Plus, why hospitals are worried about this winter, COVID-19 will be a top cause of death in 2022, a possible post-hurricane Florida exodus, and more. Email not displaying correctly?
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** A railroad strike is possible, once again
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A CSX freight train travels through Alexandria, Va., Sept. 15, 2022. The third largest railroad union rejected its deal with freight railroads Monday, Oct. 10, 2022, renewing the possibility of a strike that could cripple the economy. (AP Photo/Kevin Wolf, File)

Remember a matter of weeks ago when we were one day away from a debilitating national railroad union strike? The White House helped broker a “tentative agreement” ([link removed]) between unions and railroads and saved the day. Well, the strike could be back on the calendar again ([link removed]) .

One of the unions involved in the bargaining, the Brotherhood of Maintenance of Way Employees Division ([link removed]) , voted 57% to 43% against the proposed five-year contract. The union said in a statement:

“The majority of the BMWED membership rejected the tentative national agreement and we recognize and understand that result,” President Tony D. Cardwell said. “I trust that railroad management understands that sentiment as well. Railroaders are discouraged and upset with working conditions and compensation and hold their employer in low regard. Railroaders do not feel valued. They resent the fact that management holds no regard for their quality of life, illustrated by their stubborn reluctance to provide a higher quantity of paid time off, especially for sickness. The result of this vote indicates that there is a lot of work to do to establish goodwill and improve the morale that has been broken by the railroads’ executives and Wall Street hedge fund managers.”

The Maintenance of Way union is just one of a handful of unions to vote on the contract, but it is among the biggest, representing 12,000 of the 23,000 total voting union workers. The two bigger unions representing conductors and engineers have not voted yet. We may not know the result of those votes until mid-November.


** Why hospitals are worried about this winter
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With COVID-19 cases dropping ([link removed]) , why are hospitals so concerned about the months ahead?NBC News reports ([link removed]) :

Hospitals nationwide are preparing for a third winter with Covid — the first one that's also expected to include high levels of influenza and other respiratory illnesses that have simmered quietly in the background for the past two years.

Flu cases are already rising in parts of the U.S., according to the Centers for Disease Control and Prevention ([link removed]) . Pediatricians, too, are seeing a growing number of children sick with respiratory syncytial virus, or RSV, and enteroviruses ([link removed]) .

In addition, health care workers are quitting at rates 23% higher than when the pandemic began and a little higher than the rest of the workforce.
[link removed]
(Kaiser Family Foundation)

NBC’s report said:

"Nurses were on the front line, and some of them burned out and quit ([link removed]) ," said Dr. James McDeavitt, executive vice president and dean of clinical affairs at Baylor College of Medicine in Houston. "Others that were in their 50s and 60s who maybe thought they'd be working for another five years took an early retirement."

Dr. Bernard Camins, medical director for infection prevention at the Mount Sinai Health System in New York City, has noted a similar "mass exodus" of health care workers who retired early or moved to a different line of work altogether.

Now, he said, "there's a constant struggle to recruit new people."

Staffing deficits mean there is little wiggle room to accommodate any additional surges of patients, whether they're sick with Covid, flu or other illness.

"There's no excess capacity in hospitals," del Rio said. "Anything that increases the number of patients is going to tip the scales."


** COVID-19 will be a top cause of death in 2022
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As we begin the fourth quarter of 2022, it is fairly clear that once again, COVID-19 will be a leading cause of death in the United States. Around 250 people die each day from COVID-19 in the U.S. That number is expected to rise ([link removed]) before the end of the year. At our current rate of deaths, COVID-19 will rank in the same range as Alzheimer’s, chronic lower respiratory diseases and stroke as a leading cause of death. Heart disease and cancer are still America’s leading causes of death ([link removed]) .


** The (possible) post-hurricane exodus from Florida
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Was Hurricane Ian enough to make Floridians consider moving? I can tell you this is a conversation I have witnessed and participated in so many times in the last week. But then, I suppose, it is a conversation that happens after any natural disaster. How many actually pull up stakes, I suspect, is way different from those who are considering it.

The New York Times published an insightful piece ([link removed]) on how seniors are thinking about all of this since they represented an outsized proportion of hurricane fatalities in Ian. Some passages that caught my eye:

Garland Roach, 79, said he had no intention of leaving his badly damaged home in a modest neighborhood of North Fort Myers, where the lone palm tree in his front yard was now surrounded by drain pipes, siding and other debris.

“My daughter wants me to come back to Ohio, and I told her I would in my ashes,” he said, adding that he was hoping the Federal Emergency Management Agency or the National Guard would provide a tarp for his mangled roof. “I couldn’t last another winter up there with my arthritis.”

“I think it’s a breaking point for a lot of people,” said Carol Freeman, 75, pausing as she cleaned the muddied floor of her home on Pine Island, which was ravaged by the storm.

Since the hurricane, Ms. Freeman, a retired postal worker who lives with her parrot, Jose, had been without power, forced to use baby wipes to keep clean and, at least once, eat a donated military-style meal for dinner. She had spent days debating whether it was worth staying.

It may be time, she said, to return to her native Chicago after about four decades on the island. “Too old to be doing this,” she said.

Some retirees who wintered on the Gulf Coast are already planning their exits from the state.

I wonder how many of you have heard similar things after blizzards, tornadoes, wildfires and earthquakes. I wonder what you would learn if you looked up the people who you talked with after those disasters.


** The small and midsized towns that made the list of “Most Dynamic Micropolitans: 2022”
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Heartland Forward publishes an annual list ([link removed]) of towns with populations of 10,000 to 50,000 that are thriving despite a pandemic and economic instability.
[link removed]
(Heartland Forward)

Maybe it is not a surprise that an organization called Heartland Forward finds the heartland states are thriving best, but there are coastal examples on the list, too.

Here are the details behind the top 70 on the list. You can find the rest of the list here:
[link removed]
(Heartland Forward)
[link removed]
(Heartland Forward)

Los Alamos might not jump to mind as the number one micropolitan, but it may be because you do not know enough about it. Researchers said, “Los Alamos rose to that spot thanks to some unusual circumstances.” The city had the highest per capita wages ($87,078) thanks to the Los Alamos National Laboratory. The city includes research on ([link removed]) “nuclear energy, nuclear nonproliferation, national security, nanotechnology, renewable energy, magnetic field research, genomics, supercomputing and other projects for the Department of Energy.”

We all will look at the map with our own biases.

When I see cities in my beloved Kentucky missing from the top 20 list, I start to question the survey. Paris, Kentucky ([link removed]) (AKA horse heaven, with a population of 9,776) must have been left off because it needed 224 more people to qualify. The highest-ranked Kentucky town isBardstown ([link removed]) (121st overall) but you would move it a lot higher if you are a bourbon drinker. Sevierville, Tennessee ([link removed]) , comes in at 126 but if you want to know how much people think of that town, try to book a hotel room near Dollywood while leaves are changing in the Smoky Mountains.
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