LAKEVIEW, Ore. - The Federal Communications Commission (FCC) is scheduled to vote Thursday on whether to classify the Internet as a public utility, allowing it to be more closely regulated to ensure fairness, or what is known as "net neutrality." But smaller Internet service providers are asking to be exempted if that happens.

In Oregon, rural towns like Lakeview are served by small companies that only provide Internet service, not phone or cable.

Tommie Dodd manages Tnet Broadband Internet, an ISP in Lake County with about 800 customers. Dodd says he's worried an FCC decision could mean more paperwork and expensive upgrades.

"We really don't know what the bottom line will be," Dodd says. "The American Cable Association, just in the last few days, has asked them to waive the rules for smaller ISPs but right now they include everything."

Dodd says he understands the appeal of faster Internet service, but notes it's more expensive to get fiber optic technology to remote areas, and the big providers haven't been interested. He also belongs to the Wireless Internet Service Providers Association, which sent a letter this month to the FCC asking to exempt small providers that offer only broadband services.

Elsewhere across the country, supporters of the change held weekend rallies for a free and open Internet. Their concern is that without closer FCC regulation, the big Internet providers will continue to push for a tiered system that allows them to charge more money for faster speeds, which could compromise online access for those who can't afford it.

Dodd says rural companies like his can't afford to work that way, and they want the FCC to acknowledge it.

"In rural areas we do our job," he says. "We don't restrict anybody, we don't slow anything down. If somebody calls in and claims they're not getting their speed, we hop on it. What are they going to add to the conversation?"

Internet service in Oregon varies widely, and there are about 14 million rural Americans with no online access. Reclassifying the Internet as a utility might make serving them a bigger priority.

FCC Chairman Tom Wheeler and President Barack Obama have both indicated they support the change.


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A recent study from Florida Atlantic University highlights a concerning rise in alcohol-related deaths across the United States, with mortality rates nearly doubling between 1999 and 2020.

The findings point to significant public health challenges, particularly among younger age groups and in the South.

Dr. Charles H. Hennekens, professor of medicine and preventive medicine at Florida Atlantic University and the study's co-author, analyzed data from the U.S. Centers for Disease Control and Prevention's "WONDER" database.

"There was a doubling of the mortality from alcohol-related deaths that we saw at all ages," Hennekens reported. "The most alarming spike, nearly fourfold, was in those 25 to 34 years of age."

The number of alcohol-related deaths skyrocketed from just over 19,000 to nearly 49,000. Experts said the findings should be a wake-up call for Florida, where nightlife and tourism are key drivers of the economy. Hennekens urged health care providers to step up screening for alcohol use and educate patients about the dangers.

Hennekens stresses rising rates of obesity and diabetes exacerbate the problem, highlighting one immediate effect of excessive alcohol consumption is liver damage, which can lead to cirrhosis and liver cancer.

"This also contributes to early liver damage," Hennekens pointed out. "These two deleterious effects may be additive or perhaps even synergistic and may contribute to greater and earlier onset of alcohol-related mortality."

While moderate alcohol consumption, defined as up to one drink per day for women and two for men, may have some benefits, Hennekens cautioned against misconceptions. He explained it doesn't matter whether it is a glass of wine, a shot of liquor or one bee, it is about the quantity, not the type. People who drink moderate to large amounts have the highest risk of premature mortality and morbidity.


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The number of Medicare enrollees is projected to rise over the next few years as the baby boomer population ages. More than 2 million Illinoisans are currently enrolled in the federal health care program, according to Healthinsurance.org,

The Office-Based Facility Association, a coalition of practitioners, is calling for a change in what they view as an ineffective and unfair pricing structure of the Medicare Physician Fee schedule.

Jason McKitrick, executive director of the association, said other payers linking themselves to Medicare is one of the issues.

"When you've got ongoing cuts to Medicare, that means you've likely got ancillary cuts going on with the private side, with the Medicaid side, etc.," McKitrick explained. "It's the Centers for Medicare and Medicaid Services, CMS, ultimately, that's the agency and the federal government that sets the rates for the Medicare Physician Fee Schedule."

The association pointed out the current fee schedule addresses doctor's fees only, not the costly and necessary supplies and equipment needed for their practices. According to the Centers for Medicare and Medicaid Services data, there are 300 office-based services under the fee schedule for which Medicare reimbursement is less than the direct costs, before even considering other costs like overhead and physician work.

Dr. Sreenivas Reddy, a vascular interventional radiologist in Hinsdale, said in addition to seeing patients, he has to monitor overhead expenses such as office space and employee salaries, both affected by inflation. Not having the proper medical equipment and supplies, he added, limits his ability to perform specialized procedures and forces patients to seek care elsewhere.

"That makes these patients go to the hospital-based facilities," Reddy noted. "We have to close our offices and try to join these hospital-based models. They would love to come to the office, get the procedure done in one or two hours, versus it takes like a whole day in the hospital setting."

Reddy emphasized physicians' reimbursement, based on the current physician pay schedule, has been on the downtrend for the last five years. The group has further concerns about a decrease in the number of private practices causing more medical deserts for interventional radiology, cardiology, vascular surgery, radiation and oncology care.

Farm advocates say price gouging on meat and poultry are taking a toll on Montanans.

A farm group cites U.S. Department of Agriculture data as proof of corporate greed, and says companies are still using supply-chain issues as an excuse for inflated prices.

Companies faced massive supply-chain disruptions during the pandemic. But Ag Department data show most of those problems are gone - and food prices in Montana haven't dropped.

Groceries here are 5% higher than the national average and egg prices are up 50% since last year, according to the Consumer Price Index.

Joe Maxwell, chief strategy officer with Farm Action, said food producers are looking for ways to keep prices artificially inflated.

"And it's just a part of their doing business now," said Maxwell. "They find excuses in the markets to gouge that consumer. And one thing we want to be very clear on is that the consumer knows it's not the farmer. The farmer's getting squeezed just as much as is the consumer."

Food producers have blamed the supply chain, but also plant closures and a strain of avian flu for supply and demand issues - driving up production costs.

Farm Action is the same group which, not long after the official end of the pandemic, asked the Federal Trade Commission to investigate egg prices - which had tripled in some cases.

Maxwell said Ag Department data show the numbers did not justify the price hike, and adds corporate food producers have positioned themselves to have outsize control over the market.

"They've got that control over the farmer, not unlike oil companies have over oil fields," said Maxwell. "They now have that control because there are very few buyers of farmers' commodities, so they have that control over the farmer, the producer."

Farm Action has also been critical of large, corporate operations that raise thousands of animals in confined spaces, which have been known to pollute air and groundwater.





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