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By MARC LEVY HARRISBURG, Pa. (AP) — Democratic Sen. Bob Casey of Pennsylvania conceded his reelection bid to Republican David McCormick on Thursday, as a statewide recount showed no signs of closing the gap and his campaign suffered repeated blows in court in its effort to get potentially favorable ballots counted. Casey’s concession comes more than two weeks after Election Day, as a grindingly slow ballot-counting process became a spectacle of hours-long election board meetings, social media outrage, lawsuits and accusations that some county officials were openly flouting the law. Republicans had been claiming that Democrats were trying to steal McCormick’s seat by counting “illegal votes.” Casey’s campaign had accused of Republicans of trying to block enough votes to prevent him from pulling ahead and winning. In a statement, Casey said he had just called McCormick to congratulate him. “As the first count of ballots is completed, Pennsylvanians can move forward with the knowledge that their voices were heard, whether their vote was the first to be counted or the last,” Casey said. The Associated Press called the race for McCormick on Nov. 7, concluding that not enough ballots remained to be counted in areas Casey was winning for him to take the lead. As of Thursday, McCormick led by about 16,000 votes out of almost 7 million ballots counted. That was well within the 0.5% margin threshold to trigger an automatic statewide recount under Pennsylvania law. But no election official expected a recount to change more than a couple hundred votes or so, and Pennsylvania’s highest court dealt him a blow when it refused entreaties to allow counties to count mail-in ballots that lacked a correct handwritten date on the return envelope. Republicans will have a 53-47 majority next year in the U.S. Senate. Follow Marc Levy at twitter.com/timelywriter
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Bethesda, MD, Nov. 25, 2024 (GLOBE NEWSWIRE) -- Three physician partners with Aledade , the nation’s largest network of independent primary care, have been recognized with one of the highest honors federal agencies can bestow in health care. For their work battling the ‘silent killer’ – hypertension – a community health center in Arkansas and independent primary care practices in Delaware and Florida were recognized as Million Hearts® 2024 Hypertension Control Champions . Awarded jointly by the Centers for Disease Control and Prevention and the Centers for Medicare & Medicaid Services, the Million Hearts 2024 Hypertension Control Champions are highlighted for their “exemplar rates of hypertension control.” Practices that achieved blood pressure control for at least 80% of their adult patients with hypertension (also known as high blood pressure) received the award from Million Hearts, which has a goal to avert 1 million preventable cardiovascular disease events by the end of 2026. Only 32 health providers nationwide met the criteria. “We join the CDC in congratulating our partner practices for their commitment to do more good by achieving these exceptional levels of blood pressure control for their patient population,” said Ahmed Haque, chief performance officer at Aledade. “At Aledade, we are proud to partner with primary care clinicians so they can succeed in value-based care. Our three Hypertension Control Champions are shining examples of how we give our primary care partners the data and support they need to keep patients healthy.” About one in three adults in the United States has high blood pressure, but many don’t realize it. High blood pressure is often referred to as the silent killer, according to the U.S. National Institutes of Health, because it usually has no warning signs, yet can lead to life-threatening conditions like a heart attack or stroke. Fortunately, high blood pressure often can be prevented or treated as early diagnosis. Simple, healthy changes can keep high blood pressure from seriously damaging a person’s health. Aledade partners who were recognized as Million Hearts 2024 Hypertension Control Champions include: Mainline Health Systems, Inc., Dermott, Arkansas Milford Primary Care Associates, Milford, Delaware Brevard Health Center, Melbourne, Florida Mainline Health’s team, which began working with Aledade in 2020, leveraged data insights from Aledade’s technology to make more informed clinical decisions and increased its entire patient population hypertension control rate from 70% to 84%. “Our mission is to provide the highest quality clinical services to all,” said Kerry Pennington, M.D., the clinical director of Mainline Health Systems, a community health center in Southeast Arkansas. “A big change for us occurred when we began to implement the correct processes to proactively monitor the health of our patients. Aledade has been a big part of that improvement as they gave us a platform to invest in improved outcomes. We are honored that this work is being reflected in our recognition as a Million Hearts 2024 Hypertension Control Champion.” About Aledade Aledade, a public benefit corporation , is the largest network of independent primary care in the country, helping independent practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Through its proven, scalable model, which includes cutting-edge data analytics, user-friendly guided workflows, health care policy expertise, strong payer relationships and integrated care solutions, Aledade empowers physicians to succeed financially by keeping people healthy. Together with more than 1,900 practices, federally-qualified health centers and community health centers in 45 states and the District of Columbia, Aledade shares in the risk and reward across more than 200 value-based contracts representing more than 2.5 million patient lives under management. To learn more, visit www.aledade.com or follow on X (Twitter) , Facebook or LinkedIn . ### Attachment Three Aledade Physician Partners Recognized for Exemplary Hypertension Control Hiran Ratnayake Aledade (302) 299-3562 hratnayake@aledade.com
WASHINGTON — USA Basketball is on the brink of qualifying for next year's AmeriCup tournament. Javonte Smart scored 21 points, Jahmi'us Ramsey scored 19 and the U.S. never trailed in a 97-74 win over the Bahamas in an AmeriCup qualifying game Monday night. The U.S. improved to 3-1 in qualifying, and one more win in either of their two remaining qualifying games — not until February — will clinch a spot in AmeriCup, which is the championship of the FIBA Americas region. The tournament will be played in Nicaragua in August 2025. Frank Kaminsky III had 14 points and seven rebounds, and David Stockton finished with 14 points and six assists for the Americans. The U.S. outscored Bahamas 45-21 from 3-point range. Tavario Miller led Bahamas with 20 points.STANFORD, Calif. — Andrew Luck is returning to Stanford in hopes of turning around a struggling football program that he once helped become a national power. Athletic director Bernard Muir announced Saturday that Luck has been hired as the general manager of the Stanford football team, tasked with overseeing all aspects of the program that just finished a 3-9 season under coach Troy Taylor. “I am a product of this university, of Nerd Nation; I love this place,” Luck said. “I believe deeply in Stanford’s unique approach to athletics and academics and the opportunity to help drive our program back to the top. Coach Taylor has the team pointed in the right direction, and I cannot wait to work with him, the staff, and the best, brightest, and toughest football players in the world.” Luck has kept a low profile since his surprise retirement from the NFL at age 29 when he announced in August 2019 that he was leaving the Indianapolis Colts and pro football. In his new role, Luck will work with Taylor on recruiting and roster management, and with athletic department and university leadership on fundraising, alumni relations, sponsorships, student-athlete support and stadium experience. “Andrew’s credentials as a student-athlete speak for themselves, and in addition to his legacy of excellence, he also brings a deep understanding of the college football landscape and community, and an unparalleled passion for Stanford football,” Muir said. “I could not think of a person better qualified to guide our football program through a continuously evolving landscape, and I am thrilled that Andrew has agreed to join our team. This change represents a very different way of operating our program and competing in an evolving college football landscape.” Luck was one of the players who helped elevate Stanford into a West Coast powerhouse for several years. He helped end a seven-year bowl drought in his first season as starting quarterback in 2009 under coach Jim Harbaugh and led the Cardinal to back-to-back BCS bowl berths his final two seasons, when he was the Heisman Trophy runner-up both seasons. That was part of a seven-year stretch in which Stanford posted the fourth-best record in the nation at 76-18 and qualified for five BCS bowl berths under Harbaugh and David Shaw. But the Cardinal have struggled for success in recent years and haven't won more than four games in a season since 2018. Stanford just finished its fourth straight 3-9 campaign in Taylor's second season since replacing Shaw. The Cardinal are the only power conference team to lose at least nine games in each of the past four seasons. Luck graduated from Stanford with a bachelor’s degree in architectural design and returned after retiring from the NFL to get his master’s degree in education in 2023. He was picked No. 1 overall by Indianapolis in the 2012 draft and made four Pro Bowls and was AP Comeback Player of the Year in 2018 in his brief but successful NFL career.
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PANAMA CITY (AP) — Teddy Roosevelt once declared the Panama Canal “one of the feats to which the people of this republic will look back with the highest pride.” More than a century later, Donald Trump is threatening to take back the waterway for the same republic. The president-elect is decrying increased fees Panama has imposed to use the waterway linking the Atlantic and Pacific oceans. He says if things don't change after he takes office next month, "We will demand that the Panama Canal be returned to the United States of America, in full, quickly and without question.” Trump has long threatened allies with punitive action in hopes of winning concessions. But experts in both countries are clear: Unless he goes to war with Panama, Trump can't reassert control over a canal the U.S. agreed to cede in the 1970s. Here's a look at how we got here: What is the canal? It is a man-made waterway that uses a series of locks and reservoirs over 51 miles (82 kilometers) to cut through the middle of Panama and connect the Atlantic and Pacific. It spares ships having to go an additional roughly 7,000 miles (more than 11,000 kilometers) to sail around Cape Horn at South America's southern tip. The U.S. International Trade Administration says the canal saves American business interests “considerable time and fuel costs” and enables faster delivery of goods, which is “particularly significant for time sensitive cargoes, perishable goods, and industries with just-in-time supply chains.” Who built it? An effort to establish a canal through Panama led by Ferdinand de Lesseps, who built Egypt's Suez Canal, began in 1880 but progressed little over nine years before going bankrupt. Malaria, yellow fever and other tropical diseases devastated a workforce already struggling with especially dangerous terrain and harsh working conditions in the jungle, eventually costing more than 20,000 lives, by some estimates. READ: Panama was then a province of Colombia, which refused to ratify a subsequent 1901 treaty licensing U.S. interests to build the canal. Roosevelt responded by dispatching U.S. warships to Panama's Atlantic and Pacific coasts. The U.S. also prewrote a constitution that would be ready after Panamanian independence, giving American forces “the right to intervene in any part of Panama, to re-establish public peace and constitutional order.” In part because Colombian troops were unable to traverse harsh jungles, Panama declared an effectively bloodless independence within hours in November 1903. It soon signed a treaty allowing a U.S.-led team to begin construction . Some 5,600 workers died later during the U.S.-led construction project, according to one study. Why doesn't the US control the canal anymore? The waterway opened in 1914, but almost immediately some Panamanians began questioning the validity of U.S. control, leading to what became known in the country as the “generational struggle” to take it over. The U.S. abrogated its right to intervene in Panama in the 1930s. By the 1970s, with its administrative costs sharply increasing, Washington spent years negotiating with Panama to cede control of the waterway. The Carter administration worked with the government of Omar Torrijos. The two sides eventually decided that their best chance for ratification was to submit two treaties to the U.S. Senate, the “Permanent Neutrality Treaty" and the “Panama Canal Treaty." The first, which continues in perpetuity, gives the U.S. the right to act to ensure the canal remains open and secure. The second stated that the U.S. would turn over the canal to Panama on Dec. 31, 1999, and was terminated then. Both were signed in 1977 and ratified the following year. The agreements held even after 1989, when President George H.W. Bush invaded Panama to remove Panamanian leader Manuel Noriega. In the late 1970s, as the handover treaties were being discussed and ratified, polls found that about half of Americans opposed the decision to cede canal control to Panama. However, by the time ownership actually changed in 1999, public opinion had shifted, with about half of Americans in favor. What's happened since then? Administration of the canal has been more efficient under Panama than during the U.S. era, with traffic increasing 17% between fiscal years 1999 and 2004 . Panama's voters approved a 2006 referendum authorizing a major expansion of the canal to accommodate larger modern cargo ships. The expansion took until 2016 and cost more than $5.2 billion. Panamanian President José Raúl Mulino said in a video Sunday that “every square meter of the canal belongs to Panama and will continue to.” He added that, while his country's people are divided on some key issues, “when it comes to our canal, and our sovereignty, we will all unite under our Panamanian flag.” Shipping prices have increased because of droughts last year affecting the canal locks, forcing Panama to drastically cut shipping traffic through the canal and raise rates to use it. Though the rains have mostly returned, Panama says future fee increases might be necessary as it undertakes improvements to accommodate modern shipping needs. Mulino said fees to use the canal are “not set on a whim.” Jorge Luis Quijano, who served as the waterway’s administrator from 2014 to 2019, said all canal users are subject to the same fees, though they vary by ship size and other factors. “I can accept that the canal’s customers may complain about any price increase,” Quijano said. “But that does not give them reason to consider taking it back.” Why has Trump raised this? The president-elect says the U.S. is getting “ripped off" and “I’m not going to stand for it.” “It was given to Panama and to the people of Panama, but it has provisions — you’ve got to treat us fairly. And they haven’t treated us fairly,” Trump said of the 1977 treaty that he said “foolishly” gave the canal away. The neutrality treaty does give the U.S. the right to act if the canal's operation is threatened due to military conflict — but not to reassert control. “There's no clause of any kind in the neutrality agreement that allows for the taking back of the canal,” Quijano said. “Legally, there's no way, under normal circumstances, to recover territory that was used previously." Trump, meanwhile, hasn't said how he might make good on his threat. “There’s very little wiggle room, absent a second U.S. invasion of Panama, to retake control of the Panama Canal in practical terms," said Benjamin Gedan, director of the Latin America Program at the Woodrow Wilson International Center for Scholars in Washington. Gedan said Trump’s stance is especially baffling given that Mulino is a pro-business conservative who has “made lots of other overtures to show that he would prefer a special relationship with the United States.” He also noted that Panama in recent years has moved closer to China, meaning the U.S. has strategic reasons to keep its relationship with the Central American nation friendly. Panama is also a U.S. partner on stopping illegal immigration from South America — perhaps Trump’s biggest policy priority. “If you’re going to pick a fight with Panama on an issue,” Gedan said, “you could not find a worse one than the canal.” ___ Weissert reported from West Palm Beach, Florida, and Fields from Washington. Amelia Thomson-Deveaux contributed to this report from Washington. Copyright 2024 The Associated Press . All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
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