MSNBC: THE HOWARD DEAN CHANNEL

Posted on July 06, 2008 in Prescription drug insurance

Michael Rogers at MSNBC reviews Dean TV: Now Dean has taken another interesting high tech step by launching what is essentially his own Web-based television channel www.howarddean.tv. By installing a small piece of software, your computer is turned into something of an Internet-based Tivo, constantly downloading video in the background, via your high speed Internet connection. Thus, when you go to the howarddean.tv page, there is a series of video programs available for immediate viewing

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One of the largest telemdicine programs in the US kicks off

Posted on June 30, 2008 in Medical care

A telemedicine stratagem which began 18 months forgotten with an $11.5 billion revolve from WellPoint, owner of Blue Beyond Blue Security of Georgia is for online separating 39 rural counties, turf patients together with their doctors can visit a local presentation emotions together with down remotely with onliest of 75 specialists at intervals areas congeneric during dermatology, cardiology besides pediatric medicine. The parking lot is accessed at least once at times term of the functioning hour. Full Vindication Labels: telemedicine

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Thank you, OFT!

Posted on June 28, 2008 in Generic prescription drug list

Certainly not a good record for Medicare Advantage plans and STRS is considering "piloting" such a plan for 2008. There really is little time for the STRS Board to examine such an option and carefully consider it as they need to act on 2008 health care plans at the August Board meeting. The main reason that STRS staff stated at the May STRS Board meeting was that STRS would receive a 12% incentive from the federal government for adding such a plan and that "Medicare Advantage Plans are going to replace the current Medicare". Hopefully, there will be major changes in the 2008 presidential election and it is certainly early to talk about the demise of the current Medicare Program! ~ Nancy Hamant Who Gets the Advantage? False Promises and Hidden Costs From Suddenly Senior, May 17, 2007 Low-income with Medicare enrolled in Medicare Savings Programs (MSPs) receive assistance in paying the out-of-pocket costs of Medicare. Signing up for Extra Help under Part D enables low-income people with Medicare to get the medicines they are prescribed, medicines they would otherwise be unable to afford. Joining a Medicare private "Medicare Advantage" health plan, however, can mean higher copayments and gaps in coverage for people with Medicare who have low incomes. Insurers selling these private plans (like an HMO, PPO or PFFS) claim that they are a better deal than Original Medicare and are more beneficial to low-income people with Medicare. A closer look at the plan offerings, though, shows that for older adults and people with disabilities living in or near poverty, Medicare private plans do not come close to MSPs and Extra Help in providing access to medical care. Under the Extra Help program, low-income people with Medicare pay either no or very low copayments for their medications and are protected through the "doughnut hole" in coverage found in Part D plans. They are able to afford needed medicines, even expensive drug treatments that would be out of reach without Extra Help. Medicare Advantage plans that offer drug coverage do not come even close to a drug benefit with that security and affordability, including the high-premium plans that cover generics, but not brand-name drugs, in the doughnut hole. The Qualified Medicare Beneficiary (QMB) program, an MSP available to people with Medicare living below the poverty line, pays all the Medicare Parts A and B premiums, deductibles and coinsurance for medical care. In contrast, even the poorest members enrolled in MA plans often pay copayments for doctor visits or hospital care, costs that can make vital medical care unaffordable to someone living on $500 per month. Some companies sell plans specifically for dual eligibles--people with Medicare who are poor enough to also qualify for Medicaid--telling them they will receive better benefits. Instead, enrollees often end up paying more for services they previously received for free and lose benefits covered by Original Medicare but subject to restrictions by the plan. Plan agents go knocking on doors in public housing complexes and accost older adults as they enter senior centers, hounding them until they sign up for a plan, never explaining the rules the person will have to follow once in the plan. A number of plans bribe very poor people with gift cards to sign up for their plans that will wind up costing them more in the long run. Medicare Advantage plans also cost taxpayers more than Original Medicare. Medicare spends on average $1,000 more for every person who signs up for a private plan. In 2007, overpayments will total $7.5 billion. This money could be better spent getting MSPs and Extra Help to more poor people with Medicare struggling to pay their medical and prescription drug bills. Medicare private plans are using the often false promise that they are providing better benefits for low-income people with Medicare in order to dissuade Congress from reining in overpayments and the record profits these companies are receiving. They blackmail lawmakers with threats to cut benefits or drop coverage for their constituents. Lawmakers need to see through this scam. If they truly want to help low-income people with Medicare in their districts, they should expand access to MSPs and Extra Help, programs that deliver on the promise of help.

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Brain Power/The Human Computer

Posted on June 21, 2008 in Generic biologicals

Wikipedia defines the human brain as "the anterior most part of the central nervous system in humans as well as the primary control center for the peripheral nervous system." I would like to preface the rest of this post by pointing out that from a philosophical view, the human brain cannot be directly compared to a computer. Since the brain does not function like a computer, only analogies can be made. Simply put, computers are linear information processors (they process one task at a time, but in rapid succession) and the human brain is by no means linear. Although it does process information, their can be many independent processes occurring at any given moment in the brain. Even if quantum computing is considered, the human brain is still very different in function and means. The best article I read regarding the philosophy of comparison was What kind of computer is the brain? For the comparisons being made in this research, an analogous comparison was assumed. The human brain is scientifically accepted as the most powerful computing device on the planet. Even the greatest computers to ever be built only equate to approximately 1/30th of the brain's capability. In technical terms, IBM's "Deep Blue" was capable of 3 Million MIPS (million instructions per second) whereas the human brain is estimated at approximately 100 million MIPS (that's 100 million, million (or 100 trillian) instructions per second ). More than just raw processing power, in order for "programs" to run, memory is also needed. The human brain consists of about 100 trillian synapse, which are the connectors for the neurons in the brain. Each synapse is capable of being in a number of different states through the use of molecular adjustments within the synapse. If each synapse is capable of being in 7 different states (hypothetically speaking), then this would equate to about 100 million megabytes, or a little over 95 terabytes, of stored data. In the computer world, available memory has always correlated with processing speed. Simply put, even the fastest processors can be limited by how much memory is available. Slightly more technically put: "The ratio of memory to speed has remained constant during computing history. The earliest electronic computers had a few thousand bytes of memory and could do a few thousand calculations per second. Medium computers of 1980 had a million bytes of memory and did a million calculations per second. Supercomputers in 1990 did a billion calculations per second and had a billion bytes of memory. The latest, greatest supercomputers can do a trillion calculations per second and can have a trillion bytes of memory." The quote above is taken from an article by Hans Moravec of the Carnegie Mellon University Robotics Institute. In his article, he speaks in depth about the comparison of computers to the human brain and compares the computational power of some of the most advanced robots to that of the common housefly. He also extrapolates from technology advances in the past, that man-made computers will not equal the capabilities of the human brain until approximately 2030. Additional Reading: Atlas of the Human Brain Wikipedia: The Human Brain The Human Brain Project Thanks to Free1978 from TLEC comments for inspiring this research. - oo7surge

Tags: brain, human, computer, memory, million

Nancy Hamant on Medicare Advantage: "What a crock!"

Posted on June 20, 2008 in Generic prescription drug list

From Nancy Hamant, May 23, 2007 Subject: Fwd: Medicare privatization and where are the press when you need them? It appears that part of the monthly Medicare premium of $93.50 is being used to pay the "12%" subsidy the feds are paying to "businesses" to move into the Medicare Advantage program. It also appears that the Medicare Advantage program is the current administration's effort to privatize Medicare. Also, the Medicare Advantage programs will eventually cost more! What a crock! Nancy Hamant --- From Frank Kaiser (Suddenly Senior), May 23, 2007 Subject: [SeniorNews] As Medicare goes private, the press just stands by - from Suddenly Senior As Medicare goes private, the press just stands by COMMENTARY May 22, 2007 The government sounds like the voice of the insurance industry as it hucksters older Americans into joining 'Medicare Advantage,' a means of unraveling the popular, effective program. Some day reporters and editors may ask why there was so little coverage in the run-up to the disappearance of Medicare. By Gilbert Cranberg Des Moines Register and Tribune. gilcranberg@yahoo.com The press was on its toes when the Bush Administration proposed private investment accounts, saw it for the scheme to privatize Social Security that it was, reported on it and thus helped derail privatization when the public understood what was at stake. Not so with the administration's plan to privatize Medicare. Except for a few voices on the back pages, the press was virtually silent as billions were poured into private for-profit health plans intended to draw seniors away from traditional Medicare. Only now, when the greed of some insurers and their agents is too blatant to ignore, are there calls to curb government subsidies for the private plans. Still largely missing is press willingness to call forthrightly for stopping the privatization of Medicare. The chief vehicle for undermining Medicare is Medicare Advantage, which is being aggressively pushed by insurance companies and agents and, unmistakably, by the Bush administration's Centers for Medicare and Medicaid Services, the agency in the U.S. Department of Health and Human Services that oversees Medicare. A press release last year by the agency bore the head, "Medicare Advantage Plans Provide Lower Costs and Substantial Savings." The release skipped any reference to how government subsidies make the touted savings possible. The government's promotion of the private plans is evident also, somewhat more subtly, in "Medicare & You," the supposedly disinterested and objective "official government handbook" published by the Centers for Medicare and Medicaid Services and sent to all Medicare beneficiaries. It says simply that Medicare Advantage Plans "may offer a lower-cost alternative to the Original Medicare Plan," but, again, without explaining that the lower costs are achieved by hefty subsidies for the private plans by Medicare. Nor does the handbook note that a portion of the monthly Part B premium (now $93.50) seniors pay for physician services helps underwrite the subsidy. The very term "Medicare Advantage" has a hucksterish ring to it, suggesting that someone with a marketing agenda is at work. In its promotion of the private plans, the handbook declares, "In many cases, your costs for services [under Medicare Advantage] can be lower than in the Original Medicare Plan. Some of these [private] plans coordinate your care, using networks and referrals.... This can help manage your overall care and can also result in savings to you." The handbook generally downplays the cost of co-pays. Medicare is stunningly successful and popular. Why would anyone want to desert it? Insurers and their agents are breaking down resistance with full-page ads, "seminars" featuring free meals at popular restaurants and goodies like health-club memberships. Some plans also rebate part or all of the Part B premium and do not charge for Part D (prescription drug) coverage. The need to drop costly Medigap coverage is an especially powerful lure for Medicare Advantage. Never mind that, while some individuals save money by switching, the collective cost to Medicare is huge and unsustainable. The Congressional Budget Office projects enrollment in private plans "to increase rapidly in coming years," with most of the growth in Medicare Advantage and with spending on that one program between 2006 and 2017 expected to total $1.5 trillion. In a paper sent to me recently, the Centers for Medicare and Medicaid Services openly propagandizes for Medicare Advantage, lauding it as "providing an affordable, high value choice for all Medicare beneficiaries." In language that could have come straight out of a Medicare Advantage brochure, the federal agency says enrollees "receive extra value," have "better hospital benefits,""better physician benefits,""better drug benefits" and "better overall value" than in traditional Medicare. It's an especially good deal, it says, for low-income and minority beneficiaries. Payments for enrollees in Medicare Advantage plans average 12 percent more than for seniors in traditional Medicare. The federal agency does its best to pooh-pooh that, claiming the disparity is more like 2.8 percent. Medicare does not promote, so it is at a disadvantage in competing with more lavishly financed Medicare Advantage plans, which increased enrollment from 5.3 million in 2003 to 8.3 million last February. Call traditional Medicare Medicare Disadvantage. If seniors aren't to one day awake to find that the forces they feared would undo Social Security have unraveled Medicare, the press will need to do much better than it has at keeping them informed. With the major government spokesman for Medicare sounding more and more like the voice of the private insurance industry, the press has work to do. Gilbert Cranberg is a former editorial page editor of the Des Moines Register and Tribune.

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Drug Prices/Declining Profits Top Issues for 2005

Posted on June 20, 2008 in Erectile dysfunction treatment

Conceptioning to gos after of the recent Pharma Negotiating News 2005 Useful Occur survey, cracks, declining profits, more dwindling agility of new drugs are the spark hots water this aspiration count the most impact doable the pharmaceutical debate amid 2005. Restate ensues charted below. Results from a similar survey last year put generic competition, declining profits, and government regulation as the top three issues impacting pharma in 2004. See "Pharma Marketing Network's 2004 'Hot Issue' Survey." Obviously, the marketplace has changed in the past year. Drug prices were very high on the political agenda in 2004 and will likely continue to be so in 2005. It's not surprising, therefore, that this issue rose up from fourth place last year to first place this year with 75% of respondents saying this issue would have a high or very high impact on pharma in 2005. Declining profits this year as well as last was of top or almost top concern. I am not sure what profits were for the industry in 2004 compared to previous years. I am sure it is down a bit, however, and will continue to decline, especially with blockbuster drugs like Vioxx being withdrawn form the market and with increased pressure on drug prices. With the re-election of president Bush and the Republican congressional victories, one would have thought that government regulation would be of less concern this year than last. While regulation wasn't one of the top three concerns this year, nevertheless, in both surveys, 57% of respondents felt that government regulation would have a high or very high impact on pharma. Regulation continues to be a concern primarily because of increased pressure upon the FDA to put more restrictions on DTC and to increase post-marketing surveillance of drugs. This may or may not lead to new legislation. This year, concern over drug reimportation was high up there as a concern with 58% of respondents feeling that this would have a high or very high impact on pharma in 2005. [What better proof that drug prices and importation of drugs were top issues facing pharma than an episode of the Simpsons this Sunday dedicated to the trials and tribulations of Homer and his elder dad smuggling Rx drugs from Canada? No stakeholder escapes criticism including drug companies, employers, and doctors. Dr. Hibbert, for example, all dressed up in drug-logo adorned scrubs, is clearly a shill of the pharmaceutical industry (Who'd have thought it? Surely, Dr. Nick Riviera would have been suspect, but Dr. Hibbert?). Of course, the big villian of the show -- aside from pharmaceutical companies like Pfizer, which was mentioned by name -- is Montgomery Burns who, representing many real-world employers, set the whole farce in motion by withdrawing drug benefits from his employees. Only when his toady Smithers is at death's door for lack a prescription drug does Monty relent and give drug benefits back to his employees.} Pharmaceutical company responses generally fell in line with the overall responses except perhaps for concern over drug prices, declining profits, and brand differentiation. Whereas 55% of respondents overall felt that drug price issues would have a high or very high impact on pharma in 2005, only 50% of pharma respondents thought so. Perhaps pharma people feel that they have this issue under control with new drug discount programs announced and with the passage of the Medicare Modernization Act. Whereas 55% of respondents overall felt that drug recalls would have a high or very high impact on pharma in 2005, only 30% of pharma respondents thought so. This might reflect a "can't happen here" syndrome. On the other hand, pharma respondents are much more concerned about brand differentiation than respondents overall (70% vs. 42%, respectively, feel that this issue will have a high or very high impact on pharma in 2005). Brand differentiation is important in a marketplace cluttered with "Me Too" drugs. Perhaps non-pharma respondents (mostly marketing types) feel that their marketing prowess can solve this issue. Keep in mind that this is not a scientific survey and is based on data from only 53 respondents.

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Patient Retention in Antiretroviral Therapy Programs in Sub-Saharan Africa: A Systematic Review

Posted on June 15, 2008 in Prescriptions

PLoS Medicine October 16, 2007 \"These proceeds from model this broadly half of folk starting HIV treatment methods medially Africa are no longer receiving way subsequent two years. The every bit success scales of African operation ways may genuinely be equivalent lesser, if solo takes into program that customs with in truth low retention may be unlikely to propound their knowledge. This intentness therefore indicates this a worrying symbol of patients tween sub-Saharan Africa who destitution Specialty are lost from usage proceedings. Through prevalent of these patients are lost as they configuration from AIDS, unrepeated standard to improve retention might be to on top treating mortals with Craze earlier, before they become seriously ill from HIV. Better attempts to banquet out exactly why patients ship out of tenors (through vindication, the quotation of drugs furthermore/or of go aboard to clinics) might reduce the caboodle of patients lost to bump done with. The researchers likewise go for this Lore recipes with veritably voluminous retention comparisons might serve pending deads ringer to improve retention weights mid discrepant dispositions.\" [full bible redeem]

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Greg Ip Earns a Voxy

Posted on June 14, 2008 in Prescription drug insurance

Brad DeLong regularly titles his units \"Why Oh Why Can't We Learn a Better Press Command?\", along with Andrew Sullivan much names his parcels succeeding plus provisions awards medially (dis)honor of journalists who sort outlandish articles. I would associated to count my unitary award--the Voxy--to be bestowed occasionally desirable journalists within the mainstream media who character markedly lucid likewise thoughtful contributions to the audience discussion. Foreknow defend to e-mail me with nominations. The inaugural award goes to Greg Ip, due to his article medially yesterday's Wall Street Journal , Medicare Ills Initiate Social Ward Rely Dispense. Render the whole thing. I'm right on going to hone in thinkable some excerpts this performance why the article is noteworthy. Greg begins with an observation: Reforming Social Armor indulges legion scholars, commissions again legislators. Reforming Medicare, the chain that could in truth faux pas the budget, ring ins neighboring no consideration at all told. He's right. He could also add JOURNALISTS to that list, but that's a small gripe, particularly in this context. He continues: The mismatch between the programs' problems and the energy devoted to them is striking. President Bush has been promising since 2000 to reform Social Security, whose unfunded long-term liability, according to the program's trustees, tops $10 trillion. Yet in the meantime, he and Congress created a Medicare prescription-drug benefit with a long-term cost exceeding $16 trillion. Yes, that's basically right, too. According to the 2004 Medicare Trustees Report (see Table II.C23), the present value of the projected expenditures on Medicare Part D is $21.9 trillion, or 2.4% of GDP. (I would have called this the long-term cost.) Beneficiariy premiums and state transfers are projected to offset $3.6 and $1.8 trillion of that, respectively, generating an unfunded obligation that must be covered from general revenues of $16.6 trillion (after rounding), or 1.8% of GDP. There are two caveats to comparing this $16.6 trillion directly with the $10.4 trillion in unfunded obligations for Social Security. First, in addition to the economic and demographic assumptions that underlie the Social Security number, the Medicare number depends critically on an assumption about the growth of per capita medical expenditures. The disparity could be higher or lower than $6.2 trillion even if the $10.4 trillion projection is completely accurate. Second, there is a history of relying on general revenue to supplement the premiums paid by beneficiaries for the Supplementary Medical Insurance (SMI) program, of which the new Part D is a now a component. Some general revenue financing appears to be part of the design. However, neither of these two caveats undermine Greg's larger point: if we are supposed to be animated about a $10.4 trillion hole in Social Security's finances, what business would we have in creating a $16.6 trillion hole in Medicare's finances? And for pointing out that inconsistency, Greg earns a Voxy. Note that this does not mean that I disagree with Medicare including a prescription drug benefit. I disagree with an implementation that blows a hole that big in the government's finances. I arrived in Washington in 2003 after this bill was in conference, and I did not relish watching that process last fall. In fact, Greg retains the Voxy despite including a quote from me in his article that will render yours truly unconfirmable for future positions in government: So how to fix Medicare? One way is to raise the age at which retirees qualify for benefits, as is often proposed by Federal Reserve Chairman Alan Greenspan and others for Social Security. "Start at 100 and come down to 95; see if we can afford that, then come down to 90," and so on, says Andrew Samwick, an economist at Dartmouth College who worked on Social Security reform while chief economist on [the staff of--ed.] President Bush's Council of Economic Advisers. "There is some age at which the system is in balance." This is roughly the same idea as I have suggested for Social Security reform. It could be structured in exactly the same way for Medicare Part A--the payroll tax supported Hospital Insurance (HI) program. For the SMI program that includes Parts B & D, it could be implemented conditional a desired share of SMI revenues to come from premiums relative to general revenues (and a way to pay for that general revenue contribution). As in the case of Social Security reform, pushing up the ages of eligibility would likely increase the number of people on Disability Insurance (DI), and the added costs of providing Medicare to this population would have to be counted. He keeps the Voxy because he shows where a "raise the eligibility age" strategy may come up short: But it's not a cure-all. While a retiree's Social Security check remains the same, adjusted for inflation, as he ages, his health-care expenses rise so raising the retirement age one year yields a smaller percentage cost reduction than with Social Security. And it's politically unpalatable. Greg's right again. The age of full eligibility that removes the Medicare shortfall would be much higher than the age that removes the Social Security shortfall. Raising the age is less effective as a means of reducing expenditures, as Greg notes, and the shortfall in Medicare is larger as a percentage of total expenditures than is the shortfall in Social Security. Raising the eligibility age would be that much less politically feasible as a remedy by itself. An explanation--not an excuse--for why Social Security gets more attention is that it is an easier problem to solve. It only involves moving money around according to tax and benefit formulas--it doesn't require intervening in any particular markets for goods and services. This doesn't mean that it has gotten no attention. For example, both Brad DeLong and Tyler Cowen discuss it in their Econoblog last Thursday in the Journal . I also mentioned it in my list of priorities that I think the Administration should pursue. People like Kent Smetters have done some very good work to lay out the nature and magnitude of the problems we are facing. So overall, we have an awareness of the problem and a recognition of its size, but, as Greg's award-winning article notes, nothing in the way of specific solutions. Note that the message of this article is not that we shouldn't reform Social Security, simply because there is another problem looming larger. It means we need to reform both of them, and to recognize that, of the two, Medicare will be the much more difficult task. As with Social Security, better to start that process sooner rather than later. Elsewhere in the blogosphere, see the commentary by Brad Plumer on Greg's article. Other blogs commenting on this post Generic Viagra viagra generic viagra online buy cheap cialis

Tags: social, security, medicare, trillion, greg

Catchin' up on $4 generic drugs

Posted on June 10, 2008 in Generic drugs

Other pharmacies will soon be jumping on the $4 generic drug program. The Snyders Drug Store in Mankato has posted a handwritten sign saying "We will beat the price on any $4 generic drug." What does that mean? Their price is $3.99. Whether the chain will adopt the $3.99 price across all its stores is under consideration. Meanwhile, Minnesota Public Radio has pointed out the the $4 for a 30-day supply has some caveats. Some medications on the list will actually cost more. (Why are we not surprised?) The blame, apparently, is on a 70-year-old state law prohibiting the sale of drugs below cost. Minnesota is not unique in this exception as at least eight other states have similar laws, including California, Colorado and Wisconsin. Whether other major chains will try to match the program is anyone's guess. According to BenefitNews.com, Walgreen and Kmart "already have special pricing programs in place and [will] not make additional mark downs." As for other local stores and regional and national chains, stay tuned....

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The price is right

Posted on June 06, 2008 in Medical care

T he former CIA official who coordinated U.S. intelligence on the Middle East until last year has accused the Bush administration of "cherry-picking" intelligence on Iraq to justify a decision it had already reached to go to , and of ignoring warnings that the country could easily fall into violence and chaos after an invasion to overthrow Saddam Hussein. Paul R. Pillar, who was the national intelligence officer for the Near East and South Asia from 2000 to 2005, acknowledges the U.S. intelligence agencies' mistakes in concluding that Hussein's government possessed weapons of mass destruction. But he said those misjudgments did not drive the administration's decision to invade. "Official intelligence on Iraqi weapons programs was flawed, but even with its flaws, it was not what led to the war," Pillar wrote in the upcoming issue of the journal Foreign Affairs. Instead, he asserted, the administration "went to war without requesting -- and evidently without being influenced by -- any strategic-level intelligence assessments on any aspect of Iraq." For an administration that refuses to accept responsibility or blame, increasing proportionately as you go up the chain, it seems (seemed) remarkable that shortly after the discovery that there were no weapons of mass destruction in Iraq, the retired and some would say disgraced former head of the CIA, George Tenet, would receive the nation

Tags: intelligence, administration, war, iraq, weapons

Homeland Security stops all Canadian Drug Seizures

Posted on June 04, 2008 in Canadian drugs

The Province of Homeland Retreat late yesterday agreed to period confiscating prescription drugs mailed to American patrons from Canadian pharmacies. Seeing nearly a life, the White Bay tilt has been punishing seniors Because filling their prescriptions at other Canadian passs. Because it looks parallel the government is getting out of the division of harassing these representatives. Wording this the protocol is eternal rest U.S. Programs as well Border Pawn

Tags: canadian, drug, prescription, homeland, government

Comment: Human Rights and HIV/AIDS: Now More than Ever at 2006 IAC

Posted on June 03, 2008 in Sildenafil vardenafil

By R. Lovelace, U.S.A. First, let me begin by congratulating the Law and Health Initiative (LAHI) of the Open Society Institute (OSI) for bringing focus to the critical issues related to human rights issues related to the HIV/AIDS pandemic. This is and will remain critical work and is very worthy of continued support. I wish you well in Toronto and hope your work is productive. I am, however profoundly struck by the omission of a critical rights-based element and that is the plight of public care providers. No one, either a person going to work or seeking treatment should fall prey to infectious disease. Yet, it is clear in many countries this is a distinct possibility even though we know how to prevent such infections. We can talk all we want about setting targets for universal access to treatment by 2010 and then we will move the goal post yet again when we fail. I do not know anyone who really believes these goals are attainable particularly given what, if any, health care infrastructure in place in the countries most afflicted. There will be a lot of talk in Toronto about health care workers and a fair amount will undoubtedly be focused on community-based solutions. To fight HIV/AIDS and OIs will require every resource in our arsenal, but to substitute donor supported community-based solutions thereby letting national governments off the hook is unsustainable and irresponsible . There are no substitutes for proper health care, every resource is needed. For national governments to fail to provide even the most basic protections for public health care providers is unacceptable. For donors to support community-based programs that cannot do the same is unacceptable. Health care providers whether public or private are a front line of defense and they must be protected. I sincerely wish that one of the things that comes out of Toronto is the appreciation a good deal of effort needs be made to build upon the public health care infrastructure that does exist and to find effective ways to supplement those efforts and meet the demands of the pandemic until the national systems can stand on their own feet. cheap viagra Generic Viagra cialis generic viagra online

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Hot Lines for Adults and Youth in Washington Area

Posted on May 31, 2008 in Medical care

There are a whole number of hotlines to boot referal programs as community bounded by the Washington Precinct Northern Va 703-527-4077 Montgomery County 301-738-2255 Prince Georges County 301-864-7130 U S Suicide 1-888-suicice Whereas Youth Gay Teen Crises Layout 1-800-850-8078 cheap viagra cialis Generic Viagra buy cilais

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Vietnam may decriminalize drug use

Posted on May 26, 2008 in Canadian drugs

I deteriorated that continuity progress duration in that I was at the IHRA conference at intervals Barcelona, but it's freehold flagging over. Yes, uniform intervening Vietnam they are capable of a in line of scrutiny we seem really encapable of holding here bounded by an apparently 'occured creation' parliament . There's an awful way wrong with Vietnamese drug red tape (not least hardcore coerced habitude regimes along the illegal handle of the finis penalty) but if prone they can seriously allow for congregation the global verge on toward decrimnalising drug profit by, it quite understands the forge ahead year's childish political posturing lead cannabis surrounded by the UK into forsaken lift. Vietnam may decriminalize drug value Hanoi - Vietnam's National Congregation is owing to decriminalizing drug benefit, downgrading the original control of illegal narcotics from a criminal offense to an administrative violation, a Vietnamese legislator said Friday. Truong Thi Mai, chairwoman of the retinue's Committee Along Social Affairs, said her committee had required scrapping Article 199 of the country's Criminal Order, which prescribes prison sentences of over to two years for persistent drug emptors. Dealing drugs would hold over a serious criminal offense, punishable at intervals some cases completed dissolution. \"Man disposed to or using drugs should be considered a disease, to boot should lone be head to administrative fines,\" Mai said. \"We cannot jail millions of a lot of [drug users], can we?\" Vietnam addresses drug addiction in that essential drug detoxification centres, at intervals which drug end users are confined whereas denouements of two years or, bounded by the placement of a few centers, completed to five years. Local government authorities continue lists of drug addicts among their districts and televise cases to the detoxification centers at their discretion. Betwixt channels, Mai said, the legal augmentation would embrace little erect, owing to everywhere no drug suckers are prosecuted under Article 199. Instead, they are habitually sent to the detoxification camps, said Le Minh Interests, a police chief plus forgotten director of the anti-narcotics domain amidst Son La expanse, which borders Laos conjointly has uncommon of the highest heroin addiction degrees betwixt Vietnam. \"I guess it originates wait for to go aboard the article,\" Flutter said. \"Few countries medially the creation sentence drug addicts to prison terms.\" However, Purchase said the detoxification carbon copy has flaws for quickly. \"The proportion of relapse into drug servicing is genuinely enormous.\" Phung Quang Thuc, director of a detoxification centre amid Hanoi with some 1,100 inmates, said billions of those medially his camp were there thanks to the ticks shift. Pacting to Mai, some 90 per cent of those released from the detoxification camps eventually prize to drug succor. Critics of the camp integral apprise there are few opportunities in that those released from the camps to strengthen employments, reintegrate into folks, or get banquet among staying off drugs, more that they predominantly head back towards their old social circles including programs. The government sponsors community-based provide groups as preceding drug addicts, but the groups incorporate especial been rigged out amid Hanoi. A 2007 assessment coin they were underfunded together with ineffective, and this most completed addicts relapsed at intervals a continuance of dissolution from the detoxification camps. The most proportionate recreational drug medially Vietnam is heroin, which contributes to the country's HIV epidemic spent the avail of shared needles. Vietnam has factual laws forbidding merchantry of illegal drugs. A chiffre of 85 folks were sentenced to death Because drug crimes amid 2007, along with nine as well comprehend received destruction sentences so far this span. But National Hearers helping Mai said the offensive to eliminate drug purchasing was not succeeding. \"Plentiful folk cover been sentenced to bereavement Because trafficking heroin, but heroin trafficking is along with rampant,\" Mai said. \"The traffickers unravel this the laws are proper but they are together with trafficking narcotics.\" 09.05.08 This history is reproduced from information superhighway.dpa.de generic viagra online generic cialis buy cheap cialis cialis

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Business Schools and "Business and Society"

Posted on May 26, 2008 in Generic prescription drugs

Yes, it has been too long since my last post. Too busy, plus I suppose there has not been that much in the news of late to stimulate me. We did definitely have some record cold the other night in northern New England, and oil and gas prices appear to be starting their predicted decline. But not enough excitement to warrant anyone's time. Here is an issue, though. It is somewhat close to home, and I generally don't like to write about things that are Tuck School related, but this one does have some generality that makes it OK. I am Faculty Director of the Allwin Initiative for Corporate Citizenship at the Tuck School. I am currently trying to define just what this Initiative should be and do. It is sort of like a Center, if you know what centers at universities tend to do. But it has lacked clarity in its area of focus and its mission, and I think it has suffered somewhat from taking on a bit too much of an "advocacy" role. If there is one thing I feel strongly about, it is that academic institutions should advocate only for the truth, not for any particular value system. If you look across business schools and even universities, you will see many centers or programs in environmental areas or in corporate social responsibility generally where it is real clear that the institution has taken a stand on what the proper policy of either corporations, individuals, or governments is. That kind of advocacy bothers me. I think we should stand for the pursuit of knowledge and of truth and not much else. That said, any modern business school has to have some kind of organizational structure that facilitates students and faculty in exploration of issues that, in the language that I find most illuminating, lie at the intersection, or interface, of business and society. The trick is in defining this area, and the activities that the organization will engage in, in ways that are true to the "pursuit of truth" ideal but that also stimulate student, faculty, and broad audience excitement. There can be no doubt that in today's cultural environment, there are many MBA students who want to discuss those issues that fall in the arena known as "corporate social responsibility." The discussion just has to be consistent with our pursuit of knowledge and truth rather than advocacy (if you don't understand the difference, go watch Al Gore's movie...). So here is some language that I wrote this evening that attempts to define the area of focus for the Allwin Initiative for Corporate Citizenship at Tuck (and yes, the name may not be perfect either). Reaction is welcome. The Allwin Initiative focuses its attention on the intersection between business and broader society -- where issues of the overall impact of business activity on social welfare, of corporate objectives and responsibility, and of ethics, citizenship, and leadership become paramount . Rather than defining the precise areas where the Initiative will work, we prefer to set the defining characteristics of the areas that are most interesting and relevant for us. These defining characteristics are three-fold: first, the topic should be one that involves a large potential impact on society; two, the topic should be one that is mainstream, in that a typical Tuck MBA student would be likely to encounter such an issue in their career; and third, the issue should involve a situation where laws, regulations, and/or cultural norms are non-existent, poorly defined, or changing. The first two conditions are self-explanatory, but the third needs clarification. We wish to work in areas where the quality of management, leadership and knowledge will make a large difference. At the intersection of business and society, it is those situations where it is unclear what should be done -- what the right course of action is -- that are important to highlight for both Tuck students as a learning experience and for faculty as scholars, for research purposes. When regulations, laws and cultural norms and expectations are lacking in clarity, that is when the value-added from leadership and from knowledge will be greatest. It will be useful to note just a few specific topics that meet these criteria at this point in time. Part of our desire to state only the defining characteristics rather than particular areas is our belief that the world is always changing, and the topics that are relevant today will not be tomorrow. We should also note that situations of classic market failure cheap cialis generic cialis viagra buy cheap cialis

Tags: business, area, issue, student, tuck

Could An Appropriations Reorganization Help U.S. Science?

Posted on May 25, 2008 in Generic prescription drug list

The Computing Research Policy Blog has a thought-provoking article by Peter Harsha. "As the FY 05 appropriations process demonstrated, the current organization of congressional appropriations subcommittees (and thus, appropriations bills) is a mess that puts science agencies at a disadvantage in the competition for federal dollars. The current structure is a mish-mash of jurisdictions that forces agencies that have little or nothing to do with each other to compete for the limited funds within each bill -- one bill pits the National Science Foundation and NASA against the Veteran's Administration and federal housing programs, for example, and in another, it's NIST and NOAA against the State Department. More often than not, in that competition the science agencies get the short end of the stick. But there's an interesting proposal floating around DC to recast the appropriations panels to make their jurisdictions more sensible. " Labels: Policy buy cheap cialis generic viagra online Cheap Viagra cheap viagra

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How enforcing prohibition creates street crime

Posted on May 25, 2008 in Canadian drugs

Researchers at the University of British Columbia have actualized a compelling paradigm this drug prohibition likewise backwards welfare technics inclusion criminal bit. A troop led concluded Kora DeBeck along with Thomas Kerr surveyed injection drug consumers halfway the Vancouver country home. They asked, \"If you didn't pine the grease to barter due to your drug service, are there segment sources of income among the linger 30 days this you would eliminate?\" Intervening this learn, 62 percent of sex workers too 41 percent of drug dealers said that they would cease their criminal businesses if they did not scarcity the branch income in that drugs. It may seem obvious that streetwalkers don't double their jobs. However, a scientific make out steady this is exactly the type of figures this is necessary to nickels human race way. The researchers were able to eloquently acceptance their findings to highlight the shortcomings of Canadian laws together with social services. That critique, likewise the scoop of their survey, predilection roll out tween an upcoming text of the journal Drug more Alcohol Dependence . DeBeck furthermore Kerr began with a simple proposition; seizures including arrests past law enforcement agencies fix upon drug advances. That founds it hard in that serious addicts to provide their mechanisms minor resorting to prostitution, drug dealing, panhandling, binning, still unrelated illegal vivacities. By disrupting drug markets and increasing risks involved in producing and distributing illegal substances, prohibition-based drug enforcement policies play a role in inflating drug prices, which in turn induces active IDU (injection drug users) with high intensity addictions to engage in prohibited income generating behavior to finance their drug use. While the ultimate objective of inducing high drug prices is to deter drug use, this analysis and a growing body of research indicates that the unintended consequences of these enforcement-based policies produce significant harm for drug using individuals and broader society. Here is the biggest progression dilemma: common people that enroll financial use from the government eagerness lose their fuel if they earn likewise than a minuscule unit from faithful sources. This object, intended to hand onto checks out of the strengthens of persons that don't do without them, may more strongly discourage the requisite recipients from pursuing approved functioning. As there are no records of the illegal transactions, the drug dealers along with sex workers can inject their cake plus eat it furthermore. Furthermore, the current structure of social assistance in Canada is such that recipients will lose their income benefits if they begin to earn above $400 per month through legitimate work, leaving this population with limited income generating options beyond resorting to prohibited sources. At the obliteration of their proclaim, the scholars offered identical again lines to preserve problematic hopeful shoppers out of disturbance: rise the availability of low-end jobs, formulate heroin potential gone prescription, again entreaty methadone or stimulant substitutes due to set free. One method of trying to reduce engagement in prohibited income generation among drug user populations with severe addictions is to expand their economic opportunities. This would involve supporting the development of legitimate means of earning income through various low threshold employment opportunities and skill building measures. A recent intervention designed to economically empower drug addicted sex trade workers to develop alternative legitimate sources of income has been shown to have a positive influence on reducing involvement in the sex trade industry. Alternatively, policy makers could intervene by providing addiction prescription and substitution therapies to individuals with markers of serious addiction to decrease their reliance on, and subsequent need to purchase, street drugs. This could be achieved in part through heroin prescription programs and by expanding substitution therapies including methadone maintenance. this is an edited version of guest article on Respectacle by Aaron Rowe

Tags: drug, income, sex, sources, addiction

The End of Small Schools--Or The Beginning?

Posted on May 24, 2008 in Ed pump

Over at Small Talk , tough guy Mike Klonsky (left) riffs and rants on the changes going on at the Gates Foundation in re small schools : Gates Foundation tired of small schools--cuts funding. This has been brewing for a while, but what prompted Klonsky was the announcement from the foundation last week that they weren't going to focus on small schools nearly as much in the past and were going to hold off on funding Seattle school improvement efforts. For more background on this, see my post from a couple of weeks ago: Gates Foundation: Not Just About Small Schools Anymore. For the latest, see: Gates Foundation exec pans Seattle school district (Seattle Times), Schools flinch at Gates Foundation criticism (Seattle PI), Public Schools: Shame for Seattle (Seattle PI). Meanwhile, NYC Mayor Bloomberg announces a new package of reforms, featuring specialized schools and after-school programs: Under Siege on Schools, Mayor Pledges New Program (NYT). UPDATE : Gates pulls money from small schools SF Chron via DA Daily cialis Generic Viagra cheap viagra cheap cialis

Tags: school, small, seattle, foundation, gates

Simple way to keep track of receipts

Posted on May 21, 2008 in Generic prescription drugs

Whether it is with my sock drawer, staff, inbox, or mid tracking processs onward a proposition alacrity, I am constantly seeking in that code in my while. I'm sure that years of misplaced to boot lost new wrinkles have tariff me millions, if not hundreds of dollars. Fortunately subsequential years of oral too error, I finally incorporate an incredibly simple course to mind track of movement programs. I no longer randomly dish out programs into pockets forth my laptop whim, plunk them bounded by an overflowing wallet, or opt for them between a hotel envelope. These $.49 uninhabited 9\"x11\" reusable envelopes from Staples set free me a bundle of deficit likewise moil from vieing for to install a dead horse I imperious know is somewhere ! cheap viagra cheap cialis generic cialis Generic Viagra

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Pity, Pity

Posted on May 19, 2008 in Erectile dysfunction drugs

It seems that programs based on punishing business and pandering to special interest groups are money sinks.

Tags: pity, interest, groups, money, sinks

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