate seats and 36 of the 50 state governorships.

Public opinion polls and analysts suggest that opposition Democrats have an advantage in the battle for control of the House of Representatives. Democrats are favored to win more House seats than they currently have and they need an overall gain of 23 to retake the House majority.

Republicans are counting on President Trump to rally his supporters to help maintain their narrow 51 to 49 seat edge in the Senate. Of the 35 Senate seats at stake Tuesday, Democrats hold 26 and Republicans hold nine.

Immigration focus

Democrats are trying to hold 10 Senate seats in states where Trump prevailed in the 2016 election, including Tennessee.

Trump blasted Democrats over immigration during a recent rally in Chattanooga.

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A woman arrives at a polling station in Lark Community Center as early voting for midterm elections started, in McAllen, Texas. VOA

“Democrats want to invite caravan after caravan of illegal aliens to pour into our country. I don’t think so,” Trump said, invoking images of the caravan of Central American migrants moving through Mexico. “No nation can allow its borders to be overrun. And that is an invasion. I don’t care what they say. I don’t care what the fake media says. That is an invasion of our country.”

Democrats are getting some high-profile campaigners to help them including former President Barack Obama, who rallied voters in his home state of Illinois and told them Trump’s deployment of U.S. troops to the border in response to the caravan was a “political stunt.”

“When you vote, Illinois, you can reject that kind of politics. When you participate in the political process, you can be a check on bad behavior. When you vote, Illinois, you can choose hope over fear,” Obama said.

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President Donald Trump acknowledges the crowd at a rally in Chattanooga, Tenn. VOA

Early turnout has been huge in several states, especially for a midterm election when total voter turnout often struggles to reach 40 percent of eligible voters.

Trump a central issue

Polls show Democrats are most concerned with health care and the economy, with Republicans focused on immigration.

But Brookings Institution expert John Hudak said it is also clear that Trump is a major issue for both parties this year.

“This is a president who wants this midterm to be a referendum on him, largely because he thinks his own popularity is so great that it will carry Republicans across the finish line,” Hudak said.

But Trump is not only battling Democrats in this year’s election, he is also battling history.

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lorida Democratic gubernatorial nominee Andrew Gillum, left, and Senator Bill Nelson (D-FL), right, listen to former President Barack Obama as he addresses the media and supporters as they stump for votes at a rally in Miami, Florida, VOA

“The big picture is that midterm elections go against the president’s party,” noted John Fortier of the Bipartisan Policy Center in Washington. “I think there will be no difference here. The Democrats will do quite well in the House of Representatives, in the governorships and state legislatures.”

Trump’s approval rating is also a concern for Republicans. RealClearPolitics puts Trump’s average approval at about 43 percent, with 53 percent disapproving.

“The midterm history is pretty stark in that the president’s party usually loses ground in the midterms and it is usually a question of how much ground they lose,” said University of Virginia analyst Kyle Kondik. “That is particularly true when a president is unpopular, as this president is.”

Kondik notes that in the 29 congressional midterm elections held since 1900, the president’s party has lost House seats in all but three — 1934, 1998 and 2002.

Will Democrats turn out?

Historically, though, Republicans are more reliable voters in midterm elections.

Gallup pollster Frank Newport said that puts pressure on Democrats to make sure their supporters get out and vote.

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People stand cast their ballots ahead of the Nov. 6 election at Jim Miller Park, in Marietta, Ga. VOA

“Under the expectation that Republican voters typically are more likely to turn out, can Democrats energize people who identify with the Democratic Party to turn out and vote for their candidates?” Newport said.

If Democrats win enough House seats to reclaim the majority, Trump would face a shift in the balance of power in Washington.

Also Read: U.S. President Donald Trump To Meet Google CEO Sundar Pichai And Other Heads Of Tech Giants

“The House has been a rubber stamp for the Trump agenda. It will no longer be a rubber stamp,” said Jim Kessler of the centrist Democratic group Third Way. “Anything that gets done will have to be a bipartisan basis.”

Democrats are hoping for a wave election that would bring them control of the House and gubernatorial victories in key states like Florida, Ohio and Wisconsin.

Republicans are counting on Trump’s frenetic campaign pace in the final days to help them retain or even expand their narrow Senate majority. (VOA)

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Increased Data Entry Workloads Are Pushing USA Doctors Towards Burnout

The types of mistakes that doctor burnout may trigger impact public safety, as well as quality of care

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A report by Harvard researchers even categorized physician burnout as "a public health crisis." Pixabay

Technology is changing the healthcare landscape with American doctors now needing to complete more data entry work to account for an array of factors, including the possibility of medical malpractice, according to a Becker Hospital Review report. The extra workload is making it harder for doctors to feel energized and positive while they are on the job. In fact, 13 percent of doctors place the blame for their feelings of burnout directly on their increased data entry workloads. When doctors burn out, they are prone to making mistakes which put patients at risk. So this extra workload, some of which is designed to lower the risk of medical malpractice lawsuits, may ironically be resulting in an uptick in legal issues.

Doctor burnout needs to be addressed

Doctors who are burnt out are twice as likely to make mistakes, which may have severe or even fatal consequences for patients. A report by Harvard researchers even categorized physician burnout as “a public health crisis.” The types of mistakes that doctor burnout may trigger impact public safety, as well as quality of care. Doctors who burn out and make medical errors frequently suffer psychological turmoil, which may extend to suicidal thoughts, and may also end up in court due to medical malpractice lawsuits. Janet, Janet & Suggs asserts that medical malpractice lawsuits are filed to access compensation and justice for victims of medical malpractice. These cases are on the rise in several states, including Florida, Massachusetts, Minnesota and Vermont, based on recent information from the National Practitioner Data Bank. As a consequence of the growing amount of data entry required of doctors, burnout is considered an urgent problem, especially since some malpractice lawsuits can be directly linked to physicians being overworked.

Physician burnout affects everyone

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Doctors who are burnt out are twice as likely to make mistakes, which may have severe or even fatal consequences for patients. Pixabay

Almost 50 percent of US doctors report feelings of failure, exhaustion, and depression, as a result of their long hours, hard work, and ever-increasing quantity of patients. Extra data entry work is part of the problem, and another issue is that fact that there are so many patients and only 1.1 million physicians. Since Americans need health care that they can trust, physician burnout can unfortunately affect doctors in every practice and field. Skyrocketing medical malpractice lawsuits in some US states tell a story about the impact that long hours and electronic health record (EHR) systems are having on physicians. Doctors don’t always have access to the latest technology while they practice medicine. This means that they may need to spend even more time updating records. Better technology might lead to lower incidences of doctor burnout and medical malpractice lawsuits, but other solutions should also be sought.

Also Read- Tanzania Denies Withholding Information from WHO on Suspected Cases of Ebola

Americans need to be aware of the pressures placed on doctors, but also need to understand that they may be at higher risk of being subjected to medical mistakes as a consequence of physician burnout. The burnout issue among physicians is something that needs to be addressed sooner rather than later, so doctors are able to deliver the best quality of care possible and avoid malpractice lawsuits.