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COVID-19 Classified: Moral Issues

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In a time when healthcare providers face heavy financial pressures, ensuring they get paid for the right work at the right rates is essential. The onslaught of COVID-19 testing and treatment has added many hurdles in the form of new codes which are needed to ensure all health providers are paid. These codes are used to identify present and past patients also.

The CDC, AMA, and CMS have issued guidelines to all insurance, and healthcare providers involved in the treatment of COVID-19. The many agencies involved have worked to make COVID-19 medical codes readily available while fast-tracking documentation guidelines for suspected and confirmed cases.

ICD-10-CM codes: Information readily available
1. Confirmed Cases positive, presumed positive.
2. Potential cases…suspected possible, probable or inclusive tested.
3. Ruled out cases
4. Asymptomatic Screening of those with negative or unknown results.

Current Procedural Terminology (CPT)codes
1. Nucleic Acid Testing: Testing of novel coronavirus.
2. Antibody Testing: revised code(86318 can be used along with new child code 86328 for antibody testing

Healthcare Common Procedure Coding System created for use with coronavirus testing.
1. CDC Testing for tests performed at CDC Labs
2. Another testing is done in non-CDC labs including private labs.
3. High Throughput DNA Testing used in nucleic acid testing
4. High Throughput Other testing using tests of another technic other than the CDC Lab .

Correct coding matters, for financial and healthcare purposes. Faster reimbursements for testing and enabling patients to receive covered care. Accurate documentation supplies crucial data to be shared with appropriate medical authorities, which hopefully helps track the prevalence and spread of COVID-19 and another possibly new coronavirus.

The huge effort having been invested in tracking and documenting the fight against COVID-19 has presented society with a number of moral questions. Can the information acquired from our citizenry be illegally used, manipulated, and even stolen for nefarious uses? Do the multiple vaccinations we have been encouraged to have contained pathogens and chemicals that could affect us in the future? The fight against COVID has instilled a sharp tool of complaint, conspiracy theories, and fear among many within our societies. Are we guinea pigs, and has the Pharmaceutical Industry’s outreach to our governments become far too intertwined, controlling with undue influence present?

Ultimately research into the effects of multiple vaccinations and their long-term effects on patients is essential. What is the ethical challenge before Big Pharma and our governments? Did you know that once you go to a doctor’s office and give blood samples, and it is sent to a laboratory for analysis, what happens to that blood? Who has a patent/ownership on that sample of DNA? Did you know that multiple members of Big Pharma have taken samples of DNA and placed patents upon them, often for use in research and industry without the knowledge or approval of donors? When a crisis happens, someone always sees an opportunity within the crisis and profits from it. Has the Pandemic created the perfect environment for such actions by our government and big business?

Steven Kaszab
Bradford, Ontario
skaszab@yahoo.ca

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Ticats host Redblacks in important East Division contest for both teams

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HAMILTON – For Scott Milanovich and the Hamilton Tiger-Cats, what’s understood need not be discussed.

Hamilton (3-9) hosts Ottawa (8-3-1) on Saturday afternoon in an important East Division matchup for both teams. The Ticats enter weekend action six points behind third-place Toronto (6-6) while the Redblacks can clinch their first post-season berth since 2018 with a victory.

And with Toronto visiting the B.C. Lions (7-6) on Friday night, Hamilton will have a clearer indication of its situation Saturday.

But Milanovich, in his first season as Hamilton’s head coach, has steadfastly maintained his club’s most pressing duty is to win the next game on its schedule.

“There’s too many games left, we’re too far away to start thinking about these things,” he said. “I certainly don’t think I have to impress upon (Ticats players) the importance of this game.

“They’re well aware of it.”

Ottawa won the first meeting of the season 24-22 at TD Place on June 30. Before that, though, Hamilton had won 10 straight over the Redblacks.

Hamilton comes off a bye week following its 31-28 Labour Day win over Toronto on Sept. 2. That gave the Ticats the season series with the two teams slated to meet once more (Sept. 20 at BMO Field).

The reality is Hamilton will need help to overtake Toronto for third and reach the CFL postseason. Ottawa, on the other hand, controls its playoff fate entering Saturday’s contest.

The Redblacks are 2-1 within the East Division but 2-3 away from TD Place. Hamilton is 2-3 versus its conference rivals and just 2-4 at Tim Hortons Field.

Veteran Bo Levi Mitchell threw for 347 yards and two TDs in the Labour Day win. He’ll start against Ottawa even though youngster Taylor Powell came off the injured list after suffering a head injury in the Ticats’ 47-22 home win over Edmonton on Aug. 17.

Mitchell has a career record of 10-3-2 against Ottawa. And over the Ticats’ last two games, receiver Tim White has 13 catches for 314 yards (24.2-yard average) and two TDs.

With the bye week, Hamilton will play 12 days after its rivalry win over Toronto. Ideally, the Ticats would’ve been able to ride the momentum of that victory into the following week but Mitchell said during a long CFL regular season players take their downtime whenever it comes.

“Yeah, I definitely think guys wanted to build off this momentum,” he said. “We still will but we also know momentum is very subject to the moment.

“You might have momentum going into a game but they feel the same way and that all changes basically after the first kickoff.”

Rookie running back Greg Bell will make a fifth start and fourth straight ahead of veteran James Butler. The six-foot, 200-pound American has rushed for 204 yards and three TDs on 33 carries (6.2-yard average) in his last three contests while adding 11 catches for 132 yards and a touchdown.

The five-foot-nine, 210-pound Butler ran for 1,116 yards last season, his first with Hamilton. And over eight contests in 2024, Butler rushed for 440 yards and a TD on 92 carries (4.8-yard average) while also recording 37 receptions for 312 yards and a touchdown.

“I know what it looks like, this is not an indictment on James Butler whatsoever,” Milanovich said. “He’s a good back.

“I just felt like we wanted Greg’s juice out there a little bit.”

Milanovich said Butler and Bell are very different players.

“James is more of a power runner, the first guy is not going to bring him down,” Milanovich said. “James is an elite pass protector and also a good receiver.

“He (Bell) is explosive … he’s kind of a slasher. When he does see the hole he hits it and he’s a threat receiving. Certainly, there are things he needs to continue to work on but he’s a threat out there, he’s somebody guys have to worry about.”

At first glance, an easy solution would seem to be having both players in the lineup. But Milanovich said it’s not that simple.

“It’s just it’s hard right now with where we’re at with the roster,” he said. “It’s hard to get another American on who’s not going to play a major role offensively or defensively.”

Bell will make his second appearance versus Ottawa, running for 52 yards on 13 carries back in June. And Bell isn’t getting preoccupied with the importance of Saturday’s contest.

“No pressure,” he said. “We’ve all been doing this our whole lives so it’s just football.

“Just run hard, follow my blockers. If they open a hole I’m going to hit it hard.”

This report by The Canadian Press was first published Sept. 13, 2024.



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Longtime AD and 2-time national champion baseball coach Tanner to switch roles at South Carolina

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COLUMBIA, S.C. (AP) — Ray Tanner is stepping down as South Carolina’s athletic director after more than 12 seasons, he said Friday.

Tanner, a two-time national champion baseball coach for the Gamecocks, took over as head of the department in 2012 following his team’s third straight trip to the College World Series. The 66-year-old announced his intentions at a meeting of the school’s board of trustees.

Tanner will remain athletic director until his successor arrives. Tanner will then transition to become athletics director emeritus and senior advisor to the president, focusing on fundraising and community engagement.

“There was going to be a time” to change, Tanner said. “When I coached baseball, I didn’t leave the baseball program because I didn’t think it was good anymore to become the athletic director, it was time. And I knew it was getting close to time in this role as well.”

A national search for a new athletic director will begin at the end of November, university president Michael Amiridis said.

Tanner’s tenure has had its highs and lows.

Women’s basketball has won three national titles under coach Dawn Staley in 2017, 2022 and, most recently, 2024. And while Tanner was still baseball coach when Staley came on board before the 2008-09 season, he helped keep her with the Gamecocks despite other outside opportunities.

Tanner has hired two full-time football coaches over his 12 years as the program has tried to make strides in the difficult Southeastern Conference.

Will Muschamp served from 2017 until his dismissal before the end of the 2020 season, going 28-30 overall and 17-22 in the SEC.

Current coach Shane Beamer was hired in December 2020 and has had two winning seasons in his first three years. The Gamecocks (2-0, 1-0 SEC) face No. 16 LSU (1-1) at home on Saturday.

Tanner said he was honored to be at South Carolina for nearly three decades and the chance to continue in a different role.

Amiridis was reluctant to let Tanner go as athletic director when the two began chatting about his successor. But Amiridis was pleased to have Tanner remain as athletic director emeritus and a presidential advisor with a focus on fundraising and community engagement.

“I am glad to see he’s continuing on in a role with the university and his willingness to do that,” said Board of Trustees chairman Thad Westbrook. “Ray, he doesn’t have a degree from South Carolina, but there’s no one who loves our university more.”

Tanner came to South Carolina in 1996 as baseball coach and went on to make six trips to the College World Series. The Gamecocks won it all in 2010 and 2011 and reached the final series in 2012 before missing a three-peat against Arizona.

A short time later, Tanner was named athletic director after Hyman left for Texas A&M.

Tanner said his successor would need to be “nimble” in navigating the new, rapidly changing world of college athletics.

Amiridis said he would look for an athletic director with experience who had a similar respect for athletics as Tanner.

Tanner said he will not be closely involved in picking the next athletic director.

“I’m gratefully for the time that I’ve been able to spend in South Carolina and the opportunity moving forward,” he said. “We have a great place, we have wonderful people and I’m excited to remain in a capacity that’s going to be new to me, but certainly will energize me in a way that I haven’t experienced in a number of years.”

___

AP sports:

The Canadian Press. All rights reserved.



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Driver charged with killing NHL’s Johnny Gaudreau and his brother had .087 blood-alcohol level

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PHILADELPHIA (AP) — The driver charged with killing NHL hockey player Johnny Gaudreau and his brother Matthew as they bicycled on a rural road had a blood-alcohol level of .087, above the .08 legal limit in New Jersey, a prosecutor said Friday.

Gaudreau, 31, and brother Matthew, 29, were killed in Carneys Point, New Jersey, on Aug. 29, the evening before they were set to serve as groomsmen at their sister Katie’s wedding.

The driver, 43-year-old Sean M. Higgins of nearby Woodstown, New Jersey, is charged with two counts of death by auto, along with reckless driving, possession of an open container and consuming alcohol in a motor vehicle. At a virtual court hearing Friday, a judge ordered that he be held for trial after prosecutors described a history of alleged road rage and aggressive driving.

“’You were probably driving like a nut like I always tell you you do. And you don’t listen to me, instead you just yell at me,’” his wife told Higgins when he called her from jail after his arrest, according to First Assistant Prosecutor Jonathan Flynn of Salem County.

The defense described Higgins as a married father and law-abiding citizen before the crash.

“He’s an empathetic individual and he’s a loving father of two daughters,” said defense lawyer Matthew Portella. “He’s a good person and he made a horrible decision that night.”

Higgins told police he had five or six beers that day and admitted to consuming alcohol while driving, according to the criminal complaint. He also failed a field sobriety test, the complaint said. A prosecutor on Friday said he had been drinking at home after finishing a work call at about 3 p.m., and having an upsetting conversation with his mother about a family matter.

He then had a two-hour phone call with a friend while he drove around in his Jeep with an open container, Flynn said. He had been driving aggressively behind a sedan going just above the 50 mph speed limit, sometimes tailgating, the female driver told police.

When she and the vehicle ahead of her slowed down and veered left to go around the cyclists, Higgins sped up and veered right, striking the Gaudreas, the two other drivers told police.

“He indicated he didn’t even see them,” said Superior Court Judge Michael J. Silvanio, who said Higgins’ admitted “impatience” caused two deaths.

Higgins faces up to 20 years, a sentence that the judge said made him a flight risk.

Higgins has a master’s degree, works in finance for an addiction treatment company, and served in combat in Iraq, his lawyers said. However, his wife said he had been drinking regularly since working from home, Flynn said.

Johnny Gaudreau, known as “Johnny Hockey,” played 10 full seasons in the league and was set to enter his third with the Columbus Blue Jackets after signing a seven-year, $68 million deal in 2022. He played his first eight seasons with the Calgary Flames, a tenure that included becoming one of the sport’s top players and a fan favorite across North America.

Widows Meredith and Madeline Gaudreau described their husbands as attached at the hip throughout their lives. Both women are expecting, and both gave moving eulogies at the double funeral on Monday.

The Canadian Press. All rights reserved.



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